Disaster Nursing Development of a Center of Excellence for Disaster Nursing in a Ubiquitous Society Information Base for Disaster Nursing Knowledge and Skills to Protect Lives
- So as not to forget that fateful day -
University of Hyogo, Graduate School of Nursing
The 21st Century Center of Excellence Program
Useful manuals : Pregnant women / Child-rearing mothers
Ensure safety, and offer a sense of security
For disaster preparedness phase For emergency phase For recovery restoration phase

Ensure safety, and offer a sense of security

Confirm the safety of people and their environment

Listed below are points to check when confirming safety of people and their environment. Use this list as a reference to create a checklist that suits the characteristics of your facility, and keep it in a visible place.

- Checklist for evaluations safety and security -
* Are the patients safe?
* Is all equipment functioning properly?
* Is there a fear of secondary disaster?
* Are all tubes and lines properly connected?

- Where to Check -

Equipment Is all medical equipment functioning properly?
Are there any troubles with the tubes or lines connected to the patient?
Essential utilities Are there any gas leaks? Are the main gas valves closed?
Is the electrical system functioning properly? How about the private power generator?
Are there any troubles with the water pipes such as ruptures or leaks?
Environment Are there cracks in the walls?
Is the equipment constantly connected to power/gas functioning properly? (Are there any possibilities of fire.
Are communication lines (e.g., the telephone) functioning?
Are there any objects that are not sufficiently fixed in your surroundings?
Are there any obstacles and/or hazardous materials (pieces of glass, combustible chemicals, etc.) in the hallways or evacuation routes?

Provide a sense of security

Immediately after a disaster strikes, it is said that people come to their senses when someone rushes to their aid or by hearing other peoplefs voices. In one reported case, a mother felt relieved by hearing the words gyour baby is OKh from someone checking the safety of the mothers and babies. The safety of their baby is the primary concern of postpartum mothers. When checking the safety of patients, use your voice to call out to them, and try to confirm the safety of the baby as soon as possible so you can relieve the motherfs worry. And, if possible, try to allow the mother and baby to be together.

When there are seriously ill patients at the hospital or sick people at evacuation shelters, caring for healthy pregnant women and postpartum mothers becomes low priority. However, even though they are physically healthy, do not forget that their minds and bodies received a great shock from the disaster. Try to show that you care about them through your actions and words.

Evacuation methods for mother and child

Below are some of the methods for evacuating safely.

Postpartum mothers

Have the mother carry the baby. Evacuation will be safer if the baby is firmly fixed to the mother's body with baby carriers and scarvers so that both of the mother's hands are free.

hen walking on her own is impossible due to just undergoing surgery or other reasons

Use stretchers(sheets) and wheelchairs.
Several people may be required to carry the mother, so handle the situation by asking those who are in relatively good condition to help.
  hen walking on her own is impossible due to just undergoing surgery or other reasons

Gather and disseminate information

During times of disaster, normal communication methods will be unavailable, and it is difficult to gain a grasp of what is going on. Also, inquiries regarding the hospitalfs medical capabilities, such as whether the hospital is able to give examinations to pregnant women and handle delivery will increase. Information-related resources that can be used to gather/disseminate information include radios, telephones (especially public phones), TVs, the Internet, and message boards. You could ask your inpatients to gather information from external information sources such as TV and radio. Exploit all available means to gather and disseminate information.   Gather and disseminate information


Infomation to be gatherd

What has happened, the status of the damage, information that confirms the safety of outpatioent women, postpartum mothers and newborns, and their current health conditions.

Information to be disseminated

Information that confirms the safety of inpatients, whether you are able to provide medical services, information necessary when transferring to anther medical facility, and reminders of the disaster lifestyle and measures to be taken in case of emergencies.

Transferring to other facilities

Your hospital could receive severe damage to the point that its medical capabilities become impaired and treatment of inpatients become impossible. If you encounter such a situation and have to transfer pregnant women and/or postpartum mothers to other facilities, refer to the list below for necessary preparations and provisions.

* Grasp the whereabouts of pregnant women, convey information regarding nearby and/or partner hosptals.
* Tell them that can receive examinations without letters of referral.
* Tell them that their Maternal and Child Health Handbook with them. If they have lost their Handbook, tell them that they can get it reissued at public healthcare centers and city/town halls.

Adjust hospitalization periods according to the patients' needs

Depending on the status of damages, some inpatients may request to be discharged earlier than normal while some may have nowhere to go if they leave the hospital. To provide a better living environment for pregnant women, postpartum mothers and newborns, adjust hospitalization periods according to the patientsf needs. When discharging inpatients, you will need to gather information on their lifestyle after discharge such as the status of their homes, whether they have someone to support them, and if they are aware of consulting services, and at the same time provide any necessary information. Specific methods such as how to obtain water, how to prepare formulas, how to prepare diapers and methods of keeping baby clean as well as information regarding financial support will be useful.

Convey information regarding resources available in the region

When mothers suffered from a disaster are discharged, tell them to contact public healthcare centers/health centers since services they can receive differ by municipality. It is a given that you must always be ready to provide consultation, but try to maintain contact with them as much as possible by speaking to them when they make hospital visits for examinations and giving consultations over the phone. Also, when they have nowhere to go due to damage from the disaster, provide information regarding facilities that are ready to accept disaster victims such as hospitals that admit mothers in their puerperal phase and evacuation shelters in order to secure a safe living environment in the postpartum period.
Be sure that you yourself know where the nearby shelters are located.
  Convey information regarding resources available in the region

Information Base for Disaster Nursing Knowledge and Skills to Protect Lives
Useful manuals
Disaster phase
Useful manuals Pregnant women / Child-rearing mothers
Copyright © 2006 College of Nursing Art and Science, University of Hyogo. All Right Reserved.