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Colorado Department of Public Health and Environment
Synopsis of Public Health Nurse Roles
In Emergency Response
July, 2008
Note: This is a general overview of Public Health Nursing roles and responsibilities in emergency response. This synopsis is not intended to be all inclusive. The intent is to assist nurses and nurse supervisors to identify traditional
primary roles before considering other duties that may be requested of them during an actual emergency event. This is a companion document to the Colorado PHN EPR Competencies.
PHN Domain
1 2 3 4 5 6 7 8
Analytical Policy Communications Cultural Community Basic Public Health Financial Planning Leadership and
Assessment Skills Development Competency Dimensions Sciences Management Systems Thinking
Program Planning Of Practice
Learn the following: Learn the following: Learn the following: Learn the following: Learn the following: Learn (do) the following: Learn the following: Learn (do) the following:
O Disease identification O Location and content of O What risk O The primary cultural O Who the community O How to access and Ο Necessary ICS forms that Ο Become familiar with the ICS
strategies. agency emergency communications are as centers within the partners are including public interpret disease data. track your personal expenses System of response.
O Signs & symptoms of preparedness/response they relate to the community including: and private organizations. O Participate in training and related to the event. Ο Participate in agency and
exposure to critical plans, policies & agency, the news ~ Language/cultures O About mutual aid exercises. community drills and exercises.
biological agents. procedures. media, the general ~ High risk populations agreements that exist O Learn what NIMS is and Ο Become personally prepared for
O Community-based triage O Phases of a disaster public and with personal with physical disability between your agency and how the public health nurse self and family.
strategies. operations. contacts. O Agency’s ability to other response partners fits into NIMS/ICS. Ο Understand the meaning and
O Agency isolation & O Public health laws & O The location of the provided interpreter and including local, regional, and O Learn the safe impact of disaster, public health
quarantine protocols for the legal authority during a agency risk translation services. state. administration techniques for: surge and community triage.
community. disaster. communications plan. O Cultural beliefs and O How your agency fits into ~ Oral medications Ο Become aware of the
O Appropriate immediate O Ethical issues for O How to write a SOCO social mores within the the community response ~ Injectable medications relationships between local, state
Roles in Preparedness Phase
intervention strategies for nurses during a disaster. (single overriding primary cultural centers of system. including SQ and IM & federal response.
high-risk communicable O Thresholds that have communications the community that may O What the community plan O Safe administration Ο Identify own personal role in
disease. been set for public health objective). interfere with the ability to has outlined as public health technique for Smallpox disaster response.
O Case interview system that would indicate O Radio etiquette and provide nursing functions in a disaster vaccine. Ο Participate in training and
techniques and protocols. need to activate agency communications ~ Risk Communications response. O About the Strategic education related to disaster
O General indicators of a emergency response protocols. Messages ~ Determine if these National Stockpile and the response.
terrorist attack. policies. ~ Prevention strategies expectations are consistent nursing role in its distribution.
O The characteristics of O Personal to mitigate spread of with public health nursing O What a Point of Dispensing
intentional biological attack Protection/safety policies disease scope of practice. is.
vs endemic disease and infection control ~ Linking people with O Quarantine and Isolation
O Classes of agents strategies. needed services. indications and techniques
(biological, chemical & O Surveillance systems per the agency plan.
radiological) and protocols that are in O Outbreak investigation
O Implications of mass place at local & state techniques.
fatality policy/protocols. levels. O Chain of custody protocols
O Infection Control
Procedures.
O Proper use of Personal
Protection Equipment.
PHN Domain
1 2 3 4 5 6 7 8
Analytical Policy Communications Cultural Community Basic Public Health Financial Planning Leadership and
Assessment Skills Development Competency Dimensions Sciences Management Systems Thinking
Program Planning Of Practice
Be able to: Be able to: Be able to: Be able to: Be able to: Be able to: Be able to: Be able to:
Δ Triage community Δ Apply agency policies Δ Create or contribute Δ Identify the need for and Δ Access and Δ Provide information Δ Keep track of personal Δ Contribute public health nursing
needs during disaster. & procedures to own to risk utilize interpreters and communicate with obtained to relevant expenses on appropriate ICS expertise to the response.
Δ Determine when to and assigned communications translators appropriately. appropriate community responders obtained from forms. Δ Assist clients and
then apply isolation and role/responsibility during messages intended for Δ Adapt nursing practice partners for assistance in a active surveillance methods. Δ Assist with assessing communities to mitigate untoward
quarantine protocols. the event. the community that will approaches to satisfy need public health disaster. Δ Perform outbreak resource needs of clients public health impact of the event.
Δ Identify potential Δ Assist superiors by provide: of culturally diverse Δ Clarify expectations of investigation which may and community. Δ Follow the chain of command.
impact of implementation advising them of policies ~ Prevention messages community. public health nurses in a include individual case Δ Advocate for clients and Δ Integrate public health nursing
of triage and and procedures (specific ~ Intervention messages Δ Use appropriate disaster response. interviews. community. role into response.
communicable disease to your assigned role) that ~ Mitigate panic messages that will Δ Explain the role/function of Δ Receive assigned duties Δ Link clients with Δ Apply community triage
Roles in Response Phase
mitigation strategies that are not effective, or need ~ Assist the community connect with the audience. public health nursing and from Operations Section resources. principles.
are being applied. modification during the into self-efficacy. Δ Use community identify unrealistic Chief or Team Leader and Δ Assist with prioritization Δ Monitor triggers that may
Δ Conduct case interviews event and offer Δ Apply risk resources available that expectations that may be review incident action plan for of existing agency resources increase public health surge.
and follow-up. recommendations communications will assist with successful requested that would go assigned operational period. and assets. Δ Assist in conducting rapid
Δ Assist in fatality regarding alternate protocols and application of needed beyond the scope of practice Δ Provide assigned duties needs assessment of community
management policy procedures. guidelines to own role in interventions. of public health nursing. in point of dispensing or other and provide input to event decision
implementation. Δ Apply knowledge of the disaster response. Δ Apply cultural Δ Perform activities within event facility. makers.
public health law to own Δ Effectively use competence when dealing the community that is Δ Apply quarantine & Δ Monitor psycho-social needs of
practice and decision- communications with families of death and consistent with the public isolation protocols to community.
making during the event. devices including dying. health nursing role. individuals, facilities and/or Δ Assess immediate and long-
Δ Apply infection radios, cell phones, fax Δ Assist in establishing community as needed. term public health impacts.
control policies and machines in order to linkages to vital services Δ Collect biological Δ Modify day-to-day activities.
personal protection to self communicate with necessary to manage specimens and adhere to
and others. agency staff and community public health chain of custody protocols.
community partners. needs including assistance to Δ Dispense medications in
Δ Provide health individuals, businesses, the a safe and efficient manner.
education to community community, and to local Δ Perform patient
that will assist mitigation government. assessment and triage at
of expanding the point of dispensing.
emergency.
PHN Domain
1 2 3 4 5 6 7 8
Analytical Policy Communications Cultural Community Basic Public Health Financial Planning Leadership and
Assessment Skills Development Competency Dimensions Sciences Management Systems Thinking
Program Planning Of Practice
Be able to: Be able to: Be able to: Be able to: Be able to: Be able to: Be able to: Be able to:
◙ Analyze impact of event ◙ Contribute to review of ◙ Create or contribute to ◙ Identify potential long- ◙ Contribute to community ◙ Perform follow-up case ◙ Contribute to the after- ◙ Contribute to the after-action-
on community including: policies and procedures risk communications term side-effects of the evaluations and after action investigations action-report that addresses report regarding community impact
~Psychosocial and identify modifications messages intended for event that could impact reports specific to the public ◙ Contribute to after-action- the agency’s cost of the and long-term public health
~Emotional that need to be made. the community that will special populations in their health nursing role and report. event. interventions needed to assist
~Financial provide: ability to access care and activities that were carried- ◙ Assist with demobilization ◙ Assist with on-going community back into a state of
Roles in Recovery Phase
~Access to care ~ Prevention messages services related to out during the event. of public health facilities that analysis of long-term normalcy.
~ Intervention messages cultural/language/ have been established to resource impact on the ◙ Identify gaps in plans, and offer
~ Provide next-steps Physical barriers. address the situation. community. suggestions for improvement in
~ Inform the community ◙ Contribute to the inventory public health response.
where they can obtain procedures necessary to
needed resources. retrieve agency property
including unused supplies
and equipment.
◙ Observe long-term impacts
of incident including
~ Social
~ Psychological
~ Financial
~ Physical
and assist individuals with
linkages to needed services.
CDPHE/OLL/James, D. 2008
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