Disaster Nursing & Emergency Preparedness - Concept Map
Disaster Nursing & Crisis Response in the Philippine Context
Related concepts
Disaster Definition & Classification
Sub concepts
- Natural disasters (typhoons, earthquakes, volcanic eruptions, floods, tsunamis, landslides)
- Man-made disasters (industrial accidents, chemical spills, fires, transportation crashes, terrorism)
- Philippine context: Ring of Fire & typhoon belt vulnerability
Relationship to central
Foundation: defines what constitutes a disaster and how they are categorized
Four Phases of Disaster Management
Sub concepts
- Mitigation (prevention & reduction before disaster)
- Preparedness (planning & readiness before disaster)
- Response (during & immediately after disaster)
- Recovery (restoration & long-term rehabilitation)
Relationship to central
Core framework: continuous cycle guiding all disaster nursing actions
Mass-Casualty Triage: START System
Sub concepts
- Ambulation: identify and separate walking wounded
- Respirations (RPM parameter 1): assess airway & breathing rate
- Perfusion (RPM parameter 2): check radial pulse & capillary refill
- Mental status (RPM parameter 3): assess ability to follow commands
- Four colour-coded categories: RED (immediate), YELLOW (delayed), GREEN (minor), BLACK (expectant/deceased)
Relationship to central
Critical clinical skill: determines who receives treatment first in resource-limited settings
CBRN Events & Hazardous Responses
Sub concepts
- Chemical agents: nerve agents (atropine + pralidoxime), blister agents, choking agents
- Biological agents: pathogens & toxins requiring isolation & infection control
- Radiological events: contamination & radiation protection principles
- Nuclear events: blast, thermal, radiation injuries & potassium iodide use
- Core principle: protect responder first, decontaminate before treatment
Relationship to central
Specialized response: requires specific decontamination & treatment protocols
Philippine Legal & Systems Framework
Sub concepts
- RA 10121 (Philippine Disaster Risk Reduction and Management Act of 2010)
- National Disaster Risk Reduction and Management Council (NDRRMC)
- Incident Command System (ICS): standardized coordination structure
- DOH Health Emergency Management systems
- Barangay-level DRRM councils & community preparedness
Relationship to central
Regulatory context: governs disaster nursing practice within Philippine healthcare
Psychological First Aid (PFA)
Sub concepts
- Look: observe for safety & urgent needs
- Listen: provide support without pressuring to talk
- Link: connect to services, loved ones, & information
- Promotes: safety, calming, self-efficacy, connectedness, hope
- NOT formal therapy; routine debriefing not recommended
Relationship to central
Psychosocial support: addresses mental health impacts alongside physical care
Nursing Management & Priority Interventions
Sub concepts
- Scene safety & personal protection (PPE) first
- Rapid triage using START; prioritize RED salvageable victims
- Address ABCs & major haemorrhage in RED group
- Decontamination in CBRN events (before treatment except life-threats)
- Prevent secondary disasters in shelters & evacuation centres
- Provide PFA & mental health referrals
- Document & communicate within incident command structure
Relationship to central
Clinical practice: application of disaster nursing principles at point of care
Community & Family Preparedness
Sub concepts
- Family disaster go-bag preparation (water, food, medications, documents)
- Family communication & meeting plans
- Evacuation route & warning system awareness
- Post-disaster health protection (water safety, hygiene, disease prevention)
- Stress reaction normalization & mental health referral
Relationship to central
Prevention & readiness: nurse's role in educating & mobilizing communities
Concept connections
- Disaster Definition & ClassificationFour Phases of Disaster ManagementUnderstanding disaster types and characteristics informs the design of mitigation, preparedness, response, and recovery strategies specific to Philippine vulnerabilities
- Four Phases of Disaster ManagementMass-Casualty Triage: START SystemThe Response phase requires rapid triage decisions; START is the clinical tool deployed during the immediate response to allocate limited resources
- Four Phases of Disaster ManagementPsychological First Aid (PFA)PFA principles are applied during Response phase and continue into Recovery; addressing psychological trauma is integral to all disaster phases
- Mass-Casualty Triage: START SystemNursing Management & Priority InterventionsSTART triage results (RED, YELLOW, GREEN, BLACK categories) directly determine the sequence and intensity of nursing interventions in a mass-casualty event
- CBRN Events & Hazardous ResponsesNursing Management & Priority InterventionsCBRN-specific protocols for decontamination and agent-specific treatments must be integrated into the nursing response workflow before standard triage and treatment
- Philippine Legal & Systems FrameworkFour Phases of Disaster ManagementRA 10121 and the NDRRMC mandate that all four phases (mitigation, preparedness, response, recovery) are coordinated through Philippine legal and organizational structures
- Philippine Legal & Systems FrameworkNursing Management & Priority InterventionsNursing practice during disasters must operate within the Incident Command System and DOH guidelines established by Philippine disaster risk reduction framework
- Community & Family PreparednessFour Phases of Disaster ManagementFamily preparedness activities (go-bags, communication plans, evacuation awareness) are essential components of the Preparedness phase and contribute to Mitigation
- Community & Family PreparednessNursing Management & Priority InterventionsCommunity-level nursing education enhances family preparedness, reducing overall morbidity and mortality, thereby reducing the number of victims requiring triage
- Psychological First Aid (PFA)Nursing Management & Priority InterventionsPFA is a core nursing intervention skill applied alongside clinical triage and treatment; addresses psychological trauma and promotes survivor resilience
- Mass-Casualty Triage: START SystemCommunity & Family PreparednessUnderstanding triage principles helps community members recognize the rationale for resource allocation and supports cooperation with disaster response measures
- CBRN Events & Hazardous ResponsesPhilippine Legal & Systems FrameworkCBRN response is a specialized component of national disaster risk reduction managed through the NDRRMC and DOH under RA 10121
- Disaster Definition & ClassificationCommunity & Family PreparednessKnowledge of local disaster types (typhoons, earthquakes, floods in Philippines) enables nurses to educate families on specific preparedness and response strategies relevant to their region
- Nursing Management & Priority InterventionsPsychological First Aid (PFA)As nurses provide clinical care to triaged victims, they simultaneously provide PFA to reduce psychological harm and promote psychological resilience
- Four Phases of Disaster ManagementCommunity & Family PreparednessEach phase (especially Mitigation and Preparedness) involves public health and nursing education to build community capacity and family readiness
Diagrams
Disaster Nursing & Emergency Preparedness - Complete Concept Map
Comprehensive mind map showing the hierarchical relationships between all key concepts in Disaster Nursing & Emergency Preparedness, organized from the central concept through eight major branches representing the foundational knowledge areas, assessment systems, hazard responses, legal framework, psychological support, clinical interventions, and community preparedness strategies relevant to Filipino nursing practice.
Four Phases of Disaster Management Cycle
Circular flowchart demonstrating the continuous disaster management cycle, emphasizing that disaster management is not a single event but an ongoing process. Shows how the four phases (Response, Recovery, Mitigation, Preparedness) flow sequentially and cyclically, with lessons learned feeding back into mitigation for the next potential disaster. This aligns with RA 10121's emphasis on proactive risk reduction.
START Triage Decision Tree - Mass-Casualty Assessment
Step-by-step START triage decision tree that guides nurses through the rapid assessment process within 60 seconds. Shows the sequence: (1) Ambulation—can they walk?, (2) Respirations—RR >30 or only after airway opening → RED; no breathing after opening → BLACK, (3) Perfusion—absent radial pulse or cap refill >2 sec → RED, (4) Mental status—cannot follow commands → RED; can follow → YELLOW. This is the critical clinical algorithm for mass-casualty prioritization.
CBRN Response Protocol - Protect, Decontaminate, Treat
CBRN response protocol flowchart showing the hierarchical priorities: (1) Protect the responder first with appropriate PPE, (2) Establish contamination zones (hot, warm, cold), (3) Identify the agent type and initiate specific decontamination/treatment (chemical antidotes, biological isolation, radiological/nuclear protection), (4) Move victims through decontamination before definitive treatment, (5) Provide care in the clean cold zone. Emphasizes that responder safety is paramount—an incapacitated nurse helps no one.
Psychological First Aid PFA - Look Listen Link Framework
Psychological First Aid framework showing the three-step process (Look-Listen-Link) for providing immediate psychosocial support to disaster survivors. Emphasizes that PFA is NOT formal therapy and that routine debriefing is not recommended. Shows how to promote the five core principles (safety, calm, self-efficacy, connectedness, hope) while meeting basic needs first and recognizing when to refer for professional mental health care. Includes responder self-care as critical to sustained disaster response.
Victim Status Transitions in Mass-Casualty Incident
State diagram showing how victim status transitions through the triage process and into treatment in a mass-casualty incident. Demonstrates the dynamic nature of triage—conditions change and victims must be re-triaged frequently. Shows pathways from initial assessment through START parameters (RPM), colour-tag assignment (RED/YELLOW/GREEN/BLACK), treatment priority allocation, and eventual outcomes (recovery/discharge, death, or palliative care). Critical for understanding that triage is not static.
Philippine Disaster Management Structure & Coordination
Organizational flowchart showing the Philippine disaster management structure under RA 10121. Depicts the hierarchical coordination from national level (NDRRMC) through regional, provincial, municipal, and barangay levels, down to community/family preparedness. Shows how the Incident Command System provides standardized multi-agency coordination, and illustrates the DOH's leadership role in health-sector response. Emphasizes the shift from reactive response to proactive risk reduction through mitigation and preparedness activities. This structure is essential for understanding the nurse's role within the Philippine healthcare system's disaster response.