ICN FRAMEWORK OF DISASTER NURSING c.

Participation in Planning
COMPETENCIES d. Identifies challenges
e. Identifies vulnerable population
The ICN Framework f. Collaborates with GOs and NGO's
-ICN (International Council of Nurses) is a
professional nursing organization recognized, early B. Health Promotion
on, the significance of climate change studies and the a. Participates in community education
implications for nursing practice. b. Assesses the community
-The 2007 ANA’s principles of Environmental c. Partners with others
Health for Nursing Practice with Implementation d. Participates in planning
Strategies and the 2009 ICN framework of e. Works with the community
Disaster Nursing competencies incorporate key
elements of this climate change position C. Policy Development and Planning
statements and support integration of climate a. Demonstrates understanding of relevant
change and human health impact in disaster disaster terminologies
preparedness plans. b. Describes phases of disaster management
continuum
What still needs to be done? c. Describes role of government and
-Nurses can be involved now in advocating, planning organizations
and participating in d. Understands community disaster plan
the following actions to ensure effective care in their e. Recognizes the disaster plan
communities –today and in the future. f. Participates in disaster planning
1. Educate and advocate g. Contributes to the dev’t, eval’n and
2. Augment and improve health care early warning modification of community plan
systems h. Ensures needs of the vulnerable population
3. Increase climate-change risk communication i. Interprets roles of nurses
4. Increase relevant partnerships j. Participates politically and legislatively
5. Increase research k. Describes role of public health

2. Preparedness Competencies
A. Ethical Practice
a. Collaborates with others – ethical challenges
b. Applies national ethical framework
c. Protects rights, values and dignity
d. Practices in accordance with cultural, social,
spiritual belief
e. Maintains confidentiality
f. Understand one’s own personal belief
g. Describes security issues vs. ethics

B. Legal Practice
a. Practices in accordance with laws
b. Understand how laws affect disaster impact or
nursing practice
1. Prevention/Mitigation c. Recognizes legal role of public health
Competencies d. Understands legal implications
Goal: Avoid hazards and mitigate their e. Describes legal issues
potential impacts by reducing
vulnerabilities and exposure and C. Communication & Information Sharing
enhancing the capacities of communities. a. Describes chain of command
b. Communicates with sensitivity to diversity
A. Risk Reduction, Disease Prevention c. Describes principles of crisis communication
a. Use of Epidemiological data d. Identifies and communicates important
b. Collaboration with other health care information
professionals e. Utilizes a variety of communication tools
f. Coordinates information b. Care to Individuals and Families
g. Provides up-to-date information  Rapid Assessment
h. works with disaster response  Health history and age-appropriate
i. Understands process of information assessment
j. Demonstrates ability to communicate  Symptoms of communicable diseases
k. Maintains records and documentations  Unusual patterns or clustering of illnesses
l. Communicates risks  need for decontamination, isolation or
quarantine
D. Education and preparedness  health and mental health needs
a. maintains knowledge of disaster nursing c. Psychological Care
b. participates in drills  Phases of psychological response
c. seeks to acquire new knowledge  Psychological impact
d. Facilitates research in disaster  Psychological support
e. Evaluates needs for training
 Therapeutic relationship
f. Develops personal and family preparedness plan
 Behavioral responses to disaster
g. Describes nurse’s assignments
 Adaptive responses vs. maladaptive
h. maintains disaster kit
responses
i. Implement preparedness activities
j. Assist in developing system  Mental Health interventions & referrals
k. Takes on leadership role  Coping strategies
l. evaluates community readiness  Identify clients needing mental health
d. Care of Vulnerable Populations (Special Needs
E. Accountability Populations)
a. Accepts accountability  Describe vulnerable populations at risk
b. Delegates  Living environment for vulnerable
c. Identifies limits  Advocates their needs
d. Practices in accordance to laws  Available resources
e. advocates safety and care  Nursing care
3. Response Competencies  Consults with the health care team
a. Establish institutional mechanisms e. Long term care needs – individual & family
b. Improve skills in search and rescue recovery
• Short term and long term needs
What is Disaster Response? • Changing needs of survivors
• Referral of survivors
4. Recovery/Rehabilitation Competencies • Survivor strategies
A. Long-term individual, family and • assist local health facilities
community Recovery • Collaborates with existing health care
a. Care to communities • Serves as an advocate
• Phases of community Response
• Collects data of injuries/illnesses
• Health needs and available resources
• Collaboration with disaster response
• Prioritize care and multiple situations
• Participates in preventive strategies
• Relief organizations
• Community-based education
• Impact of nursing interventions
• Resources and supplies required
• Multidisciplinary team
 PUBLIC HEALTH INTERVENTIONS
REHABILITATION Core Public Health Functions
1. Assessment
THE CONTRIBUTION OF NURSING 2. Policy Development
- Roles of nurses may hold range from senior 3. Assurance
managerial and leadership posts to providers of
direct care. Strategies:
 Leverage existing relationships and networks
Do All Nurses need to be competent During  Identify opportunities for alignment between
Disasters? ongoing public health improvement
-There is a global recognition of the critically processes
assuring emergency/disaster preparedness  Educate non health sectors and the
competence throughout the nursing workforce, at all community
levels of educational preparation.  Use and expand health technology
infrastructure for data collection and analysis
The International Council of Nurses (ICN) holds
the view that:
“Nurses with their technical skills and knowledge of
epidemiology, physiology, pharmacology, cultural-
familial structures, and psychological issues can
assist in disaster preparedness programs as well as
during disasters. Nurses, as a team member, can play
a strategic role cooperating with health and social
disciplines, government bodies, community groups,
and non-governmental agencies, including
humanitarian organizations (ICN, 2001; WHO & ICN,
2009).”
 CHAPTER IV 5. Wildlife Resources and Conservation and
GUIDELINES IN DISASTER & EMERGENCY Protection Act
SITUATIONS -Republic Act No. 9147
-An Act providing for the conservation and protection
Disaster management & risk reduction: of wildlife resources and their habitats, appropriating
PHILIPPINE LAWS funds therefore and for other purposes.

A. Philippine Disaster and Risk Reduction and 6.National Integrated Protected Areas
Management Act of 2010 (RA 10121) -REPUBLIC ACT NO. 7586 - an act providing for the
-an act strengthening the Philippine disaster risk establishment and management of national
reduction and management system, providing for the integrated protected areas system, defining its scope
national disaster risk reduction and management and coverage, and for other purposes.
framework and institutionalizing the national
disaster risk reduction and management plan,
appropriating funds therefore and for other
purposes.

B. Risk Reduction and Preparedness Equipment

Protection Act (RA 10344)
-an act penalizing the unauthorized taking, stealing,
keeping or tampering of government risk reduction
and preparedness equipment, accessories and similar
facilities

C. Children’s Emergency Relief and Protection Act

(RA 10821)
-an act mandating the provision of emergency relief
and protection for children before, during, and after
disasters and other emergency situations

D. Philippine Environmental Laws

1. Philippine Clean Air Act of 2003, Republic Act,
No. 8749
-republic act, no. 8749 of 1999 - an act providing for a
comprehensive air pollution control policy and for
other purposes
2. tobacco regulation act (republic act no. 9211)
-an act regulating the packaging, use, sale,
distribution and advertisements of tobacco products
and for other purposes
3. Toxic Substance and Hazardous and Nuclear
Wastes Control Act of 1990 – RA 6969
4. Ecological Solid Waste Management Act of 2000
(RA 9003)
-an act providing for an ecological solid waste
management program, creating the necessary
institutional mechanisms and incentives, declaring
certain acts prohibited and providing penalties,
appropriating funds therefore, and for other
purposes