Nurse's Pocket Guide

isk for CONTAMINATION
• Encourage client/caregiver to develop a personal/family disaster
plan, to gather needed supplies to provide for self/family
during a community emergency, to learn how specific public
health threats might affect client, and actions to promote preparedness
and reduce the risk to health and safety.
• Provide information/refer to appropriate resources about
potential toxic hazards and protective measures. Provide bibliotherapy/written
resources and appropriate websites for
client review and self-paced learning.
• Refer to smoking cessation program as needed.
COMMUNITY
• Promote education programs geared to increasing awareness
of safety measures and resources available to individuals/
community.
• Review pertinent job-related health department/OSHA regulations
to safegaurd the workplace and the community.
• Ascertain that there is a comprehensive plan in place in the
community to ensure an effective response to any emergency
(e.g., flood, toxic spill, infectious disease outbreak, radiation
release), including a chain of command, protective equipment,
communication, training, decontamination area(s),
safety and security plans).
• Refer to appropriate agencies (e.g., The Centers for Disease
Control and Prevention [CDC]; U.S. Army Medical Research
Institute of Infectious Diseases [USAMRIID]; Federal Emergency
Management Agency [FEMA]; Department of Health
and Human Services [DHHS]; Office of Emergency Preparedness
[OEP]; Environmental Protection Agency [EPA])
to prepare for and manage mass casualty incidents.
Documentation Focus
ASSESSMENT/REASSESSMENT
• Client’s/caregiver’s understanding of individual risks/safety
concerns.
PLANNING
• Plan of care and who is involved in planning.
• Teaching plan.
IMPLEMENTATION/EVALUATION
• Individual responses to interventions/teaching and actions
performed.
Information in brackets added by the authors to clarify and enhance
the use of nursing diagnoses.
216 Cultural Collaborative Community/Home Care