Planning The unit 5 and 6 mastery negotiation 3 required my team, the Concerned Community Coalition (CCC), to take part in a planning session prior to the actual negotiation with the other team, hospital board & administrator, and the meditators. During the planning session our goals were to determine our BANTA, consider the possible response from our opponent, and try to determine what their mindset and emotional state might be when we begin negotiating. Assembling the Issues, ranking their importance and defining the bargaining mix began with a review of the case.…
The United States Postal Service (USPS) provided efficient and reliable communications across the United States for more than two centuries. It has grown in both number of post offices and ways to deliver mail. Nonetheless, mail volume has substantially decreased as electronic mail and package delivery companies took business away from the USPS. Although the traditional mail system independently lasted throughout the years without any changes and still held some value, by restructuring the United States Postal Service to meet the needs of the changing world, it can thrive economically and increase mail volume as well. To begin with, the Postal Service continues to endure the hardships of the fast-changing world.…
The Medical Communications for Combat Casualty Care (MC4) program integrates and fields the Army’s capability to digitally capture medical treatment data in operational environments, enhancing the continuity of care, and enabling a comprehensive lifelong electronic medical record for Service members. MC4 contains multiple systems within one system including medical software packages fielded to operational medical forces worldwide. The system is comprised of joint software, commercial, and government products including Theater Medical Information Program-Joint (TMIP-J) and Armed Forces Health Longitudinal Technology Application for the Theatre (AHLTA-T) applications provided by Defense Health Clinical Systems (DHCS). The TMIP-J applications…
(2007). Providing Mass Medical Care with Scarce Resources: A Community Planning Guide. Bioterrorism and Other Public Health Emergencies Tools and Models for Planning and Preparedness, 1-120. Retrieved from http://archive.ahrq.gov/research/mce/mceguide.pdf Kluge, E. W., & Tomasson, K. (2002). Health Care Resource Allocation: Complicating Ethical Factors at the Macro-allocation Level.…
Lumpkin explains that our military are going to be kept safe from the illness, following strict protectionary measures. The prevention of the transmission of the disease is currently one of the chief planning factors; he maintains that, “there is no higher operational priority than protecting our Department of Defense…
In Katrina’s Wake: Rethinking the Military’s Role in Domestic Emergencies Regional Commands SFC Karissa M. Maradol 17 April 2018 In Katrina’s Wake: Rethinking the Military’s Role in Domestic Emergencies Regional Commands Hurricane Katrina was one of the most devastating natural disasters in American history, amplified by human error. There are National Response Plans for every possible disaster whether it is homeland security or natural disasters. During Katrina, the mass confusion was a result of gross underestimation of the potential threat and a poor understanding of the different levels of responsibility. Currently, Regional Command and North Command only oversee portions of the relief effort and only provide assistance…
“UMCNO categorizes patients into one of the four categories ambulatory; wheelchair, bed bound, or seriously ill and specifies how they are to be transferred to a safe area by staff. Once patients are evacuated they will be triage by designated triage team made up of physicians and nurses who are responsible for the care of the patients”(University Medical Center of New Orleans 2015). In a hospital the size of UMCNO its staff well be outweighed by the number of patients creating is a recipe for pandemonium. In a perfect world a triage team will only be comprised of trained medical personnel, however, they may need assistance from nonmedical personnel such as unit clerks, transportation aides, and even cafeteria cashier if an evacuation is imminent.…
After the announcement of the Spanish Flu, the Surgeon General was in a persistent reactive state. If standard operating procedure (SOP) had been pre-established on a federal, state, and local level with hospitals, morgues, and health departments, then the required framework would have resulted in a proactive stance against the pandemic. However, the United States was ill-prepared for a disease of this magnitude and America 's responses to the pandemic were significantly delayed…
In the event of a CBRN hazard the First Responders would need adequate personal protective equipment to protect their clothing from exposure and respirators high-efficiency particulate air (HEPA) filters (Federal Emergency Management Agency, 2002).Another hazard to First Responders that would pose a risk would be explosives and secondary devices. The delivery for these could be low tech devices and the terrorists could attack infrastructure that is key to a population (important buildings, banks, hospitals, factories). WMDs could be used via aerosol devices (sprayers), or if a container of a chemical is broken (tank at a factory etc). The National Fire Protection Association (NFPA) has devised a voluntary marking system to alert firefighters to the characteristics of hazardous materials stored in stationary tanks and facilities. The system is known as NFPA 704 and uses diamond shaped placards with blue, red, yellow and white to denote different levels of hazards for each category.…
With the spiralling effects, the military focused on the combatant commander (USNORTHCOM). U.S. Northern Command, U.S. Southern Command and U.S. Pacific Command were charged with supporting domestic civil authorities through Chemical, Biological, Radiological, Nuclear, Explosives (high yield) (CBRNE) Consequence Management (CM) operations when the President deems necessary to do so (2014). When joint forces are teaming up for domestic CBRNE CM they are supporting civil authorities which falls under the incident management and functions in the accordance with the National Response Framework (NRF) within the National Incident Management System (NIMS) framework (2014). The Incident Command…
This decentralization also leads to other challenges in the prehospital environment. One issue that needs to be addressed is interstate travel for interfacility transfers and EMS responders going out of state for disaster response. Many questions arise when prehospital providers travel out of the region, into another state’s jurisdictions. Who is responsible for medical oversight of state? If a different medical director is responsible, do they assume liability?…
The Office of Homeland Security (OHS) was created eleven days after the events of September 11, 2001 with the purpose to oversee and coordinate a national strategy to protect the United States against terrorism and act as a responder to any future attacks. In November 2002, Congress passed the Homeland Security Act of 2002 which resulted in the largest government reorganization in the history of the US with- the creation of the Department of Homeland Security (DHS). Some of the functions DHS focuses on includes border security, transportation security, cyber security, critical infrastructure, and emergency management with a primary focus on preventing terrorist attacks. The idea behind DHS was to bring 22 different agencies under one roof to…
Question 1: As a senior healthcare administrator that is part of the Central Indiana Ebola Preparedness Team I have reviewed many policies and procedures to develop an ethical plan for the management of Ebola in Central Indiana. The main objective of this plan is to be as prepared as possible and follow all protocols or clinical practice guidelines that are put into place. We must coordinate with healthcare facilities locally and statewide to put the plan into place. The first step is to have risk communication messages for the public as well as staff regarding risks, signs and symptoms, protective measures.…
Public health systems dealt with case finding and isolation, quarantine and helping those who were already infected in healthcare facilities and homes. Prevention of spreading this virus was the key to help the global outbreak. They were focused on decreasing the time that was spent during diagnosing the patient and isolating them. The Public Health system also made sure that everyone around the world was aware and educated about SARS. Toronto’s Public health system took severe measure in controlling the spread of SARS.…
Introduction In times when natural disasters arise, the quality medical treatment can falter. Specific medical treatments may become unavailable when disaster strikes. The question posed is why does healthcare falter natural disasters and what are the consequences for different social groups? Countries examined are the Philippines, Bangladesh, England, Malaysia, Nepal, and the United States.…