Volunteer Opportunities for Registered Nurses
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Bioterrorism and Disaster Response
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National Nurses Response Team
Volunteer Opportunities for Registered Nurses


Disaster Medical Assistance Teams (DMATs)

The National Disaster Medical System (NDMS), through the U.S. Public Health Service, fosters the development of Disaster Medical Assistance Teams (DMATs). A DMAT is a group of thirty-five professional and paraprofessional medical personnel designed to provide emergency medical care during a disaster or other event. DMATs deploy to disaster sites with sufficient supplies and equipment to sustain themselves for 72 hours while providing medical care at a fixed or temporary medical care site. In mass casualty incidents, their responsibilities include triaging patients, providing austere medical care, and preparing patients for evacuation. In other types of situations, DMATs may provide primary health care and/or may serve to augment overloaded local health care staffs. Under the rare circumstances that disaster victims are evacuated to a different locale to receive definitive medical care, DMATs may be activated to support patient reception and disposition of patients to hospitals. DMATs are designed to be a rapid-response element to supplement local medical care until other Federal or contract resources can be mobilized, or the situation is resolved.

In addition to the DMATs, teams have also been established in the following specialty areas: burn; pediatrics; crush medicine; mental health; veterinary medicine; mortuary services; management; and weapons of mass destruction.

DMAT members are required to maintain appropriate certifications and licensure within their discipline. When members are activated as Federal employees, licensure and certification is recognized by all States. Additionally, DMAT members are paid while serving as part-time federal employees and have the protection of the Federal Tort Claims Act in which the Federal Government becomes the defendant in the event of a malpractice claim.

Additional information:

  • www.ndms.dhhs.gov/NDMS/

  • National Disaster Medical System
    12300 Twinbrook Parkway, Suite 360
    Rockville, Maryland 20853
    Telephone - 1-800-USA-NDMS
    Fax - 301-443-5146 or 1-800-USA-KWIK

Medical Reserve Corps - White House Volunteer Initiative

During the State of the Union address, President Bush launched USA Freedom Corps. The goal of this initiative is to provide opportunities and create incentives for Americans to become involved in serving their communities and country through volunteering. Specific to health care providers, this opportunity could come through the community-based Medical Reserve Corpswhich are now under development. The objective of the Medical Reserve Corps is to harness the strength of healthcare professionals to augment local health care capacity during an emergency. This project is being managed under the auspices of the Federal Emergency Management Agency (FEMA) and the Department of Health and Human Services.

Additional Information:

American Red Cross (Red Cross)

The American Red Cross (Red Cross) responds to more than 67,000 disasters per year. While some are very large, high-profile events, most are single-family disasters such as fires. Regardless of the type and size of the disaster, the first Red Cross responders are from the local chapters. Assistance from neighboring chapters, or even from across the country will be provided if a disaster is too large for a local unit to handle. Consequently, registered nurses wanting to become involved with Red Cross normally start at the local Red Cross chapter, where they can receive the appropriate training and gain local experience.

All disaster workers must be current in first aid and take an introductory course, Introduction to Disaster Services. This course, which can be done as a home study or as a 3-hour course in a classroom setting, is a prerequisite for all other disaster training. For Disaster Health Services (DHS), there are two specific courses: Disaster Health Services Overview(3.5 hours, home study option) and Disaster Health Services Simulation (full day). Registered nurses must also have current CPR certification. Those registered nurses with experience and training in mental health may want to take the two-day course, Disaster Mental Health Services. In addition, there are numerous other training opportunities for other roles within a disaster situation, i.e., damage assessment and public affairs.

Registered nurses serving in DHS or Disaster Mental Health Services must have an active nursing license to practice in a specific state or territory. While individuals from a variety of health disciplines are recruited to work in DHS, registered nurses and physicians are the only ones who can assume supervisory positions in this function. The Red Cross is currently studying ways in which to expand the use of advanced practice registered nurses in disaster preparedness and response.

he length of time for deployment is dependent on whether the event is a local disaster or in another area. If the assignment is away from the local chapter area, the Red Cross strongly prefers at least a two-week commitment to the deployment. This time frame allows for a sufficient orientation to the disaster site and work time to make the deployment feasible from a fiscal and administrative perspective.

he Red Cross offers many opportunities for registered nurses. For example, registered nurses with extensive Red Cross disaster experience may be recruited for key leadership positions and special assignments, such as the Aviation Incident Response Team, which is trained to respond to aviation disasters, and to implement Red Cross responsibilities under the Federal Family Assistance Plan for Aviation Disasters. Other selected opportunities with the Red Cross within disaster preparedness and response are as follows:

  • Provide Community Disaster Education, including "Preparing for the Unexpected" which focuses on terrorist attacks.
  • Provide youth-oriented education, including "Masters of Disaster" and "Facing Fear," particularly appropriate for school nurse involvement.
  • Develop the health component of local Red Cross disaster plans.
  • Participate in disaster drills and exercises.
  • Interface with public health departments, hospitals, and other health agencies and organizations to a) coordinate planning for response activities; and b) coordinate efforts after a disaster occurs.
  • Serve on Disaster Health Services Committees in local Red Cross Chapters. Registered nurses can serve on other committees as well, including the chapter Disaster Committee.
  • Recruit and train registered nurses.
  • Serve as members of Disaster Action Teams (DATs). While registered nurses can be members of DATs, this is not the primary area where you find registered nurses working on local disaster activities. DAT's are the first Red Cross responders to a disaster scene; the team assesses the situation, initiates the Red Cross response, and determines if additional Red Cross support is needed. Most often DATs respond to fire scenes and other local operations.
  • After a disaster: a) provide support to individuals and families who have disaster-related or disaster-aggravated health needs (this can include assisting them to find resources to meet health-related financial obligations or actually providing them with financial for health expenses) and b) provide health services to Red Cross workers assigned to a disaster relief operation. Registered nurses may be assigned to a variety of locations where Red Cross is providing service. These include:
    • Shelters
    • Emergency Aid Stations (located at the disaster site, at clean-up areas, and other locations as needed; nurses assess the physical and psychological health of individuals, provide treatment, referral and follow-up according to established Red Cross protocols)
    • Service Centers (a central location for individuals to receive Red Cross assistance)
    • Home visits and condolence calls (to provide support and determine needs)
    • Morgues
    • Red Cross kitchens (provide food safety advice, health assessment and first aid for Red Cross workers)
    • Red Cross warehouses (assist with medical supplies, health assessment and first aid for Red Cross workers)
    • Hospital contacts (gathering patient information, visiting those injured by disaster, assessing needs of facility)

Additional Information:

 

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