ROLES AND RESPONSIBILITIES OF NURSES IN IMPLEMENTING THE SENDAI FRAMEWORK
⚕ PRIORITY 1: UNDERSTANDING DISASTER RISK
National and Local Level
🔍 Periodically assess disaster risks, vulnerability, capacity, exposure, hazard characteristics, and their possible sequential effects in the community.
Involved in leadership roles, planning, participating in, and evaluation of readiness exercises to assure that the community, and the nursing workforce itself, is prepared
👩🏫 Perform community education related to the identification and elimination of health and safety risks in the home or community.
📢 Disseminate disaster risk information including risk maps to general public and community.
Collaborates with planners, organizations involved in disaster relief, government agencies, health care professionals and community groups to develop the preparedness plan.
Perform community needs assessments to determine the pre-existing prevalence of disease, the susceptibility of health facilities, and identification of vulnerable populations, such as those with chronic disease, mental health problems, or disability.
Work and guide other health professionals in developing plans to reduce identified risk, and assists in the development of surveillance systems.
Develop and provide training to other nurses and health professionals, as well as the community.
Incorporate transcultural nursing by incorporating the cultural belief and values within the community in providing information and new practices.
Share inputs for the creation of policies and planning activities such as communication, coordination and collaboration, equipment and supply needs, training, sheltering, first aid stations, and emergency transport.
Global and Regional Level
Conduct comprehensive surveys on multi-hazard disaster risks and the development of regional disaster risk assessments and maps.
📑 Enhance the development and dissemination of science-based methodologies and tools to record and share disaster losses and relevant disaggregated data and statistics.
🤝 Establish partnerships in the scientific and technological community, academia, and the private sector to establish, disseminate and share good practices internationally.
Develop effective global and regional campaigns as instruments for public awareness and education, building on the existing ones (i.e., National Disaster Resilience Month (NDRM)).
Using epidemiological data evaluates the risks and effects of specific disasters on the community and the population and determines the implications for nursing.
Provides up-to-date information to the disaster response team regarding the health care issues and resource needs.
Collaborates with organizations like Red Cross, WHO, and CDC to build the capacity of the community to prepare for and respond to a disaster.
⚕ PRIORITY 2: STRENGTHENING DISASTER RISK GOVERNANCE TO MANAGE DISASTER RISK
National and Local Level
Integrate disaster risk reduction within and across all sectors, define roles and responsibilities, and guide the public and private sectors in addressing disaster risk.
🧩 Adopt and implement national and local disaster risk reduction strategies and plans.
Periodically assess and publicly report on progress on national and local plans.
👨✈ Empower local authorities, as appropriate, through regulatory and financial means to work and coordinate with civil society, communities and indigenous peoples and migrants in disaster risk management at the local level.
Promote the development of quality standards, such as certifications and awards for disaster risk management.
Assign appropriate, clear roles and tasks to community representatives within disaster risk management institutions and processes and decision-making through relevant legal frameworks.
Discuss phases of disaster management continuum: prevention/mitigation, preparedness, response, and recovery/ rehabilitation.
Describes the role of government and organizations in disaster planning and response.
Organize trainings and seminars with certification for Basic Life Support for volunteers and health care providers (nurses, midwives).
Global and Regional Level
Guide action at the regional level through agreed regional and subregional strategies and mechanisms for cooperation for disaster risk reduction
📚 Promote mutual learning and exchange of good practices and information.
Coordinate and establish linkage with other regions for coordinated disaster risk reduction plans and response through DOH.
Equip and update onself with evidence-based practice by browsing journals, articles, and circulations from other countries about their risk reduction management.
⚕ PRIORITY 3: INVESTING IN DISASTER RISK REDUCTION FOR RESILIENCE
National and Local Level
Allocate the necessary resources for the development and the implementation of disaster risk reduction strategies, policies, plans, laws and regulations.
🔬 Enhance the resilience of national health systems.
Promote the mainstreaming of disaster risk assessment, mapping and management into rural development planning and management.
⚖ Strengthen the design and implementation of inclusive policies and social safety-net mechanisms, including through community involvement, integrated with livelihood enhancement programmes, and access to basic health-care services
People with life-threatening and chronic disease, due to their particular needs, should be included in the design of policies and plans to manage their risks before, during and after disasters
🌳 Sustainable use and management of ecosystems and implement integrated environmental and natural resource management approaches.
Public health nurses can assess the probable risks or hazards in the community using family cases analysis and determine interventions or solutions that can address these needs.
Manage scarce resources, coordinate care, determine if standards of care must be altered.
💰 Request for support or fund from the national government to buy equipment and materials necessary for rescue and first aid.
Integrating disaster risk management into primary, secondary and tertiary health care, especially at the local level (trauma nursing, basic life support, etc.)
Increase the capacity of health workers in understanding disaster risk and applying and implementing disaster risk reduction approaches in health work through seminars and training.
Supporting and training community health groups in disaster risk reduction approaches in health programmes.
Implement and follow the International Health Regulations (2005) of the World Health Organization
Advocates for the needs of the vulnerable populations.
Creates living environments that allow vulnerable populations to function as independently as possible.
Consults with members of the health care team to assure continued care in meeting special care needs.
Empower and assist people disproportionately affected by disasters by referring them to appropriate institutions and organizations.
Teach client's what to do before, during, and after natural disasters like earthquake, volcanic eruption, and tsunami.
Be equipped with adequate knowledge on first aid and basic life support. The nurse may also educate the volunteers and abled individuals in the event of disasters.
Global and Regional Level
👥 Promote coherence across systems, sectors, and organizations related to sustainable development and to disaster risk reduction.
🤝 Enhance cooperation between health authorities and other relevant stakeholders to strengthen country capacity for disaster risk management for health.
Strengthen and broaden international efforts aimed at eradicating hunger and poverty.
Communicate with appropriate authorities for a systematic, uniform, and organized policies, plans, programmes, and processes for disaster reduction.
Evaluates health needs and available resources in common disaster affected area to meet basic needs of the population.
Describes the chain of command and the nurse’s role within the system.
Assists in developing systems to address nursing and health care personnel capacity-building for disaster response.
Assists in developing recovery strategies that improve the quality of life for the community.
Shares information about referral sources and resources used in the disaster.
⚕ PRIORITY4: ENHANCING DISASTER PREPAREDNESS FOR EFFECTIVE RESPONSE AND TO "BUILD BACK BETTER" IN RECOVERY, REHABILITATION, AND RECONSTRUCTION
National and Local Level
Global and Regional Level
Prepare or review and periodically update disaster preparedness and contingency policies, plans and programmes.
Develop, maintain, and strengthen people-centred multi-hazard, multisectoral forecasting and early warning systems, disaster risk and emergency communications mechanisms, social technologies and hazard-monitoring telecommunications systems.
Describes the principles of crisis communication in crisis intervention and risk management.
Inform the community about the early warning system and possible contact information in the event of disasters.
Demonstrates an ability to use specialized communication equipment.
Establish community centres for the promotion of public awareness and the stockpiling of necessary materials to implement rescue and relief activities.
Public health nurses stationed in the community should monitor the existing resources and establish an inventory for rescue and relief equipment.
Nurses should also educate the midwives, barangay health workers, and volunteers about first aid measures and emergency response to disaster.
Adopt public policies and actions that support the role of public service workers.
Public health nurses are expected to conduct seminars, group discussions, and training for public service workers detailing the policies and measures taken during disaster.
Train the existing workforce and voluntary workers in disaster response and strengthen technical and logistical capacities.
Triage and rapid assessment training.
Promote regular disaster preparedness, response and recovery exercises.
Promote the further development and dissemination of instruments, such as standards, codes, operational guides and other guidance instruments
Nurses can contribute in educating the general public about certain disaster response measures and procedures such as CPR by drafting guidelines that illustrates the proper procedure.
Support regional cooperation to deal with disaster preparedness, including through common exercises and drills
Train the existing workforce and volunteers in disaster response.