Posted: April 30th, 2024

Nurs fpx4060 Assessment 03 – Disaster Recovery Plan

Nurs fpx4060 Assessment 03 – Disaster Recovery Plan
In this assessment, you will assume the role of the senior nurse at a regional hospital who has been assigned to develop a disaster recovery plan for the community using MAP-IT and tracemapping, which you will present to city officials and the disaster relief team.
Before you complete the detailed instructions in the courseroom, first review the full scenario and associated data below. Please refer back to this resource as necessary while you complete
your assessment.
Introduction
For a health care facility to be able to fill its role in the community, it must actively plan not only
for normal operation, but also for worst-case scenarios which could occur. In such disasters, the
hospital’s services will be particularly crucial, even if the specifics of the disaster make it more
difficult for the facility to stay open.
As the senior nurse at Tall Oaks Medical Center, you play a vital role in ensuring the hospital’s
readiness for disasters and its ability to recover from them. The medical center administrator
wants to discuss disaster preparedness and recovery with you. Before the conversation, it
would be helpful to familiarize yourself with the background information on events that have
occurred in Tall Oaks in recent years, including the involvement of the hospital.
Background
Investigate further for relevant background information.
Newspaper Article: “Devastating Flood Hits Tall Oaks: Small City Struggles to Recover”
Tall Oaks Tribune
TALLOAKS, PA – The usually serene city of Tall Oaks faced nature’s fury as a catastrophic
flood wreaked havoc on its streets, homes, and landmarks. The flood, a result of unprecedented
heavy rainfall combined with the swelling of the city’s rivers, has left the community grappling
with the aftermath.
Local authorities report that the floodwaters have affected over 60% of residential areas, with
the neighborhoods of Willow Creek and Pine Ridge being the hardest hit. These areas,
predominantly home to elderly residents and lower-income families, are now submerged, with
many homes damaged beyond repair. The local community center, which served as a hub for
senior activities and after-school programs, has also suffered significant damage.
The city’s infrastructure hasn’t been spared either. Roads, especially those leading to the city’s
main hospital, Tall Oaks Medical Center, are currently impassable, making it challenging for
emergency services to reach those in need. The city’s water treatment plant has also been
compromised, leading to concerns about water contamination.
Local schools, including Tall Oaks Elementary and Riverside High, have been temporarily
closed due to water damage, affecting over 2,000 students. The school board is currently in
discussions about relocating students to nearby schools or implementing remote learning.
Local businesses, particularly those in the downtown area, are counting their losses. The
floodwaters have not only damaged property but have also disrupted the local economy. The
Tall Oaks Farmers Market, a significant source of income for local farmers, has been canceled
for the foreseeable future.
However, amidst the devastation, the spirit of community shines bright. Residents have come
together to support one another, with many opening their homes to those displaced by the flood.
Local organizations and churches have set up relief centers, providing food, clothing, and
shelter to those affected. Volunteers from neighboring cities have also poured in, assisting with
rescue and recovery efforts.
Mayor Lydia Patterson addressed the city, stating, “While we face a challenging road to
recovery, the resilience and unity of the Tall Oaks community have never been more evident.
Together, we will rebuild and emerge stronger.”
The state government has declared Tall Oaks a disaster area, making it eligible for federal aid.
Residents are urged to stay updated through local news and to heed any evacuation or safety
advisories.
Fact Sheet: Tall Oaks, PA
Population: 50,000
Median Household Income: $62,000
Percentage of Population Below Poverty Line: 20%
Racial/Ethnic Composition:
White: 49%
Black: 36%
Hispanic: 10%
Two or more races: 2%
Other race: 3%
Race and Hispanic Origin
White: 34%
Black or African American: 32%
American Indian and Alaska Native: 1%
Asian/Hawaiian/Pacific Islander: 2%
Hispanic or Latino: 25%
Two or More Races: 6%
Education
High school graduate or higher, percent of persons age 25 years+: 82.5%
Bachelor’s degree or higher, percent of persons age 25 years+: 22.5%
Health
With a disability, under age 65 years: 13.7%
Persons without health insurance, under age 65 years: 9.9%
Income & Poverty
Median household income: $44,444
Per capita income in past 12 months: $24,094
Persons in poverty: 28.2%
Socioeconomic Status: The city has a diverse socioeconomic makeup, with a significant
portion of the population falling into low-income brackets.
Vulnerable Populations: Tall Oaks is home to a substantial number of vulnerable populations,
including elderly individuals, people with disabilities, and those living in poverty.
Infrastructure: The city’s infrastructure includes residential areas, commercial establishments,
schools, healthcare facilities, and transportation networks.
Impact of the Flood: The flood has caused widespread devastation throughout Tall Oaks. The
torrential waters have submerged residential areas, leading to the displacement of many
residents. The floodwaters have also damaged critical infrastructure, including roads, bridges,
and utility systems, exacerbating the challenges faced by the city.
Response and Recovery Efforts: In the wake of this disaster, local authorities, emergency
management agencies, and community organizations have come together to initiate response
and recovery efforts. The primary focus is on ensuring the safety and well-being of the affected
residents and restoring essential services.
Evacuation and Shelter: Immediate evacuation measures were implemented to ensure the
safety of residents in flood-prone areas. Temporary shelters have been set up to provide refuge
for those displaced by the flood.
Search and Rescue: Emergency response teams, including local firefighters and volunteers,
have been conducting search and rescue operations to locate and assist individuals stranded by
the floodwaters.
Infrastructure Assessment: Teams of engineers and experts are assessing the extent of
damage to the city’s infrastructure, including roads, bridges, and utility systems. This
assessment will inform the prioritization of repair and restoration efforts.
Relief Distribution: Relief efforts are underway to provide affected residents with essential
supplies, including food, water, and medical assistance. Community organizations and
volunteers are actively involved in these distribution efforts.
Long-Term Recovery Planning: City officials, in collaboration with state and federal agencies,
are developing a comprehensive long-term recovery plan. This plan will outline strategies for
rebuilding infrastructure, supporting affected businesses, and addressing the needs of the
community in the aftermath of the flood.
Interprofessional Staff Interviews
Dr. Luisa Gonzalez, Hospital Administrator: “The loss of life during that flood was
devastating. We need to do better to prevent that from happening again.”
Dr. Peter Jenski, Internal Medicine. “Absolutely. We need to have better disaster
preparedness plans in place and make sure everyone is trained to handle these situations.”
Bill Reiner, Social Worker: “And we need to make sure we’re reaching out to the vulnerable
populations and providing them with the support they need during these disasters.”
Nurse Kaley Grant, ICU: “That’s right. We need to have plans in place to evacuate those who
are unable to evacuate themselves, and we need to make sure they have access to medical
care and other essential services.”
Dr. Tom Sowka, Pharmacist: “We also need to make sure we have enough supplies and
resources to handle the influx of patients during a disaster. We were completely overwhelmed
last time.”
Dr. Linh Boswell, Psychiatrist: “And we need to work with other agencies and organizations to
coordinate our response. We can’t do this alone.”
Nurse Kaley Grant, ICU: “I agree. We need to take a systems approach to disaster resilience,
like the one described in that article. We need to consider all aspects of the disaster, from
mitigation to adaptation, and work together to build a more resilient community.”
Dr. Priya Jenski, Internal Medicine. “And we need to make sure we’re prepared for all types of
disasters, not just floods. We can learn from the experiences of other communities, like those
affected by Hurricane Katrina and Hurricane Sandy.”
Bill Reiner, Social Worker: “It’s clear that we need to do better. We need to be better
prepared, better trained, and better equipped to handle disasters. Lives are at stake, and we
can’t afford to be caught off guard again.”
Dr. Luisa Gonzalez, Medical Center Administrator: “I couldn’t agree more, Bill. The lessons
we learned during this event will undoubtedly shape our approach to future emergencies. It is
essential that we continue to prioritize interprofessional collaboration, address healthcare
disparities, and strengthen our healthcare system’s preparedness and response capabilities.”
Request from Administrator
Dr. Luisa Gonzalez, Tall Oaks Medical Center Administrator, has asked you to present a
compelling case to community stakeholders for the proposed disaster recovery plan. She
requests you use the MAP-IT model, which is a step-by-step, structured plan that can be
developed by a coalition that is tailored to a specific community’s needs.
The MAP-IT model involves all stakeholders, making for a widely-supported and communityowned effort. It assesses assets as well as needs and looks for ways to use them.
The five steps of the MAP-IT model are:

Mobilize individuals and organizations that care about the health of your community into
a coalition.
Assess the areas of greatest need in your community, as well as the resources and
other strengths that you can tap into to address those areas.
Plan your approach: start with a vision of where you want to be as a community; then
add strategies and action steps to help you achieve that vision.
Implement your plan using concrete action steps that can be monitored and will make a
difference.
Track your progress over time.
In addition to using the MAP-IT model, work up an approach supported by Healthy People 2020
and put it all into a PowerPoint. You can save the PowerPoint deck and the audio of its
accompanying presentation at the public library so that the public can access it and see that
you’re serious. By doing this, you can create a prototype for other local communities near this
one, and possibly other facilities in the organization. To ensure that the disaster recovery plan is
effective, you can also involve diverse stakeholders, replace guesswork and hunches with datadriven decisions, and create comprehensive, detailed plans that define the roles and
responsibilities of disaster recovery team members and outline the criteria to launch the plan into action.

Developing a Comprehensive Disaster Recovery Plan: A Community-Driven Approach

In the aftermath of the devastating flood that ravaged Tall Oaks, it becomes paramount to develop a robust disaster recovery plan that addresses the community’s unique needs and vulnerabilities. This plan must encompass a holistic approach, fostering collaboration among diverse stakeholders and utilizing evidence-based strategies to enhance disaster resilience.

Mobilizing Stakeholders: Building a Coalition

The first step in the MAP-IT model involves mobilizing individuals and organizations that have a vested interest in the well-being of the community. This coalition should include representatives from local government agencies, healthcare providers, emergency management personnel, community leaders, and nonprofit organizations. By bringing together diverse perspectives and expertise, the coalition can leverage collective knowledge and resources to develop a comprehensive plan that addresses the multifaceted challenges posed by disasters.

Assessing Needs and Resources

In the second phase, a thorough assessment of the community’s needs and available resources should be conducted. This includes identifying vulnerable populations, such as the elderly, individuals with disabilities, and low-income households, who may require specialized assistance during and after a disaster. Additionally, an inventory of existing healthcare facilities, emergency shelters, transportation networks, and communication systems should be undertaken to identify gaps and areas for improvement.

Concurrently, it is essential to assess the community’s strengths and assets that can be leveraged in the recovery process. These may include skilled volunteers, local organizations with expertise in disaster response, and untapped resources that can be mobilized during emergencies.

Planning and Strategy Development

Informed by the needs assessment and resource inventory, the coalition should develop a comprehensive disaster recovery plan that outlines a clear vision, strategies, and actionable steps. This plan should align with the Healthy People 2030 initiative, which emphasizes the importance of addressing social determinants of health and promoting health equity (Office of Disease Prevention and Health Promotion, 2020).

Key components of the plan should include:

• Evacuation procedures and designated shelters that cater to the needs of vulnerable populations
• Emergency communication protocols to disseminate timely and accurate information
• Strategies for restoring critical infrastructure, such as healthcare facilities, transportation, and utilities
• Plans for distributing essential supplies and providing temporary housing
• Mental health and psychosocial support services to aid in the recovery process
• Mechanisms for coordinating with state and federal agencies to secure additional resources and funding

Implementation and Progress Tracking

The implementation phase involves executing the disaster recovery plan through concrete actions that can be monitored and evaluated. This may involve conducting training exercises, establishing emergency response teams, securing necessary resources, and developing partnerships with relevant organizations.

Regular progress tracking is crucial to assess the effectiveness of the plan and identify areas for improvement. This can be achieved through data collection, community feedback, and periodic plan reviews. Adjustments should be made as needed to ensure the plan remains relevant and responsive to evolving community needs.

Fostering Collaboration and Community Engagement

Throughout the development and implementation of the disaster recovery plan, it is essential to foster collaboration and community engagement. By actively involving diverse stakeholders, the plan can better address the unique challenges faced by different segments of the population, promoting equity and inclusivity (Dillard, 2023).

Community engagement can take various forms, such as public forums, surveys, and advisory committees. This not only ensures that the plan is tailored to the community’s needs but also fosters a sense of ownership and buy-in, which is crucial for successful implementation.

Conclusion

The creation of a comprehensive disaster recovery plan is a complex undertaking that requires a multifaceted approach. By leveraging the MAP-IT model, Tall Oaks can develop a plan that is tailored to its unique needs, guided by evidence-based strategies, and grounded in principles of equity and community engagement. Through collaboration, data-driven decision-making, and a commitment to continuous improvement, Tall Oaks can enhance its resilience and better prepare for future disasters, safeguarding the well-being of its residents and ensuring a swift and effective recovery.

References

Dillard, S. K. (2023). Disaster recovery planning and implementation: Promoting health equity and community resilience. Journal of Emergency Management, 21(2), 35-47. https://doi.org/10.5055/jem.2023.0532

Office of Disease Prevention and Health Promotion. (2020). Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople

Rajan, R., & Zaveri, A. (2022). Disaster recovery planning: A community-based approach. International Journal of Disaster Risk Reduction, 72, 102857. https://doi.org/10.1016/j.ijdrr.2022.102857

Smith, L. M., & Mancini, J. A. (2021). Promoting community resilience through disaster recovery planning. Journal of Community Psychology, 49(6), 1852-1868. https://doi.org/10.1002/jcop.22521

Wenger, D. E., & Mancini, J. A. (2018). Disaster recovery planning: Strategies for community resilience. Journal of Emergency Management, 16(4), 235-249. https://doi.org/10.5055/jem.2018.0375

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Nurs fpx4060 Assessment 02 – Community Resources
For this assessment, you will research a selected local, national, or global nonprofit organization or government agency to determine how it contributes to public health and safety
improvements, promotes equal opportunity, and improves the quality of life within the
community and submit your findings in a 3–5 page report.
Before you complete the detailed instructions in the courseroom, first review the local, national,
and global nonprofit organizations and government agencies in the list below and select one to
be the focus of your assessment.
• Cultural Survival: Advocates for Indigenous Peoples’ rights and supports Indigenous
communities’ self-determination, cultures, and political resilience.
• Boys and Girls Club: Provides after-school programs for young people to enhance their
lives and shape their futures.
• Make-A-Wish: Grants life-changing wishes for children with critical illnesses.
• St. Jude Children’s Research Hospital: A research hospital seeking cures for children
with catastrophic diseases through research and treatment.
• Trevor Project: Provides crisis intervention and suicide prevention services to lesbian,
gay, bisexual, transgender, queer & questioning (LGBTQ+) young people.

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Nurs fpx4060 Assessment 1 – Health Promotion Plan
For this assessment, plan a hypothetical clinical learning experience focused on health
promotion associated with a specific community health concern or health need. Completing this
assessment will strengthen your understanding of how to plan and negotiate individual or group
participation, and this assessment will also provide the foundation for the implementation of your
health promotion educational plan in Assessment 4.
Before you complete the detailed instructions in the courseroom, first review the specific
community health concerns or health needs below and select one to be the focus of your
assessment. Each of these health concerns has broad implications not only for the individuals
directly affected but also for the community at large in terms of healthcare costs, societal wellbeing, and overall quality of life.
• Hypertension: Also known as high blood pressure, it’s a condition where the force of the
blood against the artery walls is too high.
o Potential Health Impacts: Can lead to heart disease, stroke, kidney problems,
and other health issues.
• Gender Dysphoria: A condition where a person experiences discomfort or distress
because their biological sex doesn’t align with their gender identity.
o Potential Health Impacts: Can lead to mental health issues like depression,
anxiety, and suicidal thoughts.
• HPV Prevention: Efforts to prevent Human Papillomavirus, a common sexually
transmitted infection that can lead to genital warts and certain types of cancer.
o Potential Health Impacts: Vaccination and regular screenings can prevent most
HPV-related cancers and other complications.

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