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the community
                                E. Levels of disaster
                                             1. FEMA identifies three levels of disaster with FEMA
                                                response (Box 7-12).
                                             2. When a federal emergency has been declared, the
                                                federal response plan may take effect and activate
                                                emergency support functions.
                                             3. The emergency support functions of the ARC include
                                                performing emergency first aid, sheltering, feeding,
                                                providing a disaster welfare information system, and
                                                coordinating bulk distribution of emergency relief
                                                supplies.
                                             4. Disaster medical assistant teams (teams of specially
                                                trained personnel) can be activated and sent to a
                                                disaster site to provide triage and medical care to
                                                victims until they can be evacuated to a hospital.

                                        F. Nurse’s role in disaster planning

                                             1. Personal and professional preparedness
                                                             a. Make personal and family preparations
                                                                (Box 7-13).
                                                             b. Be aware of the disaster plan at the
                                                                place of employment and in the
                                                                community.
                                                             c. Maintain certification in disaster
                                                                training and in CPR.
                                                             d. Participate in mock disaster drills,
                                                                including bomb threat and active
                                                                shooter drills.
                                                             e. Prepare professional emergency
                                                                response items, such as a copy of
                                                                nursing license, personal health care
                                                                equipment such as a stethoscope, cash,
                                                                warm clothing, recordkeeping
                                                                materials, and other nursing care
                                                                supplies.
                                             2. Disaster response
                                                             a. In the health care agency setting, if a
                                                                disaster occurs, the agency disaster
                                                                preparedness plan (emergency
                                                                response plan) is activated
                                                                immediately, and the nurse responds
                                                                by following the directions identified
                                                                in the plan.
                                                             b. In the community setting, if the nurse is
                                                                the first responder to a disaster, the
                                                                nurse cares for the victims by
                                                                attending to the victims with life-


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