h1

In Sandy’s Wake, Emerging Nurse Stories and Some Resources for Now and Next Time

November 2, 2012

By Maureen Shawn Kennedy, MA, RN, AJN editor-in-chief

Whether the National Weather Service officially categorized Sandy as a tropical cyclone or a hurricane, the damage it caused was unprecedented as it made its way through the mid-Atlantic area and up through the Hudson Valley and New England.

I’m one of millions without power, but consider myself lucky, given the horrific damage sustained by many in neighboring areas. The severity of the storm really hit home as I learned about hospital closings—as any nurse or physician will tell you, it’s not something done without a great deal of deliberation, as moving severely ill patients carries its own significant risks.

In Brooklyn, Coney Island Hospital, a city-owned facility, was closed. In Manhattan, New York Downtown Hospital and the Manhattan VA Medical Center moved or discharged patients before the storm hit. And because of storm damage, New York University Langone Medical Center and more recently, Bellevue Hospital Center, the 275-year-old flagship hospital of New York’s municipal hospital system, were evacuated.

Stories are emerging about the heroic efforts of hospital staff who worked through the storm, evacuating patients down many flights of stairs, using plastic sleds as they slid patients down as many as 17 flights in some instances. The stories reminded me of those I heard from nurses at Charity Hospital in New Orleans after Hurricane Katrina, and from nurses from St John’s Medical Center in Joplin, Missouri, which was hit by a tornado, or even following the attacks of 9/11. And of course, there are the home health nurses, who had elderly and ill patients depending on their visits—see this article for stories of visiting nurses who have been braving arduous travel in the city to see to patients.

All such stories have the familiar theme of care providers who prioritized finding a way to keep patients safe during the disaster. We hope to bring you some personal accounts—they deserve to be highlighted and the professionals involved should be applauded. And we should also give kudos to staff at the hospitals who received the evacuees. On short notice, these clinicians had to absorb new patients, many of whom were frightened and perhaps confused. And then, of course, there were families who needed to be notified. All in all, there were herculean efforts on all sides.

No doubt there are many people who are, or in the coming days will be, severely stressed or perhaps in crisis, and that includes health professionals. Here are some resources we hope will be helpful now as you react or in the future as we take stock of these events and our readiness:

The following AJN articles are available as open access. There are others, too, in our Responding to Disasters collection.

“The  Impact of Event Scale–Revised: A Quick Measure of a Patient’s Response to Trauma” (November, 2008)

“Disaster Care: Public Health Emergencies and Children” (December, 2009)

“Crisis Standards of Care—A Framework for Responding to Catastrophic Disasters” (October, 2012)

And from the Substance Abuse and Mental Health Services Administration (SAMHSA) Disaster Kit (this includes materials for helping the public as well as for dealing with personal stress):

“Psychosocial Issues for Children and Adolescents in Disasters” (this and following are large PDF; may take time to load)

“Psychological First Aid for First Responders”

Bookmark and Share

One comment

  1. So glad to see the great job homecare nurse do was recognized. Thanks.

    Like this



But we've said enough...tell us what you think!

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

Follow

Get every new post delivered to your Inbox.

Join 608 other followers

%d bloggers like this: