By The Gypsy Nurse

September 6, 2019

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Disaster Response: What Role can Travel Nurses Play?

Parts of this article were duplicated with permission from: University of Southern California

Disaster Nursing

The time to register is NOW! Roles and Resources to help you prepare and be ready to respond quickly in the wake of disaster.

Volunteering in the wake of national disaster is something that often eludes the response of “how can I help” from travel nurses. After the 2018 hurricanes of Florence and Michael, our travel nurse network was alive with posts of travel nurses seeking a way to volunteer. Unfortunately, after the disaster isn’t the time to try to get your feet wet in disaster response. Attempting to register last-minute for disaster response puts already strained resources to the test. With that being said the time to register is NOW!

When is Hurricane Season?

The 2019 Atlantic hurricane season will officially begin on June 1, 2019, and end on November 30, 2019. These dates historically describe the period each year when most tropical cyclones form in the Atlantic basin. However, hurricanes are possible at any time of the year.

Preparedness for Disaster Nurses

Preparedness is an important part of disaster response, particularly with so many people working in different capacities in a crisis setting. In the wake of a natural disaster, a variety of responders volunteer to provide physical and emotional relief to the affected population. In 2018, the American Red Cross activated more than 14,000 workers (90 percent volunteers) to respond to major disasters.

However, for those who haven’t served in a disaster response capacity, it can be overwhelming to figure out:

Before we go into how to prepare, let’s discuss the roles that disaster nurses serve.

What Roles Do Disaster Nurses Serve

FEMA’s National Preparedness Goal which defines what it means for communities to plan for all types of disasters and emergencies, describes response actions as whatever is “necessary to save lives, protect property and the environment, and meet basic human needs after an incident has occurred.” Its National Response Framework for disasters (PDF, 977 KB) breaks down a community’s needs and the assignments required by responders, whether or not they are volunteers.

Health and Recovery Roles in Disaster Nursing

Public health, health care & emergency medical services: 

These professionals provide medical care to affected community members and responders, assess potential for any resulting illnesses among the survivors and offer mental health counseling.

Situational assessment: 

These experts facilitate recovery activities and address the affected population’s needs regarding information that involves decision-making and life-saving activities. Assessments can take the following forms:

  • Rapid assessment: Undertaken immediately after a disaster, rapid assessment provides information on needs, possible courses of action and resource requirements. It normally takes up to a week.
  • Detailed assessment: A more detailed assessment is carried out after a rapid assessment, if the situation is changing and more information is needed. It takes about one month, depending on the size of the area and the complexity of the situation.
  • Continual assessment: Disaster situations can evolve rapidly and include unexpected knock-on effects, such as population movements. Assessment should therefore be an ongoing process throughout the emergency phase. Once the Red Cross Red Crescent is operational in a disaster zone, information is continually updated so that relief and programming can be adapted to evolving needs.

Mass care services: 

These volunteer-heavy teams distribute emergency supplies and provide food, water, shelter, temporary housing, evacuee support and reunification. Mass Care can include the following:

Emergency Support Function #6 – Mass Care, Emergency Assistance, Temporary Housing, and Human Services Annex

  • Sheltering
  • Feeding
  • Distribution of Emergency Supplies
  • Reunification Services
  • Emergency Assistance
  • Voluntary Agency Coordination
  • Volunteer and Donation Management
  • Essential Community Relief Services
  • Mass Evacuee Support
  • Support for Access and Functional Needs
  • Household Pets and Service Animals

Fatality management services:

Fatality management is the ability to coordinate with other organizations (e.g., law enforcement, healthcare, emergency management, and medical examiner/coroner) to ensure the proper recovery, handling, identification, transportation, tracking, storage, and disposal of human remains and personal effects; certify cause of death; and facilitate access to mental/behavioral health services to the family members, responders, and survivors of an incident.

These functions include:

  • Determine role for public health in fatality management
  • Activate public health fatality management operations
  • Assist in the collection and dissemination of antemortem data
  • Participate in survivor mental/behavioral health services

Where to Look for Volunteer Opportunities

Multiple groups recruit people to help after a disaster. In addition, community organizations and churches often organize their own donation efforts for victims. Be prepared to respond. Connect with these agencies and register now for disaster nursing.

Volunteer groups for natural disaster response include the following:

Most importantly, you should note that if you are interested in disaster nursing, there is generally a lot of red-tape to go through. In addition to specific disaster response training, most organizations have other requirements such as vaccinations, and background checks. Early planning provides you the time necessary to get through all the red-tape.

Additional Resources:

To conclude, it’s imperative that you register NOW and not wait for a disaster to happen. Disaster nursing has many roles and making plans now will help you be of the greatest assistance in the time of disaster.

The Red Cross sends in volunteers, provide shelter, food, water, medication and essentials to those affected and the volunteers.

Global Giving has set up a fund to help with relief efforts in the Bahamas.

Finished the travel nursing guide and are ready to look for an assignment?

Check out our travel nurse jobs!

By Andrew Ferguson

August 11, 2019

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The Nomadic Nurse V/S The Hurricane

Surviving Hurricane Matthew

They say adventures are never fun when you’re having one. Like most of the stuff they say, this little nugget contains some truth, but it’s not the whole truth.

There’s a certain yin and yang to adventure. A place were courage and fear intersect. It’s finding comfort in the uncomfortable, and knowing you’re in the middle of what’s going to make a dynamite story, if you survive it. This is one of those stories.

On the Path of Hurricane Matthew

My wife had taken an assignment on the southern east coast. We were staying right on the beach. Most of our time had been spent in Tennessee and parts of Southern Indiana, so a little beach time was a welcome change. We had everything figured out, housing, transportation, even her schedule was predictable because of the way the hospital rotated its travelers. Best laid plans of mice and nurses. Who would have thought a hurricane would hit the coast?

Evacuation

South Carolina Governor Niki Haley gave us adequate time to evacuate. She told us to get a hundred miles from the coast and batten down the hatches.

It was our first hurricane, so we listened like good citizens, and began battening. Everyone must have been thinking the same thing, because it was hard to find a hotel anywhere within a hundred miles. We even looked as far as Ashville, NC. It was leaf changing season though, and a weekend to boot, so no luck there. We decided, in true adventurer fashion, to head out with no scheduled destination. We headed northwest, and ended up in the North Carolina town of Lumberton, home of the LHS Raiders.

Seeking Refuge in Lumberton

On our first night we drank Hurricanes and got down to late 70’s soft rock classics. But then Lumberton got slammed by Matthew. He had reached a strong, and destructive category 3 by the time he reached us. The Lumberton river had flooded I-95 northbound, and another body of water had the southbound side flooded out.

The whole town lost power, and a few hours after that the hotel we were staying at lost water. There was no way to get gas, and only one grocery store was opened. Our 4G went blank, there was no wi-fi, and our cell service was in and out. We had time lapsed back to the 20th century.

Even in a Hurricane – Travel Nurses must work!

My wife had to be at work the next day, and the hospital was already running short staffed due to the storm. As all travel nurses know, come heck or high water (in this case, literally), you must be at work.

We tried leaving Lumberton that morning via a route figured out by the North Carolina State Police. Six hours later, we had made it five blocks when we were turned back and told there was no way out. I had some beef jerky, a pillow, and four beers. I was going to be fine. But my wife was having none of it. She had patients and staff depending on her, and she wasn’t going to let them down.

Finding a Way

We pulled into a parking lot where several people had gathered. My wife jumped out and started asking people if they knew of a route out of town. I kept telling her it was hopeless, but she was relentless. Eventually, she found a local who was telling another local how to get around the flood waters. The guy getting directions said we could follow him to highway 17, but he wasn’t sure if we could get south on it once we got there.

We drove through flood waters, mud, and down gravel roads. At one point, we even drove down a four-wheeler trail to avoid a washout. It took us two hours to go nine miles, and we were rerouted more times than I can count. Finally, we made it to highway 17. And yes, we could go south towards our destination.

I was in awe. Almost two thousand people were trapped in Lumberton, either because they had sought refuge there, or because they couldn’t make it any further down 95, but my wife, super nurse, had found a way out. She made it to work, and I celebrated her victory with beef jerky and warm beer. We were both at our best.

ETA TGN STAFF:

Please consult with your assignment hospital and/or travel nurse agency if you are in the path of a hurricane. Most facilities have some sort of plan for these occurrences and many will provide overnight accommodations for scheduled staff.

NEVER put yourself in a situation where you are disobeying local emergency personnel. You could put both yourself and others in danger.


Search Travel Nurse Jobs


By The Gypsy Nurse

June 10, 2019

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Disaster Volunteer Registry: By State

Travel nurses are always seeking ways to help out after a disaster. Preparation is crucial. Be prepared by signing up for the state disaster volunteer registry near you or where you are licensed. We’ve included state, national, and community organizations for your convenience. Additionally, please let us know if we’ve missed any agencies that need to be added.

REGISTER NOW!

If you hold a state license, get registered now as a state disaster volunteer. I recommend that you add this to your assignment arrival checklist so that you are ready to go as soon as your feet hit the ground!

Who is Eligible? In most states the following can register as healthcare volunteers

  • Advanced practice registered nurses (nurse practitioners, certified nurse anesthetists, certified nurse midwives, clinical nurses specialists) 
  • Behavioral health professionals (marriage and family therapists, clinical social workers, psychologists, and mental health counselors) 
  • Cardiovascular technologist and technicians
  • Dentists
  • Diagnostic medical sonographers
  • Emergency medical technicians (EMTs) and paramedics
  • Licensed practical nurses and licensed vocational nurses 
  • Medical and clinical laboratory technicians (includes phlebotomists) 
  • Medical and clinical laboratory technologists
  • Medical records and health information technologists
  • Pharmacists
  • Physicians
  • Physician assistants
  • Radiologic technologists and technicians
  • Registered nurses
  • Respiratory therapists
  • Veterinarians

Disaster Volunteer Registry State Agencies

The following list is of State-operated volunteer registries for disaster and/or emergency response. There are many other opportunities to volunteer with independent and national agencies. Please let us know if you find any broken links or if we’ve missed anything.

AlabamaMontana
AlaskaNebraska
ArizonaNevada
ArkansasNew Hampshire
CaliforniaNew Jersey
ColoradoNew Mexico
ConnecticutNew York
DelawareNorth Carolina
District Of ColumbiaNorth Dakota
FloridaOhio
GeorgiaOklahoma
HawaiiOregon
IdahoPennsylvania
IllinoisRhode Island
IndianaSouth Carolina
IowaSouth Dakota
KansasTennessee
KentuckyTexas
LouisianaUtah
MaineVermont
MarylandVirginia
MassachusettsWashington
MichiganWest Virginia
MinnesotaWisconsin
Mississippi
Wyoming
Missouri

National Disaster Volunteer Organizations

In addition to State agencies, there are several National Agencies that you can pre-register with. These are national Government approved disaster volunteer organizations. Please let us know in the comments below if other government organizations should add to this list.

Other Volunteer Organizations

Please let us know in the comments below if there are other non-governmental disaster volunteer organizations that we should add to this list.

Additional Resources:

The Importance of Travel Nurses During a Natural Disaster

A Travel Nurse’s Unique Story of Surviving Hurricane Irma in the US Virgin Islands

Nurses Getting the Lights Back On

Finished the travel nursing guide and are ready to look for an assignment?

Check out our travel nurse jobs!

By The Gypsy Nurse

September 14, 2017

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Hurricane Irma Resources

Hurricane Irma

Many in our Gypsy Nurse community have asked about how they can help victims of Hurricane Irma, not only in Florida but in the surrounding islands and in the Caribbean.  The Gypsy Nurse Team has compiled a list of resources, volunteer sites and donation funds in which our community can help.  This list is not complete and we are researching and refining daily, but we hope this helps

*This post will be updated as new information is received. Most recent additions, 9/14/2017

Hurricane Irma Nurse Relief (and Volunteer) Resource

Donate:

American Red Cross

The Miama Foundation

Animals:

Humane Society of Tampa Bay

Housing Assistance:

FEMA

Disaster Assistance

We know that new information is being added daily by various charitable and relief organizations, so we will do our best to keep it updated.  Please feel free to leave a comment below as to any updates we need to make to the list. If there are new sources, please feel free to email us content@thegypsynurse.com and we will try to add it in.

By The Gypsy Nurse

September 5, 2017

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Hurricane Harvey Resources

Hurricane Harvey has pulled on the heart strings of our Gypsy Nurse community. An outpouring of posts offering nursing assistance has literally flooded our group feed. We here at The Gypsy Nurse have been working to find and provide all of our community a place to find any/all pertinent information.

*This post will be updated as new information is received. Most recent additions, 9/06/2017

Crisis Intervention of Houston 713-HOT-LINE
24/7 phone lines answered for people who need to talk to someone when in distress.

Nurse Relief (and Volunteer) Resources
It’s important to note that relief staffing can take some time to deploy. If you have registered to assist, please exercise patience as deployment can take some time. There will be continued needs in the evacuation areas for some time to come.

  • Temporary Staffing Jobs – A multitude of staffing agencies are working with the hospitals in the evacuation areas to provide relief staffing. Please reach out to these agencies directly.
  • Check out the Job listings in TEXAS by searching the Gypsy Nurse Job Listings
  • FEMA Administrator Brock Long, urged those who want to help to go to the website of the National Voluntary Organizations Active in Disaster – at www.nvoad.org.
  • Dallas Convention Center – They have specific instructions for volunteering and donating via several relief agencies.
  • The George Brown Convention Center in Houston. They need supplies and medical personnel.
  • Red Cross seeking Health and Mental Health Volunteers
  • Sign up to volunteer with the Texas Disaster Volunteer Registry.
  • From NJSNA (New Jersey State Nurse Association)
    The former CEO of RWJUH Stephen Jones’s son ( Stephen Jones, Jr.) is the CEO of a 150 bed hospital on the Texas coast. They have called us looking for volunteer nurses for one to two weeks to fly down (private jet leaving Newark Thursday morning) and be able to give their staff some relief. They’ll be happy if they can stay the week, ecstatic if they can stay two weeks. All expenses paid, but no salary (volunteer). They will cover cost of flying back here. Just need your license – they will cover malpractice under their plan. Please share this information and anyone who is interested, email NJSNA. They need 30 ICU nurses, 30 ED nurses and 30 med/surg/telemetry nurses. Thanks for spreading the word!  To volunteer, please contact Judy Schmidt, NJSNA CEO at judy@njsna.org

Donate

  • Houston Mayor Sylvester Turner established the Hurricane Harvey Relief Fund, housed by the Greater Houston Community Foundation.
  • American Red Cross Hurricane Harvey relief. You can also pitch in by texting HARVEY or REDCROSS to 90999.
  • The United Way of Greater Houston has launched the United Way Relief Fund to support the community in the aftermath of Harvey. You can specify funds go towards Harris, Fort Bend, Montgomery, or Waller County, or wherever they are most needed.
  • Jewish Family Services of Greater Houston has a JFS Staffed Crisis Hotline, at 713-364-5021, answered by a local therapist for weather-related anxiety. Please leave a message if no one answers. Give to the Jewish Federation of Greater Houston’s Hurricane Harvey Relief Fund to support efforts to get food, water, and shelter to local families.
  • Donate to Communities of Color (via Colorlines)
  • CNN’s Public Good donation portal will split funds between these organizations: Convoy of Hope, Samaritan’s Purse, Americares, Direct Relief, Operation Blessing International Relief and Development Corps, Salvation Army, and Save the Children Federation.
  • Global Giving has a $2 million fundraising goal for a fund that will provide relief to survivors in the form of emergency supplies like food, water, and medicine in addition to longer-term recovery assistance to help residents recover and rebuild. All donations to this fund will exclusively support local relief and recovery efforts from this storm.
  • Southern Baptist Disaster Relief’s Hurricane Harvey efforts.
  • Texas Diaper Bank needs donations to provide diapers to families affected and displaced by the hurricane. Diapers can be dropped off at their location at 5415 Bandera Road, Suite 504, San Antonio, TX 78238

ANIMALS

  • SPCA of Texas’s specific hurricane relief page shares that they are accepting in-kind donations in Dallas and McKinney, as well as monetary donations
  • San Antonio Humane Society is sheltering animals while their owners are displaced. Although they are not specifically asking for donations, I’m sure they won’t turn away.
  • Austin Pets Alive has transported almost 250 animals to their shelter so far. They need funding, long-term fosters, and items from a wishlist of in-kind donations.
  • Lost Dogs of Texas is maintaining several active Facebook pages documenting pets they’ve found amid the storm. Here is some information (with photos included) on animals found along the Coast Bend area and those in the Houston area.

Food Donations

  • Feeding Texas is a central organization that helps to meet food needs throughout Texas. Most food banks request monetary donations during critical need times like this, as they can be used directly and require less manpower in sorting. The best material donations include canned meat and fish, powdered milk, cereal, canned fruit, fruit cups, peanut butter and jelly. Cleaning supplies like bleach and paper towels are also accepted.
  • Houston Press has a list of all local food banks.
  • Houston Food Bank is closed due to the storm. Their Harvey-specific donation page is live. $100 will cover 300 meals.
  • San Antonio Food Bank is the official coordinating agency in partnership with the City, County, and other nonprofit organizations for the donation of money and supplies in support of Harvey relief work in their region.
  • Central Texas Food Bank will distribute emergency food boxes to the affected regions.
  • The H-E-B grocery store chain has donated $100,000 towards Hurricane Harvey relief efforts, and has an in-store campaign for customer donations. All Houston area H-E-B locations are currently closed.

Public Safety, Shelter, and Health Care

  • Find an open shelter near you by texting SHELTER and your zip code to 4FEMA (43362). You can also use the FEMA mobile app.
  • Following reports that several Texans are missing in midst of the storm, the Red Cross is encouraging people to list themselves and their families as safe by clicking here. You can also receive disaster assistance from the Red Cross by calling 877-500-8645, or find a list of open shelters here.
  • Shelter is available at the George Brown Convention Center in Houston. They need supplies and medical personnel.
  • Kay Bailey Hutchinson Convention Center in Dallas is operating as a “mega-shelter”. They have specific instructions for volunteering and donating via several relief agencies.
  • Austin Convention Center is currently an American Red Cross headquarters, and is expecting to offer space for 7,000
  • Make a cash or diaper donation to the Texas Diaper Bank, which is providing emergency diaper kits to displaced families.
  • Trusted World operates three shelters in Dallas and is serving people displaced by Hurricane Harvey, including at the Dallas Convention Center.
  • Donations being accepted include: New underwear, Socks, Warmups, Toiletries and personal Hygiene products
  • Baby Items: formula, wipes, diapers, bottles
    • Drop off is at 15660 N. Dallas Parkway, just north of Arapaho on the north side of the Parkway. The donations center will open from 3-8 p.m. daily.
  • Austin Disaster Relief Network will hold a Community Survivor Donation Drive on Wednesday, August 30. You may also donate online or text AUSTINRELIEF to 444999.
  • The Hurricane Harvey Relief Fund has been set up through the Austin Community Foundation by the Austin Disaster Relief Network to provide for the immediate and long-term physical needs of families impacted by Hurricane Harvey.

Housing Assistance