Emergency Response in Franklin County Essay Example for Free

Emergency Response in Franklin County Essay The role of major health personnel in an emergency is to manage the safety and well being of the people in their community during and after a natural or man-made disaster. This is done by assessing the details of what occurred, what needs must be met and facilitating a team to organize information about the event and provide logistics as quickly as possible. This is seen in the simulation exercise for the â€Å"Disaster in Franklin County†. (Olson, Larsen, Scheller, Johnson, 2006) Roles are appointed in a chain of command format. It is ideal that all personnel have received some type of emergency management training, but even if not, skill sets must be assessed and duties assigned accordingly. An Incident Commander will be appointed and the Public Health Director assigns rolls that include finances, planning, logistics, public information liaison and operators. The Public Health Team will work closely and concurrently with other entities, such as the Fire Chief, Police Chief, Hazardous Materials Team, Public Works and EMS teams. The public health department is mostly concerned with the safety and logistics of sheltering victims and being sure that food and water provided is safe for consumption. The community health nurse is primarily concerned about the immediate welfare and safety of the public, including issues of safety in homes, sanitary food options and safe water availability. It is important to have press releases ready to go that are clear and informative, yet simple. Any public statement made by the nurse should be thoughtful and considerate, assuring the community that they are in good hands and that things are being taken care of by appropriate people and in a timely manner. Public Service Announcements (PSAs) are an opportunity to gain trust and respect and show competence and compassion. In the Franklin County scenario, the public health nurse is assigned to do door-to-door interviews in an area of town hit the hardest by flood damage. The nurse is assessing for personal safety, being certain that there are no medically fragile patients, home bound persons or persons with special needs. Without electricity, a patient that requires at home oxygen, nebulizers, chemo or dialysis will need to be assisted to a shelter. Families with infants must be comfortable with an abundance of supplies. Contamination risks from food spoilage must be made aware, and the nurse must assess if he or she believes that the family has the means to safely prepare meals and have access to clean water. Finally, the nurse assesses for structural safety and advises community members on whether or not they should consider relocating to a shelter. With the uncertainty of going door-to-door, a nurse must be prepared to assess needs that are out of their scope of practice. They must be prepared to offer resources that may be out of their area of expertise. Situations that occur may range greatly, such as difficulty with foreign language communication, to chemical spills in yards or improper use of a generator. In cases such as this, the actions of the community health nurse must be resourceful and know that he or she can call on other professionals to reach out where they needed. A family with chemical leakage from flooding may be guided to a shelter for their immediate safety and the community health nurse may follow up by asking an Environmental Director to assess the property, instead of offering wrong or false advice to the homeowner. Natural and man-made disasters not only put community members at a physical risk, but also at emotional risk, as situation arise as homes are destroyed, insurance issues arise, or being separated from loved ones. The public health nurse also needs to take action and be resourceful in providing appropriate referrals for mental health, including providing phone numbers, access to call or reach out, and to follow up and be sure that there is enough man-power to assist with answering phones or counseling people. Techniques that were used were active listening and repeating statements back, validating that their thoughts and fears are heard. Assurance was given that the situation was grave, but not hopeless. Encouragement was provided to make appropriate, yet difficult, decisions such as leaving one’s house and personal belongings in a time of crisis. In widespread disaster scenarios, that affect greater areas, such as Hurricane Katrina, not only are public nurses needed, but it is important that nursing personnel from hospitals and state health departments are involved. In times of crisis, all professionals need to be on the same page to avoid offering mixed messages or advise to the public. Basic training in emergency management should be provided for all health care professionals. Emergency communication must also be set in place, as with no electricity or land lines, there must be agreed upon and practiced means of communication between all emergency responders. In area with high incidences of particular storms, flooding or power outages, PSA’s can be prepared ahead of time and are ready to go during times of crisis with minor modifications. The community health nurse is an import piece of the emergency management team, and is a direct liaison between the public and the resources.

Why Do Teenagers Smoke :: essays research papers

WHY DO TEENAGERS SMOKE? There is an urgent need to make non-smoking appear cool and desirable. The number of people lighting up is on the rise.In 1986, when the first National Health and Mobility Survey was carried out by the Ministry of Health to find out the number of smokers, the figure stood at 21.5 per cent. However, in the last study published in 1996, the number of smokers rose to 24.8 per cent.Of these figures, those aged between 15 and 24 in 1986 made up 11.5 per cent. In 1996, the age barrier shifted to between 18 and 24. Yet the percentage increased to 33.6 per cent, proving that young smokers are lighting up more, influenced by their elders and trying to fit into the the image of cool as depicted by their movie and music idols. One doesn’t start smoking because of it seductive power. Most beginners do not enjoy their first try but rather suffer a bitter taste, bad smell, a cough and a money lose. One doesn’t feel a high soaring feeling. One actually has to over come this uncomfortable feeling to continue smoking. The reasons to start are mainly social and psychological and are not connected to the enjoyment itself. So the way to deal with it must be educationally and emotionally. Rehabilitation is hard and complex as it creates a physical and emotional dependency. It is much easier to work on avoidance. So we will examine why do youths start smoking. The first feelings are uncomfortable- a bitter taste in the mouth, bad smell and a caugh. What motivates the youth to overcome these feelings, and to continue smoking until their addicted? Some claim that kids slip into smoking out of immaturity or impulsiveness. But even adolescents have some logic which is social and psychological. The addiction is both physical and mental. The body adjusts to the Nicotine and craves it when it’s missed. But the main addiction is mental. The proof is found among Shabbat observers who can abstain from smoking the whole Shabbat. So it mainly depends on the habits a person has. Rehabilitation must include energies such as the Jewish law to restrain habits that have become a person’s second nature. More and more smokers claim they want to quit. In an American poll 70% adolescent smoker claimed they wouldn’t have started if they could choose to again and two thirds want to quit. Most cannot quit. The health ministry’s pole from the beginning of the year showed that 58% of the smokers who tried to quit failed.

Macbeth’s Letter Essay

I am writing to you as I know that you will keep the contents of this letter a secret. The last few days have been very strange and unreal to me. I cannot believe how much my life has changed in such a short space of time. I ask you to please destroy this letter once you have read it and not tell a soul about what it contains as I have committed a terrible crime. A couple of days ago I was a noble warrior fighting against Norway and now I’m king of Scotland. With â€Å"my brandish’d steel† I approached the leader of the Norwegians, Macdonald, and â€Å"unseam’d him from the nave to th’chaps and fix’d his head on our battlements† to show everyone he was dead. Norway were defeated. After the battle, Banquo and I walked along the moors and we came across three weird sisters that looked nothing I had ever seen on this earth. They greeted me by saying â€Å"All hail Macbeth, hail to thee Thane of Glamis, All hail Macbeth, hail to thee Thane of Cawdor, All hail Macbeth that shalt be king hereafter.† At this greeting I was rather shocked and confused. True I was Thane of Glamis but Thane of Cawdor and king? The Thane of Cawdor lived and as was the king. I was puzzled. Were these prophecies real? Whilst I was lost in my thoughts, Banquo asked them to predict something for him as they had for me. They told him that his children shall be kings but he will not be king himself. I ordered them to stay and tell me more but they were unwilling to be ordered by me and vanished into thin air. I do not think Banquo believed his prophecies as much as I did mine. We carried on walking and talked about the witches. Then we saw two men coming towards us. They said that the king had sent them because he had heard of my success in battle. One of the men said the king bade him to call me Thane of Cawdor! I asked him why he was dressing me in â€Å"borrow’d robes†. He explained to me that the old thane of Cawdor was a traitor and would be executed. I could not help thinking that the greatest was behind. I then thought a terrible thought. Murdering king Duncan to become king. I pushed the thought out of my head and told myself â€Å"if chance will have me king, why chance may crown me without my stir.† I did not have to get involved in order to become king. We made our way to the kings headquarters and king Duncan told me how grateful he was for what I had done in battle. I told him it was an honour to fight for him and I felt it was my duty to him. He then made a startling announcement. His eldest son Malcolm was named the Prince of Cumberland! I could not help feeling angry on hearing this. Malcolm stood in my way of becoming king. I felt as though I was not in control of my feelings. One minute I was loyal and the next I had these evil thoughts. They disturbed me but I could not stop them. I pleaded, â€Å"stars hold your fires, let not light see my black and deep desires.† I did not want anyone to see these terrible thoughts I had. Duncan said that he was to stay at my castle that night so I left at once to inform my wife of his arrival. I sent a letter on to Lady Macbeth to inform her of the meeting with the witches, their prophecies and my becoming Thane of Cawdor. I know she thinks that I cannot act on my ambitions and that I am too kind to act on the information that the witches gave to me. When I arrived I told her I told her about Duncan coming to stay. She encouraged the idea of murdering him. She told me to â€Å"look like th’innocent flower but be the serpent under’t.† I was to look innocent but be ready to strike. I felt she was taking control of this situation. She overpowered me. I was not allowed to speak. I told her I needed to think about it but she did not listen and told me to leave all the rest to her. When Duncan arrived, Lady Macbeth greeted him as my mind was too full with other thoughts. I know she showed gratitude towards him and showed fake loyalty. I could not have been false to his face. I left the feast to be alone. I thought that if I were to murder Duncan it would be best to do it quickly. But how I hoped it would be the end of it without any consequences because I knew that with murder would come horrible consequences. I was confused as to what I should do. I was his subject. I looked up to him as king. I was his host. I should be protecting him not murdering him. I thought Duncan is no enemy of mine. He is my king. He has been a good king so far. If he was to be murdered then everyone would be horrified and there would be a wild protest. Everyone would be looking for the murderer. The only thing I had to make me murder him was my ambition and that alone is not alone. Lady Macbeth came to me and I told her â€Å"we would proceed no further in this business.† She called me a coward and said that if I told her to kill her child then she would do so. She had managed to change my mind. â€Å"If we should fail?† I asked her. She told me we would not fail and that Duncan would sleep easily after his long journey. She then said that she would convince his two guards to have some wine. They would be unaware of what is happening. Then when Duncan was dead we would smear blood on their limbs and let them â€Å"bear the guilt of our great quell.† At that moment I could not help admiring Lady Macbeth. I told her she should only have male children for she has great strength and courage. She told me that no one would suspect us because we would be distraught with sadness at the news of his death. My mind was made up. I told her that every bit of me was going to work at this murder. Part of me wanted to show I could do this and that I was not a coward. I was walking around the castle later that night when I came across Banquo and his son. Banquo told me he dreamt of the witches and how their prophecies had come true for me. I lied to him and told him that I did not think of them. I had to lie as I was about to kill the king. After Banquo left I saw in front of me a dagger. It looked as real as the one I had in my belt. It was pointing towards Duncan’s chamber. I saw blood on the dagger that was not on there before. My disturbed mind was showing me things that were not there. Suddenly a bell rang and I made my way towards Duncan’s chamber. When I returned to my wife from Duncan’s chamber I heard her say that she would have murdered him herself if he did not remind her of her father. I was anxious. I looked at my hands. It was â€Å"a sorry sight.† Lady Macbeth tried to get me to snap out of it. I told her that as I came out of the chamber I had heard someone saying their prayers in their room and how I could not even bring myself to utter the word amen. I felt cursed. She told me I should not think about it. I could not help thinking that it was the end of me. My wife warned me that to dwell on these things would make me mad. I felt mad at that moment. I had lost all control. I had murdered sleep. I did not think I would ever be able to sleep again. My wife told me to go and wash my hands. It was then that she noticed I still had the daggers. She ordered me to go and put them back. I told her I would not go back into that room. I was frightened. I couldn’t find any ounce of bravery within me. I could not face going in there again. She was disgusted with me and told me I was acting like a child. She told me to leave it all to her. She took control once again. She returned the daggers and smeared the guards with Duncan’s blood. I became jumpy. I looked down at my hands again. I believed that I had so much blood on them that it could change the whole sea red if I were to put them in it. I felt a sense of disgust as I stared down at the blood. Lady Macbeth returned from the chamber and her hands too were covered in blood. She called me a coward. She seemed so certain that â€Å"a little water† would clear us of this deed. I was not so sure. I did not feel like myself anymore. I did not feel like the noble warrior I once was. I heard knocking and wished that it would wake Duncan up and rewind this whole tragedy. Now I am king. I will not bore you with how it all happened. I fear that people will suspect me. I think Mcduff already does. I fear that I will have to kill again to ensure that Lady Macbeth and myself are not found out. I only hope you will be able to forgive the terrible sins I have committed.

The Thermos And Thermodynamics Physics - 971 Words

The Thermos and Thermodynamics Physics around Campus Phoebe Seaver Physics 102 Spring 2017 In the photo, we see two coffee cups, one that is in an insulated thermos with a lid, and one that is a regular mug open to the air, on a college student’s desk at home during their finals studying. It is well known that as coffee sits in any container, it cools down towards room temperature, making it less tasty to drink once it gets lukewarm or even room temperature. However, if it is too hot, it can burn the drinkers tongue and throat, which is incredibly painful, speaking from experience. The rate at which coffee cools may not seem like a science, but in fact, this plays into the laws of thermodynamics that are present in†¦show more content†¦Often, energy is lost to the surroundings, and not directly transferred from one object to the other. However, a perfect thermos would prevent any heat from leaking out or in. Energy in the form of heat can flow between materials inside the thermos to the extent that they have different temperatures; for example, between ice cubes and warm coffee. The transfer of energy continues until a common temperature is reached at thermal equilibrium (Cutnell 2014). Thermal equilibrium occurs when there is no heat flow between two materials, making them essentially the same temperature. This is why the coffee continues to cool down the longer it is exposed to the air, because heat exchange is occurring, and the liquid is cooling down from its original warmth to be more like the room that is it in, as the room has less heat. This is why a thermos causes the coffee to cool down slower, because the thermos provides insulation against the exchange of heat from the outside. The extra insulating layer is actually a vacuum, or absence of air, formed during the construction of the thermos. The best insulator possible is a vacuum, because there s no air. 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