Description
Hi I need help writing a discussion post, all sources are cited In APA I will post a link to a video that this is based on and attach the course text
after watching the video review the textbook for nursing implications and diseases to be concerned about after the disaster; be specific.
What are some of the nursing implications of this disaster?
What diseases do you need to be concerned about after the disaster? and how would you protect yourself and others? Be specific.
Support your answer with evidence from scholarly sources (reference and cite your sources).
Per FEMA: Emergency vs. Disaster
The terms emergency and disaster are often used interchangeably. This common use of terms can be confusing. It is easiest to understand the terms emergency and disaster as being at two ends of a scale, in which the size of an incident and the resources to deal with the incident are matched to varying degrees. Emergency at one end of the spectrum, emergencies are generally small-scale, localized incidents that are resolved quickly using local resources. However, small-scale emergencies can escalate into disasters when there has been inadequate planning and wasteful use of resources. At the other end of the spectrum, disasters are typically large-scale and cross geographic, political, and academic boundaries. Disasters require a level of response and recovery greater than local communities can provide.
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About the Editor
Tener Goodwin Veenema, PhD, MPH, MS, CPNP,
is an Associate Professor of Clinical Nursing, Assistant
Professor of Emergency Medicine, and Program Director
for Disaster Nursing and Strategic Initiatives at the Center for Disaster Medicine and Emergency Preparedness
at the University of Rochester School of Nursing and
School of Medicine and Dentistry. Dr. Veenema is also
President and Chief Executive Officer of the TenER Consulting Group, LLC, which provides consultation and
workforce development for emergency preparedness to
federal, state agencies, and corporate organizations. She
has received numerous awards and research grants for
her work, and in June 2004, Dr. Veenema was elected
into the National Academies of Practice and was selected as a 2004 Robert Wood Johnson Executive Nurse
Fellow. In 2006, Dr. Veenema was the recipient of the
Klainer Entrepreneurial Award in health care.
Dr. Veenema received her Bachelor of Science degree in Nursing from Columbia University in 1980 and
went on to obtain a Master of Science in Nursing Administration (1992) and a Master in Public Health (1999)
from the University of Rochester School of Medicine
and Dentistry. In 2001, she earned a PhD in Health Services Research and Policy from the same institution.
Dr. Veenema is a nationally certified Pediatric Nurse
Practitioner, and worked for many years in the Pediatric Emergency Department at Strong Memorial Hospital (Rochester, New York).
A highly successful author and editor, Dr. Veenema has published books and multiple articles on
emergency nursing and disaster preparedness. The first
edition of this textbook, published in August 2003, received an American Journal of Nursing Book-of-the-Year
Award.
Dr. Tener Goodwin Veenema, in her role as Chief Executive Officer of the TenER Consulting Group, LLC, is
the author and developer of “ReadyRN: A Comprehensive Curriculum for Disaster Nursing and Emergency
ii
Preparedness” and collaborated with the American Red
Cross to customize the ReadyRN curriculum for use
by the American Red Cross in educating and training
American Red Cross health care professionals in providing health-related disaster and emergency response
services.
Dr.Veenema’s ReadyRN Comprehensive Curriculum
for Disaster Nursing and Emergency Preparedness was
also published in 2007 as an innovative e-learning online
course by Elsevier, and the companion ReadyRN Handbook for Disaster Nursing and Emergency Preparedness
will be published in fall 2007.
While at the University of Rochester, Dr. Veenema
developed the curriculum for a 30-credit Masters program entitled “Leadership in Health Care Systems: Disaster Response and Emergency Management,” the first
program of its kind in the country to be offered at a
school of nursing. The program offers course content
on the Fundamentals of Disaster Management, Chemical, Biological and Radiological Terrorism, Global Public
Health and Complex Human Emergencies, Leadership
and Strategic Decision Making, and Communication in
Disaster Response and Emergency Preparedness.
Dr. Veenema has served as a reviewer to the Institute of Medicine Committee on the Review Panel for
the Smallpox Vaccination Implementation, Jane’s ChemBio Handbook, 2nd Edition, and serves on the editorial board for the journal Disaster Management and
Response, sponsored by the Emergency Nurses Association. Dr. Veenema is an Associate Editor for the Journal
of Disaster Medicine and Public Health Preparedness,
sponsored by the American Medical Association.
Dr. Veenema frequently serves as a subject-matter
expert for the National American Red Cross, multiple
state health departments and nurses associations, as
well as the Registered Nurses Association of Ontario,
Canada. She is a member of the World Association of
Disaster Medicine (WADEM).
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Disaster
Nursing and
Emergency
Preparedness
for Chemical, Biological, and Radiological Terrorism
and Other Hazards
Second Edition
EDITOR
Tener Goodwin Veenema, PhD, MPH, MS, CPNP
iii
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C 2007 Springer Publishing Company, LLC
Copyright
All rights reserved.
No part of this publication may be reproduced, stored in a retrieval system, or
transmitted in any form or by any means, electronic, mechanical, photocopying,
recording, or otherwise, without the prior permission of Springer Publishing
Company, LLC.
Springer Publishing Company, LLC
11 West 42nd Street
New York, NY 10036–8002
www.springerpub.com
Acquisitions Editor: Sally J. Barhydt
Production Editor: Matthew Byrd
Cover Design: Mimi Flow
Composition: Aptara
07
08
09
10/
5
4 3 2 1
Library of Congress Cataloging-in-Publication Data
Disaster nursing and emergency preparedness for chemical, biological, and radiological
terrorism and other hazards / Tener Goodwin Veenema. – 2nd ed.
p. ; cm.
Includes bibliographical references and index.
ISBN-13: 978-0-8261-2144-8
ISBN-10: 0-8261-2144-6
1. Disaster nursing. 2. Emergency nursing. I. Veenema, Tener Goodwin.
[DNLM: 1. Disasters. 2. Emergency Nursing. 3. Terrorism. WY 154 D6109 2007]
RT108.D56 2007
616.02 5–dc22
2007012380
Printed in the United States of America by Bang Printing
iv
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Preface
It is quite probable that at some time in the future, nurses
may be called upon to respond to a mass casualty event
or disaster outside of the hospital. Advance preparation
of our national nursing workforce for such an event is
predicted on the belief that mastery of the knowledge and
skills needed to respond appropriately to such an event
can improve patient outcomes.
I wrote these words in the spring of 2002 as I finished the summary section of chapter 9 (p. 199) in the
first edition of this book—3 1/2 years before Hurricane
Katrina would wreak its devastation on the communities of the Gulf Coast. When the first edition of the
book was released, our country was still reeling from the
9/11 attacks and fearful of another outbreak of anthrax.
These two events had resulted in an immediate awareness of our lack of national emergency preparedness and
heightened vulnerability to disaster events. Health care
providers were barraged by an onslaught of information
from numerous sources (of varying quality) regarding
topics such as disaster planning and response, biological agents, hazardous materials accidents, the dangers
of radiation, therapeutics, and so forth. Resources on
the Internet alone had increased exponentially. My own
research on these topics had revealed that the existing
disaster textbooks were written by and for physicians
and public health officials. There was a major gap in the
literature for nurses. Given the approximately 2.7 million nurses in this country, I found this to be not only
unacceptable but a major threat to population health
outcomes. Therefore, the genesis of the book was the desire to fill this gap in the literature and to provide nurses
with a comprehensive resource that was evidence based
whenever possible, and broad in scope and deep in detail. We were very successful and the first edition was extremely well received, garnering an AJN Book of the Year
award along with multiple additional accolades, and for
that I am eternally grateful. The book is currently being
used nationwide by universities and schools of nursing,
hospitals, public health departments, and multiple other
sites where nurses work.
The second edition of this textbook has an equally
ambitious goal—to once again provide nurses and nurse
practitioners with the most current, valid, and reliable
information available for them to acquire the knowledge
and skill set they will need to keep themselves, their patients, and families safe during any disaster event. Once
again, we have held ourselves to the highest standards
possible. Every chapter in the book has been researched,
reviewed by experts, and matched to the highest standards for preparing health professions’ students for terrorism, disaster events, and public health emergencies.
The framework of the book is consistent with the
United States National Response Plan, the National Incident Management System, and is based on the Centers for Disease Control and Prevention’s (CDC) Competencies for public health preparedness and the CDC
Guidelines for response to chemical, biological, and radiological events. This textbook will provide nurses with
a heightened awareness for disasters and mass casualty
incidents, a solid foundation of knowledge (educational
competencies) and a tool box of skills (occupational
competencies) to respond in a timely and appropriate
manner.
Since September 11, 2001, our national concerns for
the health and safety of our citizens has expanded to
include additional hazards such as emerging infectious
diseases (SARS, West Nile virus, avian influenza), the
detonation of major explosive devices, and the use of
nuclear weapons by countries unfriendly to the United
States. We possess a heightened awareness of the forces
of Mother Nature and the health impact on communities affected by natural disasters. We continue to face a
growing national shortage of nurses and nurse educators, a health care system that is severely stressed financially, and emergency departments that are functioning
in disaster mode on a daily basis. We have reason to believe that these challenges for the profession will only
intensify in the coming years. Nurses are challenged to
be prepared for all hazards—to plan for pandemic influenza, chemical, biological, radiological/nuclear, and
explosive (CBRNE) events, mass casualty incidents involving major burns, and surge capacity to accommodate a sudden influx of hundreds, possibly thousands, of
patients. In response to these concerns and the requests
of nurses across the country, I have added several new
chapters in the second edition that serve to strengthen
the health systems focus of the book and to add a strong
clinical presence.
v
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Preface
Since 2003, the Department of Homeland Security,
the Federal Emergency Management Administration
(FEMA), the CDC, and other federal and nonfederal
agencies have devoted significant resources to increasing our level of national emergency preparedness. We
had made significant progress on certain fronts, but with
regard to our level of workforce preparedness in the
health professions, we have a long way to go. In the
years since the first edition of this textbook was published, other nursing texts and educational resources
have been developed and published, and this author applauds these initiatives. There is much work to be done,
and it is personally rewarding to witness increased interest in disaster nursing as more nurses get involved.
As an emergency nurse and pediatric nurse practitioner, I have worked in the field of disaster nursing and
emergency preparedness for many years, with a focus on
promoting the health of the community and the health
of the consumer by structuring, developing, and fostering an environment that is prepared for any disaster or
major public health emergency. I have lobbied for the
advancement of the profession of nursing in the disaster policy and education arena, and I remain personally
committed to my work in preparing a national nursing workforce that is adequately prepared to respond to
any disaster or public health emergency. This includes
working to establish sustainable community partnerships that foster collaboration and mutual planning for
the health of our community. It includes looking at innovative applications of technology to enhance sustainable
learning and disaster nursing response. It means giving
reflective consideration of the realities of the clinical demands placed on nurses during catastrophic events and
the need for consideration of altered standards for clinical care during disasters and public health emergencies.
This textbook continues to be a reflection of my
love for writing and research, as well as a deep desire to
help nurses protect themselves, their families, and their
communities. Disaster nursing is a patient safety issue.
Nurses can only protect their patients if they themselves are safe first. The second edition represents a
substantive attempt to collect, expand, update, and include the most valid and reliable information currently
available about various disasters, public health emergencies, and acts of terrorism. The target audience for
the book is every nurse in America—making every nurse
a prepared nurse—staff nurses, nurse practitioners, educators, and administrators. The scope of the book is
broad and the depth of detail intricate. My goal is to produce a second edition that represents a well-researched
and well-organized scholarly work that will serve as a
major reference for all our nation’s nurses on the topics of disaster nursing and emergency preparedness. It is
my hope that nurse educators will be pleased to discover
the expanded organization of the book and the inclusion
of new chapters, case studies, and study questions. The
insertion of Internet-based activities is designed to stimulate critical thinking in students and to provide them
with the skill set to stay updated regarding these topics.
Ideally, this book represents the foundation for best
practice in disaster nursing and emergency preparedness,
and is a stepping stone for the discipline of disaster nursing research. Chapters in this book were based on empirical evidence whenever it was available. However,
the amount of research in existence addressing disaster
nursing and health outcomes is limited, and much work
remains to be done. The editor welcomes constructive
comments regarding the content of this text.
Tener Goodwin Veenema
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Acknowledgments
As with the first edition of this book, I continue to profess that researching, revising, designing, and delivering this book was a true labor of love—I enjoyed every
minute of it! And like any effective disaster response,
this textbook was a coordinated team effort. The second
edition is significantly larger than the first—several new
chapters have been added, all of the content updated,
and the clinical focus expanded. Additionally, the entire book has been mapped to the Centers for Disease
Control and Prevention’s competencies for public health
emergency preparedness—this represents nothing less
than a Herculean effort. There are so many exceptional
individuals, all over the country, who helped to make
this book a reality.
My special thanks must first go to each of the wonderful chapter authors who researched, reviewed, and
revised their manuscripts, assuring that the information
contained within was valid, accurate, and reliable, and
reflected the most current state of the science. This was
a tremendous challenge given the highly transitional nature of many of the topic areas. The science was rapidly
evolving (and continues to evolve) and as with the first
edition, the structure of many disaster and emergency
response systems was rapidly changing (and continues
to change) during the year it was written.
I would like to first thank my fabulous colleagues
who were chapter authors and/or contributors for the
first edition and stayed committed to this project for the
second edition. My very sincere thanks go to Kathleen
Coyne Plum, PhD, RN, NPP (Monroe County Department of Human Services); Kristine Qureshi, RN, CEN,
DNSc (University of Hawaii); Brigitte L. Nacos, PhD and
Kristine M. Gebbie, DrPH, RN, FAAN (Columbia University); Lisa Marie Bernardo, RN, PhD, MPH (University
of Pittsburgh); Erica Rihl Pryor, RN, PhD and Dave Pigott, MD, FACEP (University of Alabama); Linda Landesman, DrPH, MSW, ACSW, LCSW, BCD (NYC Health &
Hospitals Consortium); Kathryn McCabe Votava, PhD,
RN and Cathy Peters, MS, RN, APRN-BC (University of
Rochester); P. Andrew Karam, PhD, CHP (MJW Corporation); Joan Stanley, PhD, RN, CRNP (American
Association of Colleges of Nursing); Lt. Col. Richard
Ricciardi, RN, FNP and Patricia Hinton Walker, PhD,
RN, FAAN (Uniformed Services University of the Health
Services); Janice B. Griffin Agazio, PhD, CRNP, RN
(The Catholic University of America); Eric Croddy, MA
(Monterey Institute for International Studies); and Gary
Ackerman, MA (Center for Terrorism and Intelligence
Studies). Thank you so much for your wonderful contributions and for your ongoing support of this book.
Very special acknowledgments and many thanks
go to my international colleagues at the University of
Ulster—Pat Deeny, Kevin Davies, and Mark Gillespie,
and welcome to Wendy Spencer. These wonderful individuals were committed to providing a broad and illustrative international perspective for the book. Their
resultant chapter, Global Issues in Disaster Relief Nursing, is evidence of their expert knowledge, extensive
experience in the field, and dedication to international
collegiality. I will always remain grateful to each of them
for their contributions to the field.
My thanks go once again to Jonathan Tucker, my
special contributor, for allowing me to reprint a portion
of his work from his wonderful book Scourge: The Once
and Future Threat of Smallpox. It continues to be the
perfect segue into the Chemical and Biological Terrorism
section of the book.
I wish to thank each of the case study authors and
welcome the following new authors to the second edition of the book. Thanks go to Ziad N. Kazzi, MD,
FAAEM, along with his colleagues Dave Pigott, MD,
FACEP and Erica Pryor, RN, PhD at the University of Alabama at Birmingham Center for Disaster Preparedness.
The quality of their work is incredible, as is their generosity in sharing it.
Another very special welcome and thanks go to
Roberta Lavin (Health and Human Services) and Lynn
Slepski (Department of Homeland Security). Roberta
and Lynn made sure that the descriptions of the National Response Plan and all components of the federal
disaster program were as accurate as possible up to the
time of publication. They are also two of the nicest and
most generous individuals one would ever want to meet.
Welcome and thanks go to Christopher Lentz, MD,
FACS, FCCM; Dixie Reid, PA; Brooke Rea, MS, RN; and
Kerry Kehoe, MS (University of Rochester) for their
chapter addressing the recognition and management of
burns and guidelines for disaster planning for a surge of
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Acknowledgments
burn patients. Dr. Lentz, as the Director of the regional
Burn/Trauma Center at the University of Rochester Medical Center, along with his wife Dixie Reid, are burn
experts and tireless advocates for clinical excellence in
the care of the severely burned patient. Both Brooke Rea
(Burn Program Manager) and Kerry Kehoe (former Administrator Division of Trauma & Burn) are graduates of
the Leadership in Health Care Systems in Disaster Response and Emergency Health Care Systems, and so it
is an even greater pleasure to be able to include them in
this edition of the book. Brooke’s talents and leadership
skills were clearly evident in her effort to produce this
chapter, and I send her my special thanks.
A sincere welcome and thanks go out to two new
authors and former students of mine, Tara Sacco, MS,
BS, RN and Jennifer Byrnes, MLS, MPH (University
of Rochester). Tara is a graduate of the Leadership in
Health Care Systems program in Health Promotion and
Health Education; Jennifer is a graduate of the Master’s in Public Health program. Both are talented researchers and writers, and it is my guess that you will
be hearing more from them in the future. Their chapters
on Traumatic Injuries Due to Explosions and Blast Effects, and Emerging Infectious Diseases (respectively)
broadly expanded the clinical focus of the book and
provided valuable new clinical resource information for
nurses.
Welcome and thanks go to Amy T. Campbell, JD,
MBE (University of Rochester, Division of Medical Humanities) for her detailed legal review and update of the
chapter on Legal and Ethical Issues in Disaster Response
and to Joy Spellman (Burlington County College, New
Jersey) for her contributions on preparing and promoting the role of the public health nurses during disasters.
Both of these authors were so gracious and generous
with their expertise. Thank you.
A very special warm welcome and thanks go to
Elizabeth A. Davis, JD, Ed.M and her colleagues Alan
Clive, PhD, Jane A. Kushma, PhD, and Jennifer Mincin,
MPA. Elizabeth is the Founder and President of Elizabeth Ann Davis Associates (http://www.eadassociates.
com/) and is a nationally recognized expert/advocate
for vulnerable populations. It was extremely important
to me to add a substantive piece on planning for and
responding to the needs of high-risk, high-vulnerability
populations in this edition of the book, and Alan, Elizabeth, Jane, and Jennifer provided a superb chapter on
this topic (and in a relatively short time frame). My sincere thanks and admiration go out to each of you for
your work.
Welcome and gratitude go to Manish Shah, MD,
MPH, FACEP; Jeremy Cushman, MD, MS; Charles Maddow, MD, FACEP; and Jonnathan Busko, MD, MPH,
EMT-P (University of Rochester, Department of Emergency Medicine), and to my colleague John Benitez,
MD, MPH at the Center for Disaster Medicine and
Emergency Preparedness (University of Rochester, Department of Emergency Medicine). Manish Shah, along
with his colleagues Jeremy, Charles, and Jonnathan,
contributed a comprehensive overview of Emergency
Medical Services as it currently exists in this country.
This well-designed and well-organized chapter was a
wonderful new addition to the book. John Benitez is
Director of the Western New York Regional Poison Control Center, who along with Sharon Benware, RN, contributed to the chapter addressing chemical agents of
concern.
I want to express my continued appreciation and
sincere gratitude to Lisa Bernardo, Erica Pryor, Kristine Qureshi, and Kathy Plum for their elegant contributions, for their ongoing support and encouragement,
and for their willingness to make recommendations that
strengthened the content of the book. I have the ultimate
respect for each of you, and I am sincerely grateful for
our ongoing relationships!
Special thanks go out to my wonderful friends and
colleagues, Diane Yeater, Associate Director for Disaster
Health Services and to Nancy McKelvey, Chief Nurse
at the American Red Cross, National Headquarters in
Washington, DC. Thank you for your contributions and
your insight into national disaster preparedness and response initiatives.
I am so fortunate to call the University of Rochester
School of Nursing my academic home. This phenomenal school is a leader in excellence in nursing education and in entrepreneurship for nurses, and I have
learned something from every one of my talented colleagues. I wish to once again thank Dean Patricia Chiverton for creating an environment that supports new and
visionary initiatives and for supporting and encouraging me to do the work that I want to do. I am eternally
grateful to Pat and to each of my fellow faculty members in the Leadership in Health Care Systems Master’s
Program.
As I finish the second edition of this book, I would
also like to acknowledge 19 wonderfully talented individuals and very special, terrific friends—my colleagues in the 2004 Robert Wood Johnson Executive Nurse Fellowship: Carla Baumann, Suzanne Boyle,
Kathleen Capitulo, June Chan, Theresa Daggi, Kathryn
Fiandt, Margaret Frankhauser, Mary Hooshmand, Paul
Kuehnert, Mary Joan Ladden, Joan Marren, Marcia
Maurer, Marcella McKay, Wanda Montalvo, Kathleen
Murphy, Cheri Rinehart, Mary Lou de Leon Siantz,
Kristen Swanson, and Bonnie Westra. We have shared
an amazing experience in this wonderful program, and
they have provided me with insight and guidance for
my work, of which this book represents a portion of the
overall project—ReadyRN: Making Every Nurse a Prepared Nurse. Their incredible work inspired me. But
mostly I am grateful for the fun, friendship, and support they offered. They believed in my vision for disaster
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Acknowledgments
nursing and for this book, and they are always there for
me when I need them. Thank you.
Special thanks to Loretta Ford, former Dean and Professor Emeritus at the University of Rochester School of
Nursing, and founder of the nurse practitioner role. I
have had the amazing good fortune of having Lee as my
mentor in the Robert Wood Johnson Executive Nurse
Fellowship Program. There are no words to describe
this feisty, energetic, phenomenally talented nurse and
scholar. She is a role model to the entire profession of
nursing, and my life is richer for having known her.
Her wisdom and guidance have played a pivotal role in
much of my work the past few years. Her kindness and
support have sustained me. Thank you so much Lee.
I wish to thank all of my reviewers and those who
provided valued commentary and recommendations.
Special thanks to Lori Barrette (University of Rochester),
Janice Springer (American Red Cross), and Lou Romig,
MD, FAAP, FACEP. Just as there is no perfect research
study, there is also not a perfect textbook or reference
manual. This fact, however, did not dissuade us from
seeking to make this book and every section in it the
very best it could be. Many thanks to all who shared
their wisdom and expertise during the preparation of
the book.
I would like to acknowledge Sally Barhydt and her
colleagues at Springer Publishing Company in New York
City. I sincerely thank you, Sally, for all your hard work
in assisting with the publication of the second edition,
and for your ongoing commitment to me as an author.
ix
I will be eternally grateful to my colleague and research assistant Adam B. Rains for his assistance with
the preparation of this very large manuscript. Adam’s intelligence, humor and wit—and limitless talent—were a
gift to this project.
Many thanks go to three very special women who
are the best friends anyone could ask for—Katherine
Lostumbo, Barbara Wale, and Maryanne Townsend. The
warmth of your friendship continues to sustain me.
Finally, the people to whom I owe the most are my
family. To my mother, thank you for all you have done
for me and for thinking that I am much more capable
than I really am. You often told me, “to thine own self
be true,” when making my life’s decisions—great advice
that I have often passed down to my children. Thanks
to my dad—I love you lots.
To my four children, I sincerely thank you for the
joy you have brought to my life. You are my greatest
accomplishment. My sons Kyle, Blair, and Ryne—I love
you so much. A huge and especially special thank you
goes to my wonderful daughter Kendall, who has been
a terrific help to me for many, many years. Her words
of encouragement (and the sound of her laughter) have
always kept me going! She is my very best friend and
the most incredible person I know.
And to my husband and partner in all life’s adventures, my deepest thanks. I could not have done any of
this without you. You have helped me in too many ways
to mention, and I am so appreciative of each and every
moment we have shared. Thank you.
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x
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Contributors
Gary Ackerman, MA
Sharon Benware, RN, CSPI
Director
Center for Terrorism and Intelligence Studies
A Division of the Akribis Group
San Jose, California
RA Lawrence Poison and Drug Information Center
Rochester, New York
Janice B. Griffin Agazio, PhD, CRNP, RN
Assistant Professor
The Catholic University of America
School of Nursing
Washington, DC
Sherri-Lynne Almeida, DrPH, MSN, Med, RN, CEN
Chief Operating Officer—Team Health Southwest
Houston, Texas
Knox Andress, RN, FAEN
Designated Regional Coordinator
Louisiana Region 7 Hospital Preparedness
Director of Emergency Preparedness
Louisiana Poison Center
Shreveport, Louisiana
Randal D. Beaton, PhD, EMT
Research Professor
Department of Psychosocial and Community
Health
School of Nursing
Adjunct Research Professor
Department of Health Services
School of Public Health and Community Medicine
University of Washington
Seattle, Washington
Lisa Marie Bernardo, RN, PhD, MPH
Associate Professor
University of Pittsburgh School of Nursing
Pittsburgh, Pennsylvania
Jonnathan Busko, MD, MPH, EMT-P
Emergency Physician / Medical Director,
Operations
Eastern Maine Medical Center
Bangor, Maine
Regional Medical Director, Maine EMS
Region 4
Medical Director, Maine Medical Strike Team
New England MMRS
Medical Director, Northeastern Maine Regional
Resource Center and
Center for Emergency Preparedness
Eastern Maine Healthcare System
Jennifer A. Byrnes, MLS, MPH
University of Rochester School of Medicine
and Dentistry
Rochester, New York
Amy T. Campbell, JD, MBE
Division of Medical Humanities
University of Rochester Medical Center
Rochester, New York
John G. Benitez, MD, MPH
Alan Clive, PhD
Associate Professor of Emergency Medicine,
Environmental Medicine and Pediatrics
University of Rochester School of Medicine and
Dentistry
Director, Finger Lakes Regional Resource Center
Managing and Associate Medical Director
RA Lawrence Poison and Drug Information Center
Rochester, New York
Emergency Management Consultant
Silver Spring, Maryland
Eric Croddy, MA
Senior Research Associate
Monterey Institute of International Studies
Center for Nonproliferation Studies
Monterey, California
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Contributors
Jeremy T. Cushman, MD, MS
P. Andrew Karam, PhD, CHP
Division of EMS and Office of Prehospital
Care
Department of Emergency Medicine
University of Rochester School of Medicine and
Dentistry
Rochester, New York
Senior Health Physicist
MJW Corporation
Rochester, New York
Kevin Davies, RRC, RN, MA, RNT, PGCE
Senior Lecturer in Nursing
School of Care Sciences
University of Glamorgan
Pontypridd, South Wales, United Kingdom
Elizabeth A. Davis, JD, Ed.M
Director
EAD & Associates, LLC
Emergency Management & Special Needs Consultants
New York, New York
Pat Deeny, RN, RNT, BSc (Hons) Nursing
Ad Dip Ed.
Senior Lecturer in Nursing
University of Ulster, Magee Campus
Derry-Londonderry, Northern Ireland
Mary Kate Dilts Skaggs, RN, MSN
Director of Nursing Emergency Services
Southern Ohio Medical Center
Portsmouth, Ohio
Kristine M. Gebbie, DrPH, RN, FAAN
Elizabeth Standish Gill Associate Professor
Columbia University School of Nursing
Center for Health Policy
New York, New York
Mark Gillespie, RN, MSc
Advanced Nursing, Critical Nurse Specialist
Lecturer Trauma Nursing
University of Ulster, Magee
Derry-Londonberry, Northern Ireland
Ziad N. Kazzi, MD, FAAEM
Assistant Professor
Medical Toxicologist
Department of Emergency Medicine
University of Alabama
Birmingham, Alabama
Kerry Kehoe, MS
Administrator, Division of Trauma, Burn &
Emergency Surgery
University of Rochester Medical Center
Rochester, New York
Paul Kuehnert, MS, RN
Deputy Director
Kane County Department of Health
Aurora, Illinois
Jane A. Kushma, PhD
Associate Professor
Institute for Emergency Preparedness
Jacksonville State University
Jacksonville, Alabama
Linda Young Landesman, DrPH, MSW, ACSW,
LCSW, BCD
NYC Health and Hospitals Corporation
New York, New York
Roberta Proffitt Lavin, MSN, APRN, BC
CAPT, United States Public Health Service
Director, Office of Human Services Emergency
Preparedness and Response
Administration for Children and Families
Department of Health and Human Services
Washington, DC
Christopher W. Lentz, MD, FACS, FCCM
Kevin D. Hart, JD, PhD
Assistant Professor
Department of Community and Preventative
Medicine
University of Rochester School of Medicine
and Dentistry
Rochester, New York
Medical Director, Strong Regional Burn Center
Associate Professor of Surgery and
Pediatrics
University of Rochester School of Medicine and
Dentistry
Rochester, New York
Charles L. Maddow, MD, FACEP
Angela J. Hodge, RN, BSN, CEN
Clinical Coordinator for Emergency Services
Southern Ohio Medical Center
Portsmouth, Ohio
Department of Emergency Medicine
University of Rochester School of Medicine and
Dentistry
Rochester, New York
15:33
P1: JZP
SVNF026-FM SVNF026/Veenema-FM
May 17, 2007
Contributors
Nancy McKelvey, MSN, RN
Kristine Qureshi, RN, CEN, DNSc
Chief Nurse/Healthcare Partnerships Lead
American Red Cross
Washington, DC
Associate Professor
School of Nursing and Dental Hygiene
University of Hawaii at Manoa
Honolulu, Hawaii
Jennifer Mincin, MPA
Senior Project Manager
EAD & Associates, LLC
Emergency Management & Special Needs Consultants
New York, New York
Brigitte L. Naco
