To evacuate or not to evacuate: lessons learned from Louisiana nursing home administrators following Hurricanes Katrina and Rita.
نویسندگان
چکیده
OBJECTIVES To evaluate the "lessons learned" by Louisiana Nursing Home (NH) administrative directors (ADs) forced to make decisions relating to resident evacuation before Hurricanes Katrina and Rita and determine how emergency planning has changed in those NHs. DESIGN Twenty in-depth telephone interviews followed by a focus group conducted in New Orleans. SETTING Louisiana NHs in parishes affected by Hurricanes Katrina and Rita. PARTICIPANTS Twenty ADs employed by affected NHs during August and September 2005. MEASUREMENTS Qualitative data sources consisted of transcribed telephone and focus group interviews. Data were analyzed using narrative summary analysis and descriptive data were tabulated using an abstraction tool. RESULTS Nine of 20 NHs evacuated before the hurricanes and 11 sheltered in place. Six additional NHs evacuated following the storms. The most common perceived consequences related to the evacuation process were resident morbidity or mortality (6 of 15), transportation issues (5 of 15), and staffing deficiencies (3 of 15). Common findings among the NHs that sheltered in place included supply shortages (8 of 11), facility damage (5 of 11), and staffing issues (4 of 11). CONCLUSION Respondents noted 4 general themes during the interviews and focus group session: (1) ADs felt abandoned by the state and federal emergency response apparatus during and after the hurricanes, and continue to feel that they are not a priority; (2) there is substantial physical and technical difficulty in evacuating frail NH residents; (3) staff retention remains a critical problem regardless of the evacuation decision; (4) there are key "lessons learned" that can be incorporated into future disaster planning.
منابع مشابه
Re: To evacuate or not to evacuate: lessons learned from Louisiana nursing home administrators following Hurricanes Katrina and Rita.
متن کامل
A comparison of the nursing home evacuation experience between hurricanes katrina (2005) and gustav (2008).
BACKGROUND One of the tragic legacies of Hurricane Katrina was the loss of life among Louisiana (LA) nursing home (NH) residents. Katrina revealed a staggering lack of emergency preparation and understanding of how to safely evacuate frail populations. Three years later, LA braced for Hurricane Gustav, a storm heralded to rival Katrina's power. Although its magnitude of destruction ultimately p...
متن کاملThe controversy inherent in managing frail nursing home residents during complex hurricane emergencies.
Emergency planning for vulnerable populations constitutes a major element of community disaster preparedness and is an area in which guidance is particularly sparse. As evidenced by the well-publicized deaths of nursing home residents following Hurricanes Katrina and Rita, the need to improve nursing home emergency preparedness is self-evident. Nevertheless, as efforts to improve preparedness d...
متن کاملTo evacuate or shelter in place: implications of universal hurricane evacuation policies on nursing home residents.
OBJECTIVE To examine the differential morbidity/mortality associated with evacuation versus sheltering in place for nursing home (NH) residents exposed to the 4 most recent Gulf hurricanes. METHODS Observational study using Medicare claims and NH data sources. We compared the differential mortality/morbidity for long-stay residents exposed to 4 recent hurricanes (Katrina, Rita, Gustav, and Ik...
متن کاملBivariate Splines for Hurricane Path Forecasting
Every year, hurricanes cause a lot of damage, especially, when they hit cities along the coast line. A notorious example is Hurricane Katrina in 2005 which hit New Orleans and damaged the city significantly. Human intervention cannot change the path of a hurricane. Hence the best possible way to reduce the damage is to predict the path of the hurricane and avoid direct contact. The formation, m...
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عنوان ژورنال:
- Journal of the American Medical Directors Association
دوره 8 3 شماره
صفحات -
تاریخ انتشار 2007