“Deadliest Railway Accident in Metrolink’s History”

The Chatsworth train collision occurred at 4:22pm on Friday, September 12, 2008, when a Union pacific freight train and a Metrolink commuter train collided head-on in the Chatsworth district of Los Angeles, California. A northbound commuter train, holding mostly Moorpark and Simi Valley residents, collided with a Union Pacific freight train, killing 25 and injuring 135 others; 46 of them were critical. The scene of the accident was a curved section of single track on the Metrolink Ventura County Line just east of Stoney Point. The Simi Valley Acorn writes that according to the National Transportation Safety Board (NTSB), which investigated the cause of the collision, the Metrolink train ran through a red signal before entering a section of single track where the opposing freight train had been given the right of way by the train dispatcher. The NTSB faulted the Metrolink train’s engineer for the collision, concluding that he was distracted by text messages he was sending while on duty.

The crash left 25 dead, including the engineer, Robert Sanchez, who had reportedly sent or received 43 text messages while on duty that day. His last message – to a teenage boy who he had told could operate the train later that day -was made just 22 seconds before the crash. Following the 16-month investigation, the board recommended to the Federal Railroad Administration that trains be installed with audio and video recorders to be assured that railroad employees are following safety rules. This event became the deadliest railway accident in Metrolink’s history. There was more than $7,100,500 in damage.

Responders: this “mass casualty event” brought massive emergency response by both the city and county of Los Angeles, but the nature and the extent of physical trauma taxed the available resources. The captain of the LAFD called for every heavy search and rescue unit in the city. Responders included CEMP (California Emergency Mobile Patrol Search and Rescue) as first responders, requested by LAPD. Firefighters, EMTs, air ambulances, public health officials, sheriffs, police officers, and healthcare providers responded to this event in order to triage those involved. Hundreds of emergency workers were involved.

This disaster is incredibly significant to me because I watched it unfold for hours on my television screen. My education was scheduled to begin the following month, but I knew that I wanted to be there. I contemplated driving to the scene but knew I was not qualified to help even though it occurred less than 15 miles from my home. This is when I knew I wanted to enter the healthcare industry, somehow, someway. Seven years later (today), I would drive to the scene without hesitation. I hope that we are better prepared for a similar event. There was no discussion about Ventura County responders, but I would assume that they could help in any way they could. All I know is that I will be there as a responder who is now qualified to help next time something of this nature occurs!

Information and images included are courtesy of Simi Valley Acorn and Foxnews.com

Santa Clara Waste Plant in Santa Paula, Ca

The Santa Clara Waste Plant in Santa Paula had a chemical explosion in mid-November 2014. The plant had mixed sodium chlorite and waste that caused an explosion. The mixture exploded when chemical introduced in a vacuum truck. Over 1,000 gallons of the material spilled, crystalized, dried and ignited into flames. The mixture was not identified when fire fighters went into care for the injured individuals of the explosion. Once the fire fighter trucks went over the mixture the tires began to burst into flames. The fire fighters and injured party were treated at the local hospital for inhalation injury, and rashes.

I believe some of the barriers for healthcare providers and providing care included dealing with an unknown chemical substance. If the environment is not safe for health care providers to be at it is almost impossible to expect the injured individual to be provided adequate care. Fire fighters responded to the injured individual, but caused more injured because the environment was not cleared before emergency responders charged into provide care. As a health care provider I feel that it would be better to neutralize the chemical first then to increase the number of individuals that need to be cared for by exposing myself. If the disaster occurs in the future health care providers should have a list of chemicals that were involved in the explosion.

After the explosion the 126 free way was closed down while detoured traffic and caused local schools to shut down. The plant made a pledge to clean up the spill and remain closed until they went through the proper channels for approval to be reopened. Environmentally, the effects of the mixture are still unknown because the sodium chlorite and waste made a new chemical. Socioeconomically, the plant employed hundreds of workers that lost their jobs when the plant shut down. These workers had to seek unemployment. I feel that we can continue to learn from this disaster.

 

Chen, T., & Goff, K. (2014). Dozens Treated After California Waste Plant Fire. Retrieved April 22, 2015, from http://www.nbclosangeles.com/news/local/Firefighters-Hospitalized-After-HazMat-Explosion-283059521.html

Wilson, K. (2015). Chemical that triggered Santa Paula blast . Retrieved April 22, 2015, from http://www.vcstar.com/news/local-news/county-news/chemical-that-triggered-santa-paula-blast-identified_47049879

Hurricane Katrina: Healthcare Perspective

Image Retrieved from: http://www.theguardian.com/world/2014/feb/07/hurricane-katrina-after-the-flood

Hurricane Katrina was the most destructive “natural” disaster in US History. It impacted about 90,000 square miles and displaced over two million people.  The healthcare infrastructure in New Orleans ranked among poorest in the nation and the hurricane greatly impacted the healthcare infrastructure. Hospital basements were flooded and medications, food, equipment and supplies were lost. Electrical systems were destroyed and hospitals eventually ran out of fuel to power their generators. For many hospitals running water was not available and sewage systems did not function and communication was not possible. Food had to be rationed among individuals in the hospital and more problems occurred by additional patients seeking care and other members looking for temporary shelter. There were 16 hospitals in the New Orleans area and 8 were closed permanently. Of the practicing doctors 2,000 of the 3,500 were displaced. The available resources were insufficient to care for the community and affected individuals after the hurricane (Rodriguez and Aguirre, 2006).

The hurricane affected the quality of care of many patients. Not having running water inhibited hand hygiene putting patients at risk of HAI’s. Not having a running sewage system also did not work in their favor. Medications were not available, beds, and chaos occurred. The hospitals were filled to their maximum capacity and they were probably short staffed. The Hurricane depleted all the hospitals stores and not being able to communicate and know when assistance was on their way must have been a frustrating situation. Eventually other states, government, the Red Cross, volunteers, etc… were able to help and it has been a long journey in making New Orleans what it was before the disaster.

I cannot imagine being a nurse in this situation. It must be very frustrating knowing that your patient needs care and you are not able to provide it because you do not have the necessary supplies. Also it would be important to prioritize care and provide comfort measures. Also non-pharmacological interventions would be necessary due to lack of medications. It would be very difficult to be a nurse in this situation, but very rewarding. In order to be able to function properly you need to be organized, calm, and think out of the box. We all need to be prepared for any kind of disaster. After Hurricane Katrina, a few more hurricanes have occurred and the response has been better. I believe that we are now more prepared for any disaster, but we will never fully be prepared.

References:

Rodriguez, H. and Aguirre, B.E. (2006). The impact of hurricane Katrina on the medical and healthcare infrastructure: A focus on disaster preparedness, response, and resiliency. Disaster Research Center (DRC) University of Delaware. Retrieved from: http://udspace.udel.edu/bitstream/handle/19716/2380/Australia%20PP%20-%20Havid%C3%A1n%20DSPACE%20READY.pdf?sequence=1

Final Reflection

    Wow! I can’t believe this semester is almost over! Actually, the last three years have truly flown faster than I had ever expected. It is true what the students from prior semesters and faculty shared with us at our first orientation regarding the cohesiveness and strong bonds we would form with one another by the end of the three years. It is strange to think that we all sat together in a room three years ago, and didn’t speak or know one another. It feels as though we have become a family – in the truest sense of the word, with all the ups and downs all families experience.

In reflecting on my learning this semester, I can’t help but think of the large role technology has played. I remember sharing in our first ever blogpost that I was slightly skeptical about the idea of forming an “online identity.” I also felt skeptical about reconstructing our way of learning and shifting to a lot of voice thread, blogposts and videos. I have to say however, that I personally felt like I learned a great deal more after transitioning over. Additionally, I felt more efficient when creating voice threads, recordings and videos and felt that a significant amount of learning took place in a shorter amount of time. When I look at my growth over the span of three years however, it is remarkable to see myself as a completely different person.

It is almost strange to think of myself 3 years ago, before having learned as much as I have. I remember being told our first year that the program was designed like a spiral staircase, where each year we would have the opportunity to build on those things we learned the first time around. As I entered critical care, I was able to see how true that statement was. This semester I was able to utilize the concepts I had worked so hard to learn our first and second year and adapt them to the new material we were covering. Although I know that there is a large learning curve up ahead after graduation, I can say I feel confident to confront it. I feel I have learned a lot – but more importantly I now know where and how to access the resources needed when I come across something new. I feel prepared to move on to the next chapter as I develop my skill set as a novice nurse and put into action the values and knowledge I have gained from this amazing institution. On to a new adventure!

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