Me: (wakes up coughing and saw gail shivering) gail?

Flashback scene 1 (coughs more and saw blood, horrified and shouts, mag
@Airport nag smash sa head and lost consciousness)
Me: uy dav! Long time no see! I miss you! Ma get
together ta bala nga mag friends!
Dav: sige2! Dugay ko naman na gani gusto kag gina
plan.. Morning
Davyd: (shouts)
Others starts to wake up
Post Exposure Reil: shit! Gail bugtaw!
(gail is cyanotic)
Franc: hi matt! Wala Kaman sa reunion?
Matt: kinanglan ta magpa hospital!
Matt: huh? Ara ko bala, wala niyo lang ko nadiparahan..
Francine: si eugeanne indi magbugtaw!
(Coughs) nag lunch kana?
All panic except for matthew and Francine who started
Franc: tuod ya? Okay ka lang? grabe gid ya paos mo, ang
interventions
gin hithit mo? (trying to remember, whispers : basi ara
Davyd: matt ikaw okay ka lang?
gid man sa, oh well) wala pa, na!
Francine: gani matt, daw di na manami tingog mo..
Matt: (Gin kulbaan and suspicious..breaths heavy)
Matt: okay lang ko, don’t worry about me.. ano natabo
sina sa ila man? Hambal sang doctor si eugeanne
Me: (goes to reil) hi guys! Oh, ikaw lang di ya? Where’s
overfatigue man lang kuno so na discharged nasa.. si
gail? (coughs)
abegail under observation pa kag wala gyapon ga
Reil: ambot si muchacha nga ato! Namasakit man kuno!
bugtaw..
Hay ikaw sick Kaman?
Dav: bugtaw na si eugeanne?
Me: chill! Haha anyways lakat na ko, indi man di ikaw
Matthew: oo..
gin kadto ko.. bye! (calls davyd) girl may flight ka? Visit
dav phone rings, eugeanne calling
ta kay gail, sick sa kuno..
Me: dav pwede ka di kakadto sa *****? Ako lang di isa,
Dav: sure! Didto nalang ta kitaay sa ila house.
I need to talk to you..
Me : okay! Byeee!
Dav: okay.. im on my way.. (call off) guys lakat ko
danay.. bye!
At gail’s House
Somewhere
Me: (knock knock) gail? Hellooooo..
Dav: euge kamusta pamatyag mo? Dapat nag stay kla
(Dugay pa before gin open ang door)
danay sinyo house kag nagpahuway..
Gail: oh euge! Ano to?
Me: listen to me, mag nag hampak sakon kagab i! kag
Me: uh hi? Kamusta pamatyag mo? I Brought foods!
nag ubo ko sang..
Gail: thanks! Galain gid abi akon pamatyag, feel at
Dav: what? Ubo sang?
home..
Me: (hesitated) uhhh, basta dav mag nag hampak sa ulo
Me: okay! (coughs) anon i na tabo ngaman gin
ko! May criminal saton friends!
minasakit ta bay?
Dav: euge kalma.. oh ari water.. sure ka sina?
Dav: kapoy lang na guys!
Me: of course im sure!
Me and Gail: (nakibot kay dav) wala ka bala namon
Dav: hambal ni matthew, na overfatigue ka lang hambal
nadiparahan, gina kapa?
sang doctor..
Dav: bag o lang.. hehe
Me: I was really this last few days pero sure gid ko ya
(Night)
nga may naghampak gid sakon! Please believe me! (
Me: natamad nako magpuli ya..
desperate)
Dav: girl may idea ko!
Dav: (daw nahadlok na) okay so sino naghimo sato?
Me: right! ma sleep over ta! Nice idea!
Me: I think its reil..
Dav: huh? I didn’t.. I mean … okay. (sighs)
(started telling why)
Me: yes! (calls friends) guys! Sleepover! Gail diri nalang
kami ma sleep para maalagaan ka namon. Hehe
Day 3
(Others amat2 abot sa house)
The day started normal. Meanwhile..Others started
A few hours later while sleeping
showing symptoms.
Nursing Interventions

Many people are going to hospital.. mostly unconscious
and spitting blood
(Reporter on TV about same symptoms and according
to health sector, there is an unknown exposure of
chemical within the area. The government is already
doing their best to manage the problem)
Acute Phase – immediate response hours 0-2
Assess the situation
 Geographical area that has been adversely
impacted
 How many people are affected, threathened,
exposed, injured or dead?
 Exposure pathways
 Have critical infrastractures been affected?
(electrical, water sanitation and
telecommunication, transpo) if so, what way?
 Have medical and healthcare facilities been
affected? If so, in what ways?
 Are escape routes open and accessible?
 How will current and forecasted weather
conditions affect the situation?
 What response actions have already taken?
 Has local, state emergency operations center
(EOC) been activating? If so, where it is
operating?
2. contact key health personnel- coordinate w/other
healthcare providers s necessary. Recor all contacts,
including unsuccessful attempts, and follow up actions.
3. developinitial health response objectives and
establish an ction plan. SMART
4. public health participation in the emergency
Operations center (EOC)
A health representative from your department should
be assigned to establish communications and maintain
close coordination with the local, state or tribal EOC and
its components, if operational.
5. ensure that the site health and safety plan (HASP) is
established, reviewed, and followed.
This can be acieved through safety briefings and shift
changes. Responder safety and health reports, updates,
and briefings should be initiated at this stage of
response.
6. establish communications with key health and
medical organizations
Verify their treatment and support capabilities(eg,
patients isolation, decontamination, etc.)
7. assign and deploy resources and assets to achieve
established initial health response objectives
Assets will be required to sustain 24-hour response
operations.
8. address requests for assistance and information
9. initiate risk communication activities
Remember to communicate public health messages in
the appropriate language. A public information
“hotline” can be established to address requests for
information from the public.
TV report as hotline( refer to cdcreponseguide.pdf
@dav’s laptop)
Intermediate response: hours 2-6
1. Verify that health surveillance systems are
operational.
Consider human subjects and privacy issues
related to data collection, analysis and storage.
2. Ensure labolatories likely to be used are
operational
3. Ensure that the needs of special populations
are being addressed.
4. Update risk communication messages
Ensure that messages on public helth
information “hotlines” are upadated as
necessary.
Intermediate response: hours 6-12
1. Collect and analyze data that are becoming
available through health surveillance and
laboratory systems.
2. Prepare and update information for shift
change and executive briefings
Initiate staffing plan
3. Prepare for state and federal on-site assistance
(National medical response team)
4. Assess health resource needs and acquire as
necessary.
Extended Response: hours 12-24
1. Address mental and behavioral health support
needs initiate preps for persons affected by
event, as well as staff traumatized.
PLS REFER TO Guidance on initial responses to a
suspicious letter/container w/a potential biological
threat.