THE MDH DISASTER PREPAREDNESS PROGRAM

2005 / 2006

(Derived from 1992 Plan Prepared by Dr. Reynaldo O. Joson)  

Content

   

         Philosophy

Objectives

Scopes of MDH Disaster Preparedness Plan         

Definition and Types of Disasters Faced by a Hospital 

 

Organizational Structure of MDH Disaster Preparedness Program

MDH Disaster Preparedness Committee

Disaster Control Officer

Declaration of Disaster

 

Disaster Response Teams

 

Orientation, Training, and Drills

 

Press Conferences 

Essential Steps in Disaster Control and Management

Evaluation of MDH Disaster Preparedness Program

 

General Disaster Control Flow Chart

 

External Disaster Preparedness Plans

Internal Disaster Preparedness Plans

Response Teams' Disaster Preparedness Plan

 

I. PHILOSOPHY 

Conscious of our responsibility to have a preparedness to meet the needs of the patients and the community in disaster situations, we are committed to the development of a disaster preparedness program at the Manila Doctors Hospital.  We endeavor to implement it in a concerted effort of all concerned and in cooperation with all emergency organizations.

II. OBJECTIVES 

The primary objective is to avoid disasters within the hospital as much as possible.

The secondary objective is to prepare the hospital personnel and organizational resources for optimal performance during times of disaster.  The aims are to prevent death and injuries to patients and hospital personnel; to avoid destruction to hospital properties; and to render medical services to the largest possible number of patients during a disaster.

The tertiary objective is to make the hospital personnel and the community aware of the importance of the disaster preparedness program, how it is executed, and the benefits it provides.

III. SCOPE OF THE DISASTER PREPAREDNESS PROGRAM

A. General Disaster Control Flow Chart

B. External Disaster Preparedness Plan

C. Internal Disaster Preparedness Plan

D. Departmental Disaster Preparedness Plan

E. Response Teams' Disaster Preparedness Plan

IV. DEFINITION AND TYPES OF DISASTER FACED BY HOSPITALS

Disaster is any event which overwhelms the person or a group of persons facing  it.  The overwhelming can be in terms of psychosocial impact, destruction of property, injuries to or diseases of human beings, and scarcity of resources.

Any event that is of a magnitude that overwhelms the administration of the hospital is a disaster in the hospital.

Thus, a person in the hospital developing a cardiopulmonary arrest is a disaster.

If the influx of patients or injured victims into the hospital overwhelms the usually available personnel, supplies, and facilities, this too is a disaster.

A fire breaking out within the hospital is by itself a disaster.   What more if persons and properties are lost as a result of the fire.  A fire in the vicinity of the  hospital is also a disaster faced by the hospital administration.

An earthquake, a flood, and a typhoon involving the hospital are also considered disasters.

An explosion within the hospital and a strike by hospital employees are likewise hospital disasters.

The following are basic disaster situations that any hospital may face and the primary responses required of them:

DISASTER SITUATION

PRIMARY HOSPITAL RESPONSE

INTERNAL DISASTERS

Disasters within the hospital (fire, explosion, strikes, etc.)

-Evacuation of patients and personnel from threatened or affected areas

 

EXTERNAL DISASTERS

Community disasters

-Expansion of usual hospital resources to care for sudden and tremendous  influx of patients

DISASTER THREATS

Either in the hospital or in the community (fire in the vicinity, impending typhoons, floods, bomb threats, etc.)

-         Precautionary evacuation, either partial or total

-         “Alert” notification to staff and outside cooperating agencies

-         Preparation of reserve equipments and supplies

 

V. ORGANIZATIONAL STRUCTURE

MDH HOSPITAL DIRECTOR

MDH DISASTER PREPAREDNESS COMMITTEE

DISASTER CONTROL OFFICER

DISASTER RESPONSE TEAMS

 HOSPITAL DEPARTMENTS AND SERVICES

 Emergency Medical Services Department

Medical Staff

Nursing Staff

 Admitting and Information Service

Security Service

Facility Management Department

Human Resources Division

Medical Records Section

Laboratory Medicine Department

Radiology Department

Central Service

Operating Room Department

Delivery Room Department

Intensive Care Department

Newborn Intensive Care Department

Pharmacy Services

Linen and Housekeeping Services

Dietary Service

VI. THE MDH DISASTER PREPAREDNESS COMMITTEE

A. Functions 

1.      To coordinate and collaborate in the preparation, organization, implementation, and regulation of the MDH Disaster Preparedness Plan.

2.      To develop procedures to orient and train new as well as bonafide hospital personnel in their disaster-related responsibilities so as to ensure a state  of preparedness at all times.

3.      To monitor the implementation of the plan and arrange for periodic drills and simulation exercises.

4.      To periodically review and revise the provisions of the disaster preparedness plan as needs may dictate.

5.      To appoint an annual Disaster Control Officer.

6.      To assume general responsibility for the hospital's preparedness in the event of a disaster.

7.      To relate the hospital's Disaster Preparedness Plan to other community disaster plans.

 B. Composition

           1.      Chairman – To be appointed by the Hospital Director

2.      Disaster Control Officer – To be appointed by the Hospital Director

3.      Chairman, Emergency Medical Services Department

4.      Chairman, Cardiopulmonary (CPR) Team

5.      Medical Director or his/her representative

6.      Nursing Director or her/his representative

7.      Operations and Hospitality Director or his/her representative

8.      Head of Facility Management Department

9.      Head of Security Service

10. Head of Linen and Housekeeping Services

11. Head of Admitting, Information, and Telephone Services

 

VII. THE DISASTER CONTROL OFFICER

A. Functions

1.      Acts as the executive director of the MDH Disaster Preparedness Program.

2.      Ensures that basic provisions of the plan are disseminated to all hospital personnel and appropriate drills and exercises are scheduled.

3.      Maintains liaison with local disaster agencies, such as Civil Defense, Red Cross, Fire Department, Police Department, and other hospitals.

4.      Takes necessary actions to ensure a safe and efficient operation of the hospital in an emergency.

5.      Is responsible for the initiation and activation of the hospital's Disaster Preparedness Plan.

B. Designation of MDH Disaster Control Officer

There will be an annual designation of the MDH Disaster Control Officer by the Hospital Director and the Disaster Preparedness Committee.

VIII. DECLARATION OF DISASTER

Any hospital personnel can declare the presence of a disaster once he discovers it but this has to be transmitted to the Disaster Control Officer as soon as possible.

IX. DISASTER RESPONSE TEAMS

Depending on the type of disaster, the following response teams shall be paged: 

Disaster

Code and Response Team

Non-intubated adult patient with impending or evident cardiopulmonary arrest

Code Blue Team

Pediatric patient with potential or evident cardiopulmonary arrest

Code Baby Blue Team

Patient influx

Code White Team

Security

Code Tango Team

Fire and explosion

Code Red Team

CODE GREEN - means disaster has been controlled.

X. DEPARTMENTAL DISASTER PREPAREDNESS PLANS

All heads of departments and services in the hospital shall make plans and procedures for disaster preparedness.  It will include a contact and recall personnel system, assignment of personnel to positions, descriptions of duties    and responsibilities during disaster, and estimated requirements for supplies and equipments.   These departmental plans will be incorporated into the overall master plan of the hospital.

 

XI. ORIENTATION, TRAINING, AND DRILLS

      1.      All hospital personnel will be oriented to the hospital's Disaster Preparedness Plan.

2.      There will be training and drills at least once a year.

 

XII. PRESS CONFERENCE

Only the Disaster Control Officer and the Hospital Director or his designated representative can give a press conference regarding disasters in the hospital.

  

XIII. ESSENTIAL STEPS IN DISASTER CONTROL AND MANAGEMENT

 

Essential steps

Yes

No

Remarks

Declaration of disaster

 

 

 

Creation of an incident command

 

 

 

Notification of

Disaster Control Officer

 

 

 

Chair, Disaster Preparedness Committee

 

 

 

Hospital Director

 

 

 

Concerned Division and Department Heads

 

 

 

Mobilization and organization (task assignment and authorization) of staff

 

 

 

Mobilization of ancillary services (laboratory, x-ray, pharmacy, etc)

 

 

 

Control of disaster

            Triage

 

 

 

 

Treatment

 

 

 

Referrals / Transport

 

 

 

Traffic control

 

 

 

Patient log

 

 

 

Relatives Information Area

 

 

 

Press conference

 

 

 

Decongestion and post-disaster reconstruction

 

 

 

Post-disaster evaluation and reporting

 

 

 

  

IX. EVALUATION OF MDH DISASTER PREPAREDNESS PROGRAM

 

Parameters

Yes

No

Remarks

There is a written hospital disaster preparedness plan (hdpp).

Yes

 

 

There are written department disaster preparedness plans (ddpp).

 

 

 

There is a structured hdpp and ddpp with ddpp cascaded from and integrated into hdpp.

yes

 

 

The hdpp is disseminated to all heads of units and to least 80% of the hospital personnel.

 

 

 

The ddpp is disseminated to at least 80% of the department personnel.

 

 

 

The hdpp is being used in real disasters or simulated disasters (at least once a year).

 

 

 

The ddpp is being used in real disasters or simulated disasters (at least once a year).

 

 

 

The hdpp and ddpp are being evaluated at least after each real disaster and updated thereafter (at least once every 2 years).