DEPARTMENTAL DISASTER PREPAREDNESS PLANS

 

MEDICAL SERVICES DIVISION

 

Functions:

 

1.        Coordinates the formulation of a medical staff disaster plan to assure medical  service to meet disaster situations and to implement the plan.

2.        Integrates the plan with the hospital disaster preparedness plan.

3.        Assigns physicians to triage and treatment areas.

4.        Takes steps to clear the hospital of all ambulatory patients to expand the facilities for more serious patients.

5.        Establishes standard emergency care procedures for the hospital.

6.        Assists in the training of nurses, nursing aides, and other hospital personnel in the handling of mass casualties.

 

 

NURSING SERVICES DIVISION

 

Functions:

 

1.        Develops a disaster preparedness plan for the nursing areas of the hospital.

2.        Assigns nursing personnel to triage and treatment areas on the basis of skills and experience.

3.        Maintains an emergency list of nursing personnel to be called in the event of a disaster plan activation.

 

 

INFORMATION  AND TELEPHONE SERVICE

 

Functions:

 

1.        Receives any information on disasters accurately.

2.        Informs authorities concerned promptly.

3.        Sounds the alarm.

4.        Activates the medical staff and personnel recall system.

5.        Contacts fire department, police department, and other hospitals for assistance.

 

 

ADMITTING SERVICE AND MEDICAL RECORDS SECTION

 

Functions:

 

1.        Makes a record of all patients admitted to the triage areas and treatment areas.

2.        Makes a record of all patients transferred to other hospitals.

3.        Makes a record of all patients admitted to and discharged from the hospital.

4.        Maintains a list of available beds in the hospital.

5.        Makes room assignment to patients.

6.        Assists in receiving patients' valuables and belongings and stores them for safekeeping.

 

 

SECURITY SERVICE

 

Functions:

 

1.        Controls both internal and external traffic.

2.        Provides security to the area and to the hospital personnel.

3.        Prevents looting.

4.        Safeguards evacuated records and utilities.

 

 

FACILITY MANAGEMENT DEPARTMENT

 

Functions:

 

In an external disaster situation, the maintenance department personnel will standby to provide all utilities needed and to be assigned to any area where assistance is required.

 

In an internal disaster situation, the maintenance department will assume the  role of the hospital fire and explosion brigade.   The department head shall be the

fire and explosion marshall or simply fire marshall.

 

Functions of the fire marshall:

 

1.        Appoints a fire brigade.

2.        Establishes and coordinates a fire safety program for the hospital.

3.        Trains hospital personnel in internal disaster procedures.

4.        Orients new personnel on the fire safety program.

5.        Conducts and evaluates fire drills.

6.        Assists in drawing up a fire safety program in each department or floor.

7.        Conducts fire prevention inspections in the hospital.

 

 

Functions of the fire brigade:

 

1.        Responds to the fire alarm immediately.

2.        Controls fire as quickly as possible.

3.        Assists the city fire brigades upon their arrival.

4.        Searches for explosives and bombs when such threats exist.

5.        Assists in the evacuation of victims and patients.

 

 

HUMAN RESOURCES DIVISION

 

Functions:

 

1.        Assists in the evacuation of victims and patients.

2.        Assists in the transport of victims and patients from one area to another in the hospital.

3.        Serves as messengers.

 

 

RADIOLOGY DEPARTMENT

 

Functions:

 

1.        Carries out all orders for X-rays on a priority basis.

2.        Cancels all other routine activities except urgent requests.

3.        Checks supplies as to their sufficiency to meet the needs of the disaster situation.

 

 

LABORATORY MEDICINE DEPARTMENT

 

Functions:

 

1.        Responsible for processing all laboratory works immediately.

2.        Establishes blood supply priorities.

3.        Contacts possible donors and makes arrangements for procuring additional blood from other sources.

4.        Hands over the dead bodies to the families of the victims or other authorized persons.

 

 

PHARMACY SERVICES

 

Functions:

 

1.        Maintains a contingency inventory of pharmaceuticals at all times.

2.        Makes necessary arrangements for increasing the inventory by 20 per cent.

3.        Assigns supply procedure to treatment areas and operating room and distributes drugs.

4.        Maintains a record of the supplies so distributed.

 

 

 

CENTRAL SERVICE

 

Functions:

 

1.        Maintains disaster supply carts and boxes containing basic supply items  for  the Minor and Major treatment areas.

2.        Checks, repacks, and sterilizes these supplies periodically.

3.        Maintains a list of supplies and equipments needed in a disaster.

4.        Distributes supplies to all needed areas.

5.        Sterilizes additional supplies while the disaster lasts.

6.        Purchases and makes arrangements for delivery of urgently needed supplies.

 

 

DIETARY SERVICE

 

Functions:

 

1.        Maintains a stock of additional supply that can be utilized in disaster times.

2.        Provides stimulating beverages to victims.

3.        Provides meal service to the patients, hospital personnel, and all other people who are assisting in the disaster.

4.        Uses simple menus and disposable items for food service.

5.        Arranges for alternative source of fuel, water, and cooking procedures.

 

 

HOUSEKEEPING SERVICE

 

Functions:

 

1.        Sets up accommodation in all additional areas, depending on the size of the disaster.

2.        Assists in evacuation of patients.

3.        Serves as messengers.

4.        Assists security guards in traffic control.

5.        Assists security guards in safequarding evacuated utilities and records.

 

 

LINEN SERVICE

 

Functions:

 

1.        Maintains a reserve capable of handling the initial needs of 25 patients.

2.        If the size and scope of the disaster warrants, the department head puts the laundry in full operation.

1.        Issues additional linen from stocks (when reserve is depleted).

 

 

PASTORAL CARE SERVICE

 

Functions:

 

On receipt of the disaster plan activation news, the pastoral care team should report to the triage and treatment areas to aid and assist the victims and their relatives.  Supportive services offered would reduce the pressure exerted on the physicians and nurses.