THE MDH DISASTER
PREPAREDNESS PROGRAM
2005
(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
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:
|
|
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
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
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 |
|
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). |
|
|
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|
The ddpp is being used in real disasters or simulated disasters (at least once a year). |
|
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The hdpp and ddpp are being evaluated at least after each real disaster and updated thereafter (at least once every 2 years). |
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