Hospital Earthquake Drill Evaluation

June 20, 2006

Post-drill Debriefing Session

 

Note: The debriefing session(s) should be recorded. Debriefing participants should state their zone / sector when responding.

 

Questions

YES

NO

Remarks

Did you feel you were notified of the earthquake in a timely fashion?

√

 

Use of siren and whistle

There was a programme prepared as early as June 14.  Programme distributed to all units on June 17-19. 

For improvement:

Synchronization of megaphones and whistles if multiple will be used.

 

 

 

 

Did the incident command center work effectively?

√

 

Incident Command established at 7:30 am. in the Information Service

 

Control:

1st, 2nd, and 3rd quake, call for evacuation with code white, call for reconstruction (code green)

Did any zone receive incorrect information from the incident command center? If not correct, what specifics do you recall about incorrect information?

 

 √

 

Was the information from the incident command center received by other zones in a timely way?

√

 

1st, 2nd, and 3rd quake, call for evacuation with code white, call for reconstruction (code green)

Were there problems with information flow within the hospital?

 

√

There was a programme distributed to all units.

Were there problems with communication devices (e.g., equipment failure)?

√

 

Public address system

Intercom at the floors

Megaphones

NOT LOUD ENOUGH
NOT CLEAR

Suggest use of portable radios

 

 

 

 

Did people have a good understanding of their roles, as defined in the MDH Earthquake Preparedness and Response Plan?

√

 

Pre-drill orientation – June 14, June 19

Advisory – June 19 and June 20 just before the drill (hospital wide and in each sector)

 

 

 

 

Did all people within the zone respond to the signal of earthquake (at least once out of the 3 signals) by protecting themselves and others from falling debris?

√

 

For sector / zone coordinators to answer

Did the sector coordinators observe, evaluate and teach those who do not know what to do during earthquake? If yes, how many?

√

 

 

 

 

 

 

Did all people expected / ordered to evacuate evacuate?

√

 

 

Did anybody use the elevators to evacuate?

 

√

 

Were the evacuation marshals / sector coordinators effective in the controlling the evacuation process?

 

 

 

Was there a bottleneck in the evacuation route?

√

 

Tendency in 2nd floor

In Department of Rehabilitation Medicine Hall exit and hallway

Was there at any one time a tendency to stampede? Was there a stampede?

 

√

 

Was the evacuation time fast enough?

√

 

1 minute per floor (within 5 minutes)

Was the evacuation team effective in evacuating the mock victims?

√

 

Evacuation team waited for last ambulatory people to evacuate before going up.

8 mock victims

2 real patients on wheelchairs from 5F

Were there problems with transporting patients?

√

 

Need more portable stretcher to transport bed-ridden during evacuation 

 

 

 

 

Did nurses and physicians respond quickly to the disaster call?

√

 

Code white

Did the evacuation team respond quickly to the disaster call?

√

 

Evacuation team (LHS/FMD)

Did the security team respond quickly to the disaster call?

√

 

Security Services

 

 

 

 

Was the zone (evacuation holding area) set up when the first mock victim arrived?

√

 

UN Avenue driveway

TM Kalaw Street – traffic control

Was security in place before the first mock victim arrived?

√

 

 

 

 

 

 

Did the triage system work effectively?

   √

 

UN Avenue driveway

Were there delays in triage? If so, what triggered these delays?

 

  √

Code white

 

 

 

 

Did the treatment system work effectively? Was there constant monitoring of the patients and victims of earthquake?

√

 

Code White

Were there delays in treatment? If so, what triggered these delays?

√

 

Doctors (especially residents) did not get to the patients right away.

Was staffing adequate in the treatment area?

√

 

Code White

 

 

 

 

Were valuables evacuated secured?

√

 

Cashier / IT / Pharma / Lab

Overall, was security adequate?

√

 

In the evacuation holding area

For the entire hospital

Was there a proper ending of the drill?

√

 

Code green

Announcement by Incident Command

Thank you note

Final reminder on earthquake preparedness

 

 

 

 

Were memorandums of understanding (MOUs) with outside agencies (e.g., police) activated?

√

 

With NDCC, PNRC, and WPD

Did the hospital appear to work well with city and/or regional disaster agencies?

√

 

With NDCC and PNRC, and WPD

 

 

 

 

Was there stampede during the evacuation?

 

 √

 

Were there reported injuries during the drill?

 

√

 

Were there reported theft during the drill?

 

√

 

Was there significant disruption of services in critical areas during the drill?

 

√

OR, DR, ICU, ER

 

 

 

 

Did we achieve our objectives for the drill?

 

 

 

To formulate a structured and comprehensive MDH Earthquake Preparedness Program – tested in 2006.

√

 

 

To have an earthquake preparedness and response plan in all organic units in the MDH (Target: all organic units)

√

 

 

To provide information and training on earthquake preparedness and response when in MDH to hospital

- staff (Target: at least 500)

- patients on earthquake response (Target: 100)

- medical secretaries (Target: 30)

- visitors (Target: at least 100)

√

 

 

To project MDH as a hospital with an earthquake preparedness program.

√

 

 

 

 

 

 

Was the IEC on MDH Earthquake Preparedness and Response Plan helpful in facilitating the drill?

√

 

 

Did you feel you were able to accomplish what you were assigned to do during the drill?

√

 

For sector / zone coordinators to answer

 

What did you learn from participating in the drill?

 

            Earthquake preparedness

 

Overall, what parts of the drill went well?

 

Coordination among the different units

           

            Evacuation – most exciting part

 

What could have been done differently to make the drill run better?

 

             Improve warning system of simulated earthquake – siren cannot be heard in areas where the public address system is not installed.

 

Megaphones – lack and improve quality

 

Increase number of whistles for earthquake signals

 

Use of whistles for communication other than as signal of earthquake

 

More hand-held portable mini radios to be used for communication

More traffic marshals on the 2nd floor

 

Portable stretchers in the floors

 

Emergency kits to be brought out during evacuation

 

Door at the Rehabilitation Medicine obstructing evacuation on the hall connecting the front and back of hospital

 

Assigned areas in evacuation holding areas

 

            Code White to be explained further

            Doctors do not know what to do in the evacuation areas

 

            Needs batteries in case of power failure

 

 

 

 

 

Adopted from Hospital Disaster Drill Evaluation developed by the Johns Hopkins Evidence-based Practice Center under Contract No. 290-02-0018 from the Agency for Healthcare Research and Quality, Rockville, MD. The content of this module is intended to provide guidance for hospital disaster drill evaluation and should not be construed as representing standards of care or recommendations on how to respond to specific types of disasters. No statement in this module should be construed as an official position of the Agency for Healthcare Research and Quality or of the U.S. Department of Health and Human Services.