MDH Earthquake Drill

June 20, 2006

Evacuation Objectives, Policies, Procedures, and Evaluation

Objective:

To train people on the evacuation procedures (do’s and don’ts) during an earthquake.

When to evacuate

Wait for evacuation order but with leeway to evacuate when indicated without waiting for order.

What to bring out when there is still time

Records

Money

How to evacuate fast yet safe

Which routes and stairways to take

Which hospital exit and evacuation holding area to target

Do not use elevators.

Do not run. Do not push. Do not cause STAMPEDE.

What to do in evacuation holding area

Crowd control

Triage

Medical management

Security

General Policies for 2006:

There will be selective evacuation of people for 2006.

No actual inpatients will be included in the evacuation exercise. Only mock patients.

No disabled outpatients will be included in the evacuation exercise.

Ambulatory outpatients and visitors will be invited to participate in the evacuation exercise.

Staff are expected to participate in the evacuation exercise except for those exempted because of valid reasons (health, needed service, critical areas, caretakers, marshals, etc.)

There should be no significant disruption of service in critical areas.

Evacuated areas should be secured and protected from theft. There must be at least one staff (caretaker) left behind to hold the fort unless the room / office can safely be locked.

The elevators should NOT be used during evacuation.

There should be no stampede.

There should be no injuries as a result of evacuation.

There should be order and security in the evacuation holding areas.

Specific Policies for 2006

Evacuation - 5^th floor down (NTMT, Main, DSMT)

Marshals at stairs at 6^th floor – stop evacuation coming from above.

6^th F

6^th floor - DSMT

Units exempted from evacuation:

ER

NICU

DR

OR

ICU

Hemodialysis Service

Telephone Service / Information Service

Nurses’ Stations

Ambulatory relatives of patients from nurses’ station in 5^th, 4^th, and 3^rd floors willing to participate

Nursing students in 5^th floor down

Nursing staff (2 per floor)

Physicians (consultants, residents, and interns) in 5^th, 4^th, and 3^rd floors at time of evacuation call

DSMT

Medical secretaries in 5^th, 4^th, 3^rd, and 2^nd floors

Ambulatory patients willing to participate

Relatives of outpatients willing to participate

Physicians in these floors willing to participate

Diagnostic Centers (Radiology, Nuclear Medicine, Lab, Special Diagnostics)

Ambulatory patients and relatives willing to participate

Staff minus caretakers

Student nurses

Outpatient Services Centers (Rehabilitation Medicine, IMSD, OPD, CSR, Medical Records)

Ambulatory patients, clients and relatives willing to participate

Staff minus caretakers

Student nurses

Administrative Offices (Finance Division, Executive Offices, Library, Medical Directors, Purchasing, HRD, QM, etc)

Staff minus caretakers

Pastoral Care Services

Staff (nuns and priests)

Procedures:

Elevators will be shut off at 8:50 am.

Signal for evacuation: at 9:20 am – Code EVAC – 5^TH FLOOR DOWN.

Walk briskly towards nearest hospital exits and evacuation holding areas.

Do not run.

Do not push.

Do not stampede.

Timing of evacuation: 1 minute per floor – 5 minutes

Evaluation:

Number of people participated in the evacuation –

Staff

Patients

Visitors

There should be no stampede.

There should be no injuries as a result of evacuation.

There should be order and security in the evacuation holding areas.

No theft

Target:

Only people in the 1^st to the 5^th floor will evacuate. Still not all. Selective.

NTMT	Main Building	Annex	AMC	DSMT
1^st to 5^th floors	1^st to 5^th floors		1^st to 5^th floors	1^st to 5^th floors
[ER]
Flower Shop		Canteen	IMSD	Lobby
Lobby	Lobby	OPD	Medical Records	Rehabilitation Medicine
Admitting	Radiology	CSR	Finance	Doctors’ Clinics - 2^nd floor with annex
[Information] [Telephone Operators]	Nuclear Medicine	FMD	Dorm	Doctors’ Clinics – 3^rd floor with annex
Eye Care	Cashier / Billing / Credit and Collection	Security Service	Pastoral Care	Doctors’ Clinics – 4^th floor
Laboratory	IT	Housekeeping		Doctors’ Clinics – 5^th floor
ORL	Customer Relations Service
Heart Station	Administrative Offices
Pulmonary Care	Dietary
[Hemodialysis]	3B
3F	3C
4F	[DR]
5F	[NICU]
	[OR]
	4C
	5A
	5B