Pre-Disaster Drill Plan

Manila Doctors Hospital

 

I. Background Information

 

  1. What will the disaster scenario include?

Earthquake with evacuation of selected patients, personnel, visitors, and valuables

 

  1. Proposed date of drill: June 20, 2006

 

  1. Estimated start time of drill: 9 am

 

  1. Expected length of drill: 30 min

 

  1. Will the disaster drill be announced to the staff prior to the beginning of the drill? YES – weeks, days, hours, and minutes before drill

 

II. Level and Scope of the Hospital Drill Activity

 

  1. What type of disaster drill? Operationalized drill

 

  1. What is/are your main overall goals for the disaster drill?

 

    1. To make MDH staff aware of the presence of an MDH Earthquake Preparedness Program.
    2. To make MDH clients feel that MDH is a safe hospital to go to as it has an earthquake preparedness program.
    3. To produce a model earthquake preparedness program in a hospital setting.

 

  1. What are the specific objectives for the disaster drill?

 

    1. To evaluate the newly-formulated MDH Earthquake Preparedness Program.
    2. To train MDH staff on what to do when an earthquake strikes involving the hospital.
    3. To train MDH staff on what to do with MDH clients and confined patients when an earthquake strikes involving the hospital.
    4. To test the evacuation sites.
    5. To condition staff to avoid stampede at all cost.

 

  1. How many mock victims will be included in the drill? 8

 

  1. If there will be mock victims, how will they be physically identified? Clothing – gown for confined patients and civilian clothing for  MDH visitors; MDH Uniform and ID – for MDH staff

 

  1. Will the mock victims include people with medical training (i.e., “smart” casualties) who will assist in assessment of care received? YES

 

  1. If yes, specify the number of “smart” casualties: ALL

 

  1. How will the triage levels for mock victims be identified? Bed-ridden for confined patient; color tags for MDH clients and staff (green, yellow, red)

 

9.      Where will the mock victims gather and prepare for the drill? Floors – room and hallway.  5th floor

 

III. Drill Activity

 

1.      Where will the event that initiates the drill take place? In hospital

 

2.      How will the notification to initiate the drill occur? Siren on the public address system

 

3.      Which hospital personnel (not including victims or observers) from the following staff groups will actively participate in the drill activities? All MDH personnel within the hospital premises including DSMT - for the alarm and response during and right after the shaking.

 

a.       Personnel in identified floor for evacuation (particularly nurses)

b.      Housekeeping and Linen Services (Evacuation team)

c.       Security Services (Security team)

d.      Facility Management Department

e.       Medical Secretaries

f.        All personnel and clients within the hospital premises at the time of alarm

 

4.      What is the approximate total number of hospital personnel (not including victims or observers) participating in the drill? > 250

 

5.      What levels of activity will be included in the drill?

a.       Response to earthquake alarm – all

b.      Response during the earthquake alarm – all

c.       Response right after the earthquake alarm (without evacuation) – all

d.      Evacuation of mock victim – 20

e.       Evacuation of mock non-victim (secretaries) – 20

f.        Evacuation of MDH personnel carrying valuables – 2

g.       Monitoring and tracking evacuation holding area – 20

h.       Reconstruction

i.         Debriefing

 

6.      Will activities occur in active patient care areas? YES except for evacuation part of the drill.

 

7.      What other organizations/agencies will be involved in the drill? Red Cross / NDCC / Media

 

8.      Does the hospital have any existing memorandums of understanding (MOUs) with outside agencies? YES with Red Cross and NDCC

 

9.      If there are existing MOUs, which ones will be activated during the drill?  None

 

 

IV. Incident Command

 

1.      In what format is the disaster plan available to the hospital staff? Complete manual / flow diagram / action sheets

 

2.      Will there be an incident command center? YES, initially in the MDH Lobby – Information then T.M. Kalaw St.

 

3.      If there will be no incident command center, describe how the drill will be managed in the hospital. NA

 

4.      Will the incident commander and other zone leaders be identified (e.g., by vest, armband, etc.)?  YES

 

5.      If the incident commander and other functional leaders will be identified, what method of identification will be used? YES – by location and ORANGE arm bands

 

V. Communications

 

What methods will personnel use to communicate during the drill?  Public Address System; 2-way radio / phones; landlines; runners; cellphones

 

 

VI. Evaluation

 

1.      Which zones do you plan to evaluate during the disaster drill?

a.       Response during and after the shaking

b.      Evacuation process

c.       Evacuation holding areas 

d.      Incident Command

 

2.      Which specific activities in the disaster drill are most important to evaluate? 

a.       Persons’ response during and after the quake

b.      Evacuation process – routes and holding areas

c.       Patient documentation and tracking

d.      Communications

e.       Security

 

3.      Who will function as drill observers (evaluators)?

a.       Designated staff (members of Disaster Preparedness Committee)

b.      Identified external experts

 

4.      Approximately how many observers are you planning to use (minimum one per active zone):  100

a.       One per unit for the response during and after the quake.

b.      One per floor in the DMST

c.       Two for the evacuation process

d.      Two for the evacuation holding areas

e.       One for the security

f.        One for the incident command

 

5.      Do you expect to recruit the observers from your hospital? YES

 

6.      Name of lead observer: Dr. Reynaldo Joson

 

7.      Name of lead person planning to conduct the debriefing session:  Dr. Daniel de la Paz, Jr. / Engr. Zaldy Mendoza / Dr. Reynaldo Joson

 

 

VII. Checklist of things to do

 

1.      Buy ORANGE armbands – good for 20 persons for incident and zone commanders

2.      Coordinate with proper agency on temporary closure of TM Kalaw street on June 20, 2006 from 8-11 am.

3.      Manual / Flow Diagram / Action Sheets

4.      Coordinate with Ms. Rosie de Leon on 5th floor NTMT and all nursing units

5.      Identify and train mock victims.

6.      Identify and train mock non-victims.

7.      Coordinate with Mr. Marc Funelas for media coverage.

8.      Evaluation sheet to include objectives.

 

 

 

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.