MDH Earthquake Disaster Drill

Questions and Answers

 

Reynaldo O. Joson, MD

Chair, MDH Disaster Preparedness Committee

June 20, 2006

 

When was the last time you conducted an earthquake drill in Manila Doctors Hospital?

 

I have been with the hospital for about 20 years now.  I am not aware of an earthquake drill during the past 20 years.

 

Why are you conducting this earthquake drill?

 

We are conducting this earthquake drill because we want to be prepared.  Earthquake can occur anytime.  We want to be prepared for it.  The ultimate objective of this drill is to protect our staff, our patients, and our visitors during times of earthquake. This drill teaches them what to do during an earthquake when they are in Manila Doctors Hospital. 

 

We are targeting to teach at least 500 staff, 100 patients, and 100 visitors in this drill today.

 

 

Why did you decide to conduct this earthquake drill today, June 20?

 

Today is National Earthquake Drill Day for Public Schools.

 

We want to coincide our drill with the National Earthquake Drill Day for Public Schools as proclaimed by President GMA.  This is our way of giving support to the earthquake awareness and preparedness program of the government.

 

Although the proclamation is just for schools, I don’t think President GMA or anybody for that matter will mind, if hospitals like Manila Doctors Hospital and Ospital ng Maynila Medical Center, also conduct an earthquake drill today.

 

It is not only the schools which should be prepared for earthquake.  All kinds of establishments and institutions should also be prepared, including hospitals.

 

Do you know that it is not easy to conduct an earthquake drill or to implement a response plan in a hospital?

 

Why is it difficult or not easy to conduct an earthquake drill or implement a response plan  in a hospital? Or what makes a hospital drill different from that of schools or business establishment?

 

The earthquake preparedness and response plan of a hospital is very different from that of the schools and business establishment.  The earthquake preparedness and response plan for the hospitals is more complicated because of the presence of sick people who are difficult to protect and evacuate.   

 

 

In hospitals, there are a lot of bed-ridden patients, comatose patients, and patients with respirators whom we cannot apply the usual “duck, drop, cover, and hold” under sturdy tables and desks, the common advice in schools and business establishment.  Bed-ridden patients are difficult to transport out of the hospital, when there is a need to evacuate.

 

In hospitals, there are operations, delivery, and diagnostic and treatment procedures constantly going on.  An earthquake suddenly occurring in the middle of an operation, delivery, and diagnostic and treatment procedures poses a great challenge to the doctors and nurses handling such patients in terms of what to do next, continue or abort the operations and procedures, how to protect the unconscious patients under anesthesia, and how to transport them if there is a need to evacuate the hospital.    

 

These are the challenges of an earthquake preparedness program in a hospital setting.  Because of the peculiarities of a hospital, we have to come out with an earthquake preparedness program suited to a hospital setting.

 

These are the reasons why I say it is difficult to conduct and implement a earthquake response plan in the hospital.

 

In Manila Doctors Hospital, these difficulties did not stop us from being prepared.  Even in the absence of a proforma template of an earthquake preparedness and response plan in a hospital setting in the Internet and after extensive research, we decided to draft one, which we are going to test in our drill.

 

We are willing and ready to share our earthquake preparedness and response plan to any interested hospital.

 

 

How do you reach out to your patients in terms of training them on earthquake preparedness when they are in MDH?

 

We utilize our staff as well as the help of volunteers, mainly in the persons of the nursing students from the Manila Doctors College. 

 

We have a memo of partnership with Manila Doctors College. We protect their students who are our frequent visitors because they do practicum in MDH. We teach them hospital earthquake preparedness and response.   The nursing students in turn teach our patients and assist us in our drill.

 

 

How long did it take for you to prepare for the drill?  How did you go about preparing for the drill?

 

About  2 weeks.

 

We reviewed our existing earthquake disaster preparedness plan. Refined it.  Came out with an information, education, and communication leaflet containing the MDH Earthquake Preparedness Program; What to do when there is an earthquake and you are in MDH; and What to do before, during, and after an earthquake drill in MDH. 

 

We conducted at least three orientation meetings prior to the drill.

 

What does your earthquake preparedness program consist of?

 

There are at least 6 basic components.  These are:

 

1.      Ensuring structural safety as evidenced by Structural Safety Certificate.

2.      Conducting infrastructure watching and monitoring activities to identify safe and unsafe spots as well as to identify potential falling objects and structures during earthquake.

3.      Identifying evacuation route.

4.      Identifying evacuation sites.

5.      Formulating and constantly refining the Hospital Earthquake Response Plan.

6.      Designing and implementing the Hospital Earthquake Drill, at least once a year.