Post-Disaster Evaluation and Reporting

 

Type of Disaster:

Sudden Influx of Patients

            Fire

            Explosion

            Earthquake

            Bomb Threat

Others

 

Date and time:

 

Brief description of circumstances behind the disaster and during the declaration of the disaster:

 

 

 

 

 

 

Essential steps undertaken in the disaster control and management (provide details under remarks).

 

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

 

 

 

 

 

Problems identified and recommendations for improvement:

 

 

 

 

 

 

 

 

Prepared by: