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: