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Disaster management

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joanna remollino
joanna remollino

This document outlines a hospital's disaster management plan and code protocols. It defines a disaster as an event exceeding normal recovery capabilities. The plan aims to efficiently respond to internal or external disasters through a multidisciplinary approach. It establishes various disaster codes (e.g. Code Blue for cardiac arrest) and divides the emergency room into color-coded areas for triaging patients by urgency - red for critical/emergent, yellow for urgent/minor injuries, and green for delayed/ambulatory cases. It also outlines staff roles and recommends regular disaster drills and training to ensure effective implementation of the plan.

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DISASTER &CODE BLUE PROTOCOL BY SR. SMITHA JOSE
DISASTER  DEFINITION: Disaster is defined as a crisis situation causing wide spread damage which far exceeds our ability to recover.
DISASTER MANAGEMENT  Incidents or events in which the needs of patients overextended or overwhelm the resources needed to care for them
PURPOSE OF DISASTER PLAN  To respond in timely and efficient manner  To facilitate a fully integrated multidisciplinary approach in event of external disaster  To provide guidance to emergency room service personnel  To ensure the safety and security of patients, visitor and staff  To facilitate regional planning and cross action between the emergency room service
TYPES  INTERNAL DISASTER  EXTERNAL DISASTER
HOSPITAL CODES  CODE RED -fire and internal disaster  CODE BLUE - Cardiac Arrest  CODE YELLOW -External disaster  CODE PINK - Child Abduction  CODE ORANGE - Hazardous Materials  CODE WHITE - Bomb threat  CODE GREEN -Rapid response team
ELEMENTS OF DISASTER  ALARM  CALLING THE WORKING TEAM  ACTION CARD  DISTRIBUTION OF THE AREA
***ACTION CARD  To simplify the distribution of staff in ER and other areas  To simplify the response of staff to disaster  to clearly outline the specific duty of staff  To reduce confusion and ensure completeness of disaster management  Distribution of the areas of ER
AN EMERGENCY COMMITTEE  DIRECTOR OF MQH ***CHIEF  ASSISTANT HOSPITAL DIRECTOR ***MEMBER  CHIEF OF ER DEPT. ***DEPUTY  MEDICAL DIRECTOR  CHIEF OF MEDICAL STAFF  CHIEF OF PHARMACY DEPT.
 CHIEF OF PATIENT SERVICE DEPT  DIRECTOR OF NURSING SERVICE  ER COORDINATOR  HEAD OF STORE  LABORATORY DIRECTOR  SAFETY OFFICER
DISASTER PLAN OF ER DEPT.  ER is divided into FIVE areas according to TRIAGE of victims. This area will contain 11 beds TRIAGE AREA ***entrance of ER - MEDICAL DIRECTOR will Triage the patients according to their injuries - RECEPTIONIST will give disaster files and wrist bands - Each patient will be directed to following area according to color code
 RED AREA ***EMERGENT/ - To receive critically injured victims. It includes the SHOCK ROOM - One Doctor will be assigned to this area - Each patient is manage by a doctor and a nurse - The assigned Nurse is responsible for documentation - The patient of that area have priority for admission to ICU & OR - Assigned doctor will right the primary medical report
 YELLOW AREA ***URGENT - To receive all stable with minor fracture patients CODE YELLOW - It includes male and female observation room - ER Coordinator will assign one doctor responsible for this area - This patient will be primary treated by assigned doctor and nurse
 GREEN AREA ***DELAYED - To receive ambulatory patient. - It includes the dressing room. At least A doctor and a nurse is responsible for this area - Proper management will be delayed till finishing RED and YELLOW cases.
 BLACK AREA ***DEAD BODY CASES - It includes the room in front of ICU - It receives DEAD BODIES - At the end of disaster, the assigned doctor will examine them, write medical report and death certificate - This room should be closed all the time with the security at the door
RECOMMENDATIONS  Emergency drills should be done at least ONCE a year for EXTERNAL DISASTER and TWICE for INTERNAL DISASTER  Amendments of the plan could be made after approval of the Chief of Emergency committee  Training of Doctors, Nurses, Security staff should be done  A list of names, tel.#, pager no, mobile no. of all hospital staff should be available in emergency control room  Ambulance should be filled with fuel and ready with the checklist  All reports and documents of disaster should be filed and kept in Hosp. Director’s room  Announce disaster only by the order of ER Chief

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Disaster management

  • 1. DISASTER &CODE BLUE PROTOCOL BY SR. SMITHA JOSE
  • 2. DISASTER  DEFINITION: Disaster is defined as a crisis situation causing wide spread damage which far exceeds our ability to recover.
  • 3. DISASTER MANAGEMENT  Incidents or events in which the needs of patients overextended or overwhelm the resources needed to care for them
  • 4. PURPOSE OF DISASTER PLAN  To respond in timely and efficient manner  To facilitate a fully integrated multidisciplinary approach in event of external disaster  To provide guidance to emergency room service personnel  To ensure the safety and security of patients, visitor and staff  To facilitate regional planning and cross action between the emergency room service
  • 5. TYPES  INTERNAL DISASTER  EXTERNAL DISASTER
  • 6. HOSPITAL CODES  CODE RED -fire and internal disaster  CODE BLUE - Cardiac Arrest  CODE YELLOW -External disaster  CODE PINK - Child Abduction  CODE ORANGE - Hazardous Materials  CODE WHITE - Bomb threat  CODE GREEN -Rapid response team
  • 7. ELEMENTS OF DISASTER  ALARM  CALLING THE WORKING TEAM  ACTION CARD  DISTRIBUTION OF THE AREA
  • 8. ***ACTION CARD  To simplify the distribution of staff in ER and other areas  To simplify the response of staff to disaster  to clearly outline the specific duty of staff  To reduce confusion and ensure completeness of disaster management  Distribution of the areas of ER
  • 9. AN EMERGENCY COMMITTEE  DIRECTOR OF MQH ***CHIEF  ASSISTANT HOSPITAL DIRECTOR ***MEMBER  CHIEF OF ER DEPT. ***DEPUTY  MEDICAL DIRECTOR  CHIEF OF MEDICAL STAFF  CHIEF OF PHARMACY DEPT.
  • 10.  CHIEF OF PATIENT SERVICE DEPT  DIRECTOR OF NURSING SERVICE  ER COORDINATOR  HEAD OF STORE  LABORATORY DIRECTOR  SAFETY OFFICER
  • 11. DISASTER PLAN OF ER DEPT.  ER is divided into FIVE areas according to TRIAGE of victims. This area will contain 11 beds TRIAGE AREA ***entrance of ER - MEDICAL DIRECTOR will Triage the patients according to their injuries - RECEPTIONIST will give disaster files and wrist bands - Each patient will be directed to following area according to color code
  • 12.  RED AREA ***EMERGENT/ - To receive critically injured victims. It includes the SHOCK ROOM - One Doctor will be assigned to this area - Each patient is manage by a doctor and a nurse - The assigned Nurse is responsible for documentation - The patient of that area have priority for admission to ICU & OR - Assigned doctor will right the primary medical report
  • 13.  YELLOW AREA ***URGENT - To receive all stable with minor fracture patients CODE YELLOW - It includes male and female observation room - ER Coordinator will assign one doctor responsible for this area - This patient will be primary treated by assigned doctor and nurse
  • 14.  GREEN AREA ***DELAYED - To receive ambulatory patient. - It includes the dressing room. At least A doctor and a nurse is responsible for this area - Proper management will be delayed till finishing RED and YELLOW cases.
  • 15.  BLACK AREA ***DEAD BODY CASES - It includes the room in front of ICU - It receives DEAD BODIES - At the end of disaster, the assigned doctor will examine them, write medical report and death certificate - This room should be closed all the time with the security at the door
  • 16. RECOMMENDATIONS  Emergency drills should be done at least ONCE a year for EXTERNAL DISASTER and TWICE for INTERNAL DISASTER  Amendments of the plan could be made after approval of the Chief of Emergency committee  Training of Doctors, Nurses, Security staff should be done  A list of names, tel.#, pager no, mobile no. of all hospital staff should be available in emergency control room  Ambulance should be filled with fuel and ready with the checklist  All reports and documents of disaster should be filed and kept in Hosp. Director’s room  Announce disaster only by the order of ER Chief