Department of Surgery - Ospital ng Maynila Medical Center
Disaster Preparedness Plan
Conscious of our responsibility to have a preparedness to meet the needs of the patients and the community in disaster situations, we are committed to the development of a disaster preparedness plan at the Department of Surgery of Ospital ng Maynila Medical Center (OMMC Surgery). We endeavor to implement it in a concerted effort of all concerned and in cooperation with other OMMC departments and external emergency organizations.
The primary objective is to prepare the OMMC Surgery personnel for optimal performance during times of disaster. The aims are to prevent death and injuries to patients and hospital personnel; to avoid destruction to hospital properties; and to render medical services to the largest possible number of patients during a disaster.
The secondary objective is to make the OMMC Surgery personnel aware of the importance of the disaster preparedness plan, how it is executed, and the benefits it provides.
A. General Disaster Control Flow Chart
B. External Disaster Preparedness Plan
C. Internal Disaster Preparedness Plan
D. Response Teams' Disaster Preparedness Plan
Disaster is any event that overwhelms the person or a group of persons facing it. The overwhelming can be in terms of psychosocial impact, destruction of property, injuries to or diseases of human beings, and scarcity of resources.
Any event that is of a magnitude that overwhelms the administration of the hospital (or the department) is a disaster in the hospital (or the department).
Thus, a person in the hospital (or department) developing a cardiopulmonary arrest is a disaster.
If the influx of patients or injured victims into the hospital (or department) overwhelms the usually available personnel, supplies, and facilities, this too is a disaster.
A fire breaking out within the hospital (or department) is by itself a disaster. What more if persons and properties are lost as a result of the fire. A fire in the vicinity of the hospital (or department) is also a disaster faced by the hospital administration (or department administration).
An earthquake, a flood, and a typhoon involving the hospital (or department) are also considered disasters.
An explosion within the hospital (or department) and a strike by hospital (or department) employees are likewise hospital (or department) disasters.
The following are basic disaster situations that any hospital (or department) may face and the primary responses required of them:
Thus, the types of disasters usually faced by a Department of Surgery are essentially the same as those faced by a hospital. However, there are certain types of disasters that a Department of Surgery is especially concerned with just as there are disasters that other clinical departments are concerned with. These are the disasters with victims whose conditions are usually managed by a Department of Surgery or by surgical specialists. A very common example is a disaster that results in overwhelming number of physical injuries. Such type of disaster is usually managed by a Department of Surgery or by surgeons.
The whole Department of Surgery constitutes the disaster preparedness team or committee with the chair and assistant chair for service serving as coordinator and supervisor and the surgical residents, interns, and parasurgical staff assisted by the other surgical consultants as the implementors.
The Department of Surgery will work in coordination and in concerted efforts with other departments in the hospital as well as external emergency organizations.
1. To coordinate and collaborate in the preparation, organization, implementation, and regulation of the OMMC Surgery Disaster Preparedness Plan.
2. To develop procedures to orient and train new as well as old OMMC Surgery personnel in their disaster-related responsibilities so as to ensure a state of preparedness at all times.
3. To monitor the implementation of the plan and arrange for periodic drills and simulation exercises.
4. To periodically review and revise the provisions of the disaster preparedness plan as needs may dictate.
5. To appoint an annual disaster control director and an assistant director.
6. To assume general responsibility for the department's preparedness in the event of a disaster.
7. To relate the OMMC Surgery's Disaster Preparedness Plan to other OMMC departments, OMMC, and community disaster plans.
1. Department Chairperson
2. Assistant Chairperson for Service
3. All surgical residents
1. Acts as the executive director of the OMMC Surgery Disaster Preparedness Plan.
2. Ensures that basic provisions of the plan are disseminated to all OMMC Surgery personnel and appropriate drills and exercises are scheduled.
3. Maintains liaison with OMMC administration, other OMMC departments, Philippine College of Surgeons, and other external agencies on matters of disaster preparedness.
4. Takes necessary actions to ensure a safe and efficient operation of OMMC Surgery in an emergency.
5. Is responsible for the initiation and activation of the OMMC Surgery's Disaster Preparedness Plan.
B. Designation of OMMC Surgery Disaster Control Director
1. There will be annual designation of the OMMC Surgery Disaster Control Director and an Assistant Director by the OMMC Surgery Disaster Preparedness Committee.
2. The Assistant Disaster Control Director will take over in the absence of the Disaster Control Director.
3. A 5th year surgical resident will be designated as the Disaster Control Director and a 4th year surgical resident, as the assistant Disaster Control Director.
Any OMMC Surgery personnel can declare the presence of a disaster once he discovers it but this has to be transmitted to the Disaster Control Director as soon as possible.
Depending on the type and extent of disaster, the following disaster response teams and codes are established as part of a disaster preparedness plan:
Team I surgical residents and interns
Team II surgical residents and interns
Team III surgical residents and interns
Code Red or Red Alert – all teams are physically present in the hospital
Code Yellow or Yellow Alert – two teams are physically present in the hospital
Code Green or Green Alert – all teams are on call
Surgical consultants are called in as necessary.
1. All surgical residents will be oriented to the OMMC Surgery’s and hospital's Disaster Preparedness Plans.
2. There will be training and drills at least once a year (see program).
Only the Hospital Director or her designated representative can give a press conference regarding disasters in the hospital and the Department Chair or his designated representative, regarding disasters in the department.
DECLARATION OF DISASTER
By any OMMC Surgery personnel
By OMMC Surgery Disaster Control Director
CALL FOR DISASTER RESPONSE TEAM
Team I, Team II, Team III
Code Red, Code Yellow, Code Green
ACTIVATION OF DEPARTMENTAL DISASTER PREPAREDNESS PLAN
I. Disaster Outside the Hospital
The Scene Response Team will be formed by the Incident Commander of the hospital or OMMC Surgery. This team is composed of surgical residents, interns, nurses, ambulance driver, and orderlies. This team will respond when there is a call for such services.
The functions of the Team are:
1. To perform on scene triage classification and to determine priority in transportation to OMMC or any hospital.
2. To render life-saving first-aid measures.
3. To direct the proper transportation of the injured to OMMC or any designated hospital.
4. To tag all patients given treatment at the scene.
On each tag should be stated medication and treatment given.
II. Patient Influx Disaster
The OMMC Surgeon-on-duty at the Emergency Room can declare the disaster with the approval of the Team Captain on duty for the day. The latter may call for the OMMC Surgery Disaster Response Teams. He may activate the departmental preparedness plan. The OMMC Surgery Disaster Control Director has to be notified.
The triage is the key to effective management of a sudden inflow of disaster casualties. The principal objectives are:
1. To receive the disaster victims.
2. To make a rapid classification (not identification) of casualties and conduct them to appropriate treatment areas:
Black – for non-salvageable patients
Green – for primary care patients or classified as priority three
Yellow – for acute care patients or classified as priority two
Red – for critical care patients or classified as priority one
I. Fires, Explosions, Earthquake, and Bomb Threats
Any hospital or deparment personnel may declare the presence of the disaster. The Disaster Control Director and the Hospital Director must be notified.
The Hospital Director may declare strike as a disaster.
Contact numbers of OMMC Surgery Staff
Placed in ER, Chief Residents’ Office, Department’s Computer, Department’s e-group.
Updated every year
A. Important personnel of hospital disaster preparedness committee to remember
Hospital Director – Overall Chairman
Chair of DEMS – Co-chair
Leopoldo E. Orantia, Jr. MD – vice-chair
Myrna Iglesia, RN – vice-chair
Senior House Officer on Duty – Incident Commander
Nurse Administrator on Duty – Co-incident Commander
B. 4 teams
Team A – Surgery and ENT
Team B – Medicine and Pedia
Team C – Family Medicine
Team D – Nurses
C. Surgical Residents – Team A (Acute Care Team)
Responsible for transport of victims
Surgical Team Captain on duty
Disaster Control Director
During office hours
After office hours
Fire / Explosions – burn / blast injuries
Vehicular accidents – blunt injuries
Felony / war – penetrating injuries
Fire / explosion – burn / blast injuries
Earthquake – blunt injuries
Disaster - Sudden Influx of patients in Surgery ER
Influx without prior notice
Influx with prior notice
Types of Disaster Injuries
Checklist of Essential Steps in Disaster Management
Done or not done
Done properly or not
Declaration of disaster
Creation of an incident command
Notification and Mobilization
Department Disaster Control Director
Department Assistant Chair for Service
Senior House Officer on duty
Mobilization and organization (task assignment and authorization) of surgical and parasurgical staff
Surgical Team on Duty
Surgical Team Pre-duty
Surgical Team Post-duty
Specific specialty consultants
General surgery consultants
Parasurgical staff – nurses
Mobilization and organization of other medical staff as indicated with task assignment and authorization
Mobilization of ancillary services (laboratory, x-ray, pharmacy, etc)
Control of disaster
Relatives Information Area
Decongestion and post-disaster reconstruction
Checklist on essential steps in disaster control and management
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