Review the elements required for a disaster plan addressing an internal disaster

Question

Review the elements required for a disaster plan addressing an internal disaster. Based on your review, create a 2- to 3-page report in a Microsoft Word document covering the hospital's (internal) disaster plan for how the staff reacts and carries out their duties in the event of an internal disaster.

Your internal disaster plans should include:

IntroductionSize and type of your hospital (you decide this)Type of internal disaster (fire, explosion, biological etc.)Key medical and administrative staff to be contactedCentral point for communicationParticular service areas such as intensive care unit (ICU), labor and delivery unit etc.Other hospitals in your area and how you intend to coordinate with those facilities (you decide this)Implementation on internal transfers (moving patients from one area of the hospital to another)Implementation of external transfersEvacuation planConclusion

Explanation / Answer

Emergency Management Policy Hope Hospital and care center

Introduction:

The Hope hospital and care center is a pioneer in cancer treatment center in North Carolina.The facility is equipped with modern technology and highly skilled experts in cancer treatment area.The hospital is spread in about 1.5 acres in the heart of the city with its own research facility.The hospital is managed by 304 staff members in operations and 50 staffs in management division.The hospital is serving 100 patients on average per day basis.The facility is having to have 15 Intensive care units with the 200-bed capacity to serve the patients.There is three reception desk present for communication in the facility.

Purpose: This policy intends to ensure that all departments are familiar with both the hospital-wide Emergency-Management Plans (internal) and their own departmental emergency plan.

Policy: All employees will annually review the disaster plans as related to their department and the campus facilities.

Procedures/Guidelines:

1.Disaster Preparedness Committee:

The Disaster-Preparedness Committee functions to coordinate all disaster planning activities within the hospital as well as citywide agencies. Minimally, the committee will meet once monthly and report to the Safety Committee subsequently.

2. Hospital Departments Each department will be responsible for developing its own set of detailed

procedures, to be followed whenever the hospital-wide disaster plan is activated. All departmental disaster plans will be submitted to the Disaster-Preparedness Committee for approval. Both the Chairperson of the Disaster Preparedness Committee and the Hospital-Safety Officer will keep each department’s disaster plan. Any department without specific plans during a disaster will refer to the general policy, directing all employees and staff to report to the Manpower Pools (see definitions at end of the chapter). Each department director will review, maintain, and update their Manpower recall telephone list.

3. Declaration Authority: The Senior Adult Emergency Department (ED) Attending on duty, Administrator on Duty (AOD), Chief Executive Officer (CEO), or his/her designees may authorize the activation of the hospital disaster plan, external or internal.

4. After-Action Reporting:

Data will be compiled and evaluated by the Disaster-Preparedness Committee to determine if there are any problems or opportunities for improvement in the service.

Plan of Corrective Action:

If an opportunity to improve care and/or service is identified, a plan of corrective action will be implemented.

Assessment of Action and Evaluation of Effectiveness:

The Emergency Preparedness Committee will evaluate data for effectiveness after the plan of corrective action and follow-up is implemented. Reports pertaining to the evaluation of corrective action will be documented in the minutes and forwarded to the Executive Safety Committee.

5.Evaluation of the Emergency Preparedness Management Plan:

The plan shall be evaluated continuously to assure it meets the Emergency Department, Safety, Risk Management, and Performance Improvement needs of the institution. At a minimum, the Emergency Preparedness Management Plan shall be reviewed annually. The appraisal will identify components of the program that need to be instituted, revised or deleted. The annual report will be combined with the safety committee’s annual report to the administration and governing body. The hospital will test the external disaster plan twice a year, including one drill in conjunction with community agencies; i.e. Mayor's Office of Emergency Management, SEMA, FEMA Internal disaster drills will be conducted according to standard, code, or regulation.

Internal Disaster management plan

The following accidents will be treated as an internal disaster for the hospital facility

I) Smoke, Fire, and/or Fumes

II) Loss of Medical Gases

III) Explosion

IV) Hostage Situation

V) Hazardous Material/Decontamination

Definitions and Responsibilities

Disaster Medical Officer(DMO):-

The ED attending shall serve as DMO when a disaster is declared. The medical director of the ED or his designee shall assume the role of DMO once on campus. Responsibilities include communication with EMS, triage, allocation of ground floor resources (ED), directing the physician staff of the ED, assisting the AOD with other hospital-wide issues and decisions.

Incident Command Officer (ICO):

The incident command officer shall be the senior administrator on campus when a disaster is declared. The CEO or his/her designee shall assume the role of ICO once on campus. The ICO is responsible for opening the command center and coordinating the hospital's emergency response in support of the DMO. The ICO has total command of all hospital personnel and resources during a disaster.

Central Point For Communication

            The communication point will be three zones consisting of reception desk at Out Patient Department, ICU area, Research Center. Alarms to be activated during this period in throughout the facility. In case of fire, the fire department should be communicated prior.

Evacuation and Emergency preparedness plan:

Conclusion:

            Hospital staffs and management persons will be coordinating the procedure throughout the emergency plan. Preventive and corrective measures will be taken to prevent further any disaster.Regular Training should be provided to the hospital personnel’s about the emergency preparedness plan monthly basis and mock drill to be conducted once a quarter for preparedness

Alarm systems to be checked by proper experts every month

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