Disaster Preparedness Program

 

Department of Surgery

Ospital ng Maynila Medical Center

 

May, 2003 / January, 2006

                                                                                 rjoson2001@yahoo.com

 

 

 

The OMMC Surgery Disaster Preparedness Program was established on May 15, 2003, when the Department Disaster Preparedness Plan was presented and approved and the Simulated Disaster Drills were done.

 

The OMMC Surgery Disaster Preparedness Plan was formulated in consideration of the OMMC Disaster Preparedness Plan.  Dr. Leo Orantia, the vice-chair of the OMMC Disaster Preparedness Committee was present.

 

The 2003 members of the OMMC Surgery Disaster Preparedness Committee:

Dr. Reynaldo Joson – Department Chair

Dr. Harry Go – Department Assistant Chair for Service

All surgical residents

 

2003 Department Disaster Control Director – Dr. Alex Deveza

2003 Assistant Department Disaster Control Director – Dr. Red Roque

 

Goal in disaster management – save as many patients as possible with as little complaints as possible!

 

2006

The OMMC Surgery Disaster Preparedness Plan is being reviewed every January since 2003.  Latest review was done on January 19, 2006.  Dr. Leo Orantia, the vice-chair of the OMMC Disaster Preparedness Committee was again present in the 2006 review.

 

The 2006 members of the OMMC Surgery Disaster Preparedness Committee:

Dr. Reynaldo Joson – Department Chair

Dr. Adrian Yu – Department Assistant Chair for Service

All surgical residents

 

2006 Department Disaster Control Director – Dr. Cecile Leyson

2006 Assistant Department Disaster Control Director – Dr. Rick Mujer

 

Goal in disaster management – save as many victims and as much properties as possible!

 

 

Disaster Preparedness Program

 

          Memo [May 4, 2003]

Development and Institutionalization of Department Disaster Preparedness Program in OMMC Surgery

 

Blueprint of OMMC Surgery Disaster Preparedness Program

 

 

OMMC Surgery Disaster Preparedness Plan – 2003 / 2006

 

 

Content of 2006 Poster of OMMC Surgery Disaster Preparedness Plan (Overview and Checklist)

 

 

Simulated Disaster Drills

 

 

Year

Date

Scenarios

Outcome

Improvements/ Resolutions

2006

Jan. 19, 06

Same as above

Results of Drills – Output of

Team I

Team II

Team III

Disaster Control Director
  • Use of ribbons as tags
  • Color tagging rather than color “coding”
  • Implement tagging on sudden influx of patients (do not use black ribbon unless certain of unsalvageable; use 1, 2, 3 in same color to prioritize; maximum simultaneous major operations is  three (3) only.  
  • Emphasis on post-disaster evaluation and reporting

 

 

Philosophy

         

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.

 

Objectives

 

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.

 

Scope of OMMC Surgery Disaster Preparedness Plan

 

A. General Disaster Control Flow Chart

B. External Disaster Preparedness Plan

C. Internal Disaster Preparedness Plan

D. Response Teams' Disaster Preparedness Plan

 

Definition and Types of Disaster Faced by a Hospital and a Department of Surgery

 

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).

 

Triage and Color Tagging

         

Red – for critical care patients or classified as priority one (Immediate Tx)

Yellow – for acute care patients or classified as priority two (Delayed)

Green – for primary care patients or classified as priority three (Minimal)

          Black – for non-salvageable patients (Expectant)

 

Disaster Response Teams

 

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.

 

Forms

 

Patients’ Log


Checklists

         

Checklist on essential steps in disaster control and management

 

Essential steps

Yes

No

Remarks

Declaration of disaster

 

 

 

Creation of an incident command

 

 

 

Notification of

Department Disaster Control Director

 

 

 

Department Assistant Chair for Service

 

 

 

Department Chair

 

 

 

Senior House Officer on duty

 

 

 

          Hospital Director

 

 

 

Mobilization and organization (task assignment and authorization) of surgical and parasurgical staff

 

 

 

Surgical Team on Duty

Surgical Team Pre-duty

          Surgical Team Post-duty

 

 

 

Surgery Consultants

          Specific specialty consultants

                   General surgery consultants

 

 

 

Parasurgical staff – nurses

          Emergency Room

          Operating Room

                   Surgery Ward

 

 

 

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

          Triage

 

 

 

 

Treatment

 

 

 

Referrals

 

 

 

Traffic control

 

 

 

Patient log

 

 

 

Relatives Information Area

 

 

 

Press conference

 

 

 

Decongestion and post-disaster reconstruction

 

 

 

Post-disaster evaluation and reporting

 

 

 

 

 

Evaluation of OMMC Surgery Disaster Preparedness Program

 

 

2003

2004

2005

2006

There is a written department disaster preparedness plan (ddpp).

yes

yes

yes

yes

There is a structured ddpp.

yes

yes

yes

yes

The ddpp is disseminated to all surgical residents and to least the assistant chair for service.

Mar 15, 03

Jan 29, 04

Jan 20, 05

Jan 19, 06

The ddpp is being used in real disasters or simulated disasters (at least once a year).

Mar 15, 03

Jan 29, 04

Jan 20, 05

Jan 19, 06

The ddpp is being evaluated at least after each real disaster and updated thereafter (at least once every 2 years).

Done

Jan 29, 04

Jan 20, 05

Jan 19, 06

 

 

 

FORMAT in Making a Report on a Disaster

 

 

OMMC Earthquake Preparedness Program – initiated by Department of Surgery in 2006

 


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