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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