This document outlines guidelines for managing disasters and emergencies at a hospital. It discusses defining disasters and the DISASTER acronym. It describes staff roles and responsibilities for response, recovery, mitigation and preparedness. Steps are outlined for actions before, during and after a disaster. Guidelines are provided for triage, fire safety, and creating a hospital disaster management plan.

2. A Disaster is any
event, natural or man
made, which
threatens human
lives, damages
private and public
property and
infrastructure, and
social and economic
life .

4.  D- destruction or distress
 I- Immediate intervention
 S- Steps
 A- Assistance and assessment
 S- Source of material and save the life
 T-Timely treatment
 E- Emergency care
 R- Relief

7.  Doctors
 Nurses
 Auxiliary or ancillary staff
 Paramedical staff
 Security officer
 Practical training

9.  We can decide our preparedness
management In to four steps:-
1. To be taken before the disaster
2. To be taken during disaster
3. To be taken immediately after disaster
4. To be taken for reconstruction and
rehabilitation

10.  TO BETAKEN BEFORE THE DISASTER
 Identification of valuable area
 Monitoring and setting
up for control rooms
 Warning
 Arrangement of relief camps
 Arrangement of food, essential commodities, medical
facilities, veterinary care, drinking water, transport.
 Arrangement for funds
 Alerting of administration , police and army authority
 Community preparedness

11.  Immediate evacuation
 Setting up of relief camps
 Handling of relief
 Monitoring and reporting

12.  Disposal of dead bodies and caresses
 Cleaning of debris, water etc
 Disbursement of relief

13.  Reconstruction of infrastructure
 Recognition of good work
 Feedback for future

14. RESPONSE RECOVERY
MITIGATION PREPAREDNESS

15.  RESPONSE- SEARCH & RESCUE
RESPONSIBLE AGENCIES
 ARMY
 NAVY
 VOLUNTEERS(community)

16.  RECOVERY ( RELIEF &TREATMENT )
 RESPONSIBLE AGENCIES
 DOCTOR
 NURSES
 AUXILLARY STAFF
 PARAMEDICAL STAFF
 COMMUNITY PEOPLE

17.  MITIGATION ( NEED BASED CARE )
 RESPONSIBLE AGENCIES
 CENTRAL GOVT
 STATE GOVT
 DISTRICT LEVEL
 VILLAGE & COMMUNITY LEVEL

18.  PREPAREDNESS ( PREVENTION OF
POST DISEASE COMPLICATION )
 RESPONSIBLE PERSON
 CENTRAL GOVT
 STATE GOVT
 DISTRICT LEVEL

19.  INTRODUCTION :-
 A HOSPITAL DISASTER MANUAL IS A
WRITTEN STATEMENT OF A DISEASE PLAN,
WHICH IS IMPLEMENTED DURING A
DISASTER.
 THIS SHOULD INCLUDETHE DISASTER
ALERT CODE, GENERAL PRINCIPLES OF
CONDUCT & BRIEF SYNOPSIS OFTHETOTAL
PLAN.

20. FUEL
O2HEAT

21. CLASS –A
 ORDINARY COMBUSTIBLES
SUCH AS WOOD, PAPER, &
TRASH
USE WATER

22. CLASS –B
 FLAMABLE LIQUIDS SUCH AS
GASOLINE, XYLENE, KEROSENE ,
DIESEL, ALCOHOL
 USE DRY CHEMICAL POWDER OR
CO2

23. CLASS – C
 ELECTRICAL EQIPMENT
 USE DRY CHEMICAL POWDER

24. CLASS- D
 COMBUSTIBLE METALS
USUALLY FOUND IN
INDUSTRY

25.  FIRE ESTINGUISHERS
 WATER SPRINGLE
 HOSE REEL IN ALL FLOORS
 WATER HYDRANT
 CCTV CAMERA FOR MONITORING
24*7

28.  Never shout fire
 Remember race & pass
 Remain calm ,don’t panic / confused
 Proceed safety to nearest fire exit
 Crawl to exit if smoke is present in area
 Dial to inform the operator for activating or red
alert
 Identify the fire
 Bring relevant fire extinguisher & operate it
 Incase of emergency please dial
 FIRE BRIGADE -101
 POLICE STATION -100

30.  Rapid assessment
 Maintain quite environment
 Essential nursing
 Selective use of nursing
intervention
 Adaption
 Supervise the family
 Evaluation of environment
 Emotional support
 Prevention of further injury
 Triage

31.  DON’TS
 IN CASE OF FIRE , DO NOT CREATE PANIC, CONFUSION &
CROWD AT FIRE SPOT
 DO NOT IGNORE HOOTER SOUNDER OF FIRE ALARM
SYSTEM
 DO NOT USE LIFT FOR EVACUATION UNLESS
INSTRUCTED
 DO NOT WALK OR RUNTHROUGH SMOKE BUT CRAWL
COVERINGYOUR FACEWITHWET CLOTH/TOWEL
 DO NOT JUMP OUT OF FLOOR FOR EVACUATION
 DO NOT WASTETIME LOOKING FOR BELONGINGS
 DO NOT LEAVETHE AREA, HELP IN EVACUATION

32.  DO’S
 STUDYTHE HOSPITAL BUILDINGTHOROUGHLY
WHEREYOU WORK.
 IN CASE OF FIRE RAISE ALARM AND USE MANUAL
CALL BOX
 IN CASE OF FIRE USE APPROPRIATE PORTABLE FIRE
ESTINGUISHER PLACED NEAREST.
 FOLLOW INSTRUCTION OF NURSE
INCHARGE/DOCTOR/ INCIDENT COMMANDER
 FOR EVACUATION USE OPPOSITE SIDE STAIRS
AWAY FROM FIRE.
 LOOK FOR ANY PATIENT INTHETOILET.

33. TRIAGE MEANSTO START
REFERSTOTHE PROCESS
OF RAPIDLY
DETERMINANT PATIENT
ACUITY.

34. EXPECTANT
IMMEDIATE
DELAYED
MINOR

35.  EXPACTANT– PALLIATIVE CARE & PAIN RELIEVED
SHOULD PROVIDED,
 IMMEDIATE– INJURIES ARE LIFETHREATENING
BUT SURVIVAL WITH MINIMAL INTERVENTION.
 DELAYED– INJURIES ARE SIGNIFICANT &
REQUIRE MEDICAL CARE BUT CAN WAIT HOURS
WITH OUTTHREATTO LIFE.
 MINOR– INJURIES ARE MINOR &TREATMENT CAN
BE DELAYED HOURSTO DAY.

36.  EVERY HOSPITAL, REGARDLESS OF ITS
SIZE, REQUIRES A PRACTICAL PLAN.THE
HOSPITAL SHOULD CREATE ONE DISASTER
PLANTO MANAGE DISASTER CONDITIONS.
A LOT OF MONEY CAN BE SAVED DYTIMELY
PREPARATIONS,WHICH OTHERWISE CAN
PUT AN ADDITIONAL COST ONTHE
HOSPITAL AS WELL AS ON PATIENTS.

37.  THE EMERGENCY DEPARTMENT MUST BE
OPERATIONAL 24 HRS A DAY & IS
EXPECTEDTO DEALWITH WIDE
VARIETYOF COMPLEX PROBLEM.
 EMERGENCY DEPARTMENT STAFF,
MEDICAL & NURSING STAFF SHOULD BE
CONVERSANTWITHTHE LEGAL ASPECTS
OF EMERGENCY SERVICES.