The document discusses the process of hospital emergency planning. It outlines 12 steps in the planning process: 1) leadership establishes planning, 2) establishing a planning committee, 3) conducting hazard risk assessments, 4) setting planning objectives, 5) determining responsibilities, 6) analyzing resources, 7) developing systems and procedures, 8) writing the plan, 9-10) training personnel and testing plans, and 11-12) regularly reviewing and updating the plan based on testing and real events. The key points are that emergency planning is an ongoing process, plans must be tested and updated, and personnel need regular training to be prepared.

1. DISASTER MANAGEMENT
PART 1
Emergency Planning
Process
POST BASIC
ADVANCED EMERGENCY & TRAUMA CARE (AEMTC)
UPDATE JAN 2007

2. Aim
The aim of this lesson is to
understand the elements of the
hospital emergency planning
process.

3. Objectives
As a result of this session, participants should
be able to:
1. Explain the process of hospital emergency
planning.
2. List the steps of developing a hospital
disaster plan.
3. Differentiate between a planning process
and a plan.

4. Introduction
Hospital preparedness for emergencies must address
two basic types of emergencies:
• Where a hazard impact in the community causes
casualties to occur
• Emergencies which have occurred within or to the
hospital itself

5. • Planning - the roles and responsibilities
a hospital may have to undertake in
disaster
• Hospitals in a disaster area - anticipate
receiving a wide range of casualties
who arrive very quickly.
• be able to react rapidly as well as
appropriately.
Introduction

6. • hospital - maintain its basic functions and
services while also fulfilling its disaster role
• hospital - current, tested plans and
procedures with trained personnel
• plans - integrated with other community
preparedness plans
• include arrangements for mutual aid and
support from other health facilities
Introduction

7. Process of Disaster Preparedness Planning
Plan
Implement
Review &
Evaluate
Make Adjustments
Based on Data

8. Process of Disaster
Preparedness Planning
• Disaster preparedness planning is a
continuous process
• Written hospital preparedness plans
must be dynamic in order to be
effective
• Training needs to be done regularly
• plans need to be exercised regularly
• plan reviewed and amended in light of
those events/exercises.

9. The planning process is the production of a
written plan,
but it is the process that is critical:
• People must work together
• Identify hazards and their potential
• Assess the vulnerabilities of the hospital
• Understand the roles and responsibilities of
each department and other agencies
• Develop emergency systems and
procedures
Process of Disaster
Preparedness Planning

10. The Planning Process
Step 1
Leadership resolves to plan
• The authority to develop an emergency
preparedness plan within the hospital should
be established

11. Step 2
Establish planning committee
• representatives of each hospital department
• representatives of the community health system
including public health and mental health
• external emergency services such as the ambulance
service, police and fire services.
The Planning Process

12. Step 3
Conduct hazard risk assessment
• analysis of hazards (internal and external to
the hospital)
• a detailed hospital vulnerability analysis to
determine the scope and priorities for
planning
• hazard risk assessment continues
throughout the planning process and
• constantly monitored and evaluated for any
changes
The Planning Process

13. Step 4
Set planning objectives
• based on the results of the risk analysis
• identify the disaster management strategies
agreed upon by the committee
The Planning Process

14. Step 5
Determine responsibilities
• Sorting out the responsibilities of hospital
departments and personnel
• Other health agencies in the community
• Tasks must always be allocated to people
and organisations who are capable of
carrying them out
The Planning Process

15. Step 6
Analyse resources
• identify what it will need, rather than just
looking at what it has.
• If a shortfall exists, the planning committee
must identify sources of personnel and
equipment which can be called upon
• Mutual aid arrangements with other health
care facilities in the region or the country
must be established
The Planning Process

16. Step 7
Develop systems and procedures
• identify its strategies for prevention and
mitigation, preparedness, response and
recovery from major emergencies and
disasters.
• HEICS, communication systems, public
information, information and resource
management systems.
The Planning Process

17. Step 8
Write the plan
• The document must be distributed to all
who will use it, including outside
agencies.
• The document must be simple and
straightforward
– Or people won't read it or understand it.
The Planning Process

18. Steps 9 & 10
Train personnel - Test plans, personnel
and procedures
• vital part of emergency preparedness
• response activities will require
personnel to step outside their normal
day-to-day roles and responsibilities
• to take on tasks with which they are
less familiar and must be carried out in
a highly stressful environment
The Planning Process

19. Steps 9 & 10 (cont’d)
• personnel be trained and regularly tested in their
emergency management tasks
• Personnel need the opportunity to practice their
emergency management roles and responsibilities
“A plan which has not been tested and reviewed may be worse than
no plan at all - it can build a false sense of security in the hospital
about its level of preparedness”
The Planning Process

20. Steps 11 & 12
Review and amend the plan
• Plans - reviewed and updated on a regular
basis
• Every time the plan - or part of the plan - is
activated for an exercise or a real event, -
identify improvements needed
– to the plan, systems and procedures
– to the training of personnel
The Planning Process

21. Steps 11 & 12 (cont’d)
• planning is a process; it never stops
• The written plan is simply one outcome of the
planning process, but it's not an end point, just a
part of the planning process
• The written plan is a living document which must be
constantly tested, review and updated
The Planning Process

22. Thank You