Garcia Memorial Provincial Hospital DisasterPplan

Comprehensive Disaster Risk Management Framework
 Hazard ID, Analysis & Monitoring.
 Risk Assessment & Analysis.
 Vulnerability/Capacity ID & Analysis.
 Reduction/Mitigation & Prevention.

1. Reduce vulnerability and exposure of
the hospital to all hazards
2. Enhance capacities of the hospital to
reduce their own risks and cope with
the impacts of all hazards.

Avoid hazards and mitigate their
potential impacts by reducing
vulnerabilities and exposure and
enhancing capacities of the
hospital.

 Presence of electrical devices, units,
etc. Risk of fire & electrocution.
 Presence of electrical connections
e.g. electrical wirings, outlets and
lamps. Risk of fire & electrocution.
 Presence of high voltage
transformer. Risk of explosion &
severe body injury.

 Overheating of electrical units and
machines due to prolonged use.
Risk of fire
 Octopus connections seen in some
areas. Risk of fire & electrocution.
 Presence of unshielded electrical
wire (no electrical tape coverings)
Risk of electrocution.
 Presence of LPG tanks in the
kitchen premises. Risk of fire.

 Presence of inflammable fuel in the
generator set room. Risk of fire.
 Some lightings were not turn off all
day long that may generate extreme
heat. Risk of fire.
 Always been plug medical
equipment. Risk of fire.
 Water pump not functioning. Risk
of sustained fire buildup.

Prevention
 Turn off the lights, electrical
appliances, devices and other units
when not in use.
 Regular check-up on electrical
connections, appliances and other
devices for faulty wiring, worn cords,
blown fuses and other signs of
electrical problems.

Prevention
 Installation of fire and smoke alarms
and these should be placed in
hallways.
 Availability of effective fire
extinguishers.
 Participation on seminars and
trainings on fire prevention
programs.

Prevention
 Keep appliances clean and
unplugged when not in use.
 Never throw water on electrical
appliance that are still plugged-in for
this can cause electrical explosion.
 No to octopus electrical
connections.
 Keep gasoline and other
combustible liquids outside the
building.

Prevention
 Good housekeeping will avert
possible fire incidence.
 Cooking inside the office should be
avoided at all times whenever
possible.
 Only qualified electricians should
perform electrical work in the office.
 Do not put electrical cables under
carpet or mats.

Prevention
 Never remove the grounding plug
from an appliance just for fitting into
a two-prong outlet. Ground
connection is vital to inner
components of an appliance.
 Appliances should always be
plugged directly into an acceptable
outlet and never plug into an
extension unreliable electrical cord.

Prevention
 Do not overload electrical sockets.
Only have one plug in each socket.
 Make sure that the plug has the
correct fuse for the appliance.
 Check for signs of loose wiring,
faulty plugs and sockets. Such as
scorch marks or flickering lights.
 Replace any worn or taped-up
cables and leads.

Prevention
 Replace bulbs that blown.
 Do not let the bulbs touch anything
that can burn easily, such as paper
or fabrics.
 Do not leave lights on when you go
to bed or leave the house.
 In case of black out, never lit
candles in room that nobody is in.

Prevention
 Do not leave electrical appliances
on standby as this could cause a
fire. Always switch them off.
 Turn off the lights, unplugged
electrical devices/units when not in
use and upon leaving the office.
 A disciplined attitude towards
disaster prevention.

Reduction/Mitigation
 Availability of functioning fire
extinguishers.
 Installed fire and smoke detectors
and these should be replaced every
10 years.
 Accessible evacuation plan, hazard
map in case of fire.

 Participation on seminars and
trainings on fire-fighting procedures.
 A regular fire drill program.
 Regular monitoring of the integrity of
water supply resources such as
water mains and fire hydrants.
 Updated contact phone numbers of
the Fire Protection Office and its
personnel for a quicker response.

 Ask friends for help.
 Must have a Fire Action Plan.
 Prepared empty sacks, bags or
plastic box containers for easy
evacuation of documents, devices
and other important things.

 Accessible chart of priority lists for proper
evacuation procedures such as:
 Priority 1: All “Classified” records, data
and other valuable equipment.
 Priority 2: All records other than the so
called “Classified”.
 Priority 3: Office supplies and materials.
 Priority 4: Office furniture and other less
important items.

• Awareness.
• Plans.
• Drills & Exercises.
• Knowledge development thru
education & training,
research & information.
• Early warning system.

1. Increase the level of awareness of the
hospital to the threats and impacts of all
hazards, risks and vulnerabilities.
2. Equip the hospital with the necessary
skills to cope with the negative impacts
of a disaster.
3. Increase the capacity of the hospital.
4. Develop and implement comprehensive
disaster preparedness policies, plans and
systems.

Establish and strengthen capacities of
the hospital to anticipate, cope and
recover from the negative impacts
of emergency occurrences and
disasters

Types of hazards that pose a threat
to the hospital:
1. Internal disaster: fire, explosion, disease
outbreak, water contamination and
hazardous material spills or releases.
2. Minor external disaster: incidents involving
a small number of casualties.
3. Major external disasters: incidents involving
a large number of casualties.
4. Disaster threats affecting the hospital or
community: earthquake, typhoon,
large or nearby fires, flooding, explosion, etc.

1. Natural: typhoon, earthquake, etc.
2. Biological: water supply contamination,
disease outbreak, etc.
3. Technological: fire, chemical poisoning,
etc.
4. Societal: human error, mass gathering,
acts of terror, etc.

LEGEND 1=Lowest & 5=Highest for ABCD
1-10=Low to Moderate & 11-20=Moderate to Highest for Manageability
ABCD=Liabilities E=Asset Total=Net

Fire: 15 Earthquake: 6 Typhoon 13 Mass Casualty: 10

FIRE
KITCHEN
SUPPLY OFFICE
WARDS
NURSES TATION
OR/DR
X-RAY
CHIEF NURSE OFFICE
ER
DOCTOR’S QUARTER
ADMIN OFFICE
RECORD’S ROOM
COH

FIRE
NURSES STATION
WARDS
DORMITORY

FIRE
LABORATORY
PHARMACY
FAMILY PLANNING
& OB
PRIVATE CLINICS
UNDER FIVE &
ANIMAL BITE
CLINIC
DENTAL
INFORMATION
OPD PHYSICIAN

FIRE
GENERATOR ROOM
MAINTENANCE ROOM

Provide life preservation and
meet the basic subsistence
needs of affected population
based on acceptable standards
during or immediately after a
disaster.

The following persons in the order listed shall be in charge:

1. Command Center will be set up at the
security Desk to handle and coordinate
all internal communications.
2. The person in charge when the disaster
happens will assign a nurse or other
personnel to the communication system.
3. At least one messenger will be assigned
to each radio operator to deliver messages,
obtain casualty count from triage, etc.

4. Person directing personnel pool shall send a
runner to all departments to advise them
of the type of disaster, number of victims
and extent of injuries when this information
is available.
5. A “Visitor Control Center” will be set up in the
front lobby
6. Telephone lines will be made available for
outgoing and incoming calls.

1. Extra supplies will be obtained from
supply personnel through
runners.
2. Outside supplies will be ordered by the
supply officer and brought into
the hospital.

Large paper or plastic bags are
available in the treatment areas
and the storeroom for patient’s
clothing and valuables.

A communication center for receiving
calls and giving information to the press,
radio and relatives shall be set in
Medical Records.

1. Patient’s pronounced DOA will be tagged with
Disaster Tag…do not remove personal effects.
The top sheet from the tag will be taken to the
Command Center for casualty list purposes.
2. Bodies will be stored in the Morgue by
Purchasing. Personnel will remain with the
Bodies until removed by funeral service men.

3. After bodies have identified, the information
will be filed on the Disaster Tag and Medical
Records notified as to the identification of the
patient.
4. A complete record of all bodies must be
Maintained along with the name of the agency
Removing them, e.g. police, fire department,
Undertaker or funeral service agents.

1. Being the chief executive officer, he has
the total command of all hospital personnel
and resources during a disaster.
2. He shall be the Incident Command Officer
once he is on the hospital.
3. He is responsible for opening the command
center and coordinating the hospital’s
emergency response team in support of all
his Department heads.

1. Shall serve as Disaster Medical Officer
when a disaster is declared.
2. Shall communicate with EMS and triage
allocation of the ground floor.
3. Shall direct the physician staff of the ER.
4. Shall assist the Incident Command Officer
with other hospital-wide issues and
decisions.

1. Check with local authorities to verify the
disaster and obtain additional information.
2. Authorize the announcement of disaster
to hospital personnel.
3. Ask for help from local police and volunteer
organization as deemed necessary.
4. Stay in the area of the administrative office
to be available to assist as requested by
disaster coordinator.

1. Shall be responsible to see that the families
of victim are notified as soon as possible.
2. Shall be responsible for determining the extent
of disaster, whether it is a “major” or a “minor”
disaster.
3. Shall attempt to find adequate numbers of
nursing personnel.
4. Shall responsible for notifying all department
heads or alternatives.

1. Responsible of the sounding of alarm.
2. Will not accept routine non-emergency
admissions except OB cases.
3. Refer all public information calls and press
to desk in Reception area.
4. Call local clergy as needed.

1. Prepare to serve nourishment to ambulatory
patients, house patients and personnel as
need arises.
2. Clear hallway of all tray carts.
3. Utilize conference room for extra eating
space.
4. Be responsible for setting up menus in
disaster situation and maintain adequate
supplies.

1. Maintain full operation of all facilities.
2. Responsible for setting up extra beds in
hospital if needed.
3. Transport storeroom supplies and bringing
in extra supplies from other areas.
4. Be willing to help with movement of victims
from ambulance to Triage.

1. Be available to help clean receiving area
and clean rooms between cases in
treatment areas.
2. Be sure all hallways or traffic areas are clear
of cleaning carts, equipment and etc.

1. Supervisor will supervise OR and call
needed Personnel after reporting to
Command Center.
2. Call additional surgeons as needed.
3. Check area for supplies and equipment.
4. Ask for additional help to carry out surgery
and treatments in OR and RR.
5. Assign and direct scrub nurses and circulate.
6. Notify Triage when OR & RR is available for
more patients.

7. Staff from OB can be used to assist in
triage if department is covered. Volunteers
from OB can be used to assist in disaster.
8. Patient’s other than OB’s will be triaged by
Command Center before being transferred
to OB.

1. Assign nurse or unit coordinator to
communication system in E.R.
2. Prepare for expansion by notifying
maintenance of number of extra beds
needed and where to set them up.
3. Discharge and movement of hospital patients
to create more rooms for casualties.
4. Send for extra supplies needed from Supply
office, Laundry and Dietary.

5. If internal disaster, prepare for evacuation
of patients to safe area.
6. Send designated personnel to Command
Center with wheelchairs.
7. Periodically send messenger to Command
Center to check update.

1. Designee will find out the number of patients
involved and any other pertinent information
from the Command Center.
2. Designee will be responsible for calling in any
personnel needed to sufficiently handle the
patient load.
3. It will be the duty of X-ray tech to call in extra
help as needed. All extra help called in will
report directly to Radiology Section.

1. Section head or designee will call in
their own personnel as needed after
reporting to Command Center.
2. Call personnel from nearby hospital
and clinics as necessary.
3. Have arrangements made to obtain
additional blood equipment and supplies
from area agencies.

1. Section head or designee will call in their
own personnel as needed after reporting
to Command Center.
2. Be prepared to supply all departments
with needed supplies.
3. Designate assistant to supply runners
or volunteers to deliver supplies.
4. Have an up-to-date list of suppliers who
can quickly supply extra materials.

1. Report to Command Center, then remain
in station.
2. Have list of drug suppliers that can provide
emergency supplies quickly.
3. Keep minimum supply of emergency drugs
on hand at all times.
4. Pharmacy should remain open and have a
runner to deliver needed meds to areas.

1. Report to the Command Center and be
prepared to stay with relatives of victims
in hospital lobby.
2. Will provide Command Center with a list of
family members that are here.

1. Report to Command Center.
2. Assist nurses as needed.

1. Obtain information and fill out available
information and time on disaster tags.
Even if no information is available as to
identity, give information as to condition,
types of injuries, etc.
Be sure to use hospital disaster tag
number for identification.

2. BE SURE the top sheet of disaster tags
is made available to Medical Records with
pertinent information.
3. DO NOT leave your patient unattended.
patient may be signed off to person in
charge when admitted to a unit.
4. Give aggressive first aid treatment.

5. Make out the appropriate lab slips and x-ray
requisition number. It is essential that they
have these slips made out.
6. Patients who have admitted to the hospital
should have the information slips placed
with the Command Center in the Emergency
Room.

7. If a patient is transferred, be sure to indicate
on the tag to which hospital he has been
sent.
8. Sign the disaster tags.

1. Section head or designee will call in their
own personnel as needed after reporting
to the Command Center.
2. Assign person to be responsible for
maintaining casualty lists and assist with
paperwork as needed at Command Center.
3. Supply extra forms as needed.
4. Be responsible for releasing information
to the press after the families of the
victims have been notified.

Any hospital employee or staff without specific
duties during a Disaster shall report to their
immediate supervisor, who shall assign them
as needed. In turn, supervisors will be directed
by Incident Command Center.

POLICY: All fires must be reported including those in
which there is little or no loss to our facilities. All
persons in the Hospital system shall familiar with the
fire response procedure and the fire plan. A fire
condition exists if you see fire or visible smoke in
areas where there presence is neither common nor
expected.
PURPOSE: To determine the cause of fires and the
conditions surrounding them so that remedial and
preventive measures can be taken.

PROCEDURES IN CASE OF FIRE:
R – Rescue or remove persons in immediate danger
away from fire or smoke.
A – Activate the alarm in the nearest fire alarm box.
C – Confine the fire and smoke by closing the doors
in the affected room or area. Close hallway doors.
E – Extinguish the fire using a portable fire
extinguisher if the fire is small and there is no
danger of spreading rapidly.

FIRE EMERGENCY COMMAND SYSTEM:
1. Emergency bell code alarm is 4 double gains.
2. PA system / Alarm system.
3. All personnel must immediately report to their
respective department head and supervisors
for immediate instructions.
4. Do not leave the hospital without permission
from department head or supervisor.
5. Personnel may be required to perform other
duties aside from their regular functions.

PROPERTY EVACUATION PRIORITY ORDER:
Priority 1: Classified records, data, information,
maps and other valuable equipment.
Priority 2: Records other than so called
“Classified”.
Priority 3: Supplies and materials.
Priority 4: Office furniture and other less important
items.

DUTIES / FUNCTIONS
OF TRAFFIC AND SECURITY:
1. Assist fire service arrival in order to direct the
location of fire.
2. Secure designated evacuation area.
3. Traffic, crowd and scavenger control.

PURPOSE:
During a disaster, the Incident Command
Center (ICC) will prompt the mobilization
and coordination of personnel, equipment
and supplies. A disaster is defined as a
situation where the normal operations of the
facility are, or have potential, to rapidly
become overtaxed to the extent that
additional measures and resources must be
committed in order to provide the necessary
medical care.

Based on the principle of the Hospital
Emergency Incident Command System
(HEICS), in the event of a disaster
occurrence, GMPH will implement the
Incident Command Center.
:

GMPH must be prepared to:
1. Receive and classify patients.
2. Provide emergency casualty care.
3. Provide continuing care for the hospital’s
pre-disaster critically ill patients.
4. Evaluate non-critical pre-disaster patients
for possible transfer home or another
designated location.
:

GMPH must be prepared to:
5. Maintain adequate records on casualty
patients.
6. Provide information and facilities for
police investigators, members of the press,
the clergy, patient’s families, employees and
the general public.
:

The Hospital Emergency Incident
Command System (HEICS) is the national
standard for medical facilities to manage
emergencies of all sizes and types during
catastrophic events.
This Hospital’s Emergency Management
Plan will contain the following structure and
functions of Incident Command System
(ICS)
:

To lead and direct the overall
facility mobilization and
response to an emergency.

1. Bears the responsibility for ensuring
that the entire response is carried
out in an effective, efficient and
coordinated manner.
2. Gives overall direction for hospital
operations and if needed, authorize
evacuation.

1. Record incident-related problems.
2. Record any other documentation
necessary as directed by the
Incident Commander.

1. Organize and direct operations to
maintain the physical environment.
2. Maintain adequate levels of food,
shelter and supplies supporting the
medical objective.

1. Organize and coordinate nursing
activities.
2. Direct patient care services.

1. Contact and coordinate physicians.
2. Credential volunteer medical staff
as necessary.
3. Assist in assigning available
medical staff.

1. Provide for the optimal functioning
of Ancillary Services in support of
the facility’s medical objectives in
the Disaster situation.
2. Appoint Ancillary Unit Leaders for
Radiological Services, Pharmacy
and Laboratory.

1. Coordinate all security operations in
support of the disaster situation.
2. Serve as liaison to Police and Fire
Department.
3. Secure all hospital entrance and exits.
4. Control traffic flow in and adjacent to
Emergency Dept./Disaster location.

1. Protect, evaluate, control, repair and
maintain plant and utility system
necessary for patient care in support
of the disaster condition.
2. Implement back-up measures in the
event of utility failures.
3. Assign personnel for power, water,
electric and medical gases.

1. Monitor the utilization of financial
assets in support of the emergency
operation.
2. She will maintain all related
documentation necessary for
managing facility record keeping
and reimbursement.

The Triage Officer and Triage Nurse will assign
patients at triage to one of the following
categories and dispatch accordingly.
Triage Priority and Tags:
Green: Minor injuries that can wait for
appropriate treatment.
Yellow: Relatively stable patients needing
prompt medical attention.
Red: Critical patients in need of immediate
life-saving care.
Black: Deceased patients and those who have
no chance of survival.

Garcia Memorial Provincial Hospital DisasterPplan

Garcia Memorial Provincial Hospital DisasterPplan

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