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Disaster management
- 1. Disaster Management WVUH-East City Hospital Emergency Department
- 2. Disaster- an event that severely disrupts the environment Natural: • Severe winds • Snow storm • Tornadoes • Fire • Flood Man-made: • Bioterrorist attack • Plane crash • Building collapse • Bus wreck • Loss of utilities
- 3. A U.N. Definition of Disaster “A serious disruption of the functioning of society, causing widespread human, material, or environmental losses which exceed the ability of affected society to cope using only its own resources.” (U.N., 1992)
- 4. Access to Resources Matters “. . . A train derailment that injures 15 people may be overwhelming for a smaller city or county but easily handled by a larger city or county with greater access to resources.” (Carroll 2001, citing Crichlow, 1997)
- 5. Supplies needed in case of Disaster • 3-day supply of H20 • 1 change of clothes, shoes, and blanket per person • First aid kit/ Rx meds • Battery powered radio, flashlight, batteries • Special pop. items • Candles and matches • Extra car keys, credit card, cash, picture ID, proof of address • TP, soap, feminine hygiene products, garbage bags • Extra eyeglasses
- 6. Community Support • Local EMS • American Red Cross/ Salvation Army • National Guard • FEMA • Office of Emergency Management (OEM) • State and national government programs (Office of Homeland Security)
- 7. Disaster • Primary objective is to minimize morbidity and mortality
- 8. Disaster Type • Disaster type: the agent that produced the event i.e. haz mat, tornado • Levels not determined by casualties, but by resources needed
- 9. Disaster Levels • Level is the anticipated Red Cross disaster response and relief cost requirement by the event: • Level I: < 10,000$ • Level II: 10K to 50K • Level III: 50K to 250K • Level IV: 250K to 2.5 million • Level V: >2.5 million
- 10. Disaster Scope • Single Family: one family, short term resources • Local: more than 1 family, one Red Cross chapter, limited resources • State: multiple families, other Red Cross unit support • Major: multiple Red Cross, natn’l news media, mobilization of fed gov., nuclear or chemical weapons • Presidentially Declared: National Response Plan
- 11. Comprehensive Public Health Response to Outbreak • Detecting the outbreak • Determining the cause • ID factors that place people at risk • Implement measures to control outbreak • Informing the medical and public communities about tx, health consequences, and preventative measures
- 13. School bus collides with minivan Orchard View 1/09
- 14. Preparedness Phase • Initiate plan • Integrate hospital’s role in community wide response • Establish alternative care sites • Backup internal and external communication systems • Facilities for radioactive, biological or chemical decontamination
- 15. Initial response to disaster Safety Policy locations: • Intranet • Red box • Safety and security P&P manual
- 16. Chain of Command • CEO • Chief Nursing Supervisor • Nursing Supervisor • Safety officer
- 17. Incident Commander • Highest ranking person available • Notified by ECCT at x 1430 • Advised of all incident details • Command Center set up 8th floor Admin or mobile if after hours
- 18. CODE TRIAGE • Internal or External If on duty: • Report directly to the ED • Possible reassignment • Do not use telephone unless for disaster • If off duty: • You will be notified by call – down tree • Report to the ED
- 19. Code Triage External • Black – Deceased • Red – Immediate • Yellow – Delayed • Green - Minor
- 20. Scenario • I –81 bridge collapse • What information do you need? • Who do you notify? • What resources would you expect? • What is your role?
Editor's Notes
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