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Lessons Learned: Managing the Health Response to Earthquakes in Canterbury

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stacie
77 diapositives · 918 Views · Jul 12, 2014

This document discusses the experiences and lessons learned from the health response to the significant earthquakes that struck Canterbury, New Zealand, in 2010 and 2011. Led by Dr. Phil Schroeder and Nurse Leader Kelly Robertson, the Canterbury Primary Response Group collaborated with various agencies to ensure effective emergency planning and health service delivery. The critical phases of response, addressing mass casualties and service disruptions, are examined alongside strategies utilized for continuity of care amidst crises. Key challenges include staff welfare and resource management.

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  1. Canterbury Primary ResponseEarthquakes Sept/Feb/June Dr Phil Schroeder Primary Care Coordinator Canterbury Primary Response Group Kelly Robertson Nurse Leader Canterbury Primary Response Group

  2. Pre-historic Lessons

  3. Managing It

  4. Emergency Planning: Whole of Health Response

  5. Canterbury Primary Response Group Agencies and Funders • Ministry of Health • Canterbury District Health Board • Hospital & Secondary Care • Community and Public Health • St John • City Council & Civil Defence • Aid Agencies e.g. Red Cross • Mental Health NGOs • Private Hospitals • Hotels • Media & Communications Primary • Primary Health Organisations • General Practice • 24HS & After Hours Clinics • Pharmacy • District Nursing + Home Care • Plunket • Maori Community Health • Allied Health Workers • Rest Homes • Radiology & Laboratories

  6. Canterbury: the safest of havens.

  7. Canterbury and NZ 2010 and NZ 2009

  8. September 4th 2010: Magnitude 7.1 • Mass casualties/injuries but no fatalities. • Building damage Selwyn, Kaiapoi, ChCh and CBD. • Liquefaction Kaiapoi and ChCh. • Power out for up to one week. • Water, Sewage out for several days – months.

  9. Lessons September 4th 2010 “7.1” Selwyn Quake LUCKY?

  10. Emergency Planning Relationships

  11. Emergency Planning: Mandate Given 17th February • Health Emergency • Influenza Pandemic • Infectious Outbreak eg. SARS • Non Health Emergency • Earthquake • Flood or Tsunami • Rugby World Cup • Health Non-Emergency • Measles Outbreak • Noro-virus Community Outbreak

  12. 12:5122ND FEBRUARY 2011

  13. February 22nd 2011: Magnitude 6.3 • Vertical acceleration quake among highest ever recorded. • Mass casualties with 181 fatalities. • Building damage ChCh and in particular CBD with monumental collapse. • Liquefaction ChCh. • Power out for up to two months plus. • Water, Sewage out for months.

  14. The Response Phase - Immediate • Pegasus Health 24Hr Surgery • Staff safety • Patient safety • Building safety • Continuity of services

  15. The Response Phase - Immediate cont: • General Practice • Staff safety • Patient safety • Building safety • Continuity/cessation of services

  16. The Coordinated Primary Care Response • Incident Centre coordination • Assessment of GPs and Pharmacy’s ability to provide service • Support for affected services • Staff and practice welfare

  17. Practice and Pharmacy Status Definition

  18. Practice and Pharmacy Status

  19. Providing Care • Affect on Staff • Personally affected but continued to work • Affected services struggling with limited resources • The clean up • Lack of essential services • Safety of vaccines

  20. Providing Care cont… • Decreased ability to perform at peak – “earthquake brain” • Increased risk of misdiagnosis • Coping with own stress with aftershocks in the work environment • Loss of business due to patients relocating

  21. Providing Care cont… • Affect on Patients • Access to service • Less people presenting but longer consultations required • Health not priority due to disruption of homes and livelihood • Relocating – loss of continuity of care

  22. Staff Support • Ongoing……….. • Funding options to support patient care • HR support/Pastoral care • Counseling support for staff • Regular communication to General Practice and Pharmacies • Buddy system • Locum relief

  23. Issues for Pharmacy - Business Continuity • Co-location • Relocation • Insurance Limitations

  24. Issues for Pharmacy - Business Continuity

  25. Issues for Pharmacy - Business Continuity

  26. Issues for Pharmacy - Business Continuity

  27. Issues for Pharmacy - Business Continuity

  28. Critical Issues February 2011 Day One Day Three Day Six • General Practice • Comms Building • Power Computers • Portaloos • Pharmacy • Comms Building • Power Stock • Portaloos Stock • District Nursing • Building • Cordon Access • Cordon Access • Primary Coord • Comms Building • Comms Building • Comms

  29. Critical Issues February 2011 Day One Day Three Day Six Day Ten • General Practice • Comms Building • Power Computers • Portaloos • Portaloos • Pharmacy • Comms Building • Power Stock • Portaloos Stock • Portaloos • District Nursing • Building • Cordon Access • Cordon Access • Fuel Staffing • Primary Coord • Comms Building • Comms Building • Comms • Roles

  30. Rural Canterbury • Day Three • Rural Canterbury • Day One • Rural Canterbury • Day Six • Rural Canterbury • Day Ten Critical Issues February 2011 • Situation: Survey 100% Open. • Situation: Survey 100% Open. • Situation: Survey 100% Open. • Situation: Some Minor Building Damage. NO Loss Power, Water, Sewage • Problems: • 1) Huge numbers displaced patients and unprecedented consult rates. • Problems: • 1) Ongoing huge numbers displaced patients and ongoing high consult rates. • Problems: • 1) Rising numbers displaced patients and consult rates. • 2) Fuel needing farming coop. • 3) Resupply medication and courier issues. • Action: Practice Survey 100% Rural Practices Open.

  31. Earthquake Response February 2011 Day One Day Three Day Six Day Ten • General Practice • 33% • 79% • 85% • 96% • Pharmacy • 21% • 80% • 83% • 94%

  32. Earthquake Response February 2011 Red Practices: Major Issues 7% Day 15: 103 Open = 96% 1 Relocating 2 Closed Amber Practices: Serious Issues 34% Green Practices: Minor or no issues 59%

  33. Earthquake Response February 2011 Day 15 Week 8 3% 7% Week 8: 105 Open = 99% 8 Relocated 1 Closed 31% 34% 66% 59%

  34. Earthquake Response February 2011 General Practice Pharmacy 17% 3% Week 8 34% 31% 49% 66%

  35. Canterbury Quakes: Sept, Feb, June