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Disaster Management. WVUH-East City Hospital Emergency Department. Natural: Severe winds Snow storm Tornadoes Fire Flood. Man-made: Bioterrorist attack Plane crash Building collapse Bus wreck Loss of utilities. Disaster- an event that severely disrupts the environment.
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Disaster Management WVUH-East City Hospital Emergency Department
Natural: Severe winds Snow storm Tornadoes Fire Flood Man-made: Bioterrorist attack Plane crash Building collapse Bus wreck Loss of utilities Disaster- an event that severely disrupts the environment
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)
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)
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 Supplies needed in case of Disaster
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)
Disaster • Primary objective is to minimize morbidity and mortality
Disaster Type • Disaster type: the agent that produced the event i.e. haz mat, tornado • Levels not determined by casualties, but by resources needed
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 Disaster Levels
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 Disaster Scope
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
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
Initial response to disaster Safety Policy locations: • Intranet • Red box • Safety and security P&P manual
Chain of Command • CEO • Chief Nursing Supervisor • Nursing Supervisor • Safety officer
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
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 CODE TRIAGE
Code Triage External • Black – Deceased • Red – Immediate • Yellow – Delayed • Green - Minor
Scenario • I –81 bridge collapse • What information do you need? • Who do you notify? • What resources would you expect? • What is your role?
