Module 4: Hospital Preparedness for Mass Casualty Incidents

Transcription

1 Module 4: Hospital Preparedness for Mass Casualty Incidents Greetings!

2 Module 4: Hospital Preparedness for Mass Casualty Incidents Module 4: Hospital Preparedness for Mass Casualty Incidents Thematic Parts: 1. Hospital Emergency Response Plan 2. Hospital Vulnerability Assessment

3 Introduction to Module 4: Hospital Preparedness for Mass Casualty Incidents (Hospital Emergency Response Plan) Hospital Emergency Response Plan Session 1: Introduction to the Module and Hospital Emergency Response Plan (HERP)

4 Connection to Previous Modules Introduction to Module 4

5 Introduction to Module 4 Module 2 deals with mass casualty management in the disaster area or onsite activities. [pre-hospital activities] Introduction to Module 4 Module 3 deals with emergency medical services system in which victims of the disaster are brought to a hospital for further treatment and definitive care. [pre-hospital activities]

6 Introduction to Module 4 Module 4 deals with hospital preparedness for mass casualty incidents. [Hospital activities] Introduction to Module 4

7 Introduction to Module 4 (Assumption for now: Hospital is structurally intact and functional) What do you think are the usual challenges that a hospital will face, or what are hospital s usual concerns, when it learns that there is mass casualty incident occurring nearby?

8 Patient Surge Surge Capacity Usual challenges: Surge Capacity of Hospital Patient surge (surge of patients or sudden influx of patients) Phenomenon or condition that starts with a lot of patients or victims being brought to hospital after an MCI. [Other QUALIFIERS are needed for lot of patients to be patient surge! ]

9 What is your concept of patient surge? Issues! Is there a specific number of patients or victims that will qualify for a patient surge? Should the casualty always be due to trauma? What are the more common causes of patient surge in your country s hospitals? Who usually decides if there will be or already has a patient surge to the hospital? What is your concept of patient surge? Is there a specific number of patients or victims that will qualify for a patient surge?

10 What is your concept of patient surge? Should the casualty always be due to trauma? What are the more common causes of patient surge in your country s hospitals? What is your concept of patient surge? Who usually decides if there will be or already has a patient surge to the hospital?

11 Which of the following conditions is/are within the concept of patient surge in a hospital setting: Three (3) patients with severe injuries from an external accident being brought to a secondary hospital with limited number of health care professionals but with enough medical supplies. Twenty (20) patients with suspected food poisoning being brought to a tertiary hospital over a span of 3 hours. Two (2) patients with severe injuries from an external accident being brought to a primary hospital with limited resources in terms of manpower and surgical supplies. Ten (10) patients from a road accident being brought to the tertiary hospital over a span of 24 hours and at the rate of 1-2 patients every 4 hours. Which of the following conditions is/are within the concept of patient surge in a hospital setting: Three (3) patients with severe injuries from an external accident being brought to a secondary hospital with limited number of health care professionals but with enough medical supplies. Twenty (20) patients with suspected food poisoning being brought to a tertiary hospital over a span of 3 hours. Two (2) patients with severe injuries from an external accident being brought to a primary hospital with limited resources in terms of manpower and surgical supplies. Ten (10) patients from a road accident being brought to the tertiary hospital over a span of 24 hours and at the rate of 1-2 patients every 4 hours.

12 A condition in the emergency department (ED) wherein there is an observed abnormal and sudden increase in the number of patients which outnumber the existing resources of the ED in terms of manpower, space, drugs, medical equipment and supplies as assessed by the emergency room officer (consultant-on-duty) and/or ED chairman. A lot of patients sudden increase and fast rate of inflow Due to any cause Trauma or non-traumatic Number, types, and rate of inflow overwhelm the capacity of the hospital Surge Capacity of Hospital

13 Surge Capacity of Hospital Hospital s ability to rapidly expand beyond normal services to meet the increased demand for qualified personnel and medical care in the event of mass casualty incidents (or patient surge). (Adopted from Agency for Healthcare research and Quality, USA, 2005 ) Essential components of surge capacity: Staff: number, trained and skilled (increase patient-care capacity) Stuff: equipment, pharmaceuticals, supplies Structure: both physical structure and management systems such as Incident Management System

14 and Surge Capacity of Hospital in MCI Preparedness Plans Response Plans Contingency Plans Hospital Preparedness Plan Hospital Emergency Response Plan to and Surge Capacity of Hospital in MCM How prepared are our country s hospitals for patient surge in MCM?

15 and Surge Capacity of Hospital in MCM What do you think will be the effects of patient surge to a hospital if there are NO preparedness plans? Need for Preparedness Plan in Hospitals Do you think there is a need for ALL hospitals to have a preparedness plan for patient surge?

16 Need for Preparedness Plan in Hospitals Some of reasons why ALL hospitals should have a preparedness plan for patient surge: There will always be patient surge to the hospital at one time or another! Need for Preparedness Plan in Hospitals Some of reasons why ALL hospitals should have a preparedness plan for patient surge: To prevent chaos during mass casualty management. To offer quality service during mass casualty management. To treat and save as many patients as possible. To avoid complaints and legal suits.

17 Module Objective (Hospital Emergency Response Plan) At the end of the module, you the participants must be able to formulate a hospital preparedness plan for patient surge during mass casualty incidents (inclusive of a development and training plan for capacity building). Expected Outputs 1. Formulation of a hospital preparedness plan for patient surge after performing a situational analysis in your country (or hospital). 2. Formulation of a draft of recommended development and training plan for hospital preparedness for patient surge in your country (or hospital).

18 Introduction to Module 4 Session 1 Objectives: 1. Describe patient surge phenomenon during mass casualty incidents. 2. Discuss the concept and causes of patient surge. 3. Define surge capacity of a hospital. 4. Appreciate the importance of hospital patient surge preparedness plan. 5. Introduce Module 4. Introduction to Module 4 Session 1 Key Points: Hospitals concerns in MCM Patient surge Surge capacity Need for ALL hospitals to have patient surge preparedness plan to constantly and continually improve its surge capacity to be ready for MCM!

19 Introduction to Module 4 Session 1 Key Points: Knowing the concept and causes of patient surge useful in decision-making: when to activate response plan what response plan to activate End of Session 1: Introduction to the Module and Hospital Emergency Response Plan (HERP) Preparedness Plan Module 4: Hospital Preparedness for Mass Casualty Incidents