WORKSHOP ON

DISASTER MANAGEMENT

IN HEALTHCARE SECTOR

Definition of Disaster A Disaster is any event, natural or man made, which threatens human lives, damages private and public property and infrastructure, and social and economic life .

D.I.S.A.S.T.E.R D- destruction or distress I- Immediate intervention S- Steps A- Assistance and assessment S- Source of material and save the

life T- Timely treatment E- Emergency care R- Relief

TYPES OF DISASTER

Disaster Committee

Doctors Nurses Auxiliary or ancillary staff Paramedical staff Security officer Practical training

Disaster Colour Codes

Disaster management

We can decide our preparedness management In to four steps:-

1. To be taken before the disaster2. To be taken during disaster3. To be taken immediately after

disaster4. To be taken for reconstruction

and rehabilitation

STEP – I TO BE TAKEN BEFORE THE DISASTER

Identification of valuable area

Monitoring and setting up for control rooms

Warning

Arrangement of relief camps

Arrangement of food, essential commodities, medical facilities, veterinary care, drinking water, transport.

Arrangement for funds

Alerting of administration , police and army authority

Community preparedness

STEP – II Immediate evacuation Setting up of relief camps Handling of relief Monitoring and reporting

STEP – III

Disposal of dead bodies and caresses Cleaning of debris, water etc Disbursement of relief

STEP – IV Reconstruction of infrastructure Recognition of good work Feedback for future

Disaster management

RESPONSERECOVER

Y

MITIGATION

PREPAREDNESS

DISASTER MANAGEMENT

RESPONSE- SEARCH & RESCUE

RESPONSIBLE AGENCIES

ARMY NAVY VOLUNTEERS(community)

DISASTER MANAGEMENT

RECOVERY ( RELIEF & TREATMENT )

RESPONSIBLE AGENCIES

DOCTOR

NURSES

AUXILLARY STAFF

PARAMEDICAL STAFF

COMMUNITY PEOPLE

DISASTER MANAGEMENT

MITIGATION ( NEED BASED CARE )

RESPONSIBLE AGENCIES

CENTRAL GOVTSTATE GOVTDISTRICT LEVELVILLAGE & COMMUNITY LEVEL

DISASTER MANAGEMENT

PREPAREDNESS ( PREVENTION OF POST DISEASE COMPLICATION )

RESPONSIBLE PERSON

CENTRAL GOVTSTATE GOVTDISTRICT LEVEL

HOSPITAL DISASTER

INTRODUCTION :-

A HOSPITAL DISASTER MANUAL IS A WRITTEN STATEMENT OF A DISEASE PLAN, WHICH IS IMPLEMENTED DURING A DISASTER.

THIS SHOULD INCLUDE THE DISASTER ALERT CODE, GENERAL PRINCIPLES OF CONDUCT & BRIEF SYNOPSIS OF THE TOTAL PLAN.

ELEMENTS OF FIRE

FUEL

O2HEAT

TYPE OF FIRE

CLASS –A ORDINARY COMBUSTIBLES SUCH AS WOOD, PAPER, & TRASH

USE WATER

TYPE OF FIRE

CLASS –B FLAMABLE LIQUIDS SUCH AS

GASOLINE, XYLENE, KEROSENE , DIESEL, ALCOHOL

USE DRY CHEMICAL POWDER OR CO2

TYPE OF FIRE

CLASS – CELECTRICAL EQIPMENT

USE DRY CHEMICAL POWDER

TYPE OF FIRE

CLASS- DCOMBUSTIBLE METALS USUALLY FOUND IN INDUSTRY

FIRE FIGHTING APPLIANCES

FIRE ESTINGUISHERS

WATER SPRINGLE

HOSE REEL IN ALL FLOORS

WATER HYDRANT

CCTV CAMERA FOR MONITORING 24*7

FIRE SAFETY( R.A.C.E)

FIRE SAFETY (P.A.S.S )

STEPS TO BE FOLLOWED DURINGFIRE

Never shout fire Remember race & pass Remain calm ,don’t panic / confused Proceed safety to nearest fire exit Crawl to exit if smoke is present in area Dial to inform the operator for activating or red

alert Identify the fire Bring relevant fire extinguisher & operate it Incase of emergency please dial FIRE BRIGADE -101 POLICE STATION -100

Nursing activity Rapid assessment Maintain quite environment Essential nursing Selective use of nursing

intervention Adaption Supervise the family Evaluation of environment Emotional support Prevention of further injury Triage

DO’S AND DON’TS

DON’TS IN CASE OF FIRE , DO NOT CREATE PANIC,

CONFUSION & CROWD AT FIRE SPOT DO NOT IGNORE HOOTER SOUNDER OF FIRE ALARM

SYSTEM DO NOT USE LIFT FOR EVACUATION UNLESS

INSTRUCTED DO NOT WALK OR RUN THROUGH SMOKE BUT

CRAWL COVERING YOUR FACE WITH WET CLOTH/TOWEL

DO NOT JUMP OUT OF FLOOR FOR EVACUATION DO NOT WASTE TIME LOOKING FOR BELONGINGS DO NOT LEAVE THE AREA, HELP IN EVACUATION

DO’S AND DON’TS

DO’S STUDY THE HOSPITAL BUILDING THOROUGHLY

WHERE YOU WORK. IN CASE OF FIRE RAISE ALARM AND USE

MANUAL CALL BOX IN CASE OF FIRE USE APPROPRIATE PORTABLE

FIRE ESTINGUISHER PLACED NEAREST. FOLLOW INSTRUCTION OF NURSE

INCHARGE/DOCTOR/ INCIDENT COMMANDER FOR EVACUATION USE OPPOSITE SIDE STAIRS

AWAY FROM FIRE. LOOK FOR ANY PATIENT IN THE TOILET.

TRIAGE OF DISASTER

TRIAGE MEANS TO START REFERS TO THE PROCESS OF RAPIDLY DETERMINANT PATIENT ACUITY.

TRIAGE CATEGORY

EXPECTANT

IMMEDIATE

DELAYED

MINOR

COLOUR CODE OF TRIAGE

EXPACTANT– PALLIATIVE CARE & PAIN RELIEVED SHOULD PROVIDED,

IMMEDIATE– INJURIES ARE LIFE THREATENING BUT SURVIVAL WITH MINIMAL INTERVENTION.

DELAYED– INJURIES ARE SIGNIFICANT & REQUIRE MEDICAL CARE BUT CAN WAIT HOURS WITH OUT THREAT TO LIFE.

MINOR– INJURIES ARE MINOR & TREATMENT CAN BE DELAYED HOURS TO DAY.

DISASTER PLAN

EVERY HOSPITAL, REGARDLESS OF ITS SIZE, REQUIRES A PRACTICAL PLAN. THE HOSPITAL SHOULD CREATE ONE DISASTER PLANTO MANAGE DISASTER CONDITIONS. A LOT OF MONEY CAN BE SAVED DY TIMELY PREPARATIONS,WHICH OTHERWISE CAN PUT AN ADDITIONAL COST ON THE HOSPITAL AS WELL AS ON PATIENTS.

CONCLUSIONTHE EMERGENCY DEPARTMENT

MUST BE OPERATIONAL 24 HRS A DAY & IS EXPECTED TO DEAL WITH WIDE VARIETYOF COMPLEX PROBLEM.

EMERGENCY DEPARTMENT STAFF, MEDICAL & NURSING STAFF SHOULD BE CONVERSANT WITH THE LEGAL ASPECTS OF EMERGENCY SERVICES.

QUESTIONS???

THANK YOU ALL!!!