Disaster Management

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Disaster Management

• WVUH-East City Hospital
• Emergency Department

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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

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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)

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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)

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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)

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Disaster

• Primary objective is to minimize morbidity and
  mortality

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Disaster Type

• Disaster type the agent that produced the event
  i.e. haz mat, tornado
• Levels not determined by casualties, but by
  resources needed

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Disaster Levels

• Level is the anticipated Red Cross disaster
  response and relief cost requirement by the event

• Level I lt 10,000
• Level II 10K to 50K
• Level III 50K to 250K
• Level IV 250K to 2.5 million
• Level V gt2.5 million

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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, natnl news media,
  mobilization of fed gov., nuclear or chemical
  weapons
• Presidentially Declared National Response Plan

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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

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Heartland Fire 2/09
13
School bus collides with minivan Orchard View
1/09
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Preparedness Phase

• Initiate plan
• Integrate hospitals role in community wide
  response
• Establish alternative care sites
• Backup internal and external communication
  systems
• Facilities for radioactive, biological or
  chemical decontamination

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Initial response to disaster

• Safety Policy locations
• Intranet
• Red box
• Safety and security PP manual

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Chain of Command

• CEO
• Chief Nursing Supervisor
• Nursing Supervisor
• Safety officer

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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

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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

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Code Triage External

• Black Deceased
• Red Immediate
• Yellow Delayed
• Green - Minor

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Scenario

• I 81 bridge collapse
• What information do you need?
• Who do you notify?
• What resources would you expect?
• What is your role?