OMMC Surgery Disaster Preparedness Drills

Simulated Disaster Drills

2003

Instructions:

1. Every year (within February - March), a 2-hour session will be held on these simulated disaster drills.

2. Although the chief resident and surgical team captains will be the primary problem solvers in the various disaster scenarios, all surgical residents should participate in the drills by collaborating with their team captains.

3. Presentation of answers will be done primarily by the chief resident and team captains. However, junior residents will also be given assigned tasks for presentation.

4. Study the latest OMMC Surgery Disaster Preparedness Plan and latest OMMC Disaster Preparedness Plan and use these as bases for solving each problem-scenario and answering specific questions posed.

5. Demonstrate disaster preparedness by solving each problem-scenario and by answering specific questions posed.

6. Use the evaluation checklist as a guide in assessing disaster preparedness.

7. Submit output (both document file and powerpoint presentation) for incorporation in the Department’s Educational Resource.

8. The assignment of roles in the drills for each OMMC Surgery Personnel will be as follows:

Disaster Control Director – Chief Resident

Surgical Team I – Team Captain I

Surgical Team II – Team Captain II

Surgical Team III – Team Captain III

Junior Residents - 1^st to 4^th year surgical residents

Cluster A - Disaster Scenarios – Explosions / Fire

For Surgical Team Captain

Setting:

You are an OMMC surgical resident assigned to Surgical Team II. You are the Team Captain on duty at the OMMC Surgery ER. You are NOT the Disaster Control Director. You have 4 junior surgical residents and 3 surgical interns in your team.

1.1 scenario:

During office hours, you receive a phone call transmitting a message that an explosion has occurred at the Pandacan Oil Depot and to expect a lot of victims being sent to OMMC.

1.2 scenario:

After office hours, you receive a phone call transmitting a message that an explosion has occurred at the Pandacan Oil Depot and to expect a lot of victims being sent to OMMC.

1.3 scenario:

During office hours, you receive a phone call transmitting a message that an explosion has occurred at the Pandacan Oil Depot. You are asked to send an ambulance and a team of medical staff to help.

1.4 scenario:

After office hours, you receive a phone call transmitting a message that an explosion has occurred at the Pandacan Oil Depot. You are asked to send an ambulance and a team of medical staff to help.

1.5 scenario:

During office hours, you got a patient who got injured in an explosion at the Pandacan Oil Depot. You were told that there are a lot of victims. These victims might be brought to OMMC.

1.6 scenario:

After office hours, you got a patient who got injured in an explosion at the Pandacan Oil Depot. You were told that there are a lot of victims. These victims might be brought to OMMC.

Problem-solving and Decision-making:

As the Surgical Team Captain, what will you do next after receiving the phone call in the first 4 scenarios (1.1 to 1.4) and in the last 2 scenarios (1.5 and 1.6) when you learn that more patients will be coming? List the steps in an order of priority and give a brief description and explanation, if necessary, for each step.

After you are through solving each scenario, construct a table showing the basic similarities and differences, first, in the scenarios themselves and, second, in the steps you will undertake for all the scenarios.

Cluster A - Disaster Scenarios – Explosions / Fire

For Disaster Control Director

Setting:

You are the Disaster Control Director for the year. Surgical Team II Captain (with 4 junior surgical residents and 3 surgical interns in his team) has declared a disaster in each of the six (6) scenarios in the Pandacan oil depot explosion and has informed you of such a disaster (see below). You are NOT within the hospital premises.

As the Disaster Control Director, what will you do next after receiving the message from the Surgical Team Captain? List the steps in an order of priority and give a brief description and explanation, if necessary, for each step.

After you are through solving each scenario, construct a table showing the basic similarities and differences, first, in the scenarios themselves and, second, in the steps you will undertake for all the scenarios.

1.1 scenario:

During office hours, he received a phone call transmitting a message that an explosion has occurred at the Pandacan Oil Depot and to expect a lot of victims being sent to OMMC.

1.2 scenario:

After office hours, he received a phone call transmitting a message that an explosion has occurred at the Pandacan Oil Depot and to expect a lot of victims being sent to OMMC.

1.3 scenario:

During office hours, he received a phone call transmitting a message that an explosion has occurred at the Pandacan Oil Depot. He was asked to send an ambulance and a team of medical staff to help.

1.4 scenario:

After office hours, he received a phone call transmitting a message that an explosion has occurred at the Pandacan Oil Depot. He was asked to send an ambulance and a team of medical staff to help.

1.5 scenario:

During office hours, he got a patient who got injured in an explosion at the Pandacan Oil Depot. He was told that there were a lot of victims. These victims might be brought to OMMC.

1.6 scenario:

After office hours, he got a patient who got injured in an explosion at the Pandacan Oil Depot. He was told that there were a lot of victims. These victims might be brought to OMMC.

Cluster A1 - Disaster Scenarios – Explosions / Fire

For Disaster Control Director/ Surgical Team Captain / Junior Surgical Residents

Scenario:

Ten victims from the Pandacan Oil Depot explosion are now arriving or have arrived in the OMMC Surgery ER.

Problem-solving and decision-making:

1. Who will serve as the incident commander? What are his roles? What are his tasks? Is he allowed to operate?

2. A triage has to be done. How do you going about doing this? Who should be assigned to do the triaging? How is triaging done, place assignment and color coding?

3. Who should do the treatment and operation if needed?

Cluster B - Disaster Scenarios – Vehicular Accident

For Surgical Team Captain

Setting:

You are an OMMC surgical resident assigned to Surgical Team I. You are the Team Captain on duty at the OMMC Surgery ER. You are NOT the Disaster Control Director. You have 4 junior surgical residents and 3 surgical interns in your team.

1.1 scenario:

During office hours, you receive a phone call transmitting a message that a vehicular accident has occurred near Roxas Boulevard and to expect a lot of victims being sent to OMMC.

1.2 scenario:

After office hours, you receive a phone call transmitting a message that a vehicular accident has occurred near Roxas Boulevard and to expect a lot of victims being sent to OMMC.

1.3 scenario:

During office hours, you receive a phone call transmitting a message that a vehicular accident has occurred near Roxas Boulevard. You are asked to send an ambulance and a team of medical staff to help.

1.4 scenario:

After office hours, you receive a phone call transmitting a message that a vehicular accident has occurred near Roxas Boulevard. You are asked to send an ambulance and a team of medical staff to help.

1.5 scenario:

During office hours, you got a patient who got injured in a vehicular accident has occurred near Roxas Boulevard. You were told that there are a lot of victims. These victims might be brought to OMMC.

1.6 scenario:

After office hours, you got a patient who got injured in a vehicular accident has occurred near Roxas Boulevard. You were told that there are a lot of victims. These victims might be brought to OMMC.

Problem-solving and Decision-making:

As the Surgical Team Captain, what will you do next after receiving the phone call in the first 4 scenarios (1.1 to 1.4) and in the last 2 scenarios (1.5 and 1.6) when you learn that more patients will be coming? List the steps in an order of priority and give a brief description and explanation, if necessary, for each step.

After you are through solving each scenario, construct a table showing the basic similarities and differences, first, in the scenarios themselves and, second, in the steps you will undertake for all the scenarios.

Cluster B - Disaster Scenarios – Vehicular Accident

For Disaster Control Director

Setting:

You are the Disaster Control Director for the year. Surgical Team II Captain (with 4 junior surgical residents and 3 surgical interns in his team) has declared a disaster in each of the six (6) scenarios in the Roxas Boulevard vehicular accident and has informed you of such a disaster (see below). You are NOT within the hospital premises.

As the Disaster Control Director, what will you do next after receiving the message from the Surgical Team Captain? List the steps in an order of priority and give a brief description and explanation, if necessary, for each step.

After you are through solving each scenario, construct a table showing the basic similarities and differences, first, in the scenarios themselves and, second, in the steps you will undertake for all the scenarios.

1.1 scenario:

During office hours, he received a phone call transmitting a message that a vehicular accident has occurred near Roxas Boulevard and to expect a lot of victims being sent to OMMC.

1.2 scenario:

After office hours, he received a phone call transmitting a message that a vehicular accident has occurred near Roxas Boulevard and to expect a lot of victims being sent to OMMC.

1.3 scenario:

During office hours, he received a phone call transmitting a message that a vehicular accident has occurred near Roxas Boulevard. He was asked to send an ambulance and a team of medical staff to help.

1.4 scenario:

After office hours, he received a phone call transmitting a message that a vehicular accident has occurred near Roxas Boulevard. He was asked to send an ambulance and a team of medical staff to help.

1.5 scenario:

During office hours, he got a patient who got injured in a vehicular accident has occurred near Roxas Boulevard. He was told that there were a lot of victims. These victims might be brought to OMMC.

1.6 scenario:

After office hours, he got a patient who got injured in a vehicular accident has occurred near Roxas Boulevard. He was told that there were a lot of victims. These victims might be brought to OMMC.

Cluster B1 - Disaster Scenarios – Vehicular Accident

For Disaster Control Director/ Surgical Team Captain / Junior Surgical Residents

Scenario:

Ten victims from the Roxas Boulevard vehicular accident are now arriving or have arrived in the OMMC Surgery ER.

Problem-solving and decision-making:

1. Who will serve as the incident commander? What are his roles? What are his tasks? Is he allowed to operate?

2. A triage has to be done. How do you going about doing this? Who should be assigned to do the triaging? How is triaging done, place assignment and color coding?

3. Who should do the treatment and operation if needed?

Cluster C - Disaster Scenarios – Gang War

For Surgical Team Captain

Setting:

You are an OMMC surgical resident assigned to Surgical Team III. You are the Team Captain on duty at the OMMC Surgery ER. You are NOT the Disaster Control Director. You have 4 junior surgical residents and 3 surgical interns in your team.

1.1 scenario:

During office hours, you receive a phone call transmitting a message that a gang war has occurred in San Andres Bukid and to expect a lot of victims being sent to OMMC.

1.2 scenario:

After office hours, you receive a phone call transmitting a message that a gang war has occurred in San Andres Bukid and to expect a lot of victims being sent to OMMC.

1.3 scenario:

During office hours, you receive a phone call transmitting a message that a gang war has occurred in San Andres Bukid. You are asked to send an ambulance and a team of medical staff to help.

1.4 scenario:

After office hours, you receive a phone call transmitting a message that a gang war has occurred in San Andres Bukid. You are asked to send an ambulance and a team of medical staff to help.

1.5 scenario:

During office hours, you got a patient who got injured in a gang war that has occurred in San Andres Bukid. You were told that there are a lot of victims. These victims might be brought to OMMC.

1.6 scenario:

After office hours, you got a patient who got injured in a gang war that has occurred in San Andres Bukid. You were told that there are a lot of victims. These victims might be brought to OMMC.

Problem-solving and Decision-making:

As the Surgical Team Captain, what will you do next after receiving the phone call in the first 4 scenarios (1.1 to 1.4) and in the last 2 scenarios (1.5 and 1.6) when you learn that more patients will be coming? List the steps in an order of priority and give a brief description and explanation, if necessary, for each step.

After you are through solving each scenario, construct a table showing the basic similarities and differences, first, in the scenarios themselves and, second, in the steps you will undertake for all the scenarios.

Cluster C - Disaster Scenarios – Gang War

For Disaster Control Director

Setting:

You are the Disaster Control Director for the year. Surgical Team III Captain (with 4 junior surgical residents and 3 surgical interns in his team) has declared a disaster in each of the six (6) scenarios in the San Andres Bukid gang war and has informed you of such a disaster (see below). You are NOT within the hospital premises.

As the Disaster Control Director, what will you do next after receiving the message from the Surgical Team Captain? List the steps in an order of priority and give a brief description and explanation, if necessary, for each step.

After you are through solving each scenario, construct a table showing the basic similarities and differences, first, in the scenarios themselves and, second, in the steps you will undertake for all the scenarios.

1.1 scenario:

During office hours, he received a phone call transmitting a message that a gang war has occurred in San Andres Bukid and to expect a lot of victims being sent to OMMC.

1.2 scenario:

After office hours, he received a phone call transmitting a message that a gang war has occurred in San Andres Bukid and to expect a lot of victims being sent to OMMC.

1.3 scenario:

During office hours, he received a phone call transmitting a message that a gang war has occurred in San Andres Bukid. He was asked to send an ambulance and a team of medical staff to help.

1.4 scenario:

After office hours, he received a phone call transmitting a message that a gang war has occurred in San Andres Bukid. He was asked to send an ambulance and a team of medical staff to help.

1.5 scenario:

During office hours, he got a patient who got injured in a gang war that has occurred in San Andres Bukid. He was told that there were a lot of victims. These victims might be brought to OMMC.

1.6 scenario:

After office hours, he got a patient who got injured in a gang war that has occurred in San Andres Bukid. He was told that there were a lot of victims. These victims might be brought to OMMC.

Cluster C1 - Disaster Scenarios – Gang War

For Disaster Control Director/ Surgical Team Captain / Junior Surgical Residents

Scenario:

Ten victims from the San Andres Bukid gang war are now arriving or have arrived in the OMMC Surgery ER.

Problem-solving and decision-making:

1. Who will serve as the incident commander? What are his roles? What are his tasks? Is he allowed to operate?

2. A triage has to be done. How do you going about doing this? Who should be assigned to do the triaging? How is triaging done, place assignment and color coding?

3. Who should do the treatment and operation if needed?

Internal Disaster – OMMC OR Explosion

For Surgical Team Captain

Setting:

You are an OMMC surgical resident assigned to Surgical Team I. You are the Team Captain on duty at the OMMC Surgery ER. You are NOT the Disaster Control Director. You have 4 junior surgical residents and 3 surgical interns in your team.

During office hours, there was a big explosion in the operating room of the hospital. There were about 10 OR personnel (surgeons, anesthesiologists, nurses, nursing aides, and medical interns) who suffered from blast injuries. About 80% of the operating room was destroyed.

Problem-solving and Decision-making:

As the Surgical Team Captain, what will you do next after learning of the explosion. List the steps in an order of priority and give a brief description and explanation, if necessary, for each step.

Internal Disaster – OMMC OR Explosion

For Disaster Control Director

Setting:

You are the Disaster Control Director for the year. Surgical Team I Captain (with 4 junior surgical residents and 3 surgical interns in his team) has declared a disaster in an OR explosion (see below). You are NOT within the hospital premises.

As the Disaster Control Director, what will you do next after receiving the message from the Surgical Team Captain? List the steps in an order of priority and give a brief description and explanation, if necessary, for each step.

During office hours, there was a big explosion in the operating room of the hospital. There were about 10 OR personnel (surgeons, anesthesiologists, nurses, nursing aides, and medical interns) who suffered from blast injuries. About 80% of the operating room was destroyed.

Internal Disaster – OMMC Kitchen Fire

For Surgical Team Captain

Setting:

You are an OMMC surgical resident assigned to Surgical Team II. You are the Team Captain on duty at the OMMC Surgery ER. You are NOT the Disaster Control Director. You have 4 junior surgical residents and 3 surgical interns in your team.

After office hours, there was a big fire that occurred in the kitchen of the hospital and there were about 10 victims were reported to be brought to the OMMC Surgery ER.

Problem-solving and Decision-making:

As the Surgical Team Captain, what will you do next after learning of the fire. List the steps in an order of priority and give a brief description and explanation, if necessary, for each step.

Internal Disaster – OMMC Kitchen Fire

For Disaster Control Director

Setting:

You are the Disaster Control Director for the year. Surgical Team II Captain (with 4 junior surgical residents and 3 surgical interns in his team) has declared a disaster in an OMMC kitchen fire (see below). You are NOT within the hospital premises.

As the Disaster Control Director, what will you do next after receiving the message from the Surgical Team Captain? List the steps in an order of priority and give a brief description and explanation, if necessary, for each step.

After office hours, there was a big fire that occurred in the kitchen of the hospital and there were about 10 victims were reported to be brought to the OMMC Surgery ER.

Sudden Influx of Trauma Patients

For Surgical Team Captain

Setting:

You are an OMMC surgical resident assigned to Surgical Team III. You are the Team Captain on duty at the OMMC Surgery ER. You are NOT the Disaster Control Director. You have 4 junior surgical residents and 3 surgical interns in your team.

After office hours, there was a sudden influx of trauma patients with 4 needing stat exploratory laparotomy and about 10 needing suturing of lacerations in the Surgery ER. What will you do?

Problem-solving and Decision-making:

As the Surgical Team Captain, what will you do next after learning of the sudden influx of trauma patients. List the steps in an order of priority and give a brief description and explanation, if necessary, for each step.

Sudden Influx of Trauma Patients

For Disaster Control Director

Setting:

You are the Disaster Control Director for the year. Surgical Team III Captain (with 4 junior surgical residents and 3 surgical interns in his team) has declared a disaster in the OMMC Surgery (see below). You are NOT within the hospital premises.

As the Disaster Control Director, what will you do next after receiving the message from the Surgical Team Captain? List the steps in an order of priority and give a brief description and explanation, if necessary, for each step.

After office hours, there was a sudden influx of trauma patients with 4 needing stat exploratory laparotomy and about 10 needing suturing of lacerations in the Surgery ER. What will you do?

What is the tagging system of patients? Match the colors to the type of patients.

A. Red

B. Yellow

C. Green

D. Black

E. White

1. Patients needing primary care.

2. Patients needing acute care.

3. Patients needing critical care.

4. Dead patients.

5. Patients needing first priority care.

6. Patients needing second priority care.

7. Patients needing third priority care.