OMMC Surgery Disaster Preparedness Drills
Simulated Disaster Drills
(TEAM I)
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.
ANSWERS:
General Steps in
Disaster Management
•
DECLARATION OF DISASTER
•
NOTIFICATION OF
–
DEPARTMENT DISASTER CONTROL DIRECTOR
•
CREATION OF INCIDENT COMMAND
•
MOBILIZATION OF SCENE RESPONSE TEAM
–
TO PERFORM ON
SCENE TRIAGE CLASSIFICATION
–
RENDER LIFE
SAVING FIRST AID MEASURES
–
DIRECT THE
TRANSPORTATION OF THE INJURED PATIENTS
–
TO TAG ALL
PATIENTS GIVEN TREATMENT AT THE SCENE
•
ACTIVATION OF DEPARTMENTAL DISASTER PREPAREDNESS
PLAN
•
MOBILIZATION AND ORGANIZATION OF OTHER MEDICAL STAFF
AS INDICATED
•
MOBILIZATION OF ANCILLARY SERVICES AS NEEDED
•
CONTROL OF DISASTER
•
DECONGESTION AND POST-DISASTER RECONSTRUCTION
|
SCENARIO |
ACTIONS |
DIFFERENCES |
|
1.1 During office hours, you receive a phone call transmitting a message that a vehicular accident has occurred |
Notify disaster control director Declaration of disaster Activation of department’s disaster preparedness plan Mobilization of surgical and parasurgical staff (task assignment (code green) |
Unconfirmed disaster Role assignment: As team leader (activate ddpp) |
|
1.2 After office hours, you receive a phone call transmitting a message that a vehicular accident has occurred |
Declaration of disaster Notify disaster control director Activation of department’s disaster preparedness plan Creation of an incident command ( scene response team) Mobilization of surgical and parasurgical staff (task assignment (code green) |
Unconfirmed disaster Role assignment: Assume incident command post |
|
1.3 During office hours, you receive a phone call transmitting a message that a vehicular accident has occurred , you are asked to send and ambulance team |
Declaration of disaster Notify disaster control director Activation of department’s disaster preparedness plan Mobilization of surgical and parasurgical staff (task assignment) |
Confirmed disaster Role assignment: As team leader (activate ddpp) |
|
1. 4 After office hours, you receive a phone call transmitting a message that a vehicular accident has occurred, you are asked to send and ambulance team |
Declaration of disaster Notify disaster control director Activation of department’s disaster preparedness plan Creation of an incident command Mobilization of surgical and parasurgical staff Mobilization and organization of other medical staff as
indicated Mobilization of ancillary services as indicated |
Confirmed disaster Role assignment: Assume incident command post |
|
1.5 During office hours, you got a patient who got injured, you were told that there were a lot of victims that might be brought to OMMC |
Declaration of disaster Notify disaster control director Activation of department’s disaster preparedness plan Mobilization of surgical and parasurgical staff (task
assignment) Control of disaster Decongestion and post disaster reconstruction |
Confirmed disaster Role assignment: As team leader (activate ddpp |
|
1.6 After office hours, you got a patient who got injured, you were told that there were a lot of victims that might be brought to OMMC |
Declaration of disaster Notify disaster control director Activation of department’s disaster preparedness plan Creation of an incident command ( scene response team) Mobilization of surgical and parasurgical staff (task
assignment) Mobilization and organization of other medical staff as
indicated Mobilization of ancillary services as indicated Control of disaster Decongestion and post disaster reconstruction |
Confirmed disaster Role assignment: Assume incident command post |
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?
ANSWERS:
1. Team Captain – will act as incident commander
FUNCTIONS:
1. Executive
director of the OMMC Surgery DPP
2. Takes
necessary actions to ensure a safe and efficient operation of OMMC Surgery DPP.
3. Is responsible
for the initiation and activation of the OMMC Surgery's Disaster Preparedness
Plan.
A Triage has to be done:
objectives
–
to receive the disaster victims
–
To make a rapid classification of casualties
Triage officer :
Any
resident who is knowledgeable in classifying casualties rapidly with
appropriate coding to facilitate and prioritize treatment.
Coding
Black – for non-salvageable patients
Green – for primary care patients or
classified as priority three
yellow – for acute care patient or
classified as priority two
red – for critical care patients or
classified as priority one
How is triaging done?
-
assign corresponding treatment area for the different codes
-
classify patient rapidly as they come and give the corresponding codes
-conduct
patients to corresponding areas
3. Assign other
members of the team to do the treatment depending on their capabilities (task assignment)
note:
declare codes as 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.
ANSWERS:
STEPS IN DISASTER
MANAGEMENT: