MIGUEL D. GALVEZ, M.D.

I. I am an OMMC surgical resident assigned to Surgical Team II. I am yhe team captain on duty at the OMMC Surgery ER. I am not the Disaster Control Director. I have four junior surgical residents and 3 surgical interns.

1. Scenario 1.1

As the team leader on duty I will

- declare the disaster

- inform the Disaster Control Director

- notify and mobilize other departments conserned (surgical, parasurgical, medical, and those involved with ancillary procedures

- assign a triage from a junior resident

- delegate duties of other teams available

2. Scenario 1.2

As the team leader on duty after office hours

- declare the disaster

- inform the Disaster Control Director

- assume role of DCD if he and his assistant are not present

- delegate my role as team leader to my 4th year resident

- mobilize and notify

- inform other teams of disaster and support

3. Scenario 1.3

As team leader present at the ER

- declare the disaster

- inform Disaster Control Director

- mobilize and notify

- organize a team to proceed to disaster site

- delegate duties of the remaining teams

- assign a triage from my team ( junior resident )

4. Scenario 1.4

As team leader on duty after office hours

- declare the code

- inform Disaster Control Director

- inform other teams for support

- act as DCD

- delegate my role as team leader to my resident

- notify and mobilize

- assemble a team to proceed to disaster site

- assign duties of remaining residents

5. Scanario 1.5

As team leader on duty at the ER

- administer primary care

- call the code

- inform DCD

- notify and mobilize

- mobilize all surgical teams available

- delegate duties and assign a triage

6. Scenario 1.6

As the team leader on duty after office hours

- administer primary care

- inform DCD

- assume duties of DCD if not present

- delegate my duties as team leader to my assistant & assign a triage

- notify and mobilize

- inform other team leader

1. Table of Similarities and Differences

	SIMILARITIES	DIFFERENCES
SCENARIO	Explosion/fire	1, 3, 5 - office hours 2, 4, 6 - after office hours
	Team leader informed	1, 2, 5, 6 - will receive patient 3, 4 - will send team to site
		1-4 received call 5-6 received victim
		expect patients 5-6 might receive patients

	SIMILARITIES	DIFFERENCES
STEPS UNDERTAKEN	Declaration of disaster	Acted as commander during my duty
	Informed control director and carry out his orders	Followed team leader on duty when after office hours
	Mobilized my team	Get to operate if not commander or team leader on duty
	Assigned triage
	Managed my team
	Delegated duties of other team leaders

III. The control director acts as the commander

– acts as executive director

– ensures that basic provisions of the plan are disseminated

– maintains liaison with other departments ond organizations involved

– ensures safe and efficient operation of OMMC Surgery in an emergency

– initiates and activates disaster preparedness plan

– he assigns an assistant in cases of his absence

– team captain assumes responsibility in the absence of both

– he does not operate

IV. The triage officer

– team captain

– usually from the team who responds and arrives at the site first

– he is capable of assessing patients and delegate responsibilities of team members

– he sees the victims first then assigns or tags a victim according to severity of condition

• black - non-salvageable

• red - needs critical care/first priority

• yellow - needs acute care/priority 2

• green - primary care patients/priority 3

V. Assistant team captain

– does the major operations

– junior resident assists and performs minor surgeries

– clerks and interns monitor vital signs and assists the residents

VI. Fire in the kitchen

As team leader on duty

- inform control director

- notify and mobilize staff and assign someone to evacuate disaster area

- act as coordinator till DCD arrives

- delegate task of team captain to next resident in line

- assemble team for each patient

- assign as triage