Post-Disaster Evaluation and Reporting

 

Type of Disaster:

Sudden Influx of Patients

            Fire

            Explosion

            Earthquake

Bomb Threat

Others

 

Date and time:

 

Brief description of circumstances behind the disaster and during the declaration of the disaster:

 

 

 

 

 

 

Essential steps undertaken in the disaster control and management (provide details under remarks).

 

Essential steps

Yes

No

Remarks

Declaration of disaster

 

 

 

Creation of an incident command

 

 

 

Notification of

Department Disaster Control Director

 

 

 

Department Assistant Chair for Service

 

 

 

Department Chair

 

 

 

Senior House Officer on duty

 

 

 

          Hospital Director

 

 

 

Mobilization and organization (task assignment and authorization) of surgical and parasurgical staff

 

 

 

Surgical Team on Duty

           Surgical Team Pre-duty

           Surgical Team Post-duty

 

 

 

Surgery Consultants

         Specific specialty consultants

                   General surgery consultants

 

 

 

Parasurgical staff – nurses

         Emergency Room

         Operating Room

                     Surgery Ward

 

 

 

Mobilization and organization of other medical staff as indicated with task assignment and authorization

 

 

 

Mobilization of ancillary services (laboratory, x-ray, pharmacy, etc)

 

 

 

Control of disaster

          Triage

 

 

 

 

Treatment

 

 

 

Referrals

 

 

 

Traffic control

 

 

 

Patient log

 

 

 

Relatives Information Area

 

 

 

Press conference

 

 

 

Decongestion and post-disaster reconstruction

 

 

 

Post-disaster evaluation and reporting

 

 

 

 

 

Problems identified and recommendations for improvement:

 

 

 

 

 

 

 

 

Prepared by: