DISASTER MANAGEMENT PROTOCOL & RESPONSIBILITY
INCIDENT
COMMANDER
Administrator (Chairman)/MS/Chair
person of disaster committee/
emergency physician.
Confirms Disaster
Authorizes announcement of disaster.
Determines major/minor disaster.
Notifies all HODs & ND.
Direct PROs when to have Press
meet.
Communicates with nearby hospitals.
PUBLIC RELATION
OFFICER
Coordinate with MS/DMS.
VIP Management.
Media Management.
INFORMATION DESK
SETUP
All patients enquiry to be channelized
to main reception (1st floor).
A messenger will be appointed for
data collection.
MS to appoint a person for
communication (Usually a doctor).
VISITOR CONTROL
CENTER
Done by security in front lobby.
Family of causalities will be waiting
there.
Personnel involved
A hospital staff (security)
Social service staff.
Volunteers
Record visitor names.
TRIAGE/ER NURSE
Fills out disaster tag (Triplicate).
Collecting patient identification
details, list of injuries etc.
May use patients trauma assessment
chart for further records.
Use disaster tag no. For identification.
Top sheet of disaster tag made
available to MRD.
Do aggressive resuscitation.
Fill appropriate lab slips & Xray/ CT
requests.
Patient information slips given to
command center.
If transferred outside indicate in
disaster tag.
Sign disaster tags.
TRIAGE TAG
A Triage tag is a prefabricated label
placed on each patient that serves to
accomplish several objectives:
Identify the patient.
Bear the record of assessment
findings.
Identify the priority of the patients
need for medical treatment and
transport from the emergency scene.
Track the patients progress through
the triage process.
Identify additional hazards such as
contamination.
INHOUSE TRIAGE DONE BY SENIOR NURSE/ ED
DOCTOR
Canadian Triage and Acuity Scale(CTAS)
Level Description Should be seen by Color code
provider within
1 Resuscitation 0 minutes Blue
2 Emergency 15 minutes Red
3 Urgent 30minutes Yellow
4 Less urgent 60 minutes Green
5 Non urgent 120 minutes White
The Canadian triage and acuity scale (CTAS) has five levels:
Level1: Resuscitation-Conditions that are threats to life or limb.
Level 2: Emergency- Conditions that are potential threat to life, limb or functions.
Level 3: Urgent- Serious conditions that require emergency intervention.
Level 4: Less urgent- Conditions that relate to patient distress or potential complications
that would benefit from intervention.
Level 5: Non urgent – Conditions that are non urgent or that may be part of a chronic
problem.
ADMITTING OFFICE
Notifies command center if internal
disaster is involved.
Announces code orange / red.
Cancels non emergency admissions &
Ops
Refers public calls & press to
information desk.
Helps discharge of stable hospital
patients.
ER/ICU TECHNICIAN
All ICU technicians are pooled in at
ER.
Keep ambulance ready.
Keeps adequate supply of cannulas,
masks & flow meters.
Obtain additional respirators &
equipments.
Assist in treatment areas.
Keep resuscitation equipments ready.
ICU INCHARGE/STAFF
Prepare to admit more critically ill
patients.
Evaluate for transfer.
Use established discharge criteria as a
guide.
Ask for more man power.
BLOOD BANK
Finds resources to get more units of
blood.
Communicates with nearby blood
banks & alerts them.
Contacts Volunteers.
FACILITY MANAGER
Assign a person for communications
(IT) in ER
Prepare for expansion along with
maintenance.
Send for extra supplies needed from
purchase, laundry & dietary.
Prepare for evacuation of patients
during internal disaster.
Arrangement of wheel chairs &
trolley.
Elevators only for patients /
equipments.
PURCHASE
DEPARTMENT
Extra supplies will be obtained.
Order outside supplies.
Large Plastic bags are made available
for patient belongings and valuables.
Plan for - Where to order ; How to
bring inside
Prepares to supply all departments.
Have an up to date list of supplies
who can quickly supply extra
materials.
DIETARY
Prepares to serve ambulatory, IP &
staffs.
Sets up menus in disaster.
Maintain adequate supplies
MAINTENANCE
Maintains full operations of all
facilities.
Responsible for setting extra bed if
needed.
All entrance should be locked except
employee entrance, ER door, Front
lobby.
Helping to shift the victims.
HOUSE KEEPING &
LAUNDRY
Available to help clean receiving
area.
Clean treatment areas in between
cases.
Cleaning carts & equipments.
OT & CSSD
OT technician & staff incharge
supervise OT.
Check supplies and equipment.
Ask for additional help to carry out
surgery.
Assign & direct scrub nurses &
circulate.
Notify ER when OT is available.
Maintain adequate Anasthesia & drug
supplies.
Process additional supplies quickly, if
needed.
RADIOLOGY
HOD find out number of victims
involved & mode of injury.
Technician on duty will be alerted.
Call all personnel needed.
Senior technician will be the incharge
till the arrival of HOD.
Coordinates flow of work.
Arrange for extra supplies.
LAB
Call all personnel needed.
Arrange for extra containers,
evaluation kit & supplies from local
area agencies.
PHARMACY
Have list of drugs suppliers, who can
supply emergency drugs shortly.
Have a runner to deliver medications.
Always keep necessary stock of
emergency drugs.
PHYSIOTHERAPY
Be prepared to accept walking
wounded.
Provide assistance in ER as needed.
ECG DEPARTMENT
Obtain additional equipment &
supplies.
Assist in treatment areas & support in
ER.
SECURITY
Have plans to manage large crowd.
Traffic control.
MEDICAL RECORDS
Assign person responsible for
maintaining casualty lists.
Helps in ER entry.
Coordinate with information desk.
Labels victims belongings.
Identification of dead & disposal.
Maintaining documents / case sheets
of victims.
CADAVER LAYING
AREA
Tag the body with disaster tag.
Details sent to information desk.
Bodies stored in Cadaver laying area.
Identification- fill in tag.
Inform medical records.
Maintain records of the removing
agency.
Complete paper work.
FINANCE
DEPARTMENT
Keep vouchers and hospital bills, etc
for reimbursement.
PROCEDURE FOR
TRANSFER
A copy of patient records.
X rays.
Lab reports.
Prior intimation & permission.
Doctor to doctor communication.
Certification of transfer- Doctor,
Nurse & Patient.
Prepare for safe transfer.
COMMAND CENTER (NUCLEUS)
Communication to MS/DMS office.
All HODs will report
Announces disaster
Internal & external communication.
Telephone lines made available.
Separate line for communication to external command center.
Receiving outside calls.
Instructs regarding
Type of disaster
Number of victims.
Nature of injuries
Cancels all elective procedures.
Ask for help from
District administration
Local police
Volunteer organisation
Traffic police
EMS
