Disaster (leadership and management) ppt.

disaster management in hospital

1. UNIT XIV: DISASTER MANAGEMENT Presenter: Alina Gaha Asmita Chapagain Khusbu Lama

2. UNIT XIV: DISASTER MANAGEMENT

3. UNIT XIV: DISASTER MANAGEMENT Introduction of disaster Types of disaster Mass causality incidents The process of disaster planning Consequences of disaster Management of disaster at hospital

4. INTRODUCTION The droughts, floods, devastating earthquake, landslides and many others calamities that take place on and off in different parts of the whole world ,make thousands of people to lose their lives, family members, became homeless etc.

5. INTRODUCTION CONT… Disaster is an outcome of calamity of such magnitude and severity that results into deep distress to individual and community due to huge loss of life and property, and social disruption

6. INTRODUCTION CONT… The effect that disaster leaves on the health and economy of individual and community very much depends upon the type of the disaster. Disasters cause great harm to the existing infrastructure and threaten the future of sustainable development.

7. DEFINITION “Any occurrence that causes damage, ecological disruption, loss of human life or deterioration of health and health services on a scale sufficient to warrant an extraordinary response from outside the affected community or area.” -WHO

8. TYPES OF DISASTER A. Natural disaster B. Manmade disaster 1. Meteorological 2. Topographical 3. Environmental 1. Technological 2. Industrial 3. Warfare

9. A. NATURAL DISASTER 1.Meteorological 2.Topographical 3.Environmental Floods - Earthquake - Global Tsunami - Volcanic eruptions warming Cyclone -Landslides - Ozone Hurricane -Avalanches depletion Typhoon -Limnic eruptions - Solar flare Snowstorm Hail storm

10. B. MANMADE DISASTER 1. Accidental Disasters: 2. Intentional Disasters: Nuclear accidents - Terrorist events Chemical - protests and Ecological spontaneous large Transportation scale violence disasters - war related crisis - Refugee movements

11. COMMON DISASTERS OF NEPAL Heavy rain/ Flood Landslide Fire Earthquake Epidemics/Pandemics Industrial accidents Conflict: political/racial Traffic accidents

12. MASS CASAULITY INCIDENTS: A  mass casualty incident  ( MCI  or multiple-casualty incident  or  multiple-casualty situation ) describes an incident such as personnel and equipment, are overwhelmed by the number and severity of casualties.  

13. MCIS CONT… The most common types of MCIs are generally caused by terrorism, mass-transportation accidents, fires or natural disasters. Scene assessment: M.E.T.H.A.N.E. method M  Mass incident declared E  Exact location T  Type of incident H  Hazards present A  Access and egress N  Number of casualties and severity E  Emergency services required

14. MCIS CONT… Agencies and responders: Emergency medical services Fire and rescue Public Safety Specialized teams Hospitals Trauma centers

15. THE PROCESS OF DISASTER PLANNING: Disaster may occur anytime, anywhere, so the planning and preparedness is always required. It doesn’t only focus on the intervention, but also must plan among different departments and organizations.

16. The process of disaster planning cont.. Determine the authority to plan Establish planning committee Conduct risk assessment Set planning objectives Determine responsibilities

17. Disaster planning cont … 6. Analyze resources 7. Develop system and procedures 8. Write the plan 9. Train personnel 10. Test the plans, personnel, system and procedures 11. Review and modify the plan

18. Consequences of disaster Short term and immediate consequences of disaster Social reaction: Panic, fear, antisocial behavior Food and nutrition: shortage of food , destruction of food stock , disruption in food distribution system.

19. c ) Health hazards : Major and minor injuries, Anxiety, neurosis, depression d) Population displacement : establishment of temporary shelter, lack of sanitation facilities, creates shortage of basis supplies.

20. Long term consequences of disaster Ecological imbalance : loss of political boundaries, soil erosion. Environmental health : causes water source pollution, breakage of sanitary system, washing away of sewage. Outbreak of communicable diseases : due to malsanitary condition and inadequate health facilities outbreak of food, water and vector borne diseases is seen.

21. d) Malnutrition : Due to overcrowding lack of food supply occurs which for long term can causemalnutrition problems e) Reduced productivity : Disaster like flood landslide reduce the agricultural and livestock productivity. f) Rehabilitation : people who have been disabled because of calamity might need tertiary medical care like rehabilitation therapy.

22. Disaster preparedness and management in Hospital

23. Disaster preparedness in hospital

24. Formulating policy and action plan Form the disaster management team Train the team Train volunteers Establish triage protocol Identify triage person Disaster preparedness in hospital Continue…

25. Specify triage space premises Establish alarming system Specify protocol Keep stock of medical supplies Identify the means of transportation ambulance and other vehicles Have backup plan Disaster preparedness in hospital Continue…

26. Disaster management in hospital

27. Before the arrival of victims Collect information Appoint commander and vice commander Activate disaster protocol Specify receiving area, triage area

28. Alert all departments Assign definite task Communicate information Suspend all other regular activities except for critical Prepare standardized tags in advances Before the arrival of victims continue…

29. After arrival of victims Receive the victims Control crowd Mobilize nurses and volunteers Screen cases before evacuating the reception area Subjective and objective assessment and categorization

30. Coordination The triage physician decide appropriate place Depending on the protocol, nurses may carryout CPR, starting the IV Communication After the arrival of victims continue…

31. Recording Coordination with other hospital Complete all legal procedures before sending the dead body to morgue Before the arrival of victims continue…

32. Post disaster action Documentation Rearrangements Routine task are resumed Reporting Suggestions Evaluation

33. THANK-YOU!