1 / 51

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents. By Rania M Ali, M.D. Lecturer of Anethesia & Intensive Care Ain Shams University. Objectives. Define a Major Incident Describe the purpose of the Major Incident Plan Understand the phases and build up of the hospital response.

marlin
Download Presentation

The Hospital’s Systematic Approach For Major Incidents

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. The Hospital’s Systematic Approach For Major Incidents By Rania M Ali, M.D. Lecturer of Anethesia & Intensive Care Ain Shams University

  2. Objectives Define a Major Incident Describe the purpose of the Major Incident Plan Understand the phases and build up of the hospital response

  3. Objectives Define a Major Incident Describe the purpose of the Major Incident Plan Understand the phases and build up of the hospital response

  4. 1- Major Incidents Incident which causes so many casualties that special arrangements must be implemented.

  5. 1- Major Incidents Major incidents happen without warning “EXPECT THE UNEXPECTED”

  6. 1- Major Incidents • Simple/ Compound • Minor/ Moderate/ Severe • Compensated/ Uncompensated

  7. 1- Major Incidents Are we ready for the next Major Incident? Flexible and effective response to any Major Incident • Tools: • Major Incident Plan • Well trained staff who are familiar with their roles

  8. Objectives Define a Major Incident Describe the purpose of the Major Incident Plan Understand the phases and build up of the hospital response

  9. 2- Major Incident Plan Why have a Major Incident Plan? The plan describes how the hospital facilities and staff will be re-organised “IF WE FAIL TO PLAN, THEN WE CAN PLAN TO FAIL”.

  10. 2- Major Incident Plan Why have a Major Incident Plan? Without a proper plan the consequences would be chaotic. • How? • Systematic, high quality training • Refreshers at regular intervals • Exercises to translate theory into practice.

  11. 2- Major Incident Plan Remember: If you are reading the major incident plan because a major incident has been declared, then it is too late.

  12. 2- Major Incident Plan Which of the following would you want to include in any Major Incident plan? Clear report to reporting structure so everyone knows who they should report to and where to

  13. 2- Major Incident Plan Which of the following would you want to include in any Major Incident plan? Good communications

  14. 2- Major Incident Plan Which of the following would you want to include in any Major Incident plan? Organisation of wards to cope with a sudden influx of patients

  15. 2- Major Incident Plan Which of the following would you want to include in any Major Incident plan? • Special areas set up in hospital to cater for groups such as relatives, the press & the police

  16. 2- Major Incident Plan Which of the following would you want to include in any Major Incident plan? • Clear set of actions for everyone involved so that staff know their identified role

  17. 2- Major Incident Plan Which of the following would you want to include in any Major Incident plan? • Trolleys set up with all of the additional resources such as case notes

  18. 2- Major Incident Plan The Major Incident Plan should be available in all wards and departments and on the Intranet and includes the action cards.

  19. 2- Major Incident Plan Action Cards Action card should be readily accessible. Action cards describes the duties of key personnel and departments. • It tells you who to report to • It tells you what actions to take • It provides key contact details

  20. 2- Major Incident Plan Casualty labeling system Medical Registration Number (MRN) • At the triage location • Wrist bracelet • Put on each casualty, personal property  • Used on all documentation , • blood transfusion and • diagnostic procedures

  21. Objectives Define a Major Incident Describe the purpose of the Major Incident Plan Understand the phases and build up of the hospital response

  22. The Hospital Response

  23. Pre-hospital Phase • Moves people from the scene to definitive care • Variable levels of treatment at scene

  24. Pre-hospital Phase Roles for receiving hospitals To liaise with the ambulance service, other hospitals and agencies in order to manage the impact of the incident To provide on site medical care and advice!!?

  25. Pre-hospital Phase Alerting Messages “MAJOR INCIDENT – STANDBY” “MAJOR INCIDENT CANCELLED” “MAJOR INCIDENT DECLARED – ACTIVATE PLAN”, “MAJOR INCIDENT – CASUALTY EVACUATION COMPLETE” “MAJOR INCIDENT STAND DOWN”

  26. Pre-hospital Phase • By • The ambulance communications centre team leader • The ER department consultant • The co-ordinating team that has been assembled in response to a MAJOR INCIDENT – STANDBY message. “IF IN DOUBT, SHOUT IT OUT”

  27. Pre-hospital Phase Message record the following information • Type/ location / time of incident • Estimated number of casualties • Predominant nature of injuries • Time of message • Which other hospitals, if any, have been alerted • Name and telephone number of the person giving the information

  28. The Hospital Response

  29. Reception Phase Allocation of Responsibilities Hospital Management Team

  30. Reception Phase • Preparation of the hospital • Dependent upon time from alert to patient arrival • Pre-allocation of staff and • resources speeds the • preparation time

  31. Reception Phase Preparation of the hospital

  32. Reception Phase Preparation of the hospital

  33. Reception Phase • Preparation of the hospital • Reception areas initially • Reconfiguring emergency department • Current state and capacity of ICU and theatres • Managing current patients • Ward clearance

  34. Reception Phase Is the following statement true or false? All staff involved in the Major Incident Plan, must ensure that they wear their identification badge.

  35. Reception Phase • Priorities of treatment in the Emergency Department • Life saving resuscitation • Clinical Assessment • Definitive management

  36. Reception Phase Triage The sorting of multiple casualties into categories by priority “THE MOST IS DONE FOR THE MOST” The triage category of patients may change if their condition improves or deteriorates

  37. Reception Phase • Transport in the Emergency Department • Surgery • ICU • Admit • Home

  38. The Hospital Response

  39. Definitive care phase Where might definitive care take place?

  40. Definitive care phase

  41. Definitive care phase • Priorities • Triage • Initial treatment/ resuscitation • Definitive management/ Surgery

  42. Definitive care phase Which services will be required to support the clinical response?

  43. Definitive care phase Which services will be required to support the clinical response?

  44. Definitive care phase The Dead Body holding area Forensic medical services Evidence retention

  45. The Hospital Response

  46. The Recovery Phase • The management of a Major Incident can continue long after the Stand Down. • Resolution • Reflection • Audit

  47. The Recovery Phase • Resolution • Staffing rotas • Restocking equipment, drugs etc. • Ongoing surgery and other treatment • Rescheduling of cancelled activities

  48. The Recovery Phase • Reflection • Debriefing of staff: “hot” debrief immediately after the stand down • Psychological support and counseling to the injured, survivors and relatives

  49. The Recovery Phase • Audit • Evaluate Major Incident response • Identify the lessons to be learned. • Rewriting of the Hospital Major Incident Plan

  50. Summary • A major incident is a significant event which causes a disruption to the service. • Plan, train and respond to any major incident considering 4 phases • Pre-hospital • Reception • Definitive Care • Recovery

More Related