EXTERNAL DISASTER/ MASS CASUALTY

(MEDICAL/INFECTIOUS)CODE ORANGE

ED DISASTER MANAGEMENT LINK

DISASTER

“A situation or event, which overwhelms the local capacity, necessitating a request to national or international level for external assistance.” – WHO

“Serious disruption of the functions of society, causing widespread human, material, or environmental losses that exceed the ability of the affected society to cope using its own resources.” – UN Management Training Programme

PHASES OF EMERGENCY MANAGEMENT PLAN

MITIGATION Prevent or diminish the negative impact of an emergency on the

wellbeing of the patients, visitors and staff as well as the physical facility.

PREPAREDNESS Identify resources essential to execute the emergency response

and recovery and facilitate their access and utilization. RESPONSE Educate and train the staff to respond effectively to internal

emergencies that effect the environment of care and test response mechanism.

RECOVERY- Plan processes for restoring normality of operations after the incident.

• Applies when there is only a potential for disaster or the disaster is limited nature in terms of anticipated patient load/ severity

ALERT

• Applies when present on-site capabilities are deemed adequate for the anticipated patient load/severity

MINOR

• Applies when the anticipated patient load/ severity is likely to overload present on site- site capabilities such as that additional staffs are required

MAJOR

CODE ORANGE

FLOWCHART

NOTIFICATION OF PATIENT INFLUX

ED/NURSING SUPERVISOR

SEHA/HAAD

POLICE AMBULANCE/CIVIL

DEFENSE

AIRPORT AUTHORITIES

EXISTING PATIENTS

ED B

Admission but awaiting beds

On going treatments

Referrals/consults

TRIAGE

ED reception area

ED physicia

nED nurse/s Interpret

er

Disaster Registration Number ( KT number) will be assigned to each patient.

DISASTER TRIAGE SYSTEM

• Priority 3 - Minor (Walking wounded)

• INTAKE/ PROCEDURE

• OSC IF OPERATIONAL

• Dead (Pulse less / Non-Breathing)

• PEADS FAST TRACK

• Priority 2 - Serious / Delayed (Non-life threatening)

• ED A

• Priority 1 - Immediate (Life threatening Injury)

• CRITICAL AREA

Red Tag

Yellow Tag

Green Tag

Black Tag

PATIENT FLOW IN ED

INFECTIOUS DISEASES

Isolate

Infection control

notification

PPEHAAD

notification

STAFF EXPOSURE

Report to IC • Investigate index case/s and

determine follow up assessment of staff is required

• Establish list of staff exposed (name, badge, date and time exposed and MRN of index case patientReport to EHS

ED INDOOR DECONTAMINATION

Appropriately decontaminate and treat the patient (s) and to isolate the contaminant while protecting hospital staff, other patients, and visitors

Establishment of secured area for patient exposed to biological and chemical agents.

REFERENCE

INDIVIDUAL ROLES & RESPONSIBILITIES

DISASTER FAN-OUT LIST

FORMS USED DURING CODE ORANGE