The Hospital’s Systematic Approach For Major Incidents

1. Define a Major Incident

2. Describe the purpose of the Major

Incident Plan

3. Understand the phases and build up of

the hospital response

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

Incident which causes so many casualties that special arrangements must be implemented.

The Hospital’s Systematic Approach For Major Incidents

Major incidents happen without warning

“EXPECT THE UNEXPECTED”

The Hospital’s Systematic Approach For Major Incidents

• Simple/ Compound• Minor/ Moderate/ Severe• Compensated/ Uncompensated

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

“IF WE FAIL TO PLAN,

THEN WE CAN PLAN

TO FAIL”.

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

Clear report to reporting structure so everyone knows who they should report to and where to

The Hospital’s Systematic Approach For Major Incidents

Good communications

The Hospital’s Systematic Approach For Major Incidents

Organisation of wards to cope with a sudden influx of patients

The Hospital’s Systematic Approach For Major Incidents

•Special areas set up in hospital to cater for

groups such as relatives, the press & the police

The Hospital’s Systematic Approach For Major Incidents

•Clear set of actions for everyone involved so

that staff know their identified role

The Hospital’s Systematic Approach For Major Incidents

• Trolleys set up with all of the additional

resources such as case notes

The Hospital’s Systematic Approach For Major Incidents

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

The Hospital’s Systematic Approach For Major Incidents

•It tells you who to report to•It tells you what actions to take •It provides key contact details

The Hospital’s Systematic Approach For Major Incidents

•At the triage location•Wrist bracelet•Put on each casualty,

personal property •Used on all documentation , blood transfusion and diagnostic procedures

Casualty labeling systemMedical Registration Number (MRN)

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

• Moves people from the scene to definitive care

• Variable levels of treatment at scene

The Hospital’s Systematic Approach For Major Incidents

1.To liaise with the ambulance service, other hospitals and agencies in order to manage the impact of the incident

2. To provide on site medical care and advice!!?

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

“IF IN DOUBT, SHOUT IT OUT”

The Hospital’s Systematic Approach For Major Incidents

• 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

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

“THE MOST IS DONE FOR THE MOST”

The triage category of patients may change if their condition improves or deteriorates

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

The management of a Major Incident can

continue long after the Stand Down.

•Resolution

•Reflection

•Audit

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

The Hospital’s Systematic Approach For Major Incidents

• Pre-hospital• Reception• Definitive Care• Recovery