HMIMMS Hospital Major Incident Medical Management and Support ICDM Inter-Governmental Committee on Disaster Management IDNDR International Decade for Natural Disaster Reduction KPM Inter-Ministerial Committee on Disaster Management KPA Key Performance Area. NESF National Emergency Medical Services Strategic Framework NIDMC National Interdepartmental Committee on Disaster Management PHC Primary Health Care.
INTRODUCTION
- BACKGROUND & MOTIVATION
- HAZARD IDENTIFICATION
- DISASTERS IN SAUDI ARABIA
- DISASTER PREPAREDNESS
- DISASTER PREPAREDNESS IN THE SAUDI ARABIAN MILITARY
- PURPOSE OF THE STUDY
- RESEARCH QUESTION
- AIM AND OBJECTIVES
The central and eastern regions of the kingdom often experience dust or sandstorms. What is the level of disaster preparedness of the emergency services at three military hospitals in Saudi Arabia.
METHODOLOGY
- METHODOLOGY
- STUDY SETTING
- STUDY DESIGN
- EMERGENCY CARE
- DISASTER PREPAREDNESS
- STUDY POPULATION
- DATA COLLECTION & MANAGEMENT
- DATA ANALYSIS
- INCLUSION AND EXCLUSION
- ETHICAL CONSIDERATIONS
- DESCRIPTION OF RISKS AND BENEFITS
- PRIVACY AND CONFIDENTIALITY
This study reviewed standard operating procedures by requesting all disaster plans and SOPs from EU management and leadership at each of the hospitals. The purpose of the study was made clear and the sharing of material was entirely voluntary.
RESULTS
DISASTER PREPAREDNESS AND EMERGENCY MANAGEMENT
93.2% of respondents reported that their hospitals collaborate with other health services (which include local EMS, emergency management, Red Crescent and the health department). 90.9% of responses (92.5% in the central and 75% in the western region) indicated that the plan was widely disseminated and readily available throughout the hospital/healthcare facility.
CAPABILITY IN HANDLING COMMUNICABLE DISEASES
97.7% of respondents reported that their hospitals' plans specify the number and location of isolation or protective environmental rooms. Does the facility currently have:. urgent care capacity and extra capacity?. of all microbiological results and stratify according to the organism?.
PROCESS OF IDENTIFICATION OF AUTHORIZED PERSONNEL
An established baseline for the number of patients seen in the institution's emergency unit, outpatient clinics or through direct admission, stratified by clinical symptoms?. Only 75% of respondents from the western region reported that they had determined how people would be identified within the facility.
ACTIVATION OF THE HOSPITAL DISASTER PREPAREDNESS PLAN
DISASTER PREPAREDNESS AND EMERGENCY ALERTING SYSTEM
HOSPITALS DISASTER PREPAREDNESS AND RESPONSE
97.7% of responses had established arrangements for receiving the Ambulance Liaison Officer, where this figure was only 75% of responses from the Western Region. 95.5% of respondents reported having arrangements in place to accommodate the police documentation team, with this figure being only 50% responses from the Western region. 90.9% of respondents reported that their emergency department covers special arrangements needed if children are involved in an incident.
84.1% of respondents reported that their emergency departments had the option of additional mortuary facilities, with only 82.5% responding from the central region.
HOSPITAL DISASTER OPERATIONS CENTRE
Have procedures for the Operations Center to specify a . chain of command and communication channels for key position holders within the Operations Center?. Are provisions (eg space, equipment, communications) made for additional people who may come to the hospital to provide services (eg volunteers and outside agencies) if local or other agency assistance is required? who respond to disaster relief.
DISASTER PREPAREDNESS AND EMERGENCY SECURITY PROTOCOL
Whether special communication networks have been established and tested to maintain communication between the facility and the local disaster management service.
HOSPITAL COMMUNICATIONS SYSTEM
HOSPITAL INTERNAL TRAFFIC FLOW AND CONTROL
HOSPITAL EXTERNAL TRAFFIC FLOW AND CONTROL
HOSPITAL VISITOR POLICY DURING DISASTER
88.6% of respondents reported having facilities to focus on; waiting areas, with supportive escort, away from the emergency unit to minimize unwanted access from relatives and friends of disaster victims. 88.6% of respondents had provision for a job holder to monitor and resolve household issues raised by visitors, and the plan includes arrangements for dealing with VIP visits following a major incident. of respondents said they have a plan to include a mechanism to deal with the expected increase in visitors and curious onlookers trying to gain access during disasters, and to create a space of privacy to inform relatives about the death of their loved one.
Has provision been made to: Establish waiting areas, with supportive counselling, away from the Emergency Unit to minimize unwanted access to the family and friends of disaster victims?
MEDIA PROTOCOL: INFORMATION DISSEMINATION PROCESS
RECEPTION OF CASUALTIES AND VICTIMS
97.7% of respondents reported having a plan to separate/isolate accident victims from the rest of the hospital if those victims are contaminated (eg, hazardous materials), and the plan takes into account the need for a single point of entry for all accident victims. . 100 C) Additional resources such as interpretation services, linens, pharmaceutical needs, dressings, etc.? .. organized to deal with the influx of casualties .. 102) Is there a system for the safekeeping and safekeeping of personal items removed from the injured?. 103) Is there a plan to separate/isolate accident victims from the rest of the hospital if those victims are contaminated (eg hazardous materials).
Does the plan consider the need for a single access point for all casualties from the incident?
HOSPITAL EVACUATION
RELOCATION OF PATIENTS AND STAFF
79.5% of respondents reported that they have procedures in place to arrange for patients to be assigned to their homes when appropriate. Question Total Central Western . 108) Is it planned to move patients and staff to the immediate safe haven area in the hospital if the area needs to be evacuated or staff and patients relocated?. Have satellite locations been pre-determined and confirmed for patient and staff accommodation in case of evacuation?.
Is immediate shelter, care and comfort provided for patients and staff on the hospital grounds in bad and winter weather.
HOSPITAL OUT OF COMMUNICATION OR CUT OFF FROM RESOURCES
respondents reported having designated transport resources for patients who need to be moved in hospital beds, on ventilators and connected to specialized equipment, that there is a schedule plan that governs the time of the move, assigned staff, including the assignment of specialist staff, patient priority when moving to certain locations, care was taken to provide immediate shelter, care and comfort for patients and staff in the hospital area in bad and winter weather. Have arrangements been made with other healthcare facilities to transfer patients if the facility is unable to support patient care?. Have transportation resources been designated for patients who need to be moved in hospital beds, on ventilators, and connected to specialized equipment? .. 113) Is the transfer of patient files and documents foreseen?.
In the event that the hospital/health center is completely out of communication or cut off from resources, the plan has assigned job holders who are responsible for the following A) Assistance powers .. patients and visitors to assist staff with tasks?.
EQUIPMENT, SERVICES, FACILITY, AND LABORATORY ASSESSMENT
100% of respondents reported that their hospital has the following equipment: ventilators (adults), infusion pumps, suction machines, beds, linens, spinal boards, stretchers, and wheelchairs. 97.7% of respondents said they have plans that include measures to ensure that hand washing/sanitizing measures can be put in place. 93.2% of respondents indicated that a current level of medical supplies is maintained within the facility and readily available (days), especially personal protection items (i.e., masks, gloves, eyewear) and that local suppliers of medical equipment are identified and 24-hour contact numbers for these suppliers.
90.9% of respondents reported that a current level of linen is maintained and readily available (days), the facility can seal off air intakes and the plan includes measures to ensure adequate amounts of personal protective equipment.
PHARMACEUTICALS
HOSPITAL POST DISASTER RECOVERY PROTOCOL
81.8-86.4% of respondents agreed that their facilities had plans to address the following programs: Critical Incident Stress Debriefing Program, Employee Assistance Program, group/individual counseling services, and a Family Support Program.
PERSONNEL EDUCATION AND TRAINING ON DISASTER PREPAREDNESS
Does the plan include methods for promotion and .. exceptional training for new and changed roles?. Does the program provide ongoing disaster education to facilitate staff awareness and course of action? Does the program have joint cross-organizational training sessions dealing with common aspects of disaster response?
143) Does the plan specify appropriate health and safety measures that staff must be aware of.
DISASTER PLAN DRILL AND SIMULATIONS
DISCUSSION
DISCUSSION
16 Most of the hospitals included in this study had a disaster coordinator, except for one hospital in the western region. 22 Two-thirds of the hospitals had locations identified for press briefings, and this is half in the western region. Over 84% of respondents reported that their hospitals had plans to address hospital surge capacity.
Most of the hospitals in the central region have procedures in place for the orderly assignment of patients to home, except in the western region only 25% of responses.
LIMITATIONS
Disaster plan training and simulation improves disaster preparedness, identifying and correcting potential errors that may occur during the implementation of the disaster plan to avoid major incidents. Training and disaster programs are important to improve the level of disaster response, but are lacking in almost one-third of the hospitals that participated in the questionnaire.
CONCLUSION
RECOMMENDATIONS
Emergency nurse disaster preparedness during mass gatherings: a cross-sectional study of emergency nurses' perceptions in hospitals in Mecca, Saudi Arabia. Evaluation of mass casualty disaster preparedness in private hospitals in central Saudi Arabia. Hospital Disaster Preparedness in Italy: a preliminary study using the World Health Organization Hospital Emergency Response Evaluation Toolkit.
Disaster Management Preparedness Assessment Among Dhahran Al Janoub General Hospital Staff During Hazm Storm Support 1436/2015.
DISASTER PLANNING ASSESSMENT TOOL
Does the plan define the communication tree linking the internal spokesperson to external spokespersons for Disaster Management or other lead agencies. In the event that the hospital/healthcare facility is completely out of communication or disconnected from resources, the plan designates positions responsible for the following A) Auxiliary power. Does the plan include measures to ensure the ability to provide hand washing/sanitization measures?.
145) Does the exercise ensure that all key participants are familiar with the content of the plan?.
SUBMITTED STUDY PROTOCOL
What is the level of disaster preparedness of the Riyadh Armed Forces Hospital EMS services. Next, the researcher will use a modified checklist to allow for a systematic description of the readiness of ambulances and EMS personnel at a military hospital. In addition, convenience sampling allows generalization of information about a military hospital's EMS readiness.
This will give the researcher sufficient insight into the level of preparedness of the military hospital's EMS.
TIME FRAME
BUDGET
LOCAL HREC REF: 1401
