HCA 675 Emergency Preparedness and Response Planning for Disasters in a Hospital

HCA 675 Emergency Preparedness and Response Planning for Disasters in a Hospital

HCA 675 Emergency Preparedness and Response Planning for Disasters in a Hospital

Disaster preparedness and readiness are some of the key concerns that hospital administrators have to take into account. In the event of an occurrence, a balance between the protection of patients and the delivery of care must be consolidated to guarantee quality health services (Sherman & Wedge, 2015). In the present case scenario of an explosion, the information conveyed about the incidence remains scanty, conflicting and not confirmed to warrant a formidable change in the current care facility. However, due to the nature of the occurrence of the disaster, thoughts can be made on the possibility of traumatic injuries (Balazs et al., 2015). The premise is predicated on the context that the victims sustain injuries from debris of the factory or during a stampede as they sought help. As such, the initial response at the Emergency Department of the facility will focus on providing immediate care to trauma patients. The facility will mobilize resources in readiness for the casualties until reliable and credible information from the site is reported.

Information about the site of the explosion and the potential number of casualties will be key in guiding decisions at the care facility. Guided by this argument, all the necessary reports will be singled sourced from the incident commander of the response team. Alternatively, if there is no Incident Command System, then reliable and accurate information about the incident can be obtained from the police reports at the time of the incident (Falcone & Detty, 2015). A clear protocol of communication will be adhered to in a bid to ensure that the reports given are clear and accurate. Besides, the hospital staff will be sensitized against receiving misleading and conflicting information from unauthenticated sources.

Response to the aforementioned case will depend on the clear networks of information at the scene. To achieve this, the Emergency Operations Plan at the facility and the Incidence Command System at the site of the disaster will be activated (Steiner, 2017). For this to happen, radio systems will be procured and installed at the site of the disaster as well as in the care facility. Emergency call numbers will also be availed to receive alert information about the patient cases from the site of the disaster. The approach will allow the emergence department to determine the number of emergent, urgent and non-urgent cases from the scene of the explosion (Mair, Ritchie & Walters, 2016). The premise will guide in the prioritization of care and manage resources at the facility. Nonetheless, the blood bank at the care facility will as well be alerted so that they prepare for an increased volume of blood that will be needed to stabilize the cases presented.

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Considering the magnitude of the trauma cases, there is a possibility of disruption of the normal function at the care

HCA 675 Emergency Preparedness and Response Planning for Disasters in a Hospital
HCA 675 Emergency Preparedness and Response Planning for Disasters in a Hospital

facility. However, in order to minimize these disruptions, many patients, especially those with minor injuries, will be cleared from the emergency department (Sherman & Wedge, 2015). Besides, patients who are stable and can receive home care will be discharged from the facility to decongest the in-patient units. Within the facility, the trauma teams will be alerted about the numbers of patients expected, the time for their admissions and the extent of the injuries sustained (Balazs et al., 2015). Moreover, prior to admissions of the patients, the number of staff present at the facility to manage the case will be determined in a bid to optimize quality care to the victims. Besides, monitoring the available resources at the facility will be crucial as it helps to find a balance between the health staff and the rates of supplies required for treating the cases presented (Falcone & Detty, 2015). In order to minimize disruption at the facility, it will be imperative to give priority to the cases from the event so that their conditions are stabilized and those with minor injuries to be discharged.

 

References

Balazs, G. C., Blais, M. B., Bluman, E. M., Andersen, R. C., & Potter, B. K. (2015). Blurred front lines: triage and initial management of blast injuries. Current reviews in musculoskeletal medicine8(3), 304-311.DOI: 10.1007/s12178-015-9288-5.

Falcone, R. E., & Detty, A. (2015). Natural disasters: Hospital management. Emergency Medicine Reports36(23).

Mair, J., Ritchie, B. W., & Walters, G. (2016). Towards a research agenda for post-disaster and post-crisis recovery strategies for tourist destinations: A narrative review. Current Issues in Tourism19(1), 1-26.

Sherman, C., & Wedge, D. (2015). Boston Strong: A City’s Triumph Over Tragedy. ForeEdge from University Press of New England.

Steiner, N. (2017). Medical Management of Disasters and Mass Casualties from Terrorist Bombings: How can we cope? Management in Health21(3).

At any time, a natural disaster or even a patient can become violent. In preparing the staff and having a plan in place is definitely useful to prepare. Drills must be done frequently in order to keep the routine and prepare themselves for what is to happen. If an organization is not prepared this can place a person life in danger. The hospital has a chart system for a patient who may be violent it is based of four categories, Type I: no association, Type II: Perpetrator Is a patient or costumer of the workplace or employees., TypeIII: A current or former employee of the workplace, and Type IV: Preparator has a personal relationship with employees, none with the workplace( Evans, 2017).

The resources are the front-line workers first responders which are usually the fire fighters, police and the response team for the hospital that is preparing for the number of individuals who are coming into the ED. A unit has to be prepared to have these individuals to receive medical attention also the staff that is on call to these responses are also notified.

I would prepare in expanding more hospitals and calling on our military to build more hospitals in a separate area with a team  trained for these situations and ready to receive patients in need. This will eliminate the over flow. I would also reassure my staff to stay calm throughout this situation.

 

References

Evans, G. (2017). Boston Strong: Raising a Voice Against Hospital Violence. Hospital Employee Health36(1), 1–4.

 

From your point of view, it is true that lack of adequate preparedness may put the patient’s life in danger. In most cases, victims of disasters are in critical conditions and require immediate attention. A hospital faced with such patients need to have comprehensive measures to enable them manage patient influx. Since disaster are accidental and do not give much time for preparation, there is the need of the hospital to hold emergency meetings so as to create awareness of the number of patients to expect as well the severity of their conditions. The hospital need to engage nurses and other medical professionals in order to be able to manage the high number of casualties expected (Vick, 2017). The hospital is able to obtain authentic information from the first responders including fire fighters, rescuers, police and the response team.

Usually, disaster preparedness requires the attention of everyone, from the public, social workers, medical professionals and the security agencies. Besides, media is critical in ensuring effective practices when it comes to the reporting of cases and the possible number of causalities (Vick, Wilson, Fisher, & Roseamelia, 2017). The management of the increase in the number of patients in the hospital need expansion of services and the medical team. The above case may ensure the continuity in the normal operation processes as well as the management of new patients from the point of disaster. Because the medical staff have already been trained on various issues on how to manage patient influx in a healthcare facility as well as the increase in the number of casualties, there is only the need for minor interventions in the training processes. However, the hospital need to arrange for more facilities and the nursing staff to enhance treatment processes for casualties.

References

Vick, D. J., Wilson, A. B., Michael Fisher, D. B. A., & Roseamelia, C. (2018). Assessment of community hospital disaster preparedness in New York State. Journal of emergency management, 16(4), 213-227.