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Questions and Answers

In the emergency reporting structure, which role directly reports to the Emergency Controller?

  • Team Leader (Ward A)
  • Nurse Manager
  • Hospital Manager (correct)
  • Deputy Shift Emergency Controller

During an emergency, who is likely to wear YELLOW identification vests?

  • Traffic Control Volunteers
  • Nurse Managers (correct)
  • Administration Staff
  • Doctors in the Emergency Center

Which of the following resources would be MOST essential to have in an Emergency Control Centre to effectively manage a disaster?

  • A supply of non-emergency stationery
  • A guest book for visitors
  • A list of local restaurants
  • A copy of the Disaster Management Plan (correct)

In the event of an evacuation, what is the PRIMARY responsibility of the Zone Marshalls?

<p>To ensure calm and instruct occupants to evacuate safely (B)</p> Signup and view all the answers

If a METHANE message is initiated, what information is MOST likely being communicated?

<p>Details of an external emergency (D)</p> Signup and view all the answers

Based on the provided information, which department is MOST likely responsible for coordinating patient care activities in the Nursing Units during an emergency?

<p>The Nurse Manager (C)</p> Signup and view all the answers

Considering the information about neighboring properties, what is the MOST likely purpose of securing a hall in a neighboring building?

<p>To accommodate patients (C)</p> Signup and view all the answers

During an emergency, which color vest would identify personnel responsible for ensuring the well-being of children?

<p>Pink (B)</p> Signup and view all the answers

What is the primary reason for annual sign-off on evacuation route plans by the head of department?

<p>To verify the plan's accuracy, correct orientation and relevance. (C)</p> Signup and view all the answers

What is the primary responsibility of a healthcare facility in the context of major incident management?

<p>To identify risks, maintain an incident management plan, and ensure regular training. (B)</p> Signup and view all the answers

Which standards must evacuation route plans comply with?

<p>SANS 10400-T:2011 &amp; SANS 23601:2010 (C)</p> Signup and view all the answers

An organization is introducing new safety signage. Which set of SANS standards is MOST relevant to ensure the signage is compliant?

<p>SANS 1186-1, SANS 1186-3, SANS 1186-5 (B)</p> Signup and view all the answers

How frequently should a healthcare facility's Major Incident Management Plan be reviewed and updated?

<p>At a minimum of every six months, to ensure relevance and effectiveness. (C)</p> Signup and view all the answers

What determines the maximum viewing distance of safety signage, according to SANS 10114-2?

<p>The vertical dimension of the sign. (A)</p> Signup and view all the answers

In the event of an external major incident, what role does a healthcare facility play in coordinating patient care during the pre-hospital phase?

<p>Organizes care through the Provincial Health Operations Centre. (A)</p> Signup and view all the answers

Which factor is MOST critical when determining the type of illumination (internal, external, or photoluminescent) for safety signage?

<p>Compliance with SANS 1186-1, SANS 1186-3, SANS 1186-5 and SANS 1464-22. (A)</p> Signup and view all the answers

During an internal major incident that escalates into a disaster, what is the healthcare facility's responsibility regarding coordination through the Provincial Health Operations Centre?

<p>To shift coordination of actions to the Provincial Health Operations Centre. (B)</p> Signup and view all the answers

Why is conducting regular training and mock drills important for a healthcare facility's major incident management?

<p>To test the effectiveness of the incident management plan and staff preparedness. (B)</p> Signup and view all the answers

Why is it important for all staff to be aware of the location of fire extinguishers and fire hoses?

<p>To ensure efficient response during a fire emergency. (D)</p> Signup and view all the answers

In the context of emergency preparedness, how do evacuation route plans and firefighting equipment knowledge complement each other?

<p>Evacuation plans guide people to safety, while firefighting equipment enables a response to contain or extinguish the fire. (A)</p> Signup and view all the answers

What is involved in identifying potential risks within a hospital setting for major incident management?

<p>Evaluating a broad range of internal and external threats that could impact the hospital. (A)</p> Signup and view all the answers

A hospital is developing its Major Incident Management Plan. Which of the following is the MOST critical first step?

<p>Identifying potential risks specific to the hospital's location and services (B)</p> Signup and view all the answers

An organization decides to change its evacuation route plan. What is the MOST important step after implementing the new plan?

<p>Communicate the changes and ensure the updated plan is signed off. (A)</p> Signup and view all the answers

During a widespread community emergency, a hospital activates its Major Incident Management Plan. What action demonstrates effective coordination with the Provincial Health Operations Centre?

<p>Sharing real-time data on available bed capacity and resource needs with the Provincial Health Operations Centre. (B)</p> Signup and view all the answers

In what scenario should doors and windows be opened during an evacuation?

<p>When evacuating due to a bomb threat to vent the blast. (C)</p> Signup and view all the answers

What is the PRIMARY action Zone Marshals should take at the assembly area following an evacuation?

<p>Take roll-call and report the evacuation status to the Emergency Controller. (D)</p> Signup and view all the answers

During an evacuation, why is it important to keep to the left-hand side of the walkway?

<p>To facilitate smooth flow and allow priority to those closest to the danger. (A)</p> Signup and view all the answers

What specific instruction should be given to women wearing high-heeled shoes during an evacuation, and why?

<p>Remove them for safety reasons, as they can impede movement. (D)</p> Signup and view all the answers

Under what circumstance is upward evacuation permissible?

<p>Only if no other evacuation alternative exists. (D)</p> Signup and view all the answers

What is the correct procedure for reporting the roll-call status to the Emergency Controller?

<p>Report only the names of missing persons and extra persons, or 'zone X all accounted for'. (A)</p> Signup and view all the answers

Besides fire, what other events may necessitate an emergency evacuation?

<p>Chemical spillage, flooding, explosion, bomb threat, earthquake, or structural damage. (D)</p> Signup and view all the answers

What action should be taken by a Zone Marshal before they are the last to leave a room or area?

<p>Physically check to ensure that everyone has left. (C)</p> Signup and view all the answers

During a 'Code Blue' alert, what is the MOST immediate action that hospital staff should prioritize?

<p>Initiating life-saving measures for a patient in cardiopulmonary arrest. (B)</p> Signup and view all the answers

A nurse discovers a suspicious package in the hospital lobby. According to the Mediclinic Newcastle emergency codes, which code should be activated?

<p>Code Black (D)</p> Signup and view all the answers

In the event of a 'Code Orange', what is the primary concern for staff regarding the hazardous material or chemical spill?

<p>Preventing exposure and containing the spill. (B)</p> Signup and view all the answers

Which code necessitates securing the premises and vigilance among staff due to the potential of a missing child?

<p>Code Pink (D)</p> Signup and view all the answers

A hospital employee notices smoke and flames coming from a storage room. Which code should they immediately report?

<p>Code Red (B)</p> Signup and view all the answers

During a Code Grey, what should the hospital staff's primary objective be?

<p>To de-escalate the situation and protect patients and staff members. (D)</p> Signup and view all the answers

A severe weather event is anticipated to impact the hospital. Which code would be MOST appropriate to activate in preparation for potential infrastructure damage and patient safety?

<p>Code Yellow (C)</p> Signup and view all the answers

Which of the following events would MOST likely trigger a 'Code Green'?

<p>A nearby chemical plant explosion releasing toxic fumes. (C)</p> Signup and view all the answers

In a designated emergency area, what is the primary responsibility of staff members according to the provided guidelines?

<p>To remain in their normal work area and follow the instructions on their Action Card. (D)</p> Signup and view all the answers

What is the role of the Zone Marshall in the context of emergency response?

<p>To distribute action cards and assign duties to additional staff. (A)</p> Signup and view all the answers

What communication method is specified for Zone Marshalls, Surgeons, and the Emergency Centre during an emergency?

<p>Cell phones (C)</p> Signup and view all the answers

According to the triage guidelines, which of the following conditions would classify a patient as RED (critical or life-threatening)?

<p>A patient with partial airway obstruction. (C)</p> Signup and view all the answers

Which of the following patient conditions would be categorized as YELLOW (serious) in triage?

<p>A patient experiencing shock. (B)</p> Signup and view all the answers

A patient presents with an open fracture and abnormal neurovascular parameters. According to the triage guidelines, how should this patient be categorized?

<p>Yellow (serious). (C)</p> Signup and view all the answers

In an emergency situation, a staff member's Action Card directs them to report to the head of their team. What is the MOST likely reason for this instruction?

<p>To be assigned specific duties and responsibilities. (C)</p> Signup and view all the answers

A patient involved in a motor vehicle accident is conscious but exhibits signs of acute bleeding. How should this patient be triaged?

<p>Red. (C)</p> Signup and view all the answers

During a mass casualty event, the ECC (Emergency Control Centre) members are instructed to:

<p>Meet in the control/operational area and remain there. (C)</p> Signup and view all the answers

What is the primary goal of triage during a large-scale emergency?

<p>To sort patients based on the severity of their injuries to prioritize treatment and maximize the number of survivors. (D)</p> Signup and view all the answers

Flashcards

Hospital Risk Assessment

Identify dangers that could arise in the hospital setting.

Major Incident Management Plan

A structured plan to manage large-scale emergencies affecting the hospital.

MIMP Meeting Frequency

Regular meetings (at least every six months) to discuss and update emergency plans.

Emergency Training & Drills

Ensuring staff are prepared through exercises for major incidents.

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External Incident Coordination

Coordinates care during pre-hospital phase of an external major incident via the Provincial Health Operations Centre.

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Internal Incident Escalation

When internal incidents escalate, this role coordinates actions through the Provincial Health Operations Centre.

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Major Incident

An event that overwhelms a healthcare facility's resources.

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Provincial Health Operations Centre

A central hub for coordinating health operations during major incidents in a province.

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Evacuation Route Plan Checks

Evacuation route plans must be checked annually for correctness and signed off by the head of department.

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Evacuation Plan Standards

Evacuation route plans must comply with SANS 10400-T: 2011 & SANS 23601:2010.

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Safety Signage Illumination

Safety signage can be internally/externally illuminated or photoluminescent.

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Safety Signage Standards

Safety signage must comply with SANS 1186-1, SANS 1186-3, SANS 1186-5 and SANS 1464-22.

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Sign Viewing Distance Standard

Any signs shall comply with SANS 10114-2 regarding the maximum viewing distance.

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Fire Equipment Knowledge

Staff must know the location of fire extinguishers and fire hoses.

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SANS meaning

These are South African National Standards (SANS) related to building and fire safety.

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Types of Sign Lighting

Signage can use internal, external, or photoluminescent lighting.

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Emergency Controller

Person in charge during an emergency.

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Code Red

Fire emergency, follow fire safety procedures and assist in evacuation.

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Deputy Emergency Controller

Supports the Emergency Controller, often a nurse manager.

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Code Blue

Cardiac arrest or medical emergency requiring immediate attention.

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Emergency Control Centre

The location where emergency response is coordinated.

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Facilities Plan

Floor plan of the facility, showing exits and emergency equipment.

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Code Pink

Infant or child abduction; secure premises and follow protocols.

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Code Grey

Combative or violent person; protect others and de-escalate.

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Casualty Enquiry Cards

Used to record and track casualties during an emergency.

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Code Orange

Hazardous material or chemical spill; quarantine area and alert authorities.

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Casualty Identification Cards

Used to identify individuals affected during an emergency.

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Evacuation Zone Marshall's role

Instruct occupants to evacuate safely following pre-determined routes.

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Code Yellow

Internal disaster or emergency affecting hospital operations.

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METHANE message

Stands for: Major incident, Exact location, Type, Hazards, Access, Number, Emergency services.

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Code Black

Bomb threat or suspicious object; ensure safety, evacuate if needed.

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Code Green

Evacuate patients and staff due to various threats.

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Evacuation Order

Evacuate via fire escapes or stairwells in an orderly fashion.

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Assembly Area

A pre-designated location where everyone gathers after evacuation.

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Orderly Shutdown

Shutdown procedures which help protect equipment and data during an evacuation.

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Assist Frail/Handicapped

Assign someone to help them evacuate.

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Evacuate Upwards?

Only as a last resort.

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Doors and Windows

Close doors to contain the fire, open for bomb threats to vent the blast.

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Adopt Visitors/Contractors

Assist them to the assembly point.

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Report to Controller

Report the evacuation status and roll-call results to the Emergency Controller.

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Designated Areas (MIMP)

During a major incident, staff should stay in their usual work areas unless told to go to Outpatients.

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Zone Marshal Role

Unit Zone Marshals give staff action cards and duties during a major incident response.

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Emergency Communication

Use cell phones to communicate with Zone Marshals, the Surgeon, and the Emergency Centre during an incident.

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ECC Location

ECC members meet in the control area and remain there to manage the emergency.

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What is Triage?

Triage is the process of prioritizing patients based on the severity of their condition during a mass casualty event.

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Red Triage Category

Assign this colour to patients with life-threatening conditions requiring immediate treatment.

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Red Triage Examples

Examples include unconscious patients, airway obstructions, or cardiac arrest

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Yellow Triage Category

Assign this colour to serious, but not immediately life-threatening conditions needing urgent attention.

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Yellow Triage Examples

Examples include shock, burns and multiple/open fractures

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Green Triage Category

This triage category is for patients with minor injuries

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Study Notes

Mediclinic Newcastle Disaster Plan Overview

  • Covers both external (originating outside hospital premises) and internal disasters (originating within the hospital)

General Emergency Preparedness

  • Offers guidance to management, staff, and stakeholders for managing incidents that could disrupt operations.
  • A reliable, well-maintained incident management plan is critical to avoid chaos, injuries, or property damage during an accident.
  • Involves planning to ensure the safety of everyone, protect critical records, and ensure efficient recovery of operations.
  • Applies to all personnel including permanent and temporary staff, contractors, doctors and service providers within the facility.

Key People

  • Emergency Controller is in charge during an emergency. Is empowered to direct the response of personnel and coordinate with outside help.
  • Responders are trained individuals who take immediate action to mitigate emergencies without needing additional direction.
  • Zone Marshals control evacuation to holding areas and communicate evacuation needs in their designated zones.
  • Fire Marshals extinguish or contain fires and alert others, working to actively prevent fires
  • First responders provide primary help and first aid assistance.

Important Definitions

  • Major Incident: Requires extraordinary resources due to the number, severity, or location of casualties.
  • Disaster: Causes human life loss, ecological disruption, or health deterioration requiring an extraordinary response from outside the affected community.
  • Internal Incident: An event occurring within Mediclinic Newcastle.
  • External Incident: An event occurring outside Mediclinic Newcastle premises.
  • Hazard Vulnerability Analysis (HVA): Identifies a hospital's vulnerabilities to hazards and their effects, forming a basis for emergency planning.
  • Business Continuity Plan: Internal recovery plan for potential incidents.
  • Assembly Area/Point: A safe location away from an incident during evacuation.
  • Hospital Operations Committee: Coordinates incidents within the hospital setting.

Hospital Operations Committee

  • The committee coordinates all aspects of a disaster and consists of personnel from various departments.
  • Personnel includes the Hospital General Manager, Nursing Manager, Technical Manager, and more.
  • EMS coordination means coordinating activities in the hospital during incidents.
  • The committee's Head of HOC, the Hospital General Manager, activates the HOC and coordinates incidents.

External Disaster Action Plan

  • Plans depend on the type and scale of emergencies but include communication, staff management, triage protocol etc
  • The disaster coordinator at the Newcastle Municipality is Nelson Mpeho, (034 312-1222).
  • Senior managers are contacted via the MCN Leadership WhatsApp group.
  • Standby mode prepares to receive casualties. All staff allocated on the plan refers to on-call personnel.

External Disasters Plan Phases after Initial Assessment and Notification

  • Response Phase (Major Incident Declared): Hospital enters full response mode.
  • Recovery Phase: Hospital works to restore normal operations.
  • Cancelled Status: Stand down; no victims are coming to the hospital.

Emergency Codes

  • Code Red indicated fire
  • Code Blue is cardiac arrest
  • Code Pink means child abduction
  • Code Grey is violent person, and authorities should be contacted
  • Code Orange is hazardous spill
  • Code Yellow is internal emergency
  • Code Black relates to bomb
  • Code Green is for general evacuation

Evacuation Overview

  • Managed by Zone Marshalls with instructions from the Emergency Controller.
  • Evacuation routes and assembly points are clearly marked. Routes should be unobstructed.
  • People should keep to the left and assist those needing help.

Fire Marshalls

  • Suppress or extinguish fire
  • Report situation to Control Centre or emergency controller
  • Control personnel prevent non compliance and non-reporting of non-urgent situations
  • Inspect that reports are sent to relevant individuals

Reporting Incidents

  • Report must state: name, type and location of incident, hazards, access, number of patients e.g. METHANE

Table Of Content Details

  • Fire outbreaks result in the use of ladders to close oxygen values and fire/gas supply values
  • Digital Platform Failures include Digital Platform Failures or Doctor Continuity
  • Doctor Continuity means a shortage disruptions for doctors.
  • Diesel Supply Failure means backup power not functioning
  • Digital Platform Failures refers to digital breakdown impacting patient health coordination or access

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