MMSR Manual 2021-Standard 5 (Disaster Response Plan).pdf

Standard 5 DISASTER RESPONSE PLAN Attachments: FIGURE 5-1 Disaster Response Bag - 5 Victims FIGURE 5-2 Disaster Response Bag - 2 Victims (Off-shore clinics only) FIGURE 5-3 SALT Triage sample FIGURE 5-4 Example of T...

Standard 5 DISASTER RESPONSE PLAN Attachments: FIGURE 5-1 Disaster Response Bag - 5 Victims FIGURE 5-2 Disaster Response Bag - 2 Victims (Off-shore clinics only) FIGURE 5-3 SALT Triage sample FIGURE 5-4 Example of Triaging patients at EMS. 103 103 10 10  wi]Ig5.o i.JOJ(}JD j.ig;i. pJD Johns Hopkins Aramco Healthcare  SURVEY AND COMPLIANCE REVIEW REPORT Instructions: Tick ()) Yes or NO or write “NA” where not Applicable Item Standards Code Responsible Date: Comments Yes No NA 5.0 DISASTER RESPONSE PLAN The Medical facilities have a quick reference Medical Emergency and Disaster 5.1 Response plan (DRP) available. At a minimum, plan outlines the following CC/HCP information: 1. Communication chain list of key personnel and various services (i.e., security, firefighting and support services) and show how chain is activated (e.g., ring-down- system flow chart). This is strategically posted at nursing station/ safety notice board. 2. Role of each medical personnel is clearly defined on role cards and carried by the staff in the event of medical emergency and disaster response. The medical facilities must be provided with an appropriate and dedicated communication 5.2 device with the right frequency in line with its company’s safety/ Emergency Response CC/HCP Policies/Procedures. (Mobile GSM, Thuraya etc.) The medical facilities have a 24 hour emergency and key personnel telephone numbers available and that it is properly displayed in the clinic to facilitate proper 5.3 / timely response in the event of medical emergencies, disasters, transfers and Medivacs. CC/HCP At a minimum the list includes the following telephone numbers: 1. Company Security Operations. 2. Saudi Aramco Security Operation. 3. Police. 4. Red Crescent. 5. Nearest healthcare facilities including MOH hospitals. 6. Company designated hospitals. 7. On-call company representative or alternate (construction Manager / Admin Manager/Health or Safety Advisor). 8. First Aid Trained employees, list updated and displayed. 9. Evacuation group leader, where applicable. The medical facilities at a minimum have the following Disaster Bag (s) available: (each bag 5.4 HCP 5 for 5 victims): Refer to Figure 5-1  SURVEY AND COMPLIANCE REVIEW REPORT Instructions: Tick ()) Yes or NO or write “NA” where not Applicable Item Standards Code Responsible Date: Comments Yes No NA 5.0 DISASTER RESPONSE PLAN 1. At least two (2) bags in Category “A and B” facilities. 2. At least one (1) bag in Category “C and D” facilities. 3. At least one (1) bag for 2 Victims (Off-Shore clinics only). Refer to Figure 5-2 The medical facilities at a minimum have the following Emergency Response Bag(s) 5.5 CC/ HCP available: 1. At least two (2) bags in Category “A and B” facilities. 2. At least one (1) bag in Category “C and D” facilities. The Emergency Response Bag(s) have the required medical supplies. For 5.6 HCP the contents of Emergency Response Bag: Refer to Figure 3-4 EMERGENCY DRUGS FOR EMERGENCY RESPONSE BAG at a minimum include, the following 5.7 drugs:Staff must be certified competent to administer these drugs.Refer to Figure 4-2. HCP HCP shall ensure that their medical facilities emergency response bag(s) and Disaster 5.8 Bags are appropriately checked as follows: Evidence of completion is available upon HCP request. 1. On monthly basis and/or after use. 2. Quantity is checked and recorded. 3. Validity is checked and recorded. Every proponent organization must ensure that staff has periodic disaster training as follows: 5.9 SAPO/ HCP 1. Training includes the application of a commonly used triage system/ Algorithm in disaster management such as: S.T.A.R.T. = Simple Triage and Rapid Transport M.A.S.S. = Move, Assess, Sort and Send SALT = Triage, Adapted for a very Large Radiation Emergency / Mass Casualty = Sort, Assess, Lifesaving Interventions, Treatment / Transport. Refer to Figure 5-3 106 1  SURVEY AND COMPLIANCE REVIEW REPORT Instructions: Tick ()) Yes or NO or write “NA” where not Applicable Item Standards Code Responsible Date: Comments Yes No NA 2. Training is conducted yearly. Evidence of completion is available upon request. 3. Staff takes part in at least two (2) disaster drills a year. 4. Completion of training both theoretical and practical is documented on the staff’s training record. Evidence is available upon request. 5. Staff should be familiar with EMS Triaging. Refer to Figure 5-4 5.0 Emergency/ DISASTER RESPONSE PLAN The CC, HCP & SAPO shall ensure that the medical facilities have approved emergency response protocol in place. At a minimum, the following emergency response requirements SAPO/CC/ 5.10 shall be implemented to ensure timely emergency response in the event of a disaster. HCP 1. There is a disaster response plan in place and it is implemented. 2. There is evidence that all staff are trained and oriented on disaster response procedures. 3. Disaster response plan is posted in a strategic location, at all times. 4. Staff shows/verbalizes location of disaster response plan. 5. There is a current disaster call-out list of key personnel. 6. Disaster call-out list is posted in a strategic location, at all times. 7. Staff shows/verbalizes location of the disaster call-out list. 107 10 10 Figure 5-1 Disaster Response Bag - 5 Victims Year: Description Expiration Date Quantiry Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Sterile burn packs, disposable 5 Sterile blankets, disposable 5 Disposable Gloves 5 Goggles 2 Plastic Aprons 2 Lactated Ringers (LR), 1000cc 5 Sterile Water 1 litre 1 Normal Saline (0.9 Nacl), 3 1000cc Adhesive tape 1 + 2 inches 2 Cling Film Small 1 IV tubing, 15 drops/ml set 6 IV canula gauge 14 2 IV canula gauge 16 5 IV canula gauge 18 4 IV canula gauge 20 2 Alcohol preps 1/2 box Tourniquet 1 or 1/2 inch 2 Tegaderm 6cm X 7cm 10 2X2 non-sterile gauze 1/2 pack 10, 20, 30 mls Syringes 2 each BVM mask, adult 1 LMA Size 3 + 4 1 Suction connecting tubes 2 Yankauer suction catheter 4 Oral Airway, Small, Medium 1 each Large Pocket mask, adult 1 Oxygen mask, rebreather 4 Pressure Infuser Bag ( Dispos- 2 able) Trauma Tourniquet 1 Remarks: Badge No. Signature 11 Disaster Response Bag - 5 Victims YEAR: Description Expiration Date Quantiry Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Nasal Cannula 2 Trauma dressing 5 Abdominal pad 4 4X4 sterile gauze (1box) 1 Vaseline gauze 3X18 inches 3 Triangular bandage 2 Kerlix rolls 6 Ace bandages 3 inches 3 Ace wrap 4 inches 3 Ace wrap 6 inches 3 Cervical collar, Hard: small 1 Cervical collar, Hard: medium 1 Cervical collar, Hard large 1 Disposable splint: short 1 Disposable splint: long 1 as Pneumatic splint available Hare traction, adult 1 ADDITIONAL ITEMS Reflective Vest Doctor 1 Reflective Vest Nurse 1 Reflective Vest Driver 1 Safety Hats 1 Each Safety Glasses shaded 1 Each Flashlight + Batteries 1 Sharps Box 1 Paper Bags Large Waxed 2 Oxygen Flow Meters D+E 1 each Multi-Outlet Oxygen port system 1 Clipboards 2 Continuation Sheets 5 Writing Pads 2 Pens / Pencils 2 each Disaster Response Labels 5 each Red/Yellow/Green/Black Remarks: Badge No. Signature 11  FigureFi5g-u2re 5-1 Disaster Response Bag - 2 Victims Year: (Off-shore clinics use only) Description Quantity Expiration Date Week-1 Week-2 Week-3 Week-4 Remarks Shelf - 1 (Top left side) Small Ace Bandages - 2» 02 Alcohol Swabs 20 Gauze Swabs (Pagacomb) 2x2 (9 pcs.) 1 Pk Kerlix Rolls 02 Shelf - 2 Ace Bandages - 6» 02 Angiocath (G-18 & G-20) 04 ea Paramedic shears 01 Shelf - 3 Angiocath (G-14 & G-16) 04 ea IV Tubing 15 gtts./min 01 Tiangular bandages 02 Pressure Infuser Bag ( Disposable) 01 Shelf - 1 (Top Right side) Roller bandages 02 Tegaderm 10 Plasters (Band-Aid) 10 Zinc Oxide Tape (½» & 1») 01 ea Shelf - 2 Adhesive tapes 02 Abdominal dressings 05 Shelf - 3 Examination Gloves 03 pairs Kerlix Rolls 02 Ace bandages (4») 02 Remarks: e No. Badg Signature 112 Disaster Response Bag - 2 Victims Year: (Off-shore clinics use only) Description Quantity Expiration Date Week-1 Week-2 Week-3 Week-4 Remarks Shelf - 4 IV Tubing (15 gtts./min) 02 Triangular bandages 02 Penrose drinage tubing (1›) 02 Upper Compartment Burn pack 02 02 pairs Gloves (7», 7.5», & 8») ea Multi Trauma dressings 02 Plastic aprons 04 Masks 06 Goggles 06 Gauze (4x4) 09 pcs. Cervical collars (Medium & Large) 01 ea Lower Compartment Emergency blankets 02 01 AMPLE Sterile burn sheets Sterile NSS Irrigation - 1 lit. 01 IVF - Ringers Lactate - 1 lit. 02 Aull arm air splints 04 Full leg air splints 03 Padded arm boards 04 IVF - Normal saline - 1 lit. 02 ADDITIONAL ITEMS Remarks: Badge No. Signature 11  Figure 5-3 SALT Triage 114  Figure 5-3 SALT Triage 115  Figure 5-4 Triaging patients at EMS. Triage Reassessment Category Level Acuity Waiting Times Examples Closed or insecure airway Life Threatening Immediate life, limb or N/A Absent or inadequate breathing sight threatening Absent pulse I Shock Exsanguinating Hemorrhage Seizing Unresponsive Severe pain 4-5/5 Acutely short of breath Critical Requires prompt medical N/A 02 sat 39 °C immunosuppressed / toxic > 38.5 °C < 3 months age Hypothermia (< 32 °C) Limbs- vascular compromise Moderate pain 3/5 Emergent Requires medical / nursing 30 - 60 02 Sat < 95% by EMS but may care may minutes Uncontrollable minor hemorrhage III be delayed briefly History of unconsciousness / new neuro symptoms Pregnancy with pain / bleeding Black stools Crying child inconsolable by parents History of vomiting blood Signs of dehydration Pregnant with PV bleed / pain Vomiting Urgent Non-emergent problem 120 Pain but patient in some distress minutes Injury IV - should be cared for in 02 sat >95% on room air Clinics or UCU. Temp >38.5 non-toxic (symptomatic vs asymptomatic) PV bleeding not pregnant Dysuria Wound bleeding controlled NIA Constipation without acute pain Non-Urgent No acute complaint - URI – Simple Coryza patient should be cared for Cough without wheezing V in clinics Dressing changes Lab test reviews Medication refill Skin conditions / chronic Suture removal Time off requests / renewals Note: Please view the adapted Triage Manual flowcharts for full criteria for above categories.* Pain scores alone are not used to allocate category. Supporting objective data and symptoms must also be considered. 116