OMMC Surgery Disaster Preparedness Drills
2004 Simulated Disaster Drills
Department of Surgery Ospital
ng Maynila Medical Center
Instructions:
1. Every year (within January), a 2-hour session will be held on these
simulated disaster drills.
2. Although the chief resident and surgical team captains will be the
primary problem solvers in the various disaster scenarios, all surgical
residents should participate in the drills by collaborating with their
team captains.
3. Presentation of answers will be done primarily by the chief resident
and team captains. However, junior residents will also be given assigned
tasks for presentation.
4. Study the latest OMMC Surgery Disaster Preparedness Plan and latest
OMMC Disaster Preparedness Plan and use these as bases for solving each
problem-scenario and answering specific questions posed.
5. Demonstrate disaster preparedness by solving each problem-scenario
and by answering specific questions posed.
6. Use the evaluation checklist as a guide in assessing disaster
preparedness.
7. Submit output (both document file and powerpoint presentation) for
incorporation in the Departments Educational Resource.
8. The assignment of roles in the drills for each OMMC Surgery Personnel
will be as follows:
Disaster Control Director Chief Resident
Surgical Team I Team Captain I
Surgical Team II Team Captain II
Surgical Team III Team Captain III
Junior Residents - 1st to 4th year surgical residents
Cluster A - Disaster Scenarios
Explosions / Fire
For Surgical Team Captain
Setting:
You are an OMMC surgical resident assigned to Surgical Team II. You are
the Team Captain on duty at the OMMC Surgery ER. You are NOT the
Disaster Control Director. You have 4 junior surgical residents and 3
surgical interns in your team.
1.1 scenario:
During office hours, you receive a phone call transmitting a message
that an explosion has occurred at the Pandacan Oil Depot and to expect a
lot of victims being sent to OMMC.
1.2 scenario:
After office hours, you receive a phone call transmitting a message that
an explosion has occurred at the Pandacan Oil Depot and to expect a lot
of victims being sent to OMMC.
1.3 scenario:
During office hours, you receive a phone call transmitting a message
that an explosion has occurred at the Pandacan Oil Depot. You are asked
to send an ambulance and a team of medical staff to help.
1.4 scenario:
After office hours, you receive a phone call transmitting a message that
an explosion has occurred at the Pandacan Oil Depot. You are asked to
send an ambulance and a team of medical staff to help.
1.5 scenario:
During office hours, you got a patient who got injured in an explosion
at the Pandacan Oil Depot. You were told that there are a lot of
victims. These victims might be brought to OMMC.
1.6 scenario:
After office hours, you got a patient who got injured in an explosion at
the Pandacan Oil Depot. You were told that there are a lot of victims.
These victims might be brought to OMMC.
Problem-solving and Decision-making:
As the Surgical Team Captain, what will you do next after receiving the
phone call in the first 4 scenarios (1.1 to 1.4) and in the last 2
scenarios (1.5 and 1.6) when you learn that more patients will be
coming? List the steps in an order of priority and give a brief
description and explanation, if necessary, for each step.
After you are through solving each scenario, construct a table showing
the basic similarities and differences, first, in the scenarios
themselves and, second, in the steps you will undertake for all the
scenarios.
Cluster A - Disaster Scenarios
Explosions / Fire
For Disaster Control Director
Setting:
You are the Disaster Control Director for the year. Surgical Team II
Captain (with 4 junior surgical residents and 3 surgical interns in his
team) has declared a disaster in each of the six (6) scenarios in the
Pandacan oil depot explosion and has informed you of such a disaster
(see below). You are NOT within the hospital premises.
As the Disaster Control Director, what will you do next after receiving
the message from the Surgical Team Captain? List the steps in an order
of priority and give a brief description and explanation, if necessary,
for each step.
After you are through solving each scenario, construct a table showing
the basic similarities and differences, first, in the scenarios
themselves and, second, in the steps you will undertake for all the
scenarios.
1.1 scenario:
During office hours, he received a phone call transmitting a message
that an explosion has occurred at the Pandacan Oil Depot and to expect a
lot of victims being sent to OMMC.
1.2 scenario:
After office hours, he received a phone call transmitting a message that
an explosion has occurred at the Pandacan Oil Depot and to expect a lot
of victims being sent to OMMC.
1.3 scenario:
During office hours, he received a phone call transmitting a message
that an explosion has occurred at the Pandacan Oil Depot. He was asked
to send an ambulance and a team of medical staff to help.
1.4 scenario:
After office hours, he received a phone call transmitting a message that
an explosion has occurred at the Pandacan Oil Depot. He was asked to
send an ambulance and a team of medical staff to help.
1.5 scenario:
During office hours, he got a patient who got injured in an explosion at
the Pandacan Oil Depot. He was told that there were a lot of victims.
These victims might be brought to OMMC.
1.6 scenario:
After office hours, he got a patient who got injured in an explosion at
the Pandacan Oil Depot. He was told that there were a lot of victims.
These victims might be brought to OMMC.
Cluster A1 - Disaster Scenarios
Explosions / Fire
For Disaster Control Director/ Surgical Team Captain / Junior Surgical
Residents
Scenario:
Ten victims from the Pandacan Oil Depot explosion are now arriving or
have arrived in the OMMC Surgery ER.
Problem-solving and decision-making:
1. Who will serve as the incident commander? What are his roles? What
are his tasks? Is he allowed to operate?
2. A triage has to be done. How do you going about doing this? Who
should be assigned to do the triaging? How is triaging done, place
assignment and color coding?
3. Who should do the treatment and operation if needed?
Cluster B - Disaster Scenarios
Vehicular Accident
For Surgical Team Captain
Setting:
You are an OMMC surgical resident assigned to Surgical Team I. You are
the Team Captain on duty at the OMMC Surgery ER. You are NOT the
Disaster Control Director. You have 4 junior surgical residents and 3
surgical interns in your team.
1.1 scenario:
During office hours, you receive a phone call transmitting a message
that a vehicular accident has occurred near Roxas Boulevard and to
expect a lot of victims being sent to OMMC.
1.2 scenario:
After office hours, you receive a phone call transmitting a message that
a vehicular accident has occurred near Roxas Boulevard and to expect a
lot of victims being sent to OMMC.
1.3 scenario:
During office hours, you receive a phone call transmitting a message
that a vehicular accident has occurred near Roxas Boulevard. You are
asked to send an ambulance and a team of medical staff to help.
1.4 scenario:
After office hours, you receive a phone call transmitting a message that
a vehicular accident has occurred near Roxas Boulevard. You are asked to
send an ambulance and a team of medical staff to help.
1.5 scenario:
During office hours, you got a patient who got injured in a vehicular
accident has occurred near Roxas Boulevard. You were told that there are
a lot of victims. These victims might be brought to OMMC.
1.6 scenario:
After office hours, you got a patient who got injured in a vehicular
accident has occurred near Roxas Boulevard. You were told that there are
a lot of victims. These victims might be brought to OMMC.
Problem-solving and Decision-making:
As the Surgical Team Captain, what will you do next after receiving the
phone call in the first 4 scenarios (1.1 to 1.4) and in the last 2
scenarios (1.5 and 1.6) when you learn that more patients will be
coming? List the steps in an order of priority and give a brief
description and explanation, if necessary, for each step.
After you are through solving each scenario, construct a table showing
the basic similarities and differences, first, in the scenarios
themselves and, second, in the steps you will undertake for all the
scenarios.
Cluster B - Disaster Scenarios
Vehicular Accident
For Disaster Control Director
Setting:
You are the Disaster Control Director for the year. Surgical Team II
Captain (with 4 junior surgical residents and 3 surgical interns in his
team) has declared a disaster in each of the six (6) scenarios in the
Roxas Boulevard vehicular accident and has informed you of such a
disaster (see below). You are NOT within the hospital premises.
As the Disaster Control Director, what will you do next after receiving
the message from the Surgical Team Captain? List the steps in an order
of priority and give a brief description and explanation, if necessary,
for each step.
After you are through solving each scenario, construct a table showing
the basic similarities and differences, first, in the scenarios
themselves and, second, in the steps you will undertake for all the
scenarios.
1.1 scenario:
During office hours, he received a phone call transmitting a message
that a vehicular accident has occurred near Roxas Boulevard and to
expect a lot of victims being sent to OMMC.
1.2 scenario:
After office hours, he received a phone call transmitting a message that
a vehicular accident has occurred near Roxas Boulevard and to expect a
lot of victims being sent to OMMC.
1.3 scenario:
During office hours, he received a phone call transmitting a message
that a vehicular accident has occurred near Roxas Boulevard. He was
asked to send an ambulance and a team of medical staff to help.
1.4 scenario:
After office hours, he received a phone call transmitting a message that
a vehicular accident has occurred near Roxas Boulevard. He was asked to
send an ambulance and a team of medical staff to help.
1.5 scenario:
During office hours, he got a patient who got injured in a vehicular
accident has occurred near Roxas Boulevard. He was told that there were
a lot of victims. These victims might be brought to OMMC.
1.6 scenario:
After office hours, he got a patient who got injured in a vehicular
accident has occurred near Roxas Boulevard. He was told that there were
a lot of victims. These victims might be brought to OMMC.
Cluster B1 - Disaster Scenarios Vehicular Accident
For Disaster Control Director/ Surgical Team Captain / Junior Surgical
Residents
Scenario:
Ten victims from the Roxas Boulevard vehicular accident are now arriving
or have arrived in the OMMC Surgery ER.
Problem-solving and decision-making:
1. Who will serve as the incident commander? What are his roles? What
are his tasks? Is he allowed to operate?
2. A triage has to be done. How do you going about doing this? Who
should be assigned to do the triaging? How is triaging done, place
assignment and color coding?
3. Who should do the treatment and operation if needed?
Cluster C - Disaster Scenarios Gang War
For Surgical Team Captain
Setting:
You are an OMMC surgical resident assigned to Surgical Team III. You are
the Team Captain on duty at the OMMC Surgery ER. You are NOT the
Disaster Control Director. You have 4 junior surgical residents and 3
surgical interns in your team.
1.1 scenario:
During office hours, you receive a phone call transmitting a message
that a gang war has occurred in San Andres Bukid and to expect a lot of
victims being sent to OMMC.
1.2 scenario:
After office hours, you receive a phone call transmitting a message that
a gang war has occurred in San Andres Bukid and to expect a lot of
victims being sent to OMMC.
1.3 scenario:
During office hours, you receive a phone call transmitting a message
that a gang war has occurred in San Andres Bukid. You are asked to send
an ambulance and a team of medical staff to help.
1.4 scenario:
After office hours, you receive a phone call transmitting a message that
a gang war has occurred in San Andres Bukid. You are asked to send an
ambulance and a team of medical staff to help.
1.5 scenario:
During office hours, you got a patient who got injured in a gang war
that has occurred in San Andres Bukid. You were told that there are a
lot of victims. These victims might be brought to OMMC.
1.6 scenario:
After office hours, you got a patient who got injured in a gang war that
has occurred in San Andres Bukid. You were told that there are a lot of
victims. These victims might be brought to OMMC.
Problem-solving and Decision-making:
As the Surgical Team Captain, what will you do next after receiving the
phone call in the first 4 scenarios (1.1 to 1.4) and in the last 2
scenarios (1.5 and 1.6) when you learn that more patients will be
coming? List the steps in an order of priority and give a brief
description and explanation, if necessary, for each step.
After you are through solving each scenario, construct a table showing
the basic similarities and differences, first, in the scenarios
themselves and, second, in the steps you will undertake for all the
scenarios.
Cluster C - Disaster Scenarios Gang War
For Disaster Control Director
Setting:
You are the Disaster Control Director for the year. Surgical Team III
Captain (with 4 junior surgical residents and 3 surgical interns in his
team) has declared a disaster in each of the six (6) scenarios in the
San Andres Bukid gang war and has informed you of such a disaster (see
below). You are NOT within the hospital premises.
As the Disaster Control Director, what will you do next after receiving
the message from the Surgical Team Captain? List the steps in an order
of priority and give a brief description and explanation, if necessary,
for each step.
After you are through solving each scenario, construct a table showing
the basic similarities and differences, first, in the scenarios
themselves and, second, in the steps you will undertake for all the
scenarios.
1.1 scenario:
During office hours, he received a phone call transmitting a message
that a gang war has occurred in San Andres Bukid and to expect a lot of
victims being sent to OMMC.
1.2 scenario:
After office hours, he received a phone call transmitting a message that
a gang war has occurred in San Andres Bukid and to expect a lot of
victims being sent to OMMC.
1.3 scenario:
During office hours, he received a phone call transmitting a message
that a gang war has occurred in San Andres Bukid. He was asked to send
an ambulance and a team of medical staff to help.
1.4 scenario:
After office hours, he received a phone call transmitting a message that
a gang war has occurred in San Andres Bukid. He was asked to send an
ambulance and a team of medical staff to help.
1.5 scenario:
During office hours, he got a patient who got injured in a gang war that
has occurred in San Andres Bukid. He was told that there were a lot of
victims. These victims might be brought to OMMC.
1.6 scenario:
After office hours, he got a patient who got injured in a gang war that
has occurred in San Andres Bukid. He was told that there were a lot of
victims. These victims might be brought to OMMC.
Cluster C1 - Disaster Scenarios Gang War
For Disaster Control Director/ Surgical Team Captain / Junior Surgical
Residents
Scenario:
Ten victims from the San Andres Bukid gang war are now arriving or have
arrived in the OMMC Surgery ER.
Problem-solving and decision-making:
1. Who will serve as the incident commander? What are his roles? What
are his tasks? Is he allowed to operate?
2. A triage has to be done. How do you going about doing this? Who
should be assigned to do the triaging? How is triaging done, place
assignment and color coding?
3. Who should do the treatment and operation if needed?
Internal Disaster OMMC OR Explosion
For Surgical Team Captain
Setting:
You are an OMMC surgical resident assigned to Surgical Team I. You are
the Team Captain on duty at the OMMC Surgery ER. You are NOT the
Disaster Control Director. You have 4 junior surgical residents and 3
surgical interns in your team.
During office hours, there was a big explosion in the operating room of
the hospital. There were about 10 OR personnel (surgeons,
anesthesiologists, nurses, nursing aides, and medical interns) who
suffered from blast injuries. About 80% of the operating room was
destroyed.
Problem-solving and Decision-making:
As the Surgical Team Captain, what will you do next after learning of
the explosion. List the steps in an order of priority and give a brief
description and explanation, if necessary, for each step.
Internal Disaster OMMC OR Explosion
For Disaster Control Director
Setting:
You are the Disaster Control Director for the year. Surgical Team I
Captain (with 4 junior surgical residents and 3 surgical interns in his
team) has declared a disaster in an OR explosion (see below). You are
NOT within the hospital premises.
As the Disaster Control Director, what will you do next after receiving
the message from the Surgical Team Captain? List the steps in an order
of priority and give a brief description and explanation, if necessary,
for each step.
During office hours, there was a big explosion in the operating room of
the hospital. There were about 10 OR personnel (surgeons,
anesthesiologists, nurses, nursing aides, and medical interns) who
suffered from blast injuries. About 80% of the operating room was
destroyed.
Internal Disaster OMMC Kitchen Fire
For Surgical Team Captain
Setting:
You are an OMMC surgical resident assigned to Surgical Team II. You are
the Team Captain on duty at the OMMC Surgery ER. You are NOT the
Disaster Control Director. You have 4 junior surgical residents and 3
surgical interns in your team.
After office hours, there was a big fire that occurred in the kitchen of
the hospital and there were about 10 victims were reported to be brought
to the OMMC Surgery ER.
Problem-solving and Decision-making:
As the Surgical Team Captain, what will you do next after learning of
the fire. List the steps in an order of priority and give a brief
description and explanation, if necessary, for each step.
Internal Disaster OMMC Kitchen Fire
For Disaster Control Director
Setting:
You are the Disaster Control Director for the year. Surgical Team II
Captain (with 4 junior surgical residents and 3 surgical interns in his
team) has declared a disaster in an OMMC kitchen fire (see below). You
are NOT within the hospital premises.
As the Disaster Control Director, what will you do next after receiving
the message from the Surgical Team Captain? List the steps in an order
of priority and give a brief description and explanation, if necessary,
for each step.
After office hours, there was a big fire that occurred in the kitchen of
the hospital and there were about 10 victims were reported to be brought
to the OMMC Surgery ER.
Sudden Influx of Trauma Patients
For Surgical Team Captain
Setting:
You are an OMMC surgical resident assigned to Surgical Team III. You are
the Team Captain on duty at the OMMC Surgery ER. You are NOT the
Disaster Control Director. You have 4 junior surgical residents and 3
surgical interns in your team.
After office hours, there was a sudden influx of trauma patients with 4
needing stat exploratory laparotomy and about 10 needing suturing of
lacerations in the Surgery ER. What will you do?
Problem-solving and Decision-making:
As the Surgical Team Captain, what will you do next after learning of
the sudden influx of trauma patients. List the steps in an order of
priority and give a brief description and explanation, if necessary, for
each step.
Sudden Influx of Trauma Patients
For Disaster Control Director
Setting:
You are the Disaster Control Director for the year. Surgical Team III
Captain (with 4 junior surgical residents and 3 surgical interns in his
team) has declared a disaster in the OMMC Surgery (see below). You are
NOT within the hospital premises.
As the Disaster Control Director, what will you do next after receiving
the message from the Surgical Team Captain? List the steps in an order
of priority and give a brief description and explanation, if necessary,
for each step.
After office hours, there was a sudden influx of trauma patients with 4
needing stat exploratory laparotomy and about 10 needing suturing of
lacerations in the Surgery ER. What will you do?
What is the tagging system of patients? Match the colors to the type of
patients.
A. Red
B. Yellow
C. Green
D. Black
E. White
1. Patients needing primary care.
2. Patients needing acute care.
3. Patients needing critical care.
4. Dead patients.
5. Patients needing first priority care.
6. Patients needing second priority care.
7. Patients needing third priority care.
|