in case of disaster, these are the things we need put in our minds

1. DISASTER &CODE
BLUE PROTOCOL
BY SR. SMITHA JOSE

2. DISASTER
 DEFINITION:
Disaster is defined as a crisis situation causing wide spread
damage which far exceeds our ability to recover.

3. DISASTER MANAGEMENT
 Incidents or events in which the needs of patients
overextended or overwhelm the resources needed to care
for them

4. PURPOSE OF DISASTER PLAN
 To respond in timely and efficient manner
 To facilitate a fully integrated multidisciplinary approach
in event of external disaster
 To provide guidance to emergency room service personnel
 To ensure the safety and security of patients, visitor and
staff
 To facilitate regional planning and cross action between
the emergency room service

5. TYPES
 INTERNAL DISASTER
 EXTERNAL DISASTER

6. HOSPITAL CODES
 CODE RED -fire and internal disaster
 CODE BLUE - Cardiac Arrest
 CODE YELLOW -External disaster
 CODE PINK - Child Abduction
 CODE ORANGE - Hazardous Materials
 CODE WHITE - Bomb threat
 CODE GREEN -Rapid response team

7. ELEMENTS OF DISASTER
 ALARM
 CALLING THE WORKING TEAM
 ACTION CARD
 DISTRIBUTION OF THE AREA

8. ***ACTION CARD
 To simplify the distribution of staff in ER and other areas
 To simplify the response of staff to disaster
 to clearly outline the specific duty of staff
 To reduce confusion and ensure completeness of disaster
management
 Distribution of the areas of ER

9. AN EMERGENCY COMMITTEE
 DIRECTOR OF MQH ***CHIEF
 ASSISTANT HOSPITAL DIRECTOR ***MEMBER
 CHIEF OF ER DEPT. ***DEPUTY
 MEDICAL DIRECTOR
 CHIEF OF MEDICAL STAFF
 CHIEF OF PHARMACY DEPT.

10.  CHIEF OF PATIENT SERVICE DEPT
 DIRECTOR OF NURSING SERVICE
 ER COORDINATOR
 HEAD OF STORE
 LABORATORY DIRECTOR
 SAFETY OFFICER

11. DISASTER PLAN OF ER DEPT.
 ER is divided into FIVE areas according to TRIAGE of victims.
This area will contain 11 beds
TRIAGE AREA ***entrance of ER
- MEDICAL DIRECTOR will Triage the patients according to their
injuries
- RECEPTIONIST will give disaster files and wrist bands
- Each patient will be directed to following area according to color
code

12.  RED AREA ***EMERGENT/
- To receive critically injured victims. It includes the SHOCK
ROOM
- One Doctor will be assigned to this area
- Each patient is manage by a doctor and a nurse
- The assigned Nurse is responsible for documentation
- The patient of that area have priority for admission to ICU & OR
- Assigned doctor will right the primary medical report

13.  YELLOW AREA ***URGENT
- To receive all stable with minor fracture patients CODE
YELLOW
- It includes male and female observation room
- ER Coordinator will assign one doctor responsible for this
area
- This patient will be primary treated by assigned doctor
and nurse

14.  GREEN AREA ***DELAYED
- To receive ambulatory patient.
- It includes the dressing room. At least A doctor and a nurse
is responsible for this area
- Proper management will be delayed till finishing RED and
YELLOW cases.

15.  BLACK AREA ***DEAD BODY CASES
- It includes the room in front of ICU
- It receives DEAD BODIES
- At the end of disaster, the assigned doctor will examine
them, write medical report and death certificate
- This room should be closed all the time with the security at
the door

16. RECOMMENDATIONS
 Emergency drills should be done at least ONCE a year for EXTERNAL
DISASTER and TWICE for INTERNAL DISASTER
 Amendments of the plan could be made after approval of the Chief of
Emergency committee
 Training of Doctors, Nurses, Security staff should be done
 A list of names, tel.#, pager no, mobile no. of all hospital staff should
be available in emergency control room
 Ambulance should be filled with fuel and ready with the checklist
 All reports and documents of disaster should be filed and kept in Hosp.
Director’s room
 Announce disaster only by the order of ER Chief