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HomeMy WebLinkAboutBryan Hospital Disaster Drill 1977 6,44-1 g "i4/ /q1 � -� -'* Ally\ # DRILL NOTES On March 30 a Disaster Drill Inservice was held for all employees with 36 attending. On March 31 at 9:15AM the Outpatient Treatment Room received 10 victims in a Mock Disaster Drill. They were tagged with diagnoses and crying (mock) in school bus when it arrived outside the Outpatient Treatment Room. Doctors Cox and Pope were in attendance. Patients were students from Stephen F. Austin Jr. High School under the direction of Colonel Neizak. Doctors Cox and Pope toured the bus triaging to quickly diagnose victims in terms of severity of trauma and type of transportation necessary in accordance with injuries. Housekeeping did a marvelous job of hanging signs in the necessary areas, setting up a cot and bringing supplies to temporary First Aid Station which was set up in the lobby; also transporting victims from station to station. Medical Records personnel and the Administrative Secretary re- ported to Outpatient Treatment Room immediately after the Disaster Drill announcement over intercom initiated the drill, and recorded vital information on each patient which was attached to patient's wrist. Copies of the vital information were sent to Mr. Laird's office (responsible for informing news media) and switchboard. After removal of all the victims from the bus, emergency treatment was ordered by physicians and performed by nurses; patients were transported by Housekeeping personnel to the various departments for further treatment or to General Stores and Housekeeping for discharge. David Laird notified the switchboard at 10:15AM that "Condition Yellow" was over - "Resume normal duties." After the drill was over Doctors Pope and Cox, Bud Pruitt, Safety Officer, David Laird, the Administrator, Terry Butler, R.N., Director of Nurses, Anne Holmes, R.N., Inservice Director and Safety Chairman together with several other employees who were participating in the drill gathered in the Outpatient Treatment Room for an "on- the - spot" critique of the External Disaster Drill with the following criticism and suggestions: Page 2 - continued 1. The first problem encountered was that the bus was not able to drive up to Outpatient Treatment area because the overhang was too low. Because of heavy rainfall the area was very muddy and physicians, nurses and other helpers had to transport victims from the bus through the mud. 2. There was no backboard for quick transportation of spinal injury. 3. Doors to Outpatient Treatment Room must be equipped with device that will hold them open to facilitate quick transport of patient with less manpower. 4. Announcement should be made to those participating as to what type disaster has occurred, if known. 5. Spokesman designated to answer inquiries during time of disaster (especially in triage area.) 6. It was suggested that a more suitable location could be found for Triage. The concensus was that the Laundry -Linen area would best serve this purpose due to larger area and location (near entrance to hospital which would accomodate large vehicles and provide en- trance through one set of double doors. The Outpatient Treatment Room could then be used as an area to treat the victims. 7. Dr. Pope reminded all medical personnel that vital signs should be taken, IV's started prn, dressings and splints applied as indicated. 8. Dr. Cox suggested having more splints available (preferably old- fashioned Balsam wood.) 9. Mrs. Holmes stated that more manpower is needed to transport people out of buses to stretchers. 10. Both physicians reiterated entering vehicles for triage. 11. It was suggested that next drill be called without prior knowledge of participants. 12. Switchboard should screen all calls before putting them through to triage area. There were too many calls allowed. 13. It was reported that certain hospital personnel were un- cooperative during the drill. Page j_continued 14. Person needed (probably law enforcement officer during actual emergency situation) to control traffic on parking lot and see that unauthorized persons and vehicles are not allowed entry. 15. After Vital signs taken of less critically injured they should be taken to the designated areas. Several patients with minor injuries were left sitting for a considerable period of time before being taken to the proper area. 16. Be sure General Stores is aware that we Must have adequate supplies on hand in the event of an emergency. This drill was an improvement over the last one in that the physicians were alerted about 10 minutes before arrival of victims and were in the Outpatient Treatment Room when they arrived. * Four stretchers and four wheelchairs were brought to the scene by nurses who were sent to the Outpatient Treatment Room to help, in addition to the Day Supervisor and Inservice Director. (four nurses) Respectfully Submitted, — z� - n ice_ Anne M. Holmes, RN, Chairman Safety Committee Copies to: David Laird, Administrator Gary Knight, Administrative Trainee Terry Butler, Director of Nurses Dr. Joseph Cox, MD, Chief of Staff Dr. David Pope, MD Chairman, Executive Board Bud Pruitt, Safety Officer ?ILA-