MINIMUM DAMAGE IN DISASTERS
Pre-disaster preparedness
Emergency response
Post-disaster response
DISASTER PREPAREDNESS
Structural condition of buildings should be improved
Early warning and prevention systems should be used.
Disaster and disaster-fighting awareness should be developed in all individuals.
Plans that determine the type of action and response to be carried out during and after the disaster are planned in advance.
should be prepared.
*Department/Service/Unit Intervention Procedures
Emergency Response Plan Activation
Department/Service/Unit Management and Activities
* Event specific plans
Suitable for Developing Disaster and Emergency Types
Response and Evacuation Plans
DIALYSIS UNITS RESPONSE AND evacuation plan
* Plan; It should be clear, simple and applicable. (Event specific use)
* There must be a layout sketch of the center, the floor and the areas.
* Primary road and exits should be considered, exits should be clearly marked and illuminated.
* Escape routes should be wide enough for the exit of the personnel and patients to be evacuated. same
It should be calculated how many personnel can move side by side at the same time.
* Emergency exits; It must be cleared of elements that would hinder escape.
* Equipment to facilitate patient transport should be available on evacuation routes.
* The communication method and communication elements should be determined, the risk of interruption of telephone communication
should not be forgotten.
* Evacuation responsible must be determined.
* When the persons in charge of the evacuation will do their duty, what they will do, with whom they will do it, and
To whom they will report should be determined.
* Device, materials, documents, etc. to be taken from the unit to the assembly area during the evacuation. detection
should be listed, their list should be included in the plan and those responsible should be determined.
* The exit priority of each floor or area from the building should be determined.
* Each evacuation group should be assigned an exit direction, more than one group should be allocated to one direction.
If necessary, the exit order of each group should be determined.
* Persons and patients who require special attention during evacuation should be gathered in a group, special
Personnel to supervise the group requiring attention should be specified in the plan.
* Safe assembly area outside the building,
* Safe waiting areas should be determined within the building.
* Action and solution options after evacuation should be specified in the plan.
EDUCATION
- Stage 2: The people in the building and the operation of the evacuation plan are explained verbally. Demand, need and
concerns are discussed.
- Phase 1: Pre-announced drills are carried out. Oral presentations in these exercises
The information given during the course is put into practice.
- Stage 2: Unannounced drills are carried out.
PATIENT TRAININGS
All patients should be informed and recorded about the emergency and disaster plan of the center or unit.
* The necessity of participating in the evacuation without causing panic and turmoil
* Dialysis termination process may be different from usual only without draining the blood from the set.
the needles will be separated from the sets,
* Remain in place to keep themselves safe until an evacuation announcement is made.
* Acting in line with the directions of the officers during the evacuation and the exit shown
They should be told to use the road to reach the assembly area.
• Should reach the blood pump button of the device from where he/she is sitting and turn it off.
• Separate the sets from the needles or cut the sets by closing the clamps
•To reach the assembly area by following the officials by moving away from the machine safely.
• Should not remove the dialysis needles until they reach the assembly area and get help from the healthcare team.
* Each person with a disability is matched with one or more people without a disability.
* After the assistant friend disconnects himself from the device, the friend he is responsible for is disconnected from the device.
they separate and move together to the assembly area.
IDENTIFICATION
* Patients under treatment should be provided with identification wristbands.
* Along with a document containing his illness, important drugs and technical and medical information about dialysis
may be maintained.
INSTANT RESPONSE
EARTHQUAKE
Next to an item that you think is solid until the shaking subsides, a smaller item than that item.
Hold on to that item by keeping your head in the position and be ready to move with the item.
* Keep your cool in the event of a jolt, never run to stairs or elevators, and stay away from glass edges, items that could fall on you and harm you.
* Wait for instructions in a safe area after the shaking has passed.
FIRE
* Keep your cool and warn those around you without causing chaos. fire alarm
press button
* Call the fire department (110), give the correct address and if you know, report the type of fire.
* If you can intervene without putting yourself in danger, until the fire brigade arrives.
Fight the fire with the means.
* In case of fire, leave the area quickly. When leaving the fire place, if possible, the door
and close the windows. Turn off gas and electricity if you can reach them.
INSTANT RESPONSE
EVACUATION
It is the transfer of people to safer areas by evacuating a part or all of the hospitals that do not trust the patients, staff and patient relatives due to internal or external effects.
Purpose: Protecting patients, maintaining patient care and ensuring employee safety
* Hospital Disaster Manager-Head makes the evacuation decision.
* Do not leave your post and have patients wait in their rooms.
* If you notice a strange or dangerous situation, inform your supervisor.
* Inform patients about developments, avoid giving too much information, but be convincing.
* Prepare for evacuation by assigning personnel and performing evacuation triage.
* If uncontrollable panic develops, evacuation is inevitable, if not preferred!
evacuation triage
T0
Patients who can walk
First to be evicted
Patients who can get out quickly and safely in line and with a lead and a rearguard
T T1
Patients unable to walk alone
Second place to be evicted
Patients who can walk with the help of a staff member
T T2
Patients unable to walk
Third place to be evicted
Patients that can be carried by two or more staff on a stretcher
T T3
Complex or obese patients
Fourth (last) place to be evicted
Patients whose bed and equipment can be evacuated by three or more staff
* Removal of the damage as soon as possible after the disaster and returning to normal operation is a comprehensive improvement
plan will be possible.
* All stages and practices should be recorded during and after the disaster.
