1. EMERGENCY DEPARTMENT MOH Nga Manea
PROCEDURES AND POLICIES FOR EMERGENCY AND DISASTER PREPAREDNESS IN THE HOSPITAL EMERGENCY DEPARTMENT
EMERGENCY DEPARTMENT
MOH
Nga Manea

2. FUNCTIONING OF HOSPITAL EMERGENCY DEPARTMENT 2009

3. EMERGENCY TREATMENT ROOM

4. WAITING ROOM Adequately large, but the space is not functioning
Doctors and nurses must pass by the waiting patients.
Patients in the waiting room are also exposed to emergency cases.
No Patient privacy

5. EQUIPMENTS

6. AMBULANCE SERVICES Emergency Call Out System: 999/22664
Emergency Checklists – Amb Drivers/Nurses
AmbulanceDrivers
Maintain and drive the ambulance
Some with the basic life support skills

7. EMERGENCY SKILLS Nursing School Self Motivated, reading and researcher
Visiting Specialist - PTC
Recruitment of Staff with emergency Skills
Local staff attachments
Practical Scenarios
In-service Trainings

8. PROTOCOLS AND GUIDELINES
MOH Disaster and Emergency Plan
Nursing Standards
Emergency Checklist
Incident Reporting System
Ambulance Call Out
Pre-hospital Management
Patient Admission
Triaging Protocol

9. WHAT TO DO ! !

10. PROCEDURES AND POLICIES IN PLACE
In consulting and collaboration by MOH, Government Agencies, Donor Agencies with NZ Emergency Specialists, and Local Staff - 28th March 2014

11. LAYOUT OF ED

12. RESUS AREA Designated Resus Area Only use to Resus patient – Intubate
Bed Pannels
Emergency Requirements – Board etc

13. PROCEDURE AREA 2nd Resus Area Clinical/Medical Nurisng Procedures
Grieving and Bereaved families

14. STAFF WORK STATION Adequate work space
View Patients X-tray and ECG on medtech
Both Nurses and Doctors access to computers for Documentations

15. EQUIPMENTS Emergency Trolley AED Infusion Pump
Cardiac Monitor – Capnography
Istat Machine

16. TRIAGE Nurses triaged, back to waiting area
For critically ill like chest pain, massive bleeding escorted into the ED immediately
Australian Triage Code

17. WAITING AREA
Receptionist take patient details and enter them on the computer
Then ask patient to wait at waiting area or
Triage.

18. AMBULANCE

19. DEFINITIONS
DISASTER -A serious disruption of the functioning of a community or a society causing wide spread human, material economic or environmental losses which exceed the ability of the affected community or society to cope to using its own resources - ( World Health Organisation ,2007,p.7)
EMERGENCY - An actual or imminent event that endangers or threatens life, property or the environment and which requires a significant coordinated response

20. PROTOCOL/POLICIES MOH Emergency and Disaster Plan
MOH Hospital Emergency Call Out Plan
Pre-hospital Documentations
MOH Patient Referral Policy
CPD Protocol
Incident Reporting System

21. PRE DISASTER PHASE ACTION
Understand the threat the likely disaster presents
Identifying team leaders and staff members for the different disaster/emergency situations
Consider resources available eg staffs, vehicles, mobile phones, 72hrs pack
Work in collaboration with support groups/divisions eg: CIEM, Red Cross, Community leaders etc

22. DISASTER PHASE ACTION - HOSPITAL EMERGENCY
Disaster - Activate MOH disaster and emergency Call Tree Plan
Emergency - Activate MOH Hospital Emergency Call Out Plan
Sign Off Form
Hospital Staff report to designated areas
Ambulance Service Dispatched – Ambulance Officer and ED Nurse
Activate code I -Trauma Team /Medical/ONET
Audit

23. TRAINING OPPORTUNITIES
Health Specialist Visits
ALS & PLS
PRIME/St John Ambulance
Primary Trauma Care

24. TRAINING OPPORTUNITIES
APEDNN Meetings
Emergency and Disaster attachments
Aerodrome exercise
Small drills and tabletop exercises
ICN meetings

25. TRAINING OPPORTUNITIES

26. INITIATIVES Emergency Specialist EMS Committees
Full Scenario for the ED
Nurses Standing Orders – PRE-HOSPITAL
Emergency Nursing- Nursing School Curriculum
Istat Machine

27. ACHIEVEMENTS PTC LOCAL INSTRUCTORS Certify - Level 5 ALS
Emergency and Disaster Attachments abroad
Outer Island Locum Cover

28. CHALLENGES Traumatized : Clients Family members -
alcohol/Verbal/Pysical Abused
Nature of the Cause
Difficult Situation: own family
Staff/Colleague
Stress: handle the lost of a life – informing the families

29. COPING STRATEGIES Support each other Team Approach Time Off DEBRIEF
Police
Securities – Ambulance Officers

30. WAY FORWARD Keep going Communication and Networking
Continuous Professional Development
Emergency Drills
Multi Sectoral approach

31. DISASTER and EMERGENCY HAPPEND ANYTIME!!!!

32. THANK YOU! KIA ORANA E KIA MANUIA