1. DISASTER RESPONSE TEAM IN HOSPITAL
RESPONSE AFTER EARTHQUAKE 2072
Dr padam khadka,Vice president APHIN
Western region

2. disaster
Disaster scenarios once seemed merely theoretical now becoming a disturbing reality.
For natural disasters like earthquake, there is no any advance warning, as of now.
Hospitals- first institutions to be affected after a disaster. So they need to be prepared to handle such an unusual workload.

3. Disaster management D I S A T E R DISASTER INDUCED SITUATION AFTER
SEVERE
TRANSFORMATION OF
ECOLOGICAL
RESPONSE

4. OUR MAIN AIMS
USE LIMITED RESOURCES AVAILABLE IN A MODIFIED WAY TO SAVE AS MANY LIFE AS POSSIBLE.
DELIVERING CARE TO THE LEVEL OF USUAL HOSPITAL STANDARDS OR BENCHMARKS MAY NOT BE POSSIBLE AND an ‘ALTERED STANDARD’ HAVE TO BE ACCEPTABLE.
ALTERED STANDARD
1.mean-changing infection control standards to permit group isolation rather than single person isolation units
2.limiting the use of ventilators to surgical situations
3.creating alternate care sites in the waiting area, lobby or corridors which are not designed to provide medical care
4.It could also mean changing who provides various kinds of care like enhancing the scope of nurses, physician assistants and hospital paramedics. 

5. DISASTER MANAGEMENT
2.PREVENT
3.PREPARE
1.PREDICT

6. Hospital disaster plan
Hospital disaster plan is prepared to reduce the pressure on the hospital management when a large number of casualties arrive suddenly in the hospital at a time.
The plan- activated immediately to provide efficient care to the pt. within a short span of time.
Mock drill- conducted periodically
Adequate storage of supplies in the emergency department.

7. Hospital disaster ACTION plaN
HOSPITAL DISASTER COMMITTEE
CARE AT THE SITE
CARE IN THE HOSPITAL
INTERNAL DISASTER PLAN
EXTERNAL DISASTER PLAN

8. Internal disaster plan
Multidisciplinary approach- 1.safe working physical status of the hospital- alternate sites 2.adequate equipment 3.sufficient trained human resources 4.logistics- power supply with alternative backup, adequate reservations of water supply. 5. Proper transportations facilities 6. Pharmacy supply

9. External disaster plan
Co-ordination and communication with other institutions.
Documentation and record keeping
Hospital traffic control
Periodic public notifications
Resource mobilization and collaboration with other teams.

10. Three Levels of Preparedness
Awareness:
Personal preparedness
Staff role within department
Mid-Level:
Leadership level within department
Department role within hospital
Advanced Level:
Leadership level within hospital
Hospital role within community

11. hospitals after earthquake 2072

12. HEALTH CARE SERVICES after EQ 2072

13. DOCUMENTATION AND RECORD KEEPING

14. Cherry on the cake..!!!!

15. Healthcare services in tents
PREPARED STATUS
UNPREPARED STATUS

16. Preliminary damage assessment

17. HOSPITALS VISITED IN KTM VALLEY AFTER THE EQK

18. HEALTH CARE SERVICES IN HOSPITALS OF KATHMANDU VALLEY DURING EARTHQUAKE
95%

19. WHAT SAVED US FROM SUCH A GREAT DISASTER..?
IT’S THE CULTURE, HELPING ATTITUDE AND OUR SOCIAL NORMS AND VALUES.
PROBABLY DUE TO THE GODS AND GODDESS OF THE KATHMANDU VALLEY.
NOT DEFINITELY DUE THE GOVERNMENT’S DISASTER PREPARDNESS PLAN.

20. WILL THIS TYPE OF SOCIO-CULTURAL TO FACE THE FUTURE DISASTERS..?
PRACTICE BE ENOUGH
TO FACE THE FUTURE DISASTERS..?
NOT AT ALL

21. WE DEFINETELY NEED TO HAVE AN EFFICIENT AND EFECTIVE NATIONAL
DISASTER PREPAREDNESS PLAN…

22. LESSONS LEARNED… PROPER GOVERNMENT DISASTER PREPAREDNESS POLICY.
DISASTER PRPAREDNESS PLAN FROM EVERY RESPONSIBLE INSTITUTIONS.
PROPER CO-ORDINATION AND COMMUNICATION WITH THE STAKEHOLDERS.

23. Thanks