The Critical Incident Management blog has posted an article about the difference between emergency operations planning and emergency preparedness in the healthcare industry. In fact, many corporations outside of the health care industry have the same misunderstanding of the difference.
The fact is that developing an emergency operations plan (EOP) is simply one component of an effective emergency management program to insure preparedness. In the healthcare industry, there are two different scenarios that must be addressed: 1) the organization serves as response agency or 2) the organization must prepare the instance where they are a victim of the incident. The EOP must address both of these circumstances.
The EOP is a concept document that can be thought of as a leadership guidebook to manage the consequences of a disaster that delineates what response operations and functions will be performed or achieved by what department, agency, or organization and under what circumstances. The EOP is not a detailed reference document to be used as a standard operating procedures manual by response personnel during a crisis.
There are 15 basic issues that are important when developing the healthcare EOP:
- Notification - an emergency notification system that alerts the existence of the disaster and continues to inform throughout the management of the crisis.
- Decontamination - Who, where and how the decontamination will occur.
- Facility physical protection - in addition to the actual victims, expect asymptomatic, possibly exposed individuals, to also present for care.
- Evacuation - must be prepared to rapidly evacuate, identifying the transportation sources and receiving facilities.
- Shelter-in-place - if there is no time to evacuate, existing facility must be prepared to manage the load.
- Detection - usually the weakest link in emergency management and response, several methods of observation must be available.
- Identification - Detection is different from identification; identification determines the response path.
- Triage - standard triage methods will have to be modified if the entire community is affected.
- Treatment options - depending on the health risk being addressed, the options will vary
- Surge capacity - measures that allow increasing capacity if needed.
- Prophylaxis - who will be the recipient of actions to prevent or address disease.
- Fatality management - resource management (facilities, personnel, etc.) for mass-fatality internment procedures
- Counseling services - responders and employees, as well as victims, will need counseling assistance, maybe even more so than other medical needs.
- Horizontal and vertical integration - integrating health services with other local or regional response organizations.
- Law enforcement and incident forensics - from identifying criminal acts to maintaining chain of custody, law enforcement will be involved throughout all phases.
For the full article, read more...