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Disaster Plan in Institute of Medicine Teaching Hospital, IOM |
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| Disaster Plan revised by the Institute of Medicine Teaching Hospital, Tribhuvan University, Kathmandu, Nepal Reported by Dr. Pradeep Vaidya | ||
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Hospital Preparedness for Emergencies – Tribhuvan University Teaching Hospital (HOPE-TUTH) Committee
was formulated on the assumption that, being the prime tertiary hospital in the country with almost
all medical specialties under one roof, most casualties of external disasters will be brought here.
There were few papers and a disaster plan already in place, but it had not been implemented. None of
the active participants knew what their role is in case of disaster.
The HOPE-TUTH Committee was formed with several members who were HOPE graduates. This made it easier to discuss and prepare the plan, since most of the members used similar terminology. In three months time, a complete comprehensive disaster plan was finalized according to the HEICS system taught in the HOPE Course. After the plan was completed, it was discussed with the various departments, and most importantly, they were informed of their job description in case of disasters. First, the discussion was with individual departments, including security, housekeeping, medical, emergency, surgery, orthopedic, etc. The discussion also took place with the all other nurses, doctors and the administrative staffs of the hospital. | ||
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Fortunately, TUTH was able to participate in the disaster drill conducted in the Valley by the Ministry of
Home Affairs. It was the first time we tried the concept of Incident Commander, triage, various areas according
to the triage colors. The crowd control was excellent and most of the staff knew their jobs. We also held a briefing,
and discussed what we could improve for future incidents.
Soon after, very unfortunately in the people’s democratic movement, we had to deal with a sudden influx of large numbers of patients. As the system was already formed, the management of large numbers of victims went very smoothly. This time we were also able to manage the press and there was very little confusion. The lessons learned from this incident include:
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