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The Hospital’s Systematic Approach For Major Incidents
1. Define a Major Incident
2. Describe the purpose of the Major
Incident Plan
3. Understand the phases and build up of
the hospital response
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
Incident which causes so many casualties that special arrangements must be implemented.
The Hospital’s Systematic Approach For Major Incidents
Major incidents happen without warning
“EXPECT THE UNEXPECTED”
The Hospital’s Systematic Approach For Major Incidents
• Simple/ Compound• Minor/ Moderate/ Severe• Compensated/ Uncompensated
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
“IF WE FAIL TO PLAN,
THEN WE CAN PLAN
TO FAIL”.
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
Clear report to reporting structure so everyone knows who they should report to and where to
The Hospital’s Systematic Approach For Major Incidents
Good communications
The Hospital’s Systematic Approach For Major Incidents
Organisation of wards to cope with a sudden influx of patients
The Hospital’s Systematic Approach For Major Incidents
•Special areas set up in hospital to cater for
groups such as relatives, the press & the police
The Hospital’s Systematic Approach For Major Incidents
•Clear set of actions for everyone involved so
that staff know their identified role
The Hospital’s Systematic Approach For Major Incidents
• Trolleys set up with all of the additional
resources such as case notes
The Hospital’s Systematic Approach For Major Incidents
The Major Incident Plan should be available in all wards and departments and on the Intranet and includes the action cards.
The Hospital’s Systematic Approach For Major Incidents
•It tells you who to report to•It tells you what actions to take •It provides key contact details
The Hospital’s Systematic Approach For Major Incidents
•At the triage location•Wrist bracelet•Put on each casualty,
personal property •Used on all documentation , blood transfusion and diagnostic procedures
Casualty labeling systemMedical Registration Number (MRN)
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
• Moves people from the scene to definitive care
• Variable levels of treatment at scene
The Hospital’s Systematic Approach For Major Incidents
1.To liaise with the ambulance service, other hospitals and agencies in order to manage the impact of the incident
2. To provide on site medical care and advice!!?
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
“IF IN DOUBT, SHOUT IT OUT”
The Hospital’s Systematic Approach For Major Incidents
• Type/ location / time of incident• Estimated number of casualties• Predominant nature of injuries• Time of message• Which other hospitals, if any, have been
alerted• Name and telephone number of the person
giving the information
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
“THE MOST IS DONE FOR THE MOST”
The triage category of patients may change if their condition improves or deteriorates
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
The management of a Major Incident can
continue long after the Stand Down.
•Resolution
•Reflection
•Audit
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
The Hospital’s Systematic Approach For Major Incidents
• Pre-hospital• Reception• Definitive Care• Recovery