Please help! disaster drill

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Specializes in LTC.

:DHey everyone. I am new to position of staff development and am responsible for filling in the gaps in education with my staff.:uhoh3: This icon really shows how I feel !

next week we are having a disaster drill. Here is my problem, I am NEW :confused: to position and I don't think this facility has had an in service in 2 or 3 years. :down::down: (Seriously) So, I am prepared for it to go totally horrible. :down:

My question is what things do I need to assess for, as far as employee education needs.

Here is our scenario. H20 tank in kitchen explodes. There will be injuries, deaths and evacuations. :cool:

Oh this is a long term care nursing facility.

And also, if anyone knows of any good resources for teaching please let me know. I am so new to position and have had no "staff development" myself. Any help would be greatly appreciated. :yeah:

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I would think giving an inservice on the procedures to be followed in case of a disaster would be helpful both for you to gauge the knowledge level of the associates, and for the associates to brush up on their understanding of disaster response. If no inservice has been given in 2yrs, there are most likely associates that have no idea what the policy is, and it would be unfair to penalize them before educating them.

Good luck

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
:DHey everyone. I am new to position of staff development and am responsible for filling in the gaps in education with my staff.:uhoh3: This icon really shows how I feel !

next week we are having a disaster drill. Here is my problem, I am NEW :confused: to position and I don't think this facility has had an in service in 2 or 3 years. :down::down: (Seriously) So, I am prepared for it to go totally horrible. :down:

My question is what things do I need to assess for, as far as employee education needs.

Here is our scenario. H20 tank in kitchen explodes. There will be injuries, deaths and evacuations. :cool:

Oh this is a long term care nursing facility.

And also, if anyone knows of any good resources for teaching please let me know. I am so new to position and have had no "staff development" myself. Any help would be greatly appreciated. :yeah:

http://www.annalsoflongtermcare.com/article/6200

http://www.khca.org/Kansas/uploads/LTCDisasterChecklist.pdf

http://www.nursing.columbia.edu/pdf/PublicHealthBooklet_060803.pdf

Policies may vary state to state due to different state regulations, I would check with your local Emergency Management Agency and homeland security office.

http://www.cdph.ca.gov/certlic/facilities/Documents/LNC-AFL-06-22-Attach-1.pdf

http://aging.senate.gov/events/hr212lp.pdf

http://www.cesa-cal.com/files/Emergency-and-Disaster-Preparedness.pdf

http://www.matherlifeways.com/documents/PREPAREU.S.Dept.OfHomelandSecurity.pdf

http://hospitalmalpracticeinsurance.com/nursing-homes-learn-from-disaster-drill/

If you really haven't done this before I would reach out to local hospital emergency departments and fire departments/EMS to assist you. Fire Departments in particular very interested in helping as your response (or lack thereof) impacts them as the first responders directly.....ask for their help. One week :eek: ??? I think is pushing the envelope a bit I'd ask if you could wait 1 month to plan. If you are including education the staff, organization of resources to execution and it's been 3 years? They are asking for TOO much.

The good thing to remember is that these drills are to learn from. YOU can utilize their present plan discover the weaknesses and then engage the fire department to assist you in making it right. Then hold another "drill" after a full education presentation with the updated data.

Think burn injuries, penetrating injuries, lacerations, fractures. Have a triage system. Think survivable/non survivable injuries. Have a method of identifying patients both injured and evacuated and a means to keep track on where they are going......

This is s huge task.....PM me if you have further needs....

http://brmsinc.com/disasterdrillworkshop.html there are many workshops after this drill so the improvement process can begin.

http://www.calhospitalprepare.org/category/content-area/training-drills-exercises/exercises

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Specializes in ER, ICU.

Sorry I can't get past the H2O explosion. This must be one large water tank. Perhaps you meant something else but the scenario should at least be realistic. This will impact the type of injuries you could expect, and the resources you might need. Best of luck.

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It is asking too much! Delaying it would be ideal. However, if that is not an option. Plan on the employee response to be disastrous.

We had informational meetings, packets, preparedness plans were studied, etc. Our facility wide practice drill was a disaster. But we all learned a lot more by doing it wrong. We saw the what, why, of what didn't work and the what, why of how we should be doing it.

I can't emphasize enough, expect it to be a disaster, no pun intended. One person should not be a part of the drill, but just observe the overall staff response. The most important part of the drill should include enough time afterwards for all staff to talk about why things went wrong and problem solve how to respond better.

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Specializes in ICU, Telemetry.

You can also do research on all hazards planning -- your site may have unique issues (are you near a railroad that routinely handles hazardous waste? Fertilizer plant? Strategic resource/gov't entity?) but it essentially comes down to 2 kinds of disaster -- the kind where you leave, and the kind where you stay. If you have an ice storm/hurricane and lose power, are you prepared to preserve life and health of your residents for at least 72 hours? If you need to evacuate (fire, flood, etc.) then who gets moved first, who gets moved last, who can go to family, who has to go to another facility? You want to know that kind of thing ASAP, and go ahead and work out some kind of reciprocity with another facility at least 50 miles away (you take mine, I'll take yours).

My favorite (mean) thing to do was set up a drill, (explosion and fire) and then hand out trauma tags to the execs. I'd always remove the CEO or the 2nd in charge, saying they happened to be injured or out of town on a cruise ship. It was also interesting to take out the "superman" complexes, the kind of folks who beat down their employees -- always shocked them how things could run just fine without them. In all seriousness, you have to plan for them not being available.

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:DHey everyone. I am new to position of staff development and am responsible for filling in the gaps in education with my staff.:uhoh3: This icon really shows how I feel !

next week we are having a disaster drill. Here is my problem, I am NEW :confused: to position and I don't think this facility has had an in service in 2 or 3 years. :down::down: (Seriously) So, I am prepared for it to go totally horrible. :down:

My question is what things do I need to assess for, as far as employee education needs.

Here is our scenario. H20 tank in kitchen explodes. There will be injuries, deaths and evacuations. :cool:

Oh this is a long term care nursing facility.

And also, if anyone knows of any good resources for teaching please let me know. I am so new to position and have had no "staff development" myself. Any help would be greatly appreciated. :yeah:

#1 make shore every one knows how to get out and have some in charge of calling 911 ! Years ago I had need working at a disabution center for 6 months that did no saffy drills when one morning all hell broke lose a guy on a forklift had severeed a pipe full of some kind of stuff and also took out a water pipe to the fire system . The guy was knocked out and hanging from the forklift . People began screaming run get out and Most did sadly leaving some staff trapped some people where inches from a door but did not know it was there ?

One guy went back to get the man that had been knocked out risking his own life not once but twice as he went back in again for the others .

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
Sorry I can't get past the H2O explosion. This must be one large water tank. Perhaps you meant something else but the scenario should at least be realistic. This will impact the type of injuries you could expect, and the resources you might need. Best of luck.

It's a kitchen :rolleyes: in a Long term care facility.....surely there's a boiler somewhere in the facility that supplies hot water to the building......:cool:...right? Their's is in the kitchen.

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Specializes in LTC.

I meant to say hot water heater for the kitchen. Which is gas powered...It is a good scenario, as our O2 is stored in the room next to the kitchen...it is ironic we planned this mock diaster for the upcoming week, and this weekend we actually has a gas leak...it was not a disaster..but a lot of protocol had to be put into play.

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Specializes in LTC.

haven't had a chance to look at all the sites, but thanks so much.

our safety commitee wanted to wait a couple of months, but admin said no...we are passed due and in our survey window...

But as staff development coordinator, I felt the soon the better. It will give us a better assessment of our staff's deficits and real teaching needs...

thanks again

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
haven't had a chance to look at all the sites, but thanks so much.

our safety committee wanted to wait a couple of months, but admin said no...we are passed due and in our survey window...

But as staff development coordinator, I felt the soon the better. It will give us a better assessment of our staff's deficits and real teaching needs...

thanks again

I figured that was what was going on......can you use the actual event of the gas leak? and critique that. I was working at an LTAC when there was an explosion VERY near by and enacted a plan D and used it as the drill/event. I used that and wrote up the plan of action and improvments from that....it really helped.

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