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Head OF LABORATORY I DEPUTIZED: Head OF ER I DEPUTIZED:

1. Reports to the Laboratory 1. Activate Code Yellow after discussion with the
2. Ensures that Laboratory calling Cascade Hospital Director. FULLY LEAD ER
is initiated 2. Mobilize 2 Field triage Doctors with 2 Nurses by
3. Contact ICC upon arrival for briefing 2 ambulances.
4. Immediately does a stock count of blood 3. Start the ER Physicians Calling Cascade
4. Report the status to the Medical Director and
and blood components continue to keep ICC informed of the disaster
5. Prepare Lab for emergency tests status through the Medical Director
6. Inform ICC of blood and blood products 5. Alert the ICC when the maximum number of
status as soon as possible and monitor patients has been received in the hospital.
closely. Reports the need for blood donors 6. Communicates with the ER Charge Nurse (if an
to ICC and prepare to receive donors. overload exists) in an area of need.
7. Will be prepared to give phlebotomy 7. Coordinates Physician assignments to patients
services assistance to Physicians and and priority area.
Nurses as needed. 8. Monitors the need for Consultants as required for
casualties.
HEAD OF ICU / DEPUTIZED: 9. Coordinates Triage in the disaster site at the
facility until relieve.
1. Initiates ICU Medical Calling Cascade 10. Inform the ICC when the last patient has been
2. Reports to ER to receive a status report of the sent from the Field Triage to ER.
disaster from the Chief of ER. 11. Announce Code Green clear after receiving
3. Coordinates the evacuation of all ICU patients confirmation from both ICC and Field Triage
to the 2nd floor. Doctor.
4. Assists in the treatment of Red tagged patients
in ER.
HEAD OF PEDIATRICS I DEPUTIZED
HEAD OF SURGERY / DEPUTIZED: 1. Initiates the Pediatric Department Calling
Cascade, share pediatric management from
1. Initiates the Surgical Department Calling ER
Cascade. 2. Reports to head of ER to receive a status
2. Reports to ER to receive a status report of report.
the disaster from the Head of ER. 3. Will delegate the discharge and transfer of
3. Responsible for the clinical decisions. patients.
4. Delegate the Resident to assist wards and 4. Will assign a Pediatrician to assist in
units to either transfer or to discharge stable transporting.
and elective patients. 5. Will assign a Pediatrician to assist in
5. Delegate a Surgeon to either proceed to OR transporting patients from ER to other units.
for Surgery or to assist in ER.
6. Coordinate priorities of surgeries and HEAD OF BIOMEDICAL DEPARTMENT
functionality of the Surgical Team and OR
during the Disaster. 1. Ensure availability of Biomedical Engineers,
7. Liaise the Anesthesia services with the Head Technicians and staff to be sent where
of Anesthesia. requested.
2. Ensure good distribution of equipment where
needed.

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