skip navigation
   
   

  



Mizell Memorial Hospital Casuality Disposition Plan 

Casualties will enter the hospital through the Emergency Department, which will be under the direction of the ER physician on duty or staff physician on duty if no ER   physician is on duty at the time of the disaster.  The ER will also be staffed during an external disaster by ER/Critical Care nurses and other hospital support personnel as needed (RT, X-Ray techs, and Lab techs).

Tagging of all casualties with disaster identification tags (stored in Disaster Cart in ER hallway by treatment rooms) will be assigned to personnel from Admissions/Business Office/Health Information.

A log of disposition of each patient will also be maintained by the personnel from Admissions/Business Office/Health Information

TREATMENT CENTERS: In addition to the ER department, the following treatment centers will be established and directed by an assigned RN.


FUNCTION
Triage
DESCRIPTION
Area designated to rate all disaster patients
LOCATION
ER hall by back door & down hall by X-Ray/Admissions
CONTROL
ER Supervisor
STAFFING
ER/On-call physician; ER RN, Critical Care RNs, RT techs, X-Ray techs, Lab techs, Admissions/B. Office/Health Info personnel


FUNCTION
Priority I Critical/Immediate Care (RED)
DESCRIPTION
Visible hemorrhage
Acute shock 
Major burns                        
Incomplete amputations  
Crashing wounds of extremities 
Lacerations with severe bleeding
Obstetrics                    
Children without parents 
LOCATION
3rd floor (Hall 310,320,330)
Surgical cases to OR
Obstetrics to OB
2nd floor (*overflow from 3rd, North hallway)
CONTROL
RN Charge nurse
STAFFING
RN charge nurse, 2 physicians, additional Med/Surg RN, 6 LPN=s working in pairs and assigned a wing of floor, Unit secretary, OR/PACU nurses


FUNCTION
Priority II Doubtful prognosis (YELLOW) 
DESCRIPTION
Multiple sever injuries
Sever burns of >60% body surface
Critical respiratory patients
LOCATION
3rd floor (Hall 340)
CONTROL
Charge Nurse
STAFFING
RN charge nurse, 1 physician (Will also help with Priority IV), 1 LPN


FUNCTION
Priority III Delayed treatment (YELLOW)
DESCRIPTION
Closed fractures
Extensive lacerations without sever bleeding
Minor burns 10-20% body surface
LOCATION
2nd floor - South hall
CONTROL
RN Charge nurse
STAFFING
RN charge nurse, 1 physician (will float Priority II, III, IV), 2 LPN/CNA or PT techs


FUNCTION
Priority IV Ambulatory, first-aidwill be self sufficient following treatment (GREEN)
DESCRIPTION
Minor lacerations and abrasions
Minor contusions
Second degree burns over < 10% body surface
LOCATION
Cafeteria/Small Dining Room
CONTROL
RN charge nurse
STAFFING
RN charge nurse, 3 LPNs to offer basic first-aid care then discharge


FUNCTION
Radioactive Decontamination
DESCRIPTION
Patients requiring radioactive decontamination
LOCATION
Outside ER on porch
CONTROL
Radiology Supervisor
STAFFING
Radiology techs

FUNCTION
DOA
DESCRIPTION
DOA patients
LOCATION
Morgue - basement
CONTROL
Lab supervisor
STAFFING
Lab techs/CNAs