Because of building size, occupants with physical restraints, or occupants with impaired physical or mental abilities health care professionals in health care facilities have a defend in place strategy. These occupants fall into three categories, hospitals, nursing homes, and residential-custodial care facilities. Some patients due to the nature of their injuries are considered outpatients and are housed in nursing homes, and residential-custodial care facilities.
Due to the nature of these facilities and the varying ambulatory status’ of the patients fire and emergency medical care professionals along with the health care staff must pre-plan and prepare for events that can bring harm to those clients. In Hurricane Katrina and in the Japan flood as a result of the tsunami we saw patients trapped and loss of life because the health care facilities lacked adequate staff to evacuate the facility. Planners at these facilities were so indoctrinated with the defend in place strategy that they could not envision a rapid evacuation even though one was clearly needed.
We read and heard stories of how patients were abandoned because the ambulatory staff got out before the flood waters came. Governments send mixed signals and even ignore the need to make sure proper planning and plan evaluation takes place. In most cases no local government agency or department even reviews health care facilities emergency plan. Emergency plans are required of most occupancies but there is no oversight of the plans. (http://www.msn.com/en-us/news/us/fla-nursing-home-never-called-for-ambulances-backup-housing-as-patients-died/ar-AAscb2T?li=BBmkt5R&ocid=spartandhp)
Most Health Care facilities stick to the normal defend in place scenarios and never exercise their evacuation plans. Sadly, the staff is left to figure out on the fly how to evacuate a facility as complex as a health care facility until it is too late. Systems Emergency Preparedness Consultants can help bridge the gap between governments and health care facilities to produce plans that will stand the test of mother nature and time. Email us at email@example.com for a free consultation. We will give a free assessment of your organization’s emergency plans.