EXTERNAL DISASTER/

MASS CASUALTY
(MEDICAL/INFECTIOUS)
CODE ORANGE

ED DISASTER MANAGEMENT
LINK

DISASTER

A situation or event, which overwhelms the

local capacity, necessitating a request to
national or international level for external
assistance. WHO

Serious disruption of the functions of society,

causing widespread human, material, or
environmental losses that exceed the ability of
the affected society to cope using its own
resources. UN Management Training
Programme

PHASES OF EMERGENCY
MANAGEMENT PLAN
MITIGATION
Prevent or diminish the negative impact of an emergency on the
wellbeing of the patients, visitors and staff as well as the physical
facility.
PREPAREDNESS
Identify resources essential to execute the emergency response and
recovery and facilitate their access and utilization.
RESPONSE
Educate and train the staff to respond effectively to internal
emergencies that effect the environment of care and test response
mechanism.
RECOVERY
- Plan processes for restoring normality of operations after the incident.

ALERT

Applies when there is only a

potential for disaster or the
disaster is limited nature in terms
of anticipated patient load/
severity

MINOR

Applies when present on-site

capabilities are deemed adequate
for the anticipated patient
load/severity

MAJOR

Applies when the anticipated

patient load/ severity is likely to
overload present on site- site
capabilities such as that additional
staffs are required

CODE
ORANGE
FLOWCHART

NOTIFICATION OF
PATIENT INFLUX
POLICE
AMBULANCE/CIVIL
DEFENSE

AIRPORT
AUTHORITIES

SEHA/HAAD

ED/NURSING
SUPERVISOR

EXISTING PATIENTS

On going
treatments

Admission but
awaiting beds

Referrals/consul
ts

ED
B

TRIAGE

ED reception area

ED
physicia
n

ED nurse/s

Interpret
er

Disaster Registration Number ( KT

number) will be assigned to each patient.

DISASTER TRIAGE
SYSTEM
Priority 1 Immediate (Life
threatening Injury)
CRITICAL AREA

Priority 2 - Serious /
Delayed (Non-life
threatening)
ED A

Red
Tag

Yello
w
Tag

Blac
k Tag

Gree
n Tag

Dead (Pulse less /

Non-Breathing)
PEADS FAST TRACK

Priority 3 - Minor
(Walking wounded)
INTAKE/ PROCEDURE
OSC IF OPERATIONAL

PATIENT FLOW IN ED

INFECTIOUS DISEASES
Isolate
Isolate

Infection
Infection
control
control
notificatio
notificatio
nn

PPE
PPE

HAAD
HAAD
notificatio
notificatio
nn

STAFF EXPOSURE
Report to IC
Investigate index case/s and
determine follow up assessment of
staff is required
Establish list of staff exposed (name,
badge, date and time exposed and
MRN of index case patient

Report to EHS

ED INDOOR
DECONTAMINATION

Appropriately decontaminate and treat the

patient (s) and to isolate the contaminant while
protecting hospital staff, other patients, and
visitors

Establishment of secured area for patient

exposed to biological and chemical agents.

REFERENCE

INDIVIDUAL ROLES &

RESPONSIBILITIES

DISASTER
FAN-OUT LIST

FORMS USED DURING

CODE ORANGE