Week 9 Flashcards
managing resources depends on the demands at the time… what influences these demands?
Increased need beyond normal business. due to: # of pts location complexity duration
what do you need to consider when managing resources at a major incident?
- multiple casualties
- require assessment/treatment/transport
- may require additional resources diverted to scene
- available resource use prioritised
- Complex situations
- > specialist equipment
- > Specialist services
What are some examples of protracted incidents?
Floods
Heatwaves
Bushfires
Access to patient
- bushwalkers
- missing person
What are the 3 incident control systems?
Level 1 - Green
Level 2 - Orange
Level 3 - red
Describe level 1 in incident control system?
characterised by being able to be resolved through the use of local or initial response resources only
Describe level 2 in incident control system?
More complex emergency response: either in size, resources or risk. Level 2 response is characterised by the need for:
- deployment of resources beyond initial response
- sectorisation of the emergency
- the establishment of functional sections due to the levels of complexity
- a combination of the above
Describe level 3 in incident control system?
Characterised by degrees of complexity that may require a more substantial establishment for management of the situation. These emergencies will usually involve delegation of all functions.
What needs to be considered with the resource management plan?
Understanding the situation:
- how many patients
- how sick are they
- what are the available resources
- is here a plan ready
- utilisation of response matrix tool by DM
what needs considerations when utilising available resources?
- Managing normal requests for assistance during emergency situation
- Managing requests related to emergency situation
- Using the resources at hand most effectively
Prioritise the use of emergency resources
• Codes 1 and 2 only
• Advise callers of inability to provide ambulance for non-urgent cases
• Provide options such as REFCOM, local clinics
• Activate extra resources
• Recall staff from days off or leave, casuals, CERT
what should be considered for planning for an anticipated incident?
- extra facilities and resources
MGMT options include: • Community healthcare plans • Isolate if infectious • Reserve hospital for the sickest • Likely to have some warning to aid preparedness
What are healthcare options for managing resources?
Treatment options
• In response to a major incident where the
the healthcare system is likely to become
overwhelmed
• Requires a plan to manage non-urgent users and avoid further overwhelming hospitals
WHat are some alternative healthcare options that can be incorporated into plans?
Alternative healthcare plan for patients in the community or at scene: • Treat at scene • Care by family at home • See local doctor • Continue with prescribed medication
what should be considered with alternative healthplans?
Alternative health care plans:
• Consideration of the best plan to meet the
patient’s needs
• Consideration of other factors including social, medical, emotional and capacity to understand and manage self / family
What resources are available for treating on scene?
• Field Primary Care Clinic (FPCC)
Temporary Urgent Care Centre (TUCC)
• Can provide appropriate timely access to primary medical care in communities where this care is limited or non-existent following an emergency
• Supports existing primary care services that may still be operating in the affected area
- Located in close proximity to affected communities
- Lead by AV and staffed by GP’s, RN’s and paramedics
Provide primary care clinical consultations, prescribe medication as needed, provide clinical care for existing conditions and newly arising problems unrelated to the emergency
What are the main key resources available on scene?
FEMO
• Field medical response (Field Emergency Medical Officer)
VMAT (Victorian Medical Assistance Team)
• Initiated through FEMO
• Doctors and nurses
• Can provide extended duration or advanced clinical care
• Patients may continue to re-present after the initial incident
