Table 1 Sets of performance indicators and standards used for evaluation in full-scale disaster exercises
Prehospital command and control | Standard (time frame in min) |
|---|---|
Putting on tabard* | Directly* |
First report to dispatch | 2 |
Content on first report | METHANE** |
Formulate guidelines for response | 3 |
Establish contract with strategic level of command | 5 |
Liaison with fire and police | 5 |
Second report from scene | 10 |
Content of second report | Verifying first report. Indicating first patient transport |
Establish level of medical ambition | 10 |
First patient evacuated | 15 |
Information to media on scene | 30 |
Regional command and control | Standard (time frame in min) |
Declaring major incident | 1 |
Deciding level of preparedness | 3 |
Decision on additional resources to scene | 3 |
Deciding on receiving hospitals | 5 |
Establishing contact with incident officers at scene | 10 |
Deciding on guidelines for referring hospitals | 10 |
Brief information to media | 15 |
Formulate general guidelines in accordance with guidelines from scene | 15 |
Make sure there is information for definitive referral guidelines | 20 |
Evaluated if capacity of own organisation is sufficient | 30 |
Notify guidelines on referring hospitals | 40 |
Hospital command and control | Standard (time frame in min) |
Decide on level of preparedness | 3 |
Formulate guidelines for hospital response | 15 |
Inform media | 15 |
Give information about resources to strategic level | 25 |
Ensuring that there is a medical officer in emergency operation | 30 |
Estimate need of ICU beds | 45 |
First information to staff | 60 |
Estimate endurance of staff | 90 |
Evaluate and report estimated shortage of own capacity | 120 |
Evaluate influence on the daily hospital activities | 120 |
Information plan for patients with postponed appointments and operations | 180 |
Regional and Hospital staff procedure skills | Standard (time frame in min) |
Assigning functions to all the staff members directly upon arrival | Directly on arrival |
Placement in room according to function in staff | Directly |
Designated telephone numbers | Directly |
Introduction of newly arrived staff member | Maximum 1 |
Utilization of available equipmenta | |
Maximum 8 min for “staff briefing” | 8 |
Content of “staff briefing”b | |
Telephone discipline during “staff briefing” | Yes/No |
Drawing and content of “staff schedule” | Yes/No |
Summary after session, orally | Yes/No |
Summary after session, written | Yes/No |