CODE ALERT SYSTEM • All third and fourth year resident

• Administrative Officer or designate

CODE WHITE
• Nursing supervisor on duty
• Forecast typhoons (Signal No. 2 up) the path of • All OR nurses
which will affect the area • Social workers
• Any emergency with potentially 10-50 • Dietary personnel
casualties (deaths, injuries) • Officer in charge of supplies at the CSR
• Any other hazard that may result in emergency • The entire security force
• Unconfirmed report of reemerging diseases, • Institutional workers on Duty
e.g., bird flu, SARS

CODE RED
Human Resource requirements for responding to the
Code • When more than 50 (red tag) casualties are
suddenly brought to the hospital.
1. First response team ready for dispatch to • An emergency wherein the services of the
include the following: hospital is paralyzed since 50% of the
✓ 2 doctors preferably Surgeon, internist, manpower are themselves victims of the
anesthesiologist, etc.
disaster.
✓ 2 nurses
• Hospital is structurally damaged requiring
✓ First Alder /EMT
evacuation and/or transfer of patients
✓ Driver
• Conditions requiring mandatory quarantine of
2. Second response team should be on call
hospital and its personnel (e.g., • SARS, avian
3. The following should be available for immediate
flu); uncontrolled human to human
treatment of incoming patients:
transmission of SARS/avian flu within the
✓ General Surgeons
catchment area.
✓ Orthopedic Surgeons
✓ Anesthesiologists
✓ Internists Human Resource requirements for responding to the
✓ O.R. Nurses Code:
✓ Ophthalmologists • All personnel enumerated under Code Blue All
✓ Otorhinolaryngologists medical interns and clinical clerks All nurses
✓ Infectious Specialists • All nursing attendants
4. Emergency service personnel, nursing • All institutional workers
personnel and administrative personnel • All administrative Staff
residing at the hospital dormitory shall be on • The Chief of Hospital/Medical Center Chiefs can
call status for immediate mobilization cancel all types of leaves and can order all
personnel to report to the hospital.
CODE BLUE • The Chiefs of Hospital/Medical Center Chiefs
• When 20-50 casualties (red tags) are suddenly can temporarily stop all elective admissions and
brought to the hospital, surgeries and network with other hospitals.
• Any internal emergency/ disaster in the hospital • The Chief of Hospital/Medical Center Chiefs
which brings down their operating capacity (i.e., should anticipate requests for additional
vital areas) to 50% or which would require manpower and specialists not available in his
evacuation of patients and setting up of a Field hospital.
Hospital. • He is further authorized to accept medical
• For conditions other than MCI, the influx of volunteers and other professionals to augment
patients is beyond the capacity of the hospital the hospital's manpower resources rather than
to handle. transferring patients based on some
• Confirmed/documented report of reemerging agreements
diseases (SARS human to human avian flu)
within the catchment area. PHASES OF EMERGENCY PLANNING
MITIGATION
Human Resource requirements for responding to the • Structural (detection systems)
Code: • Nonstructural (staff awareness and educational
program)
• HEMS Coordinator to be physically present at
the hospital. PREPAREDNESS
• On-scene Response Team • Refer to your hospital disaster plan
• Medical Officer in charge of the Emergency • Collaboration with all the depts. For their
Room contingency plan.
• All residents of the Department of Orthopedics
• Medical Officer in charge of the Operating RESPONSE PHASE
Room • As part of the all-hazard approach, hospital
• Surgical Team on duty for the day must strengthen their organization's response
• Surgical Team on duty the previous day capacities.
• Mental health professionals • Goal: Saving lives and limit loss of life.
• All anesthesiology residents • Activate IS for the institution to continue its
• Toxicologist, chemical experts for poisoning services both regular and emergency.
and/or chemical cases (if available) • Effectively manage the surge capacity
 RECOVERY 8. Comprehensive Resource Management
• Recovery actions and implementations should o coordinates and consolidates
address the institutions financial, human resources, avoiding cluttering of
resources, and support services. personnel and communication.
• MHPSS (Mental Health and Psychosocial
Services) for staff and patients.

HEICS HOSPITAL EMERGENCY INCIDENT COMMAND

SYSTEM
• An emergency management system which
employs a logical management structure,
defined responsibilities, clear reporting
channels, and a common nomenclature to help
unify hospitals with other emergency
responders. INCIDENT COMMANDER
• An emergency management system made up of • Manages incident at the scene. Keeps
positions on an organizational chart. Each Responsible Official informed of all
position has a specific mission to address an important matters pertaining to incident.
emergency situation. • The Incident Commander creates an
Incident Action Plan (lAP) that:
✓ Specifies the incident objectives. –
✓ States the activities to be completed.
✓ Covers a specified timeframe, called
an operational period.
✓ May be oral or written.
✓ Takes into account legal and policy
considerations and direction.
COMMAND STAFF
• assist incident commander in commanding
the incident by overseeing different aspects
of response
Liaison Officer
• assist the IC as contact person to agency
PRINCIPLES OF ICS representatives who are helping to support
1. Common Terminology response operation.
o avoids confusion by coordinating • Provide briefing to supporting agencies so
terms utilized with different they may ask questions to him/her
agencies, allowing adequate
Safety Officer
identification of personnel, areas,
equipment, and procedure, • advices the IC on issues regarding incident
2. Modular Organization safety and safety of all incident personnel
o is based upon a '"top-down • Works closely with Operation section to
development approach" ensure safety of field personnel during
3. Integrated Communication operations.
o allows the coordination of Public Information Officer
communications plans, operating • advices the IC on:
procedures, terminology and ✓ Public messaging
frequency. ✓ Information dissemination
4. Unified Command Structure ✓ Media relations
o with one Incident Commander • Serves as conduit for information to all
(Single Command) or Unified external stakeholders
Command, unity of command should
• Responsible for all the situation report
be followed in which each person
updates
reports to one supervisor.
5. Consolidated Action Plan GENERAL STAFF
o should follow established strategic LOGISTICS PLANNING FINANCE/ADMIN OPERATIONS
Provides Develops Monitors costs Develops the
goals, objectives andactivities. resources the Incident related to the tactical
6. Manageable Span of Control and all Action Plan incident. organization
o in which the number of individuals other to Provides overall and directs
who report to a supervisor is services accomplish fiscal guidance. all resources
established, ideally 5 with a range of needed to the Logistics to carry out
support the objectives. the Incident
3-7. incident, Action plan.
7. Predesignated Incident Facility
o zones that clearly indicate areas of
command post, search and rescue,
staging, decontamination, transport,
press, etc.
 DISASTER CONTINUUM

a. Pre-Impact
b. Impact
c. Post-Impact

PREPAREDNESS (Pre-Impact)
General Preparedness
1. Fire
2. Earthquake
3. Volcanic Eruption
4. Floods, Typhoons, Tsunami
FIRE PREPAREDNESS PLAN
1. know the floor plan of the building you are
in to, identify the exit points/routes.
2. Smoke detectors and Alarm system.
3. Fire hydrants and fire extinguisher.
4. Information materials guide that would 2. HOLD A REGULAR MEETING
guide everyone
• Meet with the members of the DISASTER
CONTROL GROUP (DCG) to discuss why it is
important to be prepared.
• Review the types of disasters that are most
likely to occur and explain what to do in each
situation.

3. PREPARE

• Locate safe places in your area for each type of

disaster.
• Assemble a disaster supply kit
DISASTER SUPPLY KIT
1. Water (one gallon per person per day
for several days, for drinking and
sanitation)
2. Food (at least a several-day supply of
non-perishable food)
3. Battery-powered or hand crank radio
and a NOAA Weather Radio with tone
alert
4. Flashlight
5. First aid kit
6. Extra batteries
7. Whistle (to signal for help)
8. Dust mask (to help filter contaminated
air)
9. Plastic sheeting and duct tape (to
shelter in place)
10. Moist towelettes, garbage bags and
plastic ties (for personal sanitation)
11. Wrench or pliers (to turn off utilities)
12. Manual can opener (for food)
13. Local maps
EARTHQUAKE PREPAREDNESS PLAN 14. Cell phone with chargers and a backup
1. Identify hazard battery
2. Hold a regular meeting
3. Prepare 4. COMMUNICATION PLAN
4. Communication plan
• During disaster not all of the family members
5. Drill practice you plan (2x a year)
are there in the same area, and communication
1. IDENTIFY HAZARD lines are out.
• Develop a strategy in which you and your family
members will be a able to communicate
(radio/sat phone)
• Identify a rendezvous in which you agreed to
meet specified time after the incident
 5. DRILL/PRACTICE YOUR PLAN Determine the FLOW OF TRAFFIC from each
building along the street using the information on
• Conduct a regular drill every 6 months actual number of occupants per building and their
• Check your disaster kits for expiry designated evacuation area.
•

Members of the DG Should Indicate by arrows, the flow of evacuation coming

evaluate the building. Have the following out of each room down to their designated
INFORMATION AVAILABLE YEARLY: evacuation site. This will be the suggested
earthquake EVACUATION ROUTE FOR THE
1. Total number of building occupants BUILDING OCCUPANTS.
2. Total number of occupants at each room
3. Total number of occupants at each floor
4. Total number of occupants at each building “One way traffic: Determine the flow of traffic”
5. Identify occupants with special needs
(elderly, disabled] and their location

Acquire the most recent GROUNDS LAYOUT or

vicinity plan/map.

WATCHING EXERCISE AND IDENTIFY SAFE AND

UNSAFE SPOTS inside the building.
• Observe hazardous areas/practices
within the building premises and
dangerous conditions that may exist which
people have not noticed before. This should
be plotted on the layout.
Examples:
✓ Any hanging, unstable objects or
structure
✓ Condition of power lines and utility
poles
✓ Narrow alleys between buildings
✓ Corridors are too narrow
✓ Are there blockages along the
corridors and exit points?
✓ Do exit point remain open during
working hours?
✓ Doors that swing in instead of The main concern during an ongoing shaking is how to
swing out. protect oneself.
• Assess the structural integrity of the
building/s Give specific instructions on what to do DURING an
earthquake.

Determine if there is SUFFICIENT OPEN SPACE for 1. Duck, Cover and Hold
all. 2. Take cover under a sturdy table or strongly
supported doorway.
• Areas to be occupied should be computed
assuming 4 'evacuees' would occupy a 1 3. Watch out for falling objects.
sq m area. 4. Keep calm and don't panic.
Determine how many persons can occupy an open
space.
• Assumption 1 : 800 persons
• Assumption 2: 4 persons/m? (800 persons)
= (4 persons/m?) = 200 m2 Is the space
enough for the total number of evacuees?

Consider the NUMBER OF OCCUPANTS in each

building (working and non-working hours).
Designate a specific open area for each building as
their area of TEMPORARY REFUGE.

Once each building has been assigned a specific

evacuation site, come up with an EVACUATION
PROCEDURE using the available map. Initially, all
exit points nearest the building should be suggested
as their exit routes; assuming that these are
passable after the earthquake.
Give specific instructions about what to do AFTER 3. Make sure your automobile's emergency kit is
as soon as the shaking stops: ready.
1. Be alert. 4. Disconnect appliances to reduce the likelihood
2. Listen to the Marshall's instructions. of electrical shock when power is restored
3. Walk out of the building in an orderly 5. Follow designated evacuation routes--others
manner. may be blocked- and expect heavy traffic and
delays.
While walking along the alleys/streets, be alert and
watch out for falling debris. If you are told to take shelter where you are
1. DON'T Run 1. Keep listening to your radio or television
2. DON'T Push until you are told all is safe or you are told
3. DON'T Talk to evacuate. Local authorities may evacuate
4. DON'T Return spécific areas at greatest risk in your
5. DON'T bring your things community.
2. Close and lock all windows and outside
doors.
VOLCANIC ERUPTION PREPAREDNESS PLAN 3. Turn off all heating and air conditioning
1. Be prepared either to shelter or to systems and fans.
evacuate. 4. Close the fireplace damper.
2. Develop an evacuation plan and a 5. Organize your emergency supplies and
sheltering plan for yourself, your family, make sure household members know
and others in your household. where the supplies are.
3. Know the evacuation site in your 6. Make sure the radio is working.
community/province/region. 7. Go to an interior room without windows
4. Put together an emergency supply kit. that is above ground level.
8. It is ideal to have a hard-wired (non-
IF YOU ARE TOLD TO EVACUATE portable) telephone in the room you select.
Call your emergency contact-~-a friend or
1. Follow authorities' instructions if they tell
family member who does not live near the
you to leave the area. Though it may seem
volcano. -and have the phone available if
safe to stay at home and wait out an
you need to report a life-threatening
eruption, doing so could be very dangerous.
condition. Remember that telephone
Volcanoes spew hot, dangerous gases, ash,
equipment may be overwhelmed or
lava, and rock that are powerfully
damaged during an emergency.
destructive.
9. Bring your pets with you and be sure to
bring additional food and water supplies
PREPARING TO EVACUATE for them
1. Tune in the radio or television for volcano
updates. FLOODS, TYPHOON AND TSUNAMI
2. Listen for disaster sirens and warning Disaster Preparedness Plan
signals.
3. Review your emergency plan and gather 1. Be prepared
your emergency supplies. Be sure to pack at 2. Be aware of the evacuation site
least 1-week supply of prescription 3. Check your house's condition and make
medications. necessary repairs.
4. Prepare an emergency kit for your vehicle 4. Follow the localities guidelines in evacuation
with food, flares, booster cables, maps, 5. Keep watch for warnings and plans regarding
tools, a first aid kit, a fire extinguisher, evacuation in your community.
sleeping bags, a flashlight, batteries, etc.
6. Prepare a survival kit (emergency items such as
5. Fill your vehicle's gas tank.
canned goods, biscuits, water and first aid kits).
6. If no vehicle is available, make
arrangements with friends or family for PAGASA - Philippine Atmospheric, Geophysical
transportation, or follow authorities' and Astronomical Services Administration
instructions on where to obtain
transportation. FUNCTIONS OF PAGASA
7. Place vehicles under cover, if at all possible. • Maintains a nationwide network pertaining
8. Put livestock in an enclosed area. Plan to observation and forecasting of weather
ahead to take pets with you, but be aware and flood and other conditions affecting
that many emergency shelters cannot national safety, welfare and economy;
accept animals. • Undertake activities relative to observation,
9. Fill your clean water containers. collection, assessment and processing of
AS YOU EVACUATE atmospheric and allied data for the benefit
of agriculture, commerce and industry;
1. Take only essential items with you, including at • Engage in studies of geophysical and
least a 1 week supply of prescription astronomical phenomena essential to the
médications. safety and welfare of the people;
2. If you have time, turn off the gas, electricity, and • Undertake researches on the structure,
water. development and motion of typhoons and
 formulate measures for their moderation; Hydrological Instruments and on
and Astronomy, Space Science and applications
• Maintain effective linkages with scientific • Dispatch Storm Chaser Team to areas
organizations here and abroad and threatened and affected by typhoons
promote exchange of scientific information • Conduct Calibration, Repairs & Testing (for
and cooperation among studies. personnel private and government sectors) of
engaged in atmospheric, geophysical, Barometers and other related Equipment
astronomical and space • Assist Researchers from Different Schools,
Colleges, Universities and other Agencies
WHAT ARE THE SERVICES OF PAGASA
1. Weather Forecast &Tropical Cyclone Warning Information, Education and Public Outreach
2. Flood Forecasting & Warning Services • Public Awareness Campalgn on Natural
3. Climatological & Farm Weather Services Hazards, specifically Weather, Climate,
4. Research and Development Typhoons, Floods, Storm Surges and other
5. Information, Education and Public Outreach related hazards
6. Astronomical Services • Conduct of Seminars/Workshops on
Meteorological & Hydro- meteorological
Weather Forecast &Tropical Cyclone Warning Hazards
• 24-Hr Public Weather Forecast issued twice • Conduct of Seminar for Science Teachers on
daily and 4-day Extended Weather Outlook Basic Astronomy
for Selected Cities • Public Information Drive for the target
• 5-day Weather Outlook for Selected Tourist areas of monitored Dams
Areas • Conduct of Flood Drills
• Severe Weather Bulletins: 6-hourly • Conduct of Annual Typhoon and Flood
Tropical Cyclone Warnings Awareness Week
• Hourly Tropical Cyclone Update • Participation in Special Events like
• Shipping forecasts & Tropical Cyclone Exhibitions, School Celebration and other
Warning for Shipping government and non-government
• Gale Warning organizations
• Storm Surge Warning • Development of PAGASA print materials
• Rainfall Warning system and non-print materials (flyers, brochures,
• Thunderstorm Alert System posters and exhibit display materials)
• Aviation meteorological services through
access to the world are forecast Astronomical Services
system(WAFS) • Philippine Standard Time (PST)
• Promotion of Astronomy through
Flood Forecasting & Warning Services Stargazing/Telescoping Sessions and
• Basin Flood Bulletins for Telemetered Planetarium Shows
Basins and General Flood Advisories for the • Planetarium tour in selected areas in Luzon
Non-Telemetered Basins
• Dam Discharge Warning Information MAKE A PLAN
during Spilling Operation of the Monitored a. Gather emergency supplies
dams b. Be ready to evacuate or stay at home
• Community-Based Flood Early Warning c. Get your family and pets ready.
System d. Get your home ready
• Daily hydrological forecasts during Non-
Flood Watch

Climatological & Farm Weather Services

• Daily Farm Weather Forecast & Advisories
• 10-day Regional Agro-climatic Weather &
Advisories
• 10-day Philippine Agro-climatic Review &
Outlook
• El Niño/La Niña Watch/Advisory and
Information
• Monitoring and Prediction of Seasonal
Rainfall
• Climate Projections for Climate Change
Adaptation Activities
Research and Development
• Conduct of R&D on Hydrometeorology,
Tropical Meteorology, Weather
Modification, Meteorological and