A major emergency is any occurrence which causes a threat to the health of the community, disruption of essential services, causes, or, is likely to cause, such a number of casualties, or damage to property, or to the environment, as to require special arrangements by the Garda Síochána, the Southern Health Board, and the Local Authorities.
Hospital Alert Procedure by day 09:00 - 17:00 hours
The plan will be initiated by a call to the Emergency Department from Garda Divisional Head Quarters
or ambulance HQ. The
Emergency Department Clinical Nurse Manager / Nurse in charge should:
Time of call
Name of caller
The exact location of the incident
The type of incident e.g., (road / rail / air)
The hazards that are present and anticipated, (chemical etc)
An estimation of the number and severity of casualties
The emergency services already present, and those immediately required
Contact and confirm details with ambulance control.
Confirm call with Anglesea Street Garda Station by direct line.
Alert Medical Director, Emergency Department.
Activate the Hospital Major Emergency Plan, as set out in Action cards
No. 8. 9, 10, 11. 12, 13, and 1
Telephonists on duty in the early stages must be available for incoming calls from
Gardaí, Army etc. until additional telephonists are available and radio contact made with the scene of the accident.
Notification of Major Incident will be identical to that of daytime.
Clinical Nurse Manager / Night superintendent
Establish precise information regarding the incident and follow the procedure as
set out for daytime.
Telephonist on duty will then alert nominated staff
ED Clinical nurse specialist / night sisters
Alert one ward on each floor, including Paediatric and Psychiatry Units.
Alert Consultant Staff and Nurse Service Managers using direct dial telephone.
Alert Radiology Department Nursing Staff.
Alert Supporting Hospitals.
Alert Junior Medical staff who are off duty and are not sleeping in staff residence. Begin with Registrars - use mobile phones for direct access, or the direct dialling telephone in the office of the Service Managers.
Outline: To cope with an influx of casualties and with the possibility of problems in the initial acquisition of personal details a major emergency system of documentation will be invoked using designated MRN s
Procedure: At the CUH triage location a numbered wrist bracelet bearing the hospital MRN (Medical Registration Number) will be put on each casualty, a set of E.D documents and a personal property / clothing bag, all bearing the same number will be provided for each casualty. The triage receptionist will attempt to ascertain additional details but this process will not be to the detriment of the clinical assessment by the Triage Officer and the onward movement of the casualty to the treatment area. The notes, property and any X-ray films. must remain with the patient at all times.
Supplementary Identification Detail: It will be accepted as expedient that the unique casualty number will suffice for all identification procedures, pending the acquisition of further personal detail. At successive stages in the process of treatment, staff will check the state of completion of the personal details and attempt to fill in any gaps, reporting all information gained to the Hospital Control Centre.
The MRN will be used on all documentation and particularly on specimens and request forms for blood transfusion and diagnostic procedures. The MRN must be used on forms and specimens as if it were a name and entered in the appropriate space. It is essential that the gender of the casualty is indicated on all request forms for blood transfusion. Stick on labels pink indicating female and blue indicating male will assist in this.
Routine Emergency Dept. Attendance: During the time the Hospital Major Emergency Plan is in operation, all casualties received at the hospital whether from the emergency site or not will use the same documentation procedure.
If possible the triage receptionist will annotate the casualty checklist with an indication of any routine admission so that normal documentation procedures can be implemented post-emergency.
A garda documentation team will be deployed to the CUH to collate all relevant detail in respect of casualties, which will be required by the Garda Casualty Information
Service - located in the School of Nursing classroom 1.
A press Information centre will be set up by Hospital Management in the main Auditorium. Casualty information at the hospital will be collated by the communications staff in the boardroom, which will be passed on to the media and Central Casualty
Bureau, manned by the Gardaí.
Foreign language interpreters
A list of available interpretation services is available via switchboard