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Earthquake Readiness Capacity Building

Project 2009
This presentation is part of the 2009 CDEMA Earthquake
Readiness Public Awareness & Education Campaign in the
Caribbean
This toolkit is downloadable from http://www.weready.org

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Earthquake Preparedness

Facility Disaster Planning Audit outline

Mitigation to reduce further damage

Activating the earthquake Plan

Earthquake evacuation

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AN EARTHQUAKE IS A DISASTER

Any event that


overwhelms existing
resources to deal with
such an event. Websters dictionary

Major public building


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KEY ELEMENTS OF DISASTERS
Unexpected
Personnel overwhelmed
Lives, health and environment under threat

L.A. Fire Department

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INFRASTRUCTURAL IMPACTS
L.A. Fire Department
Transportation Impacts cannot assess or access

Interruption in flow of vital supplies

Increased risk of further damage from falling debris

Damaged institutions unable to function

Utilities affected / halted

Coordination of response hampered

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EFFECTS FROM
INFRSATRUCTURAL IMPACTS
Loss of Utilities
Telecommunications disrupted
Increased risk of fires and electric shock
Loss of contact between victims and service providers
Inadequate water supply
Increased public health risks

Haiti school
collapse 2008

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MAJOR EARTHQUAKE INCIDENT
PLANNING
Does your Emergency Management Plan
Address the following issues?

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DOES YOUR HEALTH-CARE
Mitigation & Preparedness
FACILITY HAVE ...
1. A process to assess damage to structure and infrastructure

2. Procedures to establish redundant communications?

3. Defined criteria and procedures to evacuate all or sections of the facility

www.toodoc.com/Earthquake-safety-protocol-in-hospital-ebook.html
based on damage assessments?

4. Criteria and triggers to cancel procedures and all non-essential services in


the event of an earthquake?

5. A plan for contacting personnel (i.e., staff call back lists) and a backup
system if primary systems fail?

6. Procedures to manage volunteers and donated items?

7. Procedures for augmenting staff levels/managing with limited staff ?

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IS THERE A PLAN/
Response & Recovery
PROCESS,PROCEDURES TO...
1. Determine the status of communication systems with the outside?

www.toodoc.com/Earthquake-safety-protocol-in-hospital-ebook.html
2. Establish alternate care sites and relocated services provided in
damaged areas?

3. Protocols to manage injuries?

4. Secure unsafe areas of the facility?

5. Communicate situation status to internally and to the outside?

6. A surge capacity plan ?

7. Assess/Refine current surge capacity?

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Does your health-care facility
8 A procedure for managinghave...
. discharged patients?

9. A process to inventory available supplies, equipment and personnel?

www.toodoc.com/Earthquake-safety-protocol-in-hospital-ebook.html
10. Procedures to track patients and beds?

11. A process for obtaining supply and equipment supplementation?

12. A process for determining food/water needs for 72 hours and plan for
obtaining needed supplies?

13. Procedures for assessment, documentation of and action plan for


facility damage, system restoration and repair?

14. A process for reporting all injuries, system failures, and long term
damage to state licensing and certification authorities as required?

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IS THERE A PLAN/
PROCESS,PROCEDURES TO...
15. Submit cost for disaster reimbursement ?

www.toodoc.com/Earthquake-safety-protocol-in-hospital-ebook.html
16. Regularly reassess status of the facility and adjusting operations
accordingly?

17. Resupply fuel for the generators to maintain power?

18. Track costs, expenses and provide reports?

19. Prepare final damage reports/ restoration and repair plans?

20. Criteria to confirm restoration of the facility to normal function?

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PLAN/
PROCESS/PROCEDURES/CRITERIA..
21 To confirm restoration of the facility to normal function?
.

www.toodoc.com/Earthquake-safety-protocol-in-hospital-ebook.html
22.Resuming normal operations such as surgeries, procedures, and out
patient services?

23. Providing mental health support and stress management services to


employees, patients and families?

24. Providing staff dependent care services such as elderly and child care?

25. Participate in after action review with local emergency management


and community partners?

26.Conducting an after action review and develop after action report and
improvement plan

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Preparedness &
Mitigation
Reducing loss from earthquake
damage
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THE TIME TO ENSURE EVERYONE IS
FAMILIAR WITH EMERGENCY
PROCEDURES
IS BEFORE AN EMERGENCY!

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MAKE A PLAN FOR YOUR
FACILITY

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BEFORE AN EARTHQUAKE
Eliminate Non-structural hazards
-Falling (Maintenance)
-Fire (Fire safety authorities)
-Advice (NEMO)
Practice Drill and Evacuation Procedures
(Evacuation team)

Prepare and Practice the response plan(All staff)


Prepare for up to 3/5 days survival (Food, water,
medicine, toiletries, back up power etc (Maintenance & Management
Team)

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Place Emergency Plans & Tips at strategic locations
e.g. inside the main entrances, stairways, near elevators

Earthquake can trigger fires. Know where the fire extinguishers and
fire alarms are

Learn/ Train on how to use a fire extinguisher before a fire


Know the exit routes from your office, floor, and building

Review the EMERGENCY EVACUATION PLANS

Know the location of the designated Assembly Area

Know the location of the nearest exit and an


alternate one

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DISCUSS/REFINE THE PLAN

Make sure the whole team is familiar with the


Evacuation Plan

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In kitchens - In the Laundry - In the store room Un-braced Furniture, un-
braced equipment - Chemicals - Electrical - Gas - Leaky faucets
uncovered outlets

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SECURE NON-STRUCTURAL ELEMENTS

A high percentage of earthquake loss is


caused by failure of :
o ceilings,
o windows,
o doors,
o partitions,
o cupboard and shelves,
o external cladding/siding
o electrical & mechanical systems,
o & other components of buildings. 21
1. Assemble Disaster supplies
2. Develop an Disaster Plan with your
team
3. Identify a Safe room
4. Develop a plan to access
designated shelters
5. Conduct earthquake drills
6. Move beds away from windows
7. Relocate heavy or breakable
objects to lower ground
8. Use seismic bracing to bolt down
heavy furniture and fixtures

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DOWNLOAD MORE INFORMATION
www.cdera.org

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Some more
examples

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Pre-Earthquake mitigation prevented greater damage to
this school. Gas valves were also secured to prevent
leakage following an earthquake.(Photo credit: John Shea)
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PREPARE SURVIVAL KITS
Medical kits, non-perishable food, Water purification tablets or plain
bleach, non-electric can openers, drinking water, lightweight
sanitising supplies, clothes, flashlight with, batteries, portable
radio, important records, facial masks and caps, credit cards,
first aid kits, blankets, toolkit containing crowbar and wrench,
etc.

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CUSTOMIZE KIT/s FOR YOUR INST.

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DURING THE
EARTHQUAKE
ACTIVATING THE EARTHQUAKE
PLAN
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IF INSIDE

DROP TO THE FLOOR

TAKE COVER UNDER SOMETHING STURDY

HOLD ON

Thats where you will


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STAY CALM, STAY PUT
DROP and COVER
with hands clasped on
the Back of your neck to
protect your face.

REMAIN IN PLACE
until the
shaking stops.

COUNT ALOUD to
60 - earthquakes rarely
last longer than 60
seconds and counting is
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calming)
IF YOU DO NOT HAVE A
SHELTER
to hang on to

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WHERE THERE IS NO AVAILABLE
COVER
E.g. in the hallways and stairways
Move to an interior wall
Kneel with back to wall
Place head close to knees
Clasp hands behind neck
Cover side of head with
arms

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AVOID THINGS THAT CAN FALL

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FACE AWAY FROM WINDOWS

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EXTERIOR WALLS FALL FIRST
Collapsed exterior school
wall

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Collapsed frontal facade of
IF IN BED
Stay there except if you are under a heavy light fixture

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HELP OLD FOLKS & KIDS

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IF OUTSIDE

Stay outside, and find an


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BE PREPARED FOR
AFTERSHOCKS

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WHAT TO DO
AFTER AN EARTHQUAKE

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AFTER AN EARTHQUAKE
ALWAYS WAIT IN CASE THERE ARE
AFTERSHOCKS!

Open the window in case of leaking


gas

Check whether you have injuries

Extinguish small fires

Clean up chemical spills

Cooperate with/ Help others around54


AFTER AN EARTHQUAKE
Seek out any disabled or injured persons in
the area and give assistance.

Ensure people exit via stairway, DO NOT


USE ELEVATORS.

Remind others to beware of falling debris


or electrical wires as they exit.

Direct people to go to an open area away


from buildings, trees, power- lines, and
roadways.

Instruct them to wait for instructions from55


HANDLING THE INJURED
In untrained, do not move the
seriously injured
Cover the injured with
something sturdy
Send for help

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IN CASE OF GAS/ CHEMICAL
LEAK
Evacuate to an area away and downwind
from the leak or break.

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IF YOU ARE DRIVING
Stop in a safe open area
Fasten your seat belt, if un-fastenend
Park away from buildings, trees,
overhead power lines
Stay inside
listen for radio advisories
Do not stop or park close to the edge
of a hill

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IF TRAPPED UNDER DEBRIS
Do not light a match

Do not move about or kick up dust

Cover your mouth

Tap on a pipe or wall

Use a whistle if available

Shout only as a last resort

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EARTHQUAKE
SAFETY
EVACUATION
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Any of the following require
immediate evacuation >>>

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EVACUATING
Sound evacuation using (Fire)alarms or verbal notice

Maintain calm, walk quickly - not run

Exit via stairway, DO NOT USE ELEVATORS.

Follow instructions of Safety Representatives/ other


emergency personnel.

Turn off the power (electrical equipment,


close doors (if there is time).

Seek out/ give assistance to disabled


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EVACUATING
Go to the designated Assembly Area ( should be
outside away from building)

Keep roadways and walkways clear for


emergency vehicles

Wait for instructions from emergency personnel

Do not re-enter building until instructed by


emergency personnel

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EVACUATING THE DISABLED
Visually Impaired
Tell the person the nature of the emergency
Offer to guide them to the nearest emergency
exit.
Have the person take your elbow to escort
them.
Hearing Impaired - 2 methods
1.Write a note, telling what emergency is and the nearest
evacuation route. For example: Earthquake-go out the rear
door to the right and down- NOW!
2.Turn light switch on and off to gain attention, indicate with
gestures what is happening and what to do.

Persons using crutches, canes, or walkers


A two-person lock arm position
Have them sit on a sturdy chair (which can be carried )

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NON-AMBULATORY
NB: Movable parts, design issues, Chair batteries, Life
support equipment if attached. Lifting them can be
dangerous for them.

Always consult with the person in the chair


regarding:
1. The number of people necessary for
assistance.
2. Ways of being removed from the
wheelchair.
3. Whether a seat cushion or pad should be
brought along with him/her if they are
removed from the chair.
4. Whether to extend or bend extremities 66
NON-AMBULATORY
Proper Lifting Techniques

1. Correct Position: One foot a little ahead


of the other. Toes pointed slightly outward.
Feet about shoulder width apart.

2. Squat

3. Lift yourself and load with your legs.

4. KEEP YOUR BACK STRAIGHT.

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NOW LETS DISCUSS
WHAT WE JUST LEARNT!

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