Disaster Planning Sandra Chaveleh, MBA, RN; Sharon Kay French, MSN, RN LITTLE TOWN HOSPITAL – IMPENDING DISASTER Little Town Hospital is a small community hospital that serves a population

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Disaster Planning
Sandra Chaveleh, MBA, RN; Sharon Kay French, MSN, RN
LITTLE TOWN HOSPITAL – IMPENDING DISASTER
Little Town Hospital is a small community hospital that serves a population of 1100 in Elton, Louisiana. The hospital is roughly 20 years old, has 4 critical care beds and 2 operating room suites, 20 medical surgical beds and 8 labor and delivery rooms. The staff members in Little Town Hospital’s emergency department are exchanging report during change of shift at 0645 when they are interrupted by a loud sound resembling a thunderclap. Within seconds the ground shakes slightly then the overhead lights get very bright just before the power goes out. The charge nurse passes out flash lights while one of the nurses announces that the phone lines are down. The nurse manager tells everyone to remain calm; the generator will turn on any minute. Everyone rushes to check on their clients. The manager receives a call that due to an explosion at the nearby chemical plant, the power grid for the area is damaged and the hospital’s generator burned as a result of the power surge. The communication system is down, there is no running water, and there is no functioning sewage system. The hospital’s oxygen tank is malfunctioning. The manager is notified that the people injured at the plant will be arriving shortly. The hospital is placed on internal and external disaster mode. The manager quickly asks who is leading the hospital’s command center, the approximate number of injured people, and the identification of staff reassignments available to assist. The manager is told that 18 clients will arrive within a 45 minute window and that the explosion involved the following blistering agents: sulfur mustard, distilled mustard, and nitrogen mustard.
Due to the proximity to the chemical plant, Little Town Hospital has historically prepared for a potential disaster such as this. The disaster team is paged, anticipating multiple casualties resulting from this disaster. The proximity of the chemical plant leaves little time for the emergency department to prepare for what is arriving.

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