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    Mock Drill Disaster Exercise Hospital Evaluation Form: Name of Evaluator: Designation

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    naven
    This document is an evaluation form for a mock disaster drill at a hospital. It collects information on response times from patient arrival to treatment and disposition. It also tracks triage categories and whether critical actions were performed, such as opening airways, administering oxygen, immobilizing injuries, and providing medication. The evaluator's name and comments are requested at the bottom.

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    Mock Drill Disaster Exercise Hospital Evaluation Form: Name of Evaluator: Designation

    Uploaded by

    naven
    98 views1 page
    This document is an evaluation form for a mock disaster drill at a hospital. It collects information on response times from patient arrival to treatment and disposition. It also tracks triage categories and whether critical actions were performed, such as opening airways, administering oxygen, immobilizing injuries, and providing medication. The evaluator's name and comments are requested at the bottom.

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    ed

    Original Title

    HRPB DisasterResponse time

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    This document is an evaluation form for a mock disaster drill at a hospital. It collects information on response times from patient arrival to treatment and disposition. It also tracks triage categories and whether critical actions were performed, such as opening airways, administering oxygen, immobilizing injuries, and providing medication. The evaluator's name and comments are requested at the bottom.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    98 views1 page

    Mock Drill Disaster Exercise Hospital Evaluation Form: Name of Evaluator: Designation

    Uploaded by

    naven
    This document is an evaluation form for a mock disaster drill at a hospital. It collects information on response times from patient arrival to treatment and disposition. It also tracks triage categories and whether critical actions were performed, such as opening airways, administering oxygen, immobilizing injuries, and providing medication. The evaluator's name and comments are requested at the bottom.

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    © All Rights Reserved
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    Mock Drill Disaster Exercise

    Hospital evaluation form

    Name of Evaluator:
    Designation:

    Response time Time


    Time to patient arrival
    Time to triage
    Time to patient treatment
    Time to patient disposition Ward: Discharge
    Time of arrival/operation

    Triage categories Red Yellow Green Black

    Critical actions
    Manually opening airway Yes No
    Placing patient in rescue position Yes No
    Administration of O2 Yes No
    Ventilation with BVM Yes No
    Endotracheal tube intubation Yes No
    Needle thoracostomy Yes No
    Chest tube placement Yes No
    Control of hemorrhage Yes No
    Initiation op intravenous line
    Immobilization of spine @ extremities
    Wound care
    Administration of analgesia
    Administration of antibiotics/other drugs

    Comments:

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