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INTRODUCTION

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This plan is designed for health care facilities in normally resource-sufficient regions. It may need to be adapted for facilities in resource-poor areas.

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“Triggers” indicate the situations that should initiate the “Actions” and associated “Treatment Priorities.”

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The Triggers change with each “Level.” Within each Level, all Actions or Treatment Priorities are in addition to or modify those listed for the preceding Levels.

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In resource-poor institutions:

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  • “ICU” beds and treatment mean any beds and treatment used for the sickest patients

  • “ED beds” are beds in the facility’s intake or reception area

  • “ED physician or equivalent” is the clinician with the most experience in quickly evaluating patients to make difficult triage decisions

  • The institutional disaster plan should be used when the facility does not use the “Hospital Incident Command System”

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