Having not tested our plan in the real event, only in
practice events I can't say for sure but it does look as
if the control line could fail unless there is a tight
link between hospital control and ED control.
Whether the ED control needs to control the hospital is
something Ruth from St. Mary's could tell you since she
did it for real on 7/7
APV
On Sat, 8 Dec 2007 08:55:45 +0000
Brendan Conway <[log in to unmask]> wrote:
> I've just been asked to look over the new Major Incident
>Plan for my
> hospital. We're a 400 bed DGH just outside Dartford and
>are the nearest
> hospital for Bluewater shopping centre (largest in
>Europe), the
> Dartford bridge and tunnel and the new crosschannel
>railway station at
> Ebbsfleet.
>
> The new plan deviates from the Hospital MIMMS manual in
>several
> respects:
> 1. the Senior Surgeon, senior orthopedic dr, on call
>anaesthetist
> report on arrival for briefing to the medical controller
>in control
> room rather than to the senior emergency physician in
>the emergency
> room. These senior doctors report to the medical
>controller rather than
> to anyone in the emergency dept.The medical controller
>is the
> consultant physician on call.
> 2. The chain of command within the emergency department
>is not clear.
> The senior surgeon/physician/medic do not report to the
>senior
> emergency physician but liaise with each other. The
>second consultant
> physician is repsonsible for coordinating medical
>response and contacts
> the Consultant Anaesthetist in A&E for a briefing.
>
> Although I have not been responsible for drawing up new
>major incident
> plans before, I am doubtful about the wisdom of this
>system. I would be
> grateful for comments.
>
> Brendan Conway
> Consultant in Emergency Medicine
> Darenth Valley Hospital
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