Table 2.
Results of Section 2 and 3
Session 2: General knowledge about the HDP | YES | NO |
1) what is the PEMAF | 31 (45 %) | 38 (55 %) |
2) location of a copy of the PEMAF, for emergency reference and reading | 23 (33 %) | 46 (67 %) |
3) what is an Action/Task Card | 16 (35 %) | 53 (65 %) |
Session 3: Specific knowledge of the HDP | YES | NO |
4) who activates the PEMAF | 28 (41 %) | 41 (59 %) |
Hospital Chief Medical Officer | 10 (35 %) | |
Emergency Department physician-0n-duty | 10 (35 %) | |
EMS-OC | 7 (25 %) | |
Other | 4 (13 %) | |
Multiple answer | 3 (9 %) | |
5) who is in charge of intra-hospital operations | 26 (38 %) | 43 (62 %) |
Emergency Department physician-on-duty | 10 (38 %) | |
Hospital Chief Medical Officer | 7 (27 %) | |
Crisis Unit | 4 (15 %) | |
Other | 6 (20 %) | |
Multiple answers | 1 (3 %) | |
6) Management of patients already admitted to the ED before PEMAF activation | 27 (39 %) | 42 (61 %) |
Transfer/discharge by established protocol | 13 (48 %) | |
Less severe patient discharge | 5 (19 %) | |
Green codes assessed and discharged; yellow and red codes treated and held | 3 (11 %) | |
Other | 6 (18 %) | |
7) Way to recruit additional personnel | 55 (80 %) | 14 (20 %) |
Telephone | 27 (49 %) | |
On call personnel list | 14 (25 %) | |
Switchboard | 8 (15 %) | |
Crisis Unit/ Head Nurse/ EMS-OC/ Hospital Chief Medical Officer to call personnel | 4 (6 %) | |
Respondent to personally call staff colleagues | 2 (3 %) | |
8) ED’s maximal patient management capacity in the first hour (by triage priority code) | 11 (16 %) | 58 (84 %) |
Approximately more than 10 | 5 (45 %) | |
Approximately less than 10 | 3 (27,5 %) | |
It depends on the casualty severity | 3 (27,5 %) | |
9) Way to find information about bed number in the inpatient divisions/departments | 50 (72 %) | 19 (28 %) |
By telephone | 18 (36 %) | |
Software | 9 (18 %) | |
Updated list (generic) | 7 (14 %) | |
“I personally call the departments” | 5 (10 %) | |
Other | 9 (18 %) | |
10) who terminates the emergency status | 25 (36 %) | 44 (64 %) |
Hospital Chief Medical Officer | 12 (48 %) | |
EMS-OC | 5 (20 %) | |
Emergency Department physician on duty | 3 (12 %) | |
Other | 10 (8 %) | |
Multiple answers to the question | 3 (12 %) |
Abbreviations: PEMAF Italian acronym for the Emergency Plan for Massive Influx of Casualties; HDP Hospital Disaster Plan; EMS-OC Emergency Medical Service Operation Center