Table A1.
Questions and answers regarding knowledge and competency concerning a flood scenario.
| Question | Correct Answers as n (%) |
p-Value (Chi-Square Test) |
|||
|---|---|---|---|---|---|
| Categories | Female (n = 53) |
Male (n = 174) |
All (n = 227) |
||
| What are the protection measures that should be provided for immobile patients during a flood? | Evacuate the patient with his/her bed to an external site outside the department a | 13 (24.5) | 58 (33.3) | 71 (31.3) | 0.529 |
| Evacuate the patient with his/her bed to the departmental protected area | 20 (37.7) | 58 (33.3) | 78 (34.4) | ||
| There is no way to protect immobile patients | 1 (1.9) | 5 (2.9) | 6 (2.6) | ||
| Protect the patients in their beds by placing items under their beds to raise height of beds | 6 (11.3) | 10 (5.7) | 16 (7) | ||
| I don’t know | 13 (24.5) | 43 (24.7) | 56 (24.7) | ||
| What are the personal protective actions the staff must implement during a flood? | Exit the department into the stairway all the way to the roof. | 18 (34) | 38 (21.8) | 56 (24.7) | 0.392 |
| Depart externally, outside of the hospital’s structure. | 5 (9.4) | 24 (13.8) | 29 (12.8) | ||
| Avoid working alone and wear a coast guard-approved life jacket/vest a | 7 (13.2) | 34 (19.5) | 41 (18.1) | ||
| Wear a coast guard-approved life jacket/vest and avoid floodwater areas. | 6 (11.3) | 30 (17.2) | 36 (15.9) | ||
| Dependent on the floor you are present in during the flood | 15 (28.3) | 41 (23.6) | 56 (24.7) | ||
| I don’t know | 2 (3.8) | 7 (4) | 9 (4) | ||
| According to the standard operating procedure, what are the immediate actions to be implemented immediately following a flood? | Immediate evacuation of all patients from the department | 14 (26.4) | 53 (30.5) | 67 (29.5) | 0.128 |
| Identification of hospital’s departments that were damaged and provision of assistance as needed a | 5 (9.4) | 40 (23) | 45 (19.8) | ||
| Scout the area to locate casualties and damage | 13 (24.5) | 33 (19) | 46 (20.3) | ||
| Concentrate staff and patients in the department and wait for instructions from the hospital management | 4 (7.5) | 13 (7.5) | 17 (7.5) | ||
| I don’t know | 17 (32.1) | 35 (20.1) | 52 (22.9) | ||
| In case of potential damage to gas pipes and/or electricity supply infrastructure, what security measures should be implemented? | An immediate evacuation of the department | 19 (35.8) | 65 (37.4) | 84 (37) | 0.849 |
| The electricity, water, and gas supplies should be disconnected immediately | 15 (28.3) | 51 (29.3) | 66 (29.1) | ||
| A substitute electricity source should be applied (a generator) a | 7 (13.2) | 26 (14.9) | 33 (14.5) | ||
| No action should be taken | 0 (0) | 2 (1.1) | 2 (0.9) | ||
| I don’t know | 12 (22.6) | 30 (17.2) | 42 (18.5) | ||
| Who is authorized to issue an evacuation of a department/unit? | The hospital’s management solely | 10 (18.9) | 41 (23.6) | 51 (22.5) | 0.061 |
| The hospital’s management a | 15 (28.3) | 72 (41.4) | 87 (38.3) | ||
| The most senior member of the department | 2 (3.8) | 13 (7.5) | 15 (.6) | ||
| The head of the department | 11 (20.8) | 18 (10.3) | 29 (12.8) | ||
| I don’t know | 15 (28.3) | 30 (17.2) | 45 (19.8) | ||
| What medical registration procedures apply regarding admittance of patients to the hospital following a flood? | The routine medical registration will be continued | 7 (13.2) | 19 (10.9) | 26 (11.5) | 0.837 |
| Manual registration will be applied, and a list of casualties will be transferred a | 12 (22.6) | 50 (28.7) | 62 (27.3) | ||
| A small card will be utilized for every patient stating basic details and diagnosis | 12 (22.6) | 33 (19) | 45 (19.8) | ||
| In an emergency situation, there is no time for an organized medical registration | 6 (11.3) | 25 (14.4) | 31 (13.7) | ||
| I don’t know | 16 (30.2) | 47 (27) | 63 (27.8) | ||
| What is the recommended treatment protocol for a casualty suffering from a crush syndrome upon arrival at the hospital? | Amputation of the wounded limb | 3 (5.7) | 11 (6.3) | 14 (6.2) | 0.596 |
| Fasciotomy and extensive debridement of the necrotic muscle | 9 (17) | 34 (19.5) | 43 (18.9) | ||
| Aggressive treatment with fluids and diuretics to prevent systemic complications a | 11 (20.8) | 21 (12.1) | 32 (14.1) | ||
| Immediate hemodialysis | 1 (1.9) | 2 (1.1) | 3 (1.3) | ||
| I don’t know | 29 (54.7) | 106 (60.9) | 135 (59.5) | ||
| What is the appropriate action when a lightly injured casualty (for example, with limb wounds) presents to the hospital? | The patient should be directed to a designated site deployed outside the hospital area | 12 (22.6) | 47 (27) | 59 (26) | 0.925 |
| The patient should enter the hospital area and be provided with immediate treatment | 22 (41.5) | 65 (37.4) | 87 (38.3) | ||
| The patient should be evacuated to a distant hospital for treatment a | 2 (3.8) | 10 (5.7) | 12 (5.3) | ||
| The patient should be directed to a designated site to be treated by a social worker/psychologist | 3 (5.7) | 8 (4.6) | 11 (4.8) | ||
| I don’t know | 14 (26.4) | 44 (25.3) | 58 (25.6) | ||
| What is the appropriate action when a severely injured person (for example, suffering from crush syndrome or needing amputation) presents to the hospital? | The patient should be directed to one of the designated sites deployed outside the hospital area | 7 (13.2) | 25 (14.4) | 32 (14.1) | 0.532 |
| The patient should enter the hospital area and be provided with immediate treatment a | 32 (60.4) | 90 (51.7) | 122 (53.7) | ||
| The patient should be evacuated to a distant hospital for treatment | 2 (3.8) | 11 (6.3) | 13 (5.7) | ||
| The patient should be directed to a designated site to be treated by a social worker/psychologist | 0 (0) | 9 (5.2) | 9 (4) | ||
| I don’t know | 12 (22.6) | 38 (21.8) | 50 (22) | ||
| What is the appropriate action when an anxiety-stricken patient presents to the hospital? | The patient should be directed to one of the designated sites deployed outside the hospital area | 6 (11.3) | 25 (14.4) | 31 (13.7) | 0.687 |
| The patient should enter the hospital area and be provided with immediate treatment | 2 (3.8) | 15 (8.6) | 17 (7.5) | ||
| The patient should be evacuated to a distant hospital for treatment | 1 (1.9) | 5 (2.9) | 6 (2.6) | ||
| The patient should be directed to a designated site to be treated by a social worker/psychologist a | 31 (58.5) | 87 (50) | 118 (52) | ||
| I don’t know | 13 (24.5) | 42 (24.1) | 55 (24.2) | ||
| Following a flood, how will the control and communication inside the hospital be conducted? | No organized report mechanism can be implemented during an emergency | 3 (5.7) | 5 (2.9) | 8 (3.5) | 0.128 |
| There is need to report solely to the director of the emergency department | 1 (1.9) | 14 (8) | 15 (6.6) | ||
| An emergency operation center will be created by the management a | 12 (22.6) | 41 (23.6) | 53 (23.3) | ||
| An emergency operation center will be created by the management and turned to only when needed | 12 (22.6) | 66 (37.9) | 78 (34.4) | ||
| I don’t know | 25 (47.2) | 48 (27.6) | 73 (32.2) | ||
| Immediately following a flood, collapse of communication mechanisms may occur between the hospital and external institutions. Who should be reported to during this time? | The regional EMS (emergency medical services) center via ambulance drivers | 25 (47.2) | 90 (51.7) | 115 (50.7) | 0.339 |
| There is a need to wait for renewal of communication channels, and then a report should be submitted to the Ministry of Health | 5 (9.4) | 19 (10.9) | 24 (10.6) | ||
| Media reporters (television, radio) | 3 (5.7) | 2 (1.1) | 5 (2.2) | ||
| The police via local/field police teams a | 3 (5.7) | 14 (8) | 17 (7.5) | ||
| I don’t know | 17 (32.1) | 49 (28.2) | 66 (29.1) | ||
Data are expressed as n (% of participants). a Correct answer according to published data.