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Hospital Preparedness for Emergencies (HOPE) Course Instructors Guide

Chapter · March 2007

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Teodoro Herbosa
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 Program for Enhancement of Emergency Response
Implemented by the National Society for Earthquake Technology-Nepal
________________________________________________________________________

Hospital Preparedness for Emergencies (HOPE)

Course Overview
Purpose: The Hospital Preparedness for Emergencies (HOPE) Course addresses the structural, non-
structural, organizational and medical concerns of health facilities in order to develop and
implement well-designed plans that increase their capacity to respond effectively to emergencies.

Background: HOPE is a four-day course of the Program for Enhancement of Emergency Response
that was developed by the United States Agency for International Development through its Office of
U.S. Foreign Disaster Assistance together in collaboration with John Hopkins University, National
Society for Earthquake Technology-Nepal and a team of leading experts from throughout the Asia
Pacific region. The course has been tested and delivered in Bangladesh, Indonesia, Nepal and the
Philippines.

Target Audience: The first HOPE Course in each PEER country is intended for medical experts
with expertise in the field of emergency medicine and disaster preparedness and serving as faculty
or lecturers at appropriate institutions where future HOPE courses can be conducted. Accordingly,
the first course in each country is intended to train future HOPE instructors. Subsequent HOPE
courses are intended for members of hospital disaster-planning committees, including hospital
administrators, hospital engineers, emergency room physicians, nurses and hospital planning staff.

Course Methodology and Content: HOPE is a 32-hour course delivered in four days by six
experts from Johns Hopkins University and throughout the region. Methodology includes
interactive lectures and discussions, case studies and a variety of exercises and simulations. The
course consists of 23 interactive lectures and six exercises. Materials include an Instructor Guide,
Lesson Plans, Participant Workbook, Coordinator Guide and Reference Materials. The course
focuses on the following issues and topics:

ƒ Disaster Types, Vulnerability and Risk ƒ Resuscitation and Emergency Care

ƒ Epidemiology of Disasters and Patterns of Injury
ƒ Seismic Hazard
ƒ Structural Components
ƒ Operational Functional (Non-Structural) Components
ƒ Functional Collapse and Evaluation Tool
ƒ Principles of Disaster Medicine
ƒ Emergency Department Concept of Operations
ƒ Integrated Emergency Medical Services (EMS)
ƒ Triage
ƒ Mass Casualty Incidents
ƒ Hospital Emergency Incident Command System (HEICS)
ƒ Man-made Disasters and Complex Emergencies
ƒ Hospital Disaster Planning
ƒ On-site medical facilities and mobile medical facilities
ƒ Hospital Evacuation
ƒ Mental Health Consequences of Disasters
ƒ Management of the Deceased
ƒ Coordination with national and international agencies
ƒ Managing Resources and Public Relations
ƒ Return to Normal Operations

Performance Objective: By the end of the course, the student will be able to conduct a vulnerability
assessment of the hospital and develop a hospital disaster plan.
Instructional Objectives: Upon course completion, participants will be able to describe the relationship
between hospitals and disasters; apply a method of judging or qualifying seismically
functional/operational components of a hospital; simulate a mass casualty incident addressing the roles
and responsibilities of each component of HEICS; discuss the basic requirements in the medical aspects
of managing mass casualties and to demonstrate stress debriefing; apply concepts learned in on-site
medical care to specific situations; and prepare an outline of a hospital disaster preparedness plan
including response and recovery.

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