Emergency Incident Management Systems. Louis N. Molino, Sr.. Читать онлайн. Newlib. NEWLIB.NET

Автор: Louis N. Molino, Sr.
Издательство: John Wiley & Sons Limited
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Жанр произведения: Здоровье
Год издания: 0
isbn: 9781119267133
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the People's Republic of Bangladesh, 2010).

      This update to the MADIMS method was driven by the admission of the Government of Bangladesh that their nation is vulnerable to disaster. By the government's own admission, “Bangladesh is one of the most disaster‐prone countries in the world” (Government of the People's Republic of Bangladesh, 2010, p. iii). From a historical perspective, Bangladesh has suffered cyclones, landslides, tornados, floods, and other similar disasters that have affected the economy and caused loss of life. According to the SOD (2010), the country is extremely vulnerable to climate change, and according to the SOD climate change is a serious threat for food security and the sources of revenue for their citizens.

      For the most part, the ICS method used by Bangladesh mirrors the method used by the United States and many other countries. The only slight difference that was found was the reporting method: that to say who reports to whom. What is unique about the Bangladeshi plan is that it is used by every level of government, including the military. Much like the ICS method used by most countries, all incidents are local and a request for outside assistance can be requested when local resources are overwhelmed (Government of the People's Republic of Bangladesh, 2010).

      In looking at the IMS method of Hospital Incident Command System (HICS), Bangladesh is a country that has received training and appears to be a leader in this area. As far back as 2007, the United States Agency for International Development began providing training in a program known as Hospital Preparedness for Emergencies (HOPE). The program was a four‐day class that helped teach developing countries to understand and implement plans that assisted greater capacity to build resilience during disasters and emergencies. As a part of this training, those who attended were taught the Hospital Emergency Incident Command System (HEICS) so that they could better manage their hospital during confusing and chaotic incidents (Herbosa, 2007).

      Keeping up with the changes to the IMS methods that were used, Bangladesh also received training on the new Hospital Incident Command System (HICS). In June 2014, a total of 29 healthcare workers from seven major healthcare facilities, attended a five‐day training (ADPC, 2014a). From research conducted on the use of Hospital Incident Command System (HICS) method, Bangladesh continues to not only train on this IMS method but also to widely implement it as part of the standard in healthcare facilities across this nation.

      Like many countries, Brunei utilizes ICS method as a management framework to integrate personnel, equipment, procedures, facilities, and communications when responding to incidents. Prior to the implementation of ICS, the country saw many issues with multiagency responses that were quite similar to the problems faced in the United States prior to FIRESCOPE.

      According to a research project based at the University of Brunei (2015), it was not uncommon for incidents in Brunei to have multiple Incident Commanders (IC's), who would at times argue or cause confusion. Sometimes this confusion was based on differing operating procedures. Because different disciplines had different organizational structures, this too added to the chaos and confusion. Additionally, information sharing was limited, so there was often a lack of thorough situational awareness. This too often led to more chaos and confusion, and it led to putting operational personnel at a higher risk (Soe et al. 2015).

      Brunei also suffered from inadequate forms of communication hardware and incompatible communications frequencies. Much like the wildfires in California, various agencies would arrive on scene and would be unable to communicate with each other. They also each had their own vernacular, which did not coincide with each other. Even if these agencies did communicate with each other, there were issues with effectively communicating. They often lacked the ability or willingness to coordinated planning with each other. Essentially, every agency was doing what they felt was best, while ignoring the other agency(s). This was primarily because there were unclear lines of authority that identified who should be in charge of an incident (Soe et al. 2015).

      In 2011, Brunei National Disaster Management Center began conducting seminars, workshop, tabletop exercises, and simulation exercises in all four of Brunei's districts. The concepts were simple, by teaching and promoting the use of ICS, first responders will begin to grasp and use this method of incident management. This was a starting point, and according to a published report by the University of Brunei (2015), much progress has been made. The report also points out that there is more work to be done. This research paper points out that the initiative was not completely implemented to cover all incidents, and it does not involve nongovernmental organizations. The report puts part of the blame on the responding agencies by stating, “Silo mentality of the different government agencies hinders cooperation. In times of disasters, all agencies involved have to work together and should be able to take orders from the incident commander. Those in command of respective agencies prefer to use old, more familiar methods, rather than ICS” (Soe et al. 2015, p. 31). This is a common problem that occurs when changes happen.

      Brunei also took steps early in the process to integrate healthcare facilities into disaster response. As early as 2005, the Brunei Ministry of Health had implemented a disaster management plan for the entire country, and all healthcare facilities were required to follow that guidance. In the disaster plan, learning and utilizing the Hospital Incident Command System (HICS) method was required.

      The Brunei IMS method has one major difference from most systems currently in use. Whenever a disaster happens, whether in a hospital, a specific area, or even the whole country is affected, the National Disaster Management Center is the coordinating body for all disaster response. How this differs from most countries that have coordinating centers is that the Brunei Disaster Management Center guarantees that all aspects of managing a disaster are multiple ways. They include adherence to written policies, strategies, and the various practices implemented (and guided) by international, regional, and national drivers (“ASEAN Disaster Workshop in Thailand,” n.d.).

      As time went on, Brunei became more astute in Hospital Incident Command System (HICS), and they began to not only use it, but to intentionally test its limits to ensure that it was a reliable and resilient method of IMS. Soon, Brunei became a leader in hospital disaster preparedness in their region, and they began teaching hospital disaster management throughout the region. While this was typically done through Doctors without Borders (2018), the focus was on how Brunei prepares healthcare facilities for disaster management. The Hospital Incident Command System (HICS) is an important part of the teaching that they do throughout the ASEAN region.

      In 2014, a law that outlined the larger picture of disaster management was submitted to the Cambodian government. In that law, there were provisions for the use of the Incident Command System. Relatively little could be found in research about the implementation of ICS before 2014, but we can assume that it was ongoing, based on the ASEAN agreement and the Hyogo Framework (An, 2014). Research into the use of Hospital Incident Command System (HICS) also did not yield any results.