Hospitals personnel needs

Access control will depend in part on what area of the hospital that is affected. Officers can be stationed at each unlocked hospital entrance to screen visitors and issue incident-specific visitor passes. Plant operation personnel can be utilized to help set up physical barriers/controls as needed. Facilities not operating an isolated patient suite can limit access to certain areas/floors by way of guards. Hospital personnel can help detect and deter unauthorized attempts to gain access. 

Emergency medical personnel managing toxic trauma in hospitals may be involved in the incident itself either as part of the pre-hospital response teams, as is the case in France and other European countries, or because of the need to manage contaminated casualties who arrive at the emergency department without having been processed through a chemical incident management system (HAZMAT). Such contaminated casualties may pose a serious risk to the hospital personnel and their activities. 

Provisions for primary and emergeney eommunieations (internal, e.g. with staff, emergeney personnel, and external, e.g. with die press, emergeney serviees, hospital, employees relatives, telephone links and radios) require eareful assessment. If diere is a flammable hazard on site, radios may need to be intrinsieally safe or flameproof. 

Burn care is a highly specialized field because of the need of specific treatment modalities, supplies and equipment, and specialized personnel. Patients with severe burns are usually referred to a regional or designated burn center yet, half of all thermal injury admissions are at hospitals without burn care facilities. 

Communication systems to ensure the ability of ongoing communication among emergency personnel, hospitals, and disaster response coordinators are a critically important issue that needs to be addressed on the federal, state, and local levels. 

In a disaster or mass casualty situation, all hospitals may be called on to care for ill or injured children of varying degrees of symptom severity. Therefore, all hospital emergency departments need to be prepared to treat children likewise, pediatric hospitals must be prepared to treat injured or ill parents and adult family members. As part of their pediatric disaster planning, hospitals should anticipate a lack of prehospital triage establish protocols for care create pediatric antidote kits organize and store pediatric equipment in one setting and anticipate the need for extra personnel (Hohenhaus, 2005). 

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