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Practice paper

The evacuation of two rural hospitals following a tsunami warning: What happened next

Maddy Laberge and Nicole Spence
Journal of Business Continuity & Emergency Planning, 12 (4), 316-330 (2019)
https://doi.org/10.69554/RIWV7452

Abstract

This paper describes the lessons gained and actions taken following the evacuation of two small rural hospitals following a tsunami warning. These evacuations were unique in that the normal protocol to transfer within the health system was not feasible due to their geographical isolation. The after action review process provided valuable insight to all stakeholders, who entered into discussions to ensure procedures, supplies, equipment and arrangements would be put in place to support the safe and effective evacuation of patients in the event of a future emergency. A key component of this process was the after action report, which captured key lessons learned and actionable items pertaining to five areas: evacuation locations, equipment and supplies, hospital unit/department evacuation plans, site evacuation plans, and exercising and validating plans. Following this format, each lesson is broken down into steps taken to achieve these goals, outlining best practices and lived experiences or highlighting gaps where further research is required and step-by-step guidance that can be adapted by emergency managers within the field of healthcare. Through this, pertinent strategies and considerations involved in the planning and execution in the evacuation of rural hospitals are also offered.

Keywords: tsunami; evacuation; health care; healthcare; rural; hospital; recovery; plans

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Author's Biography

Maddy Laberge is a manager with Health Emergency Management British Columbia, Lower Mainland Acute. She holds a BSc in psychology, and master’s degree in disaster and emergency management. Before transitioning to emergency management, Maddy was a registered respiratory therapist at Vancouver General Hospital, where she was a member of the critical care outreach team and covered the role of interim respiratory services staff educator. Through both of these roles, she has gained a strong knowledge and understanding of emergency management and business continuity issues in a healthcare setting from both a rural and urban perspective.

Nicole Spence is a coordinator with Health Emergency Management British Columbia, Lower Mainland. She holds a BA in psychology and a graduate diploma in public health with a focus on international and global health and development, through which she developed an interest in the health impacts of globalisation and climate change and their link to emergency management.

Citation

Laberge, Maddy and Spence, Nicole (2019, June 1). The evacuation of two rural hospitals following a tsunami warning: What happened next. In the Journal of Business Continuity & Emergency Planning, Volume 12, Issue 4. https://doi.org/10.69554/RIWV7452.

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cover image, Journal of Business Continuity & Emergency Planning
Journal of Business Continuity & Emergency Planning
Volume 12 / Issue 4
© Henry Stewart
Publications LLP

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