CSM Mass Casualty Response Critique

September 12, 2013 Drill

Name (optional): 


A red asterisk (*) indicates required questions.


  1. Hospital*
    Milwaukee
    Ozaukee
    Both


  1. Department


  1. Did your department receive notification about the Mass Casualty event in a timely manner?*
    Yes
    No


  1. Were you able to communicate with and receive information from the Incident Command Center as needed?
    Yes
    No


  1. If not, please explain.


  1. Was staff able to quicly locate the CSM Mass Casualty Policy and Emergency Response Plans?
    Yes
    No


  1. Was your Department's recall list current?
    Yes
    No
    Not Applicable


  1. Did staff and physicians have a good understanding of their roles as defined in the emergency response plans?*
    Yes
    No


  1. Did every department participate?
    Yes
    No


  1. If no, which departments did not?


  1. Were there problems with internal hospital communications?*
    Yes
    No


  1. If yes, please explain.




  1. Were there problems with external communications with the hospital?*
    Yes
    No
    N/A


  1. If yes, please explain.


  1. Were there any work flow or resource constraints?
    Yes
    No


  1. If yes, please explain.


  1. What went well?


  1. What were the opportunities for Improvment?




Templates provided by QUIA.COM.