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Evacuation of a Large Hospital
ŽÁČEK, Radovan
Act no. 328/2001 of the Collection of Laws defines that, apart from others, evacuation must be planned for handling emergency situations that require an alarm of the third or spe-cial degree to be raised. Successful evacuation requires an evacuation plan be made as part of crisis preparedness plans and this project could become a template for preparing evacuation plans for emergency situations at Fakultní nemocnice (a teaching hospital) in Motol, Prague. The teaching hospital in Motol is one of the largest hospitals in central Europe. It has 2,500 beds at its disposal, 350 of which are with intensive care. The hospital has large prem-ises the heart of which consists of two monoblocks, one for children patients and the other for adult ones. The other buildings in the hospital house its technical and administrative facilities or some special departments. The set of persons in question includes all the people in danger on the premises at the time of raised evacuation. It means hospitalized patients, outpatient ones, employees, students and teachers of the 2. Lékařská fakulta UK (the Medical Faculty of Charles University) and visitors. The objective of this work is to create model templates for evacuation plans for se-lected wards as well as larger departments, including the entire hospital complex. The other objective is to verify, or refute, the hypothesis that evacuation, partial or complete, of a large hospital can be finished within 12 hours. The methodology was based on detailed data collection about each ward and bed de-partments (location, number of beds, number of staff at various time of the day etc). Another source of information was a detailed survey of the entire premises focused at finding potential evacuation routes inside as well as outside the buildings, capacity of corridors, stairways, lifts, and other important information related to evacuation. The results of the project are presented in the form of ten model evacuation plans for various individual parts as well as whole units of the hospital: 1. Evacuation of one ward of the children{\crq}s monoblock, 2. Evacuation of one wing of the children{\crq}s monoblock, 3. Entire evacuation of the children{\crq}s monoblock, 4. Evacuation of one ward of the adult{\crq}s monoblock, 5. Evacuation of one floor in one communication node of the adult{\crq}s monoblock, 6. Evacua-tion of one entire communication node of the adult{\crq}s monoblock, 7. Entire evacuation of the adult{\crq}s monoblock, 8. Evacuation of the other hospital facilities, 9. Evacuation of another pa-vilion, 10. Entire evacuation of the whole hospital. The final results show that it is not possible to have one universal evacuation plan that would include all potential situations but several plans for particular kinds of exposure and sizes of departments in danger. The hypothesis was verified for variants 1., 2., 3., 4., 5., 6., 8. and 9. but it was not verified for variants 7. and 10. Evacuation of the entire adult{\crq}s mon-oblock and evacuation of the whole hospital cannot be finished within 12 hours after alert.
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