MANANGO HOSPITAL

i. National Highway,San Antonio

Alicia, Isabela, Philippines
Tel. No.:(078)323-2056

CONTINGENCY PROGRAM/PLAN

I. OBJECTIVE OF CONTINGENCY PROGRAM/PLAN

To develop and designed detailed of action to immediately contain and minimize the effects
of an emergency requiring prompt corrective measures beyond normal procedures to
protect human life, minimize injury, optimize loss control, and to reduce the exposure of
physical asset and the environment to risk resulting from an incident, and assurance to EMB,
nearby communities, and other stake holders on the emergency preparedness and
response capacity of waste generators, transporters ,and TSD facilities.
II. CONTENT OF THE CONTINGENCY PROGRAM/PLAN
a. Emergency Response Organizational Structure
MEDICAL DIRECTOR
DANILO M. MANANGO, MD
Contact Number: 078 3232056

HOSPITAL ADMINISTRATOR/ MANAGING HEAD

CAROLINE A. MANANGO, MD
Contact Number: 078 3232056

POLLUTION CONTROL OFFICER

DANIEL MIKHAIL A. MANANGO, RN
Contact Number: 078 3232056

SAFETY OFFICER 2
JOSEPH M. MANAHAN JR
Contact Number: 09652384544

OSH NURSE/ NURSE SUPERVISOR

Evangeline Rose S. Galinggana, RN
Contact Number: 078 323 2056

HUMAN RESOURCE OFFICER/ CHIEF NURSE

JACQUELINE B. AGREGADO, RN- Emergency Response Team 1
Contact Numt^er: 0905-3627-866

SAFETY OFFICER 1
JEREMY T. URSUA- Emergency Response Team 2
Contact Number: 0916 9689-796

MAINTENANCE
ROLEO C. MATEO- Emergency Response Team 1
Contact Number: 0936-3604-682

INFECTION CONTROL OFFICER

DANIEL MIKHAIL A. MANANGO, RN
Contact Number: 078 3232056

Bureau of Fire Philippines National Environmental Rescue Alicia

Protection Police Management Bryan B.
SF03 LARRY C. AVILLA PMAJ Eric Caesar C. Bureau Mayoralgo, RN
Municipal Fire Marshall Rumbaoa Contact Number: Contact Number:
Contact Number: 0917- Chief of Police (078)3960724 0927-3065-26
1439-445 Contact Number:
0917-8196-449

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 MANANGO HOSPITAL
f National Highway, San Antonio
Alicia, Isabela, Philippines
Tel. No.:(078) 323-2056

b. List of Potential Emergencies and Scenarios

BLOOD AND BODY FLUID SPILLAGE

> Small Spots of Blood or Small Spill

1. Use gloves, eye protection and mask.

2. Contamination should be wiped out with proper towels soak in fresh
prepared hypochlorite solution.
3. If broken glass is present, first treat the spill with hypochlorite solution
then carefully remove broken glass with forceps or scoop put in the
pricked proof container for infectious wastes and wipe again the
surface with the above solution.
4. Towels and gloves should be disposed of in a proper infectious waste
disposal.
5. Hands must be washed following clearing up.

Large Spill of Body Fluid

1. Staff patients and visitors must be kept away from the spillage and a
warning sign must be place while preparation is being done to handle
the spill.
2. Gloves, eye protection and a disposable apron should be worn. If the
spillage is extensive, disposable plastic overshoes or rubber boots
may be necessary.
3. Liquid spills should be covered with chlorine releasing granules and
left for at least two minutes before clearing up with paper towels,
absorbent mats or incontinence pads. A specialized spillage mop with
detachable is a convenient way of absorbing the spillage after
disinfection.
4. Alternatively, the spill may be covered with paper towels, mats or
incontinence pads and gently flooded with hypochlorite solution.
5. If broken glass is present, first decontaminate the spillage as above,
then carefully remove the pieces of glass with disposable forceps or
scoop to a sharp bin, before wiping up.
6. Paper towels, gloves, disposable overshoes and any contaminated
clothing should be placed in a yellow autoclave bag and hands
washed (reusable PRE may need to be contaminated with dilute
disinfectant).
7. Finally, the area should be washed with water and detergent and allow
to dry.
 MANANGO HOSPITAL
t National Highway, San Antonio
Alicia, Isabela, Philippines
Tel. No.:(078) 323-2056

FIRE
1. Rescue - anyone in immediate danger and close door(s) to fire area.
2. Alarm - activate the fire alarm and call or have another employee to call the
Fire Department (give the name, location of fire, type and extent of fire).
3. Confine - close all windows and doors to prevent spread of fire/smoke.
4. Extinguish - use the fire extinguisher if practical to control the fire. Notify the
fire department if fire is extinguished.
5. If not practical or if unable to extinguish the fire follow the instruction below:
• Remove the clients/employees/visitors/ from the fire area with supervision
in the designated safe area outside away from the building. Please see
figure 1, 2, 3, & 4 The Emergency Exit Route.
• Assign a guide to lead the ambulatory clients/employees/visitors from the
fire as a group.
• Close all doors of rooms, hazardous area, fire doors and corridor smoke
barrier doors as soon as fire alarm is sounded.
• Electric power will be remain on if possible.
• Dispensing of oxygen and anesthetics will be discontinued unless vital to
the saving of life. The unit nursing staff shall monitor oxygen shut-off
valves. Compressed gases stored near the fire area will be removed
under the supervision and direction of the person designated by the
division chief, department head or office director.
• DO NOT USE THE ELEVATOR.

6. Be prepared to direct fire department personnel to the fire area.

Turn fire-fighting duties to fire department personnel.

EARTH QUAKE
Earthquakes are unpredictable natural disaster. Earthquakes are of short but the
consequences are severe. Earthquakes cannot be prevented. Measures including
earthquake-proof construction, compliance with the construction regulations,
readiness to provide timely and adequate reaction in case of emergency and
remediation of the consequences have to be taken in order to avoid human
fatalities and heavy damages of property.

Policies:
1. There should be an earthquake preparedness program in Manango Hospital.
• Preparedness program for possible internal disaster(earthquake affecting
the hospital infrastructure and people inside the hospital at the time of the
earthquake)
• Preparedness program for possible external disaster(earthquake affecting
people outside the hospital)
2. Internal disaster plan during earthquake
• Hospital Earthquake Response Plan will be activated
• Unit Earthquake Response Plan will be activated
3. External disaster plan during earthquake
• Sudden influx of patient disaster plan will be activated - with precautions
of placing patients in safe places within the hospital.
• External disaster plan will be activated as needed.
4. There shall be an earthquake drill at least once a year.
 MANANGO HOSPITAL
i. National Highway, San Antonio
Alicia, Isabela, Philippines
Tel. No.:(078)323-2056

Procedures:

In the event of tremors the team leader will issue a warning of the danger and give
brief instructions on how to act.
1. Instruct personnel on duty to guide other individuals inside the hospital, instruct
not to panic and get dose to the interior walls and if possible to shut down the
power supply and evacuate the building.
2. For ambulatory persons (staff, visitors, and patients)
• Move away from the windows, glass, light fixtures, bookshelves or any
structure that could fall.
• "Duck, cover and hold" under sturdy table if present.
• Watch out for falling objects.
3. For bed-ridden patient
• Have a pillow on their head to protect them from falling objects.
4. If Inside the elevator, get off the next floor.
5. Listen to evacuation announcement. Once there's a call for evacuation avoid
running and pushing and if possible do not bring heavy things. Never use
elevator.
6. Patients confined to beds wait for the evacuation teams to assist.
7. At the evacuation area, all evacuated confined patients as well injured
individuals must be monitored not only in terms of head count but also
medically as indicated.
8. After the earthquake has cleared and there is a declaration of structural safety
for return to the hospital, all evacuated persons and valuables are transferred
to designated places.
9. An evaluation of the drill must be conducted to identify problems encountered
during the drill and how this can be corrected in future earthquake drills.
 %w MANANGO HOSPITAL
National Highway,San Antonio
Alicia, Isabela, Philippines
Tel. No.:(078) 323-2056

OIL SPILL
1. Take steps to prevent leaks and spills. Keep machinery, equipment containers,
and tanks in good working condition and be careful when transferring used oil.
Have sorbent materials available on site.
2. If a spill or leak occurs, stop the oil from flowing at the source. If a leak from a
container or tank can't be stopped, put the oil in another holding container or
tank.
3. Contain spilled oil. For example, containment can be accomplished by erecting
sorbent berms or by spreading a sorbent over the oil and
4. Clean up the oil and recycle the used oil as you would have before it was spilled.
If recycling is not possible, you first must make sure the used oil is not a
hazardous waste and dispose of it appropriately. All used cleanup materials,
from rags to sorbent booms, that contain free-flowing used oil also must be
handled according to the used oil management standards. Remember, all
leaked and spilled oil collected during cleanup must be handled as used oil. If
you are a used oil handler, you should become familiar with these cleanup
methods. They may also be part of a spill response action plan.
5. Remove, repair, or replace the defective tank or container immediately.

0. Specific Procedure for Responding to Spills or Chemical Releases

In the event of a chemical spill, the individual(s) who caused the spill is
responsible for prompt and proper clean-up. It is also their responsibility to have
spill control and personal protective equipment appropriate for the chemicals being
handled readily available. The Department Head should ensure a spillage kit is
available in the area and that all members are familiar with its use and location.

EMERGENCY ACTIONS

• Immediately alert area occupants and supervisor, and evacuate the area, if necessary.
• If the staff is unable to deal safely with the chemical call the attention of
Emergency Response Team.
• Attend to any people who may be contaminated. Contaminated clothing must
be removed immediately and the skin flushed with water for no less than 25
minutes. Clothing must be laundered before reuse.
• If volatile, flammable material is spilled, immediately warn everyone, control
sources of ignition and ventilate the area.
IMMEDIATE SPILL RESPONSE

• Use personal protective equipment, as appropriate to hazards.

Wear safety goggles,face mask or respiratory protection (if Necessary) lab apron,
gloves and booties. Refer to the Material Safety Data Sheet or other references for
information.
• Consider the need for the respiratory protection. The use of a respiratory or self-
contained breathing apparatus requires specialized training and medical
surveillance.

Never enter a contaminated atmosphere without protection or use a respirator

without training. If respiratory protection is used, be sure there Is another person
 MANANGO HOSPITAL
r National Highway,San Antonio
Alicia, Isabela, Philippines
Tel. No.:(078) 323-2056

outside the spill area in communication, in case of emergency.

Determine the extent and type of spill.
Protect floor drains or other means for environmental release. Spill socks
and absorbents may be placed around drain, as needed.
Loose spill control materials should be distributed over the entire spill area,
working from the outside, circling to the inside. This reduces the chance of splash
or spread of the spilled chemical.
When spilled materials have been absorbed, use brush and scoop to place
materials in an appropriate container. Polyethylene bags may be used for small
spills. Five gallon pails or 20 gallons drums with polyethylene liners may be
appropriate for larger quantities.
Complete a hazardous waste sticker, identifying the materials as Spill Debris
involving XYZ Chemical, and affix onto the container. Spill control materials will
probably need to be disposed of as hazardous waste.
Decontaminate the surface where the spill occurred using a mild detergent and
water, when appropriate.
Collect all contaminated materials and PPEs put them in a bag. Label the
bag as hazardous waste.
All chemical waste must be disposed of in accordance with the guidelines of the
DOH HCWM and the DENR. It is the PCO responsibility in ensuring that the
correct procedures for the disposal of the chemical waste are followed.
Report all spills to the concerned personnel and to the DENR - EMB within 24 hours.

BLOOD AND BODY FLUID SPILLAGE

Small Spots of Blood or Small Spill

1. Use gloves, eye protection and mask.
2. Contamination should be wiped out with proper towels soak in fresh prepared
hypochlorite solution.
3. If broken glass is present, first treat the spill with hypochlorite solution then
carefully remove broken glass with forceps or scoop put in the pricked proof
container for infectious wastes and wipe again the surface with the above
solution.
4. Towels and gloves should be disposed of in a proper infectious waste disposal.
5. Hands must be washed following clearing up.

Large Spill of Body Fluid

1. Staff patients and visitors must be kept away from the spillage and a warning
sign must be place while preparation is being done to handle the spill.
2. Gloves, eye protection and a disposable apron should be worn. If the spillage
is extensive, disposable plastic overshoes or rubber boots may be necessary.
3. Liquid spills should be covered with chlorine releasing granules and left for at
least two minutes before clearing up with paper towels, absorbent mats or
incontinence pads. A specialized spillage mop with detachable Is a convenient
way of absorbing the spillage after disinfection.
4. Alternatively, the spill may be covered with paper towels, mats or Incontinence
pads and gently flooded with hypochlorite solution.
5. If broken glass is present, first decontaminate the spillage as above, then
carefully remove the pieces of glass with disposable forceps or scoop to a
 MANANGO HOSPITAL
f National Highway, San Antonio
Alicia, Isabela, Philippines
Tel. No.:(078) 323-2056

sharp bin, before wiping up.

6. Paper towels, gloves, disposable overshoes and any contaminated clothing
should be placed in a yellow autoclave bag and hands washed (reusable PRE
may need to be contaminated with dilute disinfectant).
7. Finally, the area should be washed with water and detergent and allow to dry.

III. SCHEDULE AND CONDUCT OF DRILLS

❖ Semiannual implementation of the plan, either in the response to an
emergency or in a planned drill will occur.
❖ Drills will be planned, implemented and monitored by members of the
Manango Hospital Disaster Committee.
❖ DRILLS Manango Hospital conducts semi-annual implementation of the
Emergency Management Plan. This is to develop the awareness of our
staff on how they will respond to the situation.
❖ EARTHQUAKE AND FIRE DRILL May 14, 2023- our last fire and earth quake
drill

IV. TRAINING AND AWARENESS PLAN

NEW EMPLOYEES: General Orientation Program includes an overview of the hospital

emergency management program.
EMERGENCY MANAGEMENT: All employees will receive general emergency
preparedness training (typhoon, earthquake, extreme temperature condition
preparedness, bomb threat guideline, etc.) annually, to be provided by the Staff
Development and Training Department.
FIRE SAFETY: The Fire Department conducts fire drill annually.
HAZARDOUS CHEMICAL TRAINING: Employee training is in the accordance with
the DOH and DOLE.
OTHER TRAINING: Additional training will be offered whenever specific training
needs are identified through the evaluation of planned drills or actual emergency
situations.

a. BASIC POLLUTION CONTROL OFFICER TRAINING

Daniel Mikhail A. Manango, RN March 8-12, 2021 Online Training
b. OCCUPATIONAL SAFETY Joseph M. Mananhan Jr. September 29-30, 2022 (first
batch) and February 20-24, 2023(second batch)- to introduce the importance of good
housekeeping in preventing most common accidents in the work place.
c. BASIC INFECTION AND CONTROL TRAINING AND PATIENT CARE TRAINING
Joseph M. Mananhan Jr. August 2020 this is to develop awareness on how to
identify, prevent and control the spread of contagious diseases. This is also to
inform infectious waste handlers on how to handle waste of patients with contagious
diseases.
d. DRILLS Manango Hospital conducts semi-annual implementation of the Emergency
Management Plan. This is to develop the awareness of our staff on how they will
respond to the situation.
 MANANGO HOSPITAL
National Highway, San Antonio,
Alicia. Isabels, Philippines
Tel. No.:(078) 323-2056

V. REPORTING AND RECORDKEEPING

As Pollution Control Officer/s we will consider reporting and recordkeeping as one

way of studying a better approach to any emergency situation in the future
• The Pollution Control Officer/s has a record book for any untoward incident that will
occur in the institution with regards to managing hazardous wastes for immediate
tracking
• The PCO/s will make sure to report any incident and give the original copy of the
report to the Administrative Department for record keeping and future purposes.
• The PCO will submit incident report of any emergency situation and the activated
emergency plan to DENR-EMB within 24 hours.
VI. UPDATING THE CONTINGENCY PROGRAM

The Pollution Control Officer/s with the help of the Emergency Response Team and
the Administration will update the Hospital's Contingency Program to ensure the
effectiveness of the program. Pollution Control Officer will submit any changes to
EMB of the following information:

1. Change in process operations

2. Use of new chemicals and/ or generation of new hazardous waste
3. Change in the Emergency Response Organizational Structure
4. Actual release of chemical(s) and activation of the Contingency Program
5. Significant change in the Response Procedures (resulting from drills)

Prepared by: Approved by:

DANIEL MIKHAIL A GO, RN CAROLINE A. MANANGO, .D.

Pollution Control Offi Managing Head