ERA UNIVERSITY
ERA COLLEGE OF NURSING
                         ASSIGNMENT
                              ON
                          “mock drill”
              Subject : Nursing Education
Submitted To,                        Submitted By,
Miss Godhuli Ghosh                  Archana Devi
Assistant Professor                M.Sc.(N) 1st Year
Era College Of Nursing             Era College Of Nursing
                         Submitted On:
                                         MOCK DRILL
INTRODUCTION:
We cannot prevent the earth from shaking, the wind from blowing , the rain from falling. Disaster
occurs when these events come in direct contact with the environment resulting in loss of human lives
and properties.
Sensitization of employees is highly essential considering the fact of emergency situation like fire,
chemical disaster, flood, cyclone, tsunami, or earthquake or any such untoward incidents having
the potential to cause injury and death. The activities in response to deal with depend on type of
emergency situation. However, most of the times organizations in times of emergency or during a
life threatening hazardous situation, find themselves at back foot, due to lack of resources or lack
of coordination or lack of clarity of roles among the stakeholders. This is the reason, mock drill
should be conducted to inculcate the vibes of emergency preparedness, optimum utilization of
resources, mobilization of coordinated activities, and related aspects after identifying the gaps.
DEFINITION:
“Mock Drill is a practice to know as to how to handle the real life situation if it comes which may be
of any type danger/calamity that occurs all of a sudden without any prior warning or very little time to
face the situation. It may be War/Attack started by the Enemy or Natural Calamity(s)like Earthquake,
Sudden Fire, Earthquake etc”.
“Mock drill is to aware the situation in emergency. To understand the do''s & don't in the situation. Its
saves life, boost confidence in people to tackle the situation. Randomly done by defense ministry,
home ministry, police, fire department and go as well. The mock drill is very good practice to aware
the society. I love to be a part of it”.
“Mock drill is a practice as how to save life in real time situation of any kind of danger calamity that
occurs with no advance or little time to evacuate from place”.
“MOCK DRILL Drills provide virtually the only means, short of an actual incident, of measuring the
state of readiness and of testing the effectiveness of an emergency response Plan”.
PURPOSE OF MOCK DRILL.
    To check the reaction of occupants /employees of the building .
    To know the workability of fire fighting /detection system installed in the building .
    To remove deficiency and further improvement plan may be executed.
OBJECTIVES OF MOCK DRILL :
(1) To evaluate the response of the people to the disaster.
(2) To improve the coordination between various departments of disaster control.
(3) To identify one's own abilities if disaster approaches.
(4) To improve the ability of quick response to disaster and taking rapid action.
(5) To check the competency of the planned actions.
(6) To identify the possible errors and risks while dealing with disasters.
ORGANIZATION:
    A team should be formed undertake the tasks of organizing and executing the drills, under the
     supervision of a coordinator .
    Coordinator
    Administration and finance .
    Security.
    Controller
    Participants .
    Simulators.
    Technical design team .
    Staging team .
    Logistics and equipment team.
    Evaluation team .
    Evaluators .
    Observers .
SCENARIO DEVELOPMENT:
    To conduct the mock drill, emergency /disaster scenario must be created .
    You may refer the sample and use the local information to build the scenario that is suitable in
     your setting .
    It consists of scenario description and triggering /impact events.
EXECUTION:
    The coordination team and actors are briefed on their assigned roles and sent to different
     incident sites.
    Relevant sectors and communities must be involved .
DEBRIEFING:
    A briefing session is facilitated by the coordinator after the termination of the drill. All the
     participants of the drill should attend the session.
EVALUATION:
    Evaluation team will assess the result of the drill exercise and provide feedback to participants
     and key management staff. The coordinator of the drill exercise should submit a detailed report
     with results of the evaluation
TYPES OF MOCK DRILL:
Three Types Of Emergency Preparedness Drills
To appreciate the importance of drills, one must also understand the three basic types of drills:
■ Tabletop Drill. A facilitated analysis of an emergency situation in an informal, stress-free
environment. It is designed to elicit constructive discussion as participants examine and resolve
problems based on existing operational plans and identify where those plans need to be refined.
The success of the exercise is largely determined by group participation in the identification of
problem areas. There is minimal attempt at simulation in a tabletop exercise. Equipment is not used,
resources are not deployed, and time pressures are not introduced. This is the simplest type of exercise
to     conduct       in      terms     of      planning,      preparation,       and       coordination.
■ Functional Drill. This type of drill simulates an emergency in the most realistic manner possible,
short of moving real people and equipment to an actual site. As the name suggests, its goal is to test or
evaluate the capability of one or more functions in the context of an emergency event.
■ Full-Scale Drill. As close to the real thing as possible, a full-scale drill is a comparatively lengthy
event that takes place on location using—in as much as is possible—equipment and personnel that
would be called upon in a real event.
Aim Of Mock Drill
              To enhance the ability to respond faster.
              To identify the efficacy of SOPs. 
              To improve coordination within departments.
              To evaluate response. 
MOCK DRILL HELPS US
   1.   To evaluate readiness of all Fire Safety Arrangements.
   2.   To increase emergency preparedness of staff members.
   3.   To revise SOPs for enhanced coordination.
   4.   To identify planning gaps.
EVACUATION PRIORITIES
       1st •Protection of life
       2nd •Prevent spreading of Hazard
       3rd •Save Assets in the Affect Area
       4th •Eliminate the Hazard
CIRCUMSTANTIAL ASSUMPTIONS
       High level of tension and anxiety
       Highly unreliable information requiring critical assessment
       Criticality of time for taking decision
       Necessity of coordination among technical and administrative personnel
LEARNING OUTCOME OF MOCK DRILL TRAINING
       Purpose of conducting mock drill
       Mock drill design as per the principles
       Objectives of mock drill
       Common safety problems at workplace
       Ways to conduct mock drill
       Systematic way of conducting mock exercises
       Role of management, emergency manager, authorized response person, and workers for
        conducting mock drill
      Escape plan in case of emergency
      Guidelines to be followed before, during, and after mock drill
      Evaluation of mock drill
      Implementation of emergency plan
Who can take the Mock Drill training?
Training is useful to emergency response team, employees, management, and stakeholders of
organization.
Benefits of Mock Drill training
Organization will understand the key aspects of emergency preparedness thereby it would
strengthen the coordination efforts to tackle any crisis effectively. As a result, life and property
would be better protected.
Example :
     Mock Drill for Emergency Response for Handling COVID -19 cases in Govt Hospitals
            Setting                        Personnel Required                 Personnel Required
 1. Outpatients facilities/ Initial Triage
      Consultation Room                Healthcare workers (Doctors    Physical examination of patients
                                               and Nurses)            with respiratory symptoms.
                                                                      Inventory PPEs & Medicines,
                                                                      hand washing and sanitizer
                                                                      facility.
                                     Healthcare workers (Doctors      Physical examination of patients
                                                and Nurses)           without respiratory symptoms
                                                                      but based on self-declaration and
                                                                      /or history
                                                  Cleaners            After and between consultations
                                                                      with patients with respiratory
                                                                      symptoms; Disinfectants.
                                                                      Well ventilated areas with
        Waiting Room                                                  Exhaust Fans/Open Areas
 2. Emergency /Inpatient facilities/Isolation Rooms and Duty Stations
                                    Healthcare workers (Doctors and            PPE
                                                   Nurses)                     Drugs & Disposable
                                                                               Oxygen Apparatus
                                                                               Suction Machine
                                                                               Hand washing and Hand
                                                                               sanitizer facility
                                                   Cleaners           Entering the room of COVID-19
                                                                      patients with proper PPE
         Laboratory                           Lab Technician          Collection       of      Respiratory
                                                                      samples
     Administrative Areas             All staff, including healthcare Administrative tasks that do not
                                                   workers            involve contact with COVID -19
                                                                      patients but work on logistics
                                                                      and       supply     and     record
                                                                      maintenance. Hand washing and
                                                                      hand sanitizer facility.
           Setting                          Personnel Required        Inventory/Activity/ Skills to be
                                                                      tested
 3. ICU Facilities
              ICUs                       Respiratory specialists              PPEs
                                           Anaesthesiologist                  Knowledge and skill as
                                          ICU Nurses                           per treatment protocols
                                          OT Technician                       Oxygen supply
                                                                              Emergency medicines
                                                                              Monitors
                                                                              Defibrillators
                                                                              Ventilators
 4. Ambulance or transfer vehicle (For shifting to Tertiary Care Centre )
                                         Healthcare workers       Transporting suspected COVID-
                                                                  19 patients to the referral
                                                                  healthcare facility.
                                  Driver with Paramedical workers Involved only in driving the
                                                                  patient with suspected COVID-
                                                                  19 disease and the driver’s
                                                                  compartment is separated from
                                                                  the main compartment.
                                                                  Assisting with embarkation
                                                                  /disembarkation of patient with
                                                                  suspected COVID-19 disease.
                                              Cleaners            Cleaning and disinfection after
                                                                  and between transport of patients
                                                                  with     suspected     COVID-19
                                                                  disease to the referral healthcare
                                                                  facility
 5. Details of Tertiary Care Centre (Contact No. of Nodal Person and Emergency No.) are
 available
General Tips:
1. In addition to using the appropriate PPE, frequent hand hygiene and respiratory hygiene should
always be performed. PPE should be discarded in an appropriate waste container after use, and hand
hygiene should be performed before putting on and after taking off PPE.
2. The number of visitors should be restricted. If visitors must enter a COVID-19 patient’s room, they
should be provided with clear instructions about how to put on and remove PPE and about performing
hand hygiene before putting on and after removing PPE; this should be supervised by a healthcare
worker.
 3. This category includes the use of no-touch thermometers, thermal imaging cameras, and limited
observation and questioning, all while maintaining a spatial distance of at least 1 m.
4. All rapid response team members must be trained in performing hand hygiene and how to put on
and remove PPE to avoid self-contamination.
Laboratory investigations
   (i)     All kits required for collection (Respiratory samples like Nasopharyngeal Swab, Sputum
           and bronchoalveolar lavage) such as swabs, VTMs, Zip Lock Bag & Cold Chain etc. are
           available
   (ii)     All lab investigations of a COVID-19 suspect case should be restricted to a bare minimum
           as deemed appropriate by the treating physician till such time as the confirmatory COVID-
           19 tests are made available. After confirmation proper bio safety precautions should be
           observed if any invasive investigations are done.
Assessment of Healthcare workers
Doctors, Nurses, Technicians should undergo knowledge assessment along with skill assessment and
if needed the requisite training should be provided to fill the gaps. A Microbiologists should be posted
for Supervising the samples collection from the patients in a proper way and ensuring the
transportation of sample to designated laboratories for testing under appropriate condition including
maintenance of cold chain for this purpose.
Public Health Specialist should be engaged to advise about the reduction of infection in the
medical care facility. They will also supervise the handing over of discharged patients to State
Surveillance teams for monitoring and tracking these patients till the requisite period is over. They
will also supervise proper biomedical waste disposal of the healthcare facility.
                                       BIBLIOGRAPHY:
Basavanthappa bt. Nursing education, new delhi: jaypee publication.1st edition ;2003.
www.Ndrf.gov.in
www.mohfw.gov.in mockdrill
www.nistinstitute.com mock Drill Training Emergency Mock Drill-NIST Institute