The french white plan (plan blanc) is, in France, the emergency plan to face a sudden increase of activity in an hospital, such as a massive arrival of casualties due to an accident or a disaster (who may come by their own means to the emergency department or are evacuated by a red plan), an epidemic or a lasting climatic event that becomes deadly for fragile people such as a heatwave. Emergency operations or Emergency preparedness is a set of doctrines to prepare civil society to cope with natural or man-made disasters. ... A hospital today is an institution for professional health care provided by physicians and nurses. ... Alternate meanings: Accident (fallacy), Accident (philosophy), Accident (movie), Accident, Maryland An accident is something going wrong. ... The emergency room is the American English term for a room, or group of rooms, within a hospital that is designed for the treatment of urgent and medical emergencies. ... The french red plan (plan rouge) is, in France, an emergency plan in case of an important number of causalties in a limited area; its aim is to organize the means of rescue to face this concentration of casualties. ... An epidemic is generally a widespread disease that affects many individuals in a population. ...

Description

The white plans are defined by each health institution, public or private, by a person chosen by the institution. The plan is submitted to the consultative and deliberative authorities of the institution (board of directors, medical committee, technical committee, hygiene, security and working conditions committee). The scheme of the white plans for the département is made by the local director of public health (directeur départemental des affaires sanitaires et sociales), with the technical collaboration of the samu (french emergency medical service). The départements (or departments) are administrative units of France, roughly analogous to British counties and are now grouped into 22 metropolitan and four overseas régions. ... SAMU (Service dAide Médicale dUrgence, Emergency Medical Assistance Service) is the French hospital based emergency medical service. ... Emergency medical service (EMS) is a branch of medicine that is performed in the field (i. ...

Once it is started, the white plan is managed by the samu. The actions performed by the institution include: SAMU (Service dAide Médicale dUrgence, Emergency Medical Assistance Service) is the French hospital based emergency medical service. ...

• a crisis management (cellule de crise) is set up
• the teams are maintained on duty (especially when the crisis happens at the shift change)
• the off-duty personnel is gradually called back, in order to have sufficiant means, but keeping a reserve to take over if the crisis lasts;
• the transfer of patients from the strongly involved services to less involved services, and possibly to other less involved health institutions or even to home;
• the non-emergency operations are cancelled from the shedule;
• the available means are listed by the medical-technical services (pharmacy, laboratories, medical imaging) and the logistics services (laundry, catering) ;
• the switchboard is strengthened, the communications are exclusively reserved for the white plan;
• if necessary, the hospital is strengthened by a mobile sanitary kit (poste sanitaire mobile, PSM) ;
• in case of massive arrival at the emergency department, a strict triage is organized at the entrance of the hospital under the charge of a sort physician; it is performed in a big room that is different from the usual emergency entrance and from the reception for the relatives and the press;
• a reception for the relatives and for the press is organized; the priests of the different religions are requested to help the relatives (morale);
• the traffic on the site is organized, to allow the emergency transfers and the norias;
• additional sings and boards are placed to allow an easy foot traffic inside the building; the watch and security are increased;
• when necessary, volunteers from associations can be requested (first aid or social aid associations), to deal with the small cares and support actions.

In case of a contaminating event (nuclear, radiological, biological or chemical — NBC), the flow of incoming patients must be strictly controlled to avoid the contamination of the rest of the institution. Pharmacy (from the Greek φάρμακον = drug) is the profession of compounding and dispensing medication. ... Biochemistry laboratory at the University of Cologne. ... Medical imaging is the process by which physicians evaluate an area of the subjects body that is not normally visible. ... Logistics is the art and science of managing and controlling the flow of goods, energy and information. ... Laundry hung out for drying Laundry can be: items of clothing and other textiles that require washing the act of washing clothing and textiles the room of a house in which this is done History of laundry Laundry was probably first done by immersing cloth in streams and letting the... Catering is the business of providing food service at a remote site. ... A field hospital is a large mobile medical unit that takes care of the casualties outside the hospital buildings. ... Typical triage tag used for emergency mass casualty decontamination. ... Press is a general term having a number of related meanings stemming from the original definition of pressing as the physical action of applying force: Things relating to Metalworking: Machine press, a machine that shapes material by the application of pressure; Flypress, a machine that cuts material by pressing with... An overshot water wheel standing 42 feet high powers the Old Mill at Berry College in Rome, Georgia A water wheel (also waterwheel, Norse mill, Persian wheel or noria) is a hydropower system; a system for extracting power from a flow of water. ... Association is the following: A voluntary association (also sometimes called an association) is a group of individuals who voluntarily enter into an agreement, explicit or implicit, to form or act as a body (or organization) to accomplish a purpose. ... The rock and roll band Live used the name First Aid for a time before achieving much success in the music world. ... The word nuclear means of or belonging to the nucleus of something. ... Radiology is the branch of medical science dealing with the medical use of x-ray machines or other such radiation devices. ... Biology studies the variety of life (clockwise from top-left) E. coli, tree fern, gazelle, Goliath beetle Biology is the science of life (from the Greek words bios = life and logos = word). ... A chemical substance is any material substance used in or obtained by a process in chemistry: A chemical compound is a substance consisting of two or more chemical elements that are chemically combined in fixed proportions. ... -1...

The terrorist acts are likely to happen at the end of the afternoon, to "benefit" from the mass media coverage of the evening news (at 8 PM, "le 20h"). In this case, keeping the day shift allows to have two shifts at the same time when the evening shift arrives.

Bibliography

• ministerial instruction (circulaire) DHOS/HFD n°2002/284 from the 3 May 2002 related to the organization of the health system in case of massive flow of casualties[1]  (http://www.sante.gouv.fr/htm/pointsur/attentat/circ_020503.pdf) (replaces the instruction DH/DGS from the 24 December 1987 — in French)