Hospital Disaster Management Plan at Sayang Rakyat Hospital during Response phase in Central Sulawesi Disaster Fadhilah Putri Wulandari, Christianto Matulatan, Muhammad Firdaus Kasim RSUD Sayang Rakyat, Makassar INTRODUCTION Hospitals play a critical role in health care infrastructure. Hospitals have a primary responsibility of saving lives, they also provide 24/7 emergency care service and hence public perceive it as a vital resource for diagnosis, treatment and follow-up for both physical and psychological care. Hospitals are central to provide emergency care and hence when a disaster strike the society falls back upon the hospitals to provide immediate succor in the form of emergency medical care. 1 Hospital disaster management provides the opportunity to plan, prepare and when needed enables a rational response in case of disasters/ mass casualty incidents (MCI). Disasters and mass casualties can cause great confusion and inefficiency in the hospitals. They can overwhelm the hospitals resources, staffs, space and or supplies. Lack of any tangible plan to fall back upon in times of disaster leads to a situation where there are many sources of command, many leaders, and no concerted effort to solve the problem. Everyone does his/ her own work without effectively contributing to solving the larger problem of the hospital. Therefore, it is essential that all Hospital Emergency Plans have the primary feature of defining the command structure in their hospital, and to extrapolate it to disaster scenario with clear cut job definitions once the disaster button is pushed. Chaos cannot be prevented during the first minutes of a major accident or disaster. But the main aim of Hospital Emergency Plan should be to keep this time as short as possible. 1 The emergency plan for smaller hospitals such as community health center may actually only focus around providing either mobile emergency care on the site of incident or providing intermediate stabilization and forward referral of serious patients to the nearest networked hospital. Since the disasters do not strike at the vicinity of only bigger hospitals, it is imperative that all hospitals whether small or big providing emergency care have an emergency plan. In most mass casualty incidents it has been observed that majority of the victims are not seriously injured and come in the walking wounded category. Such small centers can provide immense help in case of disasters/MCI by providing definitive care to such victims who are not seriously injured. The emergency plan of such small hospitals would largely depend upon the concept of hospital networking. 2 December 28 th 2018 marks the occurrence of a tectonic earthquake which hit Donggala district and affected Palu city an Parigi Mountong Regency as well. The earthquake was subsequently followed by a tsunami that swept away significant amount of parts of Palu city and Parigi Mountong City. The preceding earthquake and tsunami results to liquefaction in Palu, South Palu and Sigi district. Collateral damage after the disaster made local hospitals overloaded after receiving massive flow of patients and assistance from the network hospitals were crucial in delivering treatment to patients.