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Who Moved My Hospital? A Controlled Patient Evacuation

Who Moved My Hospital? A Controlled Patient Evacuation. Carolyn Wells, RN, MSN,CEN, MEP Trauma/Emergency Preparedness Coordinator Liberty Hospital, Liberty, MO. Background. Two community hospitals merged One Level II Trauma Center One busy OB service

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Who Moved My Hospital? A Controlled Patient Evacuation

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  1. Who Moved My Hospital?A Controlled Patient Evacuation Carolyn Wells, RN, MSN,CEN, MEP Trauma/Emergency Preparedness Coordinator Liberty Hospital, Liberty, MO

  2. Background • Two community hospitals merged • One Level II Trauma Center • One busy OB service • Two very old buildings needing lots of maintenance • The Solution: Build one brand new hospital

  3. Background Planning began one year ahead Intense planning began 6 months from date of move (which was a moving target) Decision made to use regional electronic patient tracking system (EMTrack) Decision also made to use WebEOC

  4. Patient Tracking Patient Tracking System EMTrack

  5. Similar Technology as FedEx/UPS Patients Are Issued Bar-coded Triage Tags

  6. Barcode on Tag is Unique Identifier Process Starts by Scanning Tag Additional Info is Added at Any Time

  7. A Patient’s Location is Updated at Hospital Hospitals Track Both Transports and Walk-Ins

  8. EMTrack EMSWare Data Flows from Portables… …to Local Laptop or PC … …to a secure, Central Database

  9. Patient Tracking Equipment • Handheld Scanner • Rugged Device • Will take multiple drops to concrete, IP64 standard • Long Battery Life • 12-15 hours Constant Use • All-In-One Integrated Device • Barcode Scanner • 12 information categories • Camera for Patient Photos • Wireless 802.xxx • Internal Memory for Batch Mode

  10. Portable User Input • Tag# • Auto Loaded from Scan • Can be manually entered • Required Field • Number must be unique • Alt# • Hospital Admit # • Decon Property Kit Barcode or Drivers License

  11. Patient Tracking Activity Flow Incoming Patient Alert: Trauma Incoming Data From Field Patient Tag Scanned at Hospital to Update Location Data Updated in System at Hospital

  12. Hospitals are notified with an audible alarm and flashing “Incoming Patient Alert.” EMTrack allows them to see pertinent info. Data viewed anywhere with Internet access. Access based on permissions and log-in

  13. WebEOC • Web-Based Emergency Management System • Local Jurisdictional Boards • Hospital Boards • County Boards • Regional Boards

  14. WebEOC • A Board is created for each event

  15. WebEOC • Jurisdictional Boards • Can be kept as local communication • Can be pushed up to the county board

  16. WebEOC • County Boards • Can be kept within the county • Can be pushed up to the regional boards

  17. WebEOC • Many other options with WebEOC • FEMA Forms • ICS Forms • NWS Weather Alerts • Map Tac

  18. WebEOC

  19. Centerpoint Medical Center

  20. Our Partners for the Move • Independence/EJC Emergency Management • MARC (Mid-America Regional Council) • Primary Ambulance Agency • AMR (American Medical Response, Inc.) • Mutual Aid Agencies • Independence Fire Department • Lee’s Summit Fire Department • Central Jackson County Fire Protection District • Harrisonville EMS • MAST (Metropolitan Ambulance Service Trust)

  21. Moving Day Timeline 0400 – Incident Command Center opens at Independence Regional and Centerpoint 0430 – Briefing of all participants 0500 – Patient ID scanned into EMTrack 0530 – First patient left IRHC en route to Centerpoint 0535 - Rain started (inches per hour) and quickly became a deluge

  22. Patients Leaving IRHC • Patient ID band scanned with handheld scanner at ambulance entrance • Destination entered • Ambulance info entered • Triage category chosen • Final check that chart, meds, belongings, etc. with patient • Call to IC informing them of patient time out

  23. Receiving Patients at CMC

  24. Receiving Patients at CMC • ID Band checked upon arrival • Patient name pulled up in EMTrack • Patient accepted at CMC • Room number put into system

  25. Patient Move • 49 patients transported from IRHC by 1130 • 4 ventilator patients moved • Incident Command moved to MCI at 1200 • Resumed patient transfer at 1300 • 36 patients moved from MCI by 1540 • 5 mother/baby couplets • 6 NICU babies (separate Neonatal Transport Unit)

  26. Support from the Community • MARC (Mid-America Regional Council) • Staff support on day of move • Independence EOC stood up for this event • Provided radios to both hospitals • Communications person ran WebEOC • Amateur radio supported communications in 3 locations • Jackson County EOC • County EM Manager was in the Independence EOC • Facilitated communication with MODOT

  27. Patient Move • Challenges • Torrential Rains • Road Closings • Staging of Ambulances • Blue Hospital Signs • “Closed” signs had to be redone

  28. Rainfall Amounts

  29. Flooding in Kansas City Area

  30. Successful Patient Move/Evacuation • First time EMTrack used to track a large number of patients • Multi-agency coordination to move a large number of patients • No patients were harmed or deteriorated during the transfers

  31. Lessons Learned • There are never enough ambulances or transport vehicles • Electronic tracking of patients very helpful • Emergency Management support is essential • Pre-planning of staging areas (and backups) • Practice, practice, practice!

  32. Questions?

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