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Healthcare Evacuations

Healthcare Evacuations. Peter Ginaitt and Dawn Lewis. Stay or Go – Many Decisions. Who What Where When Why How. Who. Patients (by Acuity) Most ill ( Red) Least ill (Green ) Patients (by Geography) Part of the building Entire building Decides Facility decision

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Healthcare Evacuations

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  1. Healthcare Evacuations Peter Ginaitt and Dawn Lewis

  2. Stay or Go – Many Decisions • Who • What • Where • When • Why • How

  3. Who • Patients (by Acuity) • Most ill (Red) • Least ill (Green) • Patients (by Geography) • Part of the building • Entire building • Decides • Facility decision • EMA/PS recommendation • Government order • Best Patient Outcomes • Patients • Family • Staff • Medical Community • Receiving Facilities • General Public • Regulating Agencies • Insurance Companies • State/Local Agencies Who do we evacuate? Who do we tell?

  4. What • Supplies • Medical Records • Continuity of Care Forms • Medications • Patients belongings • Food • Medical equipment • Housekeeping supplies • Staff • Tracking • Speed of evacuation • Adequate supplies What do we take? Considerations

  5. Where • Rendezvous Points for pts. • Hospital to Hospital • Hospital to NH • Hospital to Shelter • Hospital to Home • NH to NH • NH to Hospital • NH to Shelter • NH to Home • ACS/Field Hospital/Ship • Issues • Triage pts. by transport needs (BLS, ALS, critical care, med-flight) • Appropriate receiving facility level of care • Readmission rates • Logistic resupply • Staffing • Families • Other… Where do we go? Considerations

  6. When • Pre-event • Prior to Storm • Prior to Construction • Facility Impact/Closure • During-event • Lost facility services • Decompression • When will the storm hit • When will the receiving location be available • When will the transports be available • When will the transports NO LONGER be available When to evacuate Timing is everything

  7. Why • Tornado • Hurricane • Flooding • Explosion • Fire • Intentional • No Heat • No Water • No HVAC • Limited/No Power • Structural damage • Preemptive for above Types of incidents Reasons to evacuate

  8. How • How will people be moved (internal) • Sleds • Chairs • Mattress • Fireman drag • How will people be moved (external) • Med-flight • ACLS • BLS • Bus • Car • From Floor to Door • Staff • EMS • Fire Services • Volunteers • Is there enough of the transport vehicle types available? • Ambu bus • Medflights (comm/military) • Para-transport • Federal Ambulance Strike Teams • Regional Resources/ MOU’s How will people be moved Transport options

  9. QUESTIONS ?

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