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Disaster Medical Hospital Control

Disaster Medical Hospital Control. Adam Richards, RN, BSN Director or Emergency Services Deaconess Medical Center. What is DMHC?. Disaster Medical Hospital Control Deaconess Hospital Coordination Patient Distribution resource Communication liaison for hospitals.

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Disaster Medical Hospital Control

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  1. Disaster Medical Hospital Control Adam Richards, RN, BSN Director or Emergency Services Deaconess Medical Center

  2. What is DMHC? • Disaster Medical Hospital Control • Deaconess • Hospital Coordination • Patient Distribution resource • Communication liaison for hospitals

  3. What is the goal of having a DMHC? “Disaster Medical Hospital Control will make every effort to place patients initially at a facility most appropriate to care for them, and to avoid secondary transfer from facility to facility if possible.”

  4. What to do next… • Trigger Points - Region 9 DMHC Activation Procedure #1 • Call the DMHC- Deaconess 473-7100 Ask for the ED Charge Nurse

  5. Who calls??? Two calls are better than none.

  6. The decision to activate: Does this exceed the capacity or create a surge event for the immediate facilities affected? • Evaluate capacities locally/regionally. • Initiate calls to our local hospitals in order to establish what the capacities are currently.

  7. What will DMHC do? • Initiate a blue line alert (RAMSES) to all hospitals of the potential situation. • Simultaneously: phone calls to the locally affected hospitals to evaluate the need for activation.

  8. To activate or not to activate. • Made in conjunction with IC - based on capacities of the local hospitals - size of the event - number of patients - type of patients

  9. --ACTIVATION-- • Will occur by RAMSES or WaTrac • Initiate an “All Call” on the HEAR Radio

  10. “This is Deaconess Medical Center your Disaster Medical Hospital Control calling all regional hospitals. This is a _____ (drill or disaster). (Briefly describe the disaster/drill.) Please acknowledge as your facility is called.”

  11. DMHC Actions • Communicate with your IC/Transport coordinator about the destination of hospital bound patients. • Communicate with the hospitals about resources to appropriately place the patients.

  12. Hospital Concerns • Bed availability, both inpatient and ED • Specialist availability, i.e. neurosurgeon. • Communication about current capacity or on-going capacity

  13. Capacity “In a disaster situation when all hospitals have exceeded their capacity, it is known that DMHC will continue to send patients to them.” Similar to the RED divert status, all ED’s will be on red status, and they will still get patients.

  14. MCI Patient Triage/Destination List

  15. Hot Wash For all large scale events. Include the local hospitals to improve their responses as well as the on-scene responses.

  16. Thank you. Questions??

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