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Emergency Management Working Group 9 July 2012

Emergency Management Working Group 9 July 2012. Agenda. Call to Order and Approval of Minutes Guest Speaker: Chief Charles Werner Charlottesville Fire Department Geographic Information Systems (GIS) Project for CVILLE Expanded “Group 99” Page Groups (M.Winstead)

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Emergency Management Working Group 9 July 2012

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  1. Emergency Management Working Group9 July 2012

  2. Agenda • Call to Order and Approval of Minutes • Guest Speaker: • Chief Charles Werner • Charlottesville Fire Department • Geographic Information Systems (GIS) Project for CVILLE • Expanded “Group 99” Page Groups (M.Winstead) • Getting more people involved in setting up the Hospital Command Center (N.Kell) • Incident Reviews (N.Kell) • Bomb Threat • Baby Safe • nTelos • Severe Thunderstorm and Extended Power Outage • Sub-Incident Management Teams … spinning these up in hospital and off-site locations (T.Berry) • Adjourn

  3. Guest Speaker Geographic Information Systems (GIS) Project for CVILLE Presented by;Chief Charles WernerCharlottesville Fire Department

  4. Emergency Preparedness and ResponseExpanded “99” Page GroupsMarc Winstead , BS, RRT, EMT-PEmergency Preparedness and Response CoordinatorCenter for Emergency Managementjmw4u@virginia.edu

  5. Page Group 99’s • Group 99: MCI • Group 199: In-house (24/7) pagers • Group 299: Managers and Directors • Group 399: Administrators and Chiefs • Group 499: Utility Outages • Group 599: Computer/IT Outage • Group 699: Weather Event • Group 799: Hazmat/Decon Incident • Others to be developed

  6. Page Group 99 Mass Casualty Incident • Medcom • AoC, Nursing Supervisor, Bed Ctr • ED MoD, ED Shift Mgr • EM Dir, EM OMD, EM MoD • Surgery Attending, Trauma Coord. • Radiology Administrator • EOC Administrator • Others as Needed

  7. Page Group 499 Utility Outage • AoC, Nursing Supervisor, Bed Ctr • EM Dir, EM OMD, EM MoD • HSPP Administrator • HSPP Engineers • HSPP Zone 1 Superintendent and Supervisors • Communications Manager • EOC Administrator • Pt & Guest Services • Others as Needed

  8. Page Group 599 Computer/IT Outage • AoC, Nursing Supervisor, Bed Ctr • EM Dir, EM OMD, EM MoD • HSPP Administrator • HSPP Engineers • HSCS: Perry, Monroe, O’Malley, Fielding, Hughes, Barbieri, Preston, HSTS AoC • Communications Manager • Others as Needed

  9. Page Group 699 Weather Event • AoC, Nursing Supervisor, Bed Ctr • EM Dir, EM OMD, EM MoD • HSPP Administrator • EOC Administrator • PT & Guest Services • Communications Manager • Others as Needed

  10. Page Group 799 Hazmat/Decon Incident • AoC, Nursing Supervisor, Bed Ctr • EM Dir, EM OMD, EM MoD • HSPP, Medical Transport, HIS, EH&S, HSPP Zone 1 Superintendent and Supervisors • Kostas Alibertis, Will Barnhardt, Nick Kell, Sara Ferrell, SEMM Supervisor • EOC Administrator • UVAHS Security • Media Relations • Others as Needed

  11. Page Group TBD • Ambulatory • Fontaine • Northridge • Multistory • Orange • 1222 JPA • School of Medicine

  12. Command Center Set-up • Emergency Management needs assistance with setting up the Hospital Command Center (HCC) • Takes about 1 hour and 30 minutes when 2 people set it up • Tables, chairs, computers, phones, printer, projector, paper products, etc • Blue print is inside of cabniet • If you are paged for assistance, lock combination will be provided

  13. Incident ReviewsPresented by;Nick KellCenter for Emergency Management

  14. Baby Safe Server Failure Situation At approximately 0230 on 21 March 2012, a network server servicing the 7th and 8th floor infant security system failed causing complete failure of the system. Major Take-aways: • Redundancy with hardware and data storage • Major burden to provide manual security on all exits • Planning for multiple operational periods • Elevators must be reconfigured • First incident to pull in the FB5 groups for additional manpower

  15. nTelos Outage Situation On 24 May 2012, components of the AMCOM paging system experienced hardware failure resulting in the inability to send messages to PCI numbers connected to nTelos devices. Major Takeaways: • Weak and vulnerable system, 3 outages in 2 months. • Downtime procedures • Need a formal plan • Moving PIC #s to cell phone #s • The “Queue”

  16. Bomb Threat #1 Situation On 15 March 2012, a male patient made a verbal threat to blow up the building at Pain Management Clinic at Fontaine. Major Takeaways • Evacuation for a non-fire emergency • Separating Area Specific Fire and Evac Plans • Communication • Timing of messaging • Ambulatory Staff and Health System Alerts • Broad vs Targeted messaging

  17. Bomb Threat #1 Continued … • Different perspectives of responders • Those at incident site and those in “Command Center” • Leadership organization in the external environment • Sub-IMTs • EP&R liaison • Staging Manager • Moving Forward

  18. HCC Operations • Activation of Incident Mgt Team via Page Groups and Enotify • Teleconferencing • Communications • In the first 2 hours • After the first two hours • WebEOC, Instant Messaging, hand held radios

  19. Incident Management Teams • Roles in the Hospital Command Center (HCC) • Sub IMT’s … groups that need to form outside of the HCC • Off Site IMT’s … i.e. Fontaine, Northridge, Republic Plaza, etc

  20. HCC – Key Roles • Incident Commander: Normally Nursing Sup or Admin on-call. Establishes and manages by objectives. Conducts rapid assessment of situation and determines whether the emergency can be managed with resources available. Assigns Emergency Response Levels which drives resources needed. • Command Staff: Includes Public Information Officer, Safety Officer, Liaison, Medical Director. • Clinops: Next weeks Administrator on-call. Conducts rapid assessment of situation by interfacing with people assigned within Clinical Operations structure. Develops tactics for established objectives. Responsible for ensuring safe and wherever possible continuous patient care operations. Facilitates and directs surge capacity demands.

  21. HCC – Key Roles • Plans: See separate slide. • Logistics: Conduct rapid assessment of situation by interfacing with people assigned within Logistics structure. Develops tactics for established objectives. Maintains resource needs and status of logistical operations (i.e. utilities, computing, clinical support, and support functions). Responsible for ensuring safe and wherever possible continuous patient care operations.

  22. Agency Executives / Incident Advisory Council Command Staff Incident Commander Administrator on-call Public Information Officer Safety Officer Deputy Incident Commander Liaison Officer Medical/Technical Specialist(s) Clinical Operations Next week’s A-on-call Plans Logistics Finance Family Care Center General Staff HCC - Incident Management Team

  23. CLINOPS Deputy Clinical Operations Section Chief Nursing Sup Know where you fit and think about sub-IMT’s … groups that can formed outside of the HCC • SRO = Staging for Clinicians Bed Coordination Center Prehosp Hosp Ops Ambulatory Ops Ancillary and Allied Health SoM ED • MedSurg • CritCare • ORs • C & W • Psych • SocWork • Chap • RT • Pharmacy (decentralized) • Infection Control • TCH • KCRC • HomeHealth • ECCCC • Renal • HeartCenter • Therapies • Clinical Nutrition • XRay • MRI • IV Rad • CT • U.Sound • Pharm • Medical Labs • Triage • Adult • Peds • Overflow • UVA MTN • Hazmat // Decon

  24. Logistics Deputy Logistics Section Chief Resource Support Center Staging Manager • Non-clinical personnel • Vehicles • Equip & Supplies Health System Computing Services Clinical Support Branch Support Services Branch • Security • EoC • - Environ Svc • - Nutrition Svc • Supply Chain • P&G • - Information Desks • - Greeters • - InterfacilityTransport • P&T • Facilities • HSPP • Volunteer Services • Child Services • CE • Patient Transport • Supply Chain Mgt • Morgue Know where you fit and think about sub-IMT’s … groups that can formed outside of the HCC

  25. Plans Section Communicate (EP&R and Marketing) Situational Awareness (EP&R) Incident Action Planning and Resource Management (EP&R) • “Filtering” Information for Intelligence • WebEOC (MC, local, regional versions) • Office Communicator • VIPER • Social Media (Twitter, FB) • Internet • TV • 800 mhz –external (Interoperability) • Collaboration with other nodes; • Risk Mgt • BRPC • Comm Services • Phys & Pt Referral Call Ctr • Medcom • Focus = the Next Op Period • Modified Planning P • Assess situation • Develop objectives • Develop tactics • Communicate plan • Track implementation of plan • Re-assess situation • Deploy people, supplies, equipment • Redeploy people, supplies, equipment “Targeted” Communications (EP&R) Form Incident Mgt Tm (99) Text Paging (199, 299, 399) Command Center Alerts Teleconferencing Overhead Paging (ITC) Alertus (UVA) 800 mhz – internal (Interoperability) “Broad” Communications (Marketing) Mass Emails Internet Social Media (Twitter, FB) Radio TV

  26. Building Manager (e.g. Republic Plaza or Bldg 415 at Fontaine) Command Staff Communications Assistant Safety Officer Medical/Technical Specialist(s) Logistics Coordinator General Staff Incident Management Team for Satellite Settings One Building Involved Administrators/ Chiefs Hospital Command Center Incident Commander On Scene Floor Leader Floor Leader Floor Leader

  27. Complex Coordinator (e.g. Northridge Medical Park) Command Staff Communications Assistant Safety Officer Medical/Technical Specialist(s) General Staff Logistics Coordinator Incident Management Team for Satellite Settings Two or More Bldgs Involved – Both Medical Ctr Administrators/ Chiefs Hospital Command Center Incident Commander On Scene Building Manager (e.g. TCH) Building Manager (e.g. MOB) Building Manager (e.g. Moser) Floor Leaders Floor Leaders Floor Leaders

  28. Command Staff Multiagency Coordination Group (e.g. Fontaine Research Center) Communications Assistant Safety Officer Medical/Technical Specialist(s) Logistics Coordinator General Staff Incident Management Team for Satellite Settings Two or More Agencies Involved Incident Commander On Scene Local EOC Hospital Command Center Building Manager (e.g. UPG) Building Manager (e.g. HealthSouth) Building Manager (e.g. Bldg 545) Building Manager (e.g. Snyder Bldg) Building Manager (e.g. Bldg 415) Floor Leaders Floor Leaders Floor Leaders Floor Leaders Floor Leaders

  29. Thank You For Your Time! Note: Look for Emergency Management Icon on your Desktop. If it’s not there type Start > Run > Load Icons and click OK Next meeting: 10 September 2012

  30. Emergency Numbers 4-2267 • Power failure • Elevator outage • Flooding • Gas leak • Heating, air cond, and ventilation • Sewage back up • Water supply or contamination • Tube outage 4-2012 • Bomb Threat • Fire • Medical emergency • Infant abduction • Medical gas outage • Workplace violence 2-FIXX • Transportation • Pool equipment • Environmental Services • Courier/Interfacility services • Linen • Nutrition Services Other Numbers • 4-5334:  Computer system failure • 2-4911:  HAZMAT • 4-8600: Telephone outage

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