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NYC Healthcare Preparedness for Radiological Casualties: Addressing Training and Detection Gaps. Katherine Uraneck, MD Sr. Medical Coordinator Healthcare Readiness Unit Office of Emergency Preparedness & Response NYC Department of Health & Mental Hygiene. Identifying the Gaps.

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nyc healthcare preparedness for radiological casualties addressing training and detection gaps

NYC Healthcare Preparedness for Radiological Casualties: Addressing Training and Detection Gaps

Katherine Uraneck, MD

Sr. Medical Coordinator

Healthcare Readiness Unit

Office of Emergency Preparedness & Response

NYC Department of Health & Mental Hygiene

identifying the gaps
Identifying the Gaps
  • 2004-2005 Conducted site visits to 40/69 NYC Hospitals
  • Less than 17% of NYC hospitals were had equipment to detect radiation contamination in emergency department
  • Only 50% of hospitals had written plan for radiation incidents
  • No identifiable training for hospital staff on responding to a radiation incident available at that time
nyc hospital resources
NYC Hospital Resources
  • 65 Hospitals
  • ~21,000 Staffed Beds, 83% occupied
  • ~1,700 ICU Beds, 65% occupied
  • ~230 Pediatric ICU Beds
  • 71 certified burn beds
  • 3,300 hospital

admissions/day

lack of radiation awareness
Lack of Radiation Awareness
  • Hawaii Study
  • NYC Healthcare Worker Willingness to Respond Survey
nyc radiation incident preparedness projects
NYC Radiation IncidentPreparedness Projects
  • Hospital Radiation Response Working Group 2006-2008
  • Hospital Radiation Equipment & Training Project 2006- present
  • EMS Radiation Equipment Project 2006-present
  • Hospital Radiation Detection Drills 2010
nyc hospital radiation response working group
2 year working group developed NYC specific guidance on hospital response to contaminating radiation incidents

Available at: http://www.nyc.gov/health/bhpp

NYC Hospital Radiation Response Working Group
nyc hospital radiation detection project
NYC Hospital Radiation Detection Project
  • 52 NYC hospitals currently participating
  • Equipment distributed:
    • Personal digital dosimeters, survey meters, and radiation area monitors
  • Guidance provided on developing a response protocol & plan
  • Training provided to all hospitals
  • Conducted drills of 13/52 hospitals during 2010
radiation equipment training
Radiation Equipment Training
  • Provided Basic and Advanced training on equipment
  • Over 500 hospital personnel trained at basic level
  • Radiation Safety Officers provided with advanced training
  • All training materials, presentations, handouts, tests, available for download and modification http://www.nyc.gov/html/doh/html/bhpp/bhpp-train-cbrne-rad.shtml
additional training efforts
Additional Training Efforts
  • Radiation Response Symposium for Radiation Safety Officers 2008 and 2009
  • Partnered with REAC/TS for medical management training in 2008
lessons learned
Lessons Learned
  • Hospital and healthcare facilities have limited radiation detection equipment, training or plans,
  • Focus on staff safety to encourage participation,
  • Involve Hospital Radiation Safety Officers early,
lessons learned13
Lessons Learned
  • If you put up radiation detection equipment, you will detect radiation – have your own response protocols in place,
  • Radiation equipment skills are perishable – create easy drills or quick reviews for staff to conduct biannually, and
  • As training on equipment increases, staff anxiety decreases.
questions
Questions?

Contact information:

Kate Uraneck, MD

kuraneck@health.nyc.gov