Hospital Disaster Response in a Rural Setting. Presented by Barbara Ringhouse, RN MSN Assistant Administrator at Island Hospital In Anacortes, Washington. Anacortes, Washington. Far west end of Skagit County Population - 16,000+
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Presented by Barbara Ringhouse, RN MSN Assistant Administrator at Island Hospital
In Anacortes, Washington
Two ED Registered nurses
One Admissions clerk
Night shift coordinator
3-4 Acute Care Registered nurses
2 Acute Care CAN
2-3 ICU Registered nurses
1 security guard
1 radiology tech
OR nursing staff,
On-call Admin. personNormal Staffing for night shift at Island Hospital
Incident Command opened by Night Nursing Coordinator
ED prepared for burn patients immediately
Hospital Emergency Preparedness Coordinator called in
Communications with Field EMS triage officer consistent.
Early notification of the severity of injuries.
Airlift notified early so arrived almost simultaneously with first patient.
Burn Center notified early in the event.Hospital Response to this event….What worked well.
ICU and Acute Care nurses able to come to ED to help
Only one previous patient in the ED, awaiting a ride home.
No other patients arrived in the ED that night except patients from explosion
Medics completed work at the scene and came to help.
Received calls from Skagit Hospital and Providence Medical Center – Everett to offer help in caring for patients
Diverted two patients from the scene to Skagit Valley Hospital
Airlift able to divert helicopters enroute.Timing couldn’t have been better
Full thickness burns to 80 percent of BSA
No history available
No airway on arrival
Surgical airway performed in ED
Central line, Foley, and burn dressings applied
Door to Departure time: 50 minutes
Patient #2 – Arrived at 0205
Full thickness burns to 95 percent of BSA
No history available
No airway and no IV line on arrival only I/O access (not working)
Surgical Airway performed in ED ( Very difficult to obtain)
Central line, Foley, burn dressings.
Door to Departure time: 70 minutesPatient Conditions
Island Hospital Emergency Preparedness Coordinator 360-299-4226 or email@example.com