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OHIO CENTRAL REGION HOSPITALS Mass Fatality Management Tabletop Exercise (TTX). Presented by. Before we begin. Restrooms Exits Drinks Materials Breaks and Lunch. Today’s Agenda. Introductions Purpose and Scope of Exercise Exercise Objectives Exercise Participants & Guidelines
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Breaks and Lunch
Decedent Management: Identification and Tracking
Module 1: Response and Notifications
Module 2: Incident Escalation
Module 3: Reconstitution – Return to Normal
THIS IS A TABLE TOP EXERCISE
This is a low-stress, no-fault environment. Varying viewpoints, even disagreements, are expected.
Respond based on your knowledge of your hospital’s current plans and capabilities, (i.e., you may use only existing assets) and insights derived from training.
Decisions are not precedent setting and may not reflect your organization’s final position on a given issue. This is an opportunity to discuss and present multiple options and possible solutions.
The scenario is plausible.
Events occur as they are presented.
Everyone gets the same information.
There are no trick questions.
There are no hidden agenda.
There is no one right answer.
RESPONSE AND Notifications
The hospital has been receiving an influx of patient presenting with flu-like symptoms.
Six (6) of these patients have died exhausting morgue capacity.
Funeral homes have accepted receipt of these decedents per typical procedures.
In the last five (5) days, the hospital has seen a dramatic increase in patients with H1NA.
Fifteen more H1NA deaths have occurred and more are inevitable.
Only two (2) of the decedents were picked up by funeral homes which are now completely inundated and are asking hospitals to hold bodies until they can pick them up.
Hospital morgue capacity has been exceeded by nine (9) bodies.
All but one CRH has exceeded their morgue capacity and staffed bed capacity.
Three more patients have died since this morning, one of which expired in triage without any identification.
Funeral homes have still not picked up the nine (9) bodies and are now reporting that they will be unavailable to assist the hospital with decedents for the foreseeable future.
You now have 4 bodies in the morgue, and 12 bodies in alternate storage.
Coroner was contacted for assistance. Answering machine messages states that they are unable to accept any bodies at this time. Mailbox was full.
Reconstitution – Returning to Normal operations
Many staff that suffered from illness would like to come back to work but do not have the stamina to work a regular shift.
Patient influx has diminished greatly in the past two (2) days alone with many alternate care areas of the hospital being returned to normal use.
Local and national news is reporting signs of viral illness diminishing across the country.