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Emergency Management Working Group 13 January 2014

Emergency Management Working Group 13 January 2014. Please remember to silence your cell phone. Agenda. Medical Reserve Core Updates Redbook Update Flu Surveillance Inclement Weather Evacuation Exercise Overview Overview of Emergency Preparedness Cache Year in Review.

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Emergency Management Working Group 13 January 2014

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  1. Emergency Management Working Group13 January 2014 Please remember to silence your cell phone.

  2. Agenda • Medical Reserve Core • Updates • Redbook Update • Flu Surveillance • Inclement Weather • Evacuation Exercise Overview • Overview of Emergency Preparedness Cache • Year in Review

  3. Medical Reserve Corp

  4. Red Book Update • Redesigned for 2013 • -Clean, refined interface. • -Large, easy to read font. • -Restructured hazard identification. • -Maps, Contacts, and Documents Tabs

  5. Red Book Update • Quick Reference Sheet • -Replaces the Emergency Response Sheet. • -Brightly colored with larger front. • -Only contains guidance for life-threatening situations. • -All other hazards can be found in the Emergency Action Plan.

  6. Red Book Update • Emergency Action Plan • -Combines the former EP&R Guide and Area-Specific Plan into one streamlined document. • -Supporting documentation is now linked with its appropriate hazard. • -Portrait page orientation. • -One page/section for each individual hazard.

  7. Flu Surveillance • Weekly Report • -UVA-HS sentinel site reporting initiated in 2009. • -Currently six sites are monitoring ILI/Influenza activity and are providing weekly frequencies. • -Information compiled in a standardized two page report. • Overall summary • Annual trend comparison • Sentinel site breakdown • Laboratory data • CDC/VDH – National/Regional activity

  8. Winter Weather • Revised Communications • -Updated Inclement Weather Hotline • -Winter Preparedness Sheets • Predictions • -Cooler, dry first half of winter. • -Milder, wetter second half. • -Total snow: 15”

  9. Overview of Emergency Preparedness Cache Emergency Management Equipment Caches

  10. Overview of Emergency Preparedness Cache Emergency Department Cache (Rm 44 & Decon Room) • Negative Pressure Room Inserts • Decon Chem Suits, Gloves, Boots, • Masks, PAPR • Don and Doff Kits • Disposable Coveralls • Scene Tape • Light Sticks • Flashlights • Cotton Towels, Face Cloths, • J&J Baby Shampoo

  11. Overview of Emergency Preparedness Cache Nursing Supervisor’s Office: 1st Floor in SRO Office • 800 MHz Radio • 8 Radios with external Mics

  12. Overview of Emergency Preparedness Cache Medical Center Dining Conference Room 1 Closet (First Floor) • Phones • Office Supplies • Printer • Tripod stands • “Butcher” Paper Pads and markers • Medsleds • Command Vests

  13. Overview of Emergency Preparedness Cache Medical Center 2M Storage Room • Positive Air Purifying Respirators (PAPR) • Internal use • Positive Air Purifying Respirators (PAPR) • External Use • Decon Chemical Suits • Oxygen Manifolds: 50 psi systems • Oxygen and Air Extension Hoses • Extra PAPR Cartridges (FR57), HEPA Cartridges • Decon Hot Water Heater less Propane Cylinder • Extra Suction Machine parts • Crank Flashlights • Oxygen Regulators for traditional cylinders • Glow Sticks and Dots

  14. Overview of Emergency Preparedness Cache Medical Center 2nd Floor Link • Push Pack for Power Outages • HT 50 Ventilators: 8 Units • Addition units Stored in: • PACU • Medic 5 Ambulances • Transitional Care Hospital (TCH) • LSLC Simulation Center • Suction Machines • Respiratory Treatment Cart

  15. Overview of Emergency Preparedness Cache Medical Center 4 East Link • Regular MedSleds • Bariatric MedSleds • Regular MedSled • with Infant insert • Regular MedSled • with Toddler insert • Neonatal Baskets

  16. Overview of Emergency Preparedness Cache Medical Center Chempack (Main Pharmacy 0 Level) • Mark 1 Auto Injectors (Atropine and Pralidoxime) • Atropine Auto Injectors • Pralidoxime Auto Injectors • Diazepam Auto Injectors • Multi-Dose Atropine, Pralidoxime • and Diazepam vials

  17. Overview of Emergency Preparedness Cache 11th Street Parking Garage“A” Level Cage • Backboards • Resupply units for Vaccination Station • Batteries for Breath Easy PAPR Non-Rechargeable • PAPR Hoods, Chem Suits, Gloves, Boots for Training

  18. Overview of Emergency Preparedness Cache 1222 Jefferson Park Ave (4th & 5th Floor) • Radios • 900 MHZ: 12 Units • Motorola: Low Band, Walkie-Talkie (in use at Northridge Medical Office Building) • Gamma Detectors: 2 Units • Computers for Hospital Command Center

  19. Overview of Emergency Preparedness Cache Hazmat (Decon) 70 • Box Truck parked in the 11th Street Parking Garage, A Level (Unlabeled) • Houses Decon Tent • Hot Water Heater • Decon PAPRs • Suits, Boots, Gloves • Cleaning Material • Traffic Cones, Barrier Tape, etc.

  20. Overview of Emergency Preparedness Cache Stoney Ridge Facility: Off Avon Street Extended • MERC 8 System-8 Body ”Portable Morgue” • MERC 4 System- Main Morgue • PAPR Head Covers & Hoods • ½ Face Respirators • Small, Med, Large • P100 Filters • Hand wash Stations

  21. Overview of Emergency Preparedness Cache VHHA-North West Region Employee Health • 5000 person Vaccination Station • 500 person Vaccination Bag Special Event Medical Management (SEMM) • Stabilize and Treat in Place • (STiP) Tent System Augusta Health • Fatality Management Trailer

  22. Overview of EVAC 2013 After Action Review (AAR)“EVAC 2013”Emergency Management Work GroupJanuary 13, 2014Thank you all for your participation!!!

  23. http://www.youtube.com/watch?v=N0aiLbrnlFc

  24. Exercise Demographics Command and Control = 18 Controllers = 27 Evaluators = 29 Volunteer Patients = 81 Observers = 6 Bucket Brigade=42 Safety Officers = 18 Collection Point = 4 Total Exercise Participants = 225

  25. Actual Unit Patients Triaged Green (Ambulatory) = 192 patients Yellow (Sled/Stretcher) = 192 patients Red (Shelter in Place) = 27 patients Total Patients Triaged = 411 patients Evacuation Times for our Volunteer Patients Ambulatory Patients: 6 to 40 min / average 13 min Sled Patients: 8 to 47 min / average 23 min

  26. Survey Results 95 Responses How prepared do you feel to Evacuate patients in the future? 1 Not Prepared 5 Very Prepared 3 Neutral

  27. Survey Results 95 Responses How comfortable do you feel using the Med Sleds after the exercise? 1 Not Comfortable 5 Very Comfortable 3 Neutral

  28. Survey Results Do you feel comfortable triaging patients (ambulatory, Med Sled, shelter in place) for evacuation?

  29. Areas to Sustain • Hands on training prior to the exercise was critical to my comfort • Staff seemed to really want the opportunity to participate & practice • Sleds worked the way they were supposed to work • Lots of enthusiasm for learning • “X” strapping for shorter patients worked well • Great team work! • No one was injured • Sledding patients down worked well when we got the hang of it • More drills, more often! • Great to have the FBF involved in this drill, as they will be called if this really happened

  30. Areas to Improve • Communication • Need a different plan for getting ambulatory patients down • Nurses on my unit seemed totally unfamiliar with Med Sleds • Flow—need a plan to move people in the stairwell based on condition • Gloves, water, headlights, radios if this was for real • Second person on each landing to help move patients • Hook configuration & a marked spot on the railing for placement • Relief teams for stairwell team • Triage training for units • More practice on a regular basis-keeping hook slack out of the rope, hook placement, patients rolling inside of the sled because straps were not tight

  31. Planning • Next level of evacuation plan • Special needs patients • Collection Point • Altered care//transport out • Table Tops to exercise//refine new plans • Training • Ongoing Med Sled training • Education regarding the plan • Annual full scale evacuation exercise • Questions & Discussion….. Next Steps

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