Presentation on theme: "Hospital Emergency Management"— Presentation transcript:
1Hospital Emergency Management The safety officer wrote the disaster plan!What am I supposed to do?
2Hospital emergency management has changed over the past few years... Until recently, hospitals planned response to mass casualty disasters (Alert 1), fire, and a few natural disasters (tornado, earthquake) that could impact the facility.
3emergencies that looks like this… Now hospitals conductan annual hazardvulnerabilityanalysis and come upwith a list ofemergencies that lookslike this…This list takes into accountprobabilityimpact on institutioninstitutional preparedness
4Emergency Management has evolved beyond response planning. It includes: MitigationPreparednessResponseandRecovery
5Because of the numbers and kinds of emergencies that can impact a hospital, most begin planning with a basic infrastructure...
6JCAHO and NFPA 99 require an “all-hazards” incident command structure that... Can be coordinated with the command system in the communityUses the same terminology as the community ICSIs flexible enough to allow activation and deactivation of components, based on the specific event
7Both JCAHO and NFPA also require a structure that explicitly allows for the management of... Patient careStaff/family supportLogistics of critical suppliesMediaSecurity
9What is HEICS? An “all-hazards” command structure A universal link with outside resources
10HEICS provides... A dependable chain of command Improved communication through common languageFlexibilityPrioritization of tasksOrganized documentation systemEffective mutual aid planningThe Fayette County Healthcare Emergency Planning Committee has adopted HEICS.As a result, all acute care hospitals will begin using the HEICS structure.
20Job Action Sheets Your disaster response job descriptions Tell you What you are going to doWhen you are going to do itTo whom you are going to report it after you have done it.Universal titles and missions allow emergency responders from a variety of agencies to communicate.
21HEICS Forms Used with job assignments Can be altered in any way necessaryDocumentation = $$$
22The Language of Emergency Management LiaisonHEICSLogisticsAll Hazards ApproachCommand CenterFinanceOperationsPlanningLabor Pool
23Future changes...To specific disaster plans (to reflect HEICS structure)Emergency code names (to make consistent with other hospitals and emergency responders)JCAHO Emergency Management standards
24Advance planning for Medical Care Director Establishing an Operations Section Center, including locations and staffingAssessing staffing, supply, equipment needs in patient care settings.Emergency inpatient discharge. (See Nursing Unit Leader.)Communicating with patient care areas. (See Communications Unit Leader.)The Operations Chief willrequire written plans for:
25Advance planning for Medical Staff Director The Operations Chief willrequire written plans for:Establishing a physician labor pool. (See Medical Staff Unit Leader.)Credentialing volunteer medical staff. (See Medical Staff Unit Leader.)Assessing physician staffing needs and assigning physicians.
26Advance planning for In-Patient Areas The Operations Chief willrequire written plans for:Assessing inpatients for early discharge. (See Nursing Staff Unit Leader.)Establishing alternate inpatient care sites within the facility.Assessing staffing, supply, equipment needs in patient care settings.
27Advance planning for Treatment Areas Establishing emergency treatment areas, including location and staffing.Assessing staffing, supply, and equipment needs in treatment areas. (See Medical Care Director.)Assessing security needs in treatment areas.Moving patients through treatment areas to discharge or admission.(See Transportation Leader.)The Operations Chief willrequire written plans for:
28Advance planning for Ancillary Services The Operations Chief willrequire written plans for:Inventorying available blood supply.Evaluating ancillary services’ capacity to perform services required by emergency.Tracking patients to ensure results reporting. (See Patient Tracking Officer.)Assessing staffing, supply, and equipment needs.)
29Advance planning for Human Services The Operations Chief willrequire written plans for:Establishing Human Services Center, including location and staffing.Implementing emergency discharge procedures. (See Nursing Staff Unit Leader.)Establishing staff rest, nutrition, and sleeping areas, including location and staffing.Keeping staff updated regarding emergency status. (See Situation-Status Unit Leader.)Establishing staff psychological support and debriefing areas, including location and staffing.Establishing a dependent care area, including location and staffing.Identifying dependents.Assessing materials and supply needs.
30The Planning Chief will require written plans: Advance planning for Situation-Status UnitMaintenance and recovery of computer systemsSecurity of medical recordsThe Planning Chief will require written plans:
31Advance planning for Labor Pool The Planning Chief willrequire written plans for:Establishing the labor pool, including location and staffingRegistration and credentialing of volunteer staff
32Advance Planning for Logistics of Critical Supplies The logistics section chief will require a written plan and procedures for procuring, handling, and distributing...PharmaceuticalsMedical suppliesFood suppliesLinenWaterCritical Equipment
33Advance planning for Communications Logistics Other areas/departments within hospitalOther facilitiesExternal agenciesAlternative communications plan for all major communication systemsThe logistics section chief will require a written plan and procedures for communicating with…In addition, the chief will require an...
34Advance planning for Transportation Logistics PatientsStaffEquipmentto or from other facilitiesStaff to and from hospital during bad weatherCritical suppliesThe logistics section chief will require a written plan and procedures for transportation of...
35Advance planning for Medical Staff Unit The Planning Chief willrequire written plans for:Establishing a physician labor pool, including location and staffingRegistration and credentialing of volunteer medical staff
36Advance planning for Nursing Unit The Planning Chief willrequire written plans for:Emergency Inpatient dischargePatient TrackingRelease of Patient InformationRecalling Nursing Staff