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Hospital Disaster Network Tonda Francis, RN, MSN Vice President Regional Healthcare Coordinator Greater Cincinnati Health Council
Overview To coordinate communications regarding the distribution of victims/patients in a mass casualty or hazardous materials situation. Providing expert, factual and timely information in a crisis situation can determine whether the response effort is a success.
Early Notification Early notification and coordination of medical resources among hospitals in the Tristate region are intended to ensure that victims and patients are: Transported to the facilities most able to quickly stabilize their conditions. Evenly distributed among the receiving hospitals, especially those closest to the incident Taken to hospitals that are prepared to manage any decontamination in a manner that protects staff & the facility.
Appropriate Uses Situations that include, but are not limited to: Mass-Casualty Event/ Terrorist Incidents Hazardous Materials Incidents ( including situations from which no victims will be transported, but where toxic plumes move toward any hospital) Fire (4 Alarm or more)Hospital EvacuationsNDMS Response
Hospital Disaster Network Location The Hospital Disaster Network consists of two components. RADIO - The radio backbone of the system lies with Hamilton County Communications on an 800 trunked system. Radios are present in all ED’s- tone activated. WEB - The web-based component is Surge-Net; housed on the Health Council website where hospitals enter current LMCI and NDMS data. (www.gchc.org)
Local Mass Casualty Incident (LCMI) ED Capability Status Red (First Priority) - Patients have serious, life threatening injuries, but are salvageable if immediately transported to a facility to receive lifesaving, definitive care. Yellow (Second Priority) - Patients have serious, potentially life threatening injuries, but can be managed and stabilized for a short period in the field treatment area. Transport to a facility can be delayed, but not for long. Green (Third Priority) - Patients have injuries that are not life threatening. Patients can be managed for even a lengthy period of time in the field and will be the last ones transported. Black (Deceased Patients)
National Disaster Medical System * Information obtained from the Public Health Emergency web site. Our Vision To serve the Federal response by providing disaster medical care to the nation. Our Mission It is the mission of the National Disaster Medical System to temporarily supplement Federal, Tribal, State and Local capabilities by funding, organizing, training, equipping, deploying and sustaining a specialized and focused range of public health and medical capabilities. Components of the National Disaster Medical System Medical response to a disaster area in the form of personnel, teams and individuals, supplies, and equipment. Patient movement from a disaster site to unaffected areas of the nation. Definitive medical care at participating hospitals in unaffected areas.
Adult Bed Availability/NDMS Status Please enter the number of staffed beds available at 12 hours, 24 hours and 72 hours from the time of request. Adult- NDMS Bed Types: Medical/Surgical* Psychiatric* Burn* Critical Care* Pediatric - NDMS Bed Types: Medical/Surgical* Psychiatric* Burn* Critical Care* Adult – Other Bed Types: OR* Negative Flow Isolation* Other Isolation* Obstetrics* Rehabilitation Long Term Acute Pediatric – Other Bed Types OR* Negative Flow Isolation* Other Isolation* Rehabilitation Long Term Acute *Indicates Surge Capacity Bed Category
Activation Scene commander, hospitals, the Health Council, or dispatch can request activation of the Hospital Disaster Network. Notification of Hamilton County Communication via radio, landline or cell (Directly or through Dispatch) Net Control also has the ability to open the Net Recommend it is opened as early in an incident as possible to allow hospital preparation time.
Once Activated Hamilton County Communication Center performs a hospital roll call and provides an overview of the incident and what the hospitals are expected to do, i.e. LMCI or NDMS Hospitals acknowledge the receipt of the communication and then enters the information into the SurgeNet System. Once the roll call is complete, HCCC turns over NET CONTROL to the dispatch center at University Air/Mobile Care. They will bring up the SurgeNet and establish communications with the Scene Transportation Officer. The transportation officer is to track number, level (red, yellow, green), of victims and where the hospital they are transported to.
Activated, cont’d Net Control notifies the Hospital the number of victims, transporting agency, ETA, and the triage level. The hospital should acknowledge receipt of this information (# of victims, transporting agency, ETA & triage level). The hospital is to update capability in SurgeNet frequently as not to become overwhelmed unnecessarily. Net Control will remind hospitals to update their status on a frequent basis.
Activated, cont’d The Transport Officer is to notify Net Control when all victims have been transported. Net Control will notify HCCC the event is over and the Net can be closed. The Net will be closed and the number of victims per hospital that were transported are to be reconciled between the scene and Net Control.
Scene Responsibility Upon EMS or Fire arrival at the scene of an incident – notify the Communication Center to OPEN THE HOSPITAL DISASTER NETWORK. Once the Communication Center opens the Net – the Transportation or Scene to Hospital Coordinator communicates only with Net Control for patient distribution All other communications between individual squads and hospitals is to cease Tracks the EMS Agency transporting what type of patients to the hospital.
Out of Range Some hospitals are out of range and are not able to participate on the “Hospital Disaster Network”. These facilities will receive communication via the MARCS radio system. Hospitals NOT on the Hospital Disaster Network Adams County Regional Medical CenterSouthwest Regional Medical CenterHighland District HospitalMargaret Mary Community Hospital
No Radio Contact? Contact Hamilton County Communications Center via phone at 513-825-2280 and request the Hospital Disaster Network be opened. Once the scene transportation officer is established, they can contact Net Control directly via phone at 1-800-826-8100. Net Control can route patients via: Radio Landline Cell phone
Hospital Responsibility Immediately After the Event... Report totals to Net Control Works with Net Control to reconcile any differences Submit event report to the Health Council representative for inclusion in after action report for exercise or event Make recommendations for changes that would enhance the process
Tonda Francis, RN, MSN Vice President Regional Healthcare Coordinator Greater Cincinnati Health Council firstname.lastname@example.org Questions...