1. Calaveras County Alternate Care Site Project Douglas E. Buchanan Disaster Preparedness Consultant

2. ACS Plan: Phase I (2009) Developed ACS Plan Conducted Site Visit of Calaveras High Developed ACS Site Plan of CHS Conducted Tabletop Exercise 4/28/11Calaveras ACS Set-up Drill

3. ACS Plan: Phase II (2010) Developed Activation Detail – Patient Registration – Clinical Support Services (lab, radiology,etc.) – Environmental Services – Food Services – Security – Materials Tracking – Communications – Pharmacy 4/28/11Calaveras ACS Set-up Drill

4. ACS Plan: Phase III (2011) Update Equipment and Supplies matrix Develop Team Leader Responsibilities Detail Unit/Functional Area Diagrams Equipment and Supply Movement Plan Complete ACS Resource Directory Forms Conduct ACS setup drill 4/28/11Calaveras ACS Set-up Drill

5. ACS Set-up Drill Objectives 1. Traffic Flow: Assess planned campus traffic flow for delivery, staging, and set-up of ACS 2. Staging: Determine optimal staging locations, signage, unloading process, & staffing 3. Team Plans: Assess set-up team plans for unit definitions, staffing, logical flow, & time requirements 4/28/11Calaveras ACS Set-up Drill

6. ACS Set-up Drill Objectives 4. Floor Plans: Assess draft floor plans for: a)utility, space, & fit of equipment; b) patient flow & patient movement in and out 5. Unit Design: Assess layout and functionality of each area (pt care, nursing, pharmacy, etc) 6. Power: Identify power locations and plan for access or modification of layout 4/28/11Calaveras ACS Set-up Drill

7. ACS Site Plans Campus Diagram ACS Diagram 4/28/11Calaveras ACS Set-up Drill

8. 4/28/11Calaveras ACS Set-up Drill

9. 4/28/11Calaveras ACS Set-up Drill

10. Facility Set-up Plan Defined Set-up Areas Use of Teams with Unit Leader Defined Starting Points 4/28/11Calaveras ACS Set-up Drill

11. Scope of Set-up Item types and amounts Insufficient quantities (alternatives) May not complete 4/28/11Calaveras ACS Set-up Drill

12. Schedule for Drill 8:00Staff report to CHS 8:00Transport of Equipment/Supplies 8:10Unloading and Staging of Equipment/Supplies 9:00Set-up (Teams A, B, C) 1:00Evaluation (lunch) 2:00Breakdown & Re-stage 4:00Reload 4:45Transport 4/28/11Calaveras ACS Set-up Drill

13. Assignments Set-up Areas Team Leader Responsibilities Team Member Responsibilities – Pick-up materials from staging area – Internally stage for opening and assembly – Measurement and placement – Set-up – Measurement verification Demobilization 4/28/11Calaveras ACS Set-up Drill

14. Further Training Unit Leaders: May 5 Practicum: May 12 4/28/11Calaveras ACS Set-up Drill

15. Safety Items requiring two persons Assembly safety Lifting Pushing Attire 4/28/11Calaveras ACS Set-up Drill

16. 4/28/11 Thank You. Calaveras ACS Set-up Drill