Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

Whats the plan? Primer Primer Template Template Supporting appendices Supporting appendices

Appendix Pediatric Safe Area Checklist Pediatric Safe Area Checklist Sample disaster menus Sample disaster menus Behavioral health handout Behavioral health handout Pediatric priorities poster Pediatric priorities poster Pediatric referral resources Pediatric referral resources Hospital training matrix Hospital training matrix Hospital training scenarios Hospital training scenarios Template pediatric MCI annex JAS – Pediatric Technical Specialist JAS – Pediatric Services Supervisor JAS – Pediatric Safe Area Unit Leader Safe area registry template Registration form

Planning Assumptions

10 Steps – Facility Planning Determine expertise among staff Determine expertise among staff Create staff leadership positions Create staff leadership positions Write a peds MCI annex Write a peds MCI annex Training and Exercise plan Training and Exercise plan Equipment plan Equipment plan Nutrition plan Pharmaceutical plan Security / safety needs addressed Transfer / transport Pediatric decontamination considerations

8 Steps – Regional Planning Assess regional expertise and leadership Assess regional expertise and leadership Determine training needs and support/resources Determine training needs and support/resources Assess regional capacity Assess regional capacity Assess equipment needs / issues Assess equipment needs / issues Regional referral and transportation plan Behavioral health resource assessment Family Assistance Center concept of operations Exercise plan

Regional Implementation Regional roll-out Regional roll-out Educational offerings Educational offerings Workshops Workshops Partner facilities Partner facilities Follow up Follow up Trauma system Trauma system

CO-S-TR – C4 Command Command Control Control Communications Communications Coordination Coordination

CO-S-TR - Logistics Space Space Triage Triage Red Red Yellow Yellow Green (ambulatory) Green (ambulatory) Pediatric Safe Area Pediatric Safe Area Inpatient Inpatient

CO-S-TR - Logistics Staff Staff Who has expertise / training? Who has expertise / training? Who needs additional training? Who needs additional training? Didactic – classes? Didactic – classes? Practical – classes? simulation? Practical – classes? simulation? Refresher – emphasis on bedside, brief, using usual equipment Refresher – emphasis on bedside, brief, using usual equipment Just-in-time Just-in-time

Stuff! Based on AAP / ACEP guidelines Based on AAP / ACEP guidelines Per red patient Per red patient Some equipment is per facility Some equipment is per facility Nothing too fancy! Nothing too fancy! Fits well with trauma preparedness / site visits Fits well with trauma preparedness / site visits

Pediatric Equipment

CO-S-TR - Logistics Stuff (other) Stuff (other) Beds / pack-n-plays Beds / pack-n-plays Pharmaceuticals Pharmaceuticals Potential for errors! Potential for errors! Weight-based dosing Weight-based dosing

CO-S-TR Logistics Special Special Behavioral Health Behavioral Health Family / Safe Area Family / Safe Area Infectious Disease Infectious Disease Decontamination Decontamination

CO-S-TR - Operations Triage Triage

CO-S-TR - Operations Treatment Treatment Outpatient – release to pediatric safe area Outpatient – release to pediatric safe area Inpatient Inpatient Cohorting – kids with kids only! Cohorting – kids with kids only! Priority transfer or pediatric-specific unit: Priority transfer or pediatric-specific unit: More serious injuries/illness More serious injuries/illness Complex underlying diseases Complex underlying diseases Age <8 Age <8

CO-S-TR - Operations Transport Transport Internal Internal Stretchers Stretchers Car seats, cribs, etc. Car seats, cribs, etc. Supervision! Supervision! External External Ambulances – specialized, ALS/BLS, rotor, fixed wing Ambulances – specialized, ALS/BLS, rotor, fixed wing Other vehicles – school bus, cars with car seats Other vehicles – school bus, cars with car seats

CO-S-TR - Operations Tracking Tracking Registration Registration Wristband Wristband Purple - parent Purple - parent White – without parent White – without parent Blue – belongs to staff Blue – belongs to staff Patient wristband may be used with above Patient wristband may be used with above

Appendix – Behavioral Health Age <5 Age <5 Age 6-11 Age 6-11 Age Age Handout – what to expect, when to seek help Handout – what to expect, when to seek help

Appendix - Template Annex to the facility EOP Annex to the facility EOP Pediatric Mass Casualty Plan Pediatric Mass Casualty Plan Pediatric Emergency Team (PET) Pediatric Emergency Team (PET)

Appendix - JAS Pediatric Technical Specialist Pediatric Technical Specialist Pediatric Services Supervisor Pediatric Services Supervisor Pediatric Safe Area Unit Leader Pediatric Safe Area Unit Leader

Appendix – Registry Check-in, check-out Check-in, check-out Registration Registration