1. [Exercise Name] [Date]
Hospital Debriefing
[Exercise Name]
[Date]

2. Exercise Overview [Exercise type, scenario type]
No-inspection, no-fault, learning environment

3. Exercise Objectives
[List exercise objectives.]

4. Exercise Players
[List participating agencies and organizations.]

5. Hospital Support Staff
[List participating hospital support staff or organizations.]

6. What Happened Onsite?
[Insert brief, high-level descriptions of events based on evaluator notes.]

7. What Happened Offsite?
[Insert brief, high-level descriptions of events based on evaluator notes.]

8. Discussion Issues Notification procedures Resources Facility security
Personal protective equipment (PPE)
Decontamination
Patient care
Patient recordkeeping
Bed tracking
Pharmaceutical cache and other supplies
Other planning issues
Here is an agenda of topics related to incident response, which we will address in chronological order.

9. How Was the Problem Recognized?
Who (e.g., emergency medical services [EMS], others) recognized the problem?
What did you do next?
Disaster plan implemented? All or part?
Clear out beds?
Set up decontamination or treatment area(s)?
Whom did you notify?
Did you set up a Hospital Incident Command System (HICS)? Sentinel detection system?

10. Notification: Did It Work?
Internal alert
Page
Radio
Phone
External news
EMS
Health department
Local news

11. Facility Security
Did you have enough of your own facility security personnel?
Do you have an agreement with local law enforcement?
What if you are a secondary site?
What about getting your people in and out?
Parking lot or perimeter patrol?
Heightened suspicions—not paranoia?

12. PPE: What Did You Wear? What level? Where was it worn? How long?
Work rotations?
Enough suits?
Medical surveillance?

13. Decontamination Inside and outside Gross Secondary Definitive
Emergency
Technical
Equipment
Ambulatory vs. nonambulatory
Special-needs patients
What other treatment?
Mass decontamination triage?

14. Patient Care: What Are the Issues?
Other patients
Standardized assessment
Lab assistance
Treatment
Allocating scarce resources
Special patient needs
Patient transfer

15. Patient Tracking Triage tag EMS numbers match
Patient names and information
Integration with paramedic base
Family notification
Health department

16. Other Patient Care Concerns
Pediatric and geriatric patients
Other special-needs patients
Patients refusing care
Medical surveillance
Federal, State, and local
Patient valuables
Worried well

17. What About Other Patients?
Handling calls for other things
Walk-ins
Burn unit capability

18. Whom Did You Consult? In house Department of health
Poison control center
Chemical Transportation Emergency Center (CHEMTREC)
National Response Center
Centers for Disease Control and Prevention (CDC)
Agency for Toxic Substances and Disease Registry (ATSDR)
Others

19. Computer Programs
[List computer programs (including Web programs) used during the exercise.]

20. Reference Texts
[List reference texts used during the exercise.]

21. Whom Did You Ask for Help?
[List outside organizations that were consulted for assistance.]

22. Additional Considerations
Volunteer assistance
Quarantine
Alternative treatment centers (neighborhood emergency help centers)
Mental health support
Patient
Family

23. Resources What did you run out of? Whom did you notify?
Beds
Ventilators
Pharmaceuticals
Medical supplies
Other
Whom did you notify?
Do you have an acquisition plan?
Do you have a distribution plan?
Did you have any staff familiarization issues?

24. Additional Resources Hazardous materials (HazMat) team(s)
National Disaster Medical System (NDMS) hazard mitigation survey teams
Disaster medical assistance teams
Disaster mortuary operational response teams
Health department
Others

25. What About…? Handling the deceased Handling families Press and media
Incorporating epidemiological investigations
Criminal investigations
Research
Documentation requirements

26. What About…? (cont’d) Staff medication administration
Staff support and absenteeism
Staff injury or death

27. Mental Health Needs Will be unparalleled
Is current support system adequate?
Acute and extended need for patient, family, and responder support

28. Handling of Facility Restoration
Facility decontamination
Staff rehabilitation
Staff mental health
Resupply
Public relations
Financial recovery documentation

29. What’s Next? After Action Report (AAR)/Improvement Plan (IP)
Continue planning process
Identify required resources
Provide training
Conduct exercises to validate plans

30. Summary This was an educational tool and another step to preparedness.
You have identified future areas for improvement.
You can do it better together than you can alone.

31. Questions