EMERGENCY PLANNING

							  EMERGENCY
   PLANNING
RURAL HOSPITAL SETTING
Rusk County Memorial Hospital
    Ladysmith, Wisconsin
      LADYSMITH TORNADO
     SEPTEMBER 4, 2002 4:15PM
   PATH ~500 YARDS FROM RCMH
   43 VICTIMS
   1 FRACTURE TRANSFERRED TO LMC
   1 VICTIM’S FAMILY CHOSE TO
    TRANSPORT TO ANOTHER NEARBY
    HOSPITAL FOR TREATMENT
   1 VICTIM TREATED FOR ANXIETY
   3 PROVIDERS FOR EVERY VICTIM!!
             2002 TORNADO
   LESSONS LEARNED:
       SECURITY
       MEDIA
       MAINTAINING STAFFING
       COMMUNICATION
       MAINTAIN ADEQUATE SUPPLIES
       FOOD AND WATER
       CREDENTIALING
             INITIAL RESPONSE
   OPENING INCIDENT COMMAND
    CENTER:
       FOLLOW EMERGENCY MANUAL
           CODES/EVACUATION/OUTAGES/ETC.
       FOLLOW EMERGENCY PLANNING GUIDE
           MASS DESTRUCTION/SURGES/ETC.
   PROVIDE ADEQUATE STAFFING
   PROVIDE EMERGENCY CARE
        EVALUATE LOSS OF
       ESSENTIAL SERVICES
   MAINTAIN SUPPLY OF SAFE DRINKING
    WATER
   RESTORE ELEVATOR SERVICES
   CONTROL ENVIRONMENTAL
    TEMPERATURE
   MAINTAIN COMMUNICATIONS INSIDE
    AND OUTIDE OF HOSPITAL
   MAINTAIN STAFFING
    EFFECTS OF POWER LOSS:
   IMAGING-Only portable x-ray units
   VENTILATORS-Manual ventilation
   OXYGEN-Portable tanks
   SUCTION-Portable units
   COMPUTER SYSTEMS-Manual documentation
   LAB-Critical needs/storage i.e. blood
   MEDICATION DISPENSING SYSTEMS-Need of
    manual pharmacy support
        EVACUATION OR MUTUAL
                AID?
   TRANSPORTATION
       ENOUGH GURNEYS AND WHEELCHAIRS

       MOBILIZATION OF
        VEHICLES/AMBULANCES/BUSES, ETC.

       FIRE, EMS, LAW ENFORCEMENT,
        AMBULANCE SERVICES, PUBLIC HEALTH
           EVACUATION
   IMMEDIATE

   ACT QUICKLY

   DILIGENTLY
            PATIENT SAFETY
   DIVERSION
   CLOSE UNITS
   CANCEL ELECTIVE SURGERIES
   FLASHLIGHTS
   BATTERY BACK-UP
   GENERATORS:
       HOW LONG?
       HOW MANY AND WHERE?
       FAILURE!
              WATER
   LOW CAPACITY DUE TO GENERATOR
    POWER
   BOTTLED WATER SUPPLY
   CONTRACTS FOR WATER BULK TANK
    SUPPLIERS
   ELDERLY POPULATION---HEAT AND
    HUMIDITY ISSUES
     SPECIAL POPULATIONS:
   HOME BOUND
   OXYGEN DEPENDENT
   DIABETICS
   INFANTS AND CHILDREN
   ELDERLY
   EMOTIONALLY/MENTALLY DISTURBED
   DEVELOPMENTALLY DISABLED
   VISION/HEARING IMPAIRED
   ETC., ETC.
EMERGENCY POWER
         GENERATORS:
 “THEY ARE JUST MACHINES, AND
    MACHINES BREAK DOWN.”
 PRACTICE:

      DRILLS
TABLE-TOP EXERCISES
   MOCK CODES
  QUESTIONS?

      THANK YOU.

JAN NEUMAN RN, BSN, CLNC