Emergency Management Plan for Mass Casualty Incidents

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Emergency Management Plan for Mass Casualty Incidents Powered By Docstoc
					      ALERT,
PARTIAL ACTIVATION
        &
FULL ACTIVATION OF
 THE EMERGENCY
OPERATIONS CENTER



       II-1
IDENTIFICATION AND COMMUNICATION OF A POTENTIAL DISASTER
     A. What to do if you learn of a potential Disaster
        Any employee who learns of an occurrence that might constitute a disaster
        should attempt to obtain the following information:
         The nature of the occurrence
         Estimated number of casualties
         Type of injuries
         Expected number and estimated time of arrival of victims

     B. Who to notify of a potential Disaster
        1. The employee who learns of the occurrence must notify their immediate
           supervisor who in turn will notify Senior Administration during the day at
           ext. 2403 or 1515, on off-tours will notify the Administrator on Duty (AOD)
           at 4683 and Hospital Police at ext. 2626. The Administrator on Duty can
           also be reached by pager through the Page Operator. The AOD reports to
           the Operator daily upon assuming duty at the facility. The final decision to
           open the Emergency Operations Center (EOC) rests with Senior
           Administration.

        For Immediate Opening of The Emergency Operations Center
        2. These guidelines will be followed for an immediate opening of the
           Emergency Operations Center for mass casualty incidents. A mass
           casualty incident is a large scale emergency which generates an
           overwhelming number of patients in a short period and resources will
           be/are quickly depleted.
           On Weekends, Holidays, Evenings and Nights (WHEN) the Senior
           Administrator on Call or AOD will decide if the occurrence requires partial
           or complete activation of the hospital’s Emergency Operations Plan. The
           AOD must confer with the Senior Administrator on Call, the Senior ED
           Physician on site, the Nursing Supervisor and the Disaster Director for
           immediate activation of the plan. He/she should confer with at least 3 of
           these 4 people.

       Activation Requested by Department Head
       3.   Activation of the Emergency Operations Center will also be considered If
            two Department Heads or Chiefs of Services (either clinical or non-
            clinical) believe activation is in the patients’ or institution’s best interest.
            Senior Administration will then call a meeting or conference call with the
            two departments involved to evaluate activation and at what level.
            The meeting or conference call must include at least 3 of the
            following personnel and every effort will be made to ensure these
            calls/meetings are made during business hours.
                 a.      Chief Executive Officer (CEO)
                 b.      Chief Administrative Officer (CAO)
                 c.      Chief Medical Officer (CMO)
                 d.      Chief Nursing Officer (CNO)
                 e.      The AOD
                 f.      The person(s) requesting the opening


                                    II- 2
4. The AOD opens the EOC and becomes the Incident Commander
   until relieved.

5. The AOD, after consultation with the above 3 in-house personnel,
   has the authority, if the situation is so severe, to initiate complete
   activation of the Emergency Operations Plan until the following
   personnel have been contacted:
          a.      Chief Executive Officer (CEO)
          b.      Chief Operating Officer (COO)
          c.      Chief Medical Officer (CMO)
          d.      Chief Administrative Officer (CAO)
          e.      Senior ED Physician and
          f.      Director of Emergency Preparedness

6. The Incident Commander will be responsible for notification using
   The Disaster Information E-mail System, EARS and authorizing
   Telecommunications to activate the Disaster Page List. Instructions
   to log on to the Disaster Information e-mail system are included in
   the Incident Commander’s Packet.

7. The Nursing Supervisor in-house will report to the EOC to assume his/her
   assigned post in the EOC.

8. The Nursing Office Clerk will report to the Emergency Operations Center
   and assume position of Recorder. He/She will retrieve Recorder Packet
   which contains specific duties, notification lists and telephone numbers.




                          II- 3
     INITIATION OF THE EMERGENCY OPERATIONS PLAN:
The Emergency Operations Plan (EOP) may be initiated in three distinct phases,
Alert, Partial Activation and Complete Activation.


Alert:
The Alert Phase of the EOP is for notification purposes only. A text message will
be sent to all on the “Key Personnel List” and will not require a response to the
Emergency Operations Center.

The Alert Phase of the EOP is when a potential disaster situation exists that
could affect the medical center but does not warrant activation of the plan
(distant severe weather, terrorist threat, major event in the city).

Partial Activation:
The Partial Activation Phase of the EOP is when a disaster situation exists that
could affect the medical center but does not warrant full activation of the plan.
(severe weather, environmental issues e.g. flooding).

The Partial Activation Phase is also for situations where there is an emergency
situation at the medical center that partially compromises our ability to fulfill the
hospital’s mission e.g. Emergency Department overcrowding, VIP patient, partial
utility failure, planned utility shutdown, equipment failures, etc.

The Partial Activation Phase is to be utilized as a time for senior administration to
evaluate the potential needs of the facility and make contingency plans for the
specific event. This will include, but not be limited to:
    Appointment of the Incident Commander – AOD until relieved.
    Depending of the nature of the incident - notification of the Control Room
        Ext. 2810.
    Key Personnel List (at the end of this section) text paged by operator with
        notification of partial opening and notification of who should report to the
        EOC (those key personnel, based on conversations with their respective
        departments will make the decision on whether they will present to the
        hospital during WHEN hours).
    Appointment of the following four (4) positions:
        ONE PERSON MAY ASSUME MORE THAN ONE ROLE.
        1.      Incident Commander – makes the decision about participation of
                each department.
        2.      Safety and Security Officer
        3.      Logistics Chief
        4.      Operations Chief
    Review of the Job Action Sheets for appointed positions.
    Operations Chief conducts review of staffing and bed count.
    Opening the Operations Center when sufficient staff becomes available.
    The EOC will function on a limited basis, meeting only as needed based
        on the event and the Incident Action Plan (the EOC can convene as little
        as once every 24 hours).

                               II- 4
A special package to assist with partial activation of the Operations Center will be
located in the Incident Commander’s Package.

FULL ACTIVATION:

The Activation Phase of the Emergency Operations Plan is to be utilized when a
disaster has occurred at the medical center or outside the facility and it is
expected to compromise or impact the operations of the hospital.

The Administrator on Duty (AOD) or the Senior Administrator is responsible for
the following actions to initiate the full activation of the Emergency Operations
Plan:

Do these tasks in this order.
1. Assume the role of Incident Commander.
2. Appoint a Recorder – Use Nursing Office Personnel.
3. Incident Commander notifies Hospital Police to activate the disaster bells
    (call 2626).
4. Notify the Page Operator to page Key Personnel to the Emergency
    Operations Center, to sound CODE D and instruct personnel to follow their
    departmental plans via the overhead page (call 2121).
5. Appoint the following 3 positions of the Organizational Table
6. Safety and Security
7. Logistics Chief
8. Operations Chief
9. Ensure that each person reviews the Job Action Sheets for appointed
    positions.
10. Ensure Operations Chief conducts review of staffing and bed count
    immediately.
11. Ensure each department will activate their disaster plan under the
    administrative control of the Incident Commander.
12. Ensure that Control Room Personnel has been notified (depending on nature
    of incident) at extension 2810.
13. Open the Operations Center and initiate the National Incident Management
    System (NIMS) using the Hospital Incident Command System (HICS)
    terminology and job titles.

Hospital Police:

Shall ring the disaster bells once notified by the Incident Commander that the
Activation Phase of the EOP has been initiated (4-4-4-4).

The Hospital Police shall have a representative in the Operations Center who is
to be appointed as the Safety and Security Officer. They should verbally confirm
with the Incident Commander that the bells were activated.
Hospital Police will follow their internal SOPs related to diasters (refer to Public
Safety SOPs).




                               II- 5
              Page Operator:

              For any disaster situations called into the Page Operator, they will notify the
              Executive Suite during daytime hours; or the AOD during WHEN hours via pager
              or at extensions 2403, 1515 or paged and Hospital Police at ext 2626.
              The AOD reports to the Operator daily upon assuming duty at the facility.

              The Page Operator maintains a copy of and shall page the “Key Personnel List”
              (at the end of this section) at the instruction of the Incident Commander.

              Supplies

              The Emergency Operations Center, the Emergency Department, Facilities
              Management, Pharmacy, and all other departments shall all have and maintain a
              documented inventory of its resources and assets that may be needed during an
              emergency. Every Department is responsible for reporting to the Emergency
              Operations Center, anticipated deficits in equipment or essential supplies if they
              cannot maintain their departmental mission for at least 96 hours.
              Clearly marked storage cabinets in the Emergency Operations Center and the
              Emergency Department can be accessed 24 hours, 7 days per week.

              Communication

              The hospital maintains redundant communication through 2-way digital pagers,
              Blackberries, 2-way radios, speaker-phones and an overhead speaker system. A
              listing of hospital personnel’s address and telephone numbers is available in the
              Emergency Operations Center and in the Security Office. This list is updated
              quarterly by Human Resources and is maintained by the administrator of the
              Emergency Preparedness Committee. Pager numbers on the Organizational
              Table are reviewed and updated monthly in the Emergency Preparedness
              Committee. Communication will be maintained with state agencies through
              HERDS, which maintains inventories, with the city and OEM through 800Mhz
              Radios and the internet. The NYC Department of Health and Mental Hygiene
              has a conference phone number which is e-mailed to us as needed via the
              Health Alert Network (HAN).

Summary of Phases of EOP Initiation:

      PHASE          NOTIFICATION                   STAFF             CLINICAL
                                                                      SPACE
      ALERT        Notification only       Not called, no change of   N/A
                                           activity or function
    PARTIAL   Limited notification to      Text Paged. Minimum        Prepare to
   ACTIVATION key personnel                opening of the EOC with    expand
                                           modified Job Action
                                           Sheets
   COMPLETE Key personnel text             Notified and               Expand as
   ACTIVATION paged and all staff          departmental plans         required
              via bells and                activated
              overhead page



                                            II- 6
                               Partial Activation Check List
This sheet is to be completed by the Senior Administrator who is opening the Operations
Center
ACTIONS TO BE COMPLETED IN FIRST 5 MINUTES OF DECLARING DISASTER                YES

Appoint Incident Commander/AOD will assume until relieved

Key Personnel paged by operator to Operations Center (See Page 3)

Top positions of TO appointed

Job Action Sheets reviewed for appointed positions

Operations Chief conducts review of staffing and bed count

Open EOC/ when staff becomes available


                                                               IS STAFFING ADEQUATE
           SERVICES                   AVAILABLE BEDS                  YES/NO
Medical/Surgical
 NS 61
 NS 62
 NS 71
 NS 72
 NS 73
 NS 81
 NS 82
ICU
 NS 24
 NS 26
 NS 33
 NS 43
 NS 83
Pediatrics
 NS 41
 NS 42
OB/GYN
 NS 31
 NS 32
# of admitted patients in ED




                                           II- 7
                                                               Page Operator’s List                                                     Revised 6/19/09
                     The page operator will page the following personnel. Please record time calls are returned to the Operations Center
                                                                                                                                                 Time Call
            Key Personnel                               Name                    Pager #              Cell Phone #              Home #            Returned

Chief Executive Officer               Debra Carey                       917) 219-2296

Exec. V.P. & COO                      Ivan Lisnitzer

Interim Chief Medical Officer         Michael Lucchesi                  917) 760-1338

Senior Administrators:

AVP of Nursing & CNO                  Margaret Jackson/Designee         917) 218-6499

AVP Perioperative Services            Anny Yeung                        347) 242-0072
AVP Ambulatory Care Svcs. &
Interim CAO                           David Conley                      917) 219-6677
Deputy Nursing Director for
Operations                            Janis McPherson-Miller            917) 760-0071

Deputy Nursing Director               Dianne Woods                      917) 761-1216

Nursing Director                      Pat McCauley                      917) 218-2517

Assoc. Adm. Parkside Dialysis         Kathleen DeConcilio               917) 219-1637

Adm. Respiratory                      Julie Eason                       917-219-7449

Pt. Safety Officer                    Muhammad Islam                    917) 218-8100

SA Admitting                          Daniel Graves                     917) 760-1489

SA N.S. 72, 82, Surgery               Jocelyn Alleyne                   917) 760-0341

SA N.S. 71, 73, 74, 83, Stroke        Cheryl Rolston                    917) 761-1275
SA Environmental Svcs/
Const. Capital Mgmt.                  Robert Richards                   917) 218-4168

SA Ancillary Services                 Maria Mendez                      917) 760-0790

SA Materials Management               William Gerdes                    917) 760-0000


                                                                            II-8
                                                                  Page Operator’s List                                                   Revised 6/19/09
                       The page operator will page the following personnel. Please record time calls are returned to the Operations Center

            Key Personnel                                 Name                        Pager #s

SA Patient Relations                    Edison Bond                          917) 760-1320

Clinical Pharmacist                     Teresa Chan                          917) 219-7465

SA Psychiatry, NS 61, 62 & 81           Cynthia Margalit                     917) 219-0074

SA Women & Children Services            Elizabeth Igboechi                   917) 219-0467
`
SA Quality Mgmt. & Regulatory Aff.      Torrance Akinsanya                   917) 760-2100

Hospital Epidemiologist                 Michael Augenbraun, M.D.             917) 760-0293

Director of Nursing for ED              Judy Drummer                         917) 760-0216

Medical Director of ED                  Roger Holt                           917) 760-1994

Director of Pediatrics                  Gloria Valencia                      917) 760-1102

Director of Emergency Preparedness      Bonnie Arquilla                      917) 760-1454

VP for Facilities                       Alvin Berk                           917) 433-3931

AVP for Facilities Operations           Thomas Farrell                       917) 218-5997

Chief of University Police              Tom Dugan                            917) 762-9857
Manager of Human Resources/
Regulatory Compliance                   Anthony Parker                       917) 219-0576

Environmental Health & Safety Off.      Brian Pitt                           917) 219-6613

Interim Network Administrator           Ernest Weber                         917) 205-9811

Telecommunication Administrator         Salvatore Mule                       N/A

ED Materials Manager                    Clarence Bryant                      917) 760-0177

Administrator on duty                                            The AOD reports to the Operator daily upon assuming duty at facility

                                                                                   II-9
                                                              Page Operator’s List                                                     Revised 6/19/09
                    The page operator will page the following personnel. Please record time calls are returned to the Operations Center
                                                                                                                                                Time Call
           Key Personnel                               Name                   Pager #s               Cell Phone               Home #            Returned

Assoc. Dir. of Network Technology    Joel Stern                        N/A
                                     Ron Najman                        917) 760-1244
Press Officer on duty                Ellen Watson                      917) 219-6614

Associate Dean                       Ross Clinchy                      N/A

Dir. of Academic Fiscal Affairs      Richard D. Katz                   N/A




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