Management Critique

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					                                 Emergency Management Critique
                                 Hospital Exercises/Disaster Events

Name of Incident/Exercise: ____________________________________________________
Date of Incident: ___________________ Time: __________                                 Internal         Communitywide
Mass Casualty Incident (MCI):                      YES          NO        Time first victim received: __________
Incident Type:
     Chemical (Code Orange)     Fire (Code Red)                Natural Disaster:
     Biological                 Bomb (Code Green)              Type: _________________
     Radiological               Child Abduction (Code Amber)
     Nuclear                    Structural Collapse            Outbreak/Epidemic
     Explosion                  Transportation Accident
                                Internal System Failure Type:______________________
   Other: (Describe) ___________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________


I. Command Center
A. Incident Command and Control                                                                   Yes   Yes to   No   N/A
                                                                                                         some
                                                                                                        extent
 1. Was the proper code alert communicated effectively?
 2. Was the Hospital Emergency Incident Command System (HEICS) activated?
 3. Was the Command Center used and staffed?
 4. Were job action sheets available/assigned?
 5. Were department reporting mechanisms established?
 6. Was a decision made to use alternate care sites, either within or outside the hospital?
 7. Was it necessary to request mutual aid?
 8. Was a Public Information Officer (PIO) designated for the press and media?
 9. Were the interagency communications sustained throughout the event?
10. Was the “Code Clear” alert communicated effectively?
11. Were section staff convened to debrief on the incident/exercise?

Comments: _______________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________




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B. Safety and Security                                                                       Yes   Yes to   No   N/A
                                                                                                    some
                                                                                                   extent
 1. Were safety and security measures enhanced as needed?
 2. Was access to the facility secured and controlled?
 3. Was there contact/coordination with outside law enforcement agencies? (If “yes”,
describe in Comments section below).
 4. Were all staff and volunteers identified? (e.g. ID badges, HEICS vests, other visible,
    official identification)

Comments: ________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________


II. Logistics
A. Emergency Supplies and Systems                                                            Yes   Yes to   No   N/A
                                                                                                    some
                                                                                                   extent
1. Were adequate equipment/supplies requested and readily available?
2. Was it necessary to obtain supplies from an off site source?
3. Were emergency utilities needed? [e.g. power, water, sanitation, communication systems,
   etc.] (If “yes”, describe in Comments section below).
4. If “yes” to No. 3, were they effective?
5. Were adequate nutritional services provided?
6. Were any sanitation issues encountered? [e.g. sewage disposal, garbage disposal, etc.]
    (If “yes”, describe in Comments section below).
7. Were emergency communications systems available and used as needed?
8. Were section staff convened to debrief on the incident/exercise?


Comments: ________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________


III. Planning
                                                                                             Yes   Yes to   No   N/A
A. Information Management                                                                           some
                                                                                                   extent
1. Was the internal patient tracking system utilized and functional?
2. Was the external patient tracking system utilized and functional?
3. Were inter-hospital communications sustained throughout the event?
4. Was there a designated function established to handle patient and family information?
5. Were section staff convened to debrief on the incident/exercise?

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Comments: ______________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________


B. Staffing and Emergency Response                                                             Yes   Yes to   No   N/A
                                                                                                     some
                                                                                                     extent
1.   Was a staffing (labor) pool function established and coordinated?
2.   Was the staff recall process implemented?
3.   Did the staff recall system work effectively?
4.   Were staffing considerations for ongoing operations required/addressed?
5.   Were section staff convened to debrief on the incident/exercise?


Comments:_______________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________


IV. Operations

A. Patient Management                                                                          Yes   Yes to   No   N/A
                                                                                                     some
                                                                                                     extent
1.   Was the facility notified of the event, prior to arrival of the first victim?
2.   Were victims triaged according to red, yellow, green tags?
3.   Was privacy of victims ensured?
4.   Were all victims registered with a unique hospital identification and/or medical record
     number?
5. Was the “on scene” triage number recorded on the patient’s hospital record, for tracking
   purposes?
6. Were specific patient identifiers collected and maintained? (e.g. triage ID numbers,
    medical record numbers, etc.)
 7. Were victims moved from Triage to appropriate treatment areas in a timely efficient
      ? d b f           h    victims i ?
 8. Were familyimembers iof id / referred to appropriate staff and/or areas?
 9. Was personal protective equipment (PPE) adequate and utilized?
10. Were section staff convened to debrief on the incident/exercise?


Comments: ________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________


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B. Personnel Issues                                                                        Yes   Yes to   No   N/A
                                                                                                 some
                                                                                                 extent
1. Were the needs of the staff and their dependents addressed?
2. Was Critical Incident Stress Management (CISM) offered?
3. Were section staff convened to debrief on the incident/exercise?


Comments: ________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________


C. Specialized Operations and Events                                                       Yes   Yes to   No   N/A
                                                                                                 some
                                                                                                 extent
1.   Was the use of the facility’s pharmaceutical cache indicated and utilized?
2.   Was the decontamination team and/or equipment utilized and adequate?
3.   Did the event necessitate use of increased isolation capacities?
4.   Were section staff convened to debrief on the incident/exercise?


Comments:________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________



V. Finance

A. Cash Flow                                                                               Yes   Yes to   No   N/A
                                                                                                 some
                                                                                                 extent
1. Was there a mechanism for tracking all emergency operational costs, during the event?
2. Were the record keeping methods sufficient to define the services rendered?
3. Were section staff convened to debrief on the incident/exercise?


Comments:________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________




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VI: Recommendations for Improvement
Directions: Reference the “key issue” by HEICS division, unit, and specific question/component, (e.g. II, A., 7).
Document specific recommendations for how this issue could be improved or enhanced for effectiveness.

 Ref. No.                   Key Issue                                            Recommendations




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VI: Recommendations for Improvement (con’t.)
Directions: Reference the “key issue” by HEICS division, unit, and specific question/component, (e.g. II, A., 7).
Document specific recommendations for how this issue could be improved or enhanced for effectiveness.

 Ref. No.                 Key Issue                                         Recommendations




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Completed By:                                              Date:


Initial Action Plan:
Internal
Copies forwarded to: ___________________________________
                     ___________________________________
                     ___________________________________



External (for statewide systems issues)
Copies forwarded to:
                                     HPPC
                                     Other, please specify: ____________________________
                                                            ____________________________
                                                            ____________________________




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