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Region J FSE All Hospitals MSEL Event # Exercise Event Description Responsible Recipient Expected Outcome of Player Action Event Time Controller Player(s) 01 Sunday, May 3, May 1, 2009 Day -4 Region J Hospitals are notified of a LiveProcess All Region J Region J hospitals monitor storm forecast 2009 Day 1 Category 4 hurricane off the coast of Georgia. Coastal Event Log Hospitals positions. 9:01 AM hospitals can expect to be exposed to a Category 4 hurricane, while inland hospitals will sustain Category 2-3 winds (120 knots, ~135 mph). CEMA tracks storm & forecasts positions. 01 Monday, May May 2, 2009 Day -3 CEMA provides initial alerts. LiveProcess All Region J Region J hospitals monitor storm alerts. 4, 2009 Day 2 Event Log Hospitals 9:01 AM 01 Tuesday, May STARTEX Lead All Region J 5, 2009 Day 3 Controller Hospitals 9:00 AM Evaluator 02 9:01 AM May 3, 2009 Day -2 CEMA activates their EOC, Chatham Lead All Region J Region J hospitals monitor Chatham County alerts. County State of Emergency Declaration is made by Dir./County Controller Hospitals CEO, a Georgia State of Emergency is requested, a decision to Evaluator evacuate Chatham County is made. 03 9:05 AM A Georgia State of Emergency and Federal Emergency are Lead All Region J All Region J hospitals activate their Hurricane declared. Controller Hospitals EOPs. Coastal and inland hospitals activate their Evaluator Hospital Command Centers (HCCs) and Incident Command Systems. Region J Hospitals decide whether to fully or partially evacuate or to shelter in place and begin implementing decision. Region J Hospitals contact alternate care sites. Region J Hospitals begin cancellation of elective procedures, discharge of ambulatory patients, and transfer of non-ambulatory patients to other hospitals and alternate care sites. 04 9:15 AM The RCH (Memorial University Medical Center) requests a Lead All Region J Region J hospitals log into the LiveProcess event communications check with Region J Hospitals over the Controller Hospitals log established by the RCH. LiveProcess system. Evaluator 05 9:20 AM All Region J Hospitals communicate with their District PH Lead All Region J All Region J Hospitals initiate the appropriate Emergency Preparedness Office regarding Hurricane. Controller Hospitals communication protocols for communicating with Evaluator District PH. 06 9:30 AM All Region J Hospitals communicate with their county EOCs Lead All Region J All Region J Hospitals initiate the appropriate regarding Hurricane. Controller Hospitals communication protocols for communicating with Evaluator their county EOC. Region J FSE All Hospitals MSEL Event # Exercise Event Description Responsible Recipient Expected Outcome of Player Action Event Time Controller Player(s) 07 9:40 AM The RCH (Memorial University Medical Center) requests that Lead All Region J All Region J Hospitals conduct check on alternative All Region J Hospitals conduct check on alternative Controller Hospitals communication systems such as SouthernLINC, communication systems such as SouthernLINC, land lines, cell Evaluator land lines, cell phones, fax machines, and HAM phones, fax machines, and HAM radio and post outcome of radio and post outcome of systems check on LP systems check on LP Event Log. Event Log. 08 9:50 AM State Public Health requests that All Region J Hospitals update Lead All Region J All Region J Hospitals update their bed counts on their bed counts on GA 911 or LP. Controller Hospitals GA 911 or LP. Evaluator 09 10:00 AM State Public Health requests that RCH obtains current Lead All Region J Electronic reports are posted as attachments to assessment of resource and asset availability from All Region J Controller Hospitals LiveProcess by All Region J Hospitals which Hospitals to implement emergency operational plans Evaluator include: An updated status report about the effectively, and 96 hour sustainability status. The RCH hospital’s capability to secure, manage, distribute, (Memorial University Medical Center) requests all Hospital and restock critical medical supplies and equipment Incident Commands provide this information to the RCH if it becomes necessary, the status of existing (Memorial University Medical Center) on LP as attachment. MOUs and procedures for sharing resources as part of the RCH process, the operational status of requesting resources from Public Health. 10 10:10 AM May 4, 2009 Day -1 CEMA activates the Hurricane Evacuation All Region J Region J coastal and inland hospitals begin Assembly Area, I-16 One Way Operations commence, Hospitals evacuation or shelter in place measures. hurricane winds begin to hit inland hospitals. Procedures for transporting patients, patient medications and records to alternative care sites are implemented. Internal security and safety operations are established and security is coordinated with outside security and public safety agencies. Measures are initiated.for management of hazardous materials and waste. Access to facility entrances, movement of individuals within the healthcare facility and traffic access is controlled. Procedures for communicating with the public, patient family members, the media, and important vendors are initiated. 11 10:15 AM The RCH (Memorial University Medical Center) requests All Lead All Region J The RCH (Memorial University Medical Center) Region J Hospitals post activation status of their hospital Controller Hospitals receives reports on the status of Region J HCCs on command centers to LP Event Log. Evaluator LP Event Log. 12 10:20 AM May 5, 2009 Day 0 10:00 AM Eye of Storm hits GA Coast, Lead All Region J Region J coastal and inland hospital staff remaining hurricane winds increase at inland hospitals. Controller Hospitals at hospitals shelter in place. Evaluator 13 10:25 AM Some Region J hospitals experience electric power failure and Lead selected Region J coastal and inland hospital staff initiate loss of landline and cell phone communication. Controller Region J backup emergency power and communication Evaluator Hospitals procedures. Region J FSE All Hospitals MSEL Event # Exercise Event Description Responsible Recipient Expected Outcome of Player Action Event Time Controller Player(s) 14 10:30 AM May 5, 2009 Day 0 6:00 PM Hospital X reports that it has Lead selected Hospital X begins triage and treatment of these received X # patients with injuries from hurricane. Many of Controller Region J patients. these patients are vulnerable populations. Also, X # patients Evaluator Hospitals are DOA. 15 10:35 AM Because of the influx of hurricane patients, the Hospital X ED Lead selected Hospital X contacts vendors to order more supplies. reports running short on supplies. Controller Region J Evaluator Hospitals 16 10:45 AM Media become aware of the patient influx at Hospital X and Lead selected Media are put in contact with the on call marketing come to the hospital. Reporters are standing in hallways and Controller Region J rep at Hospital X. IC implements “Code entrances and obstructing patient flow. Evaluator Hospitals Lockdown”, addressing all primary and secondary doors. 17 11:00 AM Patient and staff family members arrive at Hospital X Lead selected Hospital X initiates building security measures to demanding information. Controller Region J control the influx of people entering the hospital. Evaluator Hospitals Hospital X provides situation updates to family members and press releases to media. 18 11:15 AM Hospital X morgue is at capacity. Lead selected Mortuary services will be requested by Hospital X. Controller Region J Evaluator Hospitals 19 11:20 AM First shift staff at Hospital X are exhausted and second shift Lead selected Hospital X utilizes ServGA website to locate and staff are not reporting to work. Controller Region J recruit volunteer staff. Procedures are Evaluator Hospitals implemented for granting disaster privileges to volunteer licensed independent practitioners and for making determination of how hospital will distinguish volunteer licensed independent practitioners from other licensed independent practitioners. 20 11:30 AM Large numbers of family and friends of the injured begin Lead selected Hospital X requests additional security including showing up at the Hospital X ED. Parking Lot and loitering Controller Region J internal staff, staff from manpower pool, and close to the ambulance entrance become an issue. Evaluator Hospitals County Sheriff’s Office deputies. 21 11:45 AM Hospital X cafeteria fills up with family members. Lead selected Hospital X cafeteria initiates plan to feed influx of Controller Region J people. Evaluator Hospitals 22 12:00 PM ENDEX Immediately begin Exercise Hotwash.
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