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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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