disaster medical hospital control adam richards october 28, 2010
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Disaster Medical Hospital Disaster Medical Hospital ControlControl
Adam RichardsAdam RichardsOctober 28, 2010October 28, 2010
Region 9 DMHC Implementation Region 9 DMHC Implementation ProcedureProcedure
““Disaster Medical Hospital Control will make Disaster Medical Hospital Control will make every effort to place patients initially at a every effort to place patients initially at a
facility most appropriately to care for them, facility most appropriately to care for them, and to avoid secondary transfer from and to avoid secondary transfer from
facility to facility if possible.”facility to facility if possible.”
The triggerThe trigger
Multiple ambulances Multiple ambulances dispatched to one incidentdispatched to one incident
multi-unit housing structure multi-unit housing structure firefire
MVC- multiple vehicles or MVC- multiple vehicles or Haz-Mat situationHaz-Mat situation
Public venue incidentPublic venue incident Aircraft incidentAircraft incident Explosion or building Explosion or building
collapsecollapse
The contactThe contact
From first responders: SFD, SVFD, SPDFrom first responders: SFD, SVFD, SPD Dispatch (AMR, CCC, SPD)Dispatch (AMR, CCC, SPD)
All Law Enforcement agenciesAll Law Enforcement agencies Incident CommandIncident Command
Local/Regional HospitalsLocal/Regional Hospitals Department of Emergency ManagementDepartment of Emergency Management
Public HealthPublic Health
The DecisionThe Decision
Does this exceed the capacity or create a Does this exceed the capacity or create a surge event for the immediate facilities surge event for the immediate facilities
affected?affected?1.1. Evaluate capacities locally/regionallyEvaluate capacities locally/regionally2.2. Initiate calls to nursing supervisors in Initiate calls to nursing supervisors in
local/regional hospitals to evaluate local/regional hospitals to evaluate capacitycapacity
3.3. Initiate a blue line informational update Initiate a blue line informational update on Ramses… an ALERT.on Ramses… an ALERT.
Start with the “ALERT”Start with the “ALERT”
Currently Region 9 is using RAMSES to Currently Region 9 is using RAMSES to create an alert for other hospitals.create an alert for other hospitals.
Simultaneously; phone calls to the Simultaneously; phone calls to the local/regionally affected hospitals will help local/regionally affected hospitals will help determine the need for full activation of the determine the need for full activation of the DMHCDMHC
The DMHC Alert Call Data SheetThe DMHC Alert Call Data Sheet
Decision to activate…Decision to activate…
Made by the Incident Command in Made by the Incident Command in conjunction with the DMHCconjunction with the DMHC
Based on the capacity of the locally affected Based on the capacity of the locally affected hospitalshospitals
Size of eventSize of eventNumber of patientsNumber of patients
The ACTIVATIONThe ACTIVATIONOnce the decision to activate has been Once the decision to activate has been
made then “Activation” will occur via the made then “Activation” will occur via the RAMSES system or WaTRAC.RAMSES system or WaTRAC.
Initiate an “All Call” on HEARInitiate an “All Call” on HEARContact the Poison Control Center if Haz Contact the Poison Control Center if Haz
Mat is involvedMat is involvedContact the Blood Bank (509)624-8591Contact the Blood Bank (509)624-8591 Initiate forward movement of patients Initiate forward movement of patients
““All Call” on HEARAll Call” on HEAR
““This is Deaconess Medical Center your This is Deaconess Medical Center your Disaster Medical Hospital Control calling Disaster Medical Hospital Control calling all regional hospitals. This is a (drill or all regional hospitals. This is a (drill or disaster). Do not use call letters until disaster). Do not use call letters until instructed to do so. (Briefly describe the instructed to do so. (Briefly describe the disaster/drill.) Please acknowledge as disaster/drill.) Please acknowledge as your facility is called.”your facility is called.”
DMHC needs during DisasterDMHC needs during Disaster
PatiencePatienceA response if a Disaster alert “all call” is A response if a Disaster alert “all call” is
initiated.initiated.An update on Ramses for bed availabilityAn update on Ramses for bed availabilityAn update if you are not able to raise a An update if you are not able to raise a
subspecialist for your hospital (i.e. subspecialist for your hospital (i.e. neurosurgery).neurosurgery).
Communication with DMHC if you are Communication with DMHC if you are exceeding your capacityexceeding your capacity
DMHC All Call Directory/LogDMHC All Call Directory/Log
CapacityCapacity
In a disaster situation when all hospitals In a disaster situation when all hospitals have exceeded their capacity, it is known have exceeded their capacity, it is known that DMCH will continue to send patients that DMCH will continue to send patients to them.to them.
MCI Patient Triage/Destination ListMCI Patient Triage/Destination List
What do we do?What do we do?
1.1. AlertAlert
2.2. ActivateActivate
3.3. Designate one person and a secretary if Designate one person and a secretary if possible to be stationed at the HEAR possible to be stationed at the HEAR Radio to initiate the “All Call.”Radio to initiate the “All Call.”
4.4. Connect with local/regional hospitals for Connect with local/regional hospitals for a quick inventory of resourcesa quick inventory of resources
5.5. Initiate Internal Disaster ProtocolInitiate Internal Disaster Protocol
Goals for DMHCGoals for DMHC
Have a yearly review of DMHC Have a yearly review of DMHC policy/procedurepolicy/procedure
For updates in policyFor updates in policy
Changes in capabilitiesChanges in capabilities
Educational purposes to stay currentEducational purposes to stay current
Hot Wash large scale incidentsHot Wash large scale incidentsTrain staff on off hoursTrain staff on off hours
Create education for all staff that do not work the Create education for all staff that do not work the customary day shifts where the majority of practice customary day shifts where the majority of practice takes place.takes place.
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