erlanger health system - university of tennessee … (800)541-2554 ext. 1399 13 section 2 personnel...
TRANSCRIPT
Erlanger Health System Disaster Management
Smart Book
2011
General Staff Edition
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References • Erlanger Health System Emergency Operations Plan • Joint Commission on Accreditation of Healthcare
Organizations (2008 Standards) • Hospital Emergency management “Concepts and
Implications of EMD Terrorist Indicents” US Department of Justice, Office of Domestic Preparedness and SAIC (April 2002)
• Occupational Safety and Health Administration Standard
• 29 Code of Federal Regulations o 1910.120 – Hazardous Waste Operations and
Emergency Response o 1910.134 – Respiratory Protection o 1910.1030 – Blood borne Pathogens o 1910.1200 – Hazard Communication
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Index
Topic Page Index 3
Section 1 Points of contact: Federal 7 State 7 Chemical & Biological Emergency POC’s 7 County 8 Hospital Command Centers 8 Vendors Electric 11 HVAC 11 Potable Water 11 Non-potable water 12 Sewer 12 Generator 12 Medical Gas & Vacuum 12 Food 12 Fuel 12 Natural Gas 12 Pharmaceuticals 12 Section 2 Personnel Agency Staffing 13 Erlanger Health Systems Management Contact List 13
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Section 3 Disaster Plans Emergency Department Site Preparation 14 Emergency Preparedness Plan Reference 15 Hamilton County Common Codes 15 Section 4 Facilities Baroness 16 North 17 East 18 Bledsoe 19 UT Family Practice 20 Whitehall 21 Fillauer 22 Lifestyle Center 23 Ooltewah Campus 24 South Campus 25 Dodson Ave Community Health Center 26 Southside Community Health Canter 27 Riverside (Contin-U-Care) 28 Section 5 Logistics 29 Section 6 Communications Accessing Web EOC Site 30 Back Up Phone Directory 31 Telecommunications Back-up Plan 33 Radio Call Signs 36
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Ham Radio Equipment 37 Baroness Coverage Map 38 North Coverage Map 39 Bledsoe Coverage Map 40 Operators 41 Section 7 Sustainment Projections 42
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Section 1 Points of Contact
Federal ATF (423)855-6422 DEA (423)855-6600 FAA (423)855-6475 FBI (423)265-3601 (865)544-0751 FDA (423)855-6630 FEMA (770)220-5200 Joint Regional Medical Planner (800)227-8925 Nuclear Regulatory Commission (423)842-8001 Secret Service (423)752-5125 U.S. Marshal (423)752-5115 Veterans Administration (423)893-6500 State Disaster Response for Public Health (423)322-3709 Emergency Services Coordinator (423)737-4112 Environmental Assistance Center (888)891-8332 Highway Patrol (423)634-6898 (423)634-3044 Occupational Safety and Health (423)634-6424 TBI (423)634-3044 TEMA (865)981-1024 TEMA Regional Coordinator (423)479-3594 (423)718-3665 TEMA Regional Planner (865)599-0035 TVA (423)751-8581 Chemical & Biological Response 3E Company (CHEMICAL RESPONSE) (800)451-8346
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Coordinating Office Of Terrorism Preparedness and Emergency Response (404)639-7405 National Center for Environmental Health and Agency for Toxic Substances and Disease Registry (770)488-7100 Hamilton County Emergency Operations/Services (423)622-3163 Health Department (423)698-1282 (423)209-8074 Health Department –Epidemiology (423)209-8190 Health Department – Regional Hospital Coordinator (Jenny Wolverton) W(423)208-8066 C (423)364-0066 F(423)209-8069 E-mail: [email protected] 800 MHz radio = RHC1
VHF radio = Echo 33 Em. Operations Center (Health Dept Table) (423)698-1282 P (423)622-3163 F (423)698-1832 Hamilton County Hospital Command Centers
(P- Phone, F- Fax, C-cell, Pgr – Pager, AOC- admin. on call) Erlanger Baroness Campus (also covers North/East during external event) Command Center P (423)778-9100 F (423)778-4775 E-mail: [email protected] Contact (prior to CC activation) House Sup. P (423)778-6168 Family Area (Medical Mall Plaza) P N/A Erlanger (cont’d) North Campus (internal event only) Command Center P (423) 778-3366
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(use 778-3402 prior to command post activation) F (423)778-3361 Family Area (Hospital Cafeteria) P (423) 778-3364 East Campus Command post P (423) 778-8732 F (423) 778-8756 Bledsoe Campus Command post P (423)447-5300 or 5301 F (423)447-6574 Memorial Glenwood Campus Command Center P (423)495-6351 P (423)495-6352 F (423)495-3863 E-mail: [email protected] Contact (prior to CC activation) House Adm. P (423)495-8566 C (423)595-4477 Pgr (423)655-6018 Family Area (Community Rooms) P (423) 495-6139 P (423) 495-6292 Family Area (continuted) (423) 495-4458 (423) 495-5743 North Park Campus Command Center P (423)495-7351 (423)495-7352 F (423)495-7263 E-mail: [email protected] Contact (prior to CC activation) House Admin. C(423)595-1440 Family Area (Hospital Cafeteria) P (423)495-5503
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Parkridge Main Campus Command Center P (423)493-1772 P (423)493-6988 (24/7) C (423)255-6124 F (423)493-1208 e-mail: [email protected] Contact (prior to CC activation) (24/7) C (423)255-6124 EP Coordinator C (423)508-2569 Family Area (2nd floor waiting room) P (423)493-1256 East Campus Command Center P (423)499-3603 P (423)855-3655 F (423)855-3648 E-Mail: [email protected] Contact (prior to CC activation) (M-F) P (423)855-3500 (After 5/weekends) P (423)855-3509 Family Area (Hospital Cafeteria) P (423)499-2050 P (423)499-2096 MBMHI Command Center P (423)265-2271 F (423)785-3472 E-Mail: [email protected] Cell: 255-7241 Siskin Hospital Command Center P (423)634-1212 F (423)634-1209 e-mail: [email protected] Contact (prior to CC activation) AOC Pgr(423)655-0775 HealthSouth Command Center P (423)697-9291 F (423)697-9117
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E-mail: [email protected] Contact (prior to CC activation) AOC Pgr (423)874-2556 Family Area (Outpatient gym) P (423)697-9132 Kindred Hospital Command Center P (423)308-5011 P (423)308-5010 F (423)266-7516 E-mail: [email protected] Contact (prior to CC activation) AOC P (423)266-7721 Plant Ops Dir. (24/7) P (423)596-5196 Family Area (Hospital Cafeteria) P (423)266-7721 ext. 7500 Vendors Electrical Electric Power Board (423)756-2706 Mountain City Electric (423)756-6777 Campbell & Associates (423)267-9718 (423)870-5893 Automatic Switch (201)966-2000 Nixon Power Services (800)766-4966 Stowers Machinery Corp. (423)698-6943 HVAC Trane (423)296-1506 Eagle Mechanical (423)867-7427 Potable Water Southern Coffee Services (423)266-2600 Laurel Mountain Spring Water (423)493-0447
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Non-Potable Water Tennessee American Water Company (423)755-7600 (423)755-7650 Eagle Mechanical (423)867-7427 Sewer System Hamilton County EOC (423)622-3163 Generator Generator Service Company (800)744-7572 Medical Gas and Vacuum Linde Gas (866)841-2459 Food Sodexho (423)827-2532 Fuel JAT Oil (423)629-6611 Benton Oil (423)892-5211 Dupree (423)698-8517 Natural Gas Tennessee Energy Consultants (423)421-3732 (423)752-3438 Pharmaceuticals AmerisourceBergen (800)541-2554 ext. 1399
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Section 2 Personnel
Staffing Agencies Allied (423)893-3400 MSN (423)892-2880 Contin-U-Care (423)624-4346 ext. 3202 ***Executive and leadership contact information is located in the command center, and is available as needed.
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Section 3 Disaster Plans
Emergency Department Site Preparation Patient receiving areas and triage areas Triage Determination Color Marking Area Triage Purple *Main Ambulance
Entrance (Main /North Campuses)
Immediate Care Red *Acute Care Area BED for Immediate life-saving
treatment or surgical intervention *NED Rm 1-5 Delayed Care Yellow *Main: Clinical Decision Unit *NED 6-10 Minimal Care Green *Main: Sub- Waiting area *North: Out-pt. Waiting area Expectant Care Gray/Black *Main: Decon Room *North: Rec.
Area ***Patients awaiting treatment will be assessed and if deemed non-urgent may be directed to other facilities for treatment.
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Policy Reference The most current version of all Emergency Preparedness policies is available on the Erlanger Intranet. Policy Name Policy Number Code Definition Summary EHS 8316.1021 Code RED EHS 8316.956 Code ORANGE/CBRNE release EHS 8316.959 Code BLUE EHS PC-120 Code GREY EHS 8316.098 Code GREY-B EHS 8316.957 Code PINK EHS 8316.121 Code 5 EHS 6012.008 Code LOCKDOWN pending approval Code TRIAGE see full EOP Code BLACK EHS 8316.962 Code EVACUATION see full EOP Terrorist Event EHS 8316.052 EHS Emergency Operations Plan EHS 8316.221d Hamilton County Common Codes Code RED Fire Code Blue Adult Cardiac Arrest Code 5 Peds Cardiac Arrest Code GREY Security Response Needed Code GREY B Bomb Threat Code LOCKDOWN Facility Lockdown Code PINK Infant or Child Abduction Code TRIAGE STANDBY Impending Event may affect Hospital, activates IC and Admin. Code TRIAGE Disaster Plan Activated Code BLACK Adverse Weather Code EVACUATION Evacuate facility or area Code ORANGE Hazardous Material Release
Section 4 Facilities
Baroness Campus
The boxed A indicated facility location on the map 975 E. 3rd Street Chattanooga, TN 37403
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North Campus
The Boxed A designates the facility location on the map 632 Morrison Springs Road Chattanooga, TN 37415
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East Campus
The Boxed A designates the facility location on the map 1775 Gunbarrel Road Chattanooga, TN 37421
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Bledsoe Campus
The Boxed A designates the facility location on the map 71 Wheelertown Ave. Pikeville, TN 37367-5246
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UT Family Practice
The Boxed A designates the facility location on the map 1100 E. 3rd Street Chattanooga, TN 37403
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Whitehall Building
The Boxed A designates the facility location on the map 960 E. 3rd Street Chattanooga, TN 37403
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Fillauer Building
The Boxed A designates the facility location on the map 979 E. 3rd Street Chattanooga, TN 37403
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Lifestyle Center
The Boxed A designates the facility location on the map 325 Market Street Chattanooga, TN 37402
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Ooltewah Campus
The Boxed A designates the facility location on the map 9309 Apison Pike Ooltewah, TN 37363
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South Campus
The Boxed A designates the facility location on the map 5195 Battlefield Pkwy. Ringgold, GA 30736
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Dodson Ave. Community Health Center
The Boxed A designates the facility location on the map 1200 Dodson Road Chattanooga, TN 37406
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Southside Community Health Center
The Boxed A designates the facility location on the map 100 E. 37th Street Chattanooga, TN 37410
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Riverside Drive (Contin-U-Care) campus
The Boxed A designates the facility location on the map 1501 Riverside Drive Chattanooga, TN 37406 For all architectural questions, contact: River Street Architecture 1604 Carter Street, Suite 300 Chattanooga, TN 37402 www.river-st-architecture.com Ph: (423)634-0806 Fax: (423)752-8499
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Section 5 Logistics
The following mass causality stockpiles are located at each in-patient facility within the Erlanger system. Due to ever changing inventory, current supply and equipment availability is maintained in the command center. National Pharmaceutical Stockpile – CHEMPAK Tn Department of Health State Pharmaceutical Cache Contents
Erlanger Health System Disaster Equipment/Supplies Mark 1 Kit Distribution Supply Distribution ***For distribution of disaster supplies, the following rules apply:
• The Erlanger Health System Hospitals each have 1/5th of the disaster supplies purchases
• Because the Baroness campus is designated as the regional facility and must maintain assets to support the region, it holds an additional 1/5th of the supplies for use by regional partners
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Section 6
Communications
Log-in procedures for WEB-EOC (Hamilton County Emergency Operations Center Website) EHS public wireless connection do this (EHS‐PUB)
• Type in the address: http://webeoc.hamiltontn.gov • When the page comes up select Erlanger from the name drop
down box • Password – JfMaMj04 (case sensitive) • Select Hospital Mass Causality drill down with today’s date • Click login • At this point you should be connected
EHS secured network
• Plug in the computer network jack into an active network jack • Log into the computer • Login – ehs-eoc • Password- ehs-eoc • Logon to: ehs-nt • When windows boots up, launch internet explorer • Type in the address: http://webeoc.hamiltontn.gov • When the page comes up select Erlanger from the name drop
down box • Password – JfMaMj04 (case sensitive) • Select Hospital Mass Causality drill down with today’s date • Click login • At this point you should be connected
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**If you have problems connecting to EOC web site please call their support line at 423/622-7777
Backup/Red Phone Directory
Command Center 9100 Nursing Floors/Wings 3000 7542 CH300 Nursing St. 3062 WW3 3068 4000 4003 CH400 Nursing St. 4015 CH PICU 6482 WW4 4082 5000 6274 L&D 7725 L&D Triage 5645 Mother Baby 7722 CH NICU 6227 NW6 South 8043 NW6 North 8044 NW7 South 8045 NW7 North 8046 WW7 2085 NW8 South 8047 NW8 North 7596 NW9 South 8048 NW9 North 8049 ICU Nursing Stations CCU 7310 CSICU 6294 MICU 7511 MSICU 5844 NNICU (Neuro) 7757 SICU 6295 STICU (Trauma) 7726 Children’s Administration 6655 Emergency Dept. 6534 300 Nursing St. 3062 400 Nursing St. 4015
NICU 6227 PICU 6482 Children’s (Continued) Outpatient Surgery 2145 Radiology 6551 Surgery Front Desk 5680 Plaza Mammography Plaza Ground 6266 Mammography Plaza ground 6760 Surgery 2486 GI 5126 Pre-op/Recovery 8113 North Campus Emergency Department 3418 Lab 3426 Med/Surg Nursing St. 3496 Pharmacy 3419 Radiology 3424 Senior’s Program 3521 Sleep Center 3584 East Campus Administration 8759 Lab Mother/Baby 8524 PACU 8684 POH 8926 Urgent Care 8494 Registration 8690 Security 8733 Surgical Nursing Unit 8911
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Clinical/ Admin Areas Blood Bank 3139 Cath Lab 2147 Central Dispatch 2031 Central Sterile 7905 Dialysis 3178 Emergency Dept. 1 9247 Emergency Dept. 2 9527 Energy Operations 6359 Engineering Conf. Rm 6013 Clinical/Admin Areas (Continued) Environmental Svc. 7748 Exec. Office Conf. Room 7902 Infusion Center 4470 Lab 1 6710 Lab 2 6714 Lab 3 3185 LIFE FORCE Comm. 6347 Materials Dock Materials Pick-up Medical Affairs 2037
Miller Eye Surgery 6235 MRI 6338 PACU 6630 Pharmacy 5668 Pre-Admission Testing (PAT) Pre-Op Holding (POH) 6620 President’s Office 7243 Radiation Oncology 7332 Respiratory Care – Adult 6358 Respiratory Care 7408 SACU 2384 Security Dispatch 8013 Surgery – Main OR 5681 Telemetry Monitoring EW3 5685 Transfer Center/Central Bed 5220 Wound Center/ HBO 5137
PHNS Help Desk Direct
1-877-424-8511 (or) ext. 8324
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12/28/2010
Telecommunications System Backup Processes
Primary Phones - Nortel System Phones
Employees and managers should be familiar with all phones in the work area. Be aware of which phones have the primary department inbound extension (which ones ring when the department is called) and which do not. Some may have additional numbers that will work, but which are not published or regularly used to contact the department.
Nortel Phone Downtime Processes
Failure in a particular area does not necessarily indicate complete failure. Check all other Nortel phones in the area. The downtime process is designed not to directly impact all phones at once in any work area.
Additional Nortel Phones
Scheduled downtimes (network maintenance) and certain network switch failures will cause some Nortel phones in a work area to go off line, while others remain functional. If one phone is dead, check ALL Nortel phones in the department to see which are working and which are not. Check to see if you can call out, call in, or both.
If you can call out, but not internally, try dialing outside using 19 and then the 778-xxxx number of the Erlanger line you are trying to reach.
Additionally, some areas have specific “downtime” Nortel phones. These phones will have the same primary number as the other phones, but will remain functional during large-scale network downtime situations. You may be able to dial 4-digits as usual, or you may have to dial 19778xxxx to reach the other extensions you are trying to call.
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RED Backup Phones
The Red Phones (Emergency Backup Lines) are the third layer of telecommunications redundancy. Once referred to as the “power-fail” phones, these analog red desk and wall phones are the last layer of wired communications if all other switches or systems are affected by the downtime.
These phones can be dialed using the Backup/Red Phone Directory numbers. Departmental numbers will not work if these are the only remaining functional telephones. These phones should not be hidden behind computer monitors or in cabinets, but rather placed in plain view and used regularly to insure they will function when needed. Any department having a Red Phone not included on the Backup/Red Phone Directory List should contact the Communications Office at x2077.
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Radio Call Signs
Communications Support Team 901 McKeever, Mike 902 Lewis, Bob 903 Siddon, Dewayne 904 Susskind, Glenn 905 Rhoades, Martha 906 Jones, Daniel
1501 Odom, Dan 1505 Morgan, Tom
Hamilton County Emergency Management
101 Allen, Don 103 Wilkerson, Ken 104 Reavley, Tony 105 Tittle, Bill 108 Combs, John
Key Department Radio Numbers 501 Allen, Ben 811 Baker, Mike 705 Darwin, Rick 570 Frazier, Johnny 202 Gunter, Jason 502 Hudson, Lisa 725 McCurdy, Danny 901 McKeever, Mike 806 Miles, Stan 601 Milita, Mickey 201 Shepherd, Debbie 903 Siddon, Dewayne 101 Straughen, Steve 102 Tester, Robbie 756 Thomas, Marc 807 Tuggle, Mike 709 York, Duane
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HAM Radio Equipment Distribution ICOM 706MKII Dual-band Antennas – Erlanger North ED ICOM 706MKII Dual-band Antennas – Erlanger Bledsoe Front RN Station ICOM 706MKII Dual-band Antennas + 75m HF –Life Force Communications Center ICOM 706MKII Dual-band Antennas + 75m HF –Mobile RMCC Vehicle ICOM 746Pro VHF/HF Emergency Station – RMCC Go-box ICOM 706MKII Dual-band Antennas + G5RV – ACS Go-box
HAM Radio Baroness Campus Coverage Green colored areas represent consistent strong signal Red colored areas represent possible weak or no signal areas
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HAM Radio North Campus Coverage
Green colored areas represent consistent strong signal Red colored areas represent possible weak or no signal areas
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HAM Radio Bledsoe Campus Coverage
Green colored areas represent consistent strong signal Red colored areas represent possible weak or no signal areas
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HAM Radio Operator Staff
***Most current listing of call sign assignments can be obtained from dispatch as needed.
CCTV IP Addresses http://10.90.8.60:700 Cameras 1-16 http://10.90.8.69:100 Cameras 49-64 http://10.90.8.61:700 Cameras 97-112 http://10.90.8.68:700 Cameras 113-128 http://10.64.84.45:100 Mother/Baby http://10.64.12.94:700 Children’s
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Section 7 Sustainment Projections
The most current sustainment projections are maintained in the command center, and are available for reference as needed.