pandemic influenza response: ketchikan's alternate care site exercise
TRANSCRIPT
Pandemic Influenza Response: Ketchikan's Alternate Care Site Exercise
Learner Objectives
1. Discuss the planning process required to supply and staff an Alternate Care Site (ACS).
2. List the staffing challenges of operating an Alternate Care Site.
3. Discuss lessons learned.
Polling Question #1
Participants, have you ever participated in setting up an Alternate Care Site, either in a drill or as a real event?
A. Yes
B. No
Where is Ketchikan Alaska?
Ketchikan is on an island in Southeast Alaska
Primary Community Partners in the Exercise
Ketchikan Fire Department (KFD) Ketchikan General Hospital
(KGH)
Ketchikan Indian Community (KIC) Ketchikan Public Health Nursing
Additional Community Partners in the Exercise
City of Ketchikan Law Enforcement Public Works Ketchikan Public Utilities
GuardianFlight, Inc.
Ketchikan Gateway Borough
Ketchikan Gateway Borough School District
Ketchikan Pastoral Association
Laidlaw Transit Inc.
North Tongass Volunteer Fire Department
State of Alaska Behavioral Health
South Tongass Volunteer Fire Department
Temsco Helicopters, Inc.
University of Alaska at Anchorage (UAA), Certified Nursing Assistant (CNA) Program
Additional Community Partners in the Exercise
Community Goal
Our goal is to create an “All Hazards” plan—an Emergency Operations Plan (EOP) that will allow our managers to perform their duties with confidence and efficiency.
This exercise will help guide our responders and managers and will provide us, the authors of the “New EOP,” a means to create a document that is useful for all types of events and for all departments or agencies involved.
City of Ketchikan Objective
To exercise evacuation policies and procedures
To test mutual aid agreements
To simulate an actual Emergency Operations Center (EOC) activation that will include a training session
To exercise large-scale incident management procedures
To assist any associated agency for the duration for the exercise
This will help us in the completion of the “re-write of the emergency operations plan.”
Ketchikan Indian Community Tribal Health Clinic Objective
To exercise and evaluate its ability to set up, staff, supply, and operate an Alternate Care Site for overflow of triaged “walking wounded” patients from the Ketchikan General Hospital ER.
Ketchikan General Hospital Objective
To work with community partners to exercise and evaluate the:
Establishment and set up of the ACS
Supply and transport of resources to the ACS
Communication at the ACS
Record keeping of care/services rendered at the ACS
Ketchikan Public Health Nursing Objective
For Alternative Care Sites, public health officials will take the lead in:
Establishment (identifying a site)
Set-up
Staffing
Operations
Funding Funding was provided by The City
of Ketchikan through the United States 2005 Homeland Security Grant and the Alaska Division of Homeland Security and Emergency Management. Grant # 2005-GE-T5-0031.
Disposable supplies, sleeping bags, and pillows were provided by the Alaska State Hospital and Nursing Home Association grant.
12/05 to 10/06
Planning Timeline
6/06 site visit to the proposed site at Fawn Mountain School
KGH & KIC are located 3 miles north.
Evacuation area (red)
South Tongass Hwy: Fawn Mountain School is 4 miles south
Bridges destroyed
Ketchikan Creek
The damMobile command post
Scenario
Exercise: KPD
Mobile Command Center
Exercise: Set Up Tent & Security
Exercise: Tent & Patients
A nurse was assigned to monitor patients awaiting transfer to Fawn Mountain Alternate Care Site (FM ACS).
Ten influenza patients are taken to the isolation tent outside of the ER to await transportation to FM ACS.
Exercise: Materials Materials Management readies supplies according
to the pre-determined lists.
Categories include: CS Disposables, Equipment, Pharmacy-Meds
Description Quantity Needed Per Day UOM Order Quantity Dispensed
Set Up
Hospital maintenance staff
Transfers equipment andsupplies to Fawn Mountain school
Sets up the beds, privacy curtains
Set Up: Signage
Bus Loading
Bus Leaves KGH
The influenza patients arrive.
Bus arrives at Fawn Mountain ACS
The cots are ready!
FM ACS Care: Registration
Charts
FM ACS Care: Triage
FM ACS Care: Bed Board
FM ACS Care
Discharge Station
Pastoral Care
The Group Photo
KGH Command Center
KGH: Patients Arrive
KIC ACS
KIC ACS: Pharmacy
Helicopter: Fawn Mountain to KGH
Depart FM ACS
Arrive KGH
Road blocks
Funding sources through KGH were not available; Home Land Security Grant money withdrawn
Volunteer patients: age, family, rules Timing of the exercise was shorter than
planned Other community events: Health Fair, Mass
Immunization Clinic, Auction
Lessons Learned
Lessons Learned Staffing
Hospital Community
Supplies Transport Trial
Registration Process
Equipment List
KIC Activate, communicate, transport
Medical Reserve Corp
Lessons Learned: Nutrition/Hydration For the volunteer
patients and staff
KGH, DEC, sack lunches
Lessons Learned: Participant ResponsesActors in Fawn Mountain ACS Exercise (10 responses)
It's nice to know that we are preparing for a disaster before one appears. Thank you.
You did a great job practicing your job and taking care of us and fulfilling our needs, and I would enjoy doing this again.
They took really good care of me and made me feel comfortable.
I felt like I was well cared for and would definitely go to this hospital if I really did get sick. Everyone was nice.
You did a great job taking care of your patients.
Actors in Hospital Exercise: KGH & KIC (7 responses)
KIC staff were more thorough than KGH staff.
Great staff.
Lessons Learned: Participant Responses
Lessons Learned: Dolls
Blow up dolls before buying them outfits!
Lessons Learned
Emergency Operations Plan Completed Approved locally Currently pending
State of Alaska “OK”
Ketchikan Healthcare Community Comes Together
Ketchikan General Hospital
Primary Care ProvidersClinics
Public Health
EMS