Emergency Preparedness Program

1. Emergency Preparedness Program Nursing Services Orientation April 2010

2. Key Components of Emergency Preparedness Program

3. Four Foundations of Emergency Management Program • Mitigation • Preparation • Response • Recovery

4. Key Program Components • All Hazards Approach – Incident Command System • Comprehensive Emergency Management Plan • Staff Roles and Responsibilities • Self Sustainability • Drills and Exercises

5. What is anAll Hazards Approach?

6. All Hazards Approach • University Hospital’s plan addressing a wide variety of disasters through the implementation of a unified approach and Incident Command • Top five potential events identified by University Hospital which could activate the Disaster Plan: • Influx of patients into the hospital • Pandemic/Epidemic • Utility Failure • Snow • Flood

7. What is the Incident Command Systemand how does it work?

8. Hospital Incident CommandSystem (HICS) • System for managing emergent and non-emergent situations • Provides hospitals with required tools to address the event • HICS initiated by an internal/external event • Flexible in scale • Only those positions needed are activated • Administrative position assumes role as Incident Commander

9. Hospital Incident CommandSystem (HICS) • Overhead page alert: • “Attention all Hospital Personnel: Incident Command has been activated. Please return to your assigned work area.” • GroupWise email is sent • ICS provides staff direction and makes decisions to ensure safety. • At conclusion of event, overhead page alert: • “Attention all Hospital Personnel: Incident Command has been concluded. Resume normal activities.”

10. Comprehensive Emergency Management Plan (CEMP) • Campus disaster plan can be found on the Intranet. • Each department/unit has a department specific disaster binder (orange). • Key tabs in department plan binder are department-specific responsibilities which outline special response plans and evacuation routes. • Environment of Care Safety Quick Reference Guide details specific responses for staff to emergencies.

11. What is my roleif Incident Commandis activated?

12. Staff Roles & Responsibilities • Know Staging and Evacuation Plans for patients. • Evacuation Maps posted in all clinical areas • Horizontal and vertical routes • Be familiar with Evacuation Equipment. • Location • Use • Be familiar with Emergency Codes & Designations. • Check with Supervisor for updates if role is not pre-assigned.

13. Evacuation Map Example

14. Evacuation Equipment Examples • Stair Chair • Paraslyde • East Tower – located in equipment rooms • North Tower – located in laundry chute rooms

15. Emergency Codes & Designations

16. Staff Roles & Responsibilities • Sign up for NY ALERT. • DIS J-14 describes process • Plan for disasters at home. • “Caring is Preparing” • Be aware 12 hour shifts may be activated.

17. How long can University Hospital sustain servicesin an emergency?

18. Self Sustainability Plan • University Hospital has planned for self sustainability for at least 96 hours in the following areas: • Communications • Resources & Assets • Security & Safety • Staff Management • Utilities • Management of Patients • DIS M-17 describes processes.

19. How do we communicate during a disaster event?

20. Communications • Redundant communication systems • Emergency Responders • Satellite phones • 2-way radios • Cell phones • Ham radios • Nursing Staff • Regular phones • Vocera • Red phones – located at the Nursing (Communication) station on patient unit

21. How do we make sure we’re prepared for a disaster?

22. Mechanisms • Drills • Exercises • Tracers • Live Events

23. Thank You! Questions? ?