Hospital Evacuation Plan

1. Hospital Evacuation Plan Managing theWorst-Case Scenario

2. Why Do We Need a Plan? • Joint Commission Requirements • Safety of our patients • When the environment cannot support care, treatment, and services • Continuity of care • Element of preparation

3. Activation Levels • Level 1 – Alert for potential evacuation • Level 2 – Limited area / horizontal • Level 3 – Limited area / vertical • Level 4A – Large area / building • Level 4B – Entire single campus • East or West • Level 4C – Entire Longwood Area Evacuation • Both East and West Campuses

4. Types of Evacuation • Emergency Evacuation-Fire, Explosion • Immediate departuredue to life or safety threat • Urgent Evacuation-Flood, Utility Failure • Commence within four hours • Planned Evacuation • At least 48 hoursto prepare 4 4

5. Job Action Sheet Job Action Sheet Job Action Sheet Job Action Sheet GO Pouch Patient Form GO Kit GO Kits • Unit / Team Leader vests • Clipboards / checklists • Mobility triage tape • GO pouches • Re-sealable medication bags • Chemical light sticks • Chalk / tape for evacuation marking • Pens / markers

6. Horizontal Movement Team Unit Holding Area Vertical Movement Team Loading Area Transport To Onward Destination Patient Movement Flow • Horizontal movement • From unit to Patient Holding Area • Horizontal Movement Team • Vertical movement • From Holding Area to Patient Loading Area • Vertical Movement Team • Patient loading • Movement to onward destination • Placement at onward destination

7. Patient Mobility Levels • Ambulatory • Wheelchair • Non-Ambulatory • Lowest acuity • Moderate acuity • Critical care • Interrupted procedure • Arm-carry • Behavioral Health

8. Patient Movement Sequencing • By mobility level • Focus on efficiency • First, move the ambulatory • Ambulatory elderly and behavioral health may be moved faster as wheelchair patients • Discharge-eligible patients • Wheelchair patients • Non-ambulatory patients • From lowest to highest acuity

9. Evacuation Sleds • NO LIFTING. Uses roll and drag method only. • Stairwell braking system for safe mobilization of lightweight or heavier patients by any staff member. • Allows for all staff to be utilized in an evacuation. • Regular sled (36x87 in), holds 800lbs • Bariatric sled (48x87 in), holds 800lbs • Compact and durable -- efficient storage options. • helps protect person while transporting. • holds IV bags, oxygen • and other small devices. • Stored on each floor and in distribution

10. MedSled

11. Special Situations & Critical Care • Mothers and babies together • Specialty care patients • Airborne infectious isolation patients • Morbidly obese patients • Ventilated patients • Orthopedic w/equipment • Patients undergoing procedures

12. Staff Assignments • On-duty personnel remain until released • Manpower is allocated by the Command Center

13. What is Your Role?

14. Evacuation Management -Personnel Staging Team -Vehicle Staging Team -Equipment/Supply Staging Team -Medication Staging Team

15. Maintaining Continuity of Care • Clinical staff • Equipment and supplies • Surge Area Supply Cart • Oxygen • Biomedical equipment • Supplies, linen, portable lighting • Patient comfort and privacy items

16. Emergency Response Manual Now On-line Emergency Response Manual now on the portal in PPGD Emergency Response Manual

17. Questions??