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Hospital Emergency Preparedness “Where we have been and Where We are Going”. Greg Carter Director, Infection Control & BT Coordinator, Reid Hospital & Health Care Services. OUTLINE. I. Pre and Post 9/11 Hospital Emergency Preparedness. A. Pre 9/11 B. Post 9/11
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Hospital Emergency Preparedness“Where we have been and Where We are Going” Greg Carter Director, Infection Control & BT Coordinator, Reid Hospital & Health Care Services
OUTLINE I. Pre and Post 9/11 Hospital Emergency Preparedness. A. Pre 9/11 B. Post 9/11 • Overview of Hospital Pandemic Preparedness
OBJECTIVES • Identify hospital emergency preparedness, pre and post 9/11, and a need for a unified command structure. • Identify needed checklist for the development of a hospital Pandemic Influenza Plan.
Internal/External Disasters
The term “hospital preparedness” is a catch-all phrase, covering a multitude of medical and non-medical disaster management.Healthcare Organizations such as (JCAHO), (HFAP), (Federal & state licensing agencies) mandates specific standards for hospital preparedness.
Hospitals now receive Federal Grant money specifically for hospital emergency preparedness.
While each institution is mandated to develop their own emergency plans, they have to develop those plans using specific elements which are universally applicable and accepted by multiple agencies all using a common language.
Prior to September 11, 2001, hospital preparedness focused on either natural or unintentional man-made mass accidents.Some hospital plans were very generalized and usually not communicated and/or shared with other healthcare institutions including federal, state, or local agencies.
Most agencies were not free with sharing information with hospitals and did not work well together, even within their own agency, much less with others!“Turf Wars”
Most government agencies were very siloed. They did not share valuable information even when working on the same case. DEA FBI Border Patrol CIA Coast Guard
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The P10 Underground Bomb Shelter's hatch dome is impervious to intruders
Pre 9/11 • Few Hospitals and other health related facilities had no comprehensive emergency management plan addressing terrorism, bioterrorism and pandemics. Mainly natural disasters. • Little or no communications with outside agencies such as fire departments, law enforcement, FBI, etc., • Very few hospital employees trained on incident command and unified command structure and language.
Pre 9/11 • Many of us thought things like terrorism, bioterrorism, and pandemics were things that happened “over there”, or we read about it in Sci-Fi books. • Things the military, CDC, or WHO took care of.
Pre 9/11 • Fire, ambulance and law enforcement always responded to incidents involving mass casualties, whether natural or man-made and we sat home watching it on TV. • Most communities rarely experienced an incident that overwhelmed their resources or tested other aspects of their disaster response planning and training.