HAYwood REGIONAL MEDICAL CENTER Electrical Fire & Hospital Evacuation

1. NC Emergency Management Association Conference Greg Shuping- Haywood County Emergency Management Marty Stamey- Hospital Operations & Emergency Management HAYwood REGIONAL MEDICAL CENTERElectrical Fire& Hospital Evacuation

2. Hospital Demographics • Main Structure- 7 Story, 190,000sf • 169 Bed Facility • 17 Bed Emergency Department • 16 Bed Behavioral Health Unit • County Population 60,000

3. Hospital Census Prior to the FIRE TOTAL- 75 • PCU- 16 • ICU- 3 • Women’s Care- 4 • Active Labor- 2 • Med Surg.- 18 • BHU- 16 • ED- 16 • IVC- 4

4. June 19, 2014 • 18:28 • Pull Station Fire Alarm received at the 911 Center. • Upgraded to a full alarm assignment based on multiple callers reporting heavy smoke from the electrical room. • 18:33 • First units arrive, smoke showing from rear loading dock area.

5. June 19th, 2014 • Incident Command established by Fire Department • Hospital, EM, EMS, Law Enforcement leadership at the command post to ensure effective decision-making. • Accountability an issue with such a large building. • High stress and chaotic environment for the first 15-30 minutes.

7. June 19, 2014 • 18:53 • Fire Under Control • Small Fire confined to the Electrical Room area, but with HUGE consequences to Hospital Operations. • Additional Hospital administration arriving. • Hospital Command Post established in another building behind the main structure. • 19:30 • H.I.C.S. established and initial briefing given by Hospital CEO. • Fire Department returns control of the building back to Hospital Administration.

9. Initial Response Highlights • Initial Response Command Post already identified in response plans and exercises. • We had recently conducted a disaster drill at the hospital! • Immediate notification of County Emergency Management & EMS performed upon notification of “smoke showing”. • Allowed a good transition from first responders to hospital administration control. • Incident occurred after most scheduled surgeries and other outpatient services were complete.

10. 19:40 • Emergency Department Diversion • 20:25 • Code Black- Power Failure • 20:33 • Code Silver- Patient Evacuation Decision • 21:45 • EMS resources on scene • 11 units • Buncombe County Mass Casualty Bus on Standby.

11. Hospital Evacuation • Immediate Evacuation vs. Phased Evacuation • Decision to completely evacuate at 20:45 • Evacuation Numbers/Destinations • Harris- 18 adults, 2 newborns, 4 BHU • Mission- 2 acute adults & 7 from ED • Homestead- 1 • 13 Remaining BHU patients to Rutherfordton, Balsam Center and Kings Mountain • 25 patients discharged

12. Hospital Evacuation • Notification to area hospitals of a FULL DIVERSION • Public and Family Notifications (perception issues) • EMS resource management- All patients & staff moved by 03:10 hours the following morning. • Final BHU patient evacuations complete at 08:00 hours.

13. 1 meg generator to power 500 ton chiller

14. 2- 2 meg generators on scene to power the hospital

15. The NEXT MORNING • Establishing a mobile Emergency Department in the parking lot. • Resources needed to make this happen? • Mobile Tractor Trailer units (SMAT, MED 1, etc.) • Additional supporting tents (SMAT, DPR cache, etc.) • Restrooms, medical supplies, pharmacy, X-ray, labs, etc. • SIGNS • Public Information • Emergency Lighting • Staffing • 06:10- Decision to deploy MED-1

19. Relationships Prior to the Incident • Local Emergency Planning Committee • Monthly Emergency Services team meetings with hospital administration • Multiple Exercises and consolidated training throughout the years. • Attrition at Hospitals, especially in key positions.

22. Completely out of main hospital for 3 weeks. • June 19- July 8- 12 hour operational periods at the command post. • August 17- Final electrical testing and return of primary hospital power. External support demobilized. • August 22- Hospital ICS terminated.

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32. Overall Score for Incident from Internal Responses 3.74

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39. Overall Score for Incident from External Responses 4.47

40. Haywood Regional Medical Center Questions marty.stamey@haymed.org 828-400-4812 gshuping@haywoodnc.net 828-508-8387 Thank You!