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Super Storm Sandy 2012

Super Storm Sandy 2012. Robin Haag Coney Island Hospital Infection Control Department. We Need a Favor. Park Slope Armory Medical Needs Shelter 200 beds Rockaway LTC Facilities Evacuated Nursing Homes Group Homes Assisted Living NYCDOH MH Concerned Diarrhea outbreak

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Super Storm Sandy 2012

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  1. Super Storm Sandy 2012 Robin Haag Coney Island Hospital Infection Control Department

  2. We Need a Favor • Park Slope Armory • Medical Needs Shelter • 200 beds • Rockaway LTC Facilities Evacuated • Nursing Homes • Group Homes • Assisted Living • NYCDOH MH Concerned • Diarrhea outbreak • Non medical shelter

  3. Park Slope Armory

  4. Where To Begin? Infection Control 101 Infection Control 102 Medical Care Rounds Identifying the ill Isolation Patient Rights Staff Safety Donations Clothing Bed bugs • Limited capacity patients • Sanitary Conditions • Personal Hygiene • Hand Hygiene • Bathrooms • Food Safety • Spacing of Cots • Non medical volunteers

  5. Personal Hygiene • Limited capacity patients • Limited to no privacy • Incontinent patients • No showers • Hourly bathroom cleaning • Cleaning products • Sinks • Designated sinks as bathtubs • Hand hygiene • Bathroom Monitors

  6. Food Safety • Conflicting information • Food handling • Temperature • Gloves/Aprons/Nets • No refrigeration • Patients • Staff • Multiple sources • Erratic delivery • Food Lines • Hand hygiene • Eating on cots

  7. General Safety • LTC Staff • Volunteers • Orientation • Competing agency agendas • DOH • HHC • FEMA • DMAT • Communication • Joint rounding • Meetings • Patient separation • Facility • Cots • Behavioral health • Medically ill • Donations • Stock variation • Cleaning and hygiene • Clothing • Itching rounds • Pet therapy

  8. Wellness

  9. Back at the Ranch Losses • Main Hospital Building including Operating Rooms, Labor & Delivery, Laboratory, Radiological, Outpatient, Pharmaceutical and Food Services • Emergency Department (Adult, Pediatric and Behavioral Health) • Tower Building (Inpatient Services) • Hammett Pavilion (Behavioral Health Inpatient/Outpatient) • Power Plant and Engineering Services • FDNY-EMS Battalion Station and Repair Facilities • All Administrative Buildings including Human Resources, Financial and Administrative (clinical and non-clinical support) Services • Ida G. Israel Community Health Center totally destroyed

  10. Utility Losses • Approximately 250 different mechanical systems including: • Electrical distribution • Fuel, water, oxygen, medical gas and air pumps • Ejector pumps for storm drainage • Communications systems failure (primary, secondary and tertiary systems) • Primary IT and security network equipment

  11. Main Building

  12. Ida Israel

  13. That Does Not Kill Us……..

  14. Before and After

  15. Preparing for the Future • Long term solutions are required to avoid future evacuations • Perimeter of campus needs to be protected from 3 nearby waterways • Emergency Department and all critical support services including imaging equipment must be moved from 1st Floor and repositioned to a new structure • Placement of critical hospital systems (medical gases, oxygen, air pumps), electrical and mechanical systems must be at significantly higher levels • Replace pumps and motors with submarine type electrical cabling and submersible pumps

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