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Ebola Preparedness at Palmetto Health

Ebola Preparedness at Palmetto Health. Jay Hamm, RN, FACHE, COO/Acute Care Executive Steve Shelton, MD, Medical Director EM Eric Brown, MD, Physician Executive. Preparedness Infrastructure. Leadership Team COO/System Executive Physician Executive Chief Nursing Officer

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Ebola Preparedness at Palmetto Health

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  1. Ebola Preparedness at Palmetto Health Jay Hamm, RN, FACHE, COO/Acute Care Executive Steve Shelton, MD, Medical Director EM Eric Brown, MD, Physician Executive

  2. Preparedness Infrastructure • Leadership Team • COO/System Executive • Physician Executive • Chief Nursing Officer • Medical Director, Emergency Preparedness • System Director, Emergency Preparedness • Safety Manager • Administrator on Duty • Infection Control • Hospital Epidemiologist

  3. Steering Committee • All Leadership Team as well as… • Education • Campus Executive Team Members • System VPs, Ancillary & Support Services • Outpatient Clinic Representatives • Emergency Management • Key Physician Leaders • Chief of Infectious Disease • Patient Placement • Medical Transport • Human Resources • Supply Chain • Regulatory Compliance Officer • Public Information Officer

  4. Operational & Communication Strategy • Daily morning briefing • Daily leadership briefing • Daily Hospital & System Safety Huddles • Weekly Steering Committee Meetings • Regular Participation in Community, Regional, and National Forums • Additional Communication Strategies: • Town Hall Forums • Executive Briefings • Digital Updates and Announcements

  5. Operational Plan Follow recommendations by CDC/SCDHEC • Detect • Protect • Respond

  6. Detect • Evaluating and protecting points of entry • Front line staff preparedness: • Emergency Department/ Urgent Care Centers • Alternate Points of Entry, Lab Draw Stations, Radiology etc • Physician Practices and Ambulatory Care Clinics • Screening tools: • EMR hard stops and prompts • Custom built ambulatory screening procedures • Appointment Screening for clinical criteria • Checklist For Patients being evaluated for Ebola Virus at PH • CDC algorithm for evaluation of Return traveler • Posters and Signage • All points of entry

  7. Protect • Employees, patients, people in the community entering the hospital • Protocols for wearing Personal Protective Equipment (PPE) and having appropriate PPE available • Re-Training of Donning/Doffing of PPE • Standard, contact, droplet precautions • Educational Training Video • Team dedicated to respond • PPE deployed to all EDs, Urgent Care, Transport, Physician Practices, and Ambulatory Care Sites • Stockpiled PPE supply • System simulation exercises • Limiting number of HCW and visitors entering the room

  8. Protect: Personal Protective Equipment

  9. Protect: ED Isolation Rooms • Designated rooms/area for treating suspected/probable/confirmed case of Ebola

  10. Protect: 9 West Isolation Unit

  11. Protect • Limiting and protocols for transport of patient within hospital • Protocols for safe handling of patient specimen by laboratory personnel • Protocols for safe handling of contaminated/infectious material by waste management • Safety measures and protocols for EVS workers • Keeping up to date with recommendations by CDC/DHEC

  12. Respond • Once suspected case is detected; • Patients will be masked and moved to the designated isolation room with door closed. • At the hospitals, contact: • AOD/Infection Control/Emergency Management • SC DHEC • Ambulatory Care and physician practices, contact: • AOD/Infection Control/Emergency Management/Transport • SC DHEC

  13. Case Study • Suspect patient • Isolation • Remote assessment • DHEC / CDC • PPE • Flu swab & Lab tests? • How much care? • When do we move?

  14. QUESTIONS?

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