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Special Medical Support Shelters. Concept of Operations Provides safe refuge to evacuated medically fragile individuals who require medical services that: cannot be handled by Mass Care Shelters do not require hospitalization.
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Special Medical Support Shelters • Concept of Operations • Provides safe refuge to evacuated medically fragile individuals who require medical services that: • cannot be handled by Mass Care Shelters • do not require hospitalization. • Primarily individuals under Home Health care or being cared for by family • Aids in “decompressing” Hospitals
Special Medical Support Shelters • Functional Needs Support vs. SMSS • Mass Care Support/Medical Staff Augmented General Population Shelter • Community College vs. SMSS • Community College Plan reserved for catastrophic level events
Special Medical Support Shelters • What is an SMSS appropriate patient? • Many variables/considerations • Patient Matrix (WebEOC-File Library, SMSS) • Goal is three-fold • Allows General Population shelters to operate at full capability • Keeps Hospital bed-space available for critical needs • Provide best/most appropriate care to fragile population
Special Medical Support Shelters • Special Medical Support Shelter Packages • Type IV SMSS 10 bed • Type III SMSS 25 bed • Type II SMSS 50 bed • Type I SMSS 100 bed • 12 hours from Activation to 100% Operation
Special Medical Support Shelters • SMSS Components • Evaluation/Triage • Acute Care • Skilled Care (General Holding) • Hospice • Pediatrics • Memory Unit • Isolation
Special Medical Support Shelters • SMSS Support • Internal Services • Site Security, Logistics/Medical Resupply, Medical Staff, Pharmacy, Morgue • Contracted Services • Feeding • Waste Management
Special Medical Support Shelters • Special Medical Support Shelters established by NCEM/OEMS are State Paid/Supported • Concerted effort to identify support services prior to shelter activation • Limited expense to Host • Liaison for Social Services, Animal Control, Public Health, EMS, Hospital, Emergency Management
Special Medical Support Shelters • Current Sites with SMSS site plans • Walter B. Jones ADATC- Greenville, Pitt County • Smith Rec. Center- Fayetteville, Cumberland County • Robeson Community College, Lumberton • Lenoir Community College, Kinston
Risk County Considerations • Re-entry Inspection • Risk vs. Benefit • Companion Animals • Pharmaceuticals & DME • Transportation • Liaison
Special Medical Support Shelters • System expansion • Goal is at least one shelter per county • Submit site recommendations to Area Coordinators • 6,000+ square feet • Food Service Kitchen or nearby special diet services • Generator or Transfer Switch • Close proximity to a Hospital • Ease of access to major transport routes • Outside Floodplain • Site Survey (WebEOC-File Library, SMSS)
Special Medical Support Shelters Questions? NCEM ESF-8 Coordinator Todd Brown, Emergency Services Group Supervisor Office: 919.825.2259 Mobile: 919.622.8375 Email: Todd.Brown@ncdps.gov