Disaster Medical Hospital Control Adam Richards October 28, 2010

1. Disaster Medical Hospital ControlAdam RichardsOctober 28, 2010

2. Region 9 DMHC Implementation Procedure “Disaster Medical Hospital Control will make every effort to place patients initially at a facility most appropriately to care for them, and to avoid secondary transfer from facility to facility if possible.”

3. The trigger • Multiple ambulances dispatched to one incident • multi-unit housing structure fire • MVC- multiple vehicles or Haz-Mat situation • Public venue incident • Aircraft incident • Explosion or building collapse

4. The contact • From first responders: SFD, SVFD, SPD • Dispatch (AMR, CCC, SPD) • All Law Enforcement agencies • Incident Command • Local/Regional Hospitals • Department of Emergency Management • Public Health

5. The Decision Does this exceed the capacity or create a surge event for the immediate facilities affected? • Evaluate capacities locally/regionally • Initiate calls to nursing supervisors in local/regional hospitals to evaluate capacity • Initiate a blue line informational update on Ramses… an ALERT.

6. Start with the “ALERT” • Currently Region 9 is using RAMSES to create an alert for other hospitals. • Simultaneously; phone calls to the local/regionally affected hospitals will help determine the need for full activation of the DMHC

7. The DMHC Alert Call Data Sheet

8. Decision to activate… • Made by the Incident Command in conjunction with the DMHC • Based on the capacity of the locally affected hospitals • Size of event • Number of patients

9. The ACTIVATION • Once the decision to activate has been made then “Activation” will occur via the RAMSES system or WaTRAC. • Initiate an “All Call” on HEAR • Contact the Poison Control Center if Haz Mat is involved • Contact the Blood Bank (509)624-8591 • Initiate forward movement of patients

10. “All Call” on HEAR “This is Deaconess Medical Center your Disaster Medical Hospital Control calling all regional hospitals. This is a (drill or disaster). Do not use call letters until instructed to do so. (Briefly describe the disaster/drill.) Please acknowledge as your facility is called.”

11. DMHC needs during Disaster • Patience • A response if a Disaster alert “all call” is initiated. • An update on Ramses for bed availability • An update if you are not able to raise a subspecialist for your hospital (i.e. neurosurgery). • Communication with DMHC if you are exceeding your capacity

12. DMHC All Call Directory/Log

13. Capacity In a disaster situation when all hospitals have exceeded their capacity, it is known that DMCH will continue to send patients to them.

14. MCI Patient Triage/Destination List

15. What do we do? • Alert • Activate • Designate one person and a secretary if possible to be stationed at the HEAR Radio to initiate the “All Call.” • Connect with local/regional hospitals for a quick inventory of resources • Initiate Internal Disaster Protocol

16. Goals for DMHC • Have a yearly review of DMHC policy/procedure For updates in policy Changes in capabilities Educational purposes to stay current • Hot Wash large scale incidents • Train staff on off hours Create education for all staff that do not work the customary day shifts where the majority of practice takes place.