ALTERNATE CARE SITERANAY STORMS, RNAV CO-LEADER

ASSESS YOUR SITE DOES IT HAVE THE NECESSARY INFRSTRUCTURE

DOOR WIDTH- 46 “ FOR STRETCHERS? LOADING DOCK HVAC WATER PARKING/ACCESSABILITY FOR AMBULANCES AND

HELICOPTERS TOILET/HANDWASH/ SHOWER FACILITIES ADA COMPLIANT BACKUP GENERATOR ADEQUATE LIGHTING ELECTRICAL

ASSESS THE LAYOUT FOOD PREP AREA ISOLATION AREA STAFF REST AREA REGISTRATION AREA TRAIGE AREA ASSESS THE TRAFFIC FLOW THRU THE

SITE

COMMUNICATIONS TELEPHONE CELL PHONE INTERNET HAM RADIO 2 WAY RADIO AWIN RADIO TELEVISION WITH SATELLITE OR CABLE

OTHER CONSIDERATIONS CAN YOU LOCK DOWN THE FACILITY IS THERE A PLACE TO SECURELY STORE

CONTROLLED SUBSTANCES HOW WILL YOU HANDLE BIOHAZARD

AND WASTE DISPOSAL 24/7 POINT OF CONTACT AND ACCESS

EVALUATE WHAT WOULD BE THE BEST USE OF THE

SITE CRITICAL CARE ISOLATION SITE MEDICAL SURGE GENERAL NON-MEDICAL SHELTER ONLY OR IS IT INNAPPROPRIATE FOR USE AS AN

ACS

COORDINATE WITH COMMUNITY PARTNERS LOCAL, STATE AND FEDERAL

ORGANIZATIONS LAW ENFORCEMENT COUNTY OFFICE OF EMERGENCY

MANAGEMENT PUBLIC HEALTH NATIONAL GUARD

VOLUNTEER ORGANIZATIONS COMMUNITY EMERGENCY RESPONSE

TEAMS –CERT MEDICAL RESERVE CORPS-MRC RED CROSS-( HAS A VERY GOOD

SHELTER COURSE AND CAN PROVIDE FOOD AND COTS, ECT)

SALVATION ARMY

COMMERCIAL ORGANIZATIONS & BUSINESS PARTNERS AIRPORTS COMMUNICATION COMPANIES BIG BOX STORES PUBLIC WORKS/UTILITIY COMPANIES RESTAURANTS, CATERERS PUBLIC TRANSPORTATION VETERINARIANS

COMMUNITY ORGANIZATIONS FAITH BASED ORGANIZATIONS SCHOOLS HAM RADIO CLUBS

BEHAVIORAL HEALTH ENGAGE BEHAVIORAL HEALTH

RESOURCES FOR THE PATIENTS IN THE SHELTER FOR THE STAFF TO ALLOW

DECOMPRESSION FROM THE EVENT

ACS CAPABILITIES WHAT CAN YOU BRING TO THE ACS?

RESPIRATORY THERAPY PORTABLE O2, BIPAP, PORTABLE VENTS ABG’S INHALERS LAB STAB LAB—GLUCOSE, CREATININE, SPUN

HEMATOCRIT, OTHERS? RADIOLOGY

PORTABLE X RAY AND VIEWING

ACS CAPABILITIES STOCKPILED SUPPLIES AND EQUIPMENT

COTS LINENS SCRUBS MEDICAL SUPPLIES

CASTING SUPPLIES AMBU BAGS SUTURING SUPPLIES PHARMACEUTICALS (SECURE/REFRIGERATED

STORAGE)

ACS CAPABILITIES CONSIDER WORKING WITH YOUR COMMUNITY

PARTNERS TO PRE-STAGE CACHES OF SUPPLIES AND EQUIPMENT AT YOUR CHOSEN ACS.

MAINTAIN INVENTORY AND SUPPLY LISTS TO FACILITATE CHARGING AND RESTOCKING

CONSIDER STORAGE NEEDS SUCH AS HEATING / COOLING AND A DRY ENVIRONMENT

CONSIDER STAFF/SUPPLY AND EQUIPMENT TRANSPORT NEEDS

STAFF CONSIDERATIONS LOOK AT STAFFING LEVELS AND

REQUIREMENTS FOR THE ACS BEFORE YOU NEED IT. REACH OUT TO CLINICS, NURSING HOMES, RETIRED NURSES AND PUBLIC HEALTH, FOR ADDITIONAL STAFF

ESTABLISH CREDENTIALING CRITERIA, CREATE AND STANDARDIZE THE FORMS. (PHOTO ID, CURRENT LICENSE, DECLARED COMPETENCIES, ECT)

STAFF CONSIDERATIONS MAKE ARRANGEMENTS FOR CHILD AND PET CARE FOR YOUR

STAFF FACILITATE COMMUNICATIONS BETWEEN STAFF AND THEIR

FAMILIES DESIGNATE STAFF REFRESHMENT, REST AND SLEEPING

AREAS FOR EXTENDED SHIFT STAFF ENCOURAGE YOUR STAFF TO HAVE AN EMERGENCY KIT READY

WITH PERSONAL CLOTHING ITEMS, MEDICATIONS AND TOILETRIES

ENCOURAGE YOUR STAFF TO MAKE AN EMERGENCY PLAN FOR THEIR FAMILY; WHO WILL CARE FOR CHILDREN, WHERE WILL THEY STAY, ECT. IN THE EVENT THE STAFF MEMBER BECOMES QUARANTINED OR MUST WORK AN EXTENDED SHIFT

STAFF CONSIDERATIONS PROVIDE TRAINING

TRIAGE-MOST NURSES HAVE NEVER DONE DISASTER TRIAGE

PRACTICE SETTING THE ACS UP / PROVIDE MAPS/TEMPLATES OF HOW TO SET UP THE ACS FOR PATIENT CARE

FOLLOW ICS TO MANAGE THE STAFF AT THE SITE/TRAIN YOUR STAFF ON ICS AND HICS

CONSIDER YOUR PATIENTS HOW WILL YOU REGISTER AND TRACK YOUR

PATIENTS THRU THE ACS AND ON TO OTHER FACILITIES

DEVELOP PT TRACKING FORMS WHICH CAN BE UTILIZED QUICKLY AND COLLECT AS MUCH PERTINENT INFORMATION AS POSSIBLE

CONSIDER BAR CODING TO ASSIST WITH IDENTIFICATION OF PATIENTS AND THEIR BELONGINGS

CONSIDER YOUR PATIENTS PROVIDE AS MUCH PRIVACY AS

POSSIBLE MAINTAIN CONFIDENTIALITY AS MUCH

AS POSSIBLE ASSIGN A PERSON TO FACILITATE

REUNITING/FINDING FAMILY MEMBERS INVITE THE CLERGY TO PROVIDE

EMOTIONAL AND SPRITUAL SUPPORT

RESOURCES CREATE A LIST OF AVAILABLE RESOURCES

WITH CONTACTS, KEEP THIS UPDATED AND ACCESSABLE TO EVERYONE IN YOUR ORGANIZATION.

KEEP AN UP TO DATE MOU WITH YOUR ACS PARTNER ON FILE AS WELL.

BECAUSE AS WE ALL KNOW DISASTERS NEVER HAPPEN WHEN WE ARE AT WORK, THEY HAPPEN WHEN WE ARE IN LITTLE ROCK AT A PREPAREDNESS CONFERENCE!

RESOURCES www.ahrq.gov

DISASTER ALTERNATE CARE FACILITY SELECTION TOOL

ALTERNATE CARE FACILITY PATIENT SELECTION TOOL

DISASTER ALTERNATE CARE FACILITIES: SELECTION AND OPERATION

RESOURCES www.bepreparedcalifornia.com

CALIFORNIA DEPARTMENT OF PUBLIC HEALTH STANDARD AND GUIDELINES FOR HEALTHCARE SURGE DURING EMERGENCIES: GOVERNMENT-AUTHORIZED ALTERNATE CARE SITE OPERATIONAL TOOLS MANUAL