hospital evacuation plan
DESCRIPTION
Hospital Evacuation Plan. Managing the Worst-Case Scenario. Why Do We Need a Plan?. Joint Commission Requirements Safety of our patients When the environment cannot support care, treatment, and services Continuity of care Element of preparation. Activation Levels. - PowerPoint PPT PresentationTRANSCRIPT
Hospital Hospital Evacuation PlanEvacuation Plan
Managing theManaging theWorst-Case Worst-Case
ScenarioScenario
Why Do We Need a Plan?Why Do We Need a Plan?
Joint Commission RequirementsJoint Commission Requirements Safety of our patientsSafety of our patients When the environment cannot When the environment cannot
supportsupport care, treatment, and services care, treatment, and services
Continuity of careContinuity of care
Element of preparationElement of preparation
Activation LevelsActivation Levels
Level 1 – Alert for potential evacuationLevel 1 – Alert for potential evacuation
Level 2 – Limited area / horizontalLevel 2 – Limited area / horizontal
Level 3 – Limited area / verticalLevel 3 – Limited area / vertical
Level 4A – Large area / buildingLevel 4A – Large area / building
Level 4B – Entire single campusLevel 4B – Entire single campus– East or WestEast or West
Level 4C – Entire Longwood Area Evacuation Level 4C – Entire Longwood Area Evacuation – Both East and West CampusesBoth East and West Campuses
Types of EvacuationTypes of Evacuation
Emergency EvacuationEmergency Evacuation--Fire, ExplosionFire, Explosion
– Immediate departureImmediate departuredue to life or safety threatdue to life or safety threat
Urgent EvacuationUrgent Evacuation--Flood, Utility FailureFlood, Utility Failure
– Commence within four hoursCommence within four hours Planned EvacuationPlanned Evacuation
– At least 48 hoursAt least 48 hoursto prepareto prepare
4
4
GO KitsGO Kits Unit / Team Leader vestsUnit / Team Leader vests Clipboards / checklistsClipboards / checklists Mobility triage tapeMobility triage tape GO pouchesGO pouches Re-sealable medication Re-sealable medication
bagsbags Chemical light sticksChemical light sticks Chalk / tape for Chalk / tape for
evacuation markingevacuation marking Pens / markersPens / markers
Job Action Sheet
Job Action Sheet
Job Action Sheet
Job Action Sheet
GO PouchGO Pouch
Patient Form
GO KitGO Kit
Patient Movement FlowPatient Movement Flow Horizontal movementHorizontal movement
– From unit to Patient Holding AreaFrom unit to Patient Holding Area– Horizontal Movement TeamHorizontal Movement Team
Vertical movementVertical movement– From Holding Area to Patient Loading AreaFrom Holding Area to Patient Loading Area– Vertical Movement TeamVertical Movement Team
Patient loadingPatient loading Movement to onward destinationMovement to onward destination Placement at onward destinationPlacement at onward destination
UnitHorizontal Movement
Team
Holding Area
Vertical Movement
Team
Loading Area
Transport To Onward
Destination
Patient Mobility LevelsPatient Mobility Levels AmbulatoryAmbulatory WheelchairWheelchair Non-AmbulatoryNon-Ambulatory
– Lowest acuityLowest acuity– Moderate acuityModerate acuity– Critical careCritical care– Interrupted Interrupted
procedureprocedure– Arm-carryArm-carry
Behavioral HealthBehavioral Health
Patient Movement Patient Movement SequencingSequencing
By mobility levelBy mobility level Focus on efficiencyFocus on efficiency First, move the ambulatoryFirst, move the ambulatory
– Ambulatory elderly and behavioral health may be Ambulatory elderly and behavioral health may be moved faster as wheelchair patientsmoved faster as wheelchair patients
Discharge-eligible patientsDischarge-eligible patients Wheelchair patientsWheelchair patients Non-ambulatory patientsNon-ambulatory patients
– From lowest to highest acuityFrom lowest to highest acuity
Evacuation SledsEvacuation Sleds
NO LIFTING. NO LIFTING. Uses roll and drag method only.Uses roll and drag method only.– Stairwell braking system for safe mobilization of Stairwell braking system for safe mobilization of
lightweight or heavier patients by any staff member.lightweight or heavier patients by any staff member. Allows for all staff to be utilized in an evacuation.Allows for all staff to be utilized in an evacuation. Regular sled (36x87 in), holds 800lbsRegular sled (36x87 in), holds 800lbs Bariatric sled (48x87 in), holds 800lbsBariatric sled (48x87 in), holds 800lbs Compact and durable -- efficient storage options.Compact and durable -- efficient storage options.
helps protect person while transporting.helps protect person while transporting. holds IV bags, oxygenholds IV bags, oxygen and other small devices.and other small devices. Stored on each floor and in distributionStored on each floor and in distribution
MedSledMedSled
Special Situations & Special Situations & Critical CareCritical Care
Mothers and babies togetherMothers and babies together Specialty care patientsSpecialty care patients Airborne infectious isolation patientsAirborne infectious isolation patients Morbidly obese patientsMorbidly obese patients Ventilated patientsVentilated patients Orthopedic w/equipmentOrthopedic w/equipment Patients undergoing proceduresPatients undergoing procedures
Staff AssignmentsStaff Assignments On-duty personnel remain until releasedOn-duty personnel remain until released
Manpower is allocated by the Command CenterManpower is allocated by the Command Center
What is Your Role?What is Your Role?
EvacuatioEvacuation n
ManagemManagementent
Incident Command
Operations Section Chief
Medical Care Branch Director Security Branch Director
Staging Manager
Evacuation Branch Director
Inpatient UL
Patient Tracking UL
Access Control UL
Crowd Control UL
Traffic Control UL
Law Enforcement Interface
Horizontal Movement UL
Patient Holding UL
Vertical Movement UL
Patient Loading UL
Tracking/Accountability UL
-Personnel Staging Team-Vehicle Staging Team-Equipment/Supply Staging Team-Medication Staging Team
Maintaining Continuity of Maintaining Continuity of CareCare
Clinical staffClinical staff Equipment and suppliesEquipment and supplies
– Surge Area Supply CartSurge Area Supply Cart– OxygenOxygen– Biomedical equipmentBiomedical equipment– Supplies, linen, portable lightingSupplies, linen, portable lighting– Patient comfort and privacy itemsPatient comfort and privacy items
Emergency Response Emergency Response Manual Manual
Now On-lineNow On-lineEmergency Response Manual now on the portal in PPGDEmergency Response Manual now on the portal in PPGD
Emergency Response ManualEmergency Response Manual