pediatric planning resources minnesota department of health - oep april, 2013
TRANSCRIPT
Pediatric Planning ResourcesMinnesota Department of Health - OEP April, 2013
What’s the plan?
Primer
Template
Supporting appendices
Appendix
Pediatric Safe Area Checklist
Sample disaster menus
Behavioral health handout
Pediatric priorities poster
Pediatric referral resources
Hospital training matrix
Hospital training scenarios
Template pediatric MCI annex
JAS – Pediatric Technical Specialist
JAS – Pediatric Services Supervisor
JAS – Pediatric Safe Area Unit Leader
Safe area registry template
Registration form
Planning Assumptions
10 Steps – Facility Planning
Determine expertise among staff
Create staff leadership positions
Write a peds MCI annex
Training and Exercise plan
Equipment plan
Nutrition plan
Pharmaceutical plan
Security / safety needs addressed
Transfer / transport
Pediatric decontamination considerations
8 Steps – Regional Planning
Assess regional expertise and leadership
Determine training needs and support/resources
Assess regional capacity
Assess equipment needs / issues
Regional referral and transportation plan
Behavioral health resource assessment
Family Assistance Center concept of operations
Exercise plan
Regional Implementation
Regional roll-out
Educational offerings
Workshops
Partner facilities
Follow up
Trauma system
CO-S-TR – C4
Command
Control
Communications
Coordination
CO-S-TR - Logistics
SpaceTriageRedYellowGreen (ambulatory)Pediatric Safe AreaInpatient
CO-S-TR - Logistics
StaffWho has expertise / training?Who needs additional training?
Didactic – classes?Practical – classes? simulation?Refresher – emphasis on bedside,
brief, using usual equipmentJust-in-time
Stuff!
Based on AAP / ACEP guidelines
Per ‘red’ patient
Some equipment is per facility
Nothing too fancy!
Fits well with trauma preparedness / site visits
Pediatric Equipment
CO-S-TR - Logistics
Stuff (other)Beds / pack-n-playsPharmaceuticals
Potential for errors!Weight-based dosing
CO-S-TR LogisticsSpecial
Behavioral HealthFamily / Safe AreaInfectious DiseaseDecontamination
CO-S-TR - Operations
Triage
CO-S-TR - Operations
TreatmentOutpatient – release to pediatric safe
areaInpatient
Cohorting – kids with kids only!Priority transfer or pediatric-specific unit:
More serious injuries/illness Complex underlying diseases Age <8
CO-S-TR - Operations
TransportInternal
StretchersCar seats, cribs, etc.Supervision!
ExternalAmbulances – specialized, ALS/BLS,
rotor, fixed wingOther vehicles – school bus, cars with
car seats
CO-S-TR - Operations
TrackingRegistrationWristband
Purple - parentWhite – without parentBlue – belongs to staffPatient wristband may be used with
above
Appendix – Behavioral Health
Age <5
Age 6-11
Age 12-18
Handout – what to expect, when to seek help
Appendix - Template
Annex to the facility EOP
Pediatric Mass Casualty Plan
Pediatric Emergency Team (PET)
Appendix - JAS
Pediatric Technical Specialist
Pediatric Services Supervisor
Pediatric Safe Area Unit Leader
Appendix – Registry
Check-in, check-out
Registration