pediatric planning resources minnesota department of health - oep april, 2013

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Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

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Page 1: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

Pediatric Planning ResourcesMinnesota Department of Health - OEP April, 2013

Page 2: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

What’s the plan?

Primer

Template

Supporting appendices

Page 3: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

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

Page 4: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

Planning Assumptions

Page 5: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

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

Page 6: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

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

Page 7: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

Regional Implementation

Regional roll-out

Educational offerings

Workshops

Partner facilities

Follow up

Trauma system

Page 8: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

CO-S-TR – C4

Command

Control

Communications

Coordination

Page 9: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

CO-S-TR - Logistics

SpaceTriageRedYellowGreen (ambulatory)Pediatric Safe AreaInpatient

Page 10: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

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

Page 11: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

Stuff!

Based on AAP / ACEP guidelines

Per ‘red’ patient

Some equipment is per facility

Nothing too fancy!

Fits well with trauma preparedness / site visits

Page 12: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

Pediatric Equipment

Page 13: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013
Page 14: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

CO-S-TR - Logistics

Stuff (other)Beds / pack-n-playsPharmaceuticals

Potential for errors!Weight-based dosing

Page 15: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

CO-S-TR LogisticsSpecial

Behavioral HealthFamily / Safe AreaInfectious DiseaseDecontamination

Page 16: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013
Page 17: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

CO-S-TR - Operations

Triage

Page 18: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013
Page 19: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

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

Page 20: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

CO-S-TR - Operations

TransportInternal

StretchersCar seats, cribs, etc.Supervision!

ExternalAmbulances – specialized, ALS/BLS,

rotor, fixed wingOther vehicles – school bus, cars with

car seats

Page 21: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

CO-S-TR - Operations

TrackingRegistrationWristband

Purple - parentWhite – without parentBlue – belongs to staffPatient wristband may be used with

above

Page 22: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

Appendix – Behavioral Health

Age <5

Age 6-11

Age 12-18

Handout – what to expect, when to seek help

Page 23: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

Appendix - Template

Annex to the facility EOP

Pediatric Mass Casualty Plan

Pediatric Emergency Team (PET)

Page 24: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

Appendix - JAS

Pediatric Technical Specialist

Pediatric Services Supervisor

Pediatric Safe Area Unit Leader

Page 25: Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

Appendix – Registry

Check-in, check-out

Registration