Transcript Barnes-Jewish Hospital Vertical Evacuation Team 2/15/2007

Second National Emergency
Management Summit
Full Building
Evacuation
Presented by: Scott Aronson, MS
Principal  860-793-8600
[email protected]
Evacuation From a
Healthcare Facility Is the
EXCEPTION, Not the Rule
It Could Be More
Dangerous
However, “Just in Case”
 2007 CA Wildfires
 2006 MA and NY hospitals & nursing homes
 2005 Hurricanes Katrina & Rita
 2004 Florida Hurricanes
Preplanned Methodology
 Prepare patients within units / departments
 Move to an internal Holding Area
 Transport from the Holding Area to
receiving facilities, or discharge
Key Components of the Plan
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Activation of FBE Plan – Staff Awareness
Activation of a Labor Pool
Establishment of Internal Holding Areas
Coordination of Transportation (internal &
external)
Patient Preparation on Units
Evacuation Path of Travel
Determination of Receiving Sites
Patient Tracking (internal and external)
Decision Making
 Full Building Evacuation or Internal “Surge/Relocation”
 Should staff call-backs go into effect (remember staff
burnout)?
 Are we transporting directly to EMS transports or can
internal Holding Areas be utilized to stabilize and track?
 Is this a regional incident or are we going to have local
and state assets supporting us?
 Is the building infrastructure impacted (earthquake,
flooding, internal explosion, no power)
 How does this affect means of travel? Vertical?
 Are area healthcare facilities prepared for a surge?
Was this initial thinking just completed
without Incident Command in place?
Patient Preparation – On Unit
 Complete top portion of the Patient Evacuation
Tracking Form
 Department-specific Plan should include:
 Package chart (including MAR, face sheet & nursing notes)
– customized for unique records in depts. – i.e. baby chart
 Package with personal belongings (i.e. glasses, dentures,
hearing aids, etc.)
 Evacuation Stairs and Elevators specific to the unit
 Medications and Supplies that MUST go
 Special Considerations:
 Intra-aortic Balloon Pump Patient
 Ventricular Assist Device Patient
 Non-ambulatory Bariatric Patient
 Special Precautions
 Staff to Patient Ratio (suicide risk; aggressive/violent; complex
equipment)
Holding Areas
PATIENT ACUITY
LEVEL
HOLDING AREA
LOCATION
PATIENT PICK-UP
LOCATION
Red (High Acuity)
PACU
ASU Entrance
Yellow
(Mid
Acuity)
ED
ED Ambulance Bay
Green
(Low Acuity)
Cardiac Rehab
North Entrance
Stay on Unit and go
direct to Transport
(Back-up is
Outpatient Gym)
Main Lobby
Entrance
Behavioral
 Holding Areas cleared prior to evacuation initiating
Green
Holding
Pick-up
Behavioral
Holding Pickup
Yellow
Holding
Pick-up
Red Holding
Pick-up
Police Roadblock
Bus Staging – Blessed Sacrament
Church - Roberts Street
Ambulance Staging – Opticom
Parking Lot - Grand Ave.
Priority of Evacuation
 Consider:
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Ambulatory
Non-ambulatory, low to mid acuity (stable)
Non-ambulatory, high acuity/high intensity
Non-ambulatory, unstable high acuity/high
intensity/non-ambulatory bariatric
 Consider (Behavioral Health):
 Low Risk
 High Risk - Suicidal
 High Risk – Aggressive
 Consider bypassing the Holding Area with those that
should not be mixed with the general population
Once a Unit is Evacuated
 Once evacuation of the unit / department is
completed
 Check unit / department to ensure evacuation is
complete – YELLOW TAGS
 Account for all staff
 Direct all staff to report to the Labor Pool (or they
may be leaving with patients)
 Report evacuation status to the Command Center
and the Holding Area
 Deliver Patient Destination form to Command
Center