Transcript jhamm_sshelton_ebrown_palmetto_health_preparedness

Jay Hamm, RN, FACHE, COO/Acute Care Executive
Steve Shelton, MD, Medical Director EM
Eric Brown, MD, Physician Executive
Preparedness Infrastructure
Leadership Team
 COO/System Executive
 Physician Executive
 Chief Nursing Officer
 Medical Director, Emergency Preparedness
 System Director, Emergency Preparedness
 Safety Manager
 Administrator on Duty
 Infection Control
 Hospital Epidemiologist
Steering Committee
All Leadership Team as well as…
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Education
Campus Executive Team Members
System VPs, Ancillary & Support Services
Outpatient Clinic Representatives
Emergency Management
Key Physician Leaders
Chief of Infectious Disease
Patient Placement
Medical Transport
Human Resources
Supply Chain
Regulatory Compliance Officer
Public Information Officer
Operational & Communication
Strategy
Daily morning briefing
Daily leadership briefing
Daily Hospital & System Safety Huddles
Weekly Steering Committee Meetings
Regular Participation in Community, Regional, and
National Forums
Additional Communication Strategies:
 Town Hall Forums
 Executive Briefings
 Digital Updates and Announcements
Operational Plan
Follow recommendations by
CDC/SCDHEC
•Detect
•Protect
•Respond
Detect
 Evaluating and protecting points of entry
 Front line staff preparedness:
 Emergency Department/ Urgent Care Centers
 Alternate Points of Entry, Lab Draw Stations, Radiology etc
 Physician Practices and Ambulatory Care Clinics
 Screening tools:
 EMR hard stops and prompts
 Custom built ambulatory screening procedures
 Appointment Screening for clinical criteria
 Checklist For Patients being evaluated for Ebola Virus at PH
 CDC algorithm for evaluation of Return traveler
 Posters and Signage
 All points of entry
Protect
 Employees, patients, people in the community
entering the hospital
 Protocols for wearing Personal Protective Equipment
(PPE) and having appropriate PPE available
 Re-Training of Donning/Doffing of PPE
 Standard, contact, droplet precautions
 Educational Training Video
 Team dedicated to respond
 PPE deployed to all EDs, Urgent Care, Transport,
Physician Practices, and Ambulatory Care Sites
 Stockpiled PPE supply
 System simulation exercises
 Limiting number of HCW and visitors entering the room
Protect: Personal Protective
Equipment
Protect: ED Isolation Rooms
 Designated rooms/area for treating
suspected/probable/confirmed case of Ebola
Protect: 9 West Isolation Unit
Protect
 Limiting and protocols for transport of patient
within hospital
 Protocols for safe handling of patient specimen
by laboratory personnel
 Protocols for safe handling of
contaminated/infectious material by waste
management
 Safety measures and protocols for EVS
workers
 Keeping up to date with recommendations by
CDC/DHEC
Respond
 Once suspected case is detected;
 Patients will be masked and moved to the
designated isolation room with door closed.
 At the hospitals, contact:
 AOD/Infection Control/Emergency Management
 SC DHEC
 Ambulatory Care and physician practices, contact:
 AOD/Infection Control/Emergency
Management/Transport
 SC DHEC
Case Study
Suspect patient
Isolation
Remote assessment
DHEC / CDC
PPE
Flu swab & Lab tests?
How much care?
When do we move?
QUESTIONS?