Transcript AlternateCareSitex

ALTERNATE
CARE SITE
RANAY STORMS, RN
AV CO-LEADER
ASSESS YOUR SITE

DOES IT HAVE THE NECESSARY INFRSTRUCTURE










DOOR WIDTH- 46 “ FOR STRETCHERS?
LOADING DOCK
HVAC
WATER
PARKING/ACCESSABILITY FOR AMBULANCES AND
HELICOPTERS
TOILET/HANDWASH/ SHOWER FACILITIES
ADA COMPLIANT
BACKUP GENERATOR
ADEQUATE LIGHTING
ELECTRICAL
ASSESS THE LAYOUT
 FOOD
PREP AREA
 ISOLATION AREA
 STAFF REST AREA
 REGISTRATION AREA
 TRAIGE AREA
 ASSESS THE TRAFFIC FLOW THRU THE SITE
COMMUNICATIONS
 TELEPHONE
 CELL
PHONE
 INTERNET
 HAM RADIO
 2 WAY RADIO
 AWIN RADIO
 TELEVISION WITH SATELLITE OR CABLE
OTHER CONSIDERATIONS
 CAN
YOU LOCK DOWN THE FACILITY
 IS THERE A PLACE TO SECURELY STORE
CONTROLLED SUBSTANCES
 HOW WILL YOU HANDLE BIOHAZARD AND
WASTE DISPOSAL
 24/7 POINT OF CONTACT AND ACCESS
EVALUATE
 WHAT





WOULD BE THE BEST USE OF THE SITE
CRITICAL CARE
ISOLATION SITE
MEDICAL SURGE
GENERAL NON-MEDICAL SHELTER ONLY
OR IS IT INNAPPROPRIATE FOR USE AS AN
ACS
COORDINATE WITH
COMMUNITY PARTNERS
 LOCAL,
STATE AND FEDERAL
ORGANIZATIONS




LAW ENFORCEMENT
COUNTY OFFICE OF EMERGENCY
MANAGEMENT
PUBLIC HEALTH
NATIONAL GUARD
VOLUNTEER ORGANIZATIONS
 COMMUNITY
EMERGENCY RESPONSE
TEAMS –CERT
 MEDICAL RESERVE CORPS-MRC
 RED CROSS-( HAS A VERY GOOD SHELTER
COURSE AND CAN PROVIDE FOOD AND
COTS, ECT)
 SALVATION ARMY
COMMERCIAL
ORGANIZATIONS & BUSINESS
PARTNERS
 AIRPORTS
 COMMUNICATION
 BIG
COMPANIES
BOX STORES
 PUBLIC WORKS/UTILITIY COMPANIES
 RESTAURANTS, CATERERS
 PUBLIC TRANSPORTATION
 VETERINARIANS
COMMUNITY ORGANIZATIONS
 FAITH
BASED ORGANIZATIONS
 SCHOOLS
 HAM RADIO CLUBS
BEHAVIORAL HEALTH
 ENGAGE


BEHAVIORAL HEALTH RESOURCES
FOR THE PATIENTS IN THE SHELTER
FOR THE STAFF TO ALLOW DECOMPRESSION
FROM THE EVENT
ACS CAPABILITIES
 WHAT

CAN YOU BRING TO THE ACS?
RESPIRATORY THERAPY
 PORTABLE
O2, BIPAP, PORTABLE VENTS
 ABG’S
 INHALERS
 LAB
 STAB
LAB—GLUCOSE, CREATININE, SPUN
HEMATOCRIT, OTHERS?
 RADIOLOGY

PORTABLE X RAY AND VIEWING
ACS CAPABILITIES

STOCKPILED SUPPLIES AND EQUIPMENT




COTS
LINENS
SCRUBS
MEDICAL SUPPLIES
CASTING SUPPLIES
 AMBU BAGS
 SUTURING SUPPLIES
 PHARMACEUTICALS (SECURE/REFRIGERATED
STORAGE)

ACS CAPABILITIES




CONSIDER WORKING WITH YOUR COMMUNITY
PARTNERS TO PRE-STAGE CACHES OF SUPPLIES
AND EQUIPMENT AT YOUR CHOSEN ACS.
MAINTAIN INVENTORY AND SUPPLY LISTS TO
FACILITATE CHARGING AND RESTOCKING
CONSIDER STORAGE NEEDS SUCH AS HEATING
/ COOLING AND A DRY ENVIRONMENT
CONSIDER STAFF/SUPPLY AND EQUIPMENT
TRANSPORT NEEDS
STAFF CONSIDERATIONS
 LOOK
AT STAFFING LEVELS AND
REQUIREMENTS FOR THE ACS BEFORE YOU
NEED IT. REACH OUT TO CLINICS, NURSING
HOMES, RETIRED NURSES AND PUBLIC
HEALTH, FOR ADDITIONAL STAFF
 ESTABLISH CREDENTIALING CRITERIA,
CREATE AND STANDARDIZE THE FORMS.
(PHOTO ID, CURRENT LICENSE, DECLARED
COMPETENCIES, ECT)
STAFF CONSIDERATIONS





MAKE ARRANGEMENTS FOR CHILD AND PET CARE FOR
YOUR STAFF
FACILITATE COMMUNICATIONS BETWEEN STAFF AND THEIR
FAMILIES
DESIGNATE STAFF REFRESHMENT, REST AND SLEEPING AREAS
FOR EXTENDED SHIFT STAFF
ENCOURAGE YOUR STAFF TO HAVE AN EMERGENCY KIT
READY WITH PERSONAL CLOTHING ITEMS, MEDICATIONS
AND TOILETRIES
ENCOURAGE YOUR STAFF TO MAKE AN EMERGENCY PLAN
FOR THEIR FAMILY; WHO WILL CARE FOR CHILDREN, WHERE
WILL THEY STAY, ECT. IN THE EVENT THE STAFF MEMBER
BECOMES QUARANTINED OR MUST WORK AN EXTENDED
SHIFT
STAFF CONSIDERATIONS
 PROVIDE



TRAINING
TRIAGE-MOST NURSES HAVE NEVER DONE
DISASTER TRIAGE
PRACTICE SETTING THE ACS UP / PROVIDE
MAPS/TEMPLATES OF HOW TO SET UP THE
ACS FOR PATIENT CARE
FOLLOW ICS TO MANAGE THE STAFF AT THE
SITE/TRAIN YOUR STAFF ON ICS AND HICS
CONSIDER YOUR PATIENTS



HOW WILL YOU REGISTER AND TRACK YOUR
PATIENTS THRU THE ACS AND ON TO OTHER
FACILITIES
DEVELOP PT TRACKING FORMS WHICH CAN BE
UTILIZED QUICKLY AND COLLECT AS MUCH
PERTINENT INFORMATION AS POSSIBLE
CONSIDER BAR CODING TO ASSIST WITH
IDENTIFICATION OF PATIENTS AND THEIR
BELONGINGS
CONSIDER YOUR PATIENTS
 PROVIDE
AS MUCH PRIVACY AS POSSIBLE
 MAINTAIN CONFIDENTIALITY AS MUCH AS
POSSIBLE
 ASSIGN A PERSON TO FACILITATE
REUNITING/FINDING FAMILY MEMBERS
 INVITE THE CLERGY TO PROVIDE
EMOTIONAL AND SPRITUAL SUPPORT
RESOURCES



CREATE A LIST OF AVAILABLE RESOURCES WITH
CONTACTS, KEEP THIS UPDATED AND
ACCESSABLE TO EVERYONE IN YOUR
ORGANIZATION.
KEEP AN UP TO DATE MOU WITH YOUR ACS
PARTNER ON FILE AS WELL.
BECAUSE AS WE ALL KNOW DISASTERS NEVER
HAPPEN WHEN WE ARE AT WORK, THEY
HAPPEN WHEN WE ARE IN LITTLE ROCK AT A
PREPAREDNESS CONFERENCE!
RESOURCES
 www.ahrq.gov



DISASTER ALTERNATE CARE FACILITY
SELECTION TOOL
ALTERNATE CARE FACILITY PATIENT
SELECTION TOOL
DISASTER ALTERNATE CARE FACILITIES:
SELECTION AND OPERATION
RESOURCES

www.bepreparedcalifornia.com
 CALIFORNIA
DEPARTMENT OF PUBLIC HEALTH
STANDARD AND GUIDELINES FOR HEALTHCARE
SURGE DURING EMERGENCIES: GOVERNMENTAUTHORIZED ALTERNATE CARE SITE
OPERATIONAL TOOLS MANUAL