Hospital disaster plan template

Work with RHC to notify other hospitals and healthcare facilities in the regional hospital coalition of a need to activate Crisis Standard of Care plans. Notify jurisdictional emergency management and public health of the situation via their metropolitan area coordinators. Establish a Multi-Agency Coordination Group including the above agencies and including participating in a Joint Public Information Center to communicate the situation to the public. Short-term strategies: Short-term strategies to increase healthcare facility capacity should have been implemented.

Short-term measures usually do not require a systematic assessment of the standard of care being provided, particularly when they are designed to cope with resource shortages that will be quickly addressed e. Triage: In the early reactive phases of an event triage should be carried out by experienced clinicians emergency medicine, surgery, etc.

The IC should be aware of these activities and gather information on what can be done to rebalance resources to needs.

See long-term strategies below. The IC, in consultation with appropriate technical specialists and the medical care branch director critical care, nursing, respiratory care, other sources of specific information , may recommend strategies such as many of these elaborated in the surge capacity annex to the emergency operations plan.

Appropriate state declarations should occur to facilitate responses and protect responders. Planning cycles will be implemented by the incident commander. Strategies may include. Determine a preference list of providers e. At this point, the Incident Commander IC must incorporate a structured assessment of hospital services and resources for each operational period as part of the Incident Action Plan. The IC should examine the administrative and clinical adaptations needed based on the demands of the event.

Administrative, rather than clinical adaptations should be emphasized until no longer possible e. Incident commander IC recognizes that systematic clinical changes will be required over days to allocate scarce resources to those most likely to benefit.

Planning chief gathers any guidelines, epidemiologic information, resource information, and regional hospital information and schedules meeting or conference call with IC, Medical Care Branch Director, and designees to clinical care committee. Clinical care committee is convened by IC—membership may vary depending on event full committee may not be required in some situations—technical specialists may be the only members necessary to resolve specific issues or may be added to the committee per IC discretion :.

Community representative if possible—similar to Institutional Review Board role. Methods to meet patient care needs for example, use of noninvasive ventilation techniques, changes in med administration techniques, use of oral medications and fluids instead of intravenous, etc.

Use pre-event scarce resource guidance see Minnesota Department of Health scarce resources recommendations and adapt for the specifics of the event. Additional changes in staff responsibilities to allow specialized staff to redistribute workload for example, floor nurses provide basic ICU patient care while critical care nurses supervises these nurses and their patients or would incorporate other health care providers, lay providers, or family members.

Mechanism for reassessment of local and regional hospital efforts and strategies e. Assure that appropriate state declarations have been made, state department of health is aware of situation requiring proactive triage, and any appropriate provider protections have been invoked by the state.

Location of care triage of patients to critical care, floor care, off-site care, home based on disease severity. Assignment of resources which patients will receive resources in limited supply—ventilators, antitoxin, etc. Committee summarizes recommendations for care for next operational period and determines meeting and review cycles for subsequent periods e. Incident commander approves recommendations and integration into Incident Action Plan. Information is disseminated to inpatient services, outpatient services, RHC.

In select situations pandemic, for example triage decisions about access to specific, life-critical resources may have to be made when there are not enough devices to accommodate demand. Consideration should be given to whether there is any ability to temporize bag-valve manual ventilation, for example until the excess demand passes.

Should ongoing triage be necessary, continue with steps below:. Current inpatients, patients presenting to the hospital, and their family members are given verbal and printed information ED patients by the triage nurse in the ED with reinforcement by medical staff, inpatients by their primary nurse or physician explaining the situation and that resources may have to be reallocated, even once assigned, in order to provide the care to those that will most benefit.

Access controls should be implemented. Consider single entrance to hospital with metal detectors and community law enforcement support.

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