DISASTER MANAGEMENT MANUAL

Transcription

1 Manitoba Renal Program DISASTER MANAGEMENT MANUAL Updated November 2017 manitoba renal program

2 Table of Contents Manitoba Renal Program Disaster Response Plan Policy... 3 Disaster Management Organizational Chart... 6 Task Plans Program Director Task Plan... 8 Administrative Assistant Task Plan Medical Director Task Plan Manager Renal Technology Task Plan HD Unit Evacuation Task Plan HD Receiving Unit Task Plan Local Renal Health Centers Program Evacuation/Relocation Task Plan PD Unit Evacuation/Relocation Task Plan PDCC Unit Evacuation/Relocation Task Plan 27 RHC Evacuation/Relocation Task Plan Social Worker Task Plan Pharmacist Task Plan Unit Specific Data Hemodialysis Unit Specific Data Berens River Brandon Regional Health Centre Health Sciences Centre, Adult Health Sciences Centre, Home Hemodialysis Health Sciences Centre, Pediatrics (PDHU) St. Boniface Hospital Seven Oaks Hospital Seven Oaks Hospital, Home Hemodialysis Boundary Trails Health Centre Dauphin Regional Health Centre Flin Flon General Hospital Gimli Johnson Memorial Hospital Hodgson Island Lake Renal Program Lakeshore General Hospital Norway House Hospital Pine Falls Health Complex Portage General Hospital Russell Selkirk General Hospital Swan Valley Health Centre The Pas Health Centre Inc Thompson General Hospital Peritoneal Dialysis Unit Specific Data St. Boniface Hospital Seven Oaks Hospital Peritoneal Dialysis Community Care l Renal Health Clinic Specific Data Brandon Regional Health Centre Health Sciences Centre St. Boniface Hospital Seven Oaks Hospital Thompson General Hospital... 99

3 MANITOBA RENAL PROGRAM SUBJECT: Manitoba Renal Program Disaster Management Plan SECTION CODE AUTHORIZATION: Professional Advisory Committee, Manitoba Renal Program EFFECTIVE DATE March 4, 2011 REVISION DATE July 2013 January 2016 March 2018 PURPOSE: 1. To provide a Disaster Management Plan (i.e. a framework and action plan) for the Winnipeg Regional Health Authority (WRHA) Manitoba Renal Program (MRP), the Local Renal Health Centres (LRHCs) and the provincial health authorities / health facilities in the event of a Disaster or Risk of Disaster. 2. To implement a MRP Disaster Management Plan that integrates with the provincial health authorities disaster planning policies, procedures and/or plans. 3. To provide direction to MRP employees and their partners regarding their roles, responsibilities and actions during Disaster Management. DEFINITIONS: 1. Manitoba Renal Program. The Manitoba Renal Program is made up of an Interprofessional team of healthcare providers working together to provide ongoing kidney health care to Manitobans and their families with or at risk for chronic kidney disease. 2. Manitoba Renal Program Regional Management Team includes the MRP Program Director, MRP Medical Director, MRP Manager of Renal Technology, MRP Manager of PDCC, MRP Transition Coordinator 3. Manitoba Renal Program Site Management Team(s) include the Directors, Managers and CRN(s) or designate at the various MRP and LRHC sites within the province. 4. Disaster refers to an event that prevents the ability and capacity of a kidney / dialysis unit or clinic to provide patient care. These events include but are not limited to power failures, water failures, adverse weather conditions, evacuations and pandemics. 5. Risk of Disaster refers to an event, such as those listed above, that threatens the ability and capacity of a kidney / dialysis unit or clinic to provide patient care.

4 6. Disaster Management Plan refers to the action and task plan implemented to coordinate a Disaster or Risk of Disaster. 7. Task Plans refers to a set of guidelines that provide direction to the MRP and LRHCs employees regarding their roles, responsibilities and actions during a Disaster Response. POLICY: 1. The WRHA MRP Regional Management Team is responsible to: a. Ensure the Disaster Management Plan remains current & relevant. b. Ensure the Disaster Management Plan is communicated to all MRP, LRHCs and the provincial health authorities / health facilities across the province and MHSAL c. Oversee and manage the activated Disaster Management Plan. 2. The MRP Site Management Team(s) are responsible to: a. Determine the implications of the MRP Disaster Management Plan for their area(s) of responsibility. b. Ensure that their unit s and clinic s disaster management plan integrates with the MRP Disaster Management Plan and the provincial health authorities / health facilities disaster planning policies, procedures, and /or plans. c. Allocate resources to support the Disaster Management Plan. 3. The MRP Site Management Teams are responsible to develop and maintain current staff call-back systems. 4. The MRP Site Management Teams are responsible to bi-annually review and update of the Unit and Clinic Data sheets. 5. The MRP Program Director is responsible to bi-annually collect and compile the Unit and Clinic Data sheets to use as a reference during a Disaster Response. 6. The MRP Program Director is responsible to bi-annually review and update of the MRP Disaster Management Organizational Chart. PROCEDURE: Implementation of a Disaster Management Plan 1. All MRP and LRHC employees are responsible for identifying a Disaster or Risk of Disaster that prevents the ability and capacity of their unit or clinic to provide patient care and requires the initiation of the Disaster Management Plan. 2. When a Disaster or Risk of Disaster has been identified, the MRP or LRHC staff will notify their immediate supervisor and activate the MRP Disaster Management Plan. 3. The MRP Site Management Team(s) will utilize the appropriate Task Plan(s) to guide their actions throughout the Disaster Management Plan. The Task Plans for Evacuation/Relocation include: a. Hemodialysis Unit Evacuation/Relocation Task Plan

5 PROCEDURE: b. Home Hemodialysis Evacuation/Relocation Task Plan c. Peritoneal Dialysis Unit Evacuation/Relocation Task Plan d. Peritoneal Dialysis Community Care Evacuation/Relocation Task Plan e. Renal Health Clinic Evacuation/Relocation Task Plan f. Local Renal Health Unit Evacuation/Relocation Task Plan g. MRP Site Social Worker Task Plan h. MRP Site Pharmacist Task Plan 4. The MRP Regional Management Team is authorized to: a. Direct all persons involved in the Disaster Management Plan including patients, families, staff, physicians, students, visitors, and volunteers. b. Suspend normal operations of the MRP site(s) as required. 5. The MRP Regional Management Team will utilize one or multiple of the following Task Plans to guide their actions throughout the Disaster Management Plan. The Task Plans include: a. MRP Program Director Task Plan b. MRP Medical Director Task Plan c. MRP Manager of Renal Technology Task Plan d. MRP Administrative Assistant Task Plan 6. The MRP Site Management Team(s) receiving the evacuated/relocated patients will utilize the Receiving Unit Task Plan to guide their actions throughout the Disaster Management Plan. 7. In an individual s absence, their assigned responsibilities will be assumed by their designate. 8. During a Disaster or Risk of Disaster, all external communication must be coordinated through the site specific communications personnel / departments. 9. The MRP Site Management Teams are responsible to orient new employees to MRP Disaster Management Plan Policy and to communicate revisions to the MRP Disaster Management Plan Policy to their staff. REFERENCES: WRHA Disaster Management Framework, March 2012 HSC Contingency Planning, March 2016

6 Disaster Management Organizational Chart Updated March 2018 WRHA Executive Lead Responsible for the MRP WRHA MRP Program Director at (Contact MRP Medical Director at if Program Director unavailable) WRHA Director of Disaster Management MRP Medical Director Pager HSC Nephrologists MRP Manager Renal Technology MRP Program Director HSC Renal Pharmacists MRP Regional Team PDCC Manager Administrative Assistant Renal Educators Transition Coordinator Aboriginal Liaison Worker Fitness and Wellness Coordinator Communications Coordinator HSC Director of Patient Services Renal Program HD Local Renal Health Centers Program HHD RHC SOH Program Director Patient Care Team Manager s Renal Program HD HHD PD RHC SBH Program Director Program Team Manager Renal Program HD PD RHC Brandon Program Manager Renal Program HD RHC SBH Nephrologists SOH Nephrologists Brandon Nephrologist HSC Renal Technology SBH Renal Technology SOH Renal Technology Brandon Renal Technology SBH Renal Pharmacist SOH Renal Pharmacists Brandon Renal Pharmacist Manager of Patient Care (3) CDU HD SCDU HD Local Renal Health Centers Program HHD Local Renal Health Centers Program Berens River- Local Renal Health Centre Dauphin Local Renal Health Centre Gimli Local Renal Health Centre Island Lake Local Renal Health Centre Boundary Trails Local Renal Health Centre Flin Flon Local Renal Health Centre Hodgson Local Renal Health Centre Ashern (Lakeshore) Local Renal Health Centre MRP Site Interprofessional Team Members: Norway House Local Renal Health Centre Pine Falls Local Renal Health Centre Social Workers Dietitians Pharmacists Occupational Therapists Portage la Prairie Local Renal Health Centre Russell - Local Renal Health Centre Color Legend: Indicates MRP Sites/Units Selkirk Local Renal Health Centre Swan River Local Renal Health Centre Indicates MRP Management Team Thompson Local Renal Health Centre The Pas Local Renal Health Centre

7 Task Plans manitoba renal program

8 Disaster Management Plan Program Director Task Plan This DOES NOT replace site specific Code Orange/Disaster Plans Program Director Task Plan Goal: To liaise with the various members of the MRP Regional and Site Management Teams, MRP Transition Coordinator and the WRHA in an effort to deliver uninterrupted renal services to the renal patients during the Disaster or Risk of Disaster and the recovery phase. Signature Initiate Site Specific Disaster Plans as Required 1. Date and Time Evacuation/Relocation Task Plan Initiated: 2. Estimated Number of Days to have Unit/Clinic Shutdown: 3. Nature of Incident Requiring Evacuation/Relocation: 4a. Communicate nature of Disaster or Risk of Disaster to: MRP Regional Management Team and Transition Coordinator List names, dates, times in space provided:

9 Signature Disaster Management Plan Program Director Task Plan Page 2 of 3 4.b Communicate nature of Disaster or Risk of Disaster to: MRP Site Management Team(s) - Directors/Managers List names, dates, times in space provided: 4c. Communicate nature of Disaster or Risk of Disaster to: WRHA Executive Management WRHA Communications WRHA Disaster Management MHSAL List names, dates, times in space provided: 5. Communicate ongoing Disaster Response Plan to: MRP Regional Management Team Transition Coordinator MRP Site Management Team(s) - Directors/Managers List names, dates, times in space provided: 6. Communicate ongoing Disaster Response Plan to: WRHA Executive Management WRHA Communications WRHA Disaster Management MHSAL List names, dates, times in space provided:

10 Signature Disaster Management Plan Program Director Task Plan Page 3 of 3 7. In collaboration with the Regional and Site Management Teams and Transition Coordinator, the MRP Program Director will establish a Disaster Management Plan to deliver uninterrupted renal services to the renal patients during the Disaster or Risk of Disaster. This plan may include evacuating and relocating renal patients and staff from one unit, site or health authority to another. Briefly Describe your plan in space provided:

11 Disaster Management Plan Administrative Assistant Task Plan This DOES NOT replace site specific Code Orange/Disaster Plans Administrative Assistant Task Plan Goal: To liaise with the various members of the MRP Regional and Site Management Teams and the WRHA in an effort to deliver uninterrupted renal services to the renal patients during the Disaster or Risk of Disaster and the recovery phase. Signature Initiate Site Specific Disaster Plans as Required 1. Date and Time Evacuation/Relocation Task Plan Initiated: 2. Estimated Number of Days to have Unit/Clinic Shutdown: 3. Nature of Incident Requiring Evacuation/Relocation: 4. Establish or assist in establishing temporary cost centers to capture the funding required to support the Disaster Management Plan. These costs may include patient and staff transportation, accommodation, medications, supplies, laundry, housekeeping. Temporary cost centre numbers:

12 Signature Disaster Management Plan Administrative Assistant Task Plan Page 2 of 2 5. Communicate Disaster Management Plan cost center to the MRP Regional and Site Management Teams List names, dates, times in space provided:

13 Disaster Management Plan Medical Director Task Plan This DOES NOT replace site specific Code Orange/Disaster Plans Medical Director Task Plan Goal: To liaise with Nephrologists, various members of the MRP Regional and Site Management Teams, MRP Transition Coordinator and the WRHA in an effort to deliver uninterrupted renal services to the renal patients during the Disaster or Risk of Disaster and the recovery phase. Signature Initiate Site Specific Disaster Plans as Required 1. Date and Time Evacuation/Relocation Task Plan Initiated: 2. Estimated Number of Days to have Unit/Clinic Shutdown: 3. Nature of Incident Requiring Evacuation/Relocation: 4. Communicate nature of Disaster or Risk of Disaster to: MRP Nephrologists List names, dates, time(s) of communication in space provided:

14 Signature Disaster Management Plan Medical Director Task Plan Page 2 of 2 5. Communicate ongoing Disaster Management Plan to: MRP Nephrologists List names, dates, time(s) of communication in space provided:

15 Disaster Management Plan Manager Renal Technology Task Plan This DOES NOT replace site specific Code Orange/Disaster Plans Manager Renal Technology Task Plan Goal: To liaise with the various members of the MRP Regional and Site Management Teams, the MRP Technologists, and Materials Management in an effort to provide the technological support, dialysis equipment and supplies required to deliver uninterrupted renal services to the renal patients during the Disaster or Risk of Disaster and the recovery phase. Signature Initiate Site Specific Disaster Plans as Required 1. Date and Time Evacuation/Relocation Task Plan Initiated: 2. Estimated Number of Days to have Unit/Clinic Shutdown: 3. Nature of Incident Requiring Evacuation/Relocation:

16 Signature Disaster Management Plan Manager Renal Technology Task Plan Page 2 of 2 4. In collaboration with the MRP Regional and Site Management Teams, the MRP Manager of Renal Technology will establish a Disaster Management Plan to provide the technological support and dialysis equipment and supplies required to deliver uninterrupted renal services to the renal patients during the Disaster or Risk of Disaster and the recovery phase. Briefly Describe your plan in space provided: 5. In collaboration with the MRP Regional and Site Management Teams and Materials Management, the MRP Manager of Renal Technology will establish a Disaster Management Plan to provide the dialysis supplies required to deliver uninterrupted dialysis services to the renal patients during the Disaster or Risk of Disaster and the recovery phase. Briefly Describe your plan in space provided:

17 Disaster Management Plan HD Unit Evacuation Task Plan This DOES NOT replace site specific Code Orange/Disaster Plans HD Unit Evacuation Task Plan Goal: To prepare and evacuate / relocate patients and patient records as directed to a Receiving Unit during a Disaster or Risk of Disaster and its recovery phase. Signature Initiate Site Specific Disaster Plans as Required 1. Date and Time Evacuation/Relocation Task Plan Initiated: 2. Estimated Number of Days to have Unit Shutdown: 3. Nature of Incident Requiring Evacuation/Relocation: 4. Notify On-Site Management: List names, dates, times in space provided: 5. For LRHC Sites: Notify LRHC Team: List names, dates, times in space provided:

18 Signature Disaster Management Plan HD Unit Evacuation Task Plan Page 2 of 3 6. Notify MRP Program Director ( ) 7. Obtain Relocation Site(s) from MRP Program Director or Designate Note which sites in space provided 8. In collaboration with MRP Administrative Assistant (as required), establish temporary cost centers to capture the funding required to support the Disaster Management Plan. These costs may include patient and staff transportation, accommodation, medications, supplies, laundry, housekeeping. Temporary Cost Center Numbers: 9. Ensure Patient Records are secured and prepared for Transport to Relocation Site 10. In collaboration with the Renal Social Worker(s) and Pharmacist(s), begin Evacuation Plan: 10.a) Notify patients of the need for Evacuation

19 Signature Disaster Management Plan HD Unit Evacuation Task Plan Page 3 of b) Arrange transportation to the Relocation site 10. c) Arrange for accommodations at Relocation site for patients and escorts (if required) 10. d) Arrange for transportation between accommodation and Dialysis Unit 10. e) Arrange for access to appropriate food services for patient and escort if required. 10. f) Ensure patients have adequate supply of medications or access to pharmacy dispensing services

20 Disaster Management Plan Receiving HD Unit Relocation Task Plan This DOES NOT replace site specific Code Orange/Disaster Plans Receiving Unit Task Plan Goal: To ensure that patients receive uninterrupted renal services during the Disaster or Risk of Disaster and the recovery phase. Signature Initiate Site Specific Disaster Plans as Required 1. Date and Time Evacuation/Relocation Task Plan Initiated: 2. Estimated Number of Days to have Evacuated/Relocated Unit onsite: 3. In collaboration with MRP Administrative Assistant (as required) establish temporary cost centers to capture the funding required to support the Disaster Management Plan. These costs may include patient and staff transportation, accommodation, medications, supplies, laundry, housekeeping. Temporary Cost Center Numbers: 4. In collaboration with the Manager Renal Technology, Site Management team and site supports services ensure adequate patient care supplies/equipment is available for duration of evacuation. Dialysis supplies and non-dialysis supplies RO supplies Linens Medications

21 Signature Disaster Management Plan HD Receiving Unit Task Plan Page 2 of 2 5. In collaboration with the receiving Site Management, Evacuation Site Management, and the MRP Management Teams will ensure the Receiving Unit is adequately staffed to care for the additional patients for the duration of the evacuation 6. In collaboration with the Evacuation sites Renal Social Worker(s) and Pharmacist(s) and the Receiving Unit Social Worker(s) and Pharmacist(s) will: 6. a) Arrange for accommodations at Relocation site for patients and escorts (if required) 6. b) Arrange for transportation between accommodation and Dialysis Unit (if required) 6. c) Arrange for access to appropriate food services for patients and escorts (if required) 6. d) Ensure patients have adequate supply of medications or access to pharmacy dispensing services.

22 Disaster Management Plan Local Renal Health Centers Program Team Evacuation/Relocation Task Plan This DOES NOT replace site specific Code Orange/Disaster Plans Local Renal Health Center Program Team Evacuation / Relocation Task Plan Goal: To liaise with Manitoba Local Renal Health Center(s), HSC Renal Program Management Team, MRP Regional Management Team and Transition Coordinator in an effort to deliver uninterrupted renal services to the renal patients during the Disaster or Risk of Disaster and the recovery phase. Signature Initiate Site Specific Disaster Plans as Required 1. Date and Time Evacuation/Relocation Task Plan Initiated: 2. Estimated Number of Days to have Unit/Clinic Shutdown: 3. Nature of Incident Requiring Evacuation/Relocation: 4. Notify HSC Renal Program Management. List names, dates, times in space provided:

23 Signature Disaster Management Plan Community Dialysis Evacuation/Relocation Task Plan Page 2 of 2 5. Notify MRP Program Director ( ) 6. In collaboration with the Evacuation site management, the potential Relocation site management, HSC Renal Program Management, Transition Coordinator and the MRP Program Director; LRHC program team will identify the relocation site(s) Note which sites below: 7. Ensure Patient Records are secured and prepared for transport to Relocation Site 8. Liaise and provide direction to the Relocation site(s), Social Work, or other departments/programs as required.

24 Disaster Management Plan PD Unit Evacuation/Relocation Task Plan This DOES NOT replace site specific Code Orange/Disaster Plans PD Unit Evacuation/Relocation Task Plan Goal: To ensure that patients receive uninterrupted renal services during the Disaster or Risk of Disaster and the recovery phase. Signature Initiate Site Specific Disaster Plans as Required 1. Date and Time Evacuation/Relocation Task Plan Initiated: 2. Estimated Number of Days to have Unit/Clinic Shutdown: or Estimated Number of Days patients will be evacuated from their community: 3. Nature of Incident Requiring Evacuation/Relocation: 4. Notify On-Site Management: List names, dates, times in space provided: 5. Notify MRP Program Director ( )

25 Signature Disaster Management Plan PD Unit Evacuation/Relocation Task Plan Page 2 of 3 6. In collaboration with On Site Management, MRP Program Director, and PD unit a plan will be established to deliver uninterrupted renal services to the renal patients during the Disaster or Risk of Disaster. Briefly Describe your plan in space provided: Plan: CRN or nurse designate will: a. identify evacuated patients b. contact evacuated patients, reconcile and document their temporary addresses and contact information including phone number(s) c. contact vendor and provide / reconcile the evacuated patients temporary addresses and contact information including phone number(s) d. In collaboration with the vendor, ensure adequate supplies/equipment are provided / delivered to the patients available for duration of evacuation.

26 Signature Disaster Management Plan PD Unit Evacuation/Relocation Task Plan Page 3of 3 e. for the duration of the evacuation, communicate with the patients twice weekly or more frequently as required to identify and resolve issues f. following the evacuation and once patients have returned to their home communities, contact evacuated patients and identify and resolve any issues g. following the evacuation and once patients have returned to their home communities, in collaboration with the vendor, ensure adequate supplies/equipment are provided / delivered to the patients

27 Disaster Management Plan Peritoneal Dialysis Community Care (PDCC) Evacuation/Relocation Task Plan This DOES NOT replace site specific Code Orange/Disaster Plans PDCC Program Evacuation/Relocation Task Plan Goal: To ensure that patients receive uninterrupted renal services during the Disaster or Risk of Disaster and the recovery phase. Signature Initiate Site Specific Disaster Plans as Required 1. Date and Time Evacuation/Relocation Task Plan Initiated: 2. Estimated Number of Days to have PDCC Shutdown: 3. Nature of Incident Requiring Evacuation/Relocation: 4. Notify family/support person and potential relocation sites (St Boniface Hospital and/or Seven Oaks Hospital PD units. (note name(s) below)

28 Signature Disaster Management Plan PD Unit Evacuation/Relocation Task Plan Page 2 of 2 5. Notify MRP Program Director ( ) 6. In collaboration with the potential relocation site and the MRP Program Director, the PDCC manager/nurses will establish a plan to deliver uninterrupted renal services to the renal patients during the Disaster or Risk of Disaster. Briefly Describe your plan in space provided: 7. PDCC manger/nurses will ensure the patient s health information is provided to relocation site.

29 Disaster Management Plan Renal Health Clinic (RHC) Evacuation/Relocation Task Plan This DOES NOT replace site specific Code Orange/Disaster Plans RHC Evacuation/Relocation Task Plan Goal: To ensure that patients receive uninterrupted renal services during the Disaster or Risk of Disaster and the recovery phase. Signature Initiate Site Specific Disaster Plans as Required 1. Date and Time Evacuation/Relocation Task Plan Initiated: 2. Estimated Number of Days to have Unit/Clinic Shutdown: 3. Nature of Incident Requiring Evacuation/Relocation: 4. Notify On-Site Management: List names, dates, times in space provided:

30 Signature Disaster Management Plan RHC Evacuation/Relocation Task Plan Page 2 of 2 5. Notify MRP Program Director ( =2035) 6. In collaboration with On Site Management, MRP Program Director and Renal Health Clinic establish a plan to deliver uninterrupted renal services to the renal patients during the Disaster or Risk of Disaster. Briefly Describe your plan in space provided:

31 Disaster Management Plan Social Worker Task Plan This DOES NOT replace site specific Code Orange/Disaster Plans Social Worker Task Plan Goal: To ensure that patients and escort (as required), have a smooth transition from their community of origin to the community of relocation in a timely fashion. This will include ensuring plans for transportation, accommodation, nutrition and pharmaceutical supplies are in place for the duration of the Disaster or Risk of Disaster and its recovery phase. Signature Initiate Site Specific Disaster Plans as Required 1. Date and Time Evacuation/Relocation Task Plan Initiated: 2. Estimated Number of Days to have Unit/Clinic Shutdown: 3. Nature of Incident Requiring Evacuation/Relocation: 4. In collaboration, Renal Social Worker(s), receiving site Social Worker (if available), Local Renal Health Center Team, Evacuation site and Relocation site will:

32 Signature Disaster Management Plan Social Worker Task Plan Page 2 of 2 4.a) Notify patients of the need for Evacuation 4.b) Arrange escorts for patients if required 4.c) Arrange transportation to the Relocation site 4.d) Arrange for accommodations at Relocation site for patient and escort (if required) 4. e) Arrange for transportation between accommodation and Dialysis Unit 4. f) Arrange for access to appropriate food services for patient and escort 4. g) In collaboration with Renal Pharmacist ensure patient has access to adequate supply of medications or access to pharmacy dispensing services.

33 Disaster Management Plan Pharmacist Task Plan This DOES NOT replace site specific Code Orange/Disaster Plans Pharmacist Task Plan Goal: To liaise with Pharmacists, various members of the MRP Management Team and the WRHA in an effort to provide the prescribed medications to the affected patients for the duration of the Disaster or Risk of Disaster and its recovery phase. Signature Initiate Site Specific Disaster Plans as Required 1. Date and Time Evacuation/Relocation Task Plan Initiated: 2. Estimated Number of Days to have Unit/Clinic Shutdown: 3. Nature of Incident Requiring Evacuation/Relocation:

34 Disaster Management Plan Pharmacist Task Plan Page 2 of 2 4. In collaboration with the Evacuation and Relocation sites, Local Renal Health Center Program Pharmacist(s) will: 4.a) Notify patients of the their medication plan 4.b) Ensure the patients have an adequate supply of medication for the duration of the evacuation and relocation 4. c) Arrange for the receiving unit to have an adequate supply of stock medication for the duration of the evacuation and relocation

35 Unit Specific Data manitoba renal program

36 Hemodialysis Unit Specific Data manitoba renal program

37 Disaster Management Plan HEMODIALYSIS Unit Data This DOES NOT replace site specific Code Orange/Disaster Plans Unit: Berens River Renal Health Centre RHA: Interlake Eastern Regional Health Authority Unit Phone Number: Unit Fax Number: Unit Mailing Address: PO Box 191 Berens River MB R0B 0A0 Service Provision: Hemodialysis Reviewed by: Audra Nesbitt-Hume Clinical Team Manager November 3, 2017 Manager Contact Information Name: Audra Nesbitt-Hume Phone Number: Fax Number: Pager Number: Cell HEMODIALYSIS UNIT Average Number of Patients per Shift: Mon., Wed., Friday Morning Shift 4 Tues., Thurs., Sat., Morning Shift Mon., Wed., Friday Afternoon Shifts Mon., Wed., Friday Evening Shifts Tues., Thurs., Sat. Afternoon Shift Tues., Thurs., Sat. Evening Shift Number & Category of Staff per Shift: M-W-F M-W-F Day Mids. M-W-F Evening Day Mids. Evening CRN RN LPN 2 8 hour UA/HCA/ NA/DCT UC

38 Number of Staff On-Call for Nights (indicate designation): 0 Number of Staff On-Call for Sundays (indicate designation): 0 Unit Details: Total number of hemodialysis patients: 4 Total number of stations in hemodialysis unit (include both regularly used and unused): 4 Total number of dialysis-ready ICU stations in this facility 0 Total number of stations out of hemodialysis unit (not ICU, not regular unit) 0 Total number of dialysis machines (regular use and stand-by): 6 Total number of beds, stretchers, and chairs (regularly used and those in inventory) available in this facility to provide hemodialysis if the facility operated at maximum capacity 4 beds Total number of isolation rooms with hemodialysis hookups: 1 Total number of Positive Pressure Isolation rooms with hemodialysis hookups: 0 Total number of Negative Pressure Isolation rooms with hemodialysis hookups: 1 Baseline number of hospital beds available in Adult Med/Surg 0 Nursing Station only No physician in community Baseline number of Adult Rehab beds available: 0

39 Disaster Management Plan HEMODIALYSIS Unit Data This DOES NOT replace site specific Code Orange/Disaster Plans Unit: Brandon Regional Health Centre Service Provision: Hemodialysis RHA: Brandon Regional Health Authority Reviewed by: Kim Wallis, Program Manager Unit Phone Number: Unit Fax Number: Unit Mailing Address: 150 McTavish Avenue East Brandon, Manitoba R7A 2B3 Attention: Renal Unit CS1-134 November 2, 2017 Manager Contact Information Name: Kim Wallis Phone Number: Fax Number: Pager Number: HEMODIALYSIS UNIT Average Number of Patients per Shift: Mon., Wed., Friday Morning Shift 19 Tues., Thurs., Sat. Morning Shift 19 Mon., Wed., Friday Afternoon Shifts 19 Tues., Thurs., Sat. Afternoon Shift 19 Mon., Wed., Friday Evening Shifts 19 Tues., Thurs., Sat. Evening Shift 19 Number & Category of Staff per Shift: M-W-F M-W-F Day Mids M-W-F Evening Day Mid. CRN Evening RN LPN UA/HCA/ NA/DCT LPN/RN not broken down Shift varies but total nursing as above UC (to 2000) (to 2000) Number of Staff On-Call for Nights (indicate designation): 0 Number of Staff On-Call for Sundays (indicate designation): 0

40 Unit Details: Total number of hemodialysis patients: Total number of stations in hemodialysis unit (include both regularly used and unused): 114 capacity 19 Total number of dialysis-ready ICU stations in this facility 3 Total number of stations out of hemodialysis unit (not ICU, not regular unit) 0 Total number of dialysis machines (regular use and stand-by): 24 Total number of beds, stretchers, and chairs (regularly used and those in inventory) available in this facility to provide hemodialysis if the facility operated at maximum capacity 22 Total number of isolation rooms with hemodialysis hookups: 3 Total number of Positive Pressure Isolation rooms with hemodialysis hookups: 2 Total number of Negative Pressure Isolation rooms with hemodialysis hookups: 1 Baseline number of hospital beds available in Adult Med/Surg 104 Baseline number of Adult Rehab beds available: 49

41 Disaster Management Plan HEMODIALYSIS Unit Data This DOES NOT replace site specific Code Orange/Disaster Plans Units: Central Dialysis Unit (CDU) Sherbrook Central Dialysis Unit (SCDU) GG739 Dialysis Unit (GG7) Service Provision: Hemodialysis Health Sciences Centre RHA: Winnipeg Regional Health Authority Reviewed by: Hugh Chan, Manager of Patient Care November 25, 2017 Unit Phone Number: (CDU) / (SCDU) / (GG7) Unit Fax Number: (CDU) / (SCDU) / (GG7) Manager Contact Information Name: Hugh Chan Phone Number: Fax Number Cell Number: Alison Lindsay Phone Number: Fax Number Pager Number: Unit Mailing Address: GA6, Central Dialysis Unit 820 Sherbrook Street Winnipeg, MB R3A 1R9 DA106 Sherbrook Dialysis Unit 795 Sherbrook Street Winnipeg, MB CDU HEMODIALYSIS UNIT Average Number of Patients per Shift: Mon., Wed., Friday Morning Shift 41 Tues., Thurs., Sat. Morning Shift 41 Mon., Wed., Friday Afternoon Shifts 41 Tues., Thurs., Sat. Afternoon Shift 41 Mon., Wed., Friday Evening Shifts 41 Tues., Thurs., Sat. Evening Shift 41

42 SCDU HEMODIALYSIS UNIT Average Number of Patients per Shift: 23 Mon., Wed., Friday Morning Shift 23 Tues., Thurs., Sat. Morning Shift 23 Mon., Wed., Friday Afternoon Shifts 23 Tues., Thurs., Sat. Afternoon Shift 23 Mon., Wed., Friday Evening Shifts 23 Tues., Thurs., Sat. Evening Shift 23 GG7 HEMODIALYSIS UNIT Average Number of Patients per Shift: Mon., Wed., Friday Morning Shift 5 Tues., Thurs., Sat. Morning Shift 5 Mon., Wed., Friday Afternoon Shifts 5 Tues., Thurs., Sat. Afternoon Shift 5 Mon., Wed., Friday Evening Shifts 5 Tues., Thurs., Sat. Evening Shift 5 PEDS HEMODIALYSIS UNIT Average Number of Patients per Shift: Mon., Wed., Friday Morning Shift Tues., Thurs., Sat. Morning Shift Mon., Wed., Friday Afternoon Shifts 8 Tues., Thurs., Sat. Afternoon Shift 8 Mon., Wed., Friday Evening Shifts 8 Tues., Thurs., Sat. Evening Shift 8 Number & Category of Staff per Shift: M-W-F M-W-F Day Mids M-W-F Evening Day Mid. CRN Evening RN & LPN combined * * combined hour shifts may be less m8 workers UA/HCA/ NA UC Number of Staff On-Call for Nights RN or LPN: 1 Number of Staff On-Call for Sundays RN or LPN: 4

43 Unit Details: (Combined CDU, SCDU, PHDU & GG7) Total number of hemodialysis patients: 410 Total number of stations in hemodialysis unit (include both regularly used and unused): Total number of dialysis-ready ICU stations in this facility (CCU -3, SICU 12, MICU- 17, PICU-3, IICU 3, H7-2 Total number of stations out of hemodialysis unit (not ICU, not regular unit) Peds- 4 & HHD - 3 Total number of dialysis machines (regular use and stand-by, Peds, School of Nursing): Total number of beds, stretchers, and chairs (regularly used and those in inventory) available in this facility to provide hemodialysis if the facility operated at maximum capacity Total number of isolation rooms with hemodialysis hookups: 7 Total number of Positive Pressure Isolation rooms with hemodialysis hookups: 5 Total number of Negative Pressure Isolation rooms with hemodialysis hookups: ٨95 64 Baseline number of hospital beds available in Adult Med/Surg Med =160 Surg = 180 Baseline number of Adult Rehab beds available: 53

44 Disaster Management Plan Home HEMODIALYSIS Unit Data This DOES NOT replace site specific Code Orange/Disaster Plans Unit: Health Sciences Center Home Hemodialysis Service Provision: Hemodialysis RHA: Winnipeg Regional Health Authority Unit Phone Number: or Unit Fax Number: Unit Mailing Address: Home Hemodialysis - GE169A 820 Sherbrook Ave Winnipeg, MB R3A 1R0 Reviewed by: Manager Contact Information Lesley Cotsianis Phone Number: Fax Number: Mon, Wed, Fri Morning Shift Mon, Wed, Fri Afternoon Shifts HOME HEMODIALYSIS UNIT Average Number of Patients per Shift: 2 training 1 respite Tues, Thurs, Morning Shift Tues, Thurs, Afternoon Shift 2 training 1 respite Number & Category of Staff per Shift: Monday Tuesday Wednesday Thursday Friday Saturday CRN RN LPN UA/HCA/ NA/DCT UC (1/month for clinic) Number of Staff On-Call for Nights (indicate designation): 0 Number of Staff On-Call for Sundays (indicate designation): 0 Unit Details:

45 Total number of hemodialysis patients: Total number of stations in hemodialysis unit (include both regularly used and unused): Total number of dialysis-ready ICU stations in this facility 20 total 3 N/A Total number of stations out of hemodialysis unit (not ICU, not regular unit) 64 Total number of dialysis machines (regular use and stand-by): Total number of beds, stretchers, and chairs (regularly used and those in inventory) available in this facility to provide hemodialysis if the facility operated at maximum capacity Total number of isolation rooms with hemodialysis hookups: 3 Bellco Formula 3 NxStage 3 Chairs Curtains & Screen Dividers Total number of Positive Pressure Isolation rooms with hemodialysis hookups: 0 Total number of Negative Pressure Isolation rooms with hemodialysis hookups: 0 Baseline number of hospital beds available in Adult Med/Surg Med = 160 Surg = 180 Baseline number of Adult Rehab beds available: 53

46 Disaster Management Plan HEMODIALYSIS Unit Data This DOES NOT replace site specific Code Orange/Disaster Plans Unit: St. Boniface General Hospital RHA: Winnipeg Regional Health Authority Unit Phone Number: Unit Fax Number: Unit Mailing Address: 4C - Hemodialysis St. Boniface General Hospital 409 Tache Avenue, Winnipeg, MB R2H 2A6 Service Provision: Hemodialysis Reviewed by: Belinda Herner, Program Team Mgr., Dialysis November 15/17 Manager Contact Information Name: Belinda Herner Phone Number: Fax Number: Pager Number: HEMODIALYSIS UNIT Average Number of Patients per Shift: Mon., Wed., Friday Morning Shift 28 Tues., Thurs., Sat. Morning Shift 28 Mon., Wed., Friday Afternoon Shifts 28 Tues., Thurs., Sat. Afternoon Shift 28 Mon., Wed., Friday Evening Shifts 28 Tues., Thurs., Sat. Evening Shift 28 Number & Category of Staff per Shift: M-W-F M-W-F Day Mids M-W-F Evening Day Mid. CRN Evening RN Tue/Thur: 12 Sat: LPN UA/HCA/ NA/DCT UC Number of Staff On-Call for Nights (indicate designation): 1 RN Number of Staff On-Call for Sundays (indicate designation): 1 RN per shift

47 Unit Details: Total number of hemodialysis patients: 168 Total number of stations in hemodialysis unit (include both regularly used and unused): 28 Total number of dialysis-ready ICU stations in this facility: Functioning: 5AS CCU (1); CR4 (3); CR5 (15), ICMS (14); 5AW (2) Non Functioning: 2E (14) 35 Total number of stations out of hemodialysis unit (not ICU, not regular unit) 0 Total number of dialysis machines (regular use and stand-by): 5008 = 37 Prisma = 9 Total number of beds, stretchers, and chairs (regularly used and those in inventory) available in this facility to provide hemodialysis if the facility operated at maximum 28 capacity Total number of isolation rooms with hemodialysis hookups: Treatment Room 1 Total number of Positive Pressure Isolation rooms with hemodialysis hookups: 0 Total number of Negative Pressure Isolation rooms with hemodialysis hookups: 0 Baseline number of hospital beds available in Adult Med/Surg Baseline number of Adult Rehab beds available:

48 Disaster Management Plan HEMODIALYSIS Unit Data This DOES NOT replace site specific Code Orange/Disaster Plans Unit: Hemodialysis Seven Oaks General Hospital RHA: Winnipeg Regional Health Authority Unit Phone Number: Unit #1: Unit #2: Unit # Unit Fax Number: Unit #1: Unit #2: Unit Mailing Address: Hemodialysis Unit Seven Oaks General Hospital 2300 McPhillips Street, Winnipeg, MB R2V 3M3 Reviewed by: Service Provision: Hemodialysis Harjinder Brar Patient Care Team Mgr. November 2017 Manager Contact Information Name: Harjinder Brar Phone Number: Fax Number: BB: HEMODIALYSIS UNIT Average Number of Patients per Shift: Mon., Wed., Friday Morning Shift 50 hemo Tues., Thurs., Sat. Morning Shift 50 hemo Mon., Wed., Friday Afternoon Shifts 50 hemo Tues., Thurs., Sat. Afternoon Shift 50 hemo Mon., Wed., Friday Evening Shifts 50 hemo Tues., Thurs., Sat. Evening Shift 50 hemo Number & Category of Staff per Shift: M-W-F M-W-F Day Mids CRN Mon. 3-4 CRN S Wed. 3-4 CRN s Fri. 3-4 CRN s Mon 3-4CRN S Wed.3-4 CRN s Fri. 3-4 CRN s M-W-F Evenign RN RN s throughout the day Day 1 CRN Tues.& Thurs. 3-4 CRN s Sat. 2 CRN Mid. Tues.& Thurs. 3-4 CRN s Sat. 2 CRN Evening Sat. evening we assign a staff nurse LPN LPN s per day throughout the week, day= Total number of 42 nurses/day mix of RN/LPN UA/HCA/ NA/DCT UC HCA throughout the day Transport assistant 1 day 8 and 1 eve UC on evenings Monday - Saturday 3-4 UC throughout the day, (Monday to Saturday) Number of Staff On-Call for Nights (indicate designation): 0 Number of Staff On-Call for Sundays (indicate designation): 0

49 Unit Details: Total number of hemodialysis patients: 300 Total number of stations in hemodialysis unit 1 2 and 3(include both regularly used and unused): Unit #1 10 Unit #2 8- Unit# 3 Total number of dialysis-ready ICU stations in this facility 1 Total number of stations out of hemodialysis unit (not ICU, not regular unit) ER 1 Total number of dialysis machines (regular use and stand-by): spare, one machine dedicated for Hep B use only Total number of beds, stretchers, and chairs (regularly used and those in inventory) available in this facility to provide hemodialysis if the facility operated at maximum capacity 62 unit1 32 beds unit 2, 4 beds unit 1, 6 chairs unit 3, 8 beds 2 stretchers Total number of isolation rooms with hemodialysis hookups: 1 Total number of Positive Pressure Isolation rooms with hemodialysis hookups: 0 Total number of Negative Pressure Isolation rooms with hemodialysis hookups: 0 Baseline number of hospital beds available in Adult Med/Surg Baseline number of Adult Rehab beds available: no baseline, we admit patients as necessary no baseline, we admit patients as necessary 6 chairs in total (1 is a flex chair) 45 beds (1 extra bed on top of that) 2 stretchers 3 wheelchairs currently

50 Disaster Management Plan Home HEMODIALYSIS Unit Data This DOES NOT replace site specific Code Orange/Disaster Plans Unit: Seven Oaks General Hospital Home Hemodialysis Service Provision: Hemodialysis RHA: Winnipeg Regional Health Authority Unit Phone Number: or Unit Fax Number: Unit Mailing Address: Home Hemodialysis Unit Seven Oaks General Hospital 2300 McPhillips Street Winnipeg, MB R2V 3M3 Reviewed by: Rob Lajeunesse, Patient Care Team Manager November 24, 2017 Manager Contact Information Name: Rob Lajeunesse Phone Number: Fax Number: Cell Number: HOME HEMODIALYSIS UNIT Average Number of Patients per Shift: 5-8 dependent Mon, Wed, Fri Morning Shift Mon, Wed, Fri Afternoon Shifts on training schedule and respite care Tues, Thurs, Morning Shift Tues, Thurs, Afternoon Shift Number & Category of Staff per Shift: M-W-F Day Shift M-W-F Eve CRN 1 1 T-Th- Day Shift 5-8 dependent on training schedule and respite care RN 6 6 LPN UA/HCA/ NA/DCT UC 1 1 Number of Staff On-Call for Nights (indicate designation): 0 Number of Staff On-Call for Sundays (indicate designation): 0; 0; 0

51 Unit Details: Total number of home hemodialysis patients: 60 Total number of stations in hemodialysis unit (include both regularly used and unused): 6 Total number of dialysis-ready ICU stations in this facility 1 Total number of stations out of hemodialysis unit (not ICU, not regular unit) Total number of dialysis machines (regular use and stand-by): Total number of beds, stretchers, and chairs (regularly used and those in inventory) available in this facility to provide hemodialysis if the facility operated at maximum capacity 1 (ER) Bellco Formula Machines-2 NxStage machines-8 Total number of isolation rooms with hemodialysis hookups: 0 Total number of Positive Pressure Isolation rooms with hemodialysis hookups: 0 Total number of Negative Pressure Isolation rooms with hemodialysis hookups: 0 6 Baseline number of hospital beds available in Adult Med/Surg Baseline number of Adult Rehab beds available: no baseline, we admit patients as necessary no baseline, we admit patients as necessary

52 Disaster Management Plan HEMODIALYSIS Unit Data This DOES NOT replace site specific Code Orange/Disaster Plans Unit: Boundary Trails Health Centre Service Provision: Hemodialysis RHA: Southern Regional Health Authority Unit Phone Number: Unit Fax Number: Unit Mailing Address: Box 2000, Station Main Winkler, MB R6W 1H8 Reviewed by: Tanya Blatz CRN Phone: Extension: Fax: On: November 30, 2017 Manager Contact Information Name: Marlo Friesen Phone Number: Fax Number: Pager Number: none HEMODIALYSIS UNIT Average Number of Patients per Shift: Mon., Wed., Friday Morning Shift 7 Tues., Thurs., Sat. Morning Shift 7 Mon., Wed., Friday Afternoon Shifts 7 Tues., Thurs., Sat. Afternoon Shift 7 Mon., Wed., Friday Evening Shifts none Tues., Thurs., Sat. Evening Shift none Number & Category of Staff per Shift: M-W-F M-W-F Day Mids M-W-F Evening Day Mid. Evening CRN RN/LPN 8hr shift (6:30-14:45) {Combination of RN & LPN} 3-12 hr nurse (06:30-18:45) 8hr shift (6:30-14:45) Thurs- Adm. Sat- No CRN Tuesday {Combination of RN & LPN} 3-12 hr nurse (06:30-18:45) Thur. &Sat 3-12hr nurse 1-8 hr nurse ( )

53 UA/HCA/ NA/DCT 1-12hr shift (06: ) UC none none 1-12 hr shift (06:30-18:45) Number of Staff On-Call for Nights (indicate designation): none Number of Staff On-Call for Sundays (indicate designation): none Unit Details: Total number of hemodialysis patients: 28 Total number of stations in hemodialysis unit (include both regularly used and unused): Total number of dialysis-ready ICU stations in this facility Total number of stations out of hemodialysis unit (not ICU, not regular unit) 7 none none Total number of dialysis machines (regular use and stand-by): 9 Total number of beds, stretchers, and chairs (regularly used and those in inventory) available in this facility to provide hemodialysis if the facility operated at maximum capacity 7 Total number of isolation rooms with hemodialysis hookups: 1 Total number of Positive Pressure Isolation rooms with hemodialysis hookups: none Total number of Negative Pressure Isolation rooms with hemodialysis hookups: 1 Baseline number of hospital beds available in Adult Med/Surg Medical-40 Surgical-18 Baseline number of Adult Rehab beds available: Rehab/Surg-25

54 Disaster Management Plan HEMODIALYSIS Unit Data This DOES NOT replace site specific Code Orange/Disaster Plans Unit: Dauphin Regional Health Centre RHA : Prairie Mountain Health Unit Phone Number: Unit Fax Number: Service Provision: Hemodialysis Reviewed by Jean Ann Fisher Care Team Manager Dec 4/2017 Manager Contact Information Name: Jean Ann Fisher Phone Number: Mobile Phone: Unit Mailing Address: 625 Third Street S.W. Dauphin, Manitoba R7N 1R7 HEMODIALYSIS UNIT Average Number of Patients per Shift: Mon, Wed, Fri Morning Shift 6 Tues, Thurs, Sat Morning Shift 6 Mon, Wed, Fri Afternoon Shifts 6 Tues, Thurs, Sat Afternoon Shift 6 Mon, Wed, Fri Evening Shifts 0 Tues, Thurs, Sat Evening Shift 0 CRN (Currently vacant) Number & Category of Staff per Shift: M-W-F M-W-F Mids Day M-W-F Eve Day Mid. 1 (8hr) n/a n/a 1 (8hr) n/a n/a RN 3 n/a n/a 3 n/a n/a LPN (Not every shift, our LPN is PT) UA/HCA/ NA/DCT 1/0 n/a n/a 1/0 n/a n/a 1-(8hr) n/a n/a 1 n/a n/a UC n/a n/a n/a n/a n/a n/a Eve

55 Number of Staff On-Call for Nights (indicate designation): 0 Number of Staff On-Call for Sundays (indicate designation): 0 Unit Details: Total number of hemodialysis patients: 24 Total number of stations in hemodialysis unit (include both regularly used and unused): 6 Total number of dialysis-ready ICU stations in this facility 0 Total number of stations out of hemodialysis unit (not ICU, not regular unit) 0 Total number of dialysis machines (regular use and stand-by): 8 Total number of beds, stretchers, and chairs (regularly used and those in inventory) available in this facility to provide hemodialysis if the facility operated at maximum capacity 1 Stretchers 2 Chairs (In Unit) 3 Beds Total number of isolation rooms with hemodialysis hookups: 1 Total number of Positive Pressure Isolation rooms with hemodialysis hookups: 0 Total number of Negative Pressure Isolation rooms with hemodialysis hookups: 0 Baseline number of hospital beds available in Adult Med/Surg Baseline number of Adult Rehab beds available: 50 Medicine 36 and surgery 14 We do not have a dedicated rehab unit. We have a blended unit consisting of acute,rehab and palliative.total of 36 beds.

56 Disaster Management Plan HEMODIALYSIS Unit Data This DOES NOT replace site specific Code Orange/Disaster Plans Unit: Flin Flon General Hospital RHA: Reviewed by: Service Provision: Hemodialysis Cheryl Hanna, RN Northern Regional Health Authority Unit Phone Number: ext Unit Fax Number: Unit Mailing Address: Flin Flon General Hospital Dialysis Unit Box 340 Flin Flon, MB R8A 1N2 November 24, 2017 Manager Contact Information Name: Nicole Grenier Phone Number: Fax Number: HEMODIALYSIS UNIT Average Number of Patients per Shift: Mon., Wed., Friday Morning Shift 3 Tues., Thurs., Sat. Morning Shift 0 Mon., Wed., Friday Afternoon Shifts 3 Tues., Thurs., Sat. Afternoon Shift 0 Mon., Wed., Friday Evening Shifts 0 Tues., Thurs., Sat. Evening Shift 0 Number & Category of Staff per Shift: M-W-F M-W-F Day Mids M-W-F Evening Day Mid. CRN Evening RN LPN UA/HCA/ NA/DCT UC Number of Staff On-Call for Nights (indicate designation): 0 Number of Staff On-Call for Sundays (indicate designation): 0