Peter I. Dworsky, MPH, EMT-P, CEM. MONOC EMS Corporate Director

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Evangeline Darlene Atkins
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1 Peter I. Dworsky, MPH, EMT-P, CEM MONOC EMS Corporate Director

coastline 126 miles of ocean coastline 2 nuclear power plant

2 8,721 Square Miles Total Population 8,8 mil 1,189 per Sq. Mile 21 Counties 566 Municipalities 1800 Miles of tidal coastline 126 miles of ocean coastline 2 nuclear power plant Amtrak / NJ Transit / PATH 2 International airports 37 Bridges 2 Tunnels 2

3 8.7 Million residents 5 Planning regions 79 Hospitals 10 Trauma Centers 1 Burn Center 9 MCCs EMS - XXXX

5 2,000+ injured 346,000 homes & business destroyed / damaged 2.3 M people in NJ without power 38 Billion dollars in damage

Established in 2008 Outlines measures to be taken by the State s Emergency Medical Services Evacuation procedures of healthcare facilities using EMS resources Procedures

6 Established in 2008 Outlines measures to be taken by the State s Emergency Medical Services Evacuation procedures of healthcare facilities using EMS resources Procedures for the acquisition of mutual aid out of state EMS resources the EMAC and FEMA s National Ambulance Contract; Activated 4 times prior to Sandy Refined after every experience

7 Medical Ambulance Bus- Ambulance on steroids! Functions Evacuation Rehab Patient Treatment and Transport.

8 10 of 12 Available in Sandy 1 Additional from State of Pennsylvania

9 Directions Expectations Tactical Frequency Evacuee needs MAB configuration

10 Seated-24 (ish) Supine-18 Wheelchair-10

12 12 Available in Sandy

13 Northern Regional EMS Staging Area Southern Regional EMS Staging Area

16 NJDOH OEMS issued: Basic Life Support Normal 2 EMTs MCI Exemption 1 EMT, 1 CFR Advanced Life Support Normal 2 MICPs MCI Exemption 1 EMT, 1 MICP Specialty Care Transport Normal 1 RN, 2 EMTs MCI Exemption 1 RN, 1 EMT Credentials Expiration Extended

17 Governor declared State of Emergency State EMAC Coordinator alerted the National Emergency Management Association NJ State EMS Director communicated with other EMS Directors

19 Two Hospitals in Hudson County, New Jersey Hoboken University Medical Center Palisades Medical Center Both evacuated in TS Irene

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24 hours prior to impact Took 8 Hours 40 Ambulances from

21 BEFORE the storm Hoboken University Medical Center Request Made to Hudson County OEM EMS Coordinator about 24 hours prior to impact Took 8 Hours 40 Ambulances from 8 counties and 3 MABs 140 Patients were brought to other hospitals

22 Several Feet of Water surrounded and penetrated the facility

23 AFTER the storm Palisades Medical Center Request made after midnight Hospital suggested using boats and taking patients outside of windows Took 6 Hours 4 MABs and a Task Force of Litter Bearers 83 Patients Rescued/Evacuated

24 8 AM MONDAY, OCTOBER 29TH

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26 16 facilities evacuated Some before to prepare to flooding Some afterwards due to utility and emergency backup failures Some due to storm damage Contracted EMS Agencies, Mutual Aid ASTs/ATFs and MAB

27 Waterview Center Nursing Home in Cedar Grove, NJ (Essex County) Nearly 170 Patients/Residents Evacuated

evacuees left without medications Photo: Courtesy

28 BLS units and AST/ATF assigned throughout state Multiple shelters throughout New Jersey Medical needs Many evacuees left without medications Photo: Courtesy American Red Cross Many shelters short staffed Photo: Courtesy Liz Keill

29 Monmouth University: 1,500 evacuees for 8 days Arthur Brisbane Center: 300 evacuees pets for 25 days Special needs 29

emergency departments Three tractor-trailer vehicles

30 Each ED tractor has 7 critical care beds with many advanced capabilities usually available only in fixed emergency departments Three tractor-trailer vehicles with expandable sides 2 Emergency Departments and 1 Operating Room

37 60% of Gas Stations in NJ were closed More than a dozen fuel depots no power Main problem was, no power stations could not pump gas and those that could supplies were quickly used up

38 Many Responders were out in field working while their and/or their families homes, and property were being damaged/destroyed by Sandy Prolonged Hours for Several Weeks Constant Visual Depictions of Damage

39 Preplanning & Preparedness Pay Off! Call For Help Early Preplan for events by creating mission ready packages Determine how the scope of practice of outside agencies fits your EMS model Know your EMAC process Pre-define and establish communication with agencies early Continually work with your OEM / ESM refine the process

40 Have a relationship with EMS administration Always evacuate a healthcare facility in the bullseye BEFORE a storm Have a communications plan Documentation is important Continuity of Operations Plan

41 Have solid back up capability GOOGLE, YAHOO, Others MCI Regulatory Waivers increased the force Size Matters The Medical Ambulance Bus Atypical transport Communicate with Social Media Have a clear communications process when requesting/ordering resources Fuel Plan, Train, and Exercise

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EMERGENCY MANAGEMENT PLANNING CRITERIA FOR ASSISTED LIVING FACILITIES

OCTOBER, 1995 EMERGENCY MANAGEMENT PLANNING CRITERIA FOR ASSISTED LIVING FACILITIES The following minimum criteria are to be used when Comprehensive Emergency Management Plans (CEMP) for all Residential