TGH Emergency Preparedness E R I NN S K I BA, M A N AGER O F E M E RGENCY P R E PA R EDNES S
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1 TGH Emergency Preparedness E R I NN S K I BA, M A N AGER O F E M E RGENCY P R E PA R EDNES S
2 Preparedness (Planning, Organizing, Training, Exercising, Evaluating) TGH Emergency Management Disaster Planning Committee Multidisciplinary Leadership Meets Bi-monthly Report to the Environment of Care (EOC) Oversight Committee Develop strategies through identification and prioritization of risk resulting in emergency management efforts throughout the organization Goal is to enhance our capability and improve the TGH s ability to respond to all threats and care for our patients
3 Preparedness (Planning, Organizing, Training, Exercising, Evaluating) Membership Co-Chaired by the Senior Vice President of Support Services and Chief Nursing Officer Emergency Department Patient Care Services Registration Ambulatory Services Media Relations Communications Information Systems Volunteer Services Medical Staff Office Trauma Services Facilities Risk Management Employee Health Supply and Distribution Laboratory Pharmacy Radiology Surgical Services Security Organizational Development Rehabilitative Services Pastoral Care Transport Dietary Infection Prevention Pediatrics And MANY MORE
4 Preparedness (Planning, Organizing, Training, Exercising, Evaluating) Hazard Vulnerability Analysis (HVA) Hurricanes and Severe Weather Storm Surge High Winds Flooding Tornadoes Civil Disturbances Mass Casualty Incidents Major Transportation Incidents (to include ground, air, and rail) Infrastructure Disruption Utility Failure Hazmat Releases (fixed facilities and transportation incidents) Terrorism Disease and Pandemic Outbreaks
5 2017 Top Ten 1. Hurricane, Tropical Storm, Severe Weather 2. Flood, External 3. Mass Casualty Incident (trauma) 4. Bomb Threat 5. Chemical Exposure, External 6. Small Casualty Hazmat Incident (< 5 victims) 7. Tornado 8. Epidemic 9. Active Shooter 10. Small-Medium Sized Internal Spill
6 Preparedness (Planning, Organizing, Training, Exercising, Evaluating) Comprehensive Emergency Management Plan (CEMP) Administrative and Emergency Contacts Org Charts Site Specific Information (beds, evac zone, flood zone) Hazards Direction and Control Communication Resources and Assets Utilities Safety and Security Staffing and Notification Clinical Support Transportation Agreements Evacuation and Reentry 6 Critical Function Areas
7 Preparedness (Planning, Organizing, Training, Exercising, Evaluating) Hurricane Plan Window/Door Protection Electricity Suction/Air/Medical Gas A/C Sanitation/Linens Supplies Food/Water Hurricane Teams Relocation Plan Recovery Plan
8 Preparedness (Planning, Organizing, Training, Exercising, Evaluating) Disaster Policies EC-3 Emergency Codes EC-4 Fire Responses EC-19 Notification and Activation of Personnel EC-20 Internal/External Disaster EC-21 Planned Evacuation EC-22 Recommendations for Lines/Equipment during Evacuations EC-30 Respiratory Protection Policy EC-45 Fire Prevention Fire Safety Plan During an Operation EC-49 Disaster/ Terrorism Campus Security EC-53 Emergency Management Committee EC-54 Active Shooter EC-57 Disaster: Emergency Childcare Procedure HR-3 Disaster: Credentialing Volunteers (Non- Physician/Non-LIP) Practitioners HR-33 Compensation: Disaster Pay Practices HR-66 Work Schedules for Non-Exempt Employees HR-79 Attendance and Tardiness LD-62 Disaster Relief LD-92 Accounts Payable Disaster Recovery
9 Preparedness (Planning, Organizing, Training, Exercising, Evaluating) Disaster Inventory and Supplies Warehouse Fire Extinguishers, medical gas compressors, spot coolers, portable toilets, linen, food, water Medical Mass casualty triage carts, trauma carts Decon PAPRs, suits, gloves, boots, tape, filters, batteries Hurricane Rain gear, flashlights, batteries, etc. SPD, pharmacy, linen pre-identified order
10 Emergency Food Plan OLD PLAN NEW PLAN Heater Meals Meals for All Patients 600 Patients 800 Staff 0 Staff Total Total Shelf Stable 3 yrs Shelf Stable 10 yrs
11 Preparedness (Planning, Organizing, Training, Exercising, Evaluating) Minimum of 2 Exercises per year Organizational After-Action Report/Improvement Plan
12 Preparedness (Planning, Organizing, Training, Exercising, Evaluating) TGH is a member of several local Emergency Planning Committees: City of Tampa Emergency Operations Group (COTEOC) Hillsborough County Emergency Operations Group (HCEOC) Hillsborough County Emergency Medical Planning Council (EMPC) Hillsborough County Healthcare Coalition (HCHC) Tampa Bay Health and Medical Preparedness Coalition (R4HCC) Local Emergency Planning Council (LEPC) Urban Area Security Initiative (UASI) Regional Domestic Security Task Force (RDSTF) FHA Emergency Preparedness and Response Task Force
13
14 Mitigation (Structural and Non-Structural Changes to Limit Impact) Central Energy Plant (CEP) Fuel Generators Chillers Energy Hill Relocation Future Expansion Relocate Steam Production Provide additional generation for 100% emergency back up power
15 Mitigation (Structural and Non-Structural Changes to Limit Impact) Fuel Supply gallon submersible tanks bolted to the ground Fuel the hospital for a minimum of 96 hours on full load
16 Mitigation (Structural and Non-Structural Changes to Limit Impact) Generators kws 2 (750kW and 565kW) in the Annex
17 Mitigation (Structural and Non-Structural Changes to Limit Impact) Chillers 5 in CEP, 1 in the building 3 on emergency power
18 Mitigation (Structural and Non-Structural Changes to Limit Impact) Energy Hill Relocation Completed in 2015
19 Mitigation (Structural and Non-Structural Changes to Limit Impact) Future Expansion Boilers
20 Mitigation (Structural and Non-Structural Changes to Limit Impact) Generator Hook-ups Contract with Ring Power for additional generators to be brought in post-event kW kW
21 Mitigation (Structural and Non-Structural Changes to Limit Impact) Hurricane Shutters/Curtains/Roll-downs/Submarine Doors
22 Mitigation (Structural and Non-Structural Changes to Limit Impact) TECO Transmission Lines (in progress)
23 Mitigation (Structural and Non-Structural Changes to Limit Impact) Back-Up Wells (in progress)
24 Mitigation (Structural and Non-Structural Changes to Limit Impact) Mooring (in progress)
25 Mitigation (Structural and Non-Structural Changes to Limit Impact) Temporary Emergency Bridge (beginning phases of discussion with the City)
26 Response (Coordination and Management of Resources, Responding to a Disaster) Notification 1. Overhead Paging 2. Amcom Paging 3. TGH Alert 4. Everyone s 5. Portal Updates 6. Employee Disaster Website 7. Employee Disaster Phone Line TGH Alert Mandatory for all employees Sign up (
27 Response (Coordination and Management of Resources, Responding to a Disaster) Alternate Care Site Mass Casualty/Medical Surge Decon
28 Response (Coordination and Management of Resources, Responding to a Disaster) All Hazards Response Hospital wide support B301 Incident Command Center Command, control, and coordination of the response Communication (internal and external) Manage resources
29 Recovery (Restore Critical Functions, Manage Stabilization, Return to Normalcy) Short-term Operational Damage Assessment Clean up/restoration Information Technology Disaster Recovery Plan Outlines Tiers and Priorities Long-term Restoring economic impact Rebuilding infrastructure
30 Thank you any questions?
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SECTION 11.15 EARTHQUAKE PROCEDURES TO BE FOLLOWED IN THE EVENT THAT A SIGNIFICANT EARTHQUAKE AFFECTS LOMA LINDA UNIVERSITY HEALTH RESPONSE During The Earthquake: All Personnel All Personnel DUCK, COVER,