HHS/ASPR Preparedness Round One Shriner s Hospital for Children Shreveport, Louisiana August 12, 2010
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1 HHS/ASPR Preparedness Round One Shriner s Hospital for Children Shreveport, Louisiana August 12, 2010
2 Crisis Standards of Care Planning for Scarce Medical Resource Allocation Triage Who get s the scarce medical resource during crisis? State Meeting Louisiana Crisis Standards of Care Subcommittee DHH LHA/Baton Rouge, Wednesday, Aug 4, Region 7 Committee Attendees Keith Scott, MD; Susan Cash, RN; Rev. Andrew Comeaux; Jeff Watson, EMT P; Knox Andress, RN Reviewed current regional /state planning. Next steps continued regional and state planning including EMS; public engagement strategy. La. Region 7 Hospital Preparedness Updates 2
3 CDC / ACEP s Bombing and Hospital Preparedness Templates Meeting American College of Emergency Physicians, HQ, June 29, Dallas, TX Participants Willis Knighton Medical Center (Tim Culpepper); Willis Knighton Pierremont (Clint Sanders); CHRISTUS Schumpert St Mary Place (Millard Kimball); Springhill Medical Center (Kristie Copeland); Shreveport Fire Department (Chief Steve Nezat) Goal evaluate and implement CDC s bombing response templates; report implementation challenges. Future CDC/ACEP Region 7 Hospitals Regional or State Plan? La. Region 7 Hospital Preparedness Updates 3
4 Shelter Medical Readiness Shelter Medical Support partners and liaisons Community shelter support organization Shelter ICS Organization, Job Action Sheets Walk through meetings: Westpark Shelter (CTNS), Wednesday, July 7; 9:30am Jewella Shelter (CTNS), Tuesday, August 10; 9:30am NEXT Bossier Civic Center (SMNS), Tuesday, August 17; 9:30am La. Region 7 Hospital Preparedness Updates 4
5 History EMS Transports: Hurricane Evacuee Shelters to Hospitals 80 EMS Runs from Shelters to Shreveport-Bossier City Hospitals, Aug Sept. 18, 2008; Hurricanes Gustav - Ike Runs CTNS Shelter CTNS Shelter -Sports Outlet - Sam's Club Mall SMNS - Bossier Civic Center Red Cross/General Shelter Hirsch Red Cross/General Shelter LSUS 0 0 Red Cross/General Shelter Southern University Riverview - Shreveport CenturyTel Other Shelter 1 Louisiana Region 7 Hospitals ; Hurricane Gustav Ike; AAR, Andress 5
6 Hurricane Shelter ICS Organizing a potential Medical Unit ESF 8 Shelter A ESF 6 Shelter Incident Commander DRAFT 7/22/2010 PIO Liaison Safety City EMS Fire Command Operations Section Chief Planning Section Chief Logistics Section Chief Fin/Admin Section Chief *Medical Provider Lead (MD, PA, etc) *Bus Triage Unit Leader (City EMS) Medical Unit Manager *Nurse Care Lead (RN, LPN) *Clinic Support Service Lead *Administrative Support Lead Contracted EMS Lead Medical Control (LSUHSC ED Attending) *Potential DMAT or other medical strike team Team Roles: Medical Unit Manager manages/coordinates shelter medical unit operations. Coordinates with and is POC for Shelter Operations Chief, Shelter Incident Commander, and ESF 8 Desk at CBOHSEP. May be required to simultaneously serve as medical, nurse or EMS provider, (MD, PA, APRN, RN, LPN, EMT P). *Medical Care Provider Lead has prescriptive authority and serves as the medical care provider (MD, PA, etc). *Bus Triage Unit Lead Fire Department s EMS lead for bus triage (EMT P). *Nurse provider lead licensed nurse provides medical unit nursing care and supports the unit medical provider. *Clinical Support Services provides clinical support possibly RPh, RRT, Pt Care Tech, etc *Administrative Support responsible for Medical Unit patient registration, EMTrack entry, and scheduling support. Contracted EMS Unit/Crew Advanced EMS (EMT P) or other similar EMS agency supporting shelter needs. *DMAT Disaster Medical Assistance Team La. Region 7 Hospital Preparedness Updates *Positions activated as needed and/or available 6
7 EOC Caddo Bossier OHSEP Coordinates Mass Care Sheltering (ESF 6) (DSS, ARC) Public Health, Medical, Mental Health, (ESF 8) Bossier Civic Center 620 Benton Rd, Bossier City *CenturyTel 2000 Center Drive, Bossier City Jewella 8810 Jewella Ave, Shreveport Westpark 7455 Atkinson Dr, Shreveport Riverview 600 Clyde Fant Pkwy, Shreveport Hirsch 3701 Hudson Street, Shreveport LSU S 1 University Place, Shreveport Southern U 3050 MLK Drive, Shreveport MSNS DSS/OPH CTNS Parish CTNS DSS CTNS DSS CTNS Parish CTNS Parish General Parish General Parish OPH/LSUHSC Promise Hospital; NSU Nursing; Volunteer Pool Bossier City Fire/EMS; LSUHSC S; David Raines Clinic; MRC LSUHSC S; David Raines Clinic; MRC LSUHSC S; LifeCare Hospital; MRC Oklahoma Team ARC; MRC; Volunteer Pool ARC; MRC; Volunteer Pool Advanced EMS *Point to Point Advanced EMS Advanced EMS Advanced EMS Oklahoma EMS Unit? La. Region 7 Hospital Preparedness Updates ARC American Red Cross CBOHSEP Caddo Bossier Office of Homeland Security and Emergency Preparedness CTNS Critical Transportation Needs Shelter DSS Department of Social Services EOC Emergency Operations Center ESF Emergency Support Function MRC Medical Reserve Corps MSNS Medical Special Needs Shelter OPH Office of Public Health Pool volunteer resources from hospitals, clinics, MRC, LAVA, ESAR VHP, etc 7
8 Hospital and EMS : EMTrack Training Hospital and Hurricane Shelter Applications Review and update for providers those receiving/sending EMTrack ed patient evacuees Provided by EMSystem educators Location Bossier EOC EMS Aug 18 & 19th, 9am Hospitals Aug. 19, 1pm La. Region 7 Hospital Preparedness Updates 8
9 New Special Projects! $17, in reallocated hospital funds Shelter Medical Unit Support Region 7 Pharmaceutical cache La. Region 7 Hospital Preparedness Updates 9
10 Region 7 Hospital Threats Regional, Hazard Vulnerability Analysis (HVA) in progress Participants to date: Brentwood Hospital; CHRISTUS Schumpert St Mary; CHRSITUS Schumpert Highland; LSUHSC Shreveport; Sabine Medical Center; Natchitoches Regional Medical Center; Willis Knighton Medical Center; Willis Knighton Bossier; Willis Knighton Pierremont; Willis Knighton South; Hazards are ranked regionally by averaged selection frequency within type. 1# threats = (results as of 8/28/2010) Natural Hazards = Tornado Manmade Hazards = MCI Technological Hazards = Fire (Internal) 1 La. Region 7 Hospital HVA; in progress,
11 Ranking Technology Hazards 1 1 La. Region 7 Hospital HVA; in progress,
12 Ranking Man made Threats 1 1 La. Region 7 Hospital HVA; in progress,
13 Ranking Natural Hazards 1 1 La. Region 7 Hospital HVA; in progress;
14 Region 7 Hospital Special Project
15 Mass Fatality Trailer a Regional Asset
16
17 Questions? Knox Andress, RN, FAEN Designated Regional Coordinator Louisiana Region 7 Hospital Preparedness LSU Health Sciences Center Shreveport Louisiana Poison Center (of) ; (cell) wandr1@lsuhsc.edu La. Region 7 Hospital Preparedness Updates 17
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