Calaveras County Alternate Care Site Plan. Set-up Diagrams REVISED: 02/28/11

Transcription

1 Calaveras County Alternate Care Site Plan Set-up Diagrams REVISED: 02/28/11 Prepared by: Douglas Buchanan Emergency Preparedness Consultant

2 Table of Contents Diagram 1: ACS Overview page 3 Diagram 2: Westcot Medical Bed Setup for Team A-C page 4 Diagram3: Team A (Red Team): Pediatrics, Nurses Station, Pharmacy, Isolation page 6 Diagram 4: Team B (White Team): Womens / Mens Patient Areas page 7 Diagram 5: Team C (Blue Team): Lab/Diagnostics Area, Supply Area, Radiology Area page 8 Diagram 6: Team D: Bedding / Patient Supplies page 9 Diagram 7: Team E: Nursing / Pharmacy Units page 10 Diagram 8: Team G: Laboratory/Diagnostics Unit page 11 Diagram 9: Team H: Supply Unit page 12 Diagram 10: Team I: Radiology Unit page 13 Diagram 11: Team J: Signage Team page 14 Diagram 12: Transportation Delivery Priorities page 15 Diagram 13: Staging Areas page 16 Diagram 14: Alternate ACS Layout (65-bed) page 17 Calaveras County ACS Plan - Diagrams Page 2 of 17 Prepared by: Douglas Buchanan Consulting

3 Diagram 1: ACS Overview Diagram 1 depicts an overview of the ACS, including: 50 beds (or cots), divided into four groupings, spaced 4 apart with aisle ways of 7 o Womens, o Mens, o Pediatrics, o Isolation Laboratory / Diagnostics Area (15 x 33 ) with tables/chairs and shelving Supply / Storage Area (15 x 33 ) with tables and shelving Radiology Area (15 x 33 ) with tables/chairs Nurses Station, located at the electrical hub with 4 tables and 8 chairs Pharmacy Area with 2 tables, 2 chairs, a pharmacy unit, and two med carts 4 Handwashing Stations (1 single, 2 double, 1 quad/sanitizer) 6 partitions placed to separate patient groupings For alternate (surge) diagram (for 65 patients) see Appendix Calaveras County ACS Plan - Diagrams Page 3 of 17 Prepared by: Douglas Buchanan Consulting

4 Diagram 2: Westcot Medical Bed Setup for Team A-C Calaveras County ACS Plan - Diagrams Page 4 of 17 Prepared by: Douglas Buchanan Consulting

5 Diagram 2: Westcot Medical Bed Setup for Team A-C Continued Calaveras County ACS Plan - Diagrams Page 5 of 17 Prepared by: Douglas Buchanan Consulting

6 Diagram 3: Team A: Pediatrics, Nurses Station, Pharmacy, Isolation Team A will begin at the southeast corner of the gymnasium: 1. Place partitions 2. Place the five Isolation beds a. First bed, 3 from outside wall (head against bleachers) b. Measure 4 between beds c. Place the partitions 4 from last bed, and 7 from the foot of the beds d. Place the 1-person Handwashing and Isolation charts 3. Arrange the Pharmacy Unit a. Place the first table 7 from partition, 4 from bleachers b. Place the pharmacy unit and second table and 2 chairs 4. Arrange the Nursing unit a. With 4 tables and 8 chairs, leaving 3 aisle from pharmacy unit, and 7 from the partitions b. Place the 2-person Handwashing station behind pharmacy unit 5. Place the five Pediatric beds a. First bed, 11 from pharmacy table b. Measure 4 between beds c. Place five partitions, 7 from foot of beds d. Leaving 7 aisle way, place second set of four partitions c. Place med carts against bleachers at each end of the unit Calaveras County ACS Plan - Diagrams Page 6 of 17 Prepared by: Douglas Buchanan Consulting

7 Diagram 4: Team B: Womens / Mens Patient Areas Team B will begin 25 from the south wall of the gymnasium: 1. Place the Mens beds a. First bed, 7 from outside wall, and 4 from partitions b. Measure 4 between beds c. Place beds head to head d. Leave a 7 aisle way between rows 2. Place Partitions and 4-person handwashing (sanitizer) station a. Leave 7 aisle way between beds and partition b. Leave 3 aisle way between HW station & partitions 3. Place the Women s beds a. First bed, 7 from outside wall, and 4 from partition b. Measure 4 between beds c. Leave a 7 aisle way between rows Calaveras County ACS Plan - Diagrams Page 7 of 17 Prepared by: Douglas Buchanan Consulting

8 Diagram 5: Team C: Lab/Diagnostics Area, Supply Area, Radiology Area Team C will begin in the northwest corner of the gymnasium: 1. Set up Radiology Area a. Measure 15 from north wall bleachers b. Place the four 6 partitions c. Place tables and chairs vertically at 33 from east wall 2. Set up the Lab / Diagnostics Area a. Measure 15 from the north wall bleachers b. Place the four 6 partitions, with hand-washing station in the center c. Place two tables and chairs vertically at 33 d. Place two tables horizontally at back wall 3. Set up Supply Area a. Place two tables horizontally in NW/NE corners b. Place shelving units for: i. Housekeeping Supplies ii. Patient Supplies iii. Linens 4. Set Up Radiology Area a. Place two tables and chairs vertically at 33 e. Place mini refrigerator (if available) Calaveras County ACS Plan - Diagrams Page 8 of 17 Prepared by: Douglas Buchanan Consulting

9 Diagram 6: Team D: Bedding / Patient Supplies Team D will begin in the southwest corner of the gymnasium: 1. Begin by placing the fitted sheet over the mattress (or cot). 2. Next, place a flat sheet, followed by a blanket, tucking in the foot and sides. 3. Slip a pillow case over the pillow. 4. Open the hook & loop tabs on the disposable caddy, and wrap over the side rail. 5. Fill caddy with patient toiletries (toothbrush, toothpaste, etc.; and bottle of water.) Calaveras County ACS Plan - Diagrams Page 9 of 17 Prepared by: Douglas Buchanan Consulting

10 Diagram 7: Team E: Nursing / Pharmacy Units 1. Nursing Unit: a. Start by placing Medical supplies from Team E Bin on the vertical table located on the west side of the Nurses Station, and place a trash can where the two tables meet. b. On the first horizontal table place the Bands, Forms, and Computer, while connecting your computer to the Electrical Hub (E). c. On the second horizontal table place the Printer, Misc. Supplies, Writing Utensils, and Sanitizer. d. On the vertical table located at the side of the Nurses Station, place the Tissues, Dividers, and Charts. e. Place the paper towels at the Handwashing station, then place a trash can on the west side, followed by the paper shredder, and trash bags. f. Finally, place the Chart Rack next to the Handwash station. 2. Pharmacy Unit: a. Start with placing trash cans at each end of the unit, one west end of the tables, the other at east end. b. On the west table near Pediatrics, place the supplies trash bags, tissue, and sharps containers. c. On the east table near Isolation, place a sharps container, misc. supplies, writing utensils, sanitizer, and paper towels. d. Finally, place the Med-cart supplies on the Med Carts. Calaveras County ACS Plan - Diagrams Page 10 of 17 Prepared by: Douglas Buchanan Consulting

11 Diagram 8: Team G: Laboratory/Diagnostics Unit Team G: 1. Start with placing the trash can against the southeast partition. 2. On the first table, next to the refrigerator, place the Sanitizer, Paper Towels, and Sharps Container. 3. Place writing utensils on the next table. On the first table located horizontally against the bleacher wall place your 4. On the second table located horizontally against the bleacher wall place unit. each one of the four bins with Hemoccult, Accu- Check, HcG, and Urine Dipstick testing supplies. Calaveras County ACS Plan - Diagrams Page 11 of 17 Prepared by: Douglas Buchanan Consulting

12 Diagram 9: Team H: Supply Unit Team H: Will start in the center of the Northern point of the gym. 1. Start with filling the two carts at the 33 line from the Northeast corner of the gym with items from the Toiletries/Bathroom Supply bins. 2. Next fill the four carts located horizontally against the bleacher wall in the Northern point of the gym with items from the PPE, Respiratory, I.V., and Dressing supplies bins. 3. Lastly, fill the two carts that are located on the 33 line from the Northwest corner of the gym with items from the Linen and Housekeeping supply bins. Calaveras County ACS Plan - Diagrams Page 12 of 17 Prepared by: Douglas Buchanan Consulting

13 Diagram 10: Team I: Radiology Unit Team I: Will start in the center of the Northeast corner of the gym. 1. Start by placing Sanitizer bottle, paper towels, and writing utensils against the first table located vertically at the 33 line from the Northeast corner of the gym. 2. On the second table located vertically at the 33 line from the Northeast corner of the gym place lead drapes. 3. Lastly place a trash can against the partition wall near the second table located vertically at the 33 line from the Northeast corner of the gym. Calaveras County ACS Plan - Diagrams Page 13 of 17 Prepared by: Douglas Buchanan Consulting

14 Diagram 11: Team J: Signage Team Signage Team will start before any other team enters the ACS. 1. Team J will place the signage for the ACS equipment/supply staging areas outside the gymnasium as indicated in Diagram 11 a, and then proceed to place signage on the classrooms designated for Additional Supplies ( drop-off 4), and the ICP (drop-off 5). 2. Once the ACS has been set-up, the Signage Team will place area-specific signs, including: Pediatrics, Nurses Station, Isolation, Women, Men, Lab, Supply, Radiology, Ambulance/Patient Entrance, Staff/Visitor Entrance. 3. The Signage Team will ensure that initial staging area signage is picked up and stored appropriately. Diagram 11 a Calaveras County ACS Plan - Diagrams Diagram 11 b Page 14 of 17 Prepared by: Douglas Buchanan Consulting

15 Diagram 12: Transportation Delivery Priorities The delivery priorities are numerically depicted below (1-5), as well as color-coded signage for easy identification by the staging and set-up teams. 1. The first delivery priority contains the Red and Blue blocks, containing patient beds, bedding, tables, chairs etc. 2. The second delivery priority contains the Green and Orange blocks of equipment/supplies for set-up of the Nursing & Pharmacy units. 3. The third delivery priority contains the Yellow, Grey, and Purple blocks for set-up of Lab, Supply, and Radiology units. 4. The last delivery priorities are for the Additional Storage (pink), and the ICP/PIO supplies (brown). Calaveras County ACS Plan - Diagrams Page 15 of 17 Prepared by: Douglas Buchanan Consulting

16 Diagram 13: Staging Areas Staging Areas for ACS equipment/supply delivery are in five designated areas. 1. First area is identified in the diagram below, in the center of the east side of the gymnasium. This staging area is designated for the first wave of set-up (Blocks A, B, & C: Tables, Chairs, Cots/Beds, etc.; and Block D: Bedding/Pt Area set-up). 2. The second staging area is located outside the southeast corner of the gym, and is designated for the second wave of ACS equipment/supplies (Blocks E & F: Nursing & Pharmacy Stations). 3. The third staging area is located outside the northeast corner of the gym, and is designated for Blocks G, H, and I (Lab, Supply, Radiology areas). 4. The fourth and fifth staging areas are located in the ancillary classrooms to the west of the gym. These areas are designated for Additional Storage (4), and the ICP/PIO (5). Calaveras County ACS Plan - Diagrams Page 16 of 17 Prepared by: Douglas Buchanan Consulting

17 Diagram 14: Alternate ACS Layout (65-bed) Calaveras County ACS Plan - Diagrams Page 17 of 17 Prepared by: Douglas Buchanan Consulting