Are You Ready? A Medical Respite and Sobering Center s Response to Emergencies. Alice Moughamian, RN,CNS Megan Kennel, RN, MSN
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1 Are You Ready? A Medical Respite and Sobering Center s Response to Emergencies Alice Moughamian, RN,CNS Megan Kennel, RN, MSN
2 Objectives Provide an overview of the Medical Respite and Sobering Center (MRSC) Describe MRSC s original role in Emergency Preparedness measures Describe the evolution of MRSC s place in the continuum of care Describe challenges Moving forward 2 San Francisco Health Network
3 Medical Respite and Sobering Center Who are we? 2 programs under 1 roof with 2 distinct purposes Medical Respite Program overview Sobering Center overview 3 San Francisco Health Network
4 Sobering Center: Already existing role Bay to Breakers Pride Weekend New Year s Eve Reddinet 4 San Francisco Health Network
5 Sobering Center: Cold Snap San Francisco Cold Snap protocol Extra chairs and mattresses down during cold and rainy nights 5 San Francisco Health Network
6 The Evolution Begins CPMC Power Outage April Sudden power outage at community hospital, clients being transferred to ZSFG (Zuckerberg San Francisco General Hospital, SF safety net hospital) ZSFG needed to take clients from a community hospital. MRSC licensing Where do we fit into this, what clients can we take Prioritizing needs of homeless clients 6 San Francisco Health Network
7 Crissy Field Rallies August San Francisco Health Network
8 Crissy Field Rallies Medical Respite is called to offload clients from hospitals to make space for possible trauma clients fears of violence post-charlottesville rallies Had available beds because we were in our expansion Physical Beds and public health nurses in the community Discharged clients, worked with shelter health Use of sobering beds Almost needed extra Sobering support 8 San Francisco Health Network
9 Record-breaking Heat Wave Sept 2017 The coldest winter I ever spent was a Summer in San Francisco Anonymous 9 San Francisco Health Network
10 Sobering Center as a Cooling Center Labor day weekend 2% of homes in SF have air conditioning Work with street medicine to bring people in Lesson learned: Existing infrastructure wasn t sufficient Brought in portable AC s, fans Preparations for upcoming year already in progress 10 San Francisco Health Network
11 North Bay Fires October 2017 Clients could present to Sobering to rest inside away from poor air quality Worked with Street Medicine and HOT to bring clients indoors Similar to cooling center response 11 San Francisco Health Network
12 Hepatitis A Assessing all clients on admit to Sobering Working with IZ and Communicable Disease in SF for vaccinations Requiring Hep A on admit for respite 12 San Francisco Health Network
13 MRSC as a partner at EOC Part of city-wide heat wave debrief Roles now defined for: Emergency preparedness Natural disaster response Outbreak mitigation System level support Expected to be present for EOC planning Being added for radio capability Setting up a Clinician Disaster Training for all of Respite and Sobering clinical staff As a program, we are updating our disaster protocols Last week s response to strike at community hospitals 13 San Francisco Health Network
14 Lessons Learned Supporting program infrastructure Adding additional Sobering beds (5 mattresses, 5 chairs): learned how to prioritize who goes to which chair, how to make space Maintaining EMS drop off capability LLOC clients to Respite in times of need (prioritize already referred clients) Limitations in communicating without being on city EMR 14 San Francisco Health Network
15 Moving Forward Ensure that people experiencing homelessness are also cared for in times of disasters Public health community-based programs CAN provide this support: be called upon to support city-wide emergency response efforts! Community HCH programs should be prepared to assist in a disaster Facility example 15 San Francisco Health Network
16 Questions?
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