Internal Scenario 2
FACILITY EVACUATION (COMPLETE OR PARTIAL)
There is a construction project in process at your facility. Upon digging, the operator ruptures the hospital water main, this caused a basement flood.
Mission: To manage a safe evacuation of the facility, either partially or completely.
Incident Objectivesq Maintain safety of patients, staff, and visitors.
q Maintain life support functions.
q Conduct safe and rapid evacuation of the facility.
q Plan for patient repatriation and restoration of services.
Immediate (Operational Period 0-2 Hours)
Incident Commander / Operations Chief / Planning Chief / Logistics Chief / Finance Chief
PIO, Liaison, Safety / Med Care, Staging, Infrastructure, Security / Situation / Support Branch
COMMAND
q Activate the facility emergency operations plan and the Incident Command structure.
q Determine type of evacuation needed; order the organized and timely evacuation of the facility.
q Conduct regular media briefings on situation and appropriate patient information.
q Ensure patient family notifications of evacuation/transfer/early discharge.
q Notify and regularly communicate with local emergency management agency, Fire, EMS and law enforcement.
q Manage the immediate stabilization of the facility and basement flooding.
q Establish areas for immediate evacuation to protect life.
q Ensure safe evacuation of patients, staff and visitors.
OPERATIONS
q Implement emergency life support procedures to sustain critical services until evacuation can be accomplished.
q Determine type of evacuation needed, in conjunction with the incident commander.
q Implement planning for immediate evacuation of the facility.
q Establish a safe area for holding patients until transferred.
q Ensure patient records, medications and belongings are transferred with the patient.
q Secure the facility and restrict visitors and entry of non-essential personnel.
q Activate business continuity plans and procedures.
q Relocate hazardous materials from flooded areas to prevent area/facility contamination.
q Coordinate ambulances, aero medical services, and other transportation.
q Implement the evacuation plan and move patients and staff.
Planning
q Track patients and personnel including evacuation of location and receiving facility.
q Establish operational periods, incident objectives and develop the Incident Action Plan.
q Ensure documentation of all action and activities.
q Ensure all hospital staff are informed of current hospital objectives.
Intermediate (Operational Period 2-12 Hours)
Incident Commander / Operations Chief / Planning Chief / Logistics Chief / Finance Chief
PIO, Liaison, Safety, Technical Specialist / Med Care, Hazmat, Infrastructure, Security, Business Continuity / Resource, Situation, Documentation / Support, Service / Time Unit Leader, Procurement, Cost,
Compensation/Claims
Command
q Notify hospital Board, CEO and other internal authorities of situation status and evacuation.
q Integrate with external agencies, including healthcare facilities.
q Continue staff, patient, and visitor and media briefings.
q Conduct analysis of response for health & safety issues related to staff, patients, & facility & implement corrective actions.
OPERATIONS
q Ensure appropriate patient care and management during evacuation.
q Continue facility security, traffic and crowd control
q Ensure family notification of patient transfer.
q Continue facilitating discharges.
q Continue to communicate patient information and status to receiving facilities
Planning
q Continue patient and personnel tracking and documentation.
q Update and revise the Incident Action Plan.
q Ensure complete documentation of activities, decisions and actions.
q Ensure all hospital staff are informed of current hospital objectives.
LOGISTICS
q Supply supplemental staffing to key areas to facilitate evacuation.
q Provide staff with food, water and rest periods.
q Monitor facility damage and initiate repairs.
q Initiate salvage operations of damaged areas and relocate equipment.
FINANCE
q Track costs and expenditures of response and evacuation.
q Track estimates of lost revenue due to evacuation of the facility.
Extended (Operational Period Beyond 12 Hours)/ Demobilization/System Recovery
Incident Commander / Operations Chief / Planning Chief / Logistics Chief / Finance Chief
PIO, Liaison, Safety, Technical Specialist / Med Care, Hazmat, Infrastructure, Security, Business Continuity, Staging / Resource, Situation, Documentation, Demobilization / Support, Service / Time Unit Leader, Procurement, Cost, Compensation/Claims
COMMAND
q Update evacuation progress and situation status.
q Continue to update local emergency management on situation status and evacuation progress
q Continue evaluation of evacuation practices for health and safety issues and implement corrective actions.
Operations
q Ensure patient care and management for patients waiting evacuation.
q Secure all evacuated areas, equipment, supplies and medications.
q Continue business continuity and recovery actions.
q Restore patient care and management activities.
q Repatriate evacuated patients.
q Re-establish visitation and non-essential services.
Planning
q Continue to track patients and staff locations
q Track materiel and equipment transferred to other hospitals
q Prepare a demobilization plan and deactivate HCC positions and staff when they are no longer necessary.
q Discuss staff utilization & salary practices during evacuation & closure of facility with Human Resources; provide information to employees when determined.
q Ensure documentation of actions, decisions & activities to ensure documentation of actions, decisions & activities.
q Update and revise the Incident Action Plan.
LOGISTICS
q Maintain information technology security.
q Support evacuation of supplies.
q Assess and secure utility systems.
FINANCE/ADMINISTRATION
q Continue to track and report response costs, expenditures and lost revenue.
PLANNING
q Conduct after-action review.
q Prepare a summary of the status and location of all incident patients. Disseminate to appropriate agencies.
q Write after-action report and corrective action plan.
LOGISTICS
q Conduct debriefings and offer stress management services to staff, families and patients, as appropriate.
q Inventory all HCC and hospital supplies; replenish as necessary and appropriate.
FINANCE
q Finalize expense and time reports; summarize costs of the response & recovery operations for the Incident Commander.