Hospital-Clinic-LtC Evacuation Scenarios Sim Cell Scenarios Click here Spring 2017 Evacuation MSEL Presentation

Contact information for HMAC and Sim Cell Separate page will be provided prior to the exercise with this information Spring 2017 Evacuation MSEL Presentation

Inject 1 9:15am Several Healthcare facilities have been affected by severe weather Your facility has been damaged with the need to evacuate Your decision on evacuation will be based off of what your facility wants to evacuate with. Chose one of the following Tornado damage Flooding Straight line winds Power Failure including all generators Spring 2017 Evacuation MSEL Presentation

Inject 4 9:40am The hospital Human Resources/Staffing are calling the command center informing them that they have gotten several reports from employees trying to come into work to support the mass casualty call out, but are unable to due to road conditions. Employees are wondering what they should do in the meantime Spring 2017 Evacuation MSEL Presentation

Inject 6 9:50am CEO and CFO has a meeting with your Incident commander They want to know what this evacuation will cost, How many need evacuating, and how many are able to stay? Outcomes Provide a cost analysis Activate Financial Section in Incident command system Spring 2017 Evacuation MSEL Presentation

Inject 7 9:55am Facility Specific Inject See Facility Specific Inject handout Spring 2017 Evacuation MSEL Presentation

Inject 8 10:05am Transport has arrived and patients are being loaded. A supervisory found staff jumping into the transport vehicle Supervisor finds out that staff are unsure if they should go with patient or stay back. Thankfully staff has not left with earlier transport Outcome Provide clear plan for evacuation IF not already prepared Spring 2017 Evacuation MSEL Presentation

Inject 10 10:15am A unified search and rescue team is reporting that they have found ____ deceased people on your facility grounds Spring 2017 Evacuation MSEL Presentation

Inject 12 10:20am Two people walk up to your staging area - one in a Gown (hospital)/ clothes (LTC/clinic). When asked who they are, the ungowned person informs you that he found this confused and lost person a block down. He assumed he was a patient and helped walk him back to your facility. He was unsure of what should have happened and is hoping he did the right thing Spring 2017 Evacuation MSEL Presentation

Inject 14 10:25am Staff is reporting that as they are evacuating the patients they notice many of them are very nervous and scared. Many are refusing transport and some are wondering why they can’t just go home to their loved ones? Some patients behavior continue to escalate and are about to get physically abusive Spring 2017 Evacuation MSEL Presentation

Inject 16 10:30 am Facility Specific Inject Spring 2017 Evacuation MSEL Presentation

Inject 18 10:45am Your facility is receiving calls from receiving healthcare facilities stating that patients have arrived with no medical records Spring 2017 Evacuation MSEL Presentation

Inject 19 10:50am EMS is Arriving to provide 2nd wave transport of your patients Who will go? Spring 2017 Evacuation MSEL Presentation

Inject 20 10:55am Your Dietary manager calls command wondering if patients are to be provided food? Spring 2017 Evacuation MSEL Presentation

Inject 21 11:00am Facility Specific Inject Spring 2017 Evacuation MSEL Presentation

Inject 22 for hospital 11:05 Receiving Hospital calls you informing you that one of your evacuated patient is wanting his walker and hearing aids Spring 2017 Evacuation MSEL Presentation

Inject 22 for LTC 11:05 Receiving LTC calling your facility stating they are low on oxygen concentrators and wondering why the patients concentrator was not sent with the patient Spring 2017 Evacuation MSEL Presentation

Inject 23 11:10am Your facility is starting to receive several calls from family of patients very upset that they were not told about their loved ones being evacuated Spring 2017 Evacuation MSEL Presentation

Inject 25 11:20am Conduct an Operational Briefing with Command Center Staff Spring 2017 Evacuation MSEL Presentation

Evacuation Sim Cell Scenarios Spring 2017 Evacuation MSEL Presentation

Evac- Inject 2 Sim Deck 9:20am Posts of disaster have employees very worried about family at home Post: “seeing all these photos has me very worried about my family” Post: “hoping my family is ok while I am at work” Post: “stuck inside the hospital and seeing these photos of my community scares me” Potential pictures in additional slides Spring 2017 Evacuation MSEL Presentation

Spring 2017 Evacuation MSEL Presentation

Spring 2017 Evacuation MSEL Presentation

Spring 2017 Evacuation MSEL Presentation

Evac- Inject 3 HMAC 9:30am Sim Cell is HMAC Use radios for hospital Use phones for LTC and clinic Advise hospitals to report through Mntrac HMAC is gathering information from the healthcare facilities on damage of facility and resources needed. Ask for information to be provided by Mntrac, coalition website chat Spring 2017 Evacuation MSEL Presentation

Evac- Inject 5 Sim Cell 9:45am Phone and Radio Sim Cell is EMS Facility has reported: inform facility that EMS’s ETA is 15 min Facility has NOT reported: Inquire about transport needs Hospital use Radio LTC/clinic use phone Spring 2017 Evacuation MSEL Presentation

Evac- Inject 9 Sim Cell 10:10am Phone and Radio Sim Cell is EMS/Medical Transport Inform hospital through radio LTC/clinic by phone Inform facilities that transport for patients are arriving Spring 2017 Evacuation MSEL Presentation

Evac- Inject 11 Sim Deck 10:15am Family members are posting comments on facility social media page “I saw on the news that your evacuating. My family member is there for treatment. I was wondering if I can come pick them up. Can they be discharged and sent home?” Spring 2017 Evacuation MSEL Presentation

Evac-Inject 13 Sim Deck 10:20am Good Morning I have seen your facility posting in Social Media. My name is Wells Rockford and I am the reporter for the daily buzz. We are thinking of your community and doing what we can to support the cause. I had a couple questions for your organization I am hoping you would answer How many patients have come to you for help? Has this emergency been putting a strain on your organization? Do you have all the resources needed to support the increase care load? How can I put out information so that the community knows how to locate and find their lost loved ones? Spring 2017 Evacuation MSEL Presentation

Evac- Inject 15 Sim Deck 10:25 Employee finds post of a families disgust in inability to pick up and care for loved ones Post: “I am upset that I can’t get my mother. Who do they think they are telling me I can’t get her. I’m trying to help and this is what they are going to do. Who is going to pay for this transport I know I’m not as I offered to take her. This facility is insane!!” Spring 2017 Evacuation MSEL Presentation

Evac-Inject 17 Sim Deck 10:45am News reporter writes article that inaccurately depicts facility evacuation Article ? Spring 2017 Evacuation MSEL Presentation

Evac- Inject 24 Sim Cell 11:15am Coalition calls looking for situation report and update on bed availability Hospital will use Radio LTC/Clinic will use phone Spring 2017 Evacuation MSEL Presentation