Hospital influx scenarios For Sim Deck and Cell Scenarios Click here Spring 2017 Exercise Hospital Influx MSEL Presentation

Contact information for HMAC and Sim This information will be provided on a separate sheet prior the exercise Spring 2017 Exercise Hospital Influx MSEL Presentation

Inject 1 9:15 am Your local community has been affected by severe weather. Currently your facility is not damaged, but many structures and residential homes have been damaged Spring 2017 Exercise Hospital Influx MSEL Presentation

Inject 2 9:20am On scene Incident Command is calling the Emergency Department reporting current numbers of victims that need transporting to hospital for care Immediate (Critical) _______ Delayed (Non Critical) _____ Minor (Walking Wounded) ______ Spring 2017 Exercise Hospital Influx MSEL Presentation

Inject 4 9:35am Emergency Medical Services are transporting the victims found locally to your facility. EMS has called and informed you that they are bringing Facilitator create and provide casualty cards (optional) Immediate (Critical care)_______ Delayed (non critical) ________ Minor (Walking Wounded) _______ Spring 2017 Exercise Hospital Influx MSEL Presentation

Inject 6 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 due to road conditions. Employees are wondering what they should do in the meantime Spring 2017 Exercise Hospital Influx MSEL Presentation

Inject 8 9:50am CEO of the facility has come to meet with the incident commander. CEO reports that he has found out that many healthcare facilities are damaged throughout our region by outside networks and news media CEO wants to know how our facility can support the region and how much that will cost our organization? Spring 2017 Exercise Hospital Influx MSEL Presentation

Inject 10 9:55 am For hospitals that have Attached or affiliated Clinics Your Clinic is calling the incident command offering support to the hospital How will your hospital use them? Spring 2017 Exercise Hospital Influx MSEL Presentation

Inject 11 10:00am Telephone company notifies facilities that phones are going to be down intermittently throughout the community at any given time Find alternate method to communicate with Healthcare multi agency Coordination (HMAC) Spring 2017 Exercise Hospital Influx MSEL Presentation

Inject 12 10:00am Facility Specific Inject See facility specific inject sheet Spring 2017 Exercise Hospital Influx MSEL Presentation

Inject 14 10:10am Emergency Department is contacting the Command center informing that they have ____ victims waiting in the waiting room with minor injuries. Emergency Department is looking for strategies to provide care to these victims Spring 2017 Exercise Hospital Influx MSEL Presentation

Inject 15 10:15am Controller Keeps Sim Cell to be first responder (local IC) Sim Cell: Radio facilities that more patients are en-route to your facilities emergency department Facility Facilitator/ Controller: Provide amount and severity of patients you want in that facility. (See next slide to place numbers) Spring 2017 Exercise Hospital Influx MSEL Presentation

Inject 15 hand to command center You have just been called about en-route patients Immediate (Critical) ________ Delayed (non Critical)________ Minor (Walking wounded)_______ Spring 2017 Exercise Hospital Influx MSEL Presentation

Inject 16 10:25am Your hospital has been waiting for EMS to arrive and transfer minor patients to create bed space for more critical patients. EMS has just called and informed you that they are unable to provide transport to those patients at this time. They have contacted their regional EMS coordinator for assistance Spring 2017 Exercise Hospital Influx MSEL Presentation

Inject 17 10:30am Facility Specific Inject Spring 2017 Exercise Hospital Influx MSEL Presentation

Inject 19 10:40am #_____ Patients from evacuating facilities have begun to arrive at your facility Dependent on facility engagement have paper patients or live patients to move through your process Spring 2017 Exercise Hospital Influx MSEL Presentation

Inject 20 10:50am Jonathon Freeman has been calling several times to the hospital. States that their father Steve Freeman was transferred to your facility. Jon wants to make sure the transfer is complete and that his father is in a good room. Jon also asks when he can come by to see his Father as he understands it may be a little crazy there with all the severe weather emergencies that are happening throughout the state Spring 2017 Exercise Hospital Influx MSEL Presentation

Inject 22 11:00am Facility Specific Inject Spring 2017 Exercise Hospital Influx MSEL Presentation

Inject 23 11:15am A non-communicative patient has arrived to your facility with just the EMS run report. Your staff reports they have tried searching patients information in the EMR, but can’t find them. The EMS run report does provide a location where the patient came from, but has no other pertinent information Spring 2017 Exercise Hospital Influx MSEL Presentation

Inject 24 11:20am Conduct an Operational Briefing with Command Center Staff Use a briefing guide Determine goals and objectives to be accomplished in future operational periods Spring 2017 Exercise Hospital Influx MSEL Presentation

SIM Deck and Sim Cell Injects Spring 2017 Exercise Hospital Influx MSEL Presentation

Hospital influx Inject 3 Sim Deck 9:30 am Create several posts of the disaster outside with comments Comments Look at my house!! What am I supposed to do now. So many people injured and no one to help in sight. I’m stranded with no help. My tax money at good use! How do I help my friend? ( picture of an injury). I never thought the world will come to an end!! Who is out there helping, how can we get help??? Spring 2017 Exercise Hospital Influx MSEL Presentation

Spring 2017 Exercise Hospital Influx MSEL Presentation

Spring 2017 Exercise Hospital Influx MSEL Presentation

Spring 2017 Exercise Hospital Influx MSEL Presentation

Hospital influx Inject 5 Sim Deck 9:35am Social media posts of the facility Emergency Departments Spring 2017 Exercise Hospital Influx MSEL Presentation

Hospital Influx Inject 7 HMAC HMAC calls and notifies all health care facilities that multiple health care facilities are damaged and will need to move critical patients This will help push the exercise in preparedness of the influx Spring 2017 Exercise Hospital Influx MSEL Presentation

Hospital influx Inject 9 Sim Deck 9:50am 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 Exercise Hospital Influx MSEL Presentation

Hospital influx 11 HMAC/SIM Cell 10:00am Telephone company notifies facilities that phones are going to be down intermittently throughout the community at any given time RED ALERT? Find alternate method to communicate with Healthcare multi agency Coordination (HMAC) HMAC to create 800 MHz talk groups IF They have not been requested already and then conduct a coalition radio test Spring 2017 Exercise Hospital Influx MSEL Presentation

Inject 13 Sim Cell 10:05am Sim Cell to play Evacuating Hospitals Prior to exercise must list who will be called and who will be using radio: as some communities have lost phone capabilities Inform influx hospital that evac hospital is looking for beds Spring 2017 Exercise Hospital Influx MSEL Presentation

Hospital influx inject 15 Sim Cell 10:15am Sim Cell to be first responder (local IC) Sim Cell: Radio facilities that more patients are en route to your facilities emergency department Facility Facilitator/ Controller will provide amount and severity of patients. (See next slide to place numbers) Spring 2017 Exercise Hospital Influx MSEL Presentation

Inject 18 Sim Deck 10:35 Employee found and showed command staff a social media post of a co-worker Post: This has been a long day and continues to get longer. I feel for the people, but can’t keep this up any longer with minimal to no supplies. All I hear are cries from hurting people, while I try to help as much as I can. Here’s to one foot in front of the other Post: People just keep coming and I keep asking for support, but to no avail I keep putting one foot in front of the other trying to help with minimal to no support Spring 2017 Exercise Hospital Influx MSEL Presentation

Inject 21 Sim Deck 10:50 Employee found a social media post that discusses loved ones disgust for visitation policy Post: I just came from the hospital and they won’t let me see my Father. This is the worst hospital I have ever been in. Who doesn’t let their family see their loved ones in the hospital. With everything going on you would think they would like the extra help from family visiting!!! Spring 2017 Exercise Hospital Influx MSEL Presentation