At-Risk Functional Needs TTX AAR/IP

Does your Dispatch/EM/1 st Responders know how to contact your facility in an MCI event Yes Through Dispatch: 11 Yes with EMS Follow Up: 1 Can monitor via radio: 4 Unknown: 1 (Clinic) Does this process change overnight? Yes: 1 (Clinic Closed) No: 11 Is this practiced? Yes: 9 No: 3

Please Rank the order of following: Notification to Incident Management Team Call-in Off Duty Staff Off-load non-critical patients Set up Triage 1,2,3,4 (2) 1,2,4,3 (2) 2,1,4,3 (3) 3,2,4,1 (1) 3,1,4,2 (2)

If a dozen patients with functional needs gets transported to your facility, is there a tracking process Yes: 10 No: 1 As loved ones hear of the incident and come to your facility to get updates, is there a designated person to direct them? Yes: 9 No: Who: Volunteer Coordinator, BH Professional, psychological support staff, PSR, Social Worker, Chaplain, PIO, HR or Social Services

Does your facility have contact with outside services that may be needed? Yes: 12 No: 1 Is it practiced? Yes: 7 No: 6 Special Notes: Translators are contacted, Utilize EM for assistance, one staff with PFA, Cyracom Language Line

Does your facility have hazardous materials guides in the Command Center and on Floor? Yes: 10 No: One Location: 1

Any Resources Depleted? Yes: 9 Depending on length of incident: 1 No: 1 What: Decon Supplies, O2 and Airway Mgmt, Meds, PPE, Sterile Saline, maybe blood, Supplies in ED, Steroids for patient mgmt, Staff, Fresh Air, Airmate Filters, Water/Food depending on length of incident Can EMS handle a transfer assignment of 5 patients? Yes: Yes with Mutual Aid: 11

3 Most Important Things Post Incident Relief of Staff, Restock equipment, Facility Security and Debrief Clean and Restock ED, Get a message to public regarding incident, Get patients and family reassured Staff, Supplies, Notifying public and other Hospitals (9) Demobilize ICS with forms going to Finance/Admin Staff Debrief, AAR Restock and clean ER, PR, Debrief Staff

Gaps Identified Staff Comfort with Decon Communication between dispatch/hospital/scene After-Action Discussions and Follow Up Use titles, not names in ICS Share signs and symptoms of exposure with staff Making sure staff is cared for in extended operation Contacting Staff PPE Shortage Hospital Employee Participation Reeducate staff and practice MCI with Special Needs (non- English Speaking) Behavioral/Mental Health at Coalition

Any other exercises or education needed A quick, easy, educational tool for Decon and Assessment More ICS practice with Equipment and personnel Identifying protocols for conserving supplies Practice Drills In-Facility Scenario Community-Based Scenario Educating staff on resources available

After-Action Comments This TTX had a smaller response then the others with 11 Hospitals and 2 Clinics responding. It appears that the responding facilities have a good understanding of their local capabilities and plan accordingly. Contacting Community Service organizations is not practiced frequently, should there be any test calls to the different organizations for practice?

Improvement Plan Incident Command training and paperwork is a gap. We’ll look to provide some guidance before the March exercise We’ll continue alternating in-facility and community scenarios Coalition Staff will do some research to determine if there is any guides for protocols for conserving resources/staff/meds/etc MDH is beginning some work at At-Risk and Functional Needs. We have asked if that could be a chance for Behavioral and Mental Health to become reacquainted with the Coalition