Ebola at Seattle Children’s WSHA Disaster Conference May 28, 2015 Margot Kravette Program Manager, Emergency Management

Seattle Children’s Hospital – Research - Foundation Founded in 1907 as a pediatric orthopedics hospital with 7 beds 2015: 323 licensed beds; 284 staffed beds 2014 Research Institute funding: $91,915, Foundation revenue: $148,319,000

Started quickly and intensely October 12 – first patient with Ebola announced by CDC October 15 – simulation #1 October 16 – second patient with Ebola announced by CDC October – staff forums October 27 – simulation #2 December 10 - CDC visit December 30 – child with suspected Ebola

Planning challenges

Limited guidance for pediatrics Lack of overarching strategy for pediatrics CDC American Academy of Pediatrics Atlanta and Nebraska hospitals

More people to protect PPE Can they stay in the room with the patient? Where do they go when not with the patient? Parents

Training across all the disciplines English as second language Different learning abilities Multiple changes in recommendations Size and scope of Seattle Children’s

Procedures and training for… 8100 employees, medical staff and residents Large hospital-based ambulatory service 1 primary care clinic 16 off campus specialty sites Home care services

Patient transport – ISO POD Can a parent be in with the child? Child has to be sedated It’s SCARY!!!

What helped us be successful in Ebola planning?

ED facility – built for decon and isolation

ED isolation room

Space available in the hospital for a special isolation unit.

Mers CoV planning Initial travel screening systems already in place Training completed Just changed script

Organizational support Understood the risk; re-aligned priorities Enabled fast response Dedicated resources to purchase needed resources Sponsored multiple staff forums

Staff and department leadership support Clinical and administrative advisory workgroups Worked across department boundaries RN’s and physicians volunteered for inpatient Ebola care team ED attendings and charge RN’s required to be trained – no pushback Everyone stepped up – no push back

Special Pathogens Team Moving forward