1. S-SV EMS MICN Course Module 6 EMResource, HAvBED Poll, ED & Census Poll, Hospital Diversion S-SV EMS Agency MICN Training (Updated 05-2016) 1

2. EMResource EMResource is an electronic hospital availability and polling tool used for the following:  Updating hospital status (required at least once every 24 hours – usually at 8:00 am)  Census and patient receiving capability polling o MCI event polling o HAvBED polling o ED & Census polling S-SV EMS Agency MICN Training (Updated 05-2016) 2

3. HAvBED Polling HAvBED – ‘Hospital Available Beds for Emergencies and Disasters’ Developed by the U.S. Department of Health and Human Services to rapidly assess hospital inpatient bed availability throughout the country S-SV EMS Agency MICN Training (Updated 05-2016) 3

4. HAvBED Poll Worksheet Used to collect data for entering into EMResource during a HAvBED poll S-SV EMS Agency MICN Training (Updated 05-2016) 4

5. Available & Staffed Bed Definitions ‘Available Beds’:  Vacant, immediately available for patients, with staff to operate under normal circumstances ‘Staffed Beds’:  Licensed and physically available with staff to attend patient  Includes both available and occupied beds S-SV EMS Agency MICN Training (Updated 05-2016) 5

6. ED & Census Poll Allows real-time ED & hospital census assessment Utilized during periods of system surge, when a hospital initiates ambulance diversion, or when a hospital declares an internal disaster S-SV EMS Agency MICN Training (Updated 05-2016) 6

7. ED & Census Poll Worksheet Used to collect data for entering into EMResource during an ED & Census Poll S-SV EMS Agency MICN Training (Updated 05-2016) 7

8. Responding to Hospital Polls When an event is created, you will receive an audible alert and pop-up message requesting you enter your facility data S-SV EMS Agency MICN Training (Updated 05-2016) 8

9. Responding to Hospital Polls If your data is readily available, enter it in the appropriate categories and select ‘Save’ If you data is not available, you may click ‘Remind me in 10 minutes’ to silence the alert S-SV EMS Agency MICN Training (Updated 05-2016) 9

10. Responding to Hospital Polls To subsequently enter or update your data, click the applicable event in the top colored bar S-SV EMS Agency MICN Training (Updated 05-2016) 10

11. Responding to Hospital Polls Click the ‘keys’ icon next to your facility name to open the data entry screen S-SV EMS Agency MICN Training (Updated 05-2016) 11

12. Responding to Hospital Polls Click “Select All” to expand all categories S-SV EMS Agency MICN Training (Updated 05-2016) 12

13. Responding to Hospital Polls Enter/overwrite your facility data and click ‘Save’ to report your data  If you did not click “Select All”, you will need to click each category to expand it S-SV EMS Agency MICN Training (Updated 05-2016) 13

14. Hospital Diversion – Patient Surge Ambulance patient diversion often causes significant impacts on the EMS system, patients and their family members, and has a high potential to negatively impact patient care S-SV EMS Agency MICN Training (Updated 05-2016) 14

15. Hospital Diversion – Patient Surge Diversion must only be considered when conditions exist that negatively and profoundly impact the hospital’s ability to provide safe patient care, and after ALL hospital diversion avoidance measures have been implemented S-SV EMS Agency MICN Training (Updated 05-2016) 15

16. Diversion avoidance measures include:  Activation of HICS and internal surge plans  Increase in ED and/or other department staff  Review of mitigation attempts by admin. supervisors  Activation of backup patient care/diagnostic areas  Cancellation of elective surgical procedures (as appropriate)  Expedited patient discharges (as appropriate)  Patient transfers to other facilities (as appropriate) S-SV EMS Agency MICN Training (Updated 05-2016) Hospital Diversion – Patient Surge 16

17. Diversion may also be necessary for the following:  CT scanner failure resulting in the need to divert patients with neurological signs/symptoms of stroke or head injury  Trauma or STEMI patient diversion o Critical diagnostic/treatment equipment failure, or o Trauma or STEMI director/designee determines that the hospital is unable to care for additional trauma or STEMI pts S-SV EMS Agency MICN Training (Updated 05-2016) Hospital Diversion – Other Causes 17

18. Diversion may also be necessary for the following:  Internal disaster o Unforeseeable physical or logistical situation/circumstance that curtails routine patient care and renders continued ambulance patient delivery unsafe S-SV EMS Agency MICN Training (Updated 05-2016) Hospital Diversion – Other Causes 18

19. The S-SV EMS Duty Officer should be contacted early, and appropriately updated, when a hospital is experiencing a patient surge event that may result in the need to implement ambulance diversion Notification should also include the submission of a completed Ambulance Patient Diversion form indicating ‘Pre-Diversion Notification’ when appropriate S-SV EMS Agency MICN Training (Updated 05-2016) S-SV EMS Notification 19

20. The S-SV EMS Duty Officer must be notified prior to implementing ambulance diversion for a patient surge event, or as soon as possible for an internal disaster event A completed/updated Ambulance Patient Diversion form is required to be submitted prior to implementing ambulance diversion for a patient surge event - an updated form is also required to be submitted every 3 hours for an ongoing diversion event S-SV EMS Agency MICN Training (Updated 05-2016) S-SV EMS Notification 20

21. Updating EMResource Status Go to the EMResource main region view screen Click your ‘Facility’ status S-SV EMS Agency MICN Training (Updated 05-2016) 21

22. Updating EMResource Status Select appropriate facility status (i.e. ‘Diversion’) S-SV EMS Agency MICN Training (Updated 05-2016) 22

23. Updating EMResource Status Document incident specific details in the ‘Comment’ section – do NOT leave this blank Click ‘Save’ to complete/post status update S-SV EMS Agency MICN Training (Updated 05-2016) 23

24. Ambulance Diversion Form Follow contact and submission instructions listed on the form S-SV EMS Agency MICN Training (Updated 05-2016) 24