1. Water Works

2. McLaren Oakland is…..
History

3. Pontiac’s Oldest Hotel 1928

4. Now, It is Pontiac’s Oldest Hotel with 3 other buildings

7. It was a cold, cold night in January

8. At one o clock it was noted that water pressure was lost in the 62 building
Building and Grounds contacted, as the team stepped out of the elevator, electrical power lost.
At 111, the 75 Building which houses ED, Observation, Cardiology, Cath Lab lost power without generate back up
The 62 building lost power, generator started immediately then failed 10 minutes later
That removed lights, computers, and phones immediately
130 ED closed, via private cell calls, disaster plan activated

9. It was noted by Building and Grounds that downtown Pontiac had a new fountain on Mill street

10. The relaxing sound of running water

11. Further investigation looking for the cause of the power outage, revealed a water issue

12. A big water issue

13. Last one in is a rotten egg

14. What is in that room ?

15. Danger , Will Robinson, Danger

18. Note the exit sign

19. Note the side view of the exit sign….

20. Sometimes it is better to be lucky as oppose to good
Fortunately this is our sub basement because…..
Sometimes it is better to be lucky as oppose to good

21. That is the ED

22. But we had more space to fill

23. And you thought your desk was messy!!!!

25. Elevators 10x10x20 feet

26. At 130, it was realized that the generator over heated due to the lower water pressure. The generator that over heated supplied Medical imaging and Laboratory. It also supplied our Geri psych unit and Substance rehabilitation center, these units had 14 and 5 patients respectively.
At 150, Incident Command ordered East tower evacuated due to loss of power.
ED had only 4 patients
West Tower was noted to be full power and water
All open beds identified and east tower patients transferred over
Move, Move, Move

27. Star EMS contacted and patient transfer initiated
Star paramedic became IC in our Geri psych unit
Pam Willis, ED Director, directed patient movement to West tower
Geri psych patients are non-ambulatory, 14 patients were transferred down 2 flights of stairs, across East tower lobby, then up three flights of stairs to transfer across our cross walk to West Tower. In stair chairs!
Also, 6 ambulatory observation patients were transferred to the west tower.
And 3 Room 9 patients were transferred to Oakland County Medical examiner.

28. Once ED closed, Star EMS station themselves outside the ED entrance to re-direct and possibly transfer any emergent patient presenting to the front door O

29. Oakland County Water Resource Commission on scene evaluating the water main break

30. The 75 generator never responded.
Regular scheduled checks. Check performed 1 week prior with no difficulty.
Unclear cause
PM Technologies on site managed to get generator going at 430 am.

31. DTE arrived, bypassed our now under water, transformers and power returned in the 62 building at 630 am

32. Water to hospital turned off via value at 830 am

33. Righties nightie

34. Clean up started immediately

37. Yummy Mud Pies

39. Coal, the clean energy

41. Shiny and New

42. 2 million in damages
ED Status C for 4 days, closed completely for 5 hours
Star EMS transferred all admitted patients to our West Tower for 4 days
Still doing paper work and finalizing the forensics audit

43. Issues Fire doors did not open in the East tower lobby
No phone service
No elevators
Both generators failed
Traffic issues due to road damage from water
Issues

44. Lessons Learned Have a back up list for all your back up services
Have land line
Create back up plan for elevators
Replaced the water cooled generator
Involve financial services early
Lessons Learned