1. School of Medicine Emergency Planning David H. Silberman & Keith A. Perry Stanford University School of Medicine

2. Presentation Outline Historical Background School Statistics School Department Planning School Executive Planning

3. Historical Background

4. Early Emergency Preparedness at Stanford Sisters (Originally SLAC, SoM, SH&C), later expanded to form first SOCs Only Rudimentary Planning Prior To Loma Prieta Earthquake (1989) Earthquake Commission Report (1990) First Exercise (sponsored by Sisters & Public Safety Stanford hires Emergency Preparedness Manager … the rest is history

5. School of Medicine Statistics ~ 5,000 employees 22 Buildings (and counting) 60+ Departments 1,000,000+ sq. ft. of laboratory space

6. Application

7. Steps to Implementation Understand your organization Must be willing to give up some control to others Get management support Leverage every incident that you can Y2K 9/11 Seattle Earthquake University of Columbia power outage UC Santa Cruz lab fire Houston floods

8. Stanford University

9. Logistics Stanford Hospital Supplies the School of Medicine with: Engineering and Maintenance Support Security (Security officers and building security system) Housekeeping services Biological waste disposal services

10. School of Medicine Deans Office

11. School of Medicine Emergency Management Team

14. SOC Resources 12 phone lines 12 data ports IEEE1348 Wireless network HAM Radios 2 Fax machines Printer Generator Pager/Phone notification system

15. Future Improvements Additional EMT members Ability to establish a mobile facility for small scale events Ability to set establish an outdoor SOC if Fairchild is unavailable ~2 years, Fairchild Aud will be replaced

16. Using the System

17. MSLS/Lucas Building Fire September 6, 2002 Building statistics Three story laboratory and office building ~ 60,000 square feet of lab space Laboratory uses Wet labs Animal sleep facility 2 MRI magnets 23 Principal Investigators 8 Departments

18. MSLS/Lucas fire ~6:30 am an Engineering & Maintenance crew performs a routine test of the MSLS emergency backup generator ~7:00 am the Engineering crew notices smoke emanating from the ground floor of the MSLS building

19. MSLS/Lucas Fire Palo Alto and Menlo Park Fire Departments respond to the alarm. Hospital Security responds to the alarm. The fire damages power circuits for both the main power AND the emergency power feed.

20. MSLS/Lucas Fire School activates its Emergency Management Team Fire is extinguished ~10:30 am Main power and emergency power is out and will not be restored until the end of the day at the earliest. Building is returned to School of Medicine authority ~12:00.

21. MSLS/Lucas fire Issues Research samples in -80 freezers Research samples in incubators Well being of research animals Security of MRI magnets

22. Incident Action Plan Restore power Combined response by Hospital Engineering & Maintenance and University High Voltage Shop. Retrieve research animals Relocate animals to the Research Animal Facility Preserve samples in research freezers Pack freezers with dry ice

23. Incident Action Plan Operations Re-rout power circuits, clean electrical room and restore remaining transformers to working condition as soon as possible Organize teams to enter the building under escort to pack freezers with ice Organize teams to enter the building under escort to retrieve animals

24. Incident Action Plan Logistics Procure 5,000 lbs of dry ice Locate or procure flashlights and/or glow sticks Obtain personal protective equipment for handling dry ice Obtain food and water for crews working on building repairs Finance Raise purchasing limit on Department Purchasing card to allow for purchase of dry ice Safety Ensure the safety of teams entering the building Provide escorts for entry teams

25. Aftermath Financial impact $130,000 Building clean up costs Transformer replacement cost? Research losses Minimal Significant good will received for management of incident Excellent test of Emergency Management Team