1. Emergency Preparedness Program Nursing Services Orientation April 2010

2. Emergency Preparedness Program Key Components of Emergency Preparedness Program

3. Emergency Preparedness Program Four Foundations of Emergency Management Program Mitigation Preparation Response Recovery

4. Emergency Preparedness Program All Hazards Approach – Incident Command System Comprehensive Emergency Management Plan Staff Roles and Responsibilities Self Sustainability Drills and Exercises Key Program Components

5. Emergency Preparedness Program What is an All Hazards Approach?

6. Emergency Preparedness Program All Hazards Approach University Hospital’s plan addressing a wide variety of disasters through the implementation of a unified approach and Incident Command Top five potential events identified by University Hospital which could activate the Disaster Plan:  Influx of patients into the hospital  Pandemic/Epidemic  Utility Failure  Snow  Flood

7. Emergency Preparedness Program What is the Incident Command System and how does it work?

8. Emergency Preparedness Program Hospital Incident Command System (HICS) System for managing emergent and non-emergent situations Provides hospitals with required tools to address the event HICS initiated by an internal/external event  Flexible in scale  Only those positions needed are activated Administrative position assumes role as Incident Commander

9. Emergency Preparedness Program Hospital Incident Command System (HICS) Overhead page alert:  “Attention all Hospital Personnel: Incident Command has been activated. Please return to your assigned work area.”  GroupWise email is sent ICS provides staff direction and makes decisions to ensure safety. At conclusion of event, overhead page alert:  “Attention all Hospital Personnel: Incident Command has been concluded. Resume normal activities.”

10. Emergency Preparedness Program Comprehensive Emergency Management Plan (CEMP) Campus disaster plan can be found on the Intranet. Each department/unit has a department specific disaster binder (orange). Key tabs in department plan binder are department- specific responsibilities which outline special response plans and evacuation routes. Environment of Care Safety Quick Reference Guide details specific responses for staff to emergencies.

11. Emergency Preparedness Program What is my role if Incident Command is activated?

12. Emergency Preparedness Program Staff Roles & Responsibilities Know Staging and Evacuation Plans for patients.  Evacuation Maps posted in all clinical areas  Horizontal and vertical routes Be familiar with Evacuation Equipment.  Location  Use Be familiar with Emergency Codes & Designations. Check with Supervisor for updates if role is not pre- assigned.

13. Emergency Preparedness Program Evacuation Map Example

14. Emergency Preparedness Program Evacuation Equipment Examples Paraslyde Stair Chair East Tower – located in equipment rooms North Tower – located in laundry chute rooms

15. Emergency Preparedness Program Emergency Codes & Designations

16. Emergency Preparedness Program Staff Roles & Responsibilities Sign up for NY ALERT.  DIS J-14 describes process Plan for disasters at home.  “Caring is Preparing” Be aware 12 hour shifts may be activated.

17. Emergency Preparedness Program How long can University Hospital sustain services in an emergency?

18. Emergency Preparedness Program Self Sustainability Plan University Hospital has planned for self sustainability for at least 96 hours in the following areas:  Communications  Resources & Assets  Security & Safety  Staff Management  Utilities  Management of Patients DIS M-17 describes processes.

19. Emergency Preparedness Program How do we communicate during a disaster event?

20. Emergency Preparedness Program Communications Redundant communication systems Emergency Responders  Satellite phones  2-way radios  Cell phones  Ham radios Nursing Staff  Regular phones  Vocera  Red phones – located at the Nursing (Communication) station on patient unit

21. Emergency Preparedness Program How do we make sure we’re prepared for a disaster?

22. Emergency Preparedness Program Mechanisms Drills Exercises Tracers Live Events

23. Emergency Preparedness Program Thank You! Questions? ?