1. Region 7 Health Care Coalition Mission Ensure the highest quality patient care possible through regional policy direction, injury prevention education, resource assistance and educational support while furthering the goals of the Washington State EMS and Trauma Care System

2. Know that… “It Is Impossible To Learn & Look Good At The Same Time”

3. ACF Coordination You Need To Have The Right Engagement With The Right People Who Are Directly Involved You need to have support and buy in from your own facility to make this work, it is the

4. Know… Regional and local partners on a first name basis. Local and regional demographics How many nursing homes you have. Mass casualty (morgue) capacity WHO your MOU’s are with locally and regionally..

5. Know cont. Your Coroners Your Regional Control facility Always… Always… make sure NIMS is applied. If your structure changes, then the engagement changes

6. Region 7 Healthcare Coalition ACF Orientation Training Video Was it organized Staffing Levels Appropriate vests worn Set-up/Tear Down Other TBD

7. Region 7 Best Practices When conducting your table tops prior to the drills, have a 20-30 minute workshop with major roles This allows the ACF staff who have been assigned to the same roles during previous drills to become familiar with the other roles. You never know when you are going to be asked to partake in something new during a disaster.

8. Major Roles for R-7 Incident Command Set-up/Tear Down Registration/Triage Communications

9. ACF Drills Realistic… Realistic… Realistic!!! Make sure that your drills are realistic to the point that they stress your facilities and ACF’s beyond their comfort zone. Rotate from site to site to adapt to different venues – Sizes – Accessibility – Shapes – Locations – Layouts

10. ACF Drills-Cont. The Basics  Have maps from all sites to make sure you understand the layout each individual site.  Have plan in place on your map, colored coded for each area location such as: (Briefing, Incident Command, Labor Pool, Security, etc) and have it clearly marked and posted.  Have your Incident Command Vests centrally located with your labor pool, job action sheets and label inserts that can be switched out if job roles change.

11.  You can NEVER have enough signage  Make sure you have clearly established posted rules and regulations at your ACF  Consistently conduct briefings throughout the ACF shifts.  Make sure that your communication devices our compatible and redundant with each ACF facility prior to drilling.

12. Do’s and Don’ts  Do- Make sure that communication is incorporated and well documented.  Do-Make sure that everyone is well hydrated, fed and has relief in a timely manner.  Do-Make sure that ALL your rules and regulations are posted at every point of entry or exit in your ACF.  Do-Make sure a small and simple walk through is conducted with the Incident Commander and whomever is the facility proprietor.

13.  Do-Make sure that you have an evaluator at all of your drills.  Do-Make sure that you include in your drills and lessons learned and needs for improvements from previous drills.  Do- Know what your ACF Tier level is for treatment This determines how you will set up your ACF, what patients you allow and what your supply and staffing needs will be.

14. The Don’ts  Don’t- Assume everyone knows what to do or where to go.  Don’t- Be afraid to stress all areas during a drill, you need to take people out of their comfort zone.  Don’t- Forget about the standards of care during a crisis. Last DO NOT forget to communicate, if this is not established up front you will fail every time.