Transcript Disaster_Net_Radio_T.. - Greater Cincinnati Health Council

Disaster Net Radio
Greater Cincinnati Health Council
Overview
To coordinate communications regarding the
distribution of victims/patients in a mass casualty
or hazardous materials situation in the most timely,
systematic, and efficient manner possible.
Early notification and coordination of medical resources among
hospitals in the Tristate region are intended to ensure that
victims/pts are:
• Transported to the facilities most able to quickly stabilize their
conditions;
• Relatively evenly distribute among the receiving hospitals, especially
those closest to the incident;
• Taken to hospitals that are prepared to manage any contamination in a
manner that protects staff & the facility
Appropriate Uses
Situations that include, but are not limited to:
• Multi-casualty event/ terrorist incidents;
• Hazardous materials incidents (including situations from which no victims
will be transported, but where toxic plumes move toward any hospital
• Fire: 4 Alarm or more
• Hospital evacuations
• NDMS response
The Hospital Disaster Network consists of two
components:
•
RADIO: The radio backbone of the system lies with Hamilton County
Communications on an 800 trunked system. Radios are present in all ED’s- tone
activated.
•
WEB: The web-based component is Surge-Net; housed on the GCHC website
where hospitals enter current LMCI and NDMS data. (www.gchc.org)
Where is the Disaster Net?
LMCI
Local Mass Casualty Incident/ED Capability
Please enter the number of triage patient types the ED is presently able to receive, (capacity) and the
number of triage patient types the facility has received (census).
Red (First Priority) - Patients have serious, life threatening injuries, but are salvageable if immediately
transported to a facility to receive lifesaving, definitive care.
Yellow (Second Priority) - Patients have serious, potentially life threatening injuries, but can be managed
and stabilized for a short period in the field treatment area. Transport to a facility can be delayed, but not
for long.
Green (Third Priority) - Patients have injuries that are not life threatening. Patients can be managed for
even a lengthy period of time in the field and will be the last ones transported.
Black (Deceased Patients)
Definitions
NDMS
National Disaster Medical System
* Information obtained from the Public Health Emergency web site.
Our Vision
To serve the Federal response by providing disaster medical care to the nation.
Our Mission
It is the mission of the National Disaster Medical System to temporarily supplement Federal, Tribal,
State and Local capabilities by funding, organizing, training, equipping, deploying and sustaining a
specialized and focused range of public health and medical capabilities.
Components of the National Disaster Medical System
• Medical response to a disaster area in the form of personnel, teams and individuals, supplies, and
equipment.
• Patient movement from a disaster site to unaffected areas of the nation.
• Definitive medical care at participating hospitals in unaffected areas.
Definitions
Adult Bed Availability/NDMS Status
Surge Capacity
Please enter the number of staffed beds available at 12 hours, 24 hours and 72 hours from
the time of request:
Definitions
Adult- NDMS Bed Types:
Medical/Surgical*
Psychiatric*
Burn*
Critical Care*
Pediatric - NDMS Bed Types:
Medical/Surgical*
Psychiatric*
Burn*
Critical Care*
Adult – Other Bed Types:
OR*
Negative Flow Isolation*
Other Isolation*
Obstetrics*
Rehabilitation
Long Term Acute
Pediatric – Other Bed Types
OR*
Negative Flow Isolation*
Other Isolation*
Rehabilitation
Long Term Acute
*Indicates Surge Capacity Bed
Category
Activation
ACTIVATION
Beverly Hills
Scene commander, hospital, GCHC, or dispatch can
request activation of the Disaster Net
• Notification of Hamilton County Communication via
radio, landline or cell
• Net Control also has the ability to open the Net also
• Recommend it is opened as early in an incident as
possible to allow hospital preparation time.
• Hamilton County Communication Center performs a hospital
roll call and provides an overview of the incident and what
the hospitals are expected to do, ie; LMCI or NDMS
• Hospitals acknowledge the receipt of the communication and
then enter the information into the SurgeNet System.
Steps once Activated
• Once the roll call is complete, HCCC turns over NET CONTROL
to the dispatch center at University Air/Mobile Care. They
will bring up the SurgeNet and establish communications with
the Scene transportation officer.
• The transportation officer is to track number, level (red,
yellow, green), of victims and where the hospital they are
transported to.
• Net Control notifies the Hospital the number of victims,
who is transporting, ETA, and the triage level.
• The hospital should acknowledge receipt of this
information (# of victims, who is transporting, ETA & triage
level).
• The hospital is to update capability in SurgeNet frequently
as not to become overwhelmed unnecessarily.
• Net Control will remind hospitals to update their status on
a frequent basis.
• The Transport Officer is to notify Net Control when the
victims have been transported.
• Net Control will notify HCCC the event is over and the Net can
be closed.
• The Net will be closed and the number of victims per hospital
that were transported are to be reconciled between the
scene and Net Control.
Scene Responsibility
Scene Responsibility
• Upon EMS or Fire arrival at the scene of an incident – notify
the Communication Center to OPEN THE NET.
• Once the Communication Center opens the Net – the
Transportation or Scene to Hospital Coordinator
communicates only with Net Control for patient distribution
• Tracks what life squad transports what type of patients to the
hospital.
SCENE-TO-HOSPITAL COORDINATOR
Job Action Sheet Review
Record pertinent transport information including:
• Transport unit name
• Number of victims on board
• Triage tag color and special patient needs
• Triage tag number
SCENE-TO-HOSPITAL COORDINATOR
Job Action Sheet Review
• Receive hospital destination from Net Control and
advise transport unit of destination
• Keep appropriate sections of triage tag
• Periodically obtain estimated number of
• victims still needing transport and notify
• Net Control
ASST. SCENE-TO-HOSPITAL COORDINATOR
Job Action Sheet Review
• Primarily assists by performing record
keeping and communications functions
Net Control
Coordination with
Scene
Net Control…
• Notifies/verifies the destination hospital of the incoming
patients
• Logs the transport
• Periodically gets an update on scene status and
communicates that to the hospitals
• Number of victims remaining
• Estimated time of event
Net Control
Coordination with
Hospital
Net Control…
Reminds hospitals to update SurgeNet whenever they
have:
• A change in capabilities
• Too many patients (walk ins and/or squads)
• Additional staff arrive
• ORs full
• Space now available
Some hospitals are out of range and are not able to
participate on the “Disaster Radio Network”. These
facilities will receive communication via the MARCS radio
system.
Hospitals not on the Disaster Radio Network:
• Adams County Regional Medical Center
• Brown County General Hospital
• Highland District Hospital
• Margaret Mary Community Hospital (Phone only)
Hospitals outside Radio Range
Net Control Assistants…
• Help with the radio communications
• Monitor activity on SurgeNet – follow-up by phone
•
•
•
any hospitals not reporting capability.
Receive fax updates from the hospitals if SurgeNet is
not operational
Log transports
Perform other duties as assigned by Net Control
Hospital Notification
Initial Hospital Notification
Hamilton County Communication Center (HCCC) opens the Net and initially
notifies the hospitals of the disaster.
• Tone activation of the hospital’s disaster radio
• This can also be done directly by Net Control if HCCC is unable to activate.
Hospital acknowledges and assigns a person to staff radio as “In-Hospital
Disaster Radio Operator”
•
Stands by for more information
• Type of event
• Number of victims estimated
• Unique circumstances (haz mat, unknown illness, etc.)
•
•
Assesses ability to receive victims – enters all information into SurgeNet
Prepares to accept victims
The Hospitals then…
Assess their immediate receiving capability for:
• Red Patients
• Yellow Patients
 Green Patients
• Assess their immediate OR capabilities
•
•
• How many surgical patients can be received within 30 minutes?
Enter patient receiving capabilities into the Local MCI section of
SurgeNet
Or as a backup, complete the “Local Side – Side 1” of the “Green
Form” and report information to Net Control
• If the radios are not operational, communications will
occur via Landline telephone.
• If the Web is not operational, the information is to be
faxed on the “Green Sheets”
• Net Control to Scene, can communicate via cell phones
or MARCS if available
Back-Up System
GREEN FORM SIDE 1
FOR LOCAL INCIDENTS
Receiving
Victims
Area Hospital Responsibility For
Receiving Victims
•
Hospitals will be notified by Net Control when an ambulance is
enroute to that hospital
•
Enter the expected victim on the hospital log
• Transport unit
• Patient status
•
•
Notify Net Control of changes in receiving capabilities
Enter all changes into SurgeNet
Area Hospital Responsibility
As Victims Arrive
• Re-triage and provide care per the hospital disaster plan
• Register the patient in the hospital registration system
• Update the log with the patient’s name, medical record
•
number, etc.
Red Cross Hospital Liaison may be available to assist with
family notification
Demobilization
Procedures
Area Hospital Responsibility
Immediately After the Event
• Reports totals to Net Control
• Works with Net Control to reconcile any
differences
• Submit event report to GCHC representative
for inclusion in after action report of exercise
or event.
• Make recommendations for changes that
would enhance the process.
After Action
Contact Information
Tonda L. Francis, RN, MSN
Vice President
Regional Healthcare Disaster Coordinator
Greater Cincinnati Health Council
2100 Sherman Avenue, Suite 100
Cincinnati, OH 45212
[email protected]
P: 513-878-2860
F: 513-531-0278
Nakia Paris
Emergency Readiness & Safety Coordinator
Greater Cincinnati Health Council
2100 Sherman Avenue, Suite 100
Cincinnati, OH 45212
[email protected]
P:513-878-2861
F: 513-531-0278