Transcript Slide 1

Emergency Management Working Group
14 January 2013
Please remember to silence your cell phone.
Agenda

Call to Order

Review 2012 Efforts

Our Plan and Objectives for 2013

An Update on our Active Shooter procedure

Using Technology to Improve Readiness
 Mass Casualty Incidents
 Workplace Violence
 Evacuation using Medsleds

Adjourn
Review 2012 Efforts

Emergency Management Framework outlines program components
a. Complete an annual Hazard Vulnerability Analysis (HVA) that evaluates what
could happen, the likelihood of the event occurring, and the magnitude of the
problems created by an event. Once the HVA is complete, response plans are
developed in the form of an Emergency Operations Plan (EOP).
b. Develop and maintain an EOP to implement emergency management concepts
before, during, and after planned and real-world incidents.
c. Organize and implement drills and improvement projects to mitigate, prepare
for, respond to, and recover from emergencies.
d. Address Joint Commission elements of performance to meet or exceed
standards through the assessment of performance indicators.
e. Provide educational opportunities for employees at all levels in order to
establish and sustain emergency management competencies.
Review 2012 Efforts
 Performance Indicators are presented monthly to the Safety
and Security sub-committee;
Review 2012 Efforts
2012 Top 5 Hazards
1.
Workplace Violence
2. Inclement Weather
3. Utility Outages
4. Mass Casualty Incidents
(MCIs)
5. Technology Failures
2012 Incidents
January: Jan 21 - Medical Nitrogen Gas Outage
February
• Feb 2 - ED Over-Capacity/Simultaneous Trauma
Alerts
• Feb 21 - Breaker Failure UVA Medical Center
March
• Mar 15 - Bomb Threat at Fontaine
• Mar 21 - Baby Safe Server Failure
• Mar 26 - Bomb Threat at Fontaine
April: Apr 28 - Foxfield
May
• May 23 - 8 West Ceiling Leak
• May 24 - nTelos Outage
June: June 29 - The "Derecho"
October
• Oct 10 - Urgent Electrical System
Repair/Outage
• Oct 28 - Hurricane Sandy
December
• Dec 17 - Ambriar Shopping Center Explosion
• Dec 30 - Medical Center Bomb Threat
Review 2012 Efforts
Lessons Learned
 Power loss causes significant issues for Ambulatory areas
• Impact during off hours
• Widespread Outages
• Building Security
 Elevators 5 and 6 are significant concerns
 Fridays Before 5 Groups are effective
 Evacuation education must be a focus
 Anticipate the “Domino Effect”
2013 Objectives

Continue to plan, exercise, and educate to the hazards that make us
most vulnerable.

Sustain emphasis on preparing for unplanned incidents.

Maintain momentum created by combining the Safety and Security
Manual with the EP&R Guide into a (Red) Book used at the unit level.
• At the unit level (e.g. Cyber exercise comment to integrate
downtime checklist into Red Book and S&S support for developing a
smart phone App for use “in the moment”).
• Emphasize and continue creating Area Specific Plans that appear
helpful at the Manager/Director levels.
• Tie both of these into the Emergency Operations Plan (EOP).
2013 Objectives

Exercise
• Quarterly Focus with additional emphasis on Downtime procedures
(WPV, Severe Weather, Hazmat, Evacuation)
• TableTop Exercises (TTX) for the Emergency Management Working
Group to facilitate Hospital Command Center Operations
• Mature Sub-Incident Management Teams (e.g. Clinops, Ambulatory,
M.D.’s)
• Full Scale and Functional Exercising (e.g. Evacuation, Hazmat, IT
downtime)
2013 Objectives

Mass educate to reach thousands (vs exercising to reach 100’s)
• Workplace Violence
• Mass Casualty Incidents
• Evacuation

Formalize Response Teams
• Fridays Before Five Teams
• First Response Teams from Transportation, Medical Transport
Program, SRO, and HSPP.
Active Shooter Update
Active Shooter Update
Workplace Violence Preparedness and Response Framework
• Medical Center and contiguous area specific
• Portrays low to high threat situations
Dial 911
UPD
Security
Incident Mgt Team (IMT)
Dial 4-2012
Behavioral response teams
Police, as necessary.
Life Threatening
Active shooter
Bomb Threat
Hostage situation
Dial 4-5048
or PIC 1647
for Hospital Security
Green Alert
Infant Abduction
Actual Physical Event
Evacuate Area
or Defend in Place
Isolate area of incident
close doors, clear hallways,
turn off lights,
Potential Threat
eliminate line of sight
Clenched fists/jaw, pacing,
Pinching, pushing, punching
restlessness, agitation, shouting
Yellow Alert
Red Alert
Active Shooter Update
Workplace Violence Preparedness and Response Framework
• Off-site specific
• Portrays low to high threat situations
Dial 911
then PIC 1655
UPD
Security
Incident Mgt Team (IMT)
Dial 911
then PIC 1655
Life Threatening
Active shooter
Bomb Threat
Hostage situation
Dial 4-5048
Infant Abduction
Actual Physical Event
Pinching, pushing, punching
Evacuate Area
or Defend in Place
Isolate area of incident,
Potential Threat close doors, clear hallways,
Clenched fists/jaw, pacing,
turn off lights,
for Hospital restlessness, agitation, shouting
eliminate line of sight
or PIC 1647
Security
Preparednes
s
Response
Active Shooter Procedure
CAD Message Recieved
Dial into Teleconference
No
Dispatch Red Alert?
Yes
Hospital Operators
send templated
message to
groups 80, 199,
299, 399
No
Initiate group
99?
Yes
Medcom sends
page to group 99
Teleconference
evolves into MCI
response
Using Technology to Improve Readiness
Workplace Violence
Mass Casualty Incidents
Evacuation using Medsleds
Thank you for your help in 2012
…
and your continued support in 2013!
Next meeting: 11 March 2013
Emergency Numbers
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4-2267
Power failure
Elevator outage
Flooding
Gas leak
Heating, air cond, and ventilation
Sewage back up
Water supply or contamination
Tube outage
4-2012
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2-FIXX
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Transportation
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Pool equipment
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Environmental Services
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Courier/Interfacility services
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Linen
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Nutrition Services
Bomb Threat
Fire
Medical emergency
Infant abduction
Medical gas outage
Workplace violence
Other Numbers
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4-5334: Computer system failure
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2-4911: HAZMAT
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4-8600: Telephone outage