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Hospital Disaster
Network
Tonda Francis, RN, MSN
Vice President
Regional Healthcare Coordinator
Greater Cincinnati Health Council
Overview
To coordinate communications regarding
the distribution of victims/patients in a
mass casualty or hazardous materials
situation. Providing expert, factual and
timely information in a crisis situation can
determine whether the response effort is
a success.
Early Notification
Early notification and coordination of medical resources among
hospitals in the Tristate region are intended to ensure that victims
and patients are:
•
Transported to the facilities most able to quickly stabilize their
conditions.
•
Evenly distributed among the receiving hospitals, especially
those closest to the incident
•
Taken to hospitals that are prepared to manage any
decontamination in a manner that protects staff & the facility.
Appropriate Uses
Situations that include, but are not limited to:
Mass-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
Hospital Disaster Network Location
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 Health Council website where hospitals enter current
LMCI and NDMS data. (www.gchc.org)
Local Mass Casualty Incident (LCMI)
ED Capability Status
•
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)
LMCI Screen Shot
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.
Adult Bed Availability/NDMS Status
Please enter the number of staffed beds available at 12 hours, 24
hours and 72 hours from the time of request.
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
NDMS Screen Shot
Activation
Scene commander, hospitals, the Health Council, or
dispatch can request activation of the Hospital Disaster
Network.
•
Notification of Hamilton County Communication via radio,
landline or cell (Directly or through Dispatch)
•
Net Control also has the ability to open the Net
•
Recommend it is opened as early in an incident as possible to
allow hospital preparation time.
Once Activated
•
Hamilton County Communication Center performs a hospital roll call and
provides an overview of the incident and what the hospitals are expected to
do, i.e. LMCI or NDMS
•
Hospitals acknowledge the receipt of the communication and then enters the
information into the SurgeNet System.
•
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.
Activated, cont’d
•
Net Control notifies the Hospital the number of victims,
transporting agency, ETA, and the triage level.
•
The hospital should acknowledge receipt of this information
(# of victims, transporting agency, 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.
Activated, cont’d
•
The Transport Officer is to notify Net Control when all 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
•
Upon EMS or Fire arrival at the scene of an incident – notify the
Communication Center to OPEN THE HOSPITAL DISASTER NETWORK.
•
Once the Communication Center opens the Net – the Transportation
or Scene to Hospital Coordinator communicates only with Net Control
for patient distribution
•
All other communications between individual squads and hospitals is
to cease
•
Tracks the EMS Agency transporting what type of patients to the
hospital.
Out of Range
Some hospitals are out of range and are not able to participate on the
“Hospital Disaster Network”.
These facilities will receive communication via the MARCS radio system.
Hospitals NOT on the Hospital Disaster Network
Adams County Regional Medical Center
Southwest Regional Medical Center
Highland District Hospital
Margaret Mary Community Hospital
No Radio Contact?
• Contact Hamilton County Communications Center via phone
at 513-825-2280 and request the Hospital Disaster Network
be opened.
• Once the scene transportation officer is established, they can
contact Net Control directly via phone at 1-800-826-8100.
• Net Control can route patients via:
• Radio
• Landline
• Cell phone
Hospital Responsibility
Immediately After the Event...
Report totals to Net Control
Works with Net Control to reconcile any differences
Submit event report to the Health Council
representative for inclusion in after action report
for exercise or event
Make recommendations for changes that would
enhance the process
Questions. . .
Tonda Francis, RN, MSN
Vice President
Regional Healthcare Coordinator
Greater Cincinnati Health Council
[email protected]