CONFIDENTIAL. All rights Reserved. Why Hold an Exercise? Why Hold an Exercise? Chempack: Region D Chempack: Region D Exercise Exercise Partnerships and Partnerships and Best Practices Best Practices Charlotte S. Clark, CHSP, CHEC-III Manager, Emergency Management Emergency Medical Services Division Grady Health System
Emag chempack region d exercise presentation may 2010
Dec 05, 2014
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CONFIDENTIAL. All rights Reserved.
Why Hold an Exercise?Why Hold an Exercise?Chempack: Region D ExerciseChempack: Region D Exercise
Partnerships andPartnerships andBest PracticesBest Practices
Charlotte S. Clark, CHSP, CHEC-IIIManager, Emergency Management
Emergency Medical Services DivisionGrady Health System
CONFIDENTIAL. All rights Reserved.
Overview
May 20th, 2009Full-scale Region D Exercise
Test the Chempack system
CONFIDENTIAL. All rights Reserved.
Protocols
Specific Protocols for accessing the Chempack can be made by the attending physician in the Emergency Department of a hospital, by the Georgia Poison Center or by public officials
CONFIDENTIAL. All rights Reserved.
Grady is the RCH for Region
“D”
Regional Coordinating Hospitals
Georgia’s 15 Regional
Coordinating Hospitals
CONFIDENTIAL. All rights Reserved.
Yes
Yes
No Can
EMS provide
needed patient
Transfers?
Will
Patients
Be Transferred
To Another
Facility
Activate the Mutual Aid Compact?
Manage the EmergencyInternally
Contact Your Regional Coordinating
Hospital Grady404-319-6516 (S/L 28*719)
S/L 28*553
Activate
Hospital Emergency
Management Plan
Contact EMSProviders
Are Hospital
Resources from
Another Region
Needed
Coordinate HospitalResources
within the Region
Transfer Patientsby EMS
Your RCH will Contact Other Regional Coordinating Hositals
For Assistance
Contact Public Health Emergency Coordinator
District via Southern Linc Radio
Contact GHA770-249-4500 S.L.28*649
Send out EmergencyDisaster Alerts
No
Yes
No
Yes
No
Coordinate witih EMA and Others to Obtain
Needed Resources Resume Normal Operations
Contact County EMA
Contact District Public Health
Mutual Aid Activation
Disaster
CONFIDENTIAL. All rights Reserved.
Regional Coordinating Hospitals
Alert and Notification Process1. A hospital in need of assistance contacts their RCH
2. The RCH starts the notification process with GHA
3. When that happens, the following actions occur: Emergency emails are immediately sent to all
hospitals A request to post bed reports is sent to all
hospitals in Georgia Live Process is activated and linked to the GHA
site for event management
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Testing Testing CapabilitiesCapabilities
The exercise in 2009 was held to test capabilities for The exercise in 2009 was held to test capabilities for an organophosphate-related mass casualty an organophosphate-related mass casualty incident:incident:
Emergency Management Planning Activities Communications Resources and Assets Safety and Security Staff Responsibilities Patient Management
CONFIDENTIAL. All rights Reserved.
Planning Teams 2009Participating Organizations:Participating Organizations:
Federal:CDC
State:Georgia Division of Public Health Georgia Poison Center Georgia Hospital AssociationGEMA
Region D External Partners:District 3-4 Public Health (East Metro)District 3-5 Public Health (DeKalb County)DeKalb County Fire and Rescue (DEMA)Rockdale County Emergency Management AgencyEast Metro AmbulanceAngel FlightMMST
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Participating Region D Hospitals Planning Group:Grady Health SystemChildren’s Healthcare of AtlantaDeKalb Medical CenterGwinnett Medical CenterSouthside Medical CenterKindred Atlanta HospitalRockdale Medical CenterPiedmont HospitalAtlanta Medical CenterSouth Fulton Medical Center
Planning Teams 2009
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ParticipatingAtlanta Medical Center
CHOA – EglestonDeKalb E.M.A.DeKalb Medical Center – Main CampusDeKalb Medical Center – Downtown DecaturDeKalb Medical Center – HillandaleJohn’s Creek HospitalEmory University HospitalEmory University Orthopedic and Spine HospitalGeorgia Hospital AssociationGrady Health SystemGwinnett Medical, LawrencevilleGwinnett Medical, Duluth
CONFIDENTIAL. All rights Reserved.
Participating (continued)
Kindred Hospital Atlanta
North Fulton
Northside Hospital
Piedmont Fayette
Piedmont
Ridgeview Institute
Rockdale Medical Center
Saint Joseph’s Hospital
Shepherd Center
South Fulton Medical Center
Southside Medical Center
Talbott Recovery Campus
Wesley Woods Center
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CommunicationsNotification capabilities:Primary – Message911Secondary – Email system
“Off the grid” communication capabilities come from the SouthernLINC radio system for hospitals, local public health staff and EMA emergency operations centers
From the command center during an event via landline and Event Log on Live Process
Virtual communication with Live Process showed itself to be a valuable asset
Emergency Physician at Grady HCC acted as consultant with hospitals and health centers
Georgia Poison Center also assisted in numerous discussions of patient care
CONFIDENTIAL. All rights Reserved.
Resources and Assets
Staff & Hospital Command Centers – Staffed during the event following NIMS compliant Healthcare Incident Command System version 4 (HICS4)
Chempack - Requested and virtually sentGPC – Coordinated the placement of the unit
and performed in advisory capacityPartners – Excellent communication with
external partnersMonitor – Supplies and equipment needs
CONFIDENTIAL. All rights Reserved.
Safety & SecurityPatient ManagementStaff Responsibilities
Lockdown of the facilities is a critical component during an exercise or real event
Coordination with law enforcement partnersPatient Management and Responsibilities of
Staff during the event were varied from hospital to hospital, with scheduling, triage and assessment needs in the E.D., and hazardous materials containment in the Decon tents
Additional training will help overall
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Strengths and Weaknesses
One notable weakness in this area was confusion on the part of some hospitals over transport of the Chempack to a requesting hospital or health center
A strength was that Pharmacy Departments consistently did a good job of coordinating with the Poison Center and managing the assets
Again, training and review sessions are an asset any time
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Georgia Poison Center
Dr Gaylord Lopez, Executive Director of the Georgia Poison Center reports interesting information from the Chempack exercise: •Results showed the center had good practice using other resources and dedicated personnel•In a two hour period of time, they fielded 20 calls regarding 200 patients with organophosphate types of exposures
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The Participants of the Exercise
May 20, 2009 Chempack Full-scale Exercise
4031
7 80
5
10
15
20
25
30
35
40
45
HCOs in Region D HCOs Participating External Partners Georgia Poison Center
Groups in the Exercise
Num
bers
External partners such as MMST, GHA, EMS, Emergency
Management Agency, Fire & Rescue, State & Local Public Health,
Angel Flight & CDC observers
78% Participation
CONFIDENTIAL. All rights Reserved.
Poison Center (continued)
In the Poison Center, eight staff members took part in the exercise, performing duties other than their normal day of answering calls
Data Specialists
Public Health Specialists
Medical Toxicologists
Plus other personnel
CONFIDENTIAL. All rights Reserved.
Questions?
Contact Information
Charlotte S. Clark, CHSP, CHEC-III
Manager, Emergency Management
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