Response to Boil Water Advisory at CHEP Lexington Medical Center - December 2010

1. Accessing Your Local Resources Mark Chretien, CHEP Lexington Medical Center

2. Situation: • Date; December 7, 2010 • Time; 22:30 • Nursing Supervisor reports “Dirty Water” coming out of the faucets • West Columbia Water is flushing hydrants on & around the campus • 22:49- West Columbia Water employee recommends, “Boil Water Advisory,”

3. Response: • 22:51- Incident Command activated • 23:00- Began distributing 25 cases of bottled water to “patient care areas” • 00:00- W Cola Water employee updates IC (min 24 hrs until samples can be read) • 00:15- Telephoned all water vendors with MOA’s • Turned off water to all water fountains & sinks • 00:24- “Disaster Informational Alert Message” sent out

4. Current concerns: • Staff hording water for coffee • Staff raided Central Supply for “Sterile Water” (to make coffee) • 00:30- Open Lex-Lex OR for sterilization needs • 01:00- 50+/- OR instrument trays need sterilization, (Palmetto Health Richland) • Sunset Café boiling water for staff use

5. 03:00 Situation update: • 03:15- Requested 50 cases of bottled water & 35-1 gallon jugs from Wal-Mart • Notified AllSurgeons on the situation

6. NOW IT GETS INTERESTING… • 05:45- Dramatic increase in demand for water

7. NOW IT GETS INTERESTING… • 05:45- Dramatic increase in demand for water • 06:00- Additional 250 cases of bottled water requested from Wal-Mart

8. NOW IT GETS INTERESTING… • 05:45- Dramatic increase in demand for water • 06:00- Additional 250 cases of bottled water requested from Wal-Mart • Contacted Lexington County Emergency Management (LCEM)

9. Water, Water, get your water here… • 06:45- 65 cases of bottled water available from LCEM • MMRS in Columbia had 100 cases of bottled water • State of SC 16 pallets of bottled water (each pallet contains 72 cases of bottled water; = 27,648 bottles)

10. Then the “BAD NEWS”…

11. Then the “BAD NEWS”… • 08:30- “Boiled Water Advisory” cancelled ???

12. Summery… • Total time under advisory: 09:30 hours • Distributed: • 47.5 cases of bottled water • 2-5 gallon jugs • 35-1 gallon jugs • Available within 3-5 hours: • 1817 cases of bottled water • 50-5 gallon jugs • 100-1 gallon bottles

13. Follow-up… • De-Briefed the event • Revised our “Water Failure Plan” “Low Pressure” “Boil Water Advisory” “Water Supply Failure” • Involved multiple departments in determining potable water needs • Re-evaluated expected potable water needs

14. Follow-up continued… • Developed forms & templates • Defined procedures for requests & distribution • Educate staff • Increased par levels of bottled water • Determine water needed for flushing only per 24 hr period • Evaluated our options; drilling, storing, alternate supply lines

15. Water Distributed • 24 cases from Nutritional Services stock • 2-5 gallon water cooler jugs • 23.5 cases of bottled water an 35-1 gallon bottles from Wal-Mart

16. Water Available • Wal-Mart had additional 500 cases & 100- 1 gallon jugs • State of SC 16 pallets of bottled water (each pallet contains 72 cases of bottled water)

17. My best advice:

18. DON’T ASSUME

19. Questions? • Thank you; Mark Chretien