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Emergency Healthcare Evacuations: Key Decisions for Best Patient Outcomes

This guide provides a thorough overview of critical decisions involved in healthcare evacuations. From determining who needs to be evacuated based on acuity and geography to what supplies and essentials to bring, it covers considerations for where to go, when to evacuate, why evacuation is necessary, and how people will be transported. Addressing various stakeholders such as patients, families, staff, and governing agencies, it emphasizes the importance of timing, communication, and logistics for successful evacuations. Planning for different types of incidents like natural disasters or facility emergencies, it offers insights into the intricate process of ensuring the safety and well-being of all involved.

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Emergency Healthcare Evacuations: Key Decisions for Best Patient Outcomes

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  1. Healthcare Evacuations Peter Ginaitt and Dawn Lewis

  2. Stay or Go – Many Decisions • Who • What • Where • When • Why • How

  3. Who • Patients (by Acuity) • Most ill (Red) • Least ill (Green) • Patients (by Geography) • Part of the building • Entire building • Decides • Facility decision • EMA/PS recommendation • Government order • Best Patient Outcomes • Patients • Family • Staff • Medical Community • Receiving Facilities • General Public • Regulating Agencies • Insurance Companies • State/Local Agencies Who do we evacuate? Who do we tell?

  4. What • Supplies • Medical Records • Continuity of Care Forms • Medications • Patients belongings • Food • Medical equipment • Housekeeping supplies • Staff • Tracking • Speed of evacuation • Adequate supplies What do we take? Considerations

  5. Where • Rendezvous Points for pts. • Hospital to Hospital • Hospital to NH • Hospital to Shelter • Hospital to Home • NH to NH • NH to Hospital • NH to Shelter • NH to Home • ACS/Field Hospital/Ship • Issues • Triage pts. by transport needs (BLS, ALS, critical care, med-flight) • Appropriate receiving facility level of care • Readmission rates • Logistic resupply • Staffing • Families • Other… Where do we go? Considerations

  6. When • Pre-event • Prior to Storm • Prior to Construction • Facility Impact/Closure • During-event • Lost facility services • Decompression • When will the storm hit • When will the receiving location be available • When will the transports be available • When will the transports NO LONGER be available When to evacuate Timing is everything

  7. Why • Tornado • Hurricane • Flooding • Explosion • Fire • Intentional • No Heat • No Water • No HVAC • Limited/No Power • Structural damage • Preemptive for above Types of incidents Reasons to evacuate

  8. How • How will people be moved (internal) • Sleds • Chairs • Mattress • Fireman drag • How will people be moved (external) • Med-flight • ACLS • BLS • Bus • Car • From Floor to Door • Staff • EMS • Fire Services • Volunteers • Is there enough of the transport vehicle types available? • Ambu bus • Medflights (comm/military) • Para-transport • Federal Ambulance Strike Teams • Regional Resources/ MOU’s How will people be moved Transport options

  9. QUESTIONS ?

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