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Receiving Patients in an Evacuation

Receiving Patients in an Evacuation. Allyn Whaley-Martin Director, Safety Our Lady of the Lake Regional Medical Center Region 2 Hospital Coordinator. 8. 7. 6. 9. 2. 4. 5. 3. 1. Hospital Disaster Response Regional Structure. Incident Command. State Emergency Operations Center.

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Receiving Patients in an Evacuation

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  1. Receiving Patients in an Evacuation Allyn Whaley-Martin Director, Safety Our Lady of the Lake Regional Medical Center Region 2 Hospital Coordinator

  2. 8 7 6 9 2 4 5 3 1 Hospital Disaster Response Regional Structure

  3. Incident Command State Emergency Operations Center Louisiana Hospitals Assn. Dept. Health & Hospitals Louisiana Nursing Homes Assn. Gov. Office Homeland Security & Emergency Prep. Other State Agencies Parish Emergency Operations Center Parish Emergency Operations Center Police Fire EMS Other Parish Agencies Region X Designated Regional Coordinator Hospital A Hospital B Hospital C

  4. Disaster Response Philosophy • Work together. • Share resources. • Communicate.

  5. Contra-flow Plan

  6. Region 2 Acute Care Hospitals

  7. Katrina Impact - Region 2 • East Baton Rouge Parish population increased 22%* increase in population within the first week. • 10,000* people sheltered. • Healthcare capacity across the Region stretched.

  8. Katrina Impact –Our Lady of the Lake Regional Medical Center • ED treated over 3000 patients in the first 8 days. • OLOL Hospital sheltered home ventilator patients • OLOL Children’s Hospital received 28 infants from evacuated New Orleans hospitals.

  9. Katrina Impact – Our Lady of the Lake Regional Medical Center • Nursing Homes housed 70 residents, plus caregivers and family members from evacuated residential facilities. • Lake Line Direct experienced a 30% increase in call volume per day.

  10. Katrina Impact – Our Lady of the Lake Regional Medical Center • College Nursing and Allied Health programs provided medical care to people in general shelters. • Staff and Physicians volunteered at Special Medical Needs Shelter / Field Hospital. • Pharmacy and Laboratory provided outreach services to Special Medical Needs Shelter / Field Hospital.

  11. What did we learn?

  12. Relationships are critical to an effective response. • Access to resources • Political support • Information

  13. Everyone relies on hospitals during disasters. • Medical Care • Shelter • Food • Electricity

  14. Obtain patient “buy-in” to surge plans. • Manage expectations. • Bring resources to the victim.

  15. Medical support is needed in public shelters. • Chronic Illnesses • Oxygen and power • Prescription-writing • Outpatient Dialysis • Mental Health

  16. Evacuees won’t bring their medical records... • Vulnerable Populations Cancer Patients Elderly Pediatrics

  17. …but they will bring their pets! • Hospital-based sheltering not planned. • Community alternatives limited.

  18. Patient tracking must begin with the first person rescued. • Define a central point to assist locating loved ones. • Coordinated systems across all hospitals, public and private shelters.

  19. Work with the Media. • Maintain open lines of communication, with appropriate boundaries. • Say what you know. • Share information responsibly.

  20. In the absence of information, people will create their own “truths”. • Busses of patients? • Public Health Issues? • Rescue Concerns?

  21. Emphasize equipment interoperability. • No failures of communications equipment occurred, but not 100% reliable. • Incorporate volunteers into communication system. • Don’t ignore low-tech options.

  22. Plan to be self-sufficient. • On-site cache? • Relationship with vendor/distributor. • Know HOW to ask for support from State and Federal agencies.

  23. Without coordination, volunteers and donations provide little support • Coordinate with State credentialing process. • Discourage staff from inviting volunteers outside of command structure. • Carefully consider donated supplies.

  24. Security support will not be available. • City / Parish Law Enforcement • National Guard • Private Security Resources • Lockdown vs. Access Control

  25. Take care of your team. • Disaster Staffing Teams • Child / Elder care • Pets • Overtly recognize staff efforts

  26. Small kindnesses are of great value during a disaster. • Provide shower and hot meal to patient family, responders. • Assigned a patient liaison to waiting rooms. • Leader rounds for staff.

  27. Recovery begins during the response. • Monitor the “New Normal” volume. • Hire more staff! • Reinforce supply chain. • Support the community.

  28. Something will fail. • All Hazards planning approach allows for flexibility. • Creativity / Innovation must be encouraged. • Stamina.

  29. Thank you.

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