Pediatric Planning Resources

1. Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

2. What’s the plan? • Primer • Template • Supporting appendices

3. Appendix • Pediatric Safe Area Checklist • Sample disaster menus • Behavioral health handout • Pediatric priorities poster • Pediatric referral resources • Hospital training matrix • Hospital training scenarios • Template pediatric MCI annex • JAS – Pediatric Technical Specialist • JAS – Pediatric Services Supervisor • JAS – Pediatric Safe Area Unit Leader • Safe area registry template • Registration form

4. Planning Assumptions

5. 10 Steps – Facility Planning • Determine expertise among staff • Create staff leadership positions • Write a peds MCI annex • Training and Exercise plan • Equipment plan • Nutrition plan • Pharmaceutical plan • Security / safety needs addressed • Transfer / transport • Pediatric decontamination considerations

6. 8 Steps – Regional Planning • Assess regional expertise and leadership • Determine training needs and support/resources • Assess regional capacity • Assess equipment needs / issues • Regional referral and transportation plan • Behavioral health resource assessment • Family Assistance Center concept of operations • Exercise plan

7. Regional Implementation • Regional roll-out • Educational offerings • Workshops • Partner facilities • Follow up • Trauma system

8. CO-S-TR – C4 • Command • Control • Communications • Coordination

9. CO-S-TR - Logistics • Space • Triage • Red • Yellow • Green (ambulatory) • Pediatric Safe Area • Inpatient

10. CO-S-TR - Logistics • Staff • Who has expertise / training? • Who needs additional training? • Didactic – classes? • Practical – classes? simulation? • Refresher – emphasis on bedside, brief, using usual equipment • Just-in-time

11. Stuff! • Based on AAP / ACEP guidelines • Per ‘red’ patient • Some equipment is per facility • Nothing too fancy! • Fits well with trauma preparedness / site visits

12. Pediatric Equipment

14. CO-S-TR - Logistics • Stuff (other) • Beds / pack-n-plays • Pharmaceuticals • Potential for errors! • Weight-based dosing

15. CO-S-TR Logistics • Special • Behavioral Health • Family / Safe Area • Infectious Disease • Decontamination

17. CO-S-TR - Operations • Triage

19. CO-S-TR - Operations • Treatment • Outpatient – release to pediatric safe area • Inpatient • Cohorting – kids with kids only! • Priority transfer or pediatric-specific unit: • More serious injuries/illness • Complex underlying diseases • Age <8

20. CO-S-TR - Operations • Transport • Internal • Stretchers • Car seats, cribs, etc. • Supervision! • External • Ambulances – specialized, ALS/BLS, rotor, fixed wing • Other vehicles – school bus, cars with car seats

21. CO-S-TR - Operations • Tracking • Registration • Wristband • Purple - parent • White – without parent • Blue – belongs to staff • Patient wristband may be used with above

22. Appendix – Behavioral Health • Age <5 • Age 6-11 • Age 12-18 • Handout – what to expect, when to seek help

23. Appendix - Template • Annex to the facility EOP • Pediatric Mass Casualty Plan • Pediatric Emergency Team (PET)

24. Appendix - JAS • Pediatric Technical Specialist • Pediatric Services Supervisor • Pediatric Safe Area Unit Leader

25. Appendix – Registry • Check-in, check-out • Registration