Hospital Hospital Evacuation PlanEvacuation Plan

Managing theManaging theWorst-Case Worst-Case

ScenarioScenario

Why Do We Need a Plan?Why Do We Need a Plan?

Joint Commission RequirementsJoint Commission Requirements Safety of our patientsSafety of our patients When the environment cannot When the environment cannot

supportsupport care, treatment, and services care, treatment, and services

Continuity of careContinuity of care

Element of preparationElement of preparation

Activation LevelsActivation Levels

Level 1 – Alert for potential evacuationLevel 1 – Alert for potential evacuation

Level 2 – Limited area / horizontalLevel 2 – Limited area / horizontal

Level 3 – Limited area / verticalLevel 3 – Limited area / vertical

Level 4A – Large area / buildingLevel 4A – Large area / building

Level 4B – Entire single campusLevel 4B – Entire single campus– East or WestEast or West

Level 4C – Entire Longwood Area Evacuation Level 4C – Entire Longwood Area Evacuation – Both East and West CampusesBoth East and West Campuses

Types of EvacuationTypes of Evacuation

Emergency EvacuationEmergency Evacuation--Fire, ExplosionFire, Explosion

– Immediate departureImmediate departuredue to life or safety threatdue to life or safety threat

Urgent EvacuationUrgent Evacuation--Flood, Utility FailureFlood, Utility Failure

– Commence within four hoursCommence within four hours Planned EvacuationPlanned Evacuation

– At least 48 hoursAt least 48 hoursto prepareto prepare

4

4

GO KitsGO Kits Unit / Team Leader vestsUnit / Team Leader vests Clipboards / checklistsClipboards / checklists Mobility triage tapeMobility triage tape GO pouchesGO pouches Re-sealable medication Re-sealable medication

bagsbags Chemical light sticksChemical light sticks Chalk / tape for Chalk / tape for

evacuation markingevacuation marking Pens / markersPens / markers

Job Action Sheet

Job Action Sheet

Job Action Sheet

Job Action Sheet

GO PouchGO Pouch

Patient Form

GO KitGO Kit

Patient Movement FlowPatient Movement Flow Horizontal movementHorizontal movement

– From unit to Patient Holding AreaFrom unit to Patient Holding Area– Horizontal Movement TeamHorizontal Movement Team

Vertical movementVertical movement– From Holding Area to Patient Loading AreaFrom Holding Area to Patient Loading Area– Vertical Movement TeamVertical Movement Team

Patient loadingPatient loading Movement to onward destinationMovement to onward destination Placement at onward destinationPlacement at onward destination

UnitHorizontal Movement

Team

Holding Area

Vertical Movement

Team

Loading Area

Transport To Onward

Destination

Patient Mobility LevelsPatient Mobility Levels AmbulatoryAmbulatory WheelchairWheelchair Non-AmbulatoryNon-Ambulatory

– Lowest acuityLowest acuity– Moderate acuityModerate acuity– Critical careCritical care– Interrupted Interrupted

procedureprocedure– Arm-carryArm-carry

Behavioral HealthBehavioral Health

Patient Movement Patient Movement SequencingSequencing

By mobility levelBy mobility level Focus on efficiencyFocus on efficiency First, move the ambulatoryFirst, move the ambulatory

– Ambulatory elderly and behavioral health may be Ambulatory elderly and behavioral health may be moved faster as wheelchair patientsmoved faster as wheelchair patients

Discharge-eligible patientsDischarge-eligible patients Wheelchair patientsWheelchair patients Non-ambulatory patientsNon-ambulatory patients

– From lowest to highest acuityFrom lowest to highest acuity

Evacuation SledsEvacuation Sleds

NO LIFTING. NO LIFTING. Uses roll and drag method only.Uses roll and drag method only.– Stairwell braking system for safe mobilization of Stairwell braking system for safe mobilization of

lightweight or heavier patients by any staff member.lightweight or heavier patients by any staff member. Allows for all staff to be utilized in an evacuation.Allows for all staff to be utilized in an evacuation. Regular sled (36x87 in), holds 800lbsRegular sled (36x87 in), holds 800lbs Bariatric sled (48x87 in), holds 800lbsBariatric sled (48x87 in), holds 800lbs Compact and durable -- efficient storage options.Compact and durable -- efficient storage options.

helps protect person while transporting.helps protect person while transporting. holds IV bags, oxygenholds IV bags, oxygen and other small devices.and other small devices. Stored on each floor and in distributionStored on each floor and in distribution

MedSledMedSled

Special Situations & Special Situations & Critical CareCritical Care

Mothers and babies togetherMothers and babies together Specialty care patientsSpecialty care patients Airborne infectious isolation patientsAirborne infectious isolation patients Morbidly obese patientsMorbidly obese patients Ventilated patientsVentilated patients Orthopedic w/equipmentOrthopedic w/equipment Patients undergoing proceduresPatients undergoing procedures

Staff AssignmentsStaff Assignments On-duty personnel remain until releasedOn-duty personnel remain until released

Manpower is allocated by the Command CenterManpower is allocated by the Command Center

What is Your Role?What is Your Role?

EvacuatioEvacuation n

ManagemManagementent

Incident Command

Operations Section Chief

Medical Care Branch Director Security Branch Director

Staging Manager

Evacuation Branch Director

Inpatient UL

Patient Tracking UL

Access Control UL

Crowd Control UL

Traffic Control UL

Law Enforcement Interface

Horizontal Movement UL

Patient Holding UL

Vertical Movement UL

Patient Loading UL

Tracking/Accountability UL

-Personnel Staging Team-Vehicle Staging Team-Equipment/Supply Staging Team-Medication Staging Team

Maintaining Continuity of Maintaining Continuity of CareCare

Clinical staffClinical staff Equipment and suppliesEquipment and supplies

– Surge Area Supply CartSurge Area Supply Cart– OxygenOxygen– Biomedical equipmentBiomedical equipment– Supplies, linen, portable lightingSupplies, linen, portable lighting– Patient comfort and privacy itemsPatient comfort and privacy items

Emergency Response Emergency Response Manual Manual

Now On-lineNow On-lineEmergency Response Manual now on the portal in PPGDEmergency Response Manual now on the portal in PPGD

Emergency Response ManualEmergency Response Manual