Who Moved My Hospital? A Controlled Patient Evacuation
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Transcript of Who Moved My Hospital? A Controlled Patient Evacuation
Who Moved My Hospital?A Controlled Patient
Evacuation
Carolyn Wells, RN, MSN,CEN, MEPTrauma/Emergency Preparedness Coordinator
Liberty Hospital, Liberty, MO
Background
Two community hospitals merged
One Level II Trauma Center
One busy OB serviceTwo very old
buildings needing lots of maintenance
The Solution: Build one brand new hospital
Background
Planning began one year aheadIntense planning began 6 months from date
of move (which was a moving target)Decision made to use regional electronic
patient tracking system (EMTrack)Decision also made to use WebEOC
Patient Tracking
Patient Tracking System
EMTrack
Similar Technology as FedEx/UPS
Patients Are Issued Bar-coded Triage Tags
Barcode on Tag is Unique Identifier
Additional Info is Added at Any Time
Process Starts by Scanning Tag
A Patient’s Location is Updated at Hospital
Hospitals Track Both Transports and Walk-Ins
Data Flows from Portables……to Local Laptop or PC …
…to a secure, Central Database
EMTrackEMSWare
Patient Tracking Equipment
Handheld ScannerRugged Device
Will take multiple drops to concrete, IP64 standard
Long Battery Life 12-15 hours Constant
UseAll-In-One Integrated Device
Barcode Scanner12 information categoriesCamera for Patient PhotosWireless 802.xxx Internal Memory for Batch Mode
Tag# • Auto Loaded from Scan• Can be manually entered• Required Field• Number must be unique
Alt# • Hospital Admit #• Decon Property Kit Barcode
or Drivers License
Portable User Input
Patient Tracking Activity Flow
Incoming DataFrom Field
Incoming Patient Alert: Trauma
Data Updated in Systemat Hospital
Patient Tag Scannedat Hospital to Update
Location
Hospitals are notified with an audible alarm and flashing “Incoming Patient Alert.”
EMTrack allows them to see pertinent info.Data viewed anywhere with Internet access.
Access based on permissions and log-in
WebEOC
Web-Based Emergency Management System Local Jurisdictional Boards Hospital Boards County Boards Regional Boards
WebEOC
A Board is created for each event
WebEOC
Jurisdictional Boards Can be kept as
local communication
Can be pushed up to the county board
WebEOC
County Boards Can be kept
within the county
Can be pushed up to the regional boards
WebEOC
Many other options with WebEOC FEMA Forms ICS Forms NWS Weather Alerts Map Tac
WebEOC
Centerpoint Medical Center
Our Partners for the Move
Independence/EJC Emergency ManagementMARC (Mid-America Regional Council)Primary Ambulance Agency
AMR (American Medical Response, Inc.)Mutual Aid Agencies
Independence Fire Department Lee’s Summit Fire Department Central Jackson County Fire Protection District Harrisonville EMS MAST (Metropolitan Ambulance Service Trust)
Moving Day Timeline
0400 – Incident Command Center opens at Independence Regional and Centerpoint
0430 – Briefing of all participants0500 – Patient ID scanned into EMTrack0530 – First patient left IRHC en route to
Centerpoint0535 - Rain started (inches per hour) and
quickly became a deluge
Patients Leaving IRHC
Patient ID band scanned with handheld scanner at ambulance entrance
Destination entered Ambulance info entered Triage category chosen Final check that chart,
meds, belongings, etc. with patient
Call to IC informing them of patient time out
Receiving Patients at CMC
Receiving Patients at CMC
ID Band checked upon arrival
Patient name pulled up in EMTrack
Patient accepted at CMC
Room number put into system
Patient Move
49 patients transported from IRHC by 1130 4 ventilator patients moved
Incident Command moved to MCI at 1200Resumed patient transfer at 130036 patients moved from MCI by 1540
5 mother/baby couplets 6 NICU babies (separate Neonatal Transport Unit)
Support from the Community
MARC (Mid-America Regional Council) Staff support on day of move
Independence EOC stood up for this event Provided radios to both hospitals Communications person ran WebEOC Amateur radio supported communications in 3
locationsJackson County EOC
County EM Manager was in the Independence EOC Facilitated communication with MODOT
Patient Move
Challenges Torrential
Rains Road Closings Staging of
Ambulances Blue Hospital
Signs “Closed” signs
had to be redone
Rainfall Amounts
Flooding in Kansas City Area
Complaint First Provider Last Provider Status
T:Red - Gastroenterology IRHC- TC Centerpoint Medical Center Receive to Room 263@0605
T:Green - Pulmonary IRHC - TC Centerpoint Medical Center Receive to Room 617@0605
T:Yellow - Hematology IRHC - TC Centerpoint Medical Center Receive to Room 601@0611
T:Red - Gastroenterology IRHC - TC Centerpoint Medical Center Receive to Room 260@620
T:Yellow - Trauma - head and facial IRHC - TC Centerpoint Medical Center Receive to Room 212@635
T:Green - Trauma - abdominal IRHC - TC Centerpoint Medical Center Receive to Room 608
T:Green - Gastroenterology IRHC - TC Centerpoint Medical Center Receive to Room 610
T:Red - Cardiology IRHC - TC Centerpoint Medical Center Receive to Room 259
T:Yellow - Trauma - head and facial IRHC - TC Centerpoint Medical Center Receive to Room 605
T:Yellow - Cardiology IRHC - TC Centerpoint Medical Center Receive to Room 209
T:Red - Renal/urology IRHC - TC Centerpoint Medical Center Receive to Room 255
T:Red - Cardiology IRHC - TC Centerpoint Medical Center Receive to Room 201
T:Yellow - Endocrinology IRHC - TC Centerpoint Medical Center Receive to Room 612
T:Yellow - Cardiology IRHC - TC Centerpoint Medical Center Receive to Room 210
T:Yellow - Cardiology IRHC - TC Centerpoint Medical Center Receive to Room 208
T:Yellow - Cardiology IRHC - TC Centerpoint Medical Center Receive to Room 204
T:Yellow - Gastroenterology IRHC - TC Centerpoint Medical Center Receive to Room 607
T:Green - Pulmonary IRHC - TC Centerpoint Medical Center Receive to Room 603
T:Green - Trauma - musculoskeletal IRHC - TC Centerpoint Medical Center Receive to Room 619
T:Green - Trauma - musculoskeletal IRHC - TC Centerpoint Medical Center Receive to Room 613
T:Green - Trauma - musculoskeletal IRHC - TC Centerpoint Medical Center Receive to Room 616
T:Yellow - Trauma - musculoskeletal IRHC - TC Centerpoint Medical Center Receive to Room 611
Successful Patient Move/Evacuation
First time EMTrack used to track a large number of patients
Multi-agency coordination to move a large number of patients
No patients were harmed or deteriorated during the transfers
Lessons Learned
There are never enough ambulances or transport vehicles
Electronic tracking of patients very helpful
Emergency Management support is essential
Pre-planning of staging areas (and backups)
Practice, practice, practice!
Questions?