August 1, 2013 1

Are You Ready For a Disaster? Here’s Our Plan

Presented by: Diane L. Davis, MT(ASCP)SH

Diane Davis Has documented that she has no financial relationships to disclose or Conflicts of Interest (COIs) to resolve.

Objectives

• Describe the current planning and strategy for All Children’s Hospital related to community emergency preparedness

• Discuss the planned use of point of care testing to replace the clinical laboratory immediately post or in response to a disaster or emergency activation

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Pinellas County

• Blue – Areas that will be

under water to varying

degrees due to a storm

surge

• Green – “High ground”

where no flooding is

anticipated

Hospital Disaster Plan

• In the event of a hurricane warning, patients in critical care areas will remain in the hospital

• Approximately 30 Pinellas county residents who are ventilator dependent children will be admitted to the hospital

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Hospital Disaster Plan

• The Central Energy Plant allows the hospital to run without outside power for up to 21 days -- at full power, not only emergency power.

• A well will provide a potable water supply that is enough to sustain the hospital in case of an emergency impacting the city water supply.

• The windows are rated to withstand winds up to 130 MPH.

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Hospital Disaster Plan

• The mechanical areas in the hospital are located on the 4th floor, to protect them from any possible flooding.

• Computer systems and applications are housed in 2 separate data centers on the St. Petersburg campus. – Data Center A is located in the Business and

Technology Center (BAT) building. – The Alternate Data Center B is located in the 4th

floor of the main hospital. 13

Laboratory Hurricane Plan

• Policy: Essential laboratory services are maintained before, during, and in the recovery phase of any severe weather event.

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Laboratory Hurricane Plan

• Policy: A contingency plan exists to move essential laboratory functions to the main hospital building in the event that the Hospital Incident Command Center orders an evacuation of the Outpatient Care Center

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Checklist

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Disaster Test Menu

• GEM 4000 – Blood Gases,

Electrolytes, Glucose, Lactate, Hemoglobin, Cooximetry

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Disaster Test Menu

• iStat – Chem 8

(Basic Panel, BUN, Crea)

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Disaster Test Menu

• Urinalysis – Clinitek Status

Connect – 1 Microscope

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• Hematology – Abbott Emerald – Slide Stainer – 1 Microscope – Stago Compact

Disaster Test Menu

• Blood Bank – Hemosafe to store

blood – Platelet Rotator

with Platelet Units

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• Microbiology – Gram Stains

Supplies

• Each area maintains a list of the equipment and incidentals that will be needed for the move

• Blood Bank maintains an emergency cart with supplies that would be needed remotely

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Staffing

• Disaster Assistance Response Team (DART) activation

• Real Time Training for DART Team members for POC tests in the “POC SIM Lab”

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Staffing

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Staffing

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So that’s the plan!

FULL DISCLOSURE: We have not yet had to implement this plan since the move to the new hospital, so it is untested as of the date I am writing this – HOWEVER, there is a storm in the Atlantic now…..

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