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Community Service Learning Project Alternate Care Site Evaluation Walkthrough. Alternate Care Site. Alternate care site Site of use in case the main facility is unusable. Black River Technical College (Paragould, AR) Walkthrough (what we actually did, brief overview) 1 1/2 hours - PowerPoint PPT Presentation
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Community Service Learning Project
Alternate Care Site Evaluation Walkthrough
Alternate Care SiteAlternate care site
Site of use in case the main facility is unusable. Black River Technical College (Paragould, AR) Walkthrough (what we actually did, brief overview)
1 1/2 hours
Organization Northeast Arkansas Emergency Preparedness Coalition
and Regional Leaders. Started after 911, prepare for disasters before they happen
St. Bernards AMMC (Paragould) Black River Technical College (Paragould)
Alternate Care Site
Site InfrastructureDoor sizes adequate for gurneys
Gurneys will be able to fit through them
Floors are adequate for wheeledstretchers
Will the stretcher be able to be wheeled across the floor with ease?
Loading dock Will the dock be able to handle the incoming ambulances,
morgue services, emergency vehicles?
Site Infrastructure
Site InfrastructureMaterial handling equipment
The proper equipment to be able to get the materials needed to the site Forklifts Trucks
Parking for staff and visitors The site needs to be able to accommodate parking.
Parking area lighting The site will need to have plenty of lighting for security purposes.
Site InfrastructureAdequate ambulance and bus access
The site will need to accommodate emergency vehicle access and other transportation.
Adequate weather protection The site will need to have structures in case of inadequate
weather. Buildings Tents
Toilet facilities The site will need provide facility toilets.
On site bathrooms Portable toilets or mobile bathrooms
Site Infrastructure
Site InfrastructureShowers
The site will need to be able to provide for showering. Showering will be for employees, patients, visitors.
Hand washing stations The site will need to have a place to wash hands.
Bathrooms
ADA accessible The site will need to be able to accommodate all
people.
Site InfrastructureHelipad or landing zone
The site will need to have a clear place for a helicopter to land for transport.
Fire protection safety and equipment The site will need to have certain protection in case of
fire or other safety concerns that could occur.
Total Space and LayoutAuxiliary spaces
Check in point Chapel Counseling room
Equipment and supply storage area The should be a place that is safe and dry.
Family waiting area The site will need to designate an area for family to wait. This will need to be at the front of facility.
Total Space and Layout
Total Space and LayoutSeparate areas for Isolation and Palliative Care
Isolation will need to be away from everything. Palliative care will need to be accessible to family.
Food supply and prep area This could be a kitchen, break room, etc.
Stove, refrigerator, sink
Lab specimen handling area Clean area that can handle the type of work performed.
Total Space and Layout
Total Space and LayoutMortuary holding area
Freezers, refrigerators Contracted mortuary holding containers
Patient decontamination areas Is there an area outside to set up decontamination stations?
Pharmacy area This will need to be in a secured area.
Total Space and Layout
Total Space and LayoutStaff support and rest break area
This area will need to be sealed off so that the staff can get away.
Area for service animals This area will most likely be outside. This area will need to be secured.
UtilitiesHVAC
Does the site have proper ventilation, air conditioning? Pressurized rooms, surgery, comfort, etc Electric company understand the priority of ACS
Electrical power Does the site have electricity or access to electricity? Is there a backup generator?
Refrigeration Is there an adequate amount of refrigeration space for the
work that needs to be done?
Utilities
UtilitiesWater
Is there access to water at the site? Hose, sink, shower or tub, water heater, etc
Video monitoring systems or alarmsystems
Does this facility have the monitoring for security purposes?
CommunicationPhones
Are there an adequate amount of phones? Is there access to satellite phones?
Intercom or overhead paging This will be a way to communicate with employees or the
public.
Two-way radio capability to main facility This will keep everyone informed and will be a way to keep in
touch with Incident Command.
Communication
CommunicationWired Internet
Is there wired internet to use for documentation and other communication?
WiFi access This will be useful if there is no wired connection.
Computers available for staff use These will be needed for patient information,
documentation, and use by incident command.
Communication
OtherNot located in a flood plain
This will determine if the site can be used as an alternate care site.
Ability to lock down facility How many entrances and exits? Are there MOU’s and MAA’s in place? Fenced in perimeter
Area for shelter in place Gives security and protects from weather conditions
OtherAccessibility to transportation
What kind of roads are there? Is there more than one way out?
Waste disposal Will there be a way to properly dispose of waste? Biohazard, trash, chemicals, etc
Laundry Is there a way to do the laundry that will be used and needed
for the site?
OtherSupplies and Services
Will there be availability for supplies and services to reach the site?
Oxygen delivery
Proximity to main hospital How close is the site to the hospital? Will this site be beneficial to hospital?
Northeast Regional Hospitals With List of Who Supplies the Item
Vendor Item AMMCCrossRidg
e Crittenden Five Rivers Forrect City Helena Lawrence NEA Baptist Piggot SMC/GRMC
MCHS St Bernards Healthsouth
Food & Water
Potable Water Sunrise
US Foods/Sysco US Foods
Coleman Dairy
Sysco/Forrest City Grocery
Walmart/Hays Turner Dairy Clear Mountain Burch
Mississippi Co. OEM
7 Up Bottling Co.
Food (list type) US. Foods US Foods US Foods
Sysco-general food & paper supplies
F. C. G. Produce Sysco US Foods Sysco-General US Foods Sysco/Primary Food-US Foods Sysco
Food (list type) Sysco
Coleman Dairy Milk & Dairy Products
F.C.G. Produce/Meat/Misc. Walmart Sysco McCarty-Prod Sysco
Snider Wholesale/Secondary
Drinking Water-Pepsi
Flowers Bakery/Bread
Food (list type) Walmart Flowers Bread Hays Flowers-Bread
Turner Dairy/Milk
Food (list type) Hays Turner Dairy
Patient Meds & Supplies Oxygen (bulk liquid) Nexair Nexair Nexair Nexair Air Products Praxair Airgas Praxaiir Praxair Praxair Nexair Nexair
Oxygen (portable) NexairNexair/Airgas Nexair Nexair Air Products Airgas
Airgas/TN Medical Nexair Nexair Nexair Nexair Nexair
Blood SupplierAmerican Red Cross
American Red Cross Life Blood
American Red Cross Life Blood
American Red Cross
American Red Cross
American Red Cross
American Red Cross Life Blood
American Red Cross
Medicine (list type)Morris Dickson
Local Pharmacies
Morris Dickson
Cardinal 90% of Stock
Cardinal Pharmacy Walmart Morris Dickson
Amerisource Bergen Ameri-Source Cardinal Health
Morris Dickson (majority)
Medicine (list type) Morris & Dickson
Hospira 10% of stock Hickory Hill AmeriSource
Piggott Discount Drug
Cantrell (Premix IV Bags) Cardinal Health
Medicine (list type) Morris & Dickson
Hospira 10% of stock Hickory Hill AmeriSource
Piggott Discount Drug
Cantrell (Premix IV Bags) Cardinal Health
Medicine (list type) Baxter IV FredsASD/Shinabery Compounding Freds Pharmacy
Medicine (Regional Stockpile)
SBMC/Crittenden
Medicine (National Stockpile)
Fed Government
Medical SuppliesMedline/Baxter
NEA Emergency Preparedness Trailer
Medline Baxter
Owens & Minor Med Line Med Line/Owens UHS Med Line Owens & Minor Medline
Medical Supplies Medline
Ventilator supplier In-house N/A UHS Daetx UHS UHSUniversal Hospital Service Hill-Rom Tri-Aminin UHS
US Med Equipment Memphis UHS
Laboratory Supplies
Beckman-Assays, Hematology, Fisher-General Lab Supplies, BioMerieux, Micro
Utility Needs
Generator Fuel Eubanks Oil MFA Oil RitterRiverside Petroleum
Jimmy Sanders
Thomas Petroleum Farm Service
Centerpoint/Flash Oil Watson Oil
Bruner's Fule and Lubricant Farm Service Jimmy Sanders
Water (for HVAC)
Wynne Fire Department
In Ground Well Well Pump N/A WR City Water In House N/A
Blytheville/Osceola Fire Dept
Jonesboro Fire Department
City Water & Light
Porta Potties HedgesSouthern Plumbing
Hedger Brothers
Forrest City Plumbing N/A Hedges Harris Plumbing Hedges Hedges Rental
Hedge/Harris EZ Rent Roto Rooter
Back up generatorCummings Mid South RP Power
Cummings Mid South County RSC CHS Wayne Power ADEM Cummins Riggs/CAT Nucor Yamato Steel
Cummings Mid South Carter & Co.
Plumbing services Roto RooterSouthern Plumbing Upchurch
Erwin Pluming
Forrest City Plumbing/Ross Plumbing
Upchurch Service Smelser Harris Plumbing D&G
Roto Rooter Blytheville RGB Mechanical RGB Mechanical
Electrical Services BSIGriffin & Sons Electric
Clay County Electric
Powerhouse Electric
Powerhouse Electric Entergy 5 Star Electric D&G Entergy Stewart Electric StewartElectrical
Heating Fuel Eubanks Oil MFA Oil Centerpoint
Center Point/Clearwater N/A
CenterPoint Energy
Centerpoint/Flash Oil N/A
Bruner's Fule and Lubricant Farm Service Jimmy Sanders
Disaster Services
Child Care
Designated Staff In-house
CRCH Auxillary
Undertermined None In House
Jelly Bean Junction/First Baptist Day Care Volunteers In House
MCHS Internal Plan In House Staff
Pet Care N/A None
West Memphis Animal Shelter
Local Kennel None N/A Gateway Vet
NEA Humane Soc. City
Dr. Cato/Humane Society Convent In House Staff
AMMCCrossRid
geCrittende
nFive
Rivers Forrect
City Helena Lawrence NEA Baptist Piggot SMC/GRMC
MCHS St Bernards Healthsouth
Morgue Services
Kenyon/Raymond vaughn Trucking Kenyon Kenyon
County Coroner/Kenyon
Kenyon/F.C.G. Refrig Truck
Kenyon/County OEM
Bryan Funeral Home/Kenyon Kenyon
Kenyon/Clay County
Kenyon/Cobb/Carney/McDonald/Wilson Funeral Homes Kenyon
Kenyon/Emerson
Medical Waste Stericycle Stericycle Stericycle Stericycle Stericycle Stericycle Downum StericycleDanner Medical Danner Medical Stericycle Clean Habors
Hazardous Waste Stericycle Stericycle Stericycle Stericyclestericycle/Safety Clean Stericycle Stericycle Stericycle N/A Danner Medical Stericycle Stericycle
Social/Emotional Support Robin Patten
Midsouth Counseling Services/SBBH/AR Crisis Response Team/Wynne Ministerial Alliance
Methodist EAP
Ministerial Alliance/In house Psych Local Clergy
East Arkansas Counseling Service Karla Dotson
Chaplaincy Service Chaplains Red Cross SBBH
American Behavioral
Alternate cooking site Incident TBA
Crestpark Nursing Home
West Memphis Civic Center
Local Church
Forrest City Civic Center/First Baptist Church
Rehab * PC Community College
WR or Hoxie School
Community Center
Blytheville/Osceola Public Schools
FANS on Emergency Power
Alternate Care SiteBRTC Paragould
BRTC Paragould
BRTC Paragould/West Memphis Civic Center
BRTC Paragould/Local Church
BRTC Paragould/Forrest City Civic Center/First Baptist Chruch
BRTC Paragould/Phillips College & Barton Hight School
BRTC Paragould/Local Schools
BRTC Paragould/Surgey Hospital Jonesboro
BRTC Paragould/Tipton
BRTC Paragould/Blytheville Cancer Center/Osceola Public Shcools
BRTC Paragould/Healthsouth
BRTC Paragould/First United Pentecostal Church of Bono
Laundry Services In-house SBMCMethodist Laundry
Tipton Linen
Broadway Laundry
Broadway linen G & K Laundry Crothall Angelica Laundry G & K Laundry
Staffing (Medical) CNO SBMC In House
Hospital/Physicians partners
Jackson Nurse Professionals NEA Clinic Arkansas Serves First Care
Staffing (Medical) Arkansas Serves
OR Inc/Areus Med.
RN Network/RN Advantage Baptist Corp
Transportation
Ambulance
AMMC Paragould EMS
Southern EMS/Medic One/Pafford/Emerson
West Memphis Fire DepartmentMedic One
St. Francis County EMS Pafford AET Medic One Piggott EMD Pafford EMS Emerson Emerson
AmbulanceAMMC Rector EMS
St. Francis Co. EMS
Crittenden EMS Pro Med
Medic One/Spring River Emerson Medic One Medic One Medic One
Air Ambulance Air Evac Air EvacHospital Wing Air Evac Air Evac
Pafford Air One Delta Air Evac Air Evac Air Evac Air Evac Air-Evac
Air AmbulanceHosptial Wing
Hopsital Wing
Survival Flight Med Flight
Hospital Wing Survival Flight Survival Flight Childrens Hospital Wing
Air Ambulance Angel One Angel One
Air Evac/Angel One/Med Flight Angel One
Survival Flight Kennet, MO
Contracted Tranpotation Supplier
Cross County Schools
Forrest City School/First Baptist Chruch
None Contracted-MOU with Mid-Delta None
Jonesboro Schools (Bus)
Communications
Ham radio operators N/A
Cross County Ham Club Danny Britt
In House Operator & WR Radio Club Scott Miller
2 onsite, Phillips County Ham Club
Lawrence Co Radio Club Bill Franklin Bryan Nagy
Stephen Ballio/GRMC Glenn Bridger
Mitch McCarroll
Ham radio operators Chris Lynn (SMC) Karla Davis Ham radio operators Kevin Alphin
Northeast Arkansas Emergency Preparedness CoalitionAlternate Care Site Use AgreementPurpose: The purpose of this agreement is to establish an alternate medical care site within the Northeast Arkansas Region of the state in anticipation of the loss of the hospital physical structures or excess capacity. We must be prepared for the possibility that the buildings or spaces in which patient care is normally provided will be rendered unusable. This agreement is to prepare for such and event by establishing agreement with alternate care site for use of designated spaces that can be prepared and staffed to provide patient care services. Use of the alternate care site will only be considered in the event of a declared disaster.Definitions:Loss of physical structure, the physical structure is deemed unsafe for normal healthcare use.Alternate Care Site, a site within the community, other than the hospital, utilized by the Northeast Arkansas Emergency Preparedness Coalition to provide healthcare services to the local community.Policy:The Northeast Arkansas Emergency Preparedness Coalition Regional Leaders will work with authorized representatives of Black River Technical College in Paragould to establish a mutual aid agreement for use of designated space to be used for provision of patient care services.The Arkansas Emergency Preparedness Coalition Regional Leaders in conjunction with representatives from Black River Technical Center in Paragould have agreed to the use of the Black River Technical College in Paragould as a designated Alternate Care site for the Northeast Regional Hospital Coalition. The following statements are included in the agreement:•A statement of authority for representatives of the Northeast Coalition and Black River Technical College of Paragould to initiate the implementation on of the Mutual Aid Agreement.•Accessing and securing the Alternate Care Site•Movement of staff, equipment, and supplies to the Alternate Care Site to provide support on-going provision of care as required.•Preparation of the designated space for provision of patient care•Movement of patients and patient care information to the designated site including medical records and other essential information related to the care of each patient. •Responsibilities of each party for maintaining the space.The alternate care site will be opened at the request of the Northeast Arkansas Emergency Preparedness Coalition Regional Leaders, in conjunction with input, when available from the Craighead and Green County OEM and St. Bernards Healthcare. The following should be taken into consideration prior to opening the alternate care site:1.Can local healthcare needs be met without opening an alternate care site?2.How long will the site be necessary?3.Is the emergency situation local or regional?4.Can the patients be safely treated elsewhere?5.Who will staff the site?6.Can supplies be delivered to the site?7.How will communications be handled?8.How will patients be tracked?9.How will the community be made aware that the site is open?10.Returning site to normal operations after event has ended.The Northeast Arkansas Emergency Preparedness Coalition has supplied the Black River Technical College in Paragould a generator to be kept onsite to be used in the event of an emergency or disaster. This agreement should be reviewed by both parties and signed annually. _________________________________________________ _________________Northeast Arkansas Emergency Preparedness Coalition Leader Date__________________________________________________ _________________Back River Technical College Paragould Representative Date
ImpactExperience
Very informative Detailed (critical services in place to be able to support the
saving of lives) Understanding of what is needed for a site to be an
alternate care site.
Effect How does it effect the community.
Hospital relief Helps in the response phase.
Impact What impact does it have on the public?
Insures that there will be the essential service and healthcare will be provided in an event of an emergency.
What impact did it have on me? Importance of site and importance of detailed checklist Impact on saving lives
Career Path Good feeling when the project was complete Continue on this path Expand upon this Explore all options