Community Nursing assignment

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lossofpower.pdf

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LOSS OF POWER

INCIDENT RESPONSE GUIDE Mission: To safely manage the operations of the facility during a power outage and minimize time to

restore service. Directions □ Read this entire response guide and review incident management team chart

□ Use this response guide as a checklist to ensure all tasks are addressed and completed

Objectives □ Maintain emergency power systems

□ Maintain patient care management and safety

□ Minimize impact on hospital operations and clinical services

□ Evacuate patients to other facilities, if appropriate

□ Communicate situation to staff, patients, the media and community officials

Immediate (Operational Period 0-2 Hours)

COMMAND (Incident Commander):

Activate the facility Emergency Operations Plan Activate Command Staff and Section Chiefs, as appropriate

(Liaison Officer): Notify local emergency management/EOC of hospital situation status and obtain incident

information and estimated timelines for restoration of power Notify local EMS and ambulance providers about the situation and possible need to evacuate Communicate with other healthcare facilities to determine:

• Situation status

• Surge capacity

• Patient transfer/bed availability

• Ability to loan needed equipment, supplies, medications, personnel, etc.

• Contact the Regional Hospital Coordination Center, if exists, to notify about the situation and request assistance with patient evacuation destinations

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COMMAND (Public Information Officer):

Inform staff, patients and families of situation and measures to provide power and protect life Prepare media staging area Conduct regular media briefings, in collaboration local emergency management, as

appropriate (Safety Officer):

Evaluate safety of patients, family, staff and facility and recommend protective and corrective actions to minimize hazards and risks

OPERATIONS Evaluate the emergency power supply and appropriate usage within the facility Initiate power conservation measures Assess patients for risk and prioritize care and resources, as appropriate Secure the facility and implement limited visitation policy Ensure continuation of patient care and essential services Consider partial or complete evacuation of the facility, or relocation of patients and services

within the facility Maintain communications systems and other utilities and activate redundant (back up)

systems, as appropriate Implement business continuity plans and protection of records

PLANNING Establish operational periods, incident objectives and develop the Incident Action Plan, in

collaboration with the Incident Commander Prepare for patient and personnel tracking in the event of evacuations Monitor weather conditions

LOGISTICS Maintain other utilities and activate alternate systems as needed Investigate and provide recommendations for auxiliary power (i.e., battery powered lights,

etc) Provide for water, food and rest periods for staff Obtain supplies to maintain functioning of emergency generators (i.e., fuel, parts, etc.) Obtain supplemental staffing, as needed Prepare for transportation of evacuated patients Validate and/or activate the backup communications systems

Intermediate and Extended (Operational Period 2 to Greater than 12 Hours)

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COMMAND (Incident Commander):

Update and revise the Incident Action Plan and prepare for demobilization Continue to update internal officials on the situation status Monitor evacuation, if activated

(PIO): Continue with briefings and situation updates with staff, patients and families Continue patient information center operations, in collaboration with Liaison Officer

(Liaison Officer): Continue to notify local EOC of situation status, critical issues and request assistance, as

needed Continue to communicate with local utilities incident details and duration estimates Continue patient information center operations, in collaboration with PIO Continue communications with area hospitals and facilitate patient transfers

(Safety): Continue to evaluate facility operations for safety and hazards and take immediate corrective

actions

OPERATIONS Continue evaluation of patients and patient care Determine if any equipment can be taken off emergency power to minimize load on

generators Cancel elective surgeries and procedures Prepare the staging area for patient transfer/evacuation Initiate ambulance diversion procedures Continue or implement patient evacuation Ensure the transfer of patient’s belongings, medications and records upon evacuation Continue evaluation and provision of emergency power Ensure facility security and restricted visitation Ensure provision of water and food to patients, visitors and families Continue to maintain other utilities Monitor patients for adverse affects of heath and psychological stress Prepare demobilization and system recovery plan

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PLANNING Continue patient, bed and personnel tracking Update and revise the Incident Action Plan Prepare the demobilization and system recovery plans Plan for repatriation of patients Ensure documentation of actions, decisions and activities

LOGISTICS Contact vendors to schedule regular deliveries of fuel to maintain emergency power Contact vendors on availability of supplies and fresh food Continue provision of emergency power to critical areas Continue to provide staff for patient care and evacuation Monitor staff for adverse affects of heath and psychological stress Monitor, report, follow up on and document staff or patient injuries Continue to provide transportation services for internal operations and patient evacuation

□ FINANCE/ADMINISTRATION

Continue to track costs and expenditures and lost revenue Continue to facilitate contracting for emergency power and other services

Demobilization/System Recovery

COMMAND (Incident Commander):

Determine hospital status and declare restoration of normal power and termination of the incident

Notify state licensing, accreditation or regulatory agency of sentinel event (Liaison Officer):

Communicate final hospital status and termination of the incident to local EOC, area hospitals and officials

Assist with the repatriation of patients transferred (PIO):

Conduct final media briefing and assist with updating staff, patients, families and others of the termination of the event

(Safety Officer): Ensure facility safety and restoration of normal operations

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OPERATIONS Restore normal patient care operations Ensure restoration of power and services Repatriate evacuated patients Discontinue ambulance diversion and visitor limitations Ensure business continuity of operations and return to normal services

PLANNING

Finalize the Incident Action Plan and demobilization plan Compile a final report of the incident and hospital response and recovery operations Ensure appropriate archiving of incident documentation Conduct after-action reviews and debriefing Write after-action report and corrective action plan for approval by the Incident Commander

to include the following:

• Summary of actions taken

• Summary of the incident

• Actions that went well

• Area for improvement

• Recommendations for future response actions

LOGISTICS Perform evaluation and preventative maintenance on emergency generators and ensure their

readiness Restock supplies, equipment, medications, food and water Ensure communications and IT/IS operations return to normal

FINANCE/ADMINISTRATION Compile a final report of response costs and expenditures and lost revenue for approval by

the Incident Commander Contact insurance carriers to assist in documentation of structural and infrastructure damage

and initiate reimbursement and claims procedures

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Documents and Tools □ Hospital Emergency Operations Plan

□ Hospital Evacuation Plan

□ Emergency Power Plans

□ Emergency Communications Plans

□ Facility and Departmental Business Continuity Plans