Preparing for Disaster

1
Preparing for Disaster

• Shands Vista and Shands Rehab Hospitals
• Charles Miller, Manager of Support Services
• Constance Mims, Director of Support Services

2
Code White / Code Black DrillDecember 12, 2006

• Scenario
• On Tuesday December 12, Shands Vista and Shands
  Rehab Hospital partnered with the Alachua County
  Sheriffs Office (ACSO) in a Code White (Hostage)
  and Code Black (Bomb Threat) Drill.
• In this drill, the Special Forces Teams from ACSO
  responded to a simulated crisis event.

3
Drill Objectives

• To conduct a successful Code White / Code Black
  Drill
• Train staff and Alachua County SWAT/BOMB Squads
• Evaluate effectiveness of the facilitys Disaster
  Plans
• Evaluate dynamics of the tabletop exercise

4
Key Areas of Concern

• Command and Control
• Logistics Support
• Location of Event
• Analysis of Situation (Scenario)
• Risk Assessment
• Strategy Development
• Plans Development
• Inspection and Rehearsals

5
Special Considerations

• Continued High Level of Patient Care
• Sustained Normal Operations
• Patient Safety
• Media Coverage
• Community Involvement
• Provide patients a sense of security
• Modes of Communication During Drill

6
Lessons Learned

• Effective communication at all levels is
  critical.
• Tabletop drills provide excellent training.
• Staff disaster training is critical.
• Effective media coverage
• Planning with outside agencies is critical.

7
Hospital Incident Command System

• Compliance with National Incident Management
  System (NIMS)
• All hazards approach
• Focuses on the management of an incident, not on
  how to respond
• Hospital-specific
• Defined roles of everyone involved
• Training for staff in the Incident Command Center
  

8
HICS Preparation Documents

• Hospital Incident Command System (HICS) Guidebook
• http//www.emsa.ca.gov/HICS/files/Guidebook_Glossa
  ry.pdf
• Incident Command Training
• IS-100.HC Introduction to the Incident Command
  System for Healthcare/Hospitals
• http//training.fema.gov/EMIWeb/IS/is100HC.asp
• IS-200.a ICS for Single Resources and Initial
  Action Incidents
• http//training.fema.gov/EMIWeb/IS/IS200A.asp
• IS-700.a National Incident Management System
  (NIMS), An Introduction
• http//training.fema.gov/EMIWeb/IS/is700a.asp
• IS-800.A National Response Plan (NRP), An
  Introduction
• http//training.fema.gov/EMIWeb/IS/IS800b.asp

9
Community Partnership

• County Emergency Management Contact
• Alachua County Hospital Emergency Response team
• Initiated in August 2009
• Alternate Care Sites
• Hazard Vulnerability Analysis