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AK Respond AMS Overview Presentation FINAL

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Information about AK Respond AMS Overview Presentation FINAL
Education

Published on March 3, 2014

Author: lemayhupp

Source: authorstream.com

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Alaska Medical Station & Overview Alaska Shield 2014 Exercise :  Alaska Medical Station & Overview Alaska Shield 2014 Exercise Learning Objectives: Learning Objectives 1. Review AMS Concepts and opening criteria 2. describe plans for staffing, medical charts , levels of care and challenges 3. discuss Components of AK Shield and goals for healthcare providers Who Are We?: Who Are We? DHSS Emergency operations center: Day-to-day operations work under Division of Public Health During an event DHSS EOC provides command and control to all DHSS divisions/sections that are involved in the event DHSS Emergency operations center DHSS Emergency Operations Center What Do We Do? : What Do W e D o? Manage Public Health & Medical Chaos Disaster Process: Isolated Event Local Response Integrated Exceeds Local Jurisdiction Capability State Response Integrated Exceeds State of Alaska’s Capability Federal Response Integrated Disaster Process where Are We?: where Are We? DHSS EOC incident Command Center: Duty Officer 24/7 907-903-3721 Mobility Interoperable with State Emergency Operations Center Continuity of Operations DHSS EOC incident Command Center What are our capabilities?: What are our capabilities? Alaska Respond: Alaska Respond Picture of Galena Response Volunteers AK Respond Mini and Mass Casualty Triage Bags Alaska respond Professions: Professions with less than two volunteers: Medical and Clinical Lab Technician Midwife Psychologists Mental Health Counselors Alaska respond Professions Communities with volunteers: Communities with less than 5 volunteers: Anchor Point Auke Bay Barrow Big Lake Copper Center Cordova Crooked Creek Delta Junction Dillingham Douglas Ester Fritz Creek Galena Girdwood Haines Hoonah Hope Houston JBER Kasilof Kenai Metlakatla Nikiski North Pole Skagway Sterling Sutton Talkeetna Two Rivers Unalaska Valdez Willow Communities with volunteers Year New Volunteers September 2011 (Imported into new Registry) 440 2011 24 2012 123 2013 70 2013 Spring flood event: Communities Affected Eagle Circle Galena Hughes Emmonak Alakanuk Gulkana 2013 Spring flood event AMS Concepts & opening criteria: Alaska Hazards Types of Mass Care Shelters Moving the AMS Wrap Around Services Triage Criteria for Admitting AMS Concepts & opening criteria Alaska hazards: Alaska hazards Earthquakes Volcanoes Tsunamis Floods Major wildfires Winter weather storms Types of mass care shelters: General shelters coordinated by the Red Cross Community shelters coordinated by the community Alaska Medical Station Low Acuity Care Special Needs/Functional Needs Quarantine Station General Shelter Types of mass care shelters Alaska medical station: Alaska medical station Gift from the US HHS in 2010 Moving the ams: Transportation options for the AMS Air Sea Land 18 Moving the ams Air Transportation: Air Transportation Two C-130 loads Take-off distance 3,586 feet at 155,000#s max gross wt 1,400 ft. at 80,000 # gross wt. Access to any Alaskan community with a runway of 3000 ft. or more (this factors in most weights and temp/DA) combos) 19 Sea Transportation: Sea Transportation Capable of sea transport on the following modes Alaska Marie Highway River barges Ocean barges Transportation and delivery time will vary Slowest mode of transportation long term events 20 Land Transportation: Land Transportation AMS is transported in three 53 ’ semi-trailers Pharmaceutical cache transported in one 22 ’ box truck 21 AMS Footprint: AMS Footprint AMS is not self-sufficient. One 250-bed requires approximately 40,000 square feet of enclosed, climate controlled space with the following additional features: Bathrooms and showers Availability to support services (i.e., food and water, waste services, water disposal) Sufficient existing communications/IT support/ power supply Loading ramps, materiel handling equipment and parking 22 Wrap around Services: Wrap around Services Services at Site Medical Oxygen O 2 filling services 10 – 15 person set up/support team Security Bio-hazardous waste r emoval Catering ( Special diets) Billeting for clinical staff Laundry Refrigeration Mortuary Support Veterinary support and food for service animals and pets If EMS infrastructure impacted, ALS ambulance(s) 23 Triage/entry criteria for admitting: AMS will receive patients depending on staffing, incident severity and size of affected area, logistics, and number and types of other available shelters. Flexible Triage/entry criteria for admitting Triage/entry criteria for admitting: Level 3 (lowest acuity) Stable medical condition(s) able to function independently Manage activities of daily living (through the use of a non-medical attendant or companion) Example: vulnerable populations with at least one stable medical condition that is displaced, or a person needing electrical support for medical equipment, or a person needing minimal medical care. Triage/entry criteria for admitting Triage/entry criteria for admitting: Level 2 Person with acute or chronic medical condition who are dependent on others for some assistance in addressing functional needs and maintaining routine living activities (eating, walking, toileting, etc.) Persons needing regular wound care Able to consistently express needs Requires little monitoring Requires minimal or infrequent physical assistance in meeting needs If they have a caretaker – they still need a caretaker (caretaker will have space in AMS) Example: Asthma, chronic obstructive pulmonary disease (COPD), coronary artery disease (CAD), chronic HIV, diabetes, infection, disability , chronic stable mental health, observation of injury sequalae and treatment (head wound, fracture, etc.) Triage/entry criteria for admitting Triage/entry criteria for admitting: Level 1 (highest acuity) Person needing wound care with or without closure Person with chronic medical condition(s) who require regular or frequent assistance with: Meeting most of daily functional needs Medical care administration Monitoring by a nurse Are dependent on equipment requiring uninterrupted electrical power, assistance in use/serving Assistance with medications Stable mental health disorders Example: Acute wound care, persons with co-morbidities such as dependence on complex medical equipment, extensive medical treatment Triage/entry criteria for admitting Services not provided: What it is Medical Special Needs Sheltering for displaced persons with chronic diseases, limited mobility, or behavioral health requirements. (for the appropriate patient). Inpatient care that is: non-acute, non-surgical treatment for areas where hospital bed capacity has been exceeded (for the appropriate patient). Support to quarantine missions isolating persons suspected of being exposed to or affected by a contagious disease. Wha t it is not It is not a field hospital. It is not a nursing home. It is not an emergency room. It is not mobile. It does not come with tents. It is not light. It does not have generators, food, water, or toilets . Services not provided How It All Works: Incident Command Structure AMS Contents Staffing Resources Forms Coms Equipment Locations How It All Works Incident Command Structure: Incident Command Structure Tri-walls: Tri-walls AMS Contents: 700 line items (approximately) Base Support (support and admin) Base Treatment (medical equipment) Bio-Medical Pharmacy Laboratory equipment cache There are approximately 185 tri-walls varies based on formulary items, configuration Fits on 4 Tractor Trailers 3 – 53’ 1 – refrigerated truck for Pharmacy AMS Contents Base Support Module Supplies Electrical Distribution System Administrative Food Services Housekeeping First Aid Basic Medical Pediatric PPE Bariatric Base Treatment Module Medical/ Surgical Items Chronic Care Special Needs Non-Acute Care Bio-Medical Module Wheel Chairs Hand Wash Stations Oxygen Concentrators Stretchers/ Gurneys Pharmacy Module Pharmaceuticals Pharmacy Supplies Base Support Module: Base Support Module Hygiene Kit Bed Pack Beds Infrastructure Supplies Administrative supplies Communications cache (30) Portable UHF radios (1) Rapidcoms trailer (1) Iridium Satellite Phone 33 Base Treatment Module: Base Treatment Module Medical Supplies Wound care Urinary Catheters Pressure ulcer supplies Oxygen delivery devices / tanks (need O 2 filling station) Personal protective equipment (PPE) 34 Bio-Medical Module: Bio-Medical Module Wheel Chairs ( 18”, 22”, 24”) Patient Lifts (450 lbs lift) Hand Wash Station Handicap Hand Wash Station Oxygen Concentrators Stretchers/ Gurneys 35 Pharmacy cache: Pharmaceuticals Diabetes Respiratory illness (COPD / Asthma) Common infections (skin / urinary / eye / lung) Stable Coronary Artery Disease Hypertension (high blood pressure) Tetanus vaccines Common Mental Health conditions Pharmacy Supplies Pharmacy cache Staffing Resources: Staffing Resources State Resources Alaska Department of Health and Social Services Alaska Department of Natural Resource, Division of Forestry Alaska Respond Alaska National Guard Faith-based organizations Nursing School EMAC Request Federal Resources Public Health Service Rapid Deployment Force Disaster Management Assistance Teams (DMAT) Veteran Administration (VA) Department of Defense (DOD) PowerPoint Presentation: Positions Staffing Plan for Hale Borealis Alaska Army National Guard Alaska 1 DMAT SOA DHSS (AK Respond) Licensed Healthcare Staff Healthcare Support Staff Command Staff General Staff Licensed Healthcare Healthcare Support Staff Command Staff General Staff Licensed Healthcare Healthcare Support Staff Command Staff General Staff AMS Commander 1 Deputy AMS Commander 1 Safety Officer 1 AMS Operations Section Chief 1 Medical Services Supervisor 1 1 Triage Team 1 3 Alaska Care Team 5 5 AMS Treatment Team 2 2 Admissions Team 3 3 Samaritans Purse Emergency Team Medical Support Services Supervisor 1 Pharmacy Services Team 1 Ancillary Services Team 2 Preventative Medicine Team 4 AMS Logistics Section Chief 1 Communications and Information Technology Unit 1 Support Services Unit 3 Forms: Forms AMS admitting consent & discharge form AMS initial history form AMS progress notes AMS medication tracking AMS extra notes Communication equipment: Communication equipment Rapid Coms Pack (Light ) BGAN, Satellite Phone, ALMR Radios, Computer , Lithium Battery, Solar Panel Rapid Coms Pack (Medium) BGAN, Satellite Phone, ALMR Radios, Computer, Printer, Lithium Battery, Solar Panel, Battery Packs, Routers & Cables, Two-way Radios Rapid Coms Pack (Heavy) VOIP, VHF Radios, UHF Radios, CB Radio, Aviation Radio, Computers, Printers, ALMR / AWARN Satellite, Power Generations Locations: Locations Site Selection D one in advance by State working with the Regional Emergency Coordinator (REC) Close proximity to supporting hospital Building Size determines the number of bed set up Share clinical staff Climate controlled Bathroom and shower facilities C linical staff H andicap Electricity with back-up generator C ommunication and electrical Securable area for pharmaceuticals 41 Locations: Locations Site Selection Adequate parking (staff, tractor trailers, buses) Dock(s) for 53 ft. tractor trailers Doors large enough to handle wheelchairs, gurneys, litters, and tri-walls Material Handling Equipment (MHE) - forklifts Access to ground and air evacuation 42 Locations in Alaska: Locations in Alaska 43 PowerPoint Presentation: Scenario Exercise Players Timeline Set Up Operations Volunteers Needed hale borealis 2014 Alaska shield Hale Borealis 2014 : Week long exercise testing local, state, and federal agency capability to responded to a catastrophic event Exercise timeline March 27 – April 3 rd Over 550 agencies participating Event scenario: 1964 Alaska 9.2 earthquake Hale Borealis 2014 Exercise players: 673 rd War Reserves Alaska National Guard Alaska Respond Centers for Disease Control and Prevention Department of Health & Social Services Samaritans Purse US Health & Human Services Exercise players timeline: timeline Alaska Medical Station Inter-State Patient Movement Operations Intra-State Patient Transfer Operations DHSS EOC Activate SEOC Activate Thurs Mar 27 Fri Mar 28 Sat Mar 29 Sun Mar 30 Mon Mar 31 Tue April 1 Wed April 2 Thurs April 3 Hot Wash Set Up : AK National Guard will load up 179 tri-walls and transport them from JBER to Alaska State Fairgrounds Alaska State Fairgrounds Raven Hall Set Up Alaska Medical Station: White Boundaries – Samaritans Purse Blue Boundary - AMS Logistics and Loading Yellow Boundary – Volunteer Staging Area Red Boundary- Helipad Green Boundaries – Transportation Corridor Alaska Medical Station Alaska Medical Station ( Raven Hall) Samaritans Purse Field Hospital Site Alaska Medical Station Logistics/Loading Area Volunteer Staging Area Transportation Corridor Transportation Corridor Helipad Site Alaska Medical Station: Multi-stall men's and women's bathrooms, and family bathrooms on east and west side of facility Kitchen in middle refrigeration, washing and prepping area’s no heating capabilities No shower facilities Adequate power supply Limited privacy for sleeping (open environment) Alaska Medical Station Alaska Fairground Facilities: Raven Hall (Alaska Medical Station) Hoskins Hall (Volunteer Staging Area) It is 4,800 sq. ft. with a kitchen stage, a mini stage, restrooms and a large open area surrounded by built in displays. Alaska Fairground Facilities 20,000 sq. ft. of clear span space, overhead doors and high ceilings, generous electrical power and the availability of phone lines. The building has ample rest rooms , and kitchen area . Alaska shield hale borealis 2014: Get Involved in Disaster Exercise March 27 – April 3 , 2014                       Volunteer Opportunity – Flexible Days & Hours Hale Borealis will test How hospitals deal with numerous disaster victims. How the state can transfer victims to other hospitals within Alaska or the Lower 48 for treatment. Coordinating a local, state and federal public health and medical response to a catastrophic disaster. Set-up and staff the Alaska Medical Station (AMS) Hale Borealis needs licensed healthcare providers and non-medical people to volunteer to make this exercise as realistic as possible . Sign-up at: www.haleborealis.com Alaska shield hale borealis 2014 Alaska shield hale borealis 2014: Get Involved in Disaster Exercise March 27 – April 3 , 2014                       Volunteer Opportunity – Flexible Days & Hours Hale Borealis will test How hospitals deal with numerous disaster victims. How the state can transfer victims to other hospitals within Alaska or the Lower 48 for treatment. Coordinating a local, state and federal public health and medical response to a catastrophic disaster. Set-up and staff the Alaska Medical Station (AMS) Hale Borealis needs licensed healthcare providers and non-medical people to volunteer to make this exercise as realistic as possible . Sign-up at: www.haleborealis.com Alaska shield hale borealis 2014 Alaska Medical Station & Overview Alaska Shield 2014 Exercise: Alaska Medical Station & Overview Alaska Shield 2014 Exercise Questions? Alaska Medical Station & Overview Alaska Shield 2014 Exercise: Alaska Medical Station & Overview Alaska Shield 2014 Exercise Andy Jones LeMay Hupp Emergency Program Manager AK Respond Coordinator 907.351.2734 907.345.2722 andy.jones@alaska.gov hupp@gci.net

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