Emergency Evacuation Hospital Readiness Assessment Emergency - - PowerPoint PPT Presentation

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Emergency Evacuation Hospital Readiness Assessment

SLIDE 2

Emergency Evacuation Readiness

• Purpose of the Assessment
• Readiness Assessment – Three Step Process
• Proposed Next Steps

SLIDE 3

Emergency Evacuation Readiness Assessment

Purpose The Purpose of the Assessment is to provide your Hospital with a detailed assessment of your current emergency evacuation readiness

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Emergency Evacuation Readiness Assessment

The process is based on the following principles…

• National standards can provide guidelines. They should not be used assess

actual readiness or order equipment

• When deciding to purchase evacuation equipment, a building by building, floor

by floor assessment is required

• The assessment is equipment independent … It is not Med Sled specific
• The analysis provides the details on the amount of equipment needed, mix of

equipment and optimal storage locations by floor

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Emergency Evacuation Readiness Assessment

The process is based on the following principles…

• Key factors the drive equipment needs:

– # of Beds and occupancy rates by floor and type of patient care – Facilities layout … hall runs and # of floors – Fire breaks – # of exterior (protocol designated) exit points – Ambulatory rates by patient care – Existing evacuation protocols …

• The Hospital’s EP Mangers must take ownership to ensure the assumptions

represent your reality …

• This can not be a manufacturers analysis. It must represent the hospitals data

and assumptions

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Emergency Evacuation Readiness

• Purpose of the Assessment
• Readiness Assessment - Three Step Process
• Proposed Next Steps

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Readiness Assessment Process

Step 1: Information Gathering / Establish Standards Work with the EP Manager to gather hospital floor plans, patient census data and facilitate consensus

• n hospital specific assumptions.

Data Collection. We work with the EP Coordinator to develop Floor by Floor Survey: We will work with you to complete non ambulatory percentages. To do this we take into account your hospital's a floor by floor survey (# of beds by patient care). unique and specific hospital information. This includes:

• Facilities layout
• # buildings
• # exterior exits point
• Facilities design / fire breaks / exits …
• Occupancy Rates
• # of beds by patient care
• Non ambulatory estimates by patient care

Calc:

• Staff size …

Calc:

• Hospital visitors

Entered: # beds at … 100% Entered: # beds at … 75% * This step typically takes ~30 min … 1 to 2 hours for large complexes Entered: # beds at … 50% Entered: # beds at … 30% Non Ambulatory Consensus Development: Once this is completed, we Entered: # of Sleds per exits 1 will work with you to develop a consensus on the non ambulatory rate assumptions by patient care classifications. Below is a first pass at the non ambulatory rates. We * We complete this step and provide the analytics for your review. You can mo need to discuss this further to develop a consensus on the percentages. the assumptions and the # of beds to evaluate various what if scenarios. Bed Classification Assumptions % Non Ambulatory Hosptial 1 ICU 100% 100% PACU 100% 100% OR / Trauma 100% 100% Labor & Delevery 50% 75% Higher … on 12th floor New Mothers 50% 50% Neonatal (3 infants / Sled) 30% 30% Cardio / Tele 30% 30% Orthopedic 30% 75% Specialize in Knee and Hip Replacement NICU (3/sled) 30% 30% PICU (6 months - 2 Yrs) 100% 100% Med Surge 30% 30% Respiratory 50% 50% Oncology 50% 50% Neurosciences (EEG, Radiology) 30% 30% Hospice 100% 75% Radiology/Nuclear Med/Imaging 2/Exit 2/Exit Rehab / Physical Therapy 30% 50% Psychiatric - Adolescent 2/Exit 2/Exit Psychiatric - Adult 2/Exit 2/Exit Psychiatric - Elderly 75% 75% Wound Care 50% 50% Offices (Sleds/Exit) 1 2 * This step is completed with Step 1. We will facilitate the discussion using national and

• ur experience completing this process with many of our customers. ARC Products has
• ver 1,000 health care customers.

Total # of Beds on the floor Total # of sleds required

Hospital Evacuation Equipment - Needs Assessment - Example

Beds Sleds Exits

Floor Descr

# of Beds by coverage requirement

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Step 2: Complete Individual Hospital Needs Analysis Applying the hospital’s specific information and assumptions the evacuation equipment needs analysis is completed … Floor by floor by patient unit

Floor by Floor Analysis Recap Summary Page

Readiness Assessment Process

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Step 3: Equipment Requirements and Location This step of the process is Med Sled Specific. In this step we identify the appropriate devices, storage units needs and a process to identify the optimal storage locations.

Required Equipment

Floor # MS28 MS36 MS48 Total Sleds Inf Ins SD4 SD10 SDB2 SDB8 Block Anchor Drywall Anchor Total cost Notes

Beds Sleds Exits

$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0

Beds Sleds

1 2 1 1 1

Exits

$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0

Beds Sleds

1 2 1 1 1

Exits

$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0

Beds Sleds

1 2 1 1 1

Exits

$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0

Beds Sleds

Already have MedSleds deployed 21 21

Exits

$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0

Beds Sleds Exits

$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0

Beds Sleds

14 14 2 14 14 14 2 16

Exits

$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0

Beds Sleds

14 14 2 14 14 14 2 16

Exits

$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0

Beds Sleds

1 1 1 1 1

Exits

$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0

Beds Sleds

49 32 4 28 32 4 36 2 49 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0

Southwest Tower (57)

# of Beds by coverage requirement

6

# of Beds by coverage requirement

1

Labs / Offices

# of Beds by coverage requirement # of Beds by coverage requirement # of Beds by coverage requirement

3 8

Labs

7

# of Beds by coverage requirement

Mechanical

5 4

Southwest Tower - Building Totals

9

Labs ICU (21 MedSleds)

# of Beds by coverage requirement

Mechanical Surgery OR

# of Beds by coverage requirement # of Beds by coverage requirement # of Beds by coverage requirement

2

Surgery OR Offices/Labs

Readiness Assessment Process

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Evacuation Time & Resources Analysis – What If Tool Once the Readiness Assessment is completed … Various What-If scenarios can be run to determine the Man power needs and time required to evacuate based on your hospital information and assumptions. Potential scenarios … # of Exits Available, Partial Evacuation or Full, Going out of the building or simply down X flights)

Readiness Assessment Process

Floor # Beds Sleds Non Amb Patients Elapsed Time People To Prep Patient People In Stair Well People for Extraction Non Amb Patients Time People To Patient Prep Elapsed Time People In Stair Well Patients Elapsed Time P E 30 15 15 Prep Descend Extract 19.5 4 6 15 15.0 4 15 20.0 6 15 19.5 3 30 3 15.00 20.0 19.5 3 0.0 0.0 30.0 0.0 3 0.0 0.0 15.0 0.0 3 0.0 0.0 22.5 0.0 Exits Exits Proto Exits Proto Exits Exits Beds Sleds Non Amb Patients Elapsed Time Non Amb Patients Time Patients Elapsed Time Patients Elapsed Time 30 15 15 Prep Descend Extract 24.5 4 6 15 15.0 4 15 25.0 6 15 24.5 3 30 3 15.00 25.0 24.5 3 0.0 0.0 30.0 0.0 3 0.0 0.0 15.0 0.0 3 0.0 0.0 22.5 0.0 Exits Exits Proto Exits Proto Exits Exits Beds Sleds Non Amb Patients Elapsed Time Non Amb Patients Time Patients Elapsed Time Patients Elapsed Time 30 30 30 Prep Descend Extract 34.5 4 6 30 30.0 4 30 35.0 6 30 34.5 3 30 3 30.00 35.0 34.5 3 60.0 0.0 0.0 0.0 3 30.0 0.0 0.0 0.0 3 45.0 0.0 0.0 0.0 Exits Exits Proto Exits Proto Exits Exits Beds Sleds Non Amb Patients Elapsed Time Non Amb Patients Time Patients Elapsed Time Patients Elapsed Time 30 15 15 Prep Descend Extract 39.5 2 6 15 30.0 2 15 40.0 6 15 39.5 3 30 3 30.00 40.0 39.5 3 0.0 0.0 30.0 0.0 3 0.0 0.0 15.0 0.0 3 0.0 0.0 22.5 0.0 Exits Exits Proto Exits Proto Exits Exits Beds Sleds Non Amb Patients Elapsed Time Non Amb Patients Time Patients Elapsed Time Patients Elapsed Time 30 9 9 Prep Descend Extract 42.5 2 3 9 18.0 2 9 43.0 3 9 42.5 3 30 3 18.00 43.0 42.5 3 0.0 0.0 0.0 18.0 3 0.0 0.0 0.0 9.0 3 0.0 0.0 0.0 13.5 Exits Exits Proto Exits Proto Exits Exits Beds Sleds Non Amb Patients Elapsed Time Non Amb Patients Time Patients Elapsed Time Patients Elapsed Time 150 84 69 Prep Descend Extract 41.5 12 21 12 84 30.0 12 84 40.0 21 84 39.5 3 30 90 30 3 30.0 40.0 39.5 45 3 0.0 0.0 0.0 50.4 3 30 30 9 3 45.0 0.0 45.0 13.5 Cumulative Time Cumulative Time Cumulative Time Cumulative Time Cumulative Time

Total Patient Prep (Min) Total Patient Descent (Min) Total Transport to Extraction

Total Time to Extract Total Time to Descend Total People # of Beds by coverage requirement # of Beds by coverage requirement # of Beds by coverage requirement # of Beds by coverage requirement Cumulative Time Cumulative Time Cumulative Time Cumulative Time # of Beds by coverage requirement # of Beds by coverage requirement Cumulative Time # of Beds by coverage requirement Cumulative Time Cumulative Time # of Beds by coverage requirement # of Beds by coverage requirement # of Beds by coverage requirement # of Beds by coverage requirement # of Beds by coverage requirement # of Beds by coverage requirement # of Beds by coverage requirement # of Beds by coverage requirement Cumulative Time Cumulative Time Cumulative Time Cumulative Time Evacuation Time in Minutes Evacuation Time in Minutes Evacuation Time in Minutes Evacuation Time in Minutes Med Surge # of Beds by coverage requirement Med Surge

4 3 2 1 5 Main Tower Center Time to Evacuate Time to Prep Time to Descend Time to Extract

North Wing Med Surge # of Beds by coverage requirement # of Beds by coverage requirement Telemetry # of Beds by coverage requirement # of Beds by coverage requirement Evacuation Time in Minutes # of Beds by coverage requirement # of Beds by coverage requirement # of Beds by coverage requirement

North Wing Total

Room Totals ICU # of Beds by coverage requirement

Time To Evacuate

Evacuation Time in Minutes

Time (Min) People Equipment Deployment (Assume stored on Wing) 2.50

Adult

Patient Preparation (Sled Deployment, Patient Loading) 1.50 Patient Transport to Stairs(Bed to Floor to Stairs) 0.50 Total Time 2.00 Critical Care (100%) Multiplier for Preparation 1.00 Critical Care (100%) Multiplier for Descent 1.00 Critical Care (100%)Multiplier for Extraction 1.00 Stairwell Descent (Time Per Landing) 0.50 Transport From Exit to Extraction Point and Return 1.50 Prep Team (# Non Ambulatory Patients Per 2 Person Prep Team) Bucket Brigade (People / Landing) 1 # of Extraction Transport Teams per exit 2 Time to Position Stairwell Descent Personnel 15.00 Patient Preparation (Sled Deployment, Patient Loading) 3 Patient Transport to Stairs (Nursery to Stairs) Critical Care Multiplier Stairwell Descent (Time Per Landing) Transport From Exit to Extraction Point Prep Team (# Babies Per 2 Person Prep Team) Assume Healthcare Providers Stay With Babies Ambulatory patients are immediately escorted out by "Non Assigned" Healthcare Non Ambulatory patient will be prepared for transport by healthcare providers Goal is to have as few staff people staying behind as is required to maintain descent queue Healthcare Providers start prepping patients immediately following the disaster All protocol exits are available for use Stairwell Descent: Patient evacuation (stairwell descent) starts with the top floor Stairwell Descent: 1st floor does not have a descent time … movement is from bed to floor to exit Manpower does not include the # Healthcare Providers required to stay w/ the patient throughout transport

Infant / Toddler Evacuation Time Assumptions Other Assumptions

Beds Sleds

150 84 30 90 30 Time (Min)

Non Amb Patients Elapsed Time Non Amb Patient Total # People

Time to prep and move patient to Stairs 2.00 84 Prep Descend Extract 41.5 84 Prep Descend Extract 45 Time to descend 1 flight of stairs 1.00 3 30.0 40.0 39.5 3 12 21 12 Time to move from exit to safety 1.50 Minimize # of staff needed to evacuate Evacuate patients top down

Assessment Highlights

1 2 3 4

Patient Evacuation - Equipment Needs

# of Beds by coverage requirement

Rm Classification Totals Main Hospital

Clovis Community Medical Center

Patient Evacuation - Time & People Requirements

Time To Evacuate

Evacuation Time in Minutes

People To Evacuate

# of People to Evacuate Non Amb.

Key Assumptions

Based on 45 available personnel to prep and move patients. Based on 3 available stairwells. If we reduce the number of available stairwells, we reduce the personnel requirement, but increase evacuation time. The assessment takes into account an assumed non ambulatory rate defined by our assumptions. If the census go higher, times will increase. A good distribution of equipment is also assumed. If you have that equipment centrally located, you will increase deployement times.

Assumptions Analysis

Summary

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Emergency Evacuation Readiness

• Purpose of the Assessment
• Readiness Assessment - Three Step Process
• Proposed Next Steps

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Proposed Next Steps

Determine if Evacuation Preparedness is a priority, if it is a priority …  Commission your Med Sled representative to work with the EP Manager to conduct the Assessment  Kick off meeting with Hospital EP Committee to discuss the purpose and intent of the assessment (30 min)  Work with EP Manager to start the data gathering (Average Daily Census …) and Unit Non Ambulatory Rate assumptions (30 to 45 min)  Med Sled Reps will provide project status and summary reports to the EP Manager and EP Committee (Weekly)  Med Sled will complete the analysis and review results with the EP Committee / Management Team  Develop action plan to address the gaps

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Thank You For The Opportunity

If you are interested in having an assessment completed for your facilities, please contact your Region Sales Manager

Emergency Evacuation Readiness