Mass Casualty 2019 Indiana State Trauma Care Committee Bekah - - PowerPoint PPT Presentation

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Mass Casualty 2019 Indiana State Trauma Care Committee Bekah - - PowerPoint PPT Presentation

**Some slides have been modified for privacy Mass Casualty 2019 Indiana State Trauma Care Committee Bekah Dillon- Director of Trauma, ED, Center of Hope Kelli Vannatter- Trauma Program Manager Where are we located? ACS Verified Level III


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Mass Casualty 2019

Indiana State Trauma Care Committee

Bekah Dillon- Director of Trauma, ED, Center of Hope Kelli Vannatter- Trauma Program Manager

**Some slides have been modified for privacy

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Where are we located?

ACS Verified Level III Trauma Center since 2014 22 miles from the next closest Level III Trauma Center 55 miles from the closest Level I Trauma Center Located next to Ball State University Muncie Population: Roughly 68,529 Delaware County Population: Roughly 115,389 15thLargest county in Indiana

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Trauma Team

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7 Acute General Surgery/Trauma Surgeons 4 APPS (2 utilized for OR first assists, 2 utilized for inpatient rounding) Full time Director of Trauma, ED, Center of Hope Full time Trauma Program Manager Part time Injury Prevention Coordinator 2 Full time Trauma Registrars 1 Data Quality Coordinator, RN shared with ED

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Education

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ATLS site 2 ATLS Courses offered yearly TNCC site 3 TNCC Courses offered yearly 1 TNCC Instructor course offered yearly ENPC site 1 ENPC course offered annually

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Volume

5 50 70 90 110 130 150 170 190 2015 2016 2017 2018 2019

Transfers

290 300 310 320 330 340 350 2015 2016 2017 2018 2019

Trauma 1 Activations

500 600 700 800 900 1000 1100 1200 2015 2016 2017 2018 2019

Trauma 2 Activations

950 1000 1050 1100 1150 1200 2015 2016 2017 2018 2019

Registry Volume

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Mass Casualty Preparation

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Our journey…..

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During a Mass Casualty Event your goal is to do the MOST good for the MOST number r of people.

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Where did we start?

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Tiered Approach

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Back Up Trauma Text (BUTT) Rapid Response RN to Trauma 1’s and MBTP Multiple Casualty Activation Mass Casualty Activation

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When a Multiple Casualty Activation has

  • ccurred…

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Initial Multiple/Mass Casualty Notification List

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May 2019

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Timeline

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Discoveries

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Communication! Communication! Communication! Recall Process Surgeon Confusion Blood Bank Staff/Patient Safety Preparedness for Retaliation Departmental Standard Work Multiple vs. Mass

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Who Attended the Event?

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Emergency Department Trauma Emergency Preparedness Office of Transformation Executive Team Trauma Medical Director Associate Administrator (AA) Communications Police Department Pharmacy Registration Radiology (IR, X-ray, CT) Respiratory OR Inpatient (Critical care/medical) Hospitalist Blood Bank Bed Placement Quality EVS/Transport Public Relations Distribution Human Resources Chaplaincy

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Standard Work

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Call Tree

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Current State Timeline

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Layout 2st floor

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Timeline of Standard Work per Department/6 Month Action Plan

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Moving Forward

Meeting weekly to follow our progress. Tracking Standard Work, recall lists, any forms Education Department Help with team member education moving forward house wide. Incorporate in competency check list, ELMs, etc. Plan with rolling out to staff Drills Department specific Tabletop drills Targeted staff drills and education Charge RN and AA education Goal for Realistic house wide drill at 6 month mark

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Questions?

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Thank You!

Bekah Dillon – rdillon@iuhealth.org Kelli Vannatter - kvannat1@iuhealth.org