Medical Care - Hospital Care

Facility Preparation cont.

Third objective is to prepare administration
1.
Ensure that the hospital disaster plan has been activated
2.
Activate hospital incident command structure
3.
Attempt to get physicians to discharge appropriate patients and/or move less critical patients from the critical care units
4.
Environmental Services / Housekeeping to rapidly clean patient rooms
5.
Elective surgeries cancelled
6.
Notify off-duty personnel (call-backs)
7.
Ensure notification of supporting departments:
 
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Pharmacy
 
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Materials Management
 
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Facilities Management
 
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Food Services
 
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Pastoral Care and Social Services
 
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Operators
 
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Others

While the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requires that every accredited hospital be capable of decontaminating one person at any one time this system may be overwhelmed with a large number of patients, particularly those who may self-triage and simply arrive without warning or prior decontamination. After the Sarin gas release in Tokyo reportedly 5000 patients came to the hospital in this manner. Creating a hospital casualty collection point can organize and group these incoming patients for gross decontamination triage and treatment. Covered ambulance entrances have been reformatted with drapes to assist in this manner.

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