Community Service Learning
Project
Alternate Care Site Evaluation
Walkthrough
Alternate Care Site
Alternate care site
 Site of use in case the main facility is unusable.
 Black River Technical College (Paragould, AR)
 Walkthrough (what we actually did, brief overview)
 1 1/2 hours
Organization
 Northeast Arkansas Emergency Preparedness
Coalition and Regional Leaders.
 Started after 911, prepare for disasters before they happen
 St. Bernards
 AMMC (Paragould)
 Black River Technical College (Paragould)
Alternate Care Site
Site Infrastructure
Door sizes adequate for gurneys

Gurneys will be able to fit through them
Floors are adequate for wheeled
stretchers
 Will the stretcher be able to be wheeled across the floor
with ease?
Loading dock
 Will the dock be able to handle the incoming
ambulances, morgue services, emergency vehicles?
Site Infrastructure
Site Infrastructure
Material handling equipment
 The proper equipment to be able to get the materials
needed to the site
 Forklifts
 Trucks
Parking for staff and visitors
 The site needs to be able to accommodate parking.
Parking area lighting
 The site will need to have plenty of lighting for security
purposes.
Site Infrastructure
Adequate ambulance and bus access
 The site will need to accommodate emergency vehicle access
and other transportation.
Adequate weather protection
 The site will need to have structures in case of
inadequate weather.
 Buildings
 Tents
Toilet facilities
 The site will need provide facility toilets.
 On site bathrooms
 Portable toilets or mobile bathrooms
Site Infrastructure
Site Infrastructure
Showers
 The site will need to be able to provide for showering.
 Showering will be for employees, patients, visitors.
Hand washing stations
 The site will need to have a place to wash hands.
 Bathrooms
ADA accessible
 The site will need to be able to accommodate all
people.
Site Infrastructure
Helipad or landing zone
 The site will need to have a clear place for a helicopter
to land for transport.
Fire protection safety and equipment
 The site will need to have certain protection in case of
fire or other safety concerns that could occur.
Total Space and Layout
Auxiliary spaces
 Check in point
 Chapel
 Counseling room
Equipment and supply storage area
 The should be a place that is safe and dry.
Family waiting area
 The site will need to designate an area for family to
wait.
 This will need to be at the front of facility.
Total Space and Layout
Total Space and Layout
Separate areas for Isolation and Palliative
Care
 Isolation will need to be away from everything.
 Palliative care will need to be accessible to family.
Food supply and prep area
 This could be a kitchen, break room, etc.
 Stove, refrigerator, sink
Lab specimen handling area
 Clean area that can handle the type of work performed.
Total Space and Layout
Total Space and Layout
Mortuary holding area
 Freezers, refrigerators
 Contracted mortuary holding containers
Patient decontamination areas
 Is there an area outside to set up decontamination
stations?
Pharmacy area
 This will need to be in a secured area.
Total Space and Layout
Total Space and Layout
Staff support and rest break area
 This area will need to be sealed off so that the staff can
get away.
Area for service animals
 This area will most likely be outside.
 This area will need to be secured.
Utilities
HVAC
 Does the site have proper ventilation, air conditioning?
 Pressurized rooms, surgery, comfort, etc
 Electric company understand the priority of ACS
Electrical power
 Does the site have electricity or access to electricity?
 Is there a backup generator?
Refrigeration
 Is there an adequate amount of refrigeration space for the
work that needs to be done?
Utilities
Utilities
Water
 Is there access to water at the site?
 Hose, sink, shower or tub, water heater, etc
Video monitoring systems or alarm
systems
 Does this facility have the monitoring for security
purposes?
Communication
Phones
 Are there an adequate amount of phones?
 Is there access to satellite phones?
Intercom or overhead paging
 This will be a way to communicate with employees or
the public.
Two-way radio capability to main facility
 This will keep everyone informed and will be a way to
keep in touch with Incident Command.
Communication
Communication
Wired Internet
 Is there wired internet to use for documentation and
other communication?
WiFi access
 This will be useful if there is no wired connection.
Computers available for staff use
 These will be needed for patient information,
documentation, and use by incident command.
Communication
Other
Not located in a flood plain
 This will determine if the site can be used as an alternate
care site.
Ability to lock down facility
 How many entrances and exits?
 Are there MOU’s and MAA’s in place?
 Fenced in perimeter
Area for shelter in place
 Gives security and protects from weather conditions
Other
Accessibility to transportation
 What kind of roads are there?
 Is there more than one way out?
Waste disposal
 Will there be a way to properly dispose of waste?
 Biohazard, trash, chemicals, etc
Laundry
 Is there a way to do the laundry that will be used and
needed for the site?
Other
Supplies and Services
 Will there be availability for supplies and services to
reach the site?
 Oxygen delivery
Proximity to main hospital
 How close is the site to the hospital?
 Will this site be beneficial to hospital?
Northeast Regional Hospitals With List of Who Supplies the Item
Vendor Item
AMMC
CrossRidg
e
Crittenden Five Rivers Forrect City
Helena
Lawrence
NEA Baptist
Piggot
SMC/GRMC
MCHS
St Bernards
Healthsouth
Food & Water
Potable Water
Sunrise
US
Foods/Sys
co
US Foods
Food (list type)
US. Foods
US Foods US Foods
Coleman
Dairy
Syscogeneral
food &
paper
supplies
Sysco/Forres
t City
Walmart/Ha
Grocery
ys
Turner Dairy
Clear Mountain Burch
Mississippi Co.
OEM
F. C. G.
Produce
Sysco-General US Foods
Sysco/Primary
McCarty-Prod Sysco
Snider
Wholesale/Secon Drinking Waterdary
Pepsi
Sysco
Coleman
Dairy Milk F.C.G.
& Dairy
Produce/Me
Products at/Misc.
Walmart
Flowers
Bread
Hays
US Foods
Food-US Foods
Sysco
Flowers
Bakery/Bread
Turner
Dairy/Milk
Food (list type)
Sysco
Food (list type)
Food (list type)
Walmart
Hays
Patient Meds & Supplies
Oxygen (bulk liquid)
Nexair
Nexair
Nexair
Nexair
Air Products Praxair
Airgas
Praxaiir
Praxair
Praxair
Nexair
Nexair
Oxygen (portable)
Nexair
Nexair/Air
gas
Nexair
Nexair
Air Products Airgas
Airgas/TN
Medical
Nexair
Nexair
Nexair
Nexair
Nexair
Blood Supplier
American
Red Cross
Medicine (list type)
Morris
Dickson
Medicine (list type)
American
Red Cross Life Blood
Local
Pharmacie Morris
s
Dickson
Morris &
Dickson
American
Red Cross Life Blood
Cardinal
90% of
Cardinal
Stock
Pharmacy
Hospira
10% of
stock
Sysco
7 Up Bottling
Co.
Flowers-Bread
Turner Dairy
American
Red Cross
American Red American Red American Red
Cross
Cross
Cross
Life Blood
American Red
Cross
Walmart
Amerisource
Morris Dickson Bergen
Ameri-Source Cardinal Health
Morris Dickson
(majority)
Piggott
Discount Drug
Cantrell (Premix IV
Bags)
Cardinal Health
Hickory Hill AmeriSource
Morris &
Dickson
Medicine (list type)
Medicine (list type)
Medicine (Regional
Stockpile)
SBMC/Critt
enden
Medicine (National
Stockpile)
Fed
Governmen
t
Medical Supplies
NEA
Emergency
Medline/Baxt Preparedne
er
ss Trailer
Medical Supplies
Ventilator supplier
Hospira 10%
of stock
Hickory Hill
AmeriSource
Piggott Discount
Drug
Baxter IV
Freds
ASD/Shinabery
Compounding
Freds Pharmacy
Cantrell (Premix IV
Bags)
Cardinal Health
Medline
Baxter
Owens &
Minor
Med Line
Med Line/Owens UHS
Med Line
Owens & Minor
Daetx
UHS
UHS
Universal
Hospital Service Hill-Rom
Tri-Aminin
UHS
US Med Equipment
Memphis
UHS
Jimmy
Sanders
Thomas
Petroleum
Farm Service
Centerpoint/Flas
h Oil
Watson Oil
Bruner's Fule and
Lubricant
Farm Service
Well Pump
N/A
WR City Water
In House
Blytheville/Osceola Jonesboro Fire
Fire Dept
Department
Forrest City
Plumbing
N/A
Hedges
Harris Plumbing Hedges
Hedges Rental
Cummins
Cummings Mid
Nucor Yamato Steel South
Carter & Co.
Medline
Medline
In-house
N/A
UHS
BeckmanAssays,
Hematology,
FisherGeneral Lab
Supplies,
BioMerieux,
Micro
Laboratory Supplies
Utility Needs
Generator Fuel
Eubanks Oil
MFA Oil
Riverside
Petroleum
Wynne Fire
Departmen In Ground
t
Well
Water (for HVAC)
Southern
Plumbing
Porta Potties
Hedges
Back up generator
Cummings
Mid South
Plumbing services
Southern
Roto Rooter Plumbing
Electrical Services
Ritter
RP Power
BSI
Hedger
Brothers
Cummings
Mid South
County RSC CHS
Upchurch
Erwin
Pluming
Wayne Power ADEM
Forrest City
Plumbing/Ros Upchurch
s Plumbing
Service
Griffin & Sons Clay County Powerhouse Powerhouse
Electric
Electric
Electric
Electric
N/A
Riggs/CAT
Hedge/Harris EZ
Rent
Jimmy Sanders
City Water &
Light
Roto Rooter
Smelser
Harris Plumbing D&G
Roto Rooter
Blytheville
RGB Mechanical
RGB Mechanical
Entergy
5 Star Electric
Entergy
Stewart Electric
StewartElectrical
D&G
Heating Fuel
Eubanks Oil MFA Oil
Center
Point/Clearw
ater
N/A
Centerpoint
CenterPoint
Energy
Centerpoint/Fla
sh Oil
N/A
Bruner's Fule and
Lubricant
Farm Service
Jimmy Sanders
In House
MCHS Internal
Plan
In House Staff
City
Dr. Cato/Humane
Society
Convent
In House Staff
Disaster Services
Child Care
Pet Care
Designated
Staff InCRCH
house
Auxillary
N/A
None
West
Memphis
Animal
Shelter
Undertermi
ned
None
In House
Jelly Bean
Junction/First
Baptist Day Care Volunteers
Local
Kennel
N/A
Gateway Vet
CrossRid Crittende Five
AMMC
ge
n
Rivers
Morgue Services
Kenyon/Ray
mond
vaughn
Trucking
Kenyon
Medical Waste
Stericycle
Hazardous Waste
Stericycle
Kenyon
Stericycle Stericycle
Stericycle Stericycle
Midsouth
Counseling
Services/S
BBH/AR
Crisis
Response
Team/Wy
nne
Ministerial Methodist
Social/Emotional Support Robin Patten Alliance EAP
Alternate cooking site
Alternate Care Site
Laundry Services
Staffing (Medical)
None
Forrect
City
Helena
Lawrence
NEA Humane
Soc.
NEA Baptist
County
Kenyon/F.C.
Coroner/Ke G. Refrig
Kenyon/Cou Bryan Funeral
nyon
Truck
nty OEM
Home/Kenyon Kenyon
Stericycle
Stericycle
Stericycle
Stericycle
stericycle/Saf
ety Clean
Stericycle
Ministerial
Alliance/In
house
Psych
Local Clergy
Forrest City
Civic
Crestpark West
Center/First
Nursing Memphis
Local
Baptist
Incident TBA Home
Civic Center Church
Church
BRTC
Paragould/F
BRTC
orrest City
Paragould/ BRTC
Civic
West
Paragould/ Center/First
BRTC
BRTC
Memphis Local
Baptist
Paragould Paragould Civic Center Church
Chruch
Methodist Tipton
Broadway
In-house
SBMC
Laundry
Linen
Laundry
Hospital/Phy
sicians
CNO
SBMC
In House
partners
BRTC
Paragould/P
hillips
College &
Barton Hight
School
Broadway
linen
Jackson
Nurse
Professionals
St Bernards Healthsouth
Kenyon/Cobb/Car
ney/McDonald/W
ilson Funeral
Homes
Kenyon
Kenyon/Emers
on
Danner Medical
Stericycle
Clean Habors
Downum
Stericycle
Kenyon/Clay
County
Danner
Medical
Stericycle
Stericycle
N/A
Danner Medical
Stericycle
Stericycle
Chaplaincy
Service
Chaplains
Red Cross
SBBH
American
Behavioral
Community
Center
Blytheville/Osceol
a Public Schools
East Arkansas
Counseling
Service
Karla Dotson
Rehab * PC
Community
College
Piggot
SMC/GRMC
MCHS
WR or Hoxie
School
FANS on
Emergency
Power
BRTC
BRTC
Paragould/Blythe
BRTC
Paragould/Surg BRTC
ville Cancer
BRTC
Paragould/Loca ey Hospital
Paragould/Tipt Center/Osceola Paragould/Health
l Schools
Jonesboro
on
Public Shcools
south
G & K Laundry
Crothall
Angelica Laundry G & K Laundry
NEA Clinic
Arkansas Serves
First Care
BRTC
Paragould/First
United
Pentecostal
Church of Bono
OR
Inc/Areus
Med.
Arkansas
Serves
Staffing (Medical)
RN
Network/RN
Advantage
Baptist Corp
Transportation
Ambulance
Ambulance
Air Ambulance
Air Ambulance
AMMC
Paragould
EMS
Southern
EMS/Med
ic
West
One/Paff Memphis
ord/Emer Fire
St. Francis
son
DepartmentMedic One County EMS Pafford
AMMC
St. Francis Crittenden
Rector EMS Co. EMS EMS
Hospital
Air Evac
Air Evac Wing
Hosptial
Hopsital
Wing
Wing
Air Ambulance
Angel
One
Contracted
Tranpotation Supplier
Cross
County
Schools
Pro Med
AET
Medic
One/Spring
River
Medic One
Emerson
Pafford Air
Air Evac Air Evac
One Delta Air Evac
Air Evac
Survival
Hospital
Flight
Med Flight Wing
Survival Flight Survival Flight
Air
Evac/Angel
One/Med
Angel One
Flight
Angel One
Forrest City None
School/First ContractedBaptist
MOU with
Chruch
Mid-Delta
Piggott EMD Pafford EMS
Emerson
Emerson
Medic One
Medic One
Medic One
Air Evac
Air Evac
Childrens
Hospital Wing
Air-Evac
Survival Flight
Kennet, MO
None
Jonesboro
Schools (Bus)
Communications
Ham radio operators
Ham radio operators
Ham radio operators
N/A
In House
Cross
Operator
County
& WR
Ham Club Danny Britt Radio Club Scott Miller
2 onsite,
Phillips
County Ham Lawrence Co
Club
Radio Club
Bill Franklin
Bryan Nagy
Stephen
Ballio/GRMC
Glenn Bridger
Chris Lynn (SMC) Karla Davis
Kevin Alphin
Mitch
McCarroll
Northeast Arkansas Emergency Preparedness Coalition
Alternate Care Site Use Agreement
Purpose:
The purpose of this agreement is to establish an alternate medical care site within the Northeast Arkansas Region of the state in anticipation of the loss of the hospital physical
structures or excess capacity. We must be prepared for the possibility that the buildings or spaces in which patient care is normally provided will be rendered unusable. This
agreement is to prepare for such and event by establishing agreement with alternate care site for use of designated spaces that can be prepared and staffed to provide patient
care services. Use of the alternate care site will only be considered in the event of a declared disaster.
Definitions:
Loss of physical structure, the physical structure is deemed unsafe for normal healthcare use.
Alternate Care Site, a site within the community, other than the hospital, utilized by the Northeast Arkansas Emergency Preparedness Coalition to provide healthcare services to
the local community.
Policy:
The Northeast Arkansas Emergency Preparedness Coalition Regional Leaders will work with authorized representatives of Black River Technical College in Paragould to
establish a mutual aid agreement for use of designated space to be used for provision of patient care services.
The Arkansas Emergency Preparedness Coalition Regional Leaders in conjunction with representatives from Black River Technical Center in Paragould have agreed to the use
of the Black River Technical College in Paragould as a designated Alternate Care site for the Northeast Regional Hospital Coalition.
The following statements are included in the agreement:
•A statement of authority for representatives of the Northeast Coalition and Black River Technical College of Paragould to initiate the implementation on of the Mutual Aid
Agreement.
•Accessing and securing the Alternate Care Site
•Movement of staff, equipment, and supplies to the Alternate Care Site to provide support on-going provision of care as required.
•Preparation of the designated space for provision of patient care
•Movement of patients and patient care information to the designated site including medical records and other essential information related to the care of each patient.
•Responsibilities of each party for maintaining the space.
The alternate care site will be opened at the request of the Northeast Arkansas Emergency Preparedness Coalition Regional Leaders, in conjunction with input, when available
from the Craighead and Green County OEM and St. Bernards Healthcare. The following should be taken into consideration prior to opening the alternate care site:
1.Can local healthcare needs be met without opening an alternate care site?
2.How long will the site be necessary?
3.Is the emergency situation local or regional?
4.Can the patients be safely treated elsewhere?
5.Who will staff the site?
6.Can supplies be delivered to the site?
7.How will communications be handled?
8.How will patients be tracked?
9.How will the community be made aware that the site is open?
10.Returning site to normal operations after event has ended.
The Northeast Arkansas Emergency Preparedness Coalition has supplied the Black River Technical College in Paragould a generator to be kept onsite to be used in the event of
an emergency or disaster.
This agreement should be reviewed by both parties and signed annually.
_________________________________________________
_________________
Northeast Arkansas Emergency Preparedness Coalition Leader
Date
__________________________________________________
_________________
Back River Technical College Paragould
Representative
Date
Impact
Experience
 Very informative
 Detailed (critical services in place to be able to support
the saving of lives)
 Understanding of what is needed for a site to be an
alternate care site.
Effect
 How does it effect the community.
 Hospital relief
 Helps in the response phase.
Impact
 What impact does it have on the public?
 Insures that there will be the essential service and
healthcare will be provided in an event of an emergency.
 What impact did it have on me?
 Importance of site and importance of detailed checklist
 Impact on saving lives
Career Path
 Good feeling when the project was complete
 Continue on this path
 Expand upon this
 Explore all options