jhamm_sshelton_ebrown_palmetto_health_preparedness

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Jay Hamm, RN, FACHE, COO/Acute Care Executive

Steve Shelton, MD, Medical Director EM

Eric Brown, MD, Physician Executive

Preparedness Infrastructure

Leadership Team

 COO/System Executive

 Physician Executive

 Chief Nursing Officer

 Medical Director, Emergency Preparedness

 System Director, Emergency Preparedness

 Safety Manager

 Administrator on Duty

 Infection Control

 Hospital Epidemiologist

Steering Committee

All Leadership Team as well as…

 Education

 Campus Executive Team Members

 System VPs, Ancillary & Support Services

 Outpatient Clinic Representatives

 Emergency Management

 Key Physician Leaders

 Chief of Infectious Disease

 Patient Placement

 Medical Transport

 Human Resources

 Supply Chain

 Regulatory Compliance Officer

 Public Information Officer

Operational & Communication

Strategy

Daily morning briefing

Daily leadership briefing

Daily Hospital & System Safety Huddles

Weekly Steering Committee Meetings

Regular Participation in Community, Regional, and

National Forums

Additional Communication Strategies:

 Town Hall Forums

 Executive Briefings

 Digital Updates and Announcements

Operational Plan

Follow recommendations by

CDC/SCDHEC

Detect

Protect

Respond

Detect

 Evaluating and protecting points of entry

 Front line staff preparedness:

Emergency Department/ Urgent Care Centers

Alternate Points of Entry, Lab Draw Stations, Radiology etc

 Physician Practices and Ambulatory Care Clinics

 Screening tools:

 EMR hard stops and prompts

 Custom built ambulatory screening procedures

 Appointment Screening for clinical criteria

 Checklist For Patients being evaluated for Ebola Virus at PH

 CDC algorithm for evaluation of Return traveler

 Posters and Signage

 All points of entry

Protect

 Employees, patients, people in the community entering the hospital

 Protocols for wearing Personal Protective Equipment

(PPE) and having appropriate PPE available

 Re-Training of Donning/Doffing of PPE

 Standard, contact, droplet precautions

 Educational Training Video

 Team dedicated to respond

 PPE deployed to all EDs, Urgent Care, Transport,

Physician Practices, and Ambulatory Care Sites

 Stockpiled PPE supply

 System simulation exercises

 Limiting number of HCW and visitors entering the room

Protect: Personal Protective

Equipment

Protect: ED Isolation Rooms

 Designated rooms/area for treating suspected/probable/confirmed case of Ebola

Protect: 9 West Isolation Unit

Protect

 Limiting and protocols for transport of patient within hospital

 Protocols for safe handling of patient specimen by laboratory personnel

 Protocols for safe handling of contaminated/infectious material by waste management

 Safety measures and protocols for EVS workers

 Keeping up to date with recommendations by

CDC/DHEC

Respond

 Once suspected case is detected;

 Patients will be masked and moved to the designated isolation room with door closed.

 At the hospitals, contact:

 AOD/Infection Control/Emergency Management

 SC DHEC

 Ambulatory Care and physician practices, contact:

 AOD/Infection Control/Emergency

Management/Transport

 SC DHEC

Case Study

Suspect patient

Isolation

Remote assessment

DHEC / CDC

PPE

Flu swab & Lab tests?

How much care?

When do we move?

QUESTIONS

?

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