Hospital Emergency Response Teams

Hospital Emergency Response Teams aims to provide authoritative training for hospital personnel in the emergency department, as well community-level medical service personnel, assisting them in times of disaster and emergency. Comprised of six chapters, the book covers various aspects of emergency response. Some of the aspects are the National Incident Management System (NIMS) implementation activities for hospitals and health care systems and the Hospital Incident Command System (HICS) IV missions. The book also explains the implementation issues, requirements, and timelines in establishing an internal HICS IV program. It presents the assessment of likely mass casualty events and potential hospital impact. The book also features appendices for emergency response team checklists, PPE donning and doffing guide, ambulatory and non-ambulatory decontamination setup, ETA exercises, and ETA drills. The book is intended to provide understanding of emergency response to first emergency medicine professionals, first responders, security staff, community-level disaster planners, and public health and disaster management researchers. Common sense approach shows what really works, not what is theoretically achievable Forms, checklists, and guidelines can be used to develop concrete response plans, validate existing operations, or simply expand knowledge base The latest from OSHA, Joint Commission and NIMS (National Incident Management System) Cross-disciplinary author team ensures material is appropriate for all member of this important collaboration

Although many books have been published on the application of GIS in emergency management and disaster response, this is the first one to bring together a comprehensive discussion of the critical role GIS plays in hospital and healthcare emergency management and disaster response. Illustrating a wide range of practical applications, GIS in Hospital

Recent research underscores a serious lack of preparedness among hospitals nationwide and a dearth of credible educational programs and resources on hospital emergency preparedness. As the only resource of its kind, Health Care Emergency Management: Principles and Practice specifically addresses hospital and health system preparedness in the face of a large scale disaster or other emergency. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.

Unfortunately, hospitals are often underprepared for large-scale emergencies-whether due to lack of funding or lack of expertise. Although planning for these what-ifs can take a backseat to day-to-day operations, having an adequate emergency management plan is a crucial factor in patient outcomes. The field of emergency management is constantly changing. The dynamic nature of threats and resources means the appropriate response to emergencies regularly varies. Having a management plan in place for all phases and types of disasters is important-and is now legally required by the Joint Commission. This comprehensive manual lays out an approach for each component of planning-spanning roles from administration to security personnel and beyond. With careful study, each hospital can conduct a vulnerability analysis as the first step in creating an effective response plan. While the likeliness of a serious disaster may seem small, can we afford not to be ready? Whether the issue is internal, like electrical failure, or external, like extreme weather, many lives will depend on a local hospital's efficient reaction. Author Robert J. Muller, MD, CEM-a FEMA Level III incident commander-offers in this guide the gold mine of his forty-five years of expertise in emergency management.

This Guide is based on Palm Beach County's experiences during the formation and implementation of their tried and tested Healthcare Emergency Response Coalition (HERC)_now a national model_and can serve to direct your community in establishing its own HERC. It provides guidance for developing and sustaining a successful HERC by outlining the steps and activities needed to begin and providing a list of policies and procedures that can be implemented and resources that can be consulted. This information can be applied and customized to any community's specific needs and resources to implement a program that will address any size disaster or healthcare emergency that presents itself.

Healthcare Emergency Incident Management Operations Guide offers healthcare personnel a quick and intuitive guide to preparing for, responding to and recovering from events which have the potential to impact their operations. The recently updated Centers for Medicaid & Medicare Services (CMS) rules for emergency preparedness added 10-15 new healthcare organizations into the mix that require emergency preparedness efforts. The Hospital Incident Command System (HICS) is a good tool for event management but, like all tools, it requires practice. Many hospital personnel take online ICS courses and rarely practice enough to be proficient. This is a comprehensive guide to the HICS and can be referenced during initial and refresher training as well as during event management. Covers how to utilize the Hospital incident Command System (HICS) and Incident Action Planning (IAP) processes Includes Initial Incident Action Plan considerations for common disaster events Features exercises for initial and refresher training

Why Critical Care Evolved METs? In early 2004, when Dr. Michael DeVita informed me that he was cons- ering a textbook on the new concept of Medical Emergency Teams (METs), I was surprised. At Presbyterian-University Hospital in Pittsburgh we int- duced this idea some 15 years ago, but did not think it was revolutionary enough to publish. This, even though, our fellows in critical care medicine training were all involved and informed about the importance of “C- dition C (Crisis),” as it was called to distinguish it from “Condition A (Arrest). ”We thought it absurd to intervene only after cardiac arrest had occurred,because most cases showed prior deterioration and cardiac arrest could be prevented with rapid team work to correct precluding problems. The above thoughts were logical in Pittsburgh, where the legendary Dr. Peter Safar had been working since the late 1950s on improving current resuscitation techniques, ?rst ventilation victims of apneic from drowning, treatment of smoke inhalation, and so on. This was followed by external cardiac compression upon demonstration of its ef?ciency in cases of unexpected sudden cardiac arrest. Dr. Safar devoted his entire professional life to improvement of cardiopulmonary resuscitation. He and many others emphasized the importance of getting the CPR team to o- of-hospital victims of cardiac arrest as quickly as possible.

The number of natural and man-made disasters has risen dramatically over the last decade. Natural disasters, industrial accidents and terrorist attacks represent major incidents, often involving multiple casualties. In such cases, health professionals face multiple challenges because the type of medical care required differs from what is taught and provided in their everyday hospital duties. The aim of this book is to inform and prepare healthcare professionals for the challenges posed by major incidents, so that they can act effectively in medical teams sent on humanitarian missions or into conflict zones. It offers a holistic and horizontal approach covering all stages of the disaster management cycle. The book is divided into 5 sections: section 1: prehospital emergency services; section ii: hospital response; section iii: management of incidents; section iv: after the disaster; and section v: evaluation, ethical issues, education and research. Healthcare providers will find essential information on the special medical considerations in both prehospital and hospital disaster settings, medical management of disaster response, recovery, mitigation and preparedness. The book offers an interdisciplinary and interprofessional approach, and was written by prominent researchers and experienced practitioners.

Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. During such crises, hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies and beds could be in short supply; and alternate care facilities may need to be used. Planning for these situations is necessary to provide the best possible health care during a crisis and, if needed, equitably allocate scarce resources. Crisis Standards of Care: A Toolkit for Indicators and Triggers examines indicators and triggers that guide the implementation of crisis standards of care and provides a discussion toolkit to help stakeholders establish indicators and triggers for their own communities. Together, indicators and triggers help guide operational decision making about providing care during public health and medical emergencies and disasters. Indicators and triggers represent the information and actions taken at specific thresholds that guide incident recognition, response, and recovery. This report discusses indicators and triggers for both a slow onset scenario, such as pandemic influenza, and a no-notice scenario, such as an earthquake. Crisis Standards of Care features discussion toolkits customized to help various stakeholders develop indicators and triggers for their own organizations, agencies, and jurisdictions. The toolkit contains scenarios, key questions, and examples of indicators, triggers, and tactics to help promote discussion. In addition to common elements designed to facilitate integrated planning, the toolkit contains chapters specifically customized for emergency management, public health, emergency medical services, hospital and acute care, and out-of-hospital care.

Catastrophic disasters occurring in 2011 in the United States and worldwide--from the tornado in Joplin, Missouri, to the earthquake and tsunami in Japan, to the earthquake in New Zealand--have demonstrated that even prepared communities can be overwhelmed. In 2009, at the height of the influenza A (H1N1) pandemic, the Assistant Secretary for Preparedness and Response at the Department of Health and Human Services, along with the Department of Veterans Affairs and the National Highway Traffic Safety Administration, asked the Institute of Medicine (IOM) to convene a committee of experts to develop national guidance for use by state and local public health officials and health-sector agencies and institutions in establishing and implementing standards of care that should apply in disaster situations-both naturally occurring and man-made-under conditions of scarce resources. Building on the work of phase one (which is described in IOM's 2009 letter report, Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations), the committee developed detailed templates enumerating the functions and tasks of the key stakeholder groups involved in crisis standards of care (CSC) planning, implementation, and public engagement-state and local governments, emergency medical services (EMS), hospitals and acute care facilities, and out-of-hospital and alternate care systems. Crisis Standards of Care provides a framework for a systems approach to the development and implementation of CSC plans, and addresses the legal issues and the ethical, palliative care, and mental health issues that agencies and organizations at each level of a disaster response should address. Please note: this report is not intended to be a detailed guide to emergency preparedness or disaster response. What is described in this report is an extrapolation of existing incident management practices and principles. Crisis Standards of Care is a seven-volume set: Volume 1 provides an overview; Volume 2 pertains to state and local governments; Volume 3 pertains to emergency medical services; Volume 4 pertains to hospitals and acute care facilities; Volume 5 pertains to out-of-hospital care and alternate care systems; Volume 6 contains a public engagement toolkit; and Volume 7 contains appendixes with additional resources.

Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: • The role and impact of the emergency department within the larger hospital and health care system. • Patient flow and information technology. • Workforce issues across multiple disciplines. • Patient safety and the quality and efficiency of emergency care services. • Basic, clinical, and health services research relevant to emergency care. • Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.

Hospital and Healthcare Security, Fifth Edition, examines the issues inherent to healthcare and hospital security, including licensing, regulatory requirements, litigation, and accreditation standards. Building on the solid foundation laid down in the first four editions, the book looks at the changes that have occurred in healthcare security since the last edition was published in 2001. It consists of 25 chapters and presents examples from Canada, the UK, and the United States. It first provides an overview of the healthcare environment, including categories of healthcare, types of hospitals, the nonhospital side of healthcare, and the different stakeholders. It then describes basic healthcare security risks/vulnerabilities and offers tips on security management planning. The book also discusses security department organization and staffing, management and supervision of the security force, training of security personnel, security force deployment and patrol activities, employee involvement and awareness of security issues, implementation of physical security safeguards, parking control and security, and emergency preparedness. Healthcare security practitioners and hospital administrators will find this book invaluable. FEATURES AND BENEFITS: * Practical support for healthcare security professionals, including operationally proven policies, and procedures * Specific assistance in preparing plans and materials tailored to healthcare security programs * Summary tables and sample forms bring together key data, facilitating ROI discussions with administrators and other departments * General principles clearly laid out so readers can apply the industry standards most appropriate to their own environment NEW TO THIS EDITION: * Quick-start section for hospital administrators who need an overview of security issues and best practices

Recent research underscores a serious lack of preparedness among hospitals nationwide and a dearth of credible educational programs and resources on hospital emergency preparedness. As the only resource of its kind, Health Care Emergency Management: Principles and Practice specifically addresses hospital and health system preparedness in the face of a large scale disaster or other emergency. Administrators, emergency preparedness coordinators, and clinical staff who are charged with managing preparedness and emergency management functions for hospitals or healthcare systems will turn to this guide as an essential reference in planning for disasters, terrorism, and public health emergencies. Health Care Emergency Management is also ideal for emergency preparedness courses in programs of health administration or public health. Through case studies and practical examples, this book engages the reader in active learning about this exciting, challenging, and rewarding field. Key Features: • Chapters are contributed by leading authorities on the topic of disaster planning. • The only text that focuses on disaster planning for hospitals and health systems. • Each chapter offers concrete objectives for focused learning as well case studies and practical examples that help the reader understand key concepts • Downloadable resources including PowerPoints and a TestBank are available for qualified instructors. Courses can be found through the FEMA Emergency Management Institute College list page: http://training.fema.gov/EMIWeb/edu/collegelist/

The Metropolitan Medical Response System (MMRS) program of the U. S. Department of Health and Human Services (DHHS) provides funds to major U. S. cities to help them develop plans for coping with the health and medical consequences of a terrorist attack with chemical, biological, or radiological (CBR) agents. DHHS asked the Institute of Medicine (IOM) to assist in assessing the effectiveness of the MMRS program by developing appropriate evaluation methods, tools, and processes to assess both its own management of the program and local preparedness in the cities that have participated in the program. This book provides the managers of the MMRS program and others concerned about local capabilities to cope with CBR terrorism with three evaluation tools and a three-part assessment method. The tools are a questionnaire survey eliciting feedback about the management of the MMRS program, a table of preparedness indicators for 23 essential response capabilities, and a set of three scenarios and related questions for group discussion. The assessment method described integrates document inspection, a site visit by a team of expert peer reviewers, and observations at community exercises and drills.

While the job of a clinician in a disaster scenario is to save lives without regard for the cause or rationale for the injury, medical and emergency professionals who understand the diverse aspects of a disaster are better equipped to respond effectively. Giving emergency personnel the tools they need to perform in catastrophic situations, Medical Disaster Response: A Survival Guide for Hospitals in Mass Casualty Events addresses the critical planning and response issues surrounding a mass casualty disaster before, during, and after the event. The book presents the fundamental components of a comprehensive medical disaster management plan that provides readers with a framework for developing individual policies to suit their particular institution. It examines natural, man-made, and terrorist disasters, and offers insight into the different strategies required for distinct scenarios, as well as the need to be prepared for the cascade effect of secondary events resulting from the original disaster. Real case studies examining medical disaster response This volume provides a powerful and unique case example through a chronology of the events of September 11th, offering a firsthand account and insight into the quintessential test case for disaster response effectiveness. It also profiles other notorious events—including Hurricane Katrina, the Madrid bombings, the SARS outbreak in 2004, and the sarin gas attack in Tokyo in 2005—as seen through the eyes of the expert contributors who witnessed and responded to these tragedies. The book presents the lessons learned from these events by the contributing authors who acted on the front lines of the medical disaster response. It is a valuable reference manual for emergency planning, response, and healthcare professionals to confront future disasters and help prevent and mitigate destruction and unnecessary casualties.

Decision-Making in Emergency Management examines decisions the authors have made over their careers based on their combined training, experience and instinct. Through a broad range of case studies, readers discover how experience impacts decision-making in conjunction with research and tools available. While the use of science, data and industry standards are always the best option when it comes to handling emergency situations, not all emergency situations fit one known solution. This book comprehensively explores the question "Is 'instinct' a viable factor when faced with a challenging situation and how close does it match up with the best science available?" Includes case studies from natural and manmade disasters, providing readers with decision-making skills in various global settings Provides readers the opportunity to learn from someone else's decisions Inspires emergency response personnel to continuously pursue learning, question their strategies and apply changes as appropriate