2.50
Hdl Handle:
http://hdl.handle.net/10755/162720
Type:
Presentation
Title:
A Management Strategy: Development of an Emergency Preparedness Plan
Abstract:
A Management Strategy: Development of an Emergency Preparedness Plan
Conference Sponsor:Emergency Nurses Association
Conference Year:2007
Author:Brady, Barbara, RN, MS
P.I. Institution Name:Columbia Memorial Hospital
Title:Administrative Director of Emergency Services
Contact Address:71 Prospect Avenue, Hudson, NY, 12534, USA
Contact Telephone:(518) 828-8396
Co-Authors:Theresa Kisselbrack, RN and Lori J. Puff, RN
Purpose: The purpose of this project was to improve our hospital's readiness to respond in a community disaster. A recent hazard vulnerability analysis revealed a number of deficiencies in the facility's emergency preparedness plan. This paper describes the analysis process and subsequent development of comprehensive preparedness, response, and recovery plans.

Design: A quality management improvement and staff development project describing a hazard vulnerability analysis, as required by the New York State Department of Health (NYSDH), and the consequent corrective measures taken. The analysis identified the facility's probability, risk, and preparedness for a range of potential events. Levels of staff knowledge were measured before and after the intervention.

Setting: This is a 100- bed, Level III trauma center with 32,000 annual emergency department (ED) visits, serving a rural population of approximately 114,000.

Participants: Hospital personnel, including all ED staff and directors, hospital education staff, information systems personnel, hospital public safety committee. Community personnel, including emergency medical services, county director of homeland security, law enforcement officials, local health and fire department personnel, and local health officials.

Methods: A routine hazard vulnerability analysis was employed to identify gaps in the facility's ability to respond in the event of a community disaster. Ever since 2003, hospital staff had met quarterly with public health and other community officials to accomplish this task. Community law enforcement and consulting agency personnel also met with hospital security staff to assess facility security. ED management held informal meetings and interviews with ED staff to evaluate staff knowledge and level of disaster experience. Information gleaned from these meetings informed the creation of policies and drills to bolster preparedness for potential disasters. Drills provided the opportunity to consider needed plans to ensure the hospital could return to full and normal operations, as soon as possible after an event.

Results: The analysis revealed multiple weaknesses in the existing emergency preparedness plan. Staff lacked knowledge about how to respond in chemical, epidemic and mass casualty emergencies and were uncertain about their roles should a disaster occur. A number of initiatives were undertaken to address these problems: A manual was created incorporating organizational charts and job descriptions from the Hospital Incident Command System (HICS). We also updated our surge and evacuation plans, created a decontamination plan, and developed an operating guide for community medication dispensing. Since the analysis, the manual is reviewed regularly and ED management conducts monthly in-services and bi-annual simulation drills to ensure staff and community responders are familiar with their roles. Interviews with staff, in-service sessions, and drills conducted in mid-2006 (which will continue on a regular basis) demonstrate increased staff knowledge and competency in emergency preparedness compared to pre-intervention analysis.

Recommendations: Conducting a hazard vulnerability analysis on a regular basis is essential to maintaining a facility's emergency preparedness. Ongoing drills and in-services throughout the year further guarantees that staff know their roles and can better care for their patients in the event of a community disaster.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Management Strategy: Development of an Emergency Preparedness Planen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162720-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Management Strategy: Development of an Emergency Preparedness Plan</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Brady, Barbara, RN, MS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Columbia Memorial Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Administrative Director of Emergency Services</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">71 Prospect Avenue, Hudson, NY, 12534, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(518) 828-8396</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">bbrady@cmh-net.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Theresa Kisselbrack, RN and Lori J. Puff, RN</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The purpose of this project was to improve our hospital's readiness to respond in a community disaster. A recent hazard vulnerability analysis revealed a number of deficiencies in the facility's emergency preparedness plan. This paper describes the analysis process and subsequent development of comprehensive preparedness, response, and recovery plans.<br/><br/>Design: A quality management improvement and staff development project describing a hazard vulnerability analysis, as required by the New York State Department of Health (NYSDH), and the consequent corrective measures taken. The analysis identified the facility's probability, risk, and preparedness for a range of potential events. Levels of staff knowledge were measured before and after the intervention.<br/><br/>Setting: This is a 100- bed, Level III trauma center with 32,000 annual emergency department (ED) visits, serving a rural population of approximately 114,000.<br/><br/>Participants: Hospital personnel, including all ED staff and directors, hospital education staff, information systems personnel, hospital public safety committee. Community personnel, including emergency medical services, county director of homeland security, law enforcement officials, local health and fire department personnel, and local health officials. <br/><br/>Methods: A routine hazard vulnerability analysis was employed to identify gaps in the facility's ability to respond in the event of a community disaster. Ever since 2003, hospital staff had met quarterly with public health and other community officials to accomplish this task. Community law enforcement and consulting agency personnel also met with hospital security staff to assess facility security. ED management held informal meetings and interviews with ED staff to evaluate staff knowledge and level of disaster experience. Information gleaned from these meetings informed the creation of policies and drills to bolster preparedness for potential disasters. Drills provided the opportunity to consider needed plans to ensure the hospital could return to full and normal operations, as soon as possible after an event.<br/><br/>Results: The analysis revealed multiple weaknesses in the existing emergency preparedness plan. Staff lacked knowledge about how to respond in chemical, epidemic and mass casualty emergencies and were uncertain about their roles should a disaster occur. A number of initiatives were undertaken to address these problems: A manual was created incorporating organizational charts and job descriptions from the Hospital Incident Command System (HICS). We also updated our surge and evacuation plans, created a decontamination plan, and developed an operating guide for community medication dispensing. Since the analysis, the manual is reviewed regularly and ED management conducts monthly in-services and bi-annual simulation drills to ensure staff and community responders are familiar with their roles. Interviews with staff, in-service sessions, and drills conducted in mid-2006 (which will continue on a regular basis) demonstrate increased staff knowledge and competency in emergency preparedness compared to pre-intervention analysis.<br/><br/>Recommendations: Conducting a hazard vulnerability analysis on a regular basis is essential to maintaining a facility's emergency preparedness. Ongoing drills and in-services throughout the year further guarantees that staff know their roles and can better care for their patients in the event of a community disaster.</td></tr></table>en_GB
dc.date.available2011-10-27T10:33:01Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:33:01Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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