I am in the process of writing a new book, Healthcare Emergency Incident Management Operations Guide. My goal in writing this book was to provide readers with a straight forward no nonsense reference guide on incident management. It may be used in training, exercises and real events. There should be equal value for the individual new to the Incident Command System as well as the experienced Incident Commander or Emergency Manager.
One of the features of the guide will be a library of Initial Incident Action Plans (IIAP) for the more likely events to occur which can directly and/or indirectly impact healthcare systems and operations. I am a strong proponent for taking time to war-game events in your Hazard Vulnerability Analysis and where it’s appropriate develop an IIAP that may be used to get that first operational period going. In my experience at most events you have one chance to get the response organized. Having an IAP already developed to refer to or use can be a huge advantage. It will save you time by having your objectives identified. It will save disruption to normal operations by ensuring you only commit those resources necessary to carry out your objectives.
I’d like to ask my readers what events you would like to see included in my library of IIAPs for reference. I recommend that you consider those events which happen without warning or can evolve quickly into impacting your operations as ideal selections. Slow moving events allow you more time to stand-up your Command Center and develop an IAP in a more deliberate fashion.
Thank you in advance and I look forward to seeing what you come up with.
earthquake, mud slide, tsunami, tornado, wildfire, mass shooting, school shooting, riots, floods, wind storm, ice storm,
Thanks for the input Phillip.
We just finished our annual HIVA update. Wildfire and severe winter storm/area-wide power outage remain at the top of our list. Wildfires may take time to develop into a threat, as the 2015 North Star fire did for us, but if one were to start nearby and spread rapidly it could overrun our town before resources were in place to respond. Criteria for deciding whether to evacuate or shelter in place would be helpful.
I agree Jim the triggers for when to evacuate and/or shelter-in-place are a challenge in the healthcare arena. As you notice in my wording, I think there are times to do a mixture of both.
The top hazard that we identified in our December HVA assessment was severe storms, followed by a four-way tie of natural and technological hazards: epidemic, communications failure, HVAC failure, and supply shortages. Hurricanes and temperature extremes (hot/cold), both natural hazards follow, and are tied with information systems failure and mass casualty incident (trauma). The last of the top ten hazards are also tied: VIP situation and chemical terrorism. Chemical terrorism remains as the only hazardous materials threat that appeared in the top 10 hazards.
Thank you Lisa.
Two thoughts come to mind:
1) A near-site incident of Law Enforcement significance. IE: Feb 10, 2016 Fargo ND had a barricaded suspect shoot a law enforcement officer a block or two from the hospital. That put the entire neighborhood on lock-down impacting the ER and ability for staff to freely move in and out of the facility.
2) IT failure impacting communications, including VOIP phones.
Let us know when the book is ready.
Randy S.
Great thoughts Randy.
Major earthquake with accompanying power outage, broken gas mains and and water outage. We expect this in Southern California . . .
What is your opinion on the status of preparedness in healthcare facilities in Southern CA Virginia?
High risks to significant operational disruptions regardless of cause or any specific hazard…
– IT outage
– Communications outage/disruption
– Utility outage
– Supply shortage/disruption
Specific top hazards…
– Cyber attack
– Technological IT failure
– High consequence infectious disease
– Severe Weather/Hind Wind Event
– Water Intrusion (external or internal source)
Water contamination, especially when mixed with power outage – it’s amazing how fast machines start to fail without AC on, and how hard it is to treat patients without clean water. Certain lab machines and some scanners (CT, MRI, etc) won’t work if the temperature gets above 90 degrees inside, which means you are dealing with trauma patients without a clear idea of exactly what all is broken in them. Having lived through a normal ER night shift that the power failed along with certain machines, it’s a freaking nightmare. I can only imagine what would have in a real disaster. Even just having the power go out without the machines shutting down is awful – electronic records are great, right up until you can’t access any of them and no one knows who is in what room and what’s wrong with any of your patients.
Book will be out in August. Thanks everyone who responded. Jan