Site Set-up Teams/ Bin Lists & Transport/ Delivery Task List

Transcription

1 Calaveras County Alternate Care Site Plan Site Set-up Teams/ Bin Lists & Transport/ Delivery Task List Prepared by: Douglas Buchanan Emergency Preparedness Consultant (Revised: 0/8/11)

2 Table of Contents A. ACS Equipment Team A: Peds, Nursing, Pharmacy, Isolation... page 3 B. ACS Equipment Team B: Womens, Mens Units.... page 4 C. ACS Equipment Team C: Laboratory, Supply, Radiology Areas.. page 5 D. ACS Set-up Team D: Bedding / Pt. Supplies.. page 6 E. ACS Supply Team E: Nursing Unit.... page 9 F. ACS Supply Team F: Pharmacy Unit.... page 11 G. ACS Supply Team G: Laboratory Unit. page 13 H. ACS Supply Team H: Supply Unit... page 14 I. ACS Supply Team I: Radiology Unit... page 17 J. ACS Set-up Team J: Signage page 18 K. ACS Set-up Team K: ICP / PIO / Communications.... page 19 L. ACS Transportation & Delivery Task List. page 0 M. ACS Demobilization Task List.. page 5 Page of 7

3 ACS Equipment Team A: Peds, Nursing, Pharm., Iso Personnel Quantity Needed Quantity On Hand 4 Unit Equipment/Supplies Needs Quantity Needed Quantity On Hand Beds (or cots) 10 Partitions (6 x 6 ) 0 Side Tables/TV Trays 10 IV Poles 10 Painters Tape Rolls Measuring Rope 0 ea 100 Tables (6 ) 6 Chairs 10 Hand Washing Stations (single & double) Refrigerator (nurse unit / pharm unit) Page 3 of 7

4 ACS Setup Team B: Womens / Mens Personnel Quantity Needed Quantity On Hand 4 Unit Equipment/Supplies Needs Quantity Needed Quantity On Hand Beds 40 Partitions 6 Side Tables/TV Trays 40 IV Poles 40 Painters Tape Rolls Measuring Rope 100 ea 0 Hand Washing Station (4-person sanitizer) 1 Biohazard Waste Disposal Soiled Linen Bin 4 Page 4 of 7

5 ACS Setup Team C: Lab, Supply, Radiology Personnel Quantity Needed Quantity On Hand 4 Unit Equipment/Supplies Needs Quantity Needed Quantity On Hand Partitions (6 x 6 ) 8 Partitions (6 x 15 ) 4 Supply Shelving Units 6 Painters Tape Rolls Measuring Rope 0 ea 100 Tables (6 ) 8 Chairs 4 Hand Washing Station (double) 1 Linen Cart 1 Refrigerator (lab unit) 1 Page 5 of 7

6 ACS Setup Team D1: Bedding/Pt Supplies (Peds, Isolation) Team Leader: Personnel Quantity Needed Quantity On Hand Team members Equipment/Supplies Quantity Needed Quantity On Hand Patient Bedding/Supplies Bin contains: 5 Bed Kits / 5 Personal Supply Kits Bedding Kit (5 ea) Fitted Sheets Flat Sheets Blankets Pillow Cases Pillows Bed Caddies Bedside Trash Bag Personal Supply Kits (5 ea) Water Cup/Pitcher Basin Gowns Socks Toiletries o Toothbrush o Toothpaste o Comb/Hairbrush Belongings Bags Call Light/Bells Biohazard Waste Disposal Trash Cans Soiled Linen Bin Isolation Cart 1 Page 6 of 7

7 ACS Setup Team D: Bedding/Pt Supplies (Mens Area) Team Leader: Personnel Quantity Needed Quantity On Hand Equipment/Supplies Quantity Needed Quantity On Hand Patient Bedding/Supplies Bin contains: 5 Bed Kits / 5 Personal Supply Kits 8 Bedding Kit (5 ea) Fitted Sheets Flat Sheets Blankets Pillow Cases Pillows Bed Caddies Bedside Trash Bag Personal Supply Kits (5 ea) Water Cup/Pitcher Basin Gowns Socks Toiletries o Toothbrush o Toothpaste o Comb/Hairbrush Belongings Bags Call Light/Bells Biohazard Waste Disposal Trash Cans Soiled Linen Bin 1 Page 7 of 7

8 ACS Setup Team D3: Bedding/Pt Supplies (Womens Area) Team Leader: Personnel Quantity Needed Quantity On Hand Equipment/Supplies Quantity Needed Quantity On Hand Patient Bedding/Supplies Bin contains: 5 Bed Kits / 5 Personal Supply Kits 8 Bedding Kit (5 ea) Fitted Sheets Flat Sheets Blankets Pillow Cases Pillows Bed Caddies Bedside Trash Bag Personal Supply Kits (5 ea) Water Cup/Pitcher Basin Gowns Socks Toiletries o Toothbrush o Toothpaste o Comb/Hairbrush Belongings Bags Call Light/Bells Biohazard Waste Disposal Trash Cans Soiled Linen Bin 1 Page 8 of 7

9 ACS Setup Team E: Nursing Unit Personnel Quantity Needed Quantity On Hand Unit Equipment Needs Quantity Needed Quantity On Hand Shredder Box 1 Chart Rack 1 Printer/Copier 1 Crash Cart 1 Unit Supplies Quantity Needed Quantity On Hand Non-Medical Supplies Facility Diagram Unit Specific Diagram Bands Allergy I.D. DNR Writing Utensils Black Pens Red Pens Black Sharpies Highlighters Dry Erase Pens Miscellaneous Supplies Stapler Staples 5 Whole Punch 3 Whole Punch Tape Paper Clips Sign Here Stickers Sticky Notes Printer Paper Forms J.A.S. Patient Medical History Consent Forms Physician Referral Forms Assessment Forms Page 9 of ea 100 ea 100 ea 1 Box ea 1 Box ea 1 Box ea 1 Box ea 1 Box ea Boxes box 1 pack 1 pack 5 Reams

10 Patient Treatment Forms 100 Discharge Forms o Instructions o Medications o Follow-Up 100 Supply Request Slips 0 I & O Forms 100 Vitals Forms 100. Charts 50 Chart Dividers 50 sets Trash Bags 4 Box of Tissue Paper Towels Roll Hand Sanitizer Spray Bottle of Sanitizer Dry Erase Boards Medical Supplies Box of Gloves Blood Pressure Cuffs Adult 5 Child Stethoscopes 10 Thermometers (Oral) 4 Thermometers (Tempanic) Thermometer Covers 4 boxes Page 10 of 7

11 ACS Setup Team F: Pharmacy Unit Personnel Quantity Needed Quantity On Hand 1 Unit Equipment Needs Quantity Needed Quantity On Hand Medication Cart Sharps Container Non-Medical Supplies Facility Diagram 1 Unit Specific Diagram 1 Writing Utensils Black Pens 1 Box Ea Red Pens 1 Box Ea Black Sharpies 1 Box Ea Highlighters 1 Box Ea Miscellaneous Supplies Stapler 1 ea Staples 1 box Tape Paper Clips 1 box Sticky Notes pads Labels 1 box Forms J.A.S. 1 Blank M.A.R. s 100 Supply Request Slips 0 Trash Bags Box of Tissue 1 Paper Towels 1 roll Hand Sanitizer 1 bottle Spray Bottle of Sanitizer 1 bottle Medication Carts Medical Supplies Medication Cart Supplies Syringes 3ml 10ml Insulin TB Needles 18g 1g 3g 10 ea 10 ea Page 11 of 7

12 5g Filter Needle NS Flushes 3ml 10ml Alcohol Pads Sterile Caps IV Claves Pill Cutter Pill Crusher Medicine Cups x Gauze Band Aids Plastic Baggies IV Labels Blood Pressure Cuffs Adult Child IV Fluids NS ½ NS D5 ½ NS D5 LR Crash Cart Crash Cart Supplies Pharmacy Unit 10 ea ea 10 ea ea ea ea 4 ea 1 ea 1 ea Page 1 of 7

13 ACS Setup Team G: Laboratory Personnel Quantity Needed Quantity On Hand Unit Equipment/Supplies Needs Quantity Needed Quantity On Hand J.A.S Unit Specific Diagram 1 ea Sharps Container 1 Paper Towels 1 roll Hand Sanitizer 1 bottle Spray Bottle Sanitizer 1 bottle Hemoccult Supplies Applicator Sticks Testing Solution Hemoccult Test Board HcG Testing Droppers Urine Specimen Cups Testing Board Accu Check Lancets Alcohol Pads Cotton Balls Strips Testing Solution Accu Check Machine Urine Dip Stick Strips Machine Writing Utensils Black Pens 1 box ea Red Pens 1 box ea Page 13 of 7

14 ACS Setup Team H: Supply Unit Personnel Quantity Needed Quantity On Hand Unit Supplies Quantity Needed Quantity On Hand J.A.S. Unit Specific Diagram 1 Linen Supplies Quantity Needed Quantity On Hand Towels Washcloths Fitted Sheets Flat Sheets Blankets Pillow Cases Gowns Pants Socks Pillows Toiletry Supplies Quantity Needed Quantity On Hand Toothpaste Toothbrush Comb Hairbrush Shampoo Soap Deodorant Denture Cups Denture Paste/Cleaners Mouthwash Bathroom/Urinary Supplies Quantity Needed Quantity On Hand Urinals 5 Bed Pans 5 Hats (urine) 5 Bedside Commodes 5 Straight Catheters 15 Foley Catheters 5 Specimen Cups 5 Adult Diapers (Attends) 10 Child Diapers 10ea Personal Protective Equipment Quantity Needed Quantity On Hand Gloves Small 1 box ea Page 14 of 7 5ea 5ea

15 Medium Large Sterile Gloves 7 1 box ea Isolation Gowns 10 IV Supplies Quantity Needed Quantity On Hand IV Tubing Primary Secondary Blood IV Start Kits IV Needles 18g 0g g Chloraprep Alcohol Pads Tape Plastic Tape o ½ o 1 Paper Tape o ½ o 1 Respiratory Supplies Quantity Needed Quantity On Hand Oxygen Equipment Nasal Cannula Non-Rebreather Bag-Valve Mask Suction Equipment Portable Suction Yaunker Tubing Dressing Supplies Quantity Needed Quantity On Hand Dressings x 4x4 Abd Pad Drain Sponges Page 15 of 7

16 Tegaderm Mepilex Kerlix Ace Bandages Cotton Tip Applicators Didaksol Sterile Water Hydrogen Peroxide Housekeeping Supplies Quantity Needed Quantity On Hand Trash Bags Biohazard Waste Bags Bedside Trash Bags House Cleaning Supplies Housekeeping Cart 1 Misc. Supplies Quantity Needed Quantity On Hand Lubricant Page 16 of 7

17 ACS Setup Team I: Radiology Unit Personnel Quantity Needed Quantity On Hand 1 Unit Equipment Needs Quantity Needed Quantity On Hand J.A.S. 1 Unit Specific Diagram 1 Facility Diagram 1 Lead Drapes? Paper Towels Hand Sanitizer Spray Bottle Sanitizer Writing Utensils Black Pens Red Pens 1 box ea Page 17 of 7

18 ACS Setup Team J: Signage Personnel Quantity Needed Quantity On Hand Unit Equipment Needs Quantity Needed Quantity On Hand J.A.S Signage Diagram 1 Signs: Isolation Pediatrics Nurse s Station Pharmacy Station Women Men Radiology Supplies Laboratory Page 18 of 7

19 ACS Setup Team K: ICP / PIO / Comm. Personnel Quantity Needed Quantity On Hand Unit Equipment Needs Quantity Needed Quantity On Hand Facility Diagram 1 Unit Specific Diagram 1 Writing Utensils Black Pens Red Pens Black Sharpies Highlighters Miscellaneous Supplies Stapler Staples Tape Paper Clips Sticky Notes Labels Forms J.A.S. HICS Forms , 14 1 Box Ea 1 Box Ea 1 Box Ea 1 Box Ea 1 ea 1 box 1 box pads 1 box 1 10ea 50 ea Supply Request Slips 0 Trash Bags Box of Tissue 1 Paper Towels Hand Sanitizer Spray Bottle of Sanitizer 1 roll 1 bottle 1 bottle Page 19 of 7

20 Transportation / Delivery Task List Both the loading and unloading priorities for the ACS equipment and supplies are essential for effective and timely mobilization and demobilization of the ACS facility. Some of the ACS equipment and supplies may be pre-loaded and stored in trailers to expedite delivery. A. Loading Priorities for Delivery Since the first priority in the ACS set-up includes the beds, partitions, tables/chairs, and heavier equipment; these items and stockpiles should be identified for early delivery. Color-coding the equipment/supply boxes, bins, and blocks can also facilitate staging and management of these items upon delivery. Although the above diagram depicts the transport of equipment in blocks, much of the ACS supplies may be transported in pre-loaded trailers or placed in varied arrangements within the transport vehicles. Therefore, establishing organization and coordination at the delivery sites is essential to ensure that the equipment and supplies are delivered appropriately. Additionally, the unloading and staging process may require delivery to more than one location at the ACS site. Page 0 of 7

21 B. Delivery / Drop-Off Priorities Delivery and drop-off of the ACS equipment and supplies should be coordinated with the ACS Staging Manager. The Staging Manager will oversee the unloading process, and direct team members to pre-identified areas for each block of ACS equipment and supplies. The staging areas should be pre-identified with color-coded signs or placards, indicating the drop-off sites for each block of equipment and supplies (e.g. Red = A,B,C Block, etc.). 1. First Delivery / Drop-off Priority (see Staging Diagram on following page) Red Block (A, B, C): This block of equipment includes the chairs, tables, partitions, beds/cots, and major pieces of equipment. Blue Block (D): This block contains the supplies for patient bedding (sheets, blankets, pillows) and other patient supplies.. Second Delivery / Drop-off Priority (see Staging Diagram on following page) Green Block (E): This block contains the bins and supplies for set-up of the Nurses Station. Orange Block (F): This block contains the bins and supplies for set-up of the Pharmacy Unit. 3. Third Delivery / Drop-off Priority (see Staging Diagram on following page) Purple Block (G): This block contains the lab Yellow Block (H): This block contains the supply Grey Block (I): This block contains the radiology 4. Fourth Delivery / Drop-off Priority (see Staging Diagram on following page) 5. Fifth Delivery / Drop-off Priority (see Staging Diagram on following page) Page 1 of 7

22 Staging Diagram Note: This staging diagram depicts the delivery route from High School Street to the northeast side of the Flock Gymnasium. Even though this diagram indicates the first three drop-off points on the east side of the gym, these staging areas are subject to change. The on-scene Staging Manager should have the areas pre-identified with appropriate signage prior to delivery and drop-off of equipment and supplies. Page of 7

23 C. Equipment/Supply Staging Areas 1. Individually labeled placards or signs to designate staging areas for specific equipment/supplies should be in place prior to the equipment/supplies delivery. (see sample staging areas in the following diagrams). Equipment and supplies to be unloaded outside the gym in the designated staging areas, under the direction of the Staging Manager. The first wave of equipment and supplies needed for the ACS set-up is the Red Block (tables, chairs, etc.). Since this first block of equipment will need to be accessed by the first three set-up teams (A, B, & C), it is important to allow sufficient space for all three teams to simultaneously access these items. The second wave of the ACS set-up will be the bedding and patient area supplies from the Blue Block (D). Note: Additional staging areas may need to be designated for the boxes and packaging supplies used for transporting the ACS equipment/supplies for later storage or disposal.. The next designated staging areas are for the Green and Orange Blocks for set-up Teams E and F, containing the equipment and supplies for the set-up of the Nursing & Pharmacy units. Page 3 of 7

24 3. The final staging areas needed at the Flock Gym are for set-up of the Supply, Radiology, and Laboratory units. These staging areas are designated with Yellow, Grey, and Purple signage. 4. After staging the equipment/supplies necessary for the ACS set-up, the additional equipment and supplies will be staged and stored at the ROP Classrooms to the west of the gymnasium, depicted with Pink signage. The finally staging area is designated with Brown signage at the Activity Room, to the south of the ROP Classrooms. Page 4 of 7

25 ACS Demobilization Task List A. Transportation Evaluate logistics and transportation capabilities to support demobilization. Establish communications with off-incident facilities, as necessary, to receive and store supplies. B. Staging Areas / Signage The Staging Manager should ensure that signage is in place for all ACS equipment and supplies being demobilized. C. Demobilizing Unit Supplies Work with ACS Unit Leaders to ensure an organized checkout function for all unit supplies. Develop a Demobilization Plan and timeline to ensure ACS unit supplies are properly stored and staged. Distribute a copy of the Demobilization Plan and Maps to all Sections/Units. Date/Time (Order) Supplies Demobilized Laboratory Supply Radiology Nursing Pharmacy Isolation Pediatrics Mens Womens ICP / PIO / Communications Additional Supply Unit Page 5 of 7

26 Staging Diagram Note: This staging diagram depicts the delivery route from High School Street to the northeast side of the Flock Gymnasium. Even though this diagram indicates the first three drop-off points on the east side of the gym, these staging areas are subject to change. The on-scene Staging Manager should have the areas pre-identified with appropriate signage prior to delivery and drop-off of equipment and supplies. Page 6 of 7

27 D. Demobilizing ACS Equipment After all ACS unit supply bins have been staged, work with Unit Leaders to coordinate check-out and staging of all ACS equipment. Date/Time (Order) Equipment Demobilized Laboratory Supply Radiology Nursing Pharmacy Isolation Pediatrics Mens Womens ICP / PIO / Communications Additional Supply Unit E. Loading / Transportation After staging is completed, coordinate the loading, transportation, and storage of all ACS equipment and supplies. F. Restoration / Clean-up Ensure that all areas are returned to pre-incident conditions. Report problems or issues to the Section Chief or IC. Page 7 of 7