Erlanger Health System

Erlanger Health System
Disaster Management
Smart Book
2011
General Staff Edition
References
•
•
•
•
•
Erlanger Health System Emergency Operations Plan
Joint Commission on Accreditation of Healthcare
Organizations (2008 Standards)
Hospital Emergency management “Concepts and
Implications of EMD Terrorist Indicents” US
Department of Justice, Office of Domestic
Preparedness and SAIC (April 2002)
Occupational Safety and Health Administration
Standard
29 Code of Federal Regulations
o 1910.120 – Hazardous Waste Operations and
Emergency Response
o 1910.134 – Respiratory Protection
o 1910.1030 – Blood borne Pathogens
o 1910.1200 – Hazard Communication
2 Index
Topic
Page
Index
3
Section 1
Points of contact:
Federal
State
Chemical & Biological Emergency POC’s
County
Hospital Command Centers
Vendors
Electric
HVAC
Potable Water
Non-potable water
Sewer
Generator
Medical Gas & Vacuum
Food
Fuel
Natural Gas
Pharmaceuticals
7
7
7
8
8
11
11
11
12
12
12
12
12
12
12
12
Section 2
Personnel
Agency Staffing
13
Erlanger Health Systems Management Contact List
13
3 Section 3
Disaster Plans
Emergency Department Site Preparation
Emergency Preparedness Plan Reference
Hamilton County Common Codes
14
15
15
Section 4
Facilities
Baroness
North
East
Bledsoe
UT Family Practice
Whitehall
Fillauer
Lifestyle Center
Ooltewah Campus
South Campus
Dodson Ave Community Health Center
Southside Community Health Canter
Riverside (Contin-U-Care)
16
17
18
19
20
21
22
23
24
25
26
27
28
Section 5
Logistics
29
Section 6
Communications
Accessing Web EOC Site
Back Up Phone Directory
Telecommunications Back-up Plan
Radio Call Signs
30
31
33
36
4 Ham Radio
Equipment
Baroness Coverage Map
North Coverage Map
Bledsoe Coverage Map
Operators
37
38
39
40
41
Section 7
Sustainment Projections
42
5 6 Section 1
Points of Contact
Federal
ATF
DEA
FAA
FBI
(423)855-6422
(423)855-6600
(423)855-6475
(423)265-3601
(865)544-0751
(423)855-6630
(770)220-5200
(800)227-8925
(423)842-8001
(423)752-5125
(423)752-5115
(423)893-6500
FDA
FEMA
Joint Regional Medical Planner
Nuclear Regulatory Commission
Secret Service
U.S. Marshal
Veterans Administration
State
Disaster Response for Public Health
Emergency Services Coordinator
Environmental Assistance Center
Highway Patrol
TEMA Regional Planner
TVA
(423)322-3709
(423)737-4112
(888)891-8332
(423)634-6898
(423)634-3044
(423)634-6424
(423)634-3044
(865)981-1024
(423)479-3594
(423)718-3665
(865)599-0035
(423)751-8581
Chemical & Biological Response
3E Company (CHEMICAL RESPONSE)
(800)451-8346
Occupational Safety and Health
TBI
TEMA
TEMA Regional Coordinator
7 Coordinating Office Of Terrorism Preparedness and Emergency
Response
(404)639-7405
National Center for Environmental Health and Agency for Toxic
Substances
and Disease Registry
(770)488-7100
Hamilton County
Emergency Operations/Services
Health Department
(423)622-3163
(423)698-1282
(423)209-8074
Health Department –Epidemiology
(423)209-8190
Health Department – Regional Hospital Coordinator (Jenny Wolverton)
W(423)208-8066
C (423)364-0066
F(423)209-8069
E-mail: virginiaw@hamiltontn.gov
800 MHz radio = RHC1
VHF radio = Echo 33
Em. Operations Center (Health Dept Table)
(423)698-1282
P (423)622-3163
F (423)698-1832
Hamilton County Hospital Command Centers
(P- Phone, F- Fax, C-cell, Pgr – Pager, AOC- admin. on call)
Erlanger
Baroness Campus (also covers North/East during external event)
Command Center
P (423)778-9100
F (423)778-4775
E-mail: command@erlanger.org
Contact (prior to CC activation) House Sup.
P (423)778-6168
Family Area (Medical Mall Plaza)
P N/A
Erlanger (cont’d)
North Campus (internal event only)
Command Center
P (423) 778-3366
8 (use 778-3402 prior to command post activation)
F (423)778-3361
Family Area (Hospital Cafeteria)
P (423) 778-3364
East Campus
Command post
P (423) 778-8732
F (423) 778-8756
Bledsoe Campus
Command post
P (423)447-5300 or 5301
F (423)447-6574
Memorial
Glenwood Campus
Command Center
P (423)495-6351
P (423)495-6352
F (423)495-3863
E-mail: MHCommandCenter@memorial.org
Contact (prior to CC activation) House Adm.
P (423)495-8566
C (423)595-4477
Pgr (423)655-6018
Family Area (Community Rooms)
P (423) 495-6139
P (423) 495-6292
Family Area (continuted)
(423) 495-4458
(423) 495-5743
North Park Campus
Command Center
P (423)495-7351
(423)495-7352
F (423)495-7263
E-mail: MNPCommandCenter@memorial.org
Contact (prior to CC activation) House Admin.
C(423)595-1440
Family Area (Hospital Cafeteria)
P (423)495-5503
9 Parkridge Main Campus
Command Center
P (423)493-1772
P (423)493-6988
(24/7) C (423)255-6124
F (423)493-1208
e-mail: prmc.epcommandcenter@hcahealthcare.com
Contact (prior to CC activation)
(24/7) C (423)255-6124
EP Coordinator C (423)508-2569
Family Area (2nd floor waiting room)
P (423)493-1256
East Campus
Command Center
P (423)499-3603
P (423)855-3655
F (423)855-3648
E-Mail: Erdg.epcommandcenter@hcahealthcare.com
Contact (prior to CC activation)
(M-F) P (423)855-3500
(After 5/weekends) P (423)855-3509
Family Area (Hospital Cafeteria)
P (423)499-2050
P (423)499-2096
MBMHI
Command Center
P (423)265-2271
F (423)785-3472
E-Mail: david.l.walker@tn.gov
Cell: 255-7241
Siskin Hospital
Command Center
P (423)634-1212
F (423)634-1209
e-mail: jallyn@siskinrehab.org
Contact (prior to CC activation)
HealthSouth
Command Center
P (423)697-9291
F (423)697-9117
10 AOC Pgr(423)655-0775
E-mail: commandcenter_03007400@healthsouth.com
Contact (prior to CC activation)
Family Area (Outpatient gym)
AOC Pgr (423)874-2556
P (423)697-9132
Kindred Hospital
Command Center
P (423)308-5011
P (423)308-5010
F (423)266-7516
E-mail: Robert.pace@kindredhealthcare.com
Contact (prior to CC activation)
AOC P (423)266-7721
Plant Ops Dir. (24/7) P (423)596-5196
Family Area (Hospital Cafeteria)
P (423)266-7721 ext. 7500
Vendors
Electrical
Electric Power Board
Mountain City Electric
Campbell & Associates
Automatic Switch
Nixon Power Services
Stowers Machinery Corp.
(423)756-2706
(423)756-6777
(423)267-9718
(423)870-5893
(201)966-2000
(800)766-4966
(423)698-6943
HVAC
Trane
Eagle Mechanical
(423)296-1506
(423)867-7427
Potable Water
Southern Coffee Services
Laurel Mountain Spring Water
(423)266-2600
(423)493-0447
11 Non-Potable Water
Tennessee American Water Company
Eagle Mechanical
(423)755-7600
(423)755-7650
(423)867-7427
Sewer System
Hamilton County EOC
(423)622-3163
Generator
Generator Service Company
(800)744-7572
Medical Gas and Vacuum
Linde Gas
(866)841-2459
Food
Sodexho
(423)827-2532
Fuel
JAT Oil
Benton Oil
Dupree
(423)629-6611
(423)892-5211
(423)698-8517
Natural Gas
Tennessee Energy Consultants
(423)421-3732
(423)752-3438
Pharmaceuticals
AmerisourceBergen
(800)541-2554 ext. 1399
12 Section 2
Personnel
Staffing Agencies
Allied
MSN
Contin-U-Care
3202
(423)893-3400
(423)892-2880
(423)624-4346 ext.
***Executive and leadership contact information is located in the
command center, and is available as needed.
13 Section 3
Disaster Plans
Emergency Department Site Preparation
Patient receiving areas and triage areas
Triage Determination
Color Marking
Triage
Purple
Area
*Main
Ambulance
Entrance (Main
/North
Campuses)
Immediate Care
Red
*Acute Care
Area BED for
Immediate
life-saving
treatment
or surgical
intervention
*NED Rm 1-5
Delayed Care
Yellow
*Main: Clinical
Decision Unit
*NED 6-10
Minimal Care
Green
*Main: SubWaiting area
*North: Out-pt.
Waiting area
Expectant Care
Gray/Black
*Main: Decon
Room
*North: Rec.
Area
***Patients awaiting treatment will be assessed and if deemed nonurgent may be directed to other facilities for treatment.
14 Policy Reference
The most current version of all Emergency Preparedness policies is
available on the Erlanger Intranet.
Policy Name
Code Definition Summary
Code RED
Code ORANGE/CBRNE release
Code BLUE
Code GREY
Code GREY-B
Code PINK
Code 5
Code LOCKDOWN
Code TRIAGE
Code BLACK
Code EVACUATION
Terrorist Event
EHS Emergency Operations Plan
Policy Number
EHS 8316.1021
EHS 8316.956
EHS 8316.959
EHS PC-120
EHS 8316.098
EHS 8316.957
EHS 8316.121
EHS 6012.008
pending approval
see full EOP
EHS 8316.962
see full EOP
EHS 8316.052
EHS 8316.221d
Hamilton County Common Codes
Code RED
Code Blue
Code 5
Code GREY
Code GREY B
Code LOCKDOWN
Code PINK
Code TRIAGE STANDBY
Code TRIAGE
Code BLACK
Code EVACUATION
Code ORANGE
15 Fire
Adult Cardiac Arrest
Peds Cardiac Arrest
Security Response Needed
Bomb Threat
Facility Lockdown
Infant or Child Abduction
Impending Event may affect
Hospital, activates IC and Admin.
Disaster Plan Activated
Adverse Weather
Evacuate facility or area
Hazardous Material Release
Section 4
Facilities
Baroness Campus
The boxed A indicated facility location on the map
975 E. 3rd Street
Chattanooga, TN 37403
16 North Campus
The Boxed A designates the facility location on the map
632 Morrison Springs Road
Chattanooga, TN 37415
17 East Campus
The Boxed A designates the facility location on the map
1775 Gunbarrel Road
Chattanooga, TN 37421
18 Bledsoe Campus The Boxed A designates the facility location on the map
71 Wheelertown Ave.
Pikeville, TN 37367-5246
19 UT Family Practice The Boxed A designates the facility location on the map
1100 E. 3rd Street
Chattanooga, TN 37403
20 Whitehall Building The Boxed A designates the facility location on the map
960 E. 3rd Street
Chattanooga, TN 37403
21 Fillauer Building The Boxed A designates the facility location on the map
979 E. 3rd Street
Chattanooga, TN 37403
22 Lifestyle Center The Boxed A designates the facility location on the map
325 Market Street
Chattanooga, TN 37402
23 Ooltewah Campus The Boxed A designates the facility location on the map
9309 Apison Pike
Ooltewah, TN 37363
24 South Campus The Boxed A designates the facility location on the map
5195 Battlefield Pkwy.
Ringgold, GA 30736
25 Dodson Ave. Community Health Center
The Boxed A designates the facility location on the map
1200 Dodson Road
Chattanooga, TN 37406
26 Southside Community Health Center
The Boxed A designates the facility location on the map
100 E. 37th Street
Chattanooga, TN 37410
27 Riverside Drive (Contin-U-Care) campus
The Boxed A designates the facility location on the map
1501 Riverside Drive
Chattanooga, TN 37406
For all architectural questions, contact:
River Street Architecture
1604 Carter Street, Suite 300
Chattanooga, TN 37402
www.river-st-architecture.com
Ph: (423)634-0806 Fax: (423)752-8499
28 Section 5
Logistics
The following mass causality stockpiles are located at each in-patient
facility within the Erlanger system. Due to ever changing inventory,
current supply and equipment availability is maintained in the command
center.
National Pharmaceutical Stockpile – CHEMPAK
Tn Department of Health State Pharmaceutical Cache Contents
Erlanger Health System Disaster Equipment/Supplies
Mark 1 Kit Distribution
Supply Distribution
***For distribution of disaster supplies, the following rules apply:
• The Erlanger Health System Hospitals each have 1/5th of the
disaster supplies purchases
• Because the Baroness campus is designated as the regional
facility and must maintain assets to support the region, it holds
an additional 1/5th of the supplies for use by regional partners
29 Section 6
Communications
Log-in procedures for WEB-EOC (Hamilton County Emergency
Operations Center Website)
EHS public wireless connection do this (EHS‐PUB)
•
•
•
•
•
•
Type in the address: http://webeoc.hamiltontn.gov
When the page comes up select Erlanger from the name drop
down box
Password – JfMaMj04 (case sensitive)
Select Hospital Mass Causality drill down with today’s date
Click login
At this point you should be connected
EHS secured network
• Plug in the computer network jack into an active network jack
• Log into the computer
• Login – ehs-eoc
• Password- ehs-eoc
• Logon to: ehs-nt
• When windows boots up, launch internet explorer
• Type in the address: http://webeoc.hamiltontn.gov
• When the page comes up select Erlanger from the name drop
down box
• Password – JfMaMj04 (case sensitive)
• Select Hospital Mass Causality drill down with today’s date
• Click login
• At this point you should be connected
30 **If you have problems connecting to EOC web site please call their
support line at 423/622-7777
Backup/Red Phone Directory
Command Center 9100
Nursing Floors/Wings
3000
CH300 Nursing St.
WW3
4000
CH400 Nursing St.
CH PICU
WW4
5000
L&D
L&D Triage
Mother Baby
CH NICU
NW6 South
NW6 North
NW7 South
NW7 North
WW7
NW8 South
NW8 North
NW9 South
NW9 North
7542
3062
3068
4003
4015
6482
4082
6274
7725
5645
7722
6227
8043
8044
8045
8046
2085
8047
7596
8048
8049
ICU Nursing Stations
CCU
CSICU
MICU
MSICU
NNICU (Neuro)
SICU
STICU (Trauma)
7310
6294
7511
5844
7757
6295
7726
Children’s
Administration
Emergency Dept.
300 Nursing St.
400 Nursing St.
6655
6534
3062
4015
6227
6482
Children’s (Continued)
Outpatient Surgery
Radiology
Surgery Front Desk
2145
6551
5680
Plaza
Mammography Plaza Ground
Mammography Plaza ground
Surgery
GI
Pre-op/Recovery
6266
6760
2486
5126
8113
North Campus
Emergency Department
Lab
Med/Surg Nursing St.
Pharmacy
Radiology
Senior’s Program
Sleep Center
3418
3426
3496
3419
3424
3521
3584
East Campus
Administration
Lab
Mother/Baby
PACU
POH
Urgent Care
Registration
Security
Surgical Nursing Unit
31 NICU
PICU
8759
8524
8684
8926
8494
8690
8733
8911
Clinical/ Admin Areas
Blood Bank
3139
Cath Lab
2147
Central Dispatch
2031
Central Sterile
7905
Dialysis
3178
Emergency Dept. 1
9247
Emergency Dept. 2
9527
Energy Operations
6359
Engineering Conf. Rm
6013
Clinical/Admin Areas (Continued)
Environmental Svc.
7748
Exec. Office Conf. Room
7902
Infusion Center
4470
Lab 1
6710
Lab 2
6714
Lab 3
3185
LIFE FORCE Comm.
6347
Materials Dock
Materials Pick-up
Medical Affairs
2037
Miller Eye Surgery
MRI
PACU
Pharmacy
Pre-Admission Testing (PAT)
Pre-Op Holding (POH)
President’s Office
Radiation Oncology
Respiratory Care – Adult
Respiratory Care
SACU
Security Dispatch
Surgery – Main OR
Telemetry Monitoring EW3
Transfer Center/Central Bed
Wound Center/ HBO
PHNS Help Desk Direct
1-877-424-8511
(or) ext. 8324
32 6235
6338
6630
5668
6620
7243
7332
6358
7408
2384
8013
5681
5685
5220
5137
12/28/2010
Telecommunications System Backup Processes
Primary Phones - Nortel System Phones
Employees and managers should be familiar with all phones in the work area.
Be aware of which phones have the primary department inbound extension
(which ones ring when the department is called) and which do not. Some may
have additional numbers that will work, but which are not published or regularly
used to contact the department.
Nortel Phone Downtime Processes
Failure in a particular area does not necessarily indicate complete failure. Check
all other Nortel phones in the area. The downtime process is designed not to
directly impact all phones at once in any work area.
Additional Nortel Phones
Scheduled downtimes (network maintenance) and certain network
switch failures will cause some Nortel phones in a work area to go off
line, while others remain functional. If one phone is dead, check ALL
Nortel phones in the department to see which are working and which
are not. Check to see if you can call out, call in, or both.
If you can call out, but not internally, try dialing outside using 19
and then the 778-xxxx number of the Erlanger line you are trying to
reach.
Additionally, some areas have specific “downtime” Nortel phones.
These phones will have the same primary number as the other phones,
but will remain functional during large-scale network downtime
situations. You may be able to dial 4-digits as usual, or you may have
to dial 19778xxxx to reach the other extensions you are trying to call.
33 RED Backup Phones
The Red Phones (Emergency Backup Lines) are the third layer of
telecommunications redundancy. Once referred to as the “power-fail” phones,
these analog red desk and wall phones are the last layer of wired
communications if all other switches or systems are affected by the downtime.
These phones can be dialed using the Backup/Red Phone Directory numbers.
Departmental numbers will not work if these are the only remaining functional
telephones. These phones should not be hidden behind computer monitors or in
cabinets, but rather placed in plain view and used regularly to insure they will
function when needed. Any department having a Red Phone not included on the
Backup/Red Phone Directory List should contact the Communications Office at
x2077.
34 35 Radio Call Signs
Communications Support Team
901 McKeever, Mike
902 Lewis, Bob
903 Siddon, Dewayne
904 Susskind, Glenn
905 Rhoades, Martha
906 Jones, Daniel
1501 Odom, Dan
1505 Morgan, Tom
Hamilton County Emergency
Management
101 Allen, Don
103 Wilkerson, Ken
104 Reavley, Tony
105 Tittle, Bill
108 Combs, John
Key Department Radio Numbers
501 Allen, Ben
811 Baker, Mike
705 Darwin, Rick
570 Frazier, Johnny
202 Gunter, Jason
502 Hudson, Lisa
725 McCurdy, Danny
901 McKeever, Mike
806 Miles, Stan
601 Milita, Mickey
201 Shepherd, Debbie
903 Siddon, Dewayne
101 Straughen, Steve
102 Tester, Robbie
756 Thomas, Marc
807 Tuggle, Mike
709 York, Duane
36 HAM Radio Equipment Distribution
ICOM 706MKII Dual-band Antennas – Erlanger North ED
ICOM 706MKII Dual-band Antennas – Erlanger Bledsoe Front RN
Station
ICOM 706MKII Dual-band Antennas + 75m HF –Life Force
Communications Center
ICOM 706MKII Dual-band Antennas + 75m HF –Mobile RMCC Vehicle
ICOM 746Pro VHF/HF Emergency Station – RMCC Go-box
ICOM 706MKII Dual-band Antennas + G5RV – ACS Go-box
37 HAM Radio Baroness Campus Coverage
Green colored areas represent consistent strong signal
Red colored areas represent possible weak or no signal areas
38 HAM Radio North Campus Coverage
Green colored areas represent consistent strong signal
Red colored areas represent possible weak or no signal areas
39 HAM Radio Bledsoe Campus Coverage
Green colored areas represent consistent strong signal
Red colored areas represent possible weak or no signal areas
40 HAM Radio Operator Staff
***Most current listing of call sign assignments can be obtained
from dispatch as needed.
CCTV IP Addresses
http://10.90.8.60:700
Cameras 1-16
http://10.90.8.69:100
Cameras 49-64
http://10.90.8.61:700
Cameras 97-112
http://10.90.8.68:700
Cameras 113-128
http://10.64.84.45:100
Mother/Baby
http://10.64.12.94:700
Children’s
41 Section 7
Sustainment Projections
The most current sustainment projections are maintained in
the command center, and are available for reference as
needed.
42