The innovative 15 ’til 50 Mass Casualty Incident Response program and toolkit is designed to enable hospital staff to receive a surge of 50 or more patients within 15 minutes of notification of an MCI. This includes the rapid deployment of staff, supplies, and equipment to activate and operate an MCI triage and treatment area. This program is supported by a suite of supporting resources contained in the toolkit. https://www.meadgroup.com/conferences/baem2017/highlights/
This document discusses hospital disaster preparedness in India. It notes that hospitals play an important role in disaster response but most Indian hospitals have little knowledge of or preparation for disasters. It outlines some common internal and external disaster scenarios hospitals may face. The document then provides details on forming a disaster management team, preparing an emergency manual, establishing communication codes, staff roles and responsibilities, and conducting drills to evaluate response and identify areas for improvement. The goal is to better prepare healthcare organizations to effectively respond to disasters.
This document discusses mass casualty incidents and the role of emergency medical responders. It describes what constitutes a mass casualty incident, the sectors that should be established at the scene including triage, treatment and transportation. It outlines the START triage plan involving assessing airways, breathing, circulation and mental status to assign patients priority levels of red, yellow, green or black to determine treatment. The emergency responder's role is to begin triaging patients and provide initial care until additional EMS support arrives.
The document provides guidelines for cervical spine immobilization including:
- Proper techniques for applying cervical spine immobilization and the criteria for when to immobilize a patient.
- Spinal immobilization should be provided if there is any reasonable possibility of a spinal or head injury.
- The algorithm outlines the steps for manually stabilizing the cervical spine, logrolling a supine patient onto a backboard, and fully immobilizing standing or seated patients.
An MCI requires EMS providers to change their approach from single patient care to managing multiple patients simultaneously. This involves effectively applying limited resources in a timely manner through incident and time management. It requires organizing, coordinating, and communicating within EMS operations with accountability of resources and patient distribution. Appropriate triage and distribution of patients to destinations is needed so that patients go to the right facilities based on their needs. Proper review after the incident can help identify lessons learned and improve existing plans for future MCIs.
The document discusses rethinking the concept of scene safety in EMS. It presents a scenario where an EMS team responds to a call for an elderly patient not feeling well. Upon arrival, the patient's adult son appears and threatens the EMS team. This scenario highlights how scenes can change and become unsafe. The document argues that EMS providers need additional training in conflict management, self defense, and understanding violence in order to safely respond to calls and protect themselves from threats. It also suggests a culture change is needed within EMS to better support providers who experience violence.
Hospital Bed Mattress,Spine Board Stretcher & Patient Scoop Stretcher In Delh...Indian HealthCare
Indian Healthcare Company offers two types of hospital beds Mattress in our hospital furniture category, spine stretchers are best in terms of matchless attributes, and it makes Indian Healthcare Company a trusted choice of spine board stretcher manufacture,The SCOOP STRETCHER has been designed and developed by meeting the specific desires, needs, and requirements of our clients.http://www.indianhealthcarecompany.in/hospital-bed-mattress.htm
This document discusses the evaluation and management of abdominal trauma. It provides details on:
1. The primary and secondary survey for abdominal trauma patients according to ATLS guidelines including physical exam findings.
2. Diagnostic studies for abdominal trauma including FAST exam, CT scan, and DPL.
3. Indications for exploratory laparotomy or surgical consultation.
4. Resuscitation of hemorrhaging patients including blood transfusion and damage control surgery principles.
This document discusses hospital disaster preparedness in India. It notes that hospitals play an important role in disaster response but most Indian hospitals have little knowledge of or preparation for disasters. It outlines some common internal and external disaster scenarios hospitals may face. The document then provides details on forming a disaster management team, preparing an emergency manual, establishing communication codes, staff roles and responsibilities, and conducting drills to evaluate response and identify areas for improvement. The goal is to better prepare healthcare organizations to effectively respond to disasters.
This document discusses mass casualty incidents and the role of emergency medical responders. It describes what constitutes a mass casualty incident, the sectors that should be established at the scene including triage, treatment and transportation. It outlines the START triage plan involving assessing airways, breathing, circulation and mental status to assign patients priority levels of red, yellow, green or black to determine treatment. The emergency responder's role is to begin triaging patients and provide initial care until additional EMS support arrives.
The document provides guidelines for cervical spine immobilization including:
- Proper techniques for applying cervical spine immobilization and the criteria for when to immobilize a patient.
- Spinal immobilization should be provided if there is any reasonable possibility of a spinal or head injury.
- The algorithm outlines the steps for manually stabilizing the cervical spine, logrolling a supine patient onto a backboard, and fully immobilizing standing or seated patients.
An MCI requires EMS providers to change their approach from single patient care to managing multiple patients simultaneously. This involves effectively applying limited resources in a timely manner through incident and time management. It requires organizing, coordinating, and communicating within EMS operations with accountability of resources and patient distribution. Appropriate triage and distribution of patients to destinations is needed so that patients go to the right facilities based on their needs. Proper review after the incident can help identify lessons learned and improve existing plans for future MCIs.
The document discusses rethinking the concept of scene safety in EMS. It presents a scenario where an EMS team responds to a call for an elderly patient not feeling well. Upon arrival, the patient's adult son appears and threatens the EMS team. This scenario highlights how scenes can change and become unsafe. The document argues that EMS providers need additional training in conflict management, self defense, and understanding violence in order to safely respond to calls and protect themselves from threats. It also suggests a culture change is needed within EMS to better support providers who experience violence.
Hospital Bed Mattress,Spine Board Stretcher & Patient Scoop Stretcher In Delh...Indian HealthCare
Indian Healthcare Company offers two types of hospital beds Mattress in our hospital furniture category, spine stretchers are best in terms of matchless attributes, and it makes Indian Healthcare Company a trusted choice of spine board stretcher manufacture,The SCOOP STRETCHER has been designed and developed by meeting the specific desires, needs, and requirements of our clients.http://www.indianhealthcarecompany.in/hospital-bed-mattress.htm
This document discusses the evaluation and management of abdominal trauma. It provides details on:
1. The primary and secondary survey for abdominal trauma patients according to ATLS guidelines including physical exam findings.
2. Diagnostic studies for abdominal trauma including FAST exam, CT scan, and DPL.
3. Indications for exploratory laparotomy or surgical consultation.
4. Resuscitation of hemorrhaging patients including blood transfusion and damage control surgery principles.
Spinal immobilization using long board micro teaching 2019Sasha Bondi
demonstration and micro-teaching on spinal immobilisation and log-roll. these manoeuvres save lives and help us healthcare workers to carefully work with patients with possible or actual spinal and/or pelvic injuries.
This document provides instructions for performing basic life support (BLS) and using an automated external defibrillator (AED) for cardiac arrest patients. It explains that when someone experiences cardiac arrest, swift intervention with BLS skills like chest compressions and ventilation is crucial before emergency services arrive. Early defibrillation within 1-2 minutes of collapse can result in over 60% survival. The key steps of BLS include opening the airway, performing chest compressions at a rate of 100 per minute to a depth of 5 cm, and ventilation. An AED should be used as soon as available by turning it on, attaching pads to the bare chest, following its voice prompts to analyze the heart rhythm and deliver a shock
This document emphasizes the importance of participation and involvement for the success of a program. It encourages participants to share thoughts, get involved, participate, and contribute at any time, including stopping to clarify if unsure. It also provides two definitions for a near miss incident as an unplanned event that did not cause harm but could have, or any event that under slight changes may have led to injury, damage, or loss.
This document provides guidance on splinting fractures and injuries. It describes splints as devices used to immobilize fractured bones or injured joints prior to medical treatment. The purposes of splinting are to immobilize the injured area, prevent further injury from bone fragments, reduce pain, and manage sprains and strains. General rules for splinting include using padding to support the injured area without interfering with circulation. Improvised materials like wood, cardboard or the body itself can be used to splint fractures until medical help arrives. The document provides specific guidance on splinting different areas, such as the upper arm, elbow, forearm, and lower extremities.
Principles of Emergency Management slidesJoão Canas
The document outlines 8 principles of emergency management agreed upon by a working group consisting of emergency management practitioners and academics. The principles are intended to guide the development of a doctrine of emergency management and provide a framework for coordinating activities to reduce vulnerabilities and cope with disasters. The principles are comprehensive, progressive, risk-driven, integrated, collaborative, coordinated, flexible, and professional.
This document discusses aquatic emergencies such as drowning and near-drowning. It outlines various types of aquatic emergencies including drowning, diving accidents, and boating incidents. The document discusses causes of drowning, signs of near-drowning and drowning, safety measures for rescuers, and emergency treatment for aquatic accident victims including removal from the water, CPR, oxygen, and transport to advanced care. Deep-water diving emergencies like air embolisms are also addressed.
1. A disaster is defined as an event that exceeds the ability of a community to cope using its own resources. It results when needs are greater than available resources.
2. Disasters can be classified based on causes into natural disasters like earthquakes, floods, droughts or man-made disasters caused by human intent, negligence or technological failures.
3. Key aspects of disaster management include preparedness through risk evaluation, resource mobilization and training; response during impact through evacuation, search and rescue, and triage; and recovery through rehabilitation and mitigation measures to reduce future risk.
This document provides guidance on splinting various extremities for injuries. It describes the reasons for splinting, types of splints including rigid, soft, and self-splints. Instructions are given for applying splints to the upper arm, forearm, wrist, hand, fingers, pelvis, hip, femur, knee, lower leg, and ankle. Slings are also described for supporting injured arms. The goal of splinting is to stabilize injuries, reduce pain, prevent further damage, and allow for safe transport to medical care.
This document provides an overview of incident reporting in a healthcare facility. It defines an incident and the main types: near misses, adverse events, and sentinel events. Near misses have the potential to cause harm but do not, while adverse events do cause unintended harm. Sentinel events result in major loss of function or death. The presentation outlines how and when to report each type of incident and the importance of reporting near misses to prevent future harm. It also describes the root cause analysis process used to determine why failures occurred and how to submit an accurate and thorough incident report.
oint Commission International Accreditation Standards for Hospitals, 6th Edition, provides the basis for accreditation of hospitals throughout the world. Joint Commission International (JCI) standards define the performance expectations, structures, and functions that must be in place for a hospital to be accredited by JCI. The standards are divided into two main sections: 1) patient-centered care and 2) health care organization management.
The triage protocol creates an objective process to guide healthcare professionals in making the difficult determination of how to allocate resources to critically ill adult and pediatric patients when there are not enough critical care resources for everyone.
This document provides information on arthrograms, including definitions, terminology, procedures, and specifics on contrast arthrography of various joints like the knee, wrist, hip, shoulder, and TMJ. It explains that contrast arthrography involves injecting contrast media into a joint space to examine soft tissues under fluoroscopy. While MRI has replaced many arthrograms due to being noninvasive, contrast arthrography is still used to evaluate certain joints like the knee, wrist, hip and shoulder for conditions like trauma, pain, or prosthesis loosening.
The document discusses radiographic imaging of the soft tissue neck. It describes how to position patients for anterior-posterior (AP) and lateral x-ray views of the neck. For AP views, the patient stands facing the cassette with their midline and cervical spine centered, shoulders level, neck extended, and chin tucked. The central ray is directed horizontally at the C4 vertebra level. Lateral views require similar positioning but with the patient's side facing the cassette. Exposure parameters are also provided.
This document discusses disaster preparedness and response planning for workplaces. It emphasizes the importance of having emergency plans in place to minimize harm during disasters. The key aspects of planning include conducting hazard and risk assessments to determine all possible threats, creating plans for evacuating or sheltering-in-place, training staff on their emergency roles, and coordinating with local emergency services. When a disaster occurs, the plans should be activated, communications initiated, and medical care provided to those in need until additional help arrives. Advanced preparation is crucial to ensure an effective response that protects lives and property.
The document outlines protocols for responding to cardiopulmonary arrests, known as Code Blues. It describes initiating Basic Life Support, Advanced Cardiac Life Support, or Pediatric Advanced Life Support depending on the patient. It provides details on activating emergency codes, assembling code teams, performing immediate interventions like CPR and defibrillation, notifying physicians, and transferring patients to the emergency department. Crash carts and equipment are also discussed, including obtaining replacement carts and charging used items.
The document provides information on wound classification, types of wounds, bleeding control, and first aid interventions for wounds. It discusses the following:
- Classification of wounds as closed or open, with open wounds further divided into abrasions, incisions, lacerations, punctures, and avulsions.
- Approaches to control bleeding include direct pressure, elevation, pressure points, and tourniquets as a last resort.
- First aid for wounds involves stopping bleeding, cleaning the wound, and covering it with a sterile dressing and bandage to protect it and prevent infection.
- Closed wounds like bruises, hematomas and crush injuries are also addressed. Signs of internal bleeding and
Patient safety involves preventing harm during healthcare by identifying errors, acting to prevent them, following safety guidelines, investigating accidents, and taking remedial measures. International patient safety goals include correctly identifying patients, improving communication, safely handling high-alert medications, ensuring the right procedure is performed on the right patient, reducing healthcare-associated infections, and reducing falls. Proper identification, communication among providers, protocols for high-risk medications, verification processes before surgery, hand hygiene, and fall risk assessment are ways to work towards these goals and enhance patient safety.
Mass casualty incident program s.t.a.r.t.VASS Yukon
The document provides an overview of initial triage training for first responders responding to mass casualty incidents. It introduces the START and SMART triage methods, which sort patients into categories based on urgency of treatment needed. The goals are to increase responder readiness and introduce the Simple Triage and Rapid Treatment method and SMART Triage system. Upon completion, responders will be able to triage patients using these methods and understand roles upon arriving at multiple-patient incidents.
The document discusses proper lifting and moving techniques for EMTs. It covers body mechanics principles like keeping weight close and lifting with legs. It describes emergency, urgent and non-urgent moves. It also lists common patient carrying devices like stretchers, chairs, boards and baskets.
Trauma radiography involves specialized procedures to image patients with traumatic injuries. Trauma centers are classified by level depending on available resources and specialties. Level I centers have the most comprehensive services available 24/7. Radiographers in emergency departments must be prepared to perform a variety of trauma imaging procedures on patients of all ages using specialized equipment. Common trauma projections include lateral cervical spine, cervicothoracic, and thoracic and lumbar spine views. Quality, speed, accuracy and attention to detail are important principles for optimal trauma radiography.
This presentation talks about why it's important for any corporation to have a corporate program so the company can be properly educated and prepared to respond to a crisis or disaster to keep their employees and company assets safe. https://www.meadgroup.com/conferences/baem2017/highlights/
Creating Response Awareness: From the BIA to Enhanced TrainingThe Mead Group Inc.
In this presentation, Mr. Hamilton explores the importance of overall awareness and sharing the “big picture” with your teams for effective and timely response and recovery of your business. By creating awareness, decisions and critical communications are enhanced during an event response that will minimize the impact on a business, save lives, and protect company assets. Too often, teams are not aware of the “big picture”, the resources at their disposal, the basis for those resources, and what are the critical elements of the business to recover quickly. Without this knowledge, responses are less effective and efficient and objectives will not be met. A table top exercise format will be used to illustrate these concepts. https://www.meadgroup.com/conferences/baem2017/highlights/
Spinal immobilization using long board micro teaching 2019Sasha Bondi
demonstration and micro-teaching on spinal immobilisation and log-roll. these manoeuvres save lives and help us healthcare workers to carefully work with patients with possible or actual spinal and/or pelvic injuries.
This document provides instructions for performing basic life support (BLS) and using an automated external defibrillator (AED) for cardiac arrest patients. It explains that when someone experiences cardiac arrest, swift intervention with BLS skills like chest compressions and ventilation is crucial before emergency services arrive. Early defibrillation within 1-2 minutes of collapse can result in over 60% survival. The key steps of BLS include opening the airway, performing chest compressions at a rate of 100 per minute to a depth of 5 cm, and ventilation. An AED should be used as soon as available by turning it on, attaching pads to the bare chest, following its voice prompts to analyze the heart rhythm and deliver a shock
This document emphasizes the importance of participation and involvement for the success of a program. It encourages participants to share thoughts, get involved, participate, and contribute at any time, including stopping to clarify if unsure. It also provides two definitions for a near miss incident as an unplanned event that did not cause harm but could have, or any event that under slight changes may have led to injury, damage, or loss.
This document provides guidance on splinting fractures and injuries. It describes splints as devices used to immobilize fractured bones or injured joints prior to medical treatment. The purposes of splinting are to immobilize the injured area, prevent further injury from bone fragments, reduce pain, and manage sprains and strains. General rules for splinting include using padding to support the injured area without interfering with circulation. Improvised materials like wood, cardboard or the body itself can be used to splint fractures until medical help arrives. The document provides specific guidance on splinting different areas, such as the upper arm, elbow, forearm, and lower extremities.
Principles of Emergency Management slidesJoão Canas
The document outlines 8 principles of emergency management agreed upon by a working group consisting of emergency management practitioners and academics. The principles are intended to guide the development of a doctrine of emergency management and provide a framework for coordinating activities to reduce vulnerabilities and cope with disasters. The principles are comprehensive, progressive, risk-driven, integrated, collaborative, coordinated, flexible, and professional.
This document discusses aquatic emergencies such as drowning and near-drowning. It outlines various types of aquatic emergencies including drowning, diving accidents, and boating incidents. The document discusses causes of drowning, signs of near-drowning and drowning, safety measures for rescuers, and emergency treatment for aquatic accident victims including removal from the water, CPR, oxygen, and transport to advanced care. Deep-water diving emergencies like air embolisms are also addressed.
1. A disaster is defined as an event that exceeds the ability of a community to cope using its own resources. It results when needs are greater than available resources.
2. Disasters can be classified based on causes into natural disasters like earthquakes, floods, droughts or man-made disasters caused by human intent, negligence or technological failures.
3. Key aspects of disaster management include preparedness through risk evaluation, resource mobilization and training; response during impact through evacuation, search and rescue, and triage; and recovery through rehabilitation and mitigation measures to reduce future risk.
This document provides guidance on splinting various extremities for injuries. It describes the reasons for splinting, types of splints including rigid, soft, and self-splints. Instructions are given for applying splints to the upper arm, forearm, wrist, hand, fingers, pelvis, hip, femur, knee, lower leg, and ankle. Slings are also described for supporting injured arms. The goal of splinting is to stabilize injuries, reduce pain, prevent further damage, and allow for safe transport to medical care.
This document provides an overview of incident reporting in a healthcare facility. It defines an incident and the main types: near misses, adverse events, and sentinel events. Near misses have the potential to cause harm but do not, while adverse events do cause unintended harm. Sentinel events result in major loss of function or death. The presentation outlines how and when to report each type of incident and the importance of reporting near misses to prevent future harm. It also describes the root cause analysis process used to determine why failures occurred and how to submit an accurate and thorough incident report.
oint Commission International Accreditation Standards for Hospitals, 6th Edition, provides the basis for accreditation of hospitals throughout the world. Joint Commission International (JCI) standards define the performance expectations, structures, and functions that must be in place for a hospital to be accredited by JCI. The standards are divided into two main sections: 1) patient-centered care and 2) health care organization management.
The triage protocol creates an objective process to guide healthcare professionals in making the difficult determination of how to allocate resources to critically ill adult and pediatric patients when there are not enough critical care resources for everyone.
This document provides information on arthrograms, including definitions, terminology, procedures, and specifics on contrast arthrography of various joints like the knee, wrist, hip, shoulder, and TMJ. It explains that contrast arthrography involves injecting contrast media into a joint space to examine soft tissues under fluoroscopy. While MRI has replaced many arthrograms due to being noninvasive, contrast arthrography is still used to evaluate certain joints like the knee, wrist, hip and shoulder for conditions like trauma, pain, or prosthesis loosening.
The document discusses radiographic imaging of the soft tissue neck. It describes how to position patients for anterior-posterior (AP) and lateral x-ray views of the neck. For AP views, the patient stands facing the cassette with their midline and cervical spine centered, shoulders level, neck extended, and chin tucked. The central ray is directed horizontally at the C4 vertebra level. Lateral views require similar positioning but with the patient's side facing the cassette. Exposure parameters are also provided.
This document discusses disaster preparedness and response planning for workplaces. It emphasizes the importance of having emergency plans in place to minimize harm during disasters. The key aspects of planning include conducting hazard and risk assessments to determine all possible threats, creating plans for evacuating or sheltering-in-place, training staff on their emergency roles, and coordinating with local emergency services. When a disaster occurs, the plans should be activated, communications initiated, and medical care provided to those in need until additional help arrives. Advanced preparation is crucial to ensure an effective response that protects lives and property.
The document outlines protocols for responding to cardiopulmonary arrests, known as Code Blues. It describes initiating Basic Life Support, Advanced Cardiac Life Support, or Pediatric Advanced Life Support depending on the patient. It provides details on activating emergency codes, assembling code teams, performing immediate interventions like CPR and defibrillation, notifying physicians, and transferring patients to the emergency department. Crash carts and equipment are also discussed, including obtaining replacement carts and charging used items.
The document provides information on wound classification, types of wounds, bleeding control, and first aid interventions for wounds. It discusses the following:
- Classification of wounds as closed or open, with open wounds further divided into abrasions, incisions, lacerations, punctures, and avulsions.
- Approaches to control bleeding include direct pressure, elevation, pressure points, and tourniquets as a last resort.
- First aid for wounds involves stopping bleeding, cleaning the wound, and covering it with a sterile dressing and bandage to protect it and prevent infection.
- Closed wounds like bruises, hematomas and crush injuries are also addressed. Signs of internal bleeding and
Patient safety involves preventing harm during healthcare by identifying errors, acting to prevent them, following safety guidelines, investigating accidents, and taking remedial measures. International patient safety goals include correctly identifying patients, improving communication, safely handling high-alert medications, ensuring the right procedure is performed on the right patient, reducing healthcare-associated infections, and reducing falls. Proper identification, communication among providers, protocols for high-risk medications, verification processes before surgery, hand hygiene, and fall risk assessment are ways to work towards these goals and enhance patient safety.
Mass casualty incident program s.t.a.r.t.VASS Yukon
The document provides an overview of initial triage training for first responders responding to mass casualty incidents. It introduces the START and SMART triage methods, which sort patients into categories based on urgency of treatment needed. The goals are to increase responder readiness and introduce the Simple Triage and Rapid Treatment method and SMART Triage system. Upon completion, responders will be able to triage patients using these methods and understand roles upon arriving at multiple-patient incidents.
The document discusses proper lifting and moving techniques for EMTs. It covers body mechanics principles like keeping weight close and lifting with legs. It describes emergency, urgent and non-urgent moves. It also lists common patient carrying devices like stretchers, chairs, boards and baskets.
Trauma radiography involves specialized procedures to image patients with traumatic injuries. Trauma centers are classified by level depending on available resources and specialties. Level I centers have the most comprehensive services available 24/7. Radiographers in emergency departments must be prepared to perform a variety of trauma imaging procedures on patients of all ages using specialized equipment. Common trauma projections include lateral cervical spine, cervicothoracic, and thoracic and lumbar spine views. Quality, speed, accuracy and attention to detail are important principles for optimal trauma radiography.
This presentation talks about why it's important for any corporation to have a corporate program so the company can be properly educated and prepared to respond to a crisis or disaster to keep their employees and company assets safe. https://www.meadgroup.com/conferences/baem2017/highlights/
Creating Response Awareness: From the BIA to Enhanced TrainingThe Mead Group Inc.
In this presentation, Mr. Hamilton explores the importance of overall awareness and sharing the “big picture” with your teams for effective and timely response and recovery of your business. By creating awareness, decisions and critical communications are enhanced during an event response that will minimize the impact on a business, save lives, and protect company assets. Too often, teams are not aware of the “big picture”, the resources at their disposal, the basis for those resources, and what are the critical elements of the business to recover quickly. Without this knowledge, responses are less effective and efficient and objectives will not be met. A table top exercise format will be used to illustrate these concepts. https://www.meadgroup.com/conferences/baem2017/highlights/
This document summarizes a webinar celebrating improvements in reducing unnecessary cesarean sections for low-risk, first time mothers. The webinar agenda included welcoming remarks, a data summary showing positive trends, and strategies various hospital teams have implemented for sustaining improvements. Examples of successes included educating all staff, implementing pre-cesarean checklists, and decreased scheduled inductions for this low-risk group. Plans for sustaining gains included continuing monthly meetings, publicizing provider rates, and championing the issue within obstetrics departments.
This document summarizes a webinar celebrating improvements in reducing unnecessary cesarean sections for low-risk, first time mothers. The webinar agenda included welcoming remarks, a data summary showing positive trends, and strategies various hospital teams have implemented for sustaining improvements. Examples of successes included educating all staff, implementing pre-cesarean checklists, and decreased scheduled inductions for this low-risk group. Plans for sustaining gains included continuing monthly meetings, publicizing provider rates, and championing the issue within obstetrics departments.
The document describes a webinar series from the Patient Experience Network (PEN) that discusses initiatives that have improved patient experience. The webinars will cover topics like commissioning for patient experience, a patient feedback app used at Birmingham Women's Hospital, transforming complaints handling at United Lincolnshire Hospitals NHS Trust, and a transgender awareness project in Public Health Wales. The webinars aim to share learning about what initiatives have worked well in improving patient experience.
SUCCESS STORY: Reducing Activity Planning Lead Time by 81%GoLeanSixSigma.com
Find out how UC San Diego employees are improving student life with Lean Six Sigma. In this Success Story, Darlene and Kymberly discuss how they made it easier for students to register campus dining events. Find out how they went from 38 steps to only 7! Now students can get to the BBQ 5 times faster!
Patricia Rybczak has over 20 years of experience in healthcare, including 15 years as an HIM Manager and Technician. She currently works as an HIM Technician for Rochester Regional Health, where she processes denials, appeals, and correspondence for two hospitals. Previously, she was the HIM Manager for ElderONE, where she led an implementation team for an electronic medical record system and oversaw reporting and quality improvement audits. She holds certifications in health information management and as a Yellow Belt Lean Six Sigma practitioner.
Ryan Campbell has 15 years of experience managing international and domestic service accounts in IT and healthcare. He is bilingual in Spanish. His experience includes project management, technical support, customer service, translation, and shipping/receiving. He currently works as an Assistant Center Manager at Interstate Blood & Plasma, where he oversees blood collection procedures and quality control. Previously, he was an International Project Coordinator where he priced vendors, developed procedures, and coordinated service accounts in Mexico. He also has experience as a Volunteer Assistant Music Director for a student performance group.
Using a Rapid-Cycle Learning System to Tackle Turnover & Attrition [Webinar]Value Capture
See the recording and more: https://www.valuecapturellc.com/webinar-rapid-cycle-learning-system-turnover-attrition
Presented by two leaders from Duke HomeCare & Hospice:
Cooper Linton
Janet Burgess
Mike Radtke, from Value Capture, will also be part of the Q&A
Powered by a system-wide quest for zero harm throughout Duke Health, DHH leaders used this philosophy and accompanying principles to identify root causes, then build rapid-cycle learning into improvement and management systems. Investigation revealed poor staff engagement and excessive work-process burdens, leading to significant negative patient impact, referring-customer dissatisfaction, and financial harms.
To resolve these problems, DHH’s rapid-cycle learning system, rooted in the principle of respect, involved:
Understanding of current condition
Leadership behavior changes to quickly respond to staff needs, remove barriers, and coach problem-solving
Tiered-huddle management system to elicit and escalate problems, especially safety problems, and vitally, ensure psychological safety so frontline staff and managers raise issues
The willingness to shed traditional leadership methods, to experiment, iterate and be perpetual learners
So far, RN turnover has been reduced from 75% to 18% (annualized rates).
These lessons are transferrable to many different settings, so please attend if you work outside of home care.
Learning Objectives
This session will provide practical tips on how to design systems that produce:
Responsive, supportive, effective leaders
Empowered, engaged safe employees
Better patient and financial outcomes
Scripps Health standardized their approach to improving patient experience across their large healthcare system. They examined their history of focusing on patient-centered care and defined new processes for leadership rounding. Their strategy involves increasing staff engagement through education, tools, and accountability. Data analysis is used to evaluate tactics and drive continuous improvement. The goal is for Scripps to be the leading system for quality, safety, and satisfaction through focus on compassionate and patient-centered care.
This document provides information about an A3 class and Lean process improvement. It discusses what an A3 class entails, including working on a process improvement project using the DMAIC methodology over 4 weeks. Participants are expected to show up to class sessions, work continuously on their project, and present their results at the end. Examples of past A3 projects are provided, such as reducing inaccurate dressing cards in the burn unit and filling holes in a provider clinic schedule. The document promotes continuous improvement and problem solving using Lean tools.
The document discusses value stream mapping (VSM) for healthcare processes. It provides an overview of VSM and its objectives to visualize and improve material and information flows. An example VSM is shown mapping the process for hernia patients from referral to follow up. The VSM identifies opportunities to reduce waste, including lead times, and implement a more efficient "green stream" future state with continuous flow and pull systems. Implementation involves breaking the future state into loops and conducting point kaizen events to iteratively achieve the target state.
Susan Marks has over 30 years of experience in healthcare, including roles as Director of Population Health, Program Director of Population Health, and Manager of Clinical Knowledge Systems. She has a proven track record of developing and implementing population health programs, chronic disease registries, and EMR systems. Her experience spans multiple organizations, including Amati Health, UWHealth, and Kaiser Permanente.
Barry Hamp has over 20 years of experience in healthcare administration, holding roles such as Vice President of Cancer Services and Cardiovascular Services Administrator. He has a track record of improving operations, increasing patient satisfaction scores, and expanding services. Hamp has worked in both non-profit and for-profit settings, with experience in hospitals, health systems, and physician practices.
This document summarizes the experience and qualifications of Jill Goldstein for a position as Vice President of Transitional Care Administration. She has over 25 years of experience leading innovative healthcare programs and clinical services. Currently, she is the Vice President of Post-Acute Operations at Visiting Nurse Service of New York, where she manages complex post-acute operations across 7 regions. She has a proven track record of driving performance improvements, cost containment, and compliance within highly regulated healthcare markets.
Medifies is a provider-to-caregiver notification platform that provides timely, standardized mobile updates for loved ones of patients undergoing medical procedures. The platform aims to improve patient satisfaction, save provider time currently spent updating families in waiting rooms, and decrease potential malpractice issues from miscommunication. Medifies seeks $500k in seed funding to expand its SaaS platform to additional hospitals, develop new products for radiology and obstetrics, and grow marketing efforts. The founding team includes serial entrepreneurs, medical doctors and advisors from major hospitals.
Maria Scarano is a doctor of chiropractic candidate at Life Chiropractic College West graduating in March 2017. She has extensive clinical experience as a senior chiropractic intern and adjusting ninjas facilitator. Her experience also includes mission work in Mexico, observing a family practice, and involvement with the International Chiropractic Pediatric Association club. Upon graduation, she will be well prepared to manage all aspects of patient care and operate a successful family practice.
The document provides a summary of Karen Faulis' professional experience and qualifications. She has over 25 years of experience in healthcare leadership, quality improvement, and nursing. As Chief Operating Officer, she led successful initiatives to improve patient outcomes, satisfaction, and financial performance at hospitals. She is skilled in quality improvement, change management, and developing employees.
The document provides guidance on performing a root cause analysis (RCA). It outlines the key steps in the RCA process including: chartering a team, conducting training, creating flow diagrams, identifying information gaps, conducting interviews, developing cause-and-effect diagrams, crafting a final understanding, and identifying root causes and contributing factors. The RCA is intended to systematically investigate patient safety events to uncover underlying causes and develop solutions by following a comprehensive process within 45 days.
Implementation of quality improvement program in hospitalsLallu Joseph
A quality improvement program in hospitals aims to continuously monitor and improve quality through systematic activities organized by the hospital. The document outlines the steps to implement a quality improvement program which includes selecting a quality improvement project, assembling a team, developing aim and measure statements, identifying change ideas by analyzing current processes, testing changes, and sustaining improvements. The goal is to improve patient outcomes, clinical and managerial processes, and safety through engaging staff and using a systematic approach of planning, testing, and measuring changes.
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Mass Casualty Incident Response
1. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
15 Minutes `til 50 Patients
Mass Casualty Incident Response
Christopher Riccardi, CHSP, CHEP
Healthcare Emergency Preparedness
Constant & Associates, Inc.
Torrance, CA
2. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Welcome
Introductions
3. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Objectives
• Describe the “15 `til 50” MCI Response methodology
• Demonstrate how to implement “15 `til 50” in any facility
• Identify “15 `til 50” Toolkit resources
4. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Agenda
• Overview
• Initiation Activities
• Set-up Procedures
• Roles and Responsibilities
• 15 ‘til 50 Toolkit
• Questions
5. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Overview
What is 15 ‘til 50?
Program designed to enable hospital staff to receive a surge of 50 or
more patients within 15 minutes of notification of a mass casualty
incident (MCI)
Rapid deployment of staff, supplies, and equipment
Process initiated using existing supplies and equipment
The 15 ‘til 50 model has been developed, tested, and modified over
the past 10 years
6. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
15 Minutes in 28 Seconds
7. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Overview
• Disaster response failures
• Hospital Disaster Plan?
• Unknown roles & tasks
• Poor communications
• Unclear patient pathways
• Lack of relevant supplies
• “That’s what it says, but that’s not what we do.”
8. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Overview
• Disaster Response Solution “15 ‘til 50…”
• Rapid deployment
• Designated response
• Vetted through over 30 exercises and actual events
• Plug and play model
• Implemented in over 20 Southern California hospitals
and counting
9. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Gap Analysis >50% Gap
Responders identified the following gaps:
• Lack of MCI training programs for emergency department (ED) staff and physicians
• Lack of MCI training programs for ancillary/support department staff
• Inability to manage 50 patients in 15 minutes
• Lack of triggers for numerous operations and responses
• No plans for family information center activation
• Lack of standing medication orders for disaster response
10. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Initiation Activities
11. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Incident Occurs
12. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Initiation
Emergency Department Code TRIAGE Response
Job Action Sheet/Checklist
Role: ED Charge Nurse
• ED Notified via MAC/ReddiNet
• Notify House Supervisor
• House Supervisor will Initiate Code TRIAGE with PBX
• ED Charge Nurse/Nurse Manager to assign staff for response
• Distribute Treatment Area assignment tool boxes
• ED staff to establish External Treatment Area
• ED staff to establish Minor Treatment Area
Continued on next slide
13. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Initiation
Job Action Sheet/Checklist continued from previous slide
• Don Personal Protective Equipment
• Internal ED Charge Nurse to clear out existing patients to receive “NEW”
victims
Establish “Mini Inpatient Units” in department
Assign responding inpatient RNs to staff mini units
• Turn On Hand Held Radio and conduct radio check(s)
• Update MAC and Incident Command as new info is received
14. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Initial Activities
• Roles assigned
• Triage (Internal) closed
• FT emptied into waiting room
• Patients processed for discharge or admit
• Floor RNs/CNAs come for immediate admissions
• Consolidate remaining patients
• Count of available beds to Disaster Lead
• Emergency department doors secured
15. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Set Up
16. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Set-up Begins
17. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Set-up Continues
Traffic ControlAmbulance Drop-Off
18. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Set-up Complete
ImmediateDelayed
19. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Minor Treatment Area
Set-up Complete
20. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Set Up Complete
10-20 gurneys in place
10-20 wheelchairs in place
Shower trailer moved & set
up
Set up cots
Set up canopies
Signs posted
Supply carts out
20 IV lines ready
20 oxygen tanks ready
PPE donned
Treatment area teams ready
Radio checks
21. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Roles
22. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Roles Hospital Command Center
Hospital Command Center activated and
coordinates
Equipment
Personnel and labor pool
Ancillary support services
Patient flow into hospital departments
Communicates with Disaster Lead and all
Departments
Simultaneous to set-up, within the first 15 minutes
23. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Roles Treatment Areas
Emergency Department
Disaster Lead (External)– RN
Charge (Internal)– RN
Set up & Decon – Techs/CCTs
Triage – RN
Minor Treatment Area Team
2 RNs + MD + Registrar + RT
Immediate Treatment Area Team
2 RNs + MD + Reg + RT
Delayed Treatment Area Team
2 RNs + MD + Reg + RT
24. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Roles Inpatient Units
ICU/Tele/Med-Surge
Safe patient hand-off
Two RN’s from each unit report to emergency
department Lead
Facilitate patient flow
Set-up
25. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Roles Pharmacy & Radiology
Pharmacy
Pre Stocked Med Carts
Deploy to
oImmediate/Delayed
Treatment Area
oMinor Treatment Area
Pharmacy Tech to ED
Radiology
Deploy to Treatment Areas
C-Arm
Portable X-Ray
PACS Carts
26. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Roles Case Managers
Increase bed surge capacity to accommodate an influx of patients
resulting from MCI
Coordinate discharge of patients
Establish a patient discharge area
Coordinate activities to expedite discharge including transportation
Assist the Family Information Center Provide PsySTART assessments
27. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Roles Public Safety
Facility lockdown
Access control
Traffic control
Crowd control
Ongoing/PD assist
28. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Roles Facilities/Plant Operations
Immediate facilities structure
evaluation
Immediate systems check (True
assessment = 1.5-2 hours)
Check structural integrity
Report findings to HCC
Deputize on-site construction
personnel to assist
Assist with decontamination
Assist with infection control
Assist with patient transport
Assist as runners
Ensure utilities are viable
29. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Patient Care
Triage and treat patients as they arrive
30. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
“15 `til 50…” Toolkit
31. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Toolkit
15 ‘til 50 MCI Toolkit
Comprehensive suite of
resources to implement 15 ‘til 50
• Guide
• Plan Template
• Videos
• And more
Use existing supplies so cost is
minimal
32. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Toolkit Resources
Toolkit Resources
MCI Guide and Template
Multimedia library
Toolkit Library
• Creating buy in
• Sample exercise materials
• Training material
• Sample maps & forms
• Much more
33. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Plan Template
MCI Plan Template
• The Plan Template provides an easy-to-populate
document that can be used to create a MCI Plan
for your facility
34. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
MCI Guide
Provides a comprehensive
explanation of the 15 ‘til 50
model. It offers a step-by-step
walkthrough for developing a 15
‘til 50 Program
35. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Roles
36. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Multimedia
• MCI Multimedia connects the user to all media
files (photos, video and audio) relating to 15 ‘til
50 MCI planning.
37. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Toolkit Library
Supplemental materials to aid with the design and
implementation of the 15 ‘til 50 program. Including:
Train the trainer program,
Healthcare responder training program,
Presentation material,
Patient care forms,
Job Action Sheets,
Sample plans,
Executive briefing materials,
Maps
38. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Toolkit Additional Resources
http://cdphready.org/15-til-50-mass-casualty-incident-
toolkit/
39. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Putting It All Together
40. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
QUESTIONS?
• This project was sponsored by the Los Angeles County Emergency Medical Services Agency and funded in
part by the Hospital Preparedness Program, U.S. Department of Health and Human Services (HHS),
Assistant Secretary for Preparedness and Response (ASPR) grant funding. This award has been assigned the
federal award identification number (FAIN) U90TP000516.
41. Bay Area Emergency Managers Conference 2017
Genentech Event Center, South San Francisco, CA
Thank you!
Speaker: Chris Riccardi
Company: Constant & Associates, Inc.
Contact Info: https://constantassociates.com/
chris@constantassociates.com