Welcome to ZZ Maria Parham Medical Center

MPMC Emergency Operations Plan

Introduction
Maria Parham Medical Center is committed to ensuring availability of services to the community, within our capabilities, during emergency situations while coordinating with all other emergency services.  Preparation for emergencies fulfills our responsibility to protect our employees, patients, and visitors; fulfills regulatory requirements; enhances our ability to recover from disruptive events; reduces our risk exposure; and enhances our image with the local community, the state, and the nation.

This plan is based on our hazard vulnerability analysis, which is evaluated and up-dated annually.  This plan is designed to be a general guideline for responsibilities and duties to be implemented by MPMC in the event of an internal/external disaster.

It provides supplemental plans for many contingencies that might arise and an organizational structure for dealing with emergencies.  It does not and is not intended to substitute for analyzing what needs to be done and undertaking appropriate actions in situations that will arise that must be acted upon quickly by those responding.

Scope
The MPMC Emergency Management Plan is designed to assure an appropriate, effective response to a variety of emergency situations that could affect the safety of patients, staff, and visitors, and/or the environment of Maria Parham Medical Center and satellite operations and/or adversely impact upon our ability to provide healthcare services to the community.  The program is also designed to assure compliance with applicable standards and regulations.

Objectives
1.  To provide policy for response to both internal and external emergent situations that    may affected hospital staff, patients, visitors and the community.  To promote the safety and security of all staff, patients, and visitors;

2.  Collaboration with the Community;

3.  Coordinate and organize response to the adverse conditions at hand.

4.  Identify responsibilities of staff, volunteers, and departments in the event of a disaster situation;

Hazard Vulnerability Analysis (HVA)
MPMC Hazard Vulnerability Analysis (HVA) is completed to assess the impact of likely emergencies and hazards at least annually that are most likely to have an impact on MPMC and the surrounding community.  The list of hazard includes possible events or threats that may occur within the community or on MPMC property.  It is intended that the HVA be seen as a evolving document and be reviewed at least annually by the MPMC Emergency Management Committee.

National Incident Management System
The National Incident Management System (NIMS) was developed as a comprehensive national approach to incident management, applicable at all jurisdictional levels and across functional disciplines, to further improve the effectiveness of emergency response providers and incident management organizations across a full spectrum of potential incidents and hazard scenarios.  This national approach improves coordination and cooperation between public and private entities in a variety of domestic incident management activities.

NIMS uses a system approach to integrate the best of existing processes and methods into a unified national framework for incident management.  This framework forms the basis for interoperability and compatibility that will in turn enable a diverse set of public and private organizations to conduct well-integrated and effective incident management operations.

Hospital Incident Command System (HICS)
MPMC will manage all emergency incidents, exercises and preplanned (recurring/special) events in accordance with HICS organizational structures, doctrine, and procedures, as defined in NIMS.

Personnel designated to fulfill HICS roles at MPMC will complete the following mandatory courses and/or equivalent:

IS-100.HC Introduction to the Incident Command System for Healthcare/Hospitals

IS-200.HC Applying ICS to Healthcare Organizations

IS-700 National Incident Management System (NIMS), An Introduction

In addition, the Emergency Management Coordinator will complete the following mandatory course and/or equivalent:

IS-800 National Response Plan (NPR): An Introduction

Reporting an Emergency and/or Critical Event
Any staff member may report a fire/medical/security emergency by calling the hospital Operator at extension 0 from the nearest available phone.  Call 438-4143 from mobile or non-MPMC phones.

Regulatory, emergent, and/or critical events are to be reported to the CEO (ext. 1100) or Administrator on Call “AOC” immediately.  Staff who discovers or witnesses and/or becomes aware of an unanticipated incident/event also notifies his or her supervisor/manager/director.  Only the CEO, the Administrator on Call, and/or Designee can activate or terminate the Emergency Operations Plan.

Emergency Operations Center - Activation and Deactivation
An Emergency Operations Center will be established and manned at the discretion of the incident commander to facilitate management of emergency response actions.  The decision to establish an Emergency Operations Center resides with the CEO/AOC/Designee as Incident Commander.  The Incident Commander should determine the initial management objectives and priorities. Based on this assessment and in accordance with the EOP, additional command staff should be activated to assume designated command positions.

Once the decision to activate an EOC has been made, the Incident Commander should communicate this to the Hospital Operator.  The Operator will make an overhead page and alpha page announcing the appropriate Code alerting designated managers and senior staff to report to the EOC.  The overhead page should be repeated three times.

Deactivation of the EOC is initiated by the incident commander once it has been determined that continued operation of an EOC is no longer required.

EOC Location
The primary EOC location is the Administrative Board Room.  The secondary EOC location is the Security Operations Center. Should the hospital be unusable, the tertiary EOC site will be located at the Medical Office Plaza.

Note:  While activation of an EOC may not be necessary for all emergency scenarios, the Incident Commander should remember that it is beneficial to have a central coordination point for emergency response activities with a stationary and accessible command element.  If possible, a security or law enforcement officer should be assigned to the EOC for security purposes.

Roles of MPMC staff during an emergency
Regardless of your current role at MPMC, during an emergency, you could be called upon to perform the work that is not ordinarily part of your job routine.  Be prepared to help.  Always work through your chain of command (i.e., your supervisor).

Staffs who are at home and think they may be needed when a disaster occurs should contact their supervisor and/or department for possible assignment and information.  All unassigned personnel should stand-by in the Auditorium; this is the pre-designated area for the Labor Pool.

Orientation and Training
All employees will receive education and training consistent with their roles and responsibilities in emergencies.  Education and training will be designed to enable employees to perform the procedures in the EOP.

Exercises are designed to test knowledge, skills, abilities and the overall response system.  Emergency exercises, at a minimum, will be executed at intervals recommended by the Emergency Management Coordinator and compliant with accreditation agency standards.  Exercises will be based on existing plans and procedures, and designed to reflect actual events that could likely occur in the community or at MPMC.

Response Plans
After the alert and notification of personnel is done, the next critical step is to determine the appropriate response actions, based on available information.  There are 11 Emergency Codes that alert the staff.  Refer to the Code explanations and descriptions on the back of your photo ID and respond according to the response plans in your department.  Additional information and special instructions can be found on the MPMC intranet page by clicking on the Departments tab and then the appropriate tab for information related to the code.

Code Blue - Medical Emergency
Code Pink – Infant/Child Abduction
Code Orange – Hazardous Material Event
Code Red – Fire
Code Triage Stand-By- Disaster Plan likely to be activated
Code Triage – Disaster Plan Activation
Code Grey – Security Threat
Code Back – Utility Failure
Code Silver- Hostage/Weapon Involvement
Code Yellow- Bomb Threat/Suspicious Package
Weather – National Weather Service Announcement

Back-up Phone Communication

See support doc.

Attach/insert MPMC DR Telecommunications Plan

Operations During Extended Emergencies
Medical, pharmaceutical and non-medical supplies that will be required at the onset of an emergency response should be available to support operations for up to 96 hours without replenishment from outside sources. Response procedures could include the following:

Maintaining or expanding services

Conserving resources

Curtailing services

Supplementing resources from outside the local community

Closing the hospital to new patients

Staged evacuation –may be a Unit, floor, or section of the building.

Total evacuation – Relocating all to an alternative care site.

Resource:

Bulk Oxygen Tank: (Distributor) – (X) delivery per week) (X) day supply

Back-up Oxygen Cylinders: (Distributor) (X) emergency supply.

Blood: (Distributor & delivery frequency) Par Level: (X) Fresh Frozen Plasma (FFP); (X) Cryo, (X) platelets

Food: ($ inventory on site/$ daily consumption) (X) days of inventory. Deliveries are every (Days of week).

Diesel Fuel (Generator): (2x (X) gallon tanks) (X) hours or (X) days.

Drinkable Water: (Vendor supported)
Ventilators: (#)

(NOTE – ONGOING - CONTINUE UPDATING INVENTORY)

US Patent Numbers 7,720,998 B2, 7,836,207