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Emergency Utility Management
Different types of emergencies can have the same detrimental impact on an organization's utility systems. Organizations, therefore, must have alternative means of providing for essential utilities (for example, alternative equipment at the hospital, negotiated relationships with the primary suppliers, provision through a parent entity, Memoranda of Understanding (MOU) with other organizations in the community). Organizations should determine how long they expect to remain open to care for patients and plan for their utilities accordingly. Because some emergencies may be regional in scope or of long duration, organizations should not rely solely on single source providers in the community. Where possible, organizations should identify other suppliers outside of the local community in case the communities' infrastructure is severely compromised and unable to support the organization. 
 
MPMC has identified an alternative means for providing for the following: 
 
(EP2) Electricity.   
 
MPMC has (X) generators.  At full load (100%), each use (X) gallons of fuel per hour or 2x total (X) gallons of fuel per hour and would supply about (X%) of the facility.   
 
MPMC has 2x (X) gallon diesel tanks.  Assuming 90% full, about (X) hours or (X) days of electrical capacity without refueling. 
 
(EP3)(EP4) Water - Water needed for consumption ,essential care activities, equipment and sanitary purposes.  (See Code Black Response Plan – Water Outage)
  
(EP5) Fuel – Fuel required for building operations, generators, and essential transport services that the hospital would typically provide.   
 
MPMC will maintain adequate fuel supplies through normal supply and distribution channels. MPMC will rely on resources within the community, Vance County Emergency Management, and their mutual aid agreements to assist with ensuring appropriate fuel levels to continue operations. 

(EP6) Medical Gas/Vacuum Systems (EP7) Essential Utility Systems - Maintenance maintains mission critical systems with redundant back-up systems to eliminate the chance that a specific failure will affect the whole system.  In the event of a utility failure, Maintenance has specific plans/procedures for utility failures and emergencies procedure to return service of the utility or supply a secondary source. Backup may be in the form of switching to a secondary energy source, utilizing a secondary feed, or provisions for hooking in temporary service.  (See MPMC Utility Management Plan.) 

Examples: Bulk oxygen backed-up with medical gas cylinders.  Vendor support. 

Elevators – MPMC has the capability to evacuate patients down the stairs by using the following evacuation equipment:  Stair chairs and patient slides (Med Sled).