Disaster Net Radio Greater Cincinnati Health Council

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Disaster Net RadioGreater Cincinnati Health
Council
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• Overview

To coordinate communications regarding the
distribution of victims/patients in a mass
casualty or hazardous materials situation in the
most timely, systematic, and efficient manner
possible.
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• Early notification and coordination of
  medical resources among hospitals in the Tristate
  region are intended to ensure that victims/pts
  are
• Transported to the facilities most able to
  quickly stabilize their conditions
• Relatively evenly distribute among the receiving
  hospitals, especially those closest to the
  incident
• Taken to hospitals that are prepared to manage
  any contamination in a manner that protects staff
  the facility

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Appropriate Uses

• Situations that include, but are not limited to
• Multi-casualty event/ terrorist incidents
• Hazardous materials incidents (including
  situations from which no victims will be
  transported, but where toxic plumes move toward
  any hospital
• Fire 4 Alarm or more
• Hospital evacuations
• NDMS response

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Where is the Disaster Net?

• The Hospital Disaster Network consists of two
  components
• RADIO The radio backbone of the system lies with
  Hamilton County Communications on an 800 trunked
  system. Radios are present in all EDs- tone
  activated.
• WEB The web-based component is Surge-Net housed
  on the GCHC website where hospitals enter current
  LMCI and NDMS data. (www.gchc.org)

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Definitions

• LMCI

Local Mass Casualty Incident/ED
Capability   Please enter the number of triage
patient types the ED is presently able to
receive, (capacity) and the number of triage
patient types the facility has received
(census).   Red (First Priority) - Patients have
serious, life threatening injuries, but are
salvageable if immediately transported to a
facility to receive lifesaving, definitive care.
  Yellow (Second Priority) - Patients have
serious, potentially life threatening injuries,
but can be managed and stabilized for a short
period in the field treatment area. Transport to
a facility can be delayed, but not for long.
  Green (Third Priority) - Patients have
injuries that are not life threatening. Patients
can be managed for even a lengthy period of time
in the field and will be the last ones
transported.   Black (Deceased Patients)
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Definitions

• NDMS

• National Disaster Medical System
• Information obtained from the Public Health
  Emergency web site.
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• Our Vision
• To serve the Federal response by providing
  disaster medical care to the nation.
• Our Mission
• It is the mission of the National Disaster
  Medical System to temporarily supplement Federal,
  Tribal, State and Local capabilities by funding,
  organizing, training, equipping, deploying and
  sustaining a specialized and focused range of
  public health and medical capabilities.
• Components of the National Disaster Medical
  System
• Medical response to a disaster area in the form
  of personnel, teams and individuals, supplies,
  and equipment.
• Patient movement from a disaster site to
  unaffected areas of the nation.
• Definitive medical care at participating
  hospitals in unaffected areas.

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Definitions

• Adult Bed Availability/NDMS Status

Surge Capacity Please enter the number of staffed
beds available at 12 hours, 24 hours and 72 hours
from the time of request
Adult- NDMS Bed Types Medical/Surgical Psychiatric Burn Critical Care Pediatric - NDMS Bed Types Medical/Surgical Psychiatric Burn Critical Care
Adult Other Bed Types OR Negative Flow Isolation Other Isolation Obstetrics Rehabilitation Long Term Acute Pediatric Other Bed Types OR Negative Flow Isolation Other Isolation Rehabilitation Long Term Acute Indicates Surge Capacity Bed Category
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• Activation

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ACTIVATION
Beverly Hills

• Scene commander, hospital, GCHC, or dispatch can
  request activation of the Disaster Net
• Notification of Hamilton County Communication via
  radio, landline or cell
• Net Control also has the ability to open the Net
  also
• Recommend it is opened as early in an incident as
  possible to allow hospital preparation time.

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Steps once Activated

• Hamilton County Communication Center performs a
  hospital roll call and provides an overview of
  the incident and what the hospitals are expected
  to do, ie LMCI or NDMS
• Hospitals acknowledge the receipt of the
  communication and then enter the information into
  the SurgeNet System.

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• Once the roll call is complete, HCCC turns over
  NET CONTROL to the dispatch center at University
  Air/Mobile Care. They will bring up the SurgeNet
  and establish communications with the Scene
  transportation officer.
• The transportation officer is to track number,
  level (red, yellow, green), of victims and where
  the hospital they are transported to.

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• Net Control notifies the Hospital the number of
  victims, who is transporting, ETA, and the triage
  level.
• The hospital should acknowledge receipt of this
  information ( of victims, who is transporting,
  ETA triage level).
• The hospital is to update capability in SurgeNet
  frequently as not to become overwhelmed
  unnecessarily.
• Net Control will remind hospitals to update their
  status on a frequent basis.

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• The Transport Officer is to notify Net Control
  when the victims have been transported.
• Net Control will notify HCCC the event is over
  and the Net can be closed.
• The Net will be closed and the number of victims
  per hospital that were transported are to be
  reconciled between the scene and Net Control.

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• Scene Responsibility

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Scene Responsibility

• Upon EMS or Fire arrival at the scene of an
  incident notify the Communication Center to
  OPEN THE NET.
• Once the Communication Center opens the Net the
  Transportation or Scene to Hospital Coordinator
  communicates only with Net Control for patient
  distribution
• Tracks what life squad transports what type of
  patients to the hospital.

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SCENE-TO-HOSPITAL COORDINATORJob Action Sheet
Review

• Record pertinent transport information
  including
• Transport unit name
• Number of victims on board
• Triage tag color and special patient needs
• Triage tag number

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SCENE-TO-HOSPITAL COORDINATORJob Action Sheet
Review

• Receive hospital destination from Net Control and
  advise transport unit of destination
• Keep appropriate sections of triage tag
• Periodically obtain estimated number of
• victims still needing transport and notify
• Net Control

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ASST. SCENE-TO-HOSPITAL COORDINATORJob Action
Sheet Review

• Primarily assists by performing record keeping
  and communications functions

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• Net Control Coordination with Scene

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• Net Control
• Notifies/verifies the destination hospital of the
  incoming patients
• Logs the transport
• Periodically gets an update on scene status and
  communicates that to the hospitals
• Number of victims remaining
• Estimated time of event

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• Net Control Coordination with Hospital

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• Net Control
• Reminds hospitals to update SurgeNet whenever
  they have
• A change in capabilities
• Too many patients (walk ins and/or squads)
• Additional staff arrive
• ORs full
• Space now available

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Hospitals outside Radio Range

• Some hospitals are out of range and are not
  able to participate on the Disaster Radio
  Network. These facilities will receive
  communication via the MARCS radio system.
• Hospitals not on the Disaster Radio Network
• Adams County Regional Medical Center
• Brown County General Hospital
• Highland District Hospital
• Margaret Mary Community Hospital (Phone only)

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Net Control Assistants

• Help with the radio communications
• Monitor activity on SurgeNet follow-up by phone
  any hospitals not reporting capability.
• Receive fax updates from the hospitals if
  SurgeNet is not operational
• Log transports
• Perform other duties as assigned by Net Control

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• Hospital Notification

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Initial Hospital Notification

• Hamilton County Communication Center (HCCC)
  opens the Net and initially notifies the
  hospitals of the disaster.
• Tone activation of the hospitals disaster radio
• This can also be done directly by Net Control if
  HCCC is unable to activate.
• Hospital acknowledges and assigns a person
  to staff radio as In-Hospital Disaster Radio
  Operator
• Stands by for more information
• Type of event
• Number of victims estimated
• Unique circumstances (haz mat, unknown illness,
  etc.)
• Assesses ability to receive victims enters all
  information into SurgeNet
• Prepares to accept victims

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• The Hospitals then
• Assess their immediate receiving capability
  for
• Red Patients
• Yellow Patients
• Green Patients
• Assess their immediate OR capabilities
• How many surgical patients can be received within
  30 minutes?
• Enter patient receiving capabilities into the
  Local MCI section of SurgeNet
• Or as a backup, complete the Local Side Side
  1 of the Green Form and report information to
  Net Control

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Back-Up System

• If the radios are not operational, communications
  will occur via Landline telephone.
• If the Web is not operational, the information is
  to be faxed on the Green Sheets
• Net Control to Scene, can communicate via cell
  phones or MARCS if available

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GREEN FORM SIDE 1 FOR LOCAL INCIDENTS
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• Receiving
• Victims

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Area Hospital Responsibility ForReceiving Victims

• Hospitals will be notified by Net Control when an
  ambulance is enroute to that hospital
• Enter the expected victim on the hospital log
• Transport unit
• Patient status
• Notify Net Control of changes in receiving
  capabilities
• Enter all changes into SurgeNet

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Area Hospital ResponsibilityAs Victims Arrive

• Re-triage and provide care per the hospital
  disaster plan
• Register the patient in the hospital registration
  system
• Update the log with the patients name, medical
  record number, etc.
• Red Cross Hospital Liaison may be available to
  assist with family notification

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• Demobilization
• Procedures

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Area Hospital ResponsibilityImmediately After
the Event

• Reports totals to Net Control
• Works with Net Control to reconcile any
  differences

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After Action

• Submit event report to GCHC representative for
  inclusion in after action report of exercise or
  event.
• Make recommendations for changes that would
  enhance the process.

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Contact Information
Tonda L. Francis, RN, MSN Vice President Regional
Healthcare Disaster Coordinator Greater
Cincinnati Health Council 2100 Sherman Avenue,
Suite 100 Cincinnati, OH  45212 tfrancis_at_gchc.org
P 513-878-2860 F 513-531-0278
Nakia Paris Emergency Readiness Safety
Coordinator Greater Cincinnati Health
Council 2100 Sherman Avenue, Suite
100 Cincinnati, OH  45212 nparis_at_gchc.org
P513-878-2861 F 513-531-0278