Hospital Utilities Planning: What Every Emergency Manager Needs to Know

Transcription

1 Hospital Utilities Planning: What Every Emergency Manager Needs to Know Loni Howard, RN, MSN Emergency Preparedness Coordinator Sutter Medical Center Connie Lackey, RN Valley Service Area Director Emergency Preparedness/Safety/Security Providence Health & Services Pete Plessas Environmental Risk Consultant Sutter Health Office of the General Counsel

2 Loni Howard, RN, MSN Emergency Preparedness Coordinator Sutter Medical Center, Sacramento Loni has worked for Sutter General Hospital for 30 years, primarily as an emergency department nurse. For the past 16 years she has been the emergency preparedness coordinator for Sutter Medical Center, Sacramento. Loni was a member of the HEICS IV (HICS) national workgroup and continues as a HICS Center for Education and Training Advisory Board member. Loni is an instructor for HICS courses and Incident Action Planning. Loni s volunteer activities include puppy raising for Guide Dogs for the Blind. Connie Lackey, RN Valley Service Area Director Emergency Preparedness/Safety/Security Providence Health & Services Connie Lackey is a registered nurse working for Providence Saint Joseph, Holy Cross and Tarzana Medical Centers. She has worked in most medical, surgical and critical care areas of Providence Saint Joseph Medical Center in Burbank. She served as a nursing supervisor from , as disaster preparedness Coordinator from , Valley Service Area manager of emergency preparedness from She currently serves as the Valley Service Area director of emergency preparedness, safety and security. Connie participates in disaster planning as a member of the Los Angeles County Disaster Coalition Advisory Committee, is a Los Angeles County Terrorism Early Warning Group medical liaison officer and serves on national, state and local expert panels and committees.

3 Pete Plessas Environmental Risk Consultant Sutter Health Office of the General Counsel Peter Plessas is an environmental risk consultant for Sutter Health. He has worked for Sutter for 27 years, beginning at Sutter General Hospital in Sacramento. After 16 years in plant operations and maintenance, Pete transitioned to Sutter Heath to utilize his talent and expertise consulting with Sutter hospitals and foundations about managing their environment of care programs. Pete is a member of the California Society of HealthCare Engineering, the National Fire Protection Association, and the American Society of HealthCare Engineering.

4 Objectives The following objectives will be covered: 1. Identify key utility systems in your facility. 2. Determine the corresponding impacts on facility systems/processes during a failure of a key utility system. 3. Discuss planning for failure strategies and primary planning partners. What are your Key Utility Systems? Electrical Power Chillers Steam Water Sanitation Ventilation What are your Key Utility Systems? Communications Fire Protection Fuel Access Control and Surveillance Piped Medical Gases Conveyance

5 How well do you understand the impact of those systems? If you received a call stating Steam was down would you know what was impacted? If you received a call stating C-Cure was down would you know what that means? Would your Supervisors or Administrators know? Who Needs to Know What? How much do you as the Emergency Manager need to know? How much do your Supervisors/Administrators need to know? Where do they get the information? How can you plan ahead of time? Planning Utilize the Overview of System Failures tool to provide an overview of impacts of certain failures and actions. Primary Planning Partners: Supervisors/Administrators Plant Operations & Maintenance (POM)/Facilities IT Bio Engineering

6 Overview of System Failures Chart Review of Key Utility Systems Loss of Normal Power Major inconvenience Know what is on Emergency Power Impacts: Lighting Medical devices Equipment Computers Conveyance systems Anything not plugged into a red receptacle

7 Loss of Emergency Power Rely on battery backed-up equipment Might have to use manual process Day or night? Do you have portable generators? Where? How big? Morgue Very stressful Chillers No cooling for air conditioning Summer or winter? Where is your hospital located? Coast Inland Mountains What departments have the greatest heat load? IT data room Telecommunications closets Lab Operating rooms Kitchen What about patient comfort issues? Steam No domestic hot water No steam for cooking No steam for sterilization No building heating No Sani-Pak (red bag waste)

8 Water Hot, Cold, Potable, Non-potable No or limited water for: Hydration Hygiene Heating and cooling systems Lab equipment (Millipore filtration) Sterilizers (steam or to pull a vacuum) Food preparation Fire sprinkler system Ice machines Dialysis Linear accelerators (radiation therapy) Sanitation No flushing toilets No hand hygiene using water Potential backflow of piping creating hazardous messes Waste streams affected: Restrooms Lab Operating rooms/sterile processing Hoppers Kitchen Environmental services Ventilation Systems Building airflow temperature/humidity Pressure relationships affected: Positive & Negative Isolation rooms Bone marrow transplant Surgery Equipment cooling (See Chillers) Sterile processing Patient comfort Staff comfort

9 Communications IT Telecom PBX Desktop support Server room Data center Overhead paging Pagers Vocera Fire Protection Detection Notification Extinguishing Fuel Systems Natural Gas Kitchen, Boilers, Generators Propane Kitchen, Boilers, Generators Diesel Boilers, Generators Tanks or Piped?

10 Access Control and Surveillance Interior of buildings Exterior of buildings Card readers or keyed? Cameras on e-power? Piped Medical Gases Loss of O 2, Med Air, N 2 O, N 2, Vacuum What department/services are affected? Patient care rooms Operating room (N 2 O, N 2 ) L&D Emergency department NICU/CCU/ICU Respiratory therapy Special procedure rooms Nursery Conveyance Includes: Elevators Dumb waiters Pneumatic tube systems Could affect movement of: Patients Equipment People Food Supplies Information Labs

11 How can you use this tool? Personalize to your facility Identifying and mitigating strategies Information base for Supervisors/Administrators Planning Dynamic Questions? Thank You Connie Lackey Loni Howard Pete Plessas