# Presentation: 753200

## Welcome !Patient Reception TeamOrientation Seminar

- (your name)
- (date)

## Introductions

- Name,
- Position with VA &
- Role on Team

## Objectives

- Describe national contingency preparedness efforts.
- Explain the purpose and functions of the airport and hospital patient reception teams (PRTs).
- Explain PRT member responsibilities.
- Discuss the PRT notification and mobilization process.

## National Preparedness Activities

## Integrated CONUS Medical Operations Plan (ICMOP)

- Integrated mobilization of continental United States medical assets, and the
- Reception of patients from concurrent theaters of war.

## ICMOP Structure

- The ICMOP envelops:
- Military Medical Treatment Facilities (MTFs)
- VA~DoD Contingency Hospital System (PRCs/SSCs)
- National Disaster Medical System (participating non-Federal Hospitals)

## VA~DoD ContingencyHospital System

-     The VA~DoD Health Resources and Sharing and Emergency Operations Act, Public Law 97-174 was enacted on May 4, 1982.  The law gave the Veterans Administration (now the Department of Veterans Affairs) an added mission – to serve as principal health care backup to DoD in the event of war or national emergency.

## National Disaster Medical System (NDMS)

-    The NDMS is a Federally-coordinated system that augments the Nation’s emergency medical response capability.  NDMS is the principal capability for assisting State and local authorities in dealing with medical and health effects of major peacetime, domestic events.  NDMS also serves as backup to the VA~DoD Contingency Hospital System for the receipt of military casualties.

## Key Assumptions

- Fewer overseas military definitive care capabilities will result in patients being returned to the U.S. sooner for that care.
- Patients will be returned for definitive care to their unit of record.
- Military, VA and NDMS health care systems within a given locale will be activated simultaneously.

## U.S. Contingency Hospital Bed Capacity

**   **Deliberate Planning Beds (within 30 days)
- 45 DoD MTFs			7,603
-  64 VA PRCs			6,904
- 1,700 NDMS Hospitals		91,638
- TOTAL				106,145

## Patient Reception “Hubs”

**(bed data from your region)**

## Patient Reception Area (PRA)

-     A geographic locale containing one or more airfields; adequate patient staging facilities; adequate local patient transport assets; and voluntary, pre-identified, non-Federal, acute care hospitals capable of providing definitive care for victims in a domestic disaster, emergency, or military contingency.

## Federal Coordinating Center (FCC)

-    A facility located in a metropolitan area of the United States responsible for day-to-day coordination of planning and operations in one or more assigned geographic NDMS Patient Reception Areas.

## Participating NDMS Hospitals

- (List)

## Bed Categories

- Critical Care (CC)
- Medical-Surgical (MM-SS)
- Psychiatry (MP)
- Burns (SBN)
- Pediatrics (MC)

## (your city)Patient Reception Area

- _Category__	__	__VA __	__	__NDMS__	__Total_
- CC			_		_		_
- MC			_		_		_
- MM-SS		_		_		_
- MP			_		_		_
- SBN			_		_		_
- Totals		_		_		_
- MOU Minimum - ___  Maximum - ___

## “Throughput”

- The maximum number of patients that can be received at the airport, staged, transported and admitted to the hospital within a twenty-four hour period.
- (your city) has been approved for a throughput of __ patients per day until available beds are exhausted.

## OverallPatient Reception AreaIncident Management Structure

## Patient

- Plans

- Situation

- Resources

- Doc./Reports

- Logistics

- Facilities

- Supply

- Transportation

- Time

- Cost

- Finance

- Pt. Support

- Pt. Care

- Pt. Admin.

- Pt. Care

- Pt. Admin.

- Hospital
- PRT Leader

- Airport
- PRT Leader

- Security
- Team Leader

- Reception
- Center
- Staging Area
- Manager

- Operations

- Liaison

- Safety

- Public Affairs

- Unified
- Mgmt. Group

- Agency
- Administrators

- Communication

- Reception
- Area IMS

## Operations Section

- Pt. Support

- Pt. Care

- Pt. Admin.

- Pt. Care

- Pt. Admin.

- Hospital
- PRT Leader

- Airport
- PRT Leader

- Security
- Team Leader

- Patient
- Reception
- Center
- Staging Area

- Operations

- Patient Reception Center
- Staging Area
- Airport Patient Reception Team
- Security Team
- Hospital Patient Reception Team

## AirportPatient Reception Team

## Primary Functions

- Off-load the aircraft and move the patients inside the facility.
- Provide a supportive medical care capability at the airport.
- Direct patients to medical facilities appropriate to their needs.
- Record destination information to ensure no one gets lost!
- Work safely, so no one gets hurt.

## Airport Patient Reception Team Positions

- Team Leader
- Patient Support Coordinator
- Litterbearers
- Chaplain
- Equipment Technician
- Pharmacy Technician

-   Patient Care Coordinator
-   Triage Unit Leader
-   Treatment Unit Leader
-   Treatment Teams
-   Patient Admin Coordinator
-   Medical Records Clerk(s)

## Airport

- Patient Support
- Group

- Patient Care
- Group

- Patient Admin
- Group

- Litterbearer
- Unit

- Chaplain

- Treatment
- Team(s)

- Equipment
- Tech

- Pharmacy
- Tech

- Triage
- Team

- Medical Records
- Clerk(s)

- Team
- Leader

- Patient Reception Team

## Hospital

- Patient Care
- Group

- Patient Admin
- Group

- Triage
- Team

- Medical Records
- Clerk(s)

- Team
- Leader

- Patient Reception Team

## PRT Position Descriptions and Operational Checklists

- Explain the basic responsibilities of the position
- Describe the supervisory relationship within the Incident Management System
- List activities chronologically:
- Upon Activation
- On-site Operations
- Demobilization

*“**A Place to Start”*

## Team Member Responsibilities

- Review General Operational Checklist:
- Make sure your supervisor is aware of your participation in the PRT
- Check your contact information to be sure it is current
- Prepare personal equipment items
- Review the responsibilities of your PRT position
- Attend scheduled training sessions

## Notification, Mobilization& Community Interface

## Concept of Operations

- Initial Execution:
- Flush DoD hospitals (72 hours)
- Activate VA and NDMS system(s) (72 hours)
- Augment Blood Services (6 days)
- Expand the Aeromedical Evacuation (AE) system (12 days)
- Expand DoD hospitals (20 days)

## Planning Phases

- Level One 	Readiness.  To establish and maintain a state of heightened readiness to receive patients.
- Level Two	Alert.  To signal that an incident has occurred that could result in patient reception operations.
- Level Three	Activation.  To announce to facilities that patient reception operations are imminent.

## Notification

- Notification from the U.S. Air Force of patients being regulated occurs by computer, by 1800 hrs. on the day prior to aircraft arrival, or several hours before.
- Concurrent notifications to:
- PRT Leader(s)
- VA Medical Center management
- NDMS hospitals
- Communications and transportation resources

## Patient Reception Operations

- VAMC, Federal Coordinating Center
- NDMS hospital notification & bed reporting
- Airport authority
- Patient reception team
- VA
- Other
- Patient distribution & transportation
- Patient liaison and follow-up

- IMS Structure

## Actions Taken & Planned

- Bi-weekly bed availability reporting
- NDMS FCC Assessment
- Three day workshop at Scott AFB
- Plan review and update
- (etc,)

## Questions, Problems & Issues

- (your name)
- (contact information)