Sample scenarios for the hazards listed below are provided in Appendix A on page 89. List of Hazard Scenarios with No Notice and with Notice Hazard – With No Notice Hazard – With Notice Chemical spill Blizzard/snow storm Earthquake Flood Large-scale fire Hurricane Mass-casualty incident Influenza pandemic Tornado/derecho This cell is intentionally blank Novel, highly pathogenic disease This cell is intentionally blank You and your planning team can use these scenarios as templates to build a scenario more applicable to your healthcare facility or system and your community. If one or more of your priority hazards is not covered in the appendix, you and your planning team will need to develop those scenarios. If you think others within the facility or system need to be involved in the development process, then include them as well. Meet with Primary Staff Once you have developed your scenarios, you and your planning team are ready to meet with primary staff who will be impacted by the hazard to discuss their needs and the needs of those they will treat. Please note that you may have to engage different staff depending on the hazard scenario. Examples of primary staff to include in your meeting are shown below. Examples of Primary Staff Positions Position Position Emergency/disaster managers/planner Emergency department (ED) personnel HICS personnel Infection control/prevention personnel Safety officer Worker safety/occupational health personnel Clinical personnel* Supply chain personnel * Clinical personnel include staff from the critical care unit (CCU), intensive care unit (ICU), laboratory, operating room (OR), pharmacy, and others as needed.
Worksheet 6.2 – Clinical Supply Needs for <Hazard Scenario> Department Supplies Needed Quantity Needed More Than What Is On Hand? When Will It Be Needed? What Can Be Stockpiled Prior To Hazard? What Additional Supplies Are Needed? ED PPE for infectious diseases (e.g., respiratory, contact, blood-borne) Lots. One for every staff member doing work Yes. We have plenty of PPE, but only two powered air purifying respirators (PAPRS) Immediately 24 to 48 hours 48 to 96 hours 1 week One for every staff member for each shift for 3 days, plus any quantities needed for fit testing or training Supplies for decontamination (e.g., bleach wipes) CCU To be filled in To be filled in To be filled in Immediately 24 to 48 hours 48 to 96 hours 1 week To be filled in To be filled in ICU To be filled in To be filled in To be filled in Immediately 24 to 48 hours 48 to 96 hours 1 week To be filled in To be filled in Laboratory To be filled in To be filled in To be filled in Immediately 24 to 48 hours 48 to 96 hours 1 week To be filled in To be filled in OR To be filled in To be filled in To be filled in Immediately 24 to 48 hours 48 to 96 hours 1 week To be filled in To be filled in Pharmacy To be filled in To be filled in To be filled in Immediately 24 to 48 hours 48 to 96 hours 1 week To be filled in To be filled in
2 – Situation The annual ice/snow melt is predicted to be heavier than normal, which will cause the river flowing through your community to exceed flood stage and spill into the community. As predicted, the river rises to over _____ feet (fill in the blank) above flood stage. The water pushes far into the community. Impact to Infrastructure Businesses and homes flooded Roads blocked or washed out by flood waters Utilities knocked out or taken offline Impact to Population Possible lack of access to medical care Mental anguish Types of Injuries/Illnesses Primary – Drownings, increased gastro-intestinal illnesses Secondary – Snake bites; mental trauma Special Considerations Your facility could be flooded Your facility could become a community gathering place References/Resources Apisarnthanarak A, Mundy LM, Khawcharoenporn T, Glen MC. . Infect Control Hosp Epidemiol. 2013 Feb; 34(2): 200-6. doi: 10.1086/669094