0815 Operational and On site Incident Emergency Public Information and Warning PH Objectives 1, 4, 5 Hospital Objectives 3, 4, 5 TJC EP 7 TJC EP 6 [Simulation Cell] [Emergency Department Director] Later, an 8-year old girl is brought to local ED with a fever of 101°F and a mild cough. It is confirmed that the child is a student who was present at the pancake breakfast the male patient attended the day before. Hospitals and healthcare facilities consult internal plans, local pandemic influenza plans, and California Pandemic Influenza Preparedness and Response Plan. Common messaging is developed for a press release. 0830 Operational Public Health and Medical Services PH Objectives 1, 2, 4, 5 Hospital Objectives 1, 9 [Simulation Center as local hospital] [Public Health Department Operations Center Planning Section] Four additional third graders have been brought to [local clinic, urgent care, or hospital] reporting similar symptoms. One third grader, a 7-year old boy, has been hospitalized at the ED with pneumonia. He is placed in a bed next to an 82-year old man with a hip replacement, from a local skilled nursing facility. Proper notifications and reporting have been made, reflecting existing policies, and procedures. 0905 On-scene Security and Protection PH Objectives 1, 2, 3, 6 Hospital Objectives 1, 4, 5 TJC EP 9 TJC EP 1, 2, 3 TJC EP 12 [Simulation Center concerned parents] [Hospital Security] The 8-year old girl that presented at [local hospital] on November 13 has died. The media are beginning to report on the fatality. Worried parents of other students at the elementary school where the pancake breakfast occurred are calling in to the local health department, and some are bringing their children to local healthcare facilities, even if they are not showing symptoms. develop additional pandemic security protocols for disgruntled and anxious patrons and patients. The incident should be noted on the appropriate forms and reported to the proper authorities. 0915 Public Health and Medical Services PH Objective 1, 2, 5 TJC EP 10 [Simulation Cell as intake nurse] [HCC Incident Commander] The hospital is experiencing a surge of patients with ILI symptoms. Current operations are overwhelmed with the influx Activate Hospital Incident Command System (HICS) or Incident Command System Is Command Center Activated?
Hospital Objective 6 TJC EP 2 of patients. Other local healthcare facilities are also reporting surges in the number of patients seeking health services. (ICS), Surge plans are activated and carried out. 0920 Operational and Incident PH Objectives 1, 2, 3, 4 Hospital Objectives 3, 4, 9 TJC EP 7 [HCC Planning Section Chief] [HCC Incident Commander] HICS / ICS 201 Incident Briefing, 202 Incident Objectives, 204s Assignment List and 215A Safety Analysis / Incident Action Plan (IAP) Quick Start needs to be developed and shared with appropriate staff and health entities.**see IAP description HICS / ICS 201 sent to HCC Incident Commander 0930 Public Health and Medical Services Operational and Incident PH Objectives 1,5, 6 Hospital Objectives 4, 5, 6 [Simulation Cell as Health Care Facility [HCC Incident Commander] The 41-year old man’s elderly mother has died and the two patients from her nursing home (one, a dialysis patient) are in critical condition. In addition, there are multiple [insert County, City, Agency] employees reporting similar symptoms, and one employee has already died away from illness. Multiple staff members are impacted. 0945 Public Health and Medical Services Emergency Public Information and Warning Response / Health and Safety PH Objectives 1, 5, 6 Hospital Objectives 1, 10 TJC EP 10 TJC EP 12 TJC EM 02.02.11 EP 5 [Simulation Cell as Nursing Staff] [Hospital Administrators] Hospital administrators are beginning to hear concerns being raised by nursing staff about the pandemic influenza. The Director of Nursing wants to clarify the issues and precautions in order to provide information to hospital staff. Alert and/or activate mental health protocols. Re-enforce pandemic protocols and procedures. Based on public health messaging, develop information specifically for healthcare workers. Advise of required Personal Protective Equipment (PPE) and inventory
1008 Operational and Incident PH Objectives 1, 5 Hospital Objectives 1, 2, 5, 7 TJC EP 7 TJC EP 8 [Simulation Cell as hospital [Public Health DOC Logistics Branch] Hospitals, clinics, and long-term care facilities need gloves, N95 (face mask) respirators, sanitizer, and disposable linens. Initiate resource request process for needed items. Initiate the resource request process for medical materials through the Medical and Health Operational Area Coordinator (MHOAC) Program, by coordinating with local agencies such as Public Health, EMS, and the EOC 1010 Fatality Services PH Objectives 6 Hospital Objective 13 [Simulation Cell as Medical [Public Health DOC Director] The Coroner/Medical Examiner calls to report that there have been 11 deaths in the past 24 hours, seven more than just a few hours earlier, which far exceeds the number that the Coroner/Medical Examiner normally handles. Determine if Mass Fatality Plans should be activated. 1011 Operational and Incident PH Objective 5 Hospital Objective N/A [Simulation Cell as MHOAC] [Healthcare facilities] The MHOAC is requesting status updates for situation reporting Provide situation information as requested by the MHOAC program via the appropriate reporting channels 1030 Public Health and Medical Services Emergency Public Information and Warning Public Health Objectives 4 Hospital Objectives 1, 2, 9 TJC EP 7 [Simulation Cell as concerned citizens] [Public Health or Hospital Help Line] In addition to in-person arrivals at the hospital, hospital and public health staff have fielded numerous phone calls from individuals calling about their ILI symptoms. Many were present at the school event three days before. Get all information from individuals who call asking for advice. Give answers to frequently questions to all personnel answering phone lines. 1032 Operational and Public Health [Simulation Cell as CDPH] [County EOC] A Situation Report is being requested by the State. The MHOAC should consolidate and disseminate the epidemiological surveillance
Incident Objectives 1 Hospital Objectives N/A information collected from the Operational Area (OA). 1040 Critical Operational and Incident Public Health Objectives 2, 5 Hospital Objectives 2, 5, 6 TJC EP 7 TJC EP 2 [Simulation Cell as County EMS] [Public Health DOC EMS Branch] Hospitals in the county are currently spending more time on diversion than ever before. He to know if they can take patients to an alternative care facility. EOC advises an overall change in EMS transport priorities for the duration of the pandemic. 1050 Emergency Public Information and Warning Public Health Objectives 2, 3 Hospital Objectives 2 TJC EP 7 TJC EP 6 [Simulation Cell as local media] [PIO / Administration] Media are on-scene at various healthcare facilities and have requested interviews with doctors, officials, and public health. PIO is alerted and has a consistent message with accurate information to give outlets. 1055 Emergency Public Information and Warning Public Health Objectives 2, 3 Hospital Objectives N/A [Simulation Cell as Public Health Director] [Public Health DOC PIO] The Public Health Director has requested a press release. He requests that the press release include details on local, regional, and state initiatives for the pandemic influenza. The press conference will be held at 1700 hours this afternoon. Verify who will speak at the press conference, how long they will be speaking, and whether they will be taking questions from the media. Develop detailed press briefing that will dispel some of the fears and rumors in the community. Develop an organization chart for the public showing the major
players’ roles and responsibilities. 1100 Operational Emergency Public Information and Warning Public Health Objectives 1 Hospital Objectives 2, 5 TJC EP 7 TJC EP 6 [Simulation Cell as CDPH] [Public Health Director] CDPH What is your Health Officer’s recommendation regarding school closure? Consult all relevant pandemic and implement strategy. Consult with or establish a policy group. Discussion of school closure recommendations and report back to CDPH. 1135 Critical Emergency Public Information and Warning Public Health and Medical Services Public and Private Services and Resources Public Health Objectives 2, 5, 6 Hospital Objectives 2, 6, 8 TJC EP 7 TJC EP 2 TJC EP 12 [Simulation Cell as local hospitals] [Public Health DOC Planning Branch] Healthcare facilities are currently at 110% capacity. Public Health has identified and activated three alternative care sites. Many healthcare facilities and first responders are still unaware of the availability of these alternative care sites. Healthcare facilities expand operations at sites on their campuses. Healthcare facilities attempt to augment their staff with personnel (recently retired, etc.). Healthcare facilities call local public health for assistance finding other personnel. 1143 Operational and Incident Hospital Objectives 1, 2, 3, 5 [Simulation Cell as Healthcare facility Incident [Simulation Cell as executive leadership of a Healthcare facility.] Executive leadership of a Healthcare facility has whether or not Continuity of Operations Plans (COOP) or Business Continuity Plan (BCP) have been activated. Refer to the COOP or BCP to determine if and when activation is needed, and assign staff to begin planning for recovery.