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Emergency Management Plan

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POLICY:
A. The board of trustees strives to assure that the hospital is functionally safe and maintains a sanitary health care environment for patients of all ages, visitors, employees, volunteers, and medical staff by requiring and supporting the establishment and maintenance of an effective emergency management plan.

B. The hospital is committed to ensuring availability of services to the community, within its capabilities, during emergency situations while coordinating with all other emergency services.

C. The hospital shall comply with all current occupational, health, safety and environmental laws and develop the most appropriate operations, procedures and policies to provide such conditions.

SCOPE, GOALS AND OBJECTIVES:
In the community, a hospital is a focal unit where citizens look for coordinated, efficient performance, no mater what the circumstance may be. This is our responsibility.

Large number of casualties can arrive almost simultaneously in nature and manmade emergencies. We must maintain a state of readiness which will enable us to provide the best, most efficient care in the least possible time.

It is our belief that by careful study of the emergency management plan, and though repeated drills each member of the hospital staff will become thoroughly familiar with their respective responsibilities. By doing this, we hope all employees will be ready and able to function as a team whenever the circumstances arise. 

The HIC incident management system will be uses and made as big or small depending on the size of the incident.

Definition:
For the purpose of this plan, an emergency is defined as a disruption of our normal facilities involving casualties being brought to this hospital fro treatment, and numbers exceeding the ability of the hospital staff on duty to provide care.

This determination will be left to the discretion of the ER physician and the nursing coordinator, depending on the time of day and condition of patients. One (1) or more casualties my be considered an emergency

Classification of an Emergency

External Emergency:
Any event which requires expansion of facility to receive and care for large number of casualties causing no damage or injury to the hospital or staff.

Examples of external emergency are: 

1.Severe weather
2.Transportation accident
3.Explosion off campus
4.Civic Disturbance
5.Bioterrorism/Chemical exposure event

Internal Emergency:
Any event which causes or threatens to cause physical damage or injury to the hospital, staff or the patients.

Examples of internal emergency are:

1.Fire
2.Bomb threat
3.Loss of utilities (i.e. power, water, communication)
4.any other interruption of services

In case telephone facilities are not usable due to the emergency, serval types of radio and computer communication equipment are available, along with cell phones.

Radio contact with Fremont county EMS system is available in the ER, ICU and WHU.

City Police - 332-3131 or 911

Lander Fire Department - 332-2209 or 911

Sheriff's Office - 332-5611 or 911

National Guard - 332-5579

EMS Emergency Coordinator - 332-3958 or 856-2374

Wyoming Highway Patrol - 332-3958 or 800-442-9090

An emergency triage will be set up in the ambulance entrance. The casualties will be brought in through the emergency department.

Actual emergency call and notification of personnel:

The emergency will be received through the PBX or over the radio system in the ER, ICU or WHU area
The person receiving the disaster call or radio will immediately notify the nursing coordinator, who will then notify the PBX operator. In the absence of the PBX operator, the coordinator will assign someone to manage the phone until relieved

On duty personnel will remain n their areas unless specifically assigned to other duties. Off duty personnel and volunteers with no specific assignment will report to the CNO in the conference room.

Incident Commander:

The coordinator will assumed the duties of Incident Commander until some one from administration arrives to take responsibilities.  The Incident Commander will assign other duties as follows:

1.    Liaison Officer, Assign some on to call needed off-duty personnel, including physicians, housekeeping, and dietary. Will need two people to act as runners between triage and other areas. Assign one person to the Emergency Department to verify discharge information on patient leaving the hospital. Can also appoint or assume the duties of Finance/ Section Chief, which have the duties of Time Unit Leader, Procurement Unit Leader, Compensation/Claims Unit Leader or Coast Unit Leader, Business Branch Director.

2.   Medical/Technical Specialist: Report to conference room #1 assign some on to the Emergency Department to handle phones and notify appropriate physicians as instructed. Coordinate with other clinic designee fro staff availability. Can also appoint or assume duties of Planning Section Chief, Resource Unit Leader, Situation Unit Leader, Documentation Unit Leader, Medical Care Branch Director, and Demobilization Unit Leader.

3.  Safety Officer:  Report to the area of the emergency. If external, call in all maintenance staff; assign one to the intersection of Bishop Randal Dr. and Buena Vista. One to the ambulance entrance. One to the emergency room for crowd control. Use additional staff if needed to maintain security throughout the facility, and lock down facility if needed. Can also appoint or assume the duties of Operations Section Chief, which have duties of Staging Manager, Infrastructure Branch Director, HazMat Branch Director, and Security Branch Director.

4.  Public Information Officer:  Report to Administration to receive/control/inform the news media, upon release of information from the Incident Commander. Can also appoint or assume the duties of Logistics Section Chief which have the duties of Service Branch Director, Support Branch Director.

Any and all information shall be filtered through the Incident Commander and the Public Information Officer before released to the media or family members.