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Evacuation

As time permits, and based on the complexity of the evacuation required, consideration of the following should occur:

Stop the intake of patients

  • Notify DC FEMS of need to

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  • ED/MedSTAR closure

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  • Assess OR schedule: cancel cases as possible, coordinate notification of patients with ATC.

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  • Cancel all OP visits/procedures: notify clinics, WCI, Imaging Services, Lab, and Procedure areas (Cath, GI, EP Labs, and IR).

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  • Notify MD offices (blast fax/phone trees/pagers) that all admissions are cancelled.

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Limit visitors and access to the facility at all entry points

Accelerate discharge of patients

  • Coordinate all possible IP discharges with medical staff/Clinical Resource Management (CRM).

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  • Appoint Transport Leader (from MedSTAR Transport) to coordinate assets to assist in transport of patients out of facility and to interface with the DCEHC (if activated) for transportation issues.

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  • Consider communication to community via the media to enhance patient pick-up.

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Assess vulnerable populations

Extra care and consideration should be given to the vulnerable populations within MWHC. These include:

  • 5BN/-non NICU Infants

    mothers and infants should be paired together whenever possible. If infants do not have their mothers accompanying them, a nurse will be assigned to these infants. Infant carriers may be used to carry multiple babies at one time as needed. Infants and mothers will be transported with a nurse and TSA to the Siegel Auditorium in the Cancer Institute. Nursing and MWHC Public Safety will staff this area.

  • NICU infants will be transported with the following equipment to the Main PACU and/or Surgical Holding Area:

    isolette, pulse oximeter, cardiac monitor, oxygen and/or ventilator, infusion pumps and medications. A RN shall accompany and provide care to NICU infants at all times.

  • Post-Partum Patients in the Labor and Delivery Suites will be transported to the Main PACU or 3Rd Floor PACU

    Patients in active labor will be transported to the 3RD Floor PACU. A Labor and Delivery RN will accompany and provide care to these patients at all times.

  • Patients receiving I131 and/or chemotherapy will be relocated to appropriate beds assigned by capacity management.

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  • Dialysis Dependent Patients

    The dialysis unit will identify patients requiring dialysis, time/date of the last treatment provided and next anticipated treatment time/date. The medical record accompanying the patient will provide previous treatment orders.

  • Operating Room/PACU Cases

    The attending surgeon and anesthesiologist of the case will provide information to the Surgical Command Post Unit Leader on the ability to conclude cases and to safely move patients from the OR and PACU.

  • Psychiatric Patients

    The Mental Health Command Post will provide information on the assessment of the ability of the inpatients to be moved to another location. An MWHC Public Safety Officer will be assigned to the area and additional staff assigned from the Staging Area/Personnel Pool as needed. If both 2K and 2L must be fully evacuated, patients will be grouped and escorted by a clinician to the True Auditorium. Patients at risk for harm must have 1:1 surveillance at all times.

  • Telemetry Patients

    The telemetry department will deploy a technician who will provide the nurse in charge, with a list of all patients on the identified unit (s) who are on telemetry. The nurse will note these patients on the patient tracking form. Upon the patient’s arrival to the designated alternate site, the nurse will call the Telemetry department to ensure that telemetry signal has been obtained and verify that they have the location and name of the patient.