5/18/2016 What are we planning for? What are we planning for? Office and Personal Preparedness May 14, 2016 Michele Cheung, MD MPH, FAAP Deputy Medical Director, Epidemiology Physician Specialist, Infectious Disease Preparedness Health Disaster Management What will your role be du What will your role be during or ng or a after a ter a d disaster? ster? Plans to go to work during a disaster Preliminary survey Peds in Practicing Providing continuity of medical care for your patients Training (N=29) Being a trusted source of reliable health information and care results as of 5/13/16 (N=43) Promoting community resilience – ability to bounce back after a disaster Yes, in primary practice 34% Providing outpatient care to decompress hospitals/EDs/triage office centers Yes, wherever 63% Volunteering Residency sends me ● at local hospital Yes, at the hospital 9% 14% ● at Point of Dispensing clinics Yes, as a volunteer 2% 14% ● in a shelter ● at alternate care/triage sites No 2% 0% I don’t know 23% 38% Have a personal and/or family preparedness If you and your family are prepared plan You can focus on patient care or critical issues You will have better understanding of issues staff and clients may face You can better encourage and guide families you serve to develop their own disaster plans 1
5/18/2016 AAP Disaster Prep Survey Responses Personal Preparedness Resources Preliminary results as of 5/13/16 Orange County: http://readyoc.org Disaster Plan CDC: http://www.cdc.gov/phpr/readywrigley/index.htm ● 0% (of 43) pediatricians ‐ in ‐ training Department of Homeland Security ‐ www.ready.gov ● 43% (13/30) “practicing” respondents Save the Children: www.SavetheChilden.org/getready ► [20 Peds, 2 Family Practice, 7 School Nurses, 1 Unknown] Red Cross: www.redcross.org Disaster Supply Kit ● 2% (1/43) pediatricians ‐ in ‐ training ● 50% (15/30) “practicing” respondents Office Disaster Kit ● 24% (7/29; 6 I don’t know) “practicing” respondents ► 3/7 with Disaster Kit were school nurses Readyoc.org www.SavetheChilden.org/getready Family resources Downloadable Emergency Contact Card – fill in on ‐ line then print ● https://secure.savethechildren.org/site/c.8rKLIXMGIpI4E/b .9292307/k.E461/Get_Ready_Get_Safe_Emergency_Conta ct_Cards/apps/ka/ct/contactcustom.asp 2
5/18/2016 http://www.cdc .gov/phpr/read ywrigley/index. http://www.cdc.gov/phpr/readywrigley/index.htm htm http://readyoc.org/prepare/kit.html http://readyoc.org/prepare/kit.html http://readyoc.org/prepare/kit.html http://readyoc.org/prepare/kit.html 3
5/18/2016 http://www.getreadyforflu.org/images/GetReadyStocksInfographic.gif http://readyoc.org/prepare/kit.html http://www.getreadyforflu.org/clocksstocks/clocksinfographic.htm Ready Wrigley http://www.cdc.gov/phpr/rea dywrigley/index.htm http://www.getreadyforflu.org/clocksstocks/clocksinfographic.htm www.ready.gov/kids Ready.gov / FEMA 4
5/18/2016 Other Personal Preparedness Items Back ‐ up arrangements for child care, other dependent care Know your school/child care evacuation and disaster plans ● Make sure at least 3 contacts are on your release form. Make a list of contacts and locations for evacuation http://www.redcross.org/get-help/prepare- Review home and property insurance coverage for-emergencies/be-red-cross-ready AAP Disaster Prep Survey Responses In a large ‐ scale disaster, local, state and federal authorities may not be able to deliver assistance for days. A medical office should have enough fundamental supplies to ensure self ‐ sufficiency for at least 72 hours. ● 73% (19/26) peds in training; 87% (20/23) “practicing” respondents answered 72 hours Office Disaster Kit ● 24% (7/29; 6 I don’t know) “practicing” respondents ► 3/7 “Yes” were school nurses https://www.aap.org/en ‐ us/advocacy ‐ and ‐ policy/aap ‐ health ‐ initiatives/Children ‐ and ‐ Disasters/Documents/PedPreparednessChecklist1b.pdf Office Disaster Kit Supplies ‐ examples Office Disaster Kit Supplies ‐ continued Disaster preparedness / shelter ‐ in ‐ place Evacuation ● Copies of credentials, license, essential business documents, ● Rain gear, sunscreen, insect repellent computer/records back ‐ ups; copied to flash drive (also stored Basic medical care elsewhere) ● Stethoscope, otoscope, ophthalmoscope, calculator ● Spare clothes, shoes, toiletries, blanket, own ● Reference handbook, prescription pad, tape measure eyeglasses/prescription meds ● Gloves, masks, alcohol wipes, bandages ● Food, water ● Antibiotic ointment, topical steroid ● Hand sanitizer, toilet paper, towel, trash bags ● Albuterol MDI/nebulizer, ibuprofen, acetaminophen, ● Duct tape, pocket knife, flashlight, cell phone charger, radio, diphenhydramine batteries ● 1% lidocaine, ceftriaxone, saline, po/iv steroids ● Toys, diapers, baby wipes, baby food, formula ● Syringes, needles, sharps container ● Pens/pencils AAP Preparedness Checklist for Pediatric Practices AAP Preparedness Checklist for Pediatric Practices 5
5/18/2016 Mitigate damage to equipment or office Office Disaster Kit Supplies ‐ continued space Identify essential, high value or irreplaceable items Easily transportable containers ● Store where could minimize risk and how/where to move during a Store in safe, accessible location disaster Tell employees ● Assign staff to be responsible ● Copy warranties, model numbers, receipts, servicers List of supplies, checklist, schedule for checking Assess office/space facility issues expiration date (assign someone to this) ● Investigate structural issues, needed repairs ● Record contact information for utilities, shutoff procedures/locations for water, electricity, gas ► Priority list for restoration Could be used for even smaller disruptions – ► Ensure all staff know utility shutoff procedures/locations office fire, power failure….. ● Develop contingency plans for repairs ● Research options for generators ● Research potential alternate practice sits, agreements AAP Preparedness Checklist for Pediatric Practices AAP Preparedness Checklist for Pediatric Practices Records and files Insurance Patient records Review policies and coverage, exclusions, deductibles Vital business documents ● Vaccines and spoilage ● Bank statement, tax return, business permit, insurance policy ● Business interruption/income replacement numbers ● Civil disruption Back ‐ up records/documents ● Unique hazards (e.g. earthquake, floods) ● Scan documents, back ‐ up files Prepare paper or video office inventory ► At least one copy at another physical location or on ‐ line Store info with vital business documents ● Consider automatic back ‐ up system ● Examples ► Online storage, remote server ► Portable hard drive, flash drive/memory card AAP Preparedness Checklist for Pediatric Practices Preparing staff Evacuation plans Review disaster plan and office disaster kit details with staff Determine what services might be provided under increasingly severe conditions – tiered response Assign roles, responsibilities, procedures, priorities during a disaster Determine who will be notified in disaster situations and how Collect and share staff personal contact information and store Consult local hospitals where you have privileges about disaster where readily accessible plan procedures ● Expected responsibilities as medical staff Conduct practice drills to test plan details Encourage staff to develop own personal preparedness plans Integrate plans with other health care professionals Address human resource issues of absences, pay, benefits during a disaster AAP Preparedness Checklist for Pediatric Practices AAP Preparedness Checklist for Pediatric Practices 6
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