For a Multiple Patient Event, assign only the roles noted with actions in the MPE column. For a Mass Casualty Incident, assign each one of these roles.
| Role |
MPE Actions |
MCI Actions |
- ED Physician in Charge
- Filled by (in order of preference):
- PEM attending arriving to assist
- Team 7 PEM attending
- Team 4 or 6 PEM attending
- Team 3 PEM attending
|
- Assign physician roles
- Partner with MCI Charge Nurse to assess incoming information, prepare ED and provide updates to the Hospital Command Center (HCC)
- Maintain situational awareness of MCI patients, coordinate with surgery, anesthesia, PICU and POL
|
- Assign physician roles
- Partner with MCI Charge Nurse to assess incoming information, prepare ED and provide updates to the Hospital Command Center (HCC)
- Maintain situational awareness of MCI patients, coordinate with surgery, anesthesia, PICU and POL
|
- ED Charge Nurse
- Filled by:
|
- Assign/Oversee Nursing/Tech Disaster Roles
- Determine and communicate resource needs related to Staffing, Supplies and patient flow
- Partner with ED Physician in Charge to assess incoming information, prepare ED and provide updates to the Hospital Command Center (HCC)
|
- Assign/Oversee Nursing/Tech Disaster Roles
- Coordinate with resource nurse to determine needs related to staffing and supplies
- Partner with ED Physician in Charge to assess incoming information, prepare ED and provide updates to the Hospital Command Center (HCC)
|
- ED POD Nurse
- Filled by (in order of preference):
- POD if in house
- Experienced ED Charge Nurse if POD not in house at time of event. Can be relieved by POD if arrives from home after time of event
|
- Assume duties of ED Charge nurse and ED flow facilitator (M-F) for existing ED patients
- Assist with relocation of existing patients
|
- Assume duties of ED Charge nurse and ED flow facilitator (M-F) for existing ED patients
- Assist with relocation of existing patients
- Act as a resource for personal pool who are assigned to the main ED
|
- ED APP EDECU
- Filled by:
- EDECU APP
- Reassigned by Physician in Charge if no EDECU APP in house
|
- Situational awareness and redeployment of FLOCs
|
- Relocate patients out of the EDECU in preparation for the arrival of MCI patients.
|
|
|
- Assist with relocation of patients, with supplies and restocking
- Assist in the resuscitation room or as PPE monitor as assigned
- HAZMAT Event: Act as DECON team member until relieved by other DECON team members
|
- Assist with relocation of patients, assist with supplies and restocking
- Obtain wheelchairs, stretchers and transport surfaces and stage in ambulance bay for anticipated patients arriving by private vehicle
- Assist in the resuscitation room or as PPE monitor as assigned
- HAZMAT Event: Act as DECON team member until relieved by other DECON team members
|
- ED PSR
- Filled by:
- Disaster PSR’s from each team
|
- Register patients using real name or trauma name
|
- Register patients using real name or MCI car name
- Begin ED Disaster Log for all arriving disaster patients
|
| Role |
MCI Actions |
- ED APP Waiting Room
- Filled by (in order of preference):
- Direct Biller APP (Appointed by EDECU APP) Assign role in this order of preference: Triage, Behavioral Health, Team 4, Team 3
- Reassigned by Physician in Charge if no Direct Biller APP staffed
|
- Situational awareness and redeployment of FLOCs
- Coordinate with PAC Nurse to triage patients; and identify patients at risk for decompensation and ensure movement to higher level of care as indicated
|
- ED EDECU Nurse
- Filled by:
- EDECU champion or experienced EDECU RN
|
- Partner with MCI Charge Nurse and APP EDECU to determine EDECU patients appropriate for relocation and prepare EDECU to accept incoming patients
|
- ED Flow Physician
- Filled by (in order of preference):
- PEM attending arriving to assist
- Team 4 or 6 PEM attending
- Team 3 PEM attending
|
- Work with the ED MCI POD, and POL/NOL, to create space for MCI patients and maximize patient flow.
- Maintain situational awareness of MCI patients in overflow areas
|
- ED PAC Nurse
- Filled by:
- Experienced Triage/PAC RN
-
|
- Evaluate current waiting room status
- Rapidly sort incoming event patients sent to the waiting room using standard ESI
- Partner with APP Waiting Room to oversee patient receiving care in Waiting Room after relocation from Main ED.
|
- ED Personnel Pool Leader
- Filled by:
- ED or inpatient nurse leader or Administrator e.g. ED Admin, ED Lead PSR, Inpatient or ED nurse manager/leader
|
- Organize staff external to the ED arriving to the Atrium to assist with care of MCI or existing ED patients.
- Coordinate with resource nurse to deploy staff to various areas of the ED based on skill set and ED needs
|
- ED Resource Nurse
- Filled by:
- Flow RN, Team 1/2 team lead, or Team 3 leader
|
- Partner with MCI Charge nurse to determine resource needs during MCI event related to Staffing, Supplies and patient flow.
- Communicate resource needs during MCI event to appropriate persons
- Partner with Personal Pool Leader to coordinate staffing placement
|
- ED Transport MCP Physician
- Filled by (in order of preference):
- Existing MCP
- Operations Lead (OL)
- Team 4 or 6 or 3 PEM attending
|
- Determine which patients can safely be transported from outside hospitals to CHOP
|
- ED Triage Nurse
- Filled by:
- PAC nurse or most experienced Triage RN
|
- Coordinate Triage activities using SALT triage, ensure all arriving patient/families are properly triaged
- HAZMAT Event: Partner with decontamination team
|
- ED Urgent Care Lead
- Filled by:
- Team 4 Urgent Care attending
|
- Work with ED MCI Urgent Care Nurse to supervise the care of existing and newly arriving non-urgent and urgent MCI patients in teams 4 or 6
|
- ED Urgent Care Nurse
- Filled by:
|
- Responsible for supervising the care of existing and newly arriving non-urgent and urgent event patients in teams 4 or 6
|