| Department |
MPE Actions
N/A indicates no MPE notification |
MCI Actions |
Anesthesia
Perioperative and Surgical Services Mass Casualty Incident Job Aid |
- Lead anesthesiologist to communicate with lead surgeon in charge and determine if additional resources needed in ED from Anesthesia team.
- Assist with patient prioritization for OR if needed.
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- Lead anesthesiologist responds to ED to partner with lead surgeon in charge and PeriOp Triage Nurse to prioritize patients going to the OR
- Anesthesia command center set up in 4NW34B
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| Biomedical Engineering |
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Blood Bank
Mass Casualty Incident Blood Bank Job Aid |
- Delivers 24 units PRBCs to ED STAT
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- Delivers 24 units PRBCs to ED STAT
- Notify Red Cross for additional supply
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| Child Life, Education and Creative Arts Therapy Job Aid Mass Casualty Incident: Child Life, Education & Creative Arts Therapy Department Job Aid |
- ED CLS notified and responds to resuscitation room if needed as per standard Trauma Activation plan.
- Notify CLS manager if additional CLS resources needed in ED.
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- All CLS notified
- If Family Reunification Center has been activated, send team member to assess needs
- Prepare playrooms for use as patient care areas if determined necessary by Command Center
- Send additional CLS staff to ED if needed
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Dietary
Mass Casualty Incident Food and Nutrition Services Job Aid |
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- Manage food delivery to command center, ED & surge locations
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| ED |
- All ED MD’s and leadership staff notified
- See pathway for additional information
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- All staff notified
- See pathway for additional information
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| Emergency Preparedness |
- Assist ED MCI Physician in Charge and ED MCI Charge nurse with determining event type, providing critical event updates
- Hospital command center NOT opened
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- Assist ED MCI Physician in Charge and ED MCI Charge nurse with determining event type, providing critical event updates
- Hospital command center opened
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Environmental Services
Mass Casualty Incident ESD Commander Job Aid |
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- Assign ED assistant manager to the ED as key liaison
- Commandeer stretchers from OR and deliver to ED
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General Surgery/Trauma
General Surgery Attendings, Fellows, NPs and Residents Job Aid |
- Surgeon on call responds to ED, partners with ED MCI Physician lead to prioritize patients going to the OR
- Communicate with Anesthesiologist on call to determine if Anes team support need in ED, coordinate OR schedule
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- Designate Surgeon-in-Charge who partners with Anesthesiologist, ED Physician in Charge and PeriOp Triage Nurse to prioritize patients going to the OR
- Attending’s/fellows assigned to most seriously traumatically injured patients
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Inpatient Units
Mass Casualty Incident
4 East and 4 South Charge Nurse Job Aid |
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- Discharge/transfer as many patients as possible
- Prepare for admissions
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| Lab |
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| Labor Pool: Nursing Residents Mass Casualty Incident Pediatric Residents Job Aid |
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- Nurses remaining on the unit – work with charge nurses to identify discharges.
- Available nurses and residents report to atrium personnel pool
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Nursing & Physician Operations: NOL/POL
Nursing and Physician Operations MCI Job Aid |
- NOL to report to ED to support and assist with patient placement if applicable
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- Report to command center and notify AOC & DON on call
- Support communication to front line teams and support service leaders
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Nursing & Physician Operations: NSPF/PSPF
Nursing and Physician Operations MCI Job Aid |
- NSPF to report to ED to support and assist with patient placement if applicable
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- Report to the ED
- Review/expedite inpatient discharges & transfers and facilitate patient flow out of ED to inpatient units
- Support units in preparing for surge census
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| OR/PACU Periop Perioperative and Surgical Services Mass Casualty Incident Job Aid |
- Periop Flow Facilitator (PFF) will report to 4NW 34B & coordinate communication between Surgical Charge/ Anesthesia Charge/PACU
- Report to ED to establish communication with ED Charge facilitate flow to PACU/OR
- OR rooms equal to the number of Trauma alerts are held
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- PACU Purple prepares for triage, pre-op and post-op care of MCI patients
- Periop Flow Facilitator works with surgical attending’s & anesthesiologists to place elective surgeries on hold
- OR charge RN and Anesthesia Board runner assume periop command
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Pharmacy
Mass Casualty Incident Pharmacy Job Aid |
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- 3 ED disaster carts brought to ED
- Monitor Pyxis levels in ED, PACU and OR
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PICU
Critical Care Mass Casualty Incident Medical and Nursing Teams – PICU and PCU Job Aid |
- PICU fellow reports to ED
- Limited number of PICU RNs report to ED if available – ideally 1 per Level 1 trauma
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- PICU fellow reports to ED
- PICU Flow Facilitator and Admit Attending determine need for census expansion and coordinate admission of MCI patients to PICU from ED/OR
- Determine which patients can be discharged or transferred
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Radiology
Radiology Mass Casualty Incident Plan Job Aid |
- CT scanners cleared
- Only emergent imaging performed
- ED Radiology team to communicate with Radiology Supervisor on duty to request additional resources if needed
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- CT scanners cleared
- Only emergent imaging preformed
- Compile list of available radiology equipment to send to command center
- Send technologist to report to atrium to communication needs back to radiology department
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Respiratory Therapy
Mass Casualty Incident Job Aid for Respiratory Therapist Job Aid |
- Assist Charge RT with obtaining supplies: additional airway boxes and transport ventilators
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- Assist charge RT with bringing respiratory disaster supplies to ED: respiratory Disaster Cart from 7NW150, Emergency Oxygen Tank Bank (A level- NW16), additional airway boxes, oxygen manifold system
- Report to ambulance hall located across from ED room 4
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Respiratory Therapy
Mass Casualty Incident Charge Respiratory Therapist Job Aid |
- Coordinate delivery of additional supplies
- Notify Respiratory Manager if additional staff are needed to report to ED
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- Assemble additional RTs to report to ED
- Notify Respiratory Director and Manager
- Coordinate delivery of disaster RT supplies with RTs
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Security
Mass Casualty Incident Security Job Aid |
- Assist medical staff with management of victims/family members and crowd control
- If event related to community violence (i.e. gang related shooting event) enact ED Violence policy including high risk visitor screening and metal detector wanding if appropriate
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- Assist medical staff with management of victims/family members and crowd control
- If decontamination event, begin screening
- Assist with setting up Family Reunification Center, if needed
- Send Security Representative to Command Center
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Social Work
Family Reunification Plan |
- Emergency Department Social Workers respond to Trauma Activations in Resuscitations Rooms as needed. Assist with identifying the number of unaccompanied/unidentified patients
- Notify Social Work Manager if additional SW resources needed in ED
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- Designate staff to respond to the HCC and FAC
- ED SW respond to Trauma Activations in Resuscitations Rooms as needed. Assist with identifying the number of unaccompanied/unidentified patients
- Additional SW staff report to FAC to conduct family interviews and complete Family Reunification intake form
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Sterile Processing
Mass Casualty Incident Central Sterile Processing Department Job Aid |
- Coordinate re-directing of sterile sets for MPE patients with OR charge nurse
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- Coordinate re-directing of sterile sets for MCI patients with OR charge nurse
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Supply Chain
Mass Casualty Incident Supply Chain Job Aid |
- Deliver 4 disaster carts to ED
- Deliver Additional PPE to ED
- Assign 1 staff member to ED
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- Deliver 4 disaster carts to ED and Starsys Cart Mother Carts to OR Main Office
- Redeploy infusion pumps and wheelchairs to ED and Periop as needed
- Assign 2 staff members to ED and 2 staff members to OR
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Transport Team
Mass Casualty Incident Activation for Transport
Communication Specialist Job Aid |
- Communication Specialist send Everbridge Alert for MPE event when notified by ED Charge or Physician Leads
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- Communication Specialist send Everbridge Alert for MCI event when notified by ED Charge, Physician Leads or EP
- Transport MCP Physician — Determine which patients can safely be transported from outside hospitals to CHOP
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