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Development of an Evacuation Tool to Facilitate Disaster Preparedness: Use in a Planned Evacuation to Support a Hospital Move

Published online by Cambridge University Press:  24 January 2017

Ranna A. Rozenfeld Open the ORCID record for Ranna A. Rozenfeld [Opens in a new window] ,
Sally L. Reynolds ,
Sherri Ewing ,
Mary Margaret Crulcich  and
Michelle Stephenson
Ranna A. Rozenfeld*
Affiliation:
Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois Department of Pediatrics, Division of Critical Care Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
Sally L. Reynolds
Affiliation:
Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois Department of Pediatrics, Division of Emergency Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
Sherri Ewing
Affiliation:
Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
Mary Margaret Crulcich
Affiliation:
Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
Michelle Stephenson
Affiliation:
Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
*
Correspondence and reprint requests to Ranna A. Rozenfeld, MD, Professor of Pediatrics and Medical Education, Feinberg School of Medicine, Northwestern University, Attending Physician, Pediatric Critical Care Medicine, Medical Director, Transport Team, Ann & Robert H. Lurie Children’s Hospital of Chicago, 225 E. Chicago Avenue, Box 73, Chicago, IL 60611 (e-mail: rrozenfeld@northwestern.edu).
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Abstract

Objectives

Our institution relocated to a new facility 3.5 miles from our original location in Chicago on June 9, 2012. We describe the tools we developed to prepare, execute, and manage our evacuation and relocation.

Methods

Tools developed for the planned evacuation included the following: level of acuity and team composition classification, patient departure checklist, evacuation handoff tool, and a patient tracking system within the electronic health record. Incident Command structure was utilized.

Results

Monthly census tracking exercises were held beginning 12 months before the evacuation. Simulation drills began 6 months before the evacuation. The entire evacuation took less than 14 hours and there were no safety issues. A total of 127 patients were transported to the new facility: 45 patients were moved via the Neonatal/Pediatric Critical Care Transport Team, and the rest were moved with various team configurations.

Conclusion

Documents developed for a planned evacuation can be used for any planned or unplanned evacuation. We believe the tools we used to prepare, execute, and manage our evacuation and relocation would assist any health care facility to be better prepared to safely and efficiently evacuate patients in the event of a disaster, or to create surge capacity, and relocate them to another facility. (Disaster Med Public Health Preparedness. 2017;11:479–486)

Keywords

pediatricsevacuationdisaster preparednesstool development
Type
Concepts in Disaster Medicine
Information
Disaster Medicine and Public Health Preparedness , Volume 11 , Issue 4 , August 2017 , pp. 479 - 486
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2017 

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References

1. Espiritu, M, Patil, U, Cruz, H, et al. Evacuation of a neonatal intensive care unit in a disaster: lessons from Hurricane Sandy. Pediatrics. 2014;134(6):e1662-e1669. http://dx.doi.org/10.1542/peds.2014-0936.Google Scholar
2. Powell, T, Hanfling, D, Gostin, LO. Emergency preparedness and public health. The lessons of Hurricane Sandy. JAMA. 2012;308(24):2569-2570.Google Scholar
3. Distefano, SM, Graf, JM, Lowry, AW, et al. Getting kids from the Big Easy hospitals to our place (not easy): preparing, improvising, and caring for children during mass transport after a disaster. Pediatrics. 2006;117:S421-S427.Google Scholar
4. Baldwin, S, Robinson, A, Barlow, P, et al. Moving hospitalized children all over the Southeast: interstate transfer of pediatric patients during Hurricane Katrina. Pediatrics. 2006;117:S416-S420.Google Scholar
5. Lowe, CG. Pediatric and neonatal interfacility transport medicine after mass casualty incidents. J Trauma. 2009;67(suppl):S168-S171. http://dx.doi.org/10.1097/TA.0b013e3181af6086.Google Scholar
6. Fuzak, JK, Elkon, BD, Hampers, LC, et al. Mass transfer of pediatric tertiary care hospital inpatients to a new location in under 12 hours: lessons learned and implications for disaster preparedness. J Pediatr. 2010;157(1):138-143. http://dx.doi.org/10.1016/j.jpeds.2010.01.047.CrossRefGoogle ScholarPubMed
7. Jen, HC, Shew, SB, Atkinson, JB, et al. Creation of inpatient capacity during a major hospital relocation. Arch Surg. 2009;144(9):859-864. http://dx.doi.org/10.1001/archsurg.2009.146.Google Scholar
8. Scarfone, RJ, Coffin, S, Fieldston, ES, et al. Hospital-based pandemic influenza preparedness and response. Strategies to increase surge capacity. Pediatr Emerg Care. 2011;27(6):565-572. http://dx.doi.org/10.1097/PEC.0b013e31821dc9d1.Google Scholar
9. Gabriel, LEK, Webb, SAR. Preparing ICUs for pandemics. Curr Opin Crit Care. 2013;19(5):467-473. http://dx.doi.org/10.1097/MCC.0b013e328364d645.Google Scholar
10. Burkle, FM. Do pandemic preparedness planning systems ignore critical community- and local-level operational challenges? Disaster Med Public Health Prep. 2010;4(01):24-29. http://dx.doi.org/10.1097/DMP.0b013e3181cb4193.Google Scholar
11. Campbell, C. The benefits of designing a stratification system for New York City pediatric intensive care units for use in regional surge capacity planning and management. J Community Health. 2010;35(4):337-347. http://dx.doi.org/10.1007/s10900-010-9268-z.Google Scholar
12. Kanter, RK. Strategies to improve pediatric disaster surge response: potential mortality reduction and tradeoffs. Crit Care Med. 2007;35(12):2837-2842. http://dx.doi.org/10.1097/01.CCM.0000287579.10746.43.Google Scholar
13. Stamell, EF, Foltin, GL, Nadler, EP. Lessons learned for pediatric disaster preparedness from September 11, 2001: New York City trauma centers. J Trauma. 2009;67 (2)(suppl):S84-S87. http://dx.doi.org/10.1097/TA.0b013e3181adfb81.Google Scholar
14. Gates, JD, Arabian, S, Biddinger, P, et al. The initial response to the Boston Marathon bombing. Lessons learned to prepare for the next disaster. Ann Surg. 2014;260(6):960-966. http://dx.doi.org/10.1097/SLA.0000000000000914.Google Scholar
15. Behney, A, Breit, M, Phillips, C. Pediatric mass casualty: are you ready? J Emerg Nurs. 2006;32(3):241-245. http://dx.doi.org/10.1016/j.jen.2006.03.005.Google Scholar
16. Shirm, S, Liggin, R, Dick, R, et al. Prehospital preparedness for pediatric mass-casualty events. Pediatrics. 2007;120(4):e756-e761. http://dx.doi.org/10.1542/peds.2006-2856.Google Scholar
17. Burkle, FM Jr, Williams, A, Kissoon, N. Pediatric emergency mass critical care: the role of community preparedness in conserving critical care resources. Pediatr Crit Care Med. 2011;12(suppl):S141-S151. http://dx.doi.org/10.1097/PCC.0b013e318234a786.Google Scholar
18. Gausche-Hill, M. Pediatric disaster preparedness: are we really prepared? J Trauma. 2009;67(suppl):S73-S76. http://dx.doi.org/10.1097/TA.0b013e3181af2fff.Google Scholar
19. Gausche-Hill, M. Integrating children into our emergency care system: achieving the vision. Ann Emerg Med. 2006;48(2):131-134. http://dx.doi.org/10.1016/j.annemergmed.2006.06.012.Google Scholar
20. American Academy of Pediatrics, Committee on Pediatric Emergency Medicine. Committee on Medical Liability; Task Force on Terrorism. The pediatrician and disaster preparedness. Pediatrics . 2006;117:560-565.Google Scholar
21. Braun, BI, Wineman, NV, Finn, NL, et al. Integrating hospitals into community emergency preparedness planning. Ann Intern Med. 2006;144(11):799-811. http://dx.doi.org/10.7326/0003-4819-144-11-200606060-00006.Google Scholar
22. Bhave, SY, Choudhury, P, Pemde, HK, et al. IAP Workshop on Disaster Management Practices: Recommendations and IAP Plan of Action. Indian Pediatr. 2005;42:887-903.Google Scholar
23. Milsten, A. Hospital responses to acute-onset disasters: a review. Prehosp Disaster Med. 2000;15(01):40-53. http://dx.doi.org/10.1017/S1049023X00024900.Google Scholar
24. Christian, MD, Devereaux, AV, Dichter, JR, et al. Introduction and executive summary: care of the critically ill and injured during pandemics and disasters: CHEST Consensus Statement. Chest. 2014;146(4 suppl):8S-34S.Google Scholar
25. Kissoon, N. Deliberations and recommendations of the Pediatric Emergency Mass Critical Care Task Force: executive summary. Pediatr Crit Care Med. 2011;12(suppl):S103-S108. http://dx.doi.org/10.1097/PCC.0b013e318234a612.Google Scholar