Functional Exercise 5-15-15 SRRC Earthquake

0830 - Earthquake 5.0 @ 0830 5-15-15, around Hillsboro area

Power outages @ hospitals in impacted area (no power or water)/generators in use

INITIAL RHCC REPSONSE:

*Reach back to impacted hospitals*

Contact Hillsboro and ask what your current needs are
Reach out to Brian Kieninger – notify IDPH
Establish lines of communication – StarCom/MERCI/cell/e-mail (what is working?)
Stand up our EOC’s/HICS @ St. John’s & MMC
Attempt to communicate with other region 3 hospitals via StarCom
Get a SitRep from all the hospitals

1022 -Switching to MERCI radios/ StarCom is down

Gap – we have not tested the MERCI system
We are going to send out an e-mail as well
Gap – have a printable form for SitRep from each hospital – continuity of information needed

Update BedReport in HavBed

1032 SIREN Alert – “Hillsboro hospital collapsed ~50 people trapped, unable to access d/t road condition / Communicated to SJH”

Passavant with fires and burning within –staff evacuation needed

Video Update between RHCC’s to relay information: Update as of 1040

ALMH EOC update: Current census is 11 (SitRep status : good)
MDH : no resources/no evac needed (EMS ready and on standby)
Blessing: no damage/normal power/no StarCom/no MERCI, trying to text
St. Francis: Functional, inspecting: Bed Count 17pts/75 staff – HICS up
Pana: On generator, no water, no evac needed
TMH: impacted as well, backup gen, run time 120hrs, emerg H20 plan, staffing plans being reviewed, sending alert msg, reverse 911, StarCom down, msg received thru SIREN, logged onto HAN, review of bldg and damage
Illini: Injuries, evacuation, 3 patients Acute Care, one non-ambulatory, generator power, no water (via Text)
Culbertson
SJH : Sitrep – no needs, EOC up and running
MMC: Sitrep – no needs, EOC up and running
Passavant: 60 pts requiring evac, potential for explosion, #8 critical, unable to do bed count = 16 ED pts
Hillboro : need to evac 10

We are requesting from IDPH:

IMERT resources
Mutual Aid ambulances
Request activation for MedSurge Plan
Have IDPH send out message through SIREN for bed status statewide
IDPH requesting SIRC

1046 – Hillsboro - #2 critical pts need evac, #2 non critical, #8 ambulatory need evac, #5 already evac : need AE and bus:

RHCC send out message back to regional hospitals with current bed status and other hospital status.

MMC & SJH receiving 8 critical patients – 6 to SJH & 2 to MMC

RHCC – Blessing (can you send ambulances and take back to Blessing

CURRENT SITREP (1100):

MEMORIAL CARTHAGE : NEED EVAC BUT working it through Burlington and Keokuk, Ft. Madison

BYPASS – only local care of pts

TMH: generator back-up, no emergent needs, have surge beds available ? #

18 non-critical beds

MMC: taking 3 of Passavants critical

0 critical beds
55 non-critical

SJH: taking 5 of Passavants critical

0 critical beds
17 non-critical

Blessing: up and functioning, #10 critical beds & #18 adult #13 ped non critical

14 Non-critical

Mason District: Back up power & H20 not reliable, activated H20 plan: #8 Medsurg, 1 peds, 0 ICU

ED maxed; 8 non-critical beds

ALMH: #10 non critical beds, zero OB beds, 3 PEDS : Functional but has local pt needs as well

Bed availability down to 6; bed status projected to be full

Pana: On Generator, No water, No evac needs

On generator, tx of ambulatory in parking lot

St. Francis: Functional, can they take patients? ED is currently evaluating and may take up available

4 maternity/5 in-pt beds available

ILLINI: patients are being transported to Blessing, evacuating all inpatients to take care of community

Needs to be on diversion, no generator (need transport to area)

Passavant: Critical transport taken to SPI, 60 non-critical working with IDPH to coordinate req for med resources and bed availability

Coordinating with IDPH to dispo 30 pts to SJH & 30 pts to MMC

HOT WASH

Support Hospitals Strengths:

Hospitals know plans, required connection with other hospitals

Support Hospitals Weaknesses:

Room set up (have RHCC in middle of room)
Communication method during exercise
Need simcell for local injects
Include key stakeholders – EMA, EMS, ?Fire/Law
Map with pins for hosp within region
Which RHCC to contact?, need 2 additional contact #’s
St. Francis would comm. Directly with Hillsboro – difficult to judge priority in communication between impacted hospital vs. RHCC
Make checklist for evacuation info request to standardize responses

Impacted Hospital:

Command Center plans need to change for alt EOC location
Hard to get info from them immediately because of comm’s and inherent to situation to RHCC
Probably would not have picked up StarCom radios, area impacted as well as the MERCI radio

RHCC Strengths:

Brian “had fun” – I.D. ways to communicate, use redundancy methods
Takes time to process communication
Get a form for SITREP
Prioritize means of communication to regional comm’s plan, not just a list of them
We have never exercised MERCI radio comm’s
Incorporate into regional evac plan, state could assist with movement of patients (burn/ped surge plans)

IDPH

Unity of effort for SITREP

Dr. Wohltman

Critical patients need evacuated but need to be clarified, What constitutes a critical patient?
Computerize format/template report to enter all SITREP information, simplify the process

IEMA

Communication was working wonderful (Doug)
Marty: MERCI primary communication platform was mentioned but we missed it; bring in our local EMS/EMA and do a tabletop ex first
Doug: may center data on 7.1 earthquake, it listed all comms no matter what was down; therefore we could assume that comms could be down for weeks
Bob: biggest concern was how long it was going to take. He had to do things on the fly based on info that we were asking for from the RHCC: thinks it well for our first time getting together and doing an exercise, passing info along went well; we may be asking for assistance from other EM’s, they can be a resource to help us and off load some of the massive amount of data coming into the EOC
Phil: keep this relationship up, as a local EMA, the communication is essential and important to him