Pandemic and Emergency Response Preparedness Supplement
[final questionnaire will contain both the OMB required statements and the NCHS confidentiality statement.]
The following questions are proposed for a 2008 Pandemic and Emergency Response Preparedness Supplement, to track trends in hospital preparedness from the baselines established in the 2003 and 2004 Bioterrorism and Mass Casualty Preparedness Supplements. Modifications are based on experience with the data from these prior surveys, and on an effort to provide unique data not being asked in other surveys being fielded.
Does your emergency response plan specifically address each of these types of incidents?
Epidemics/pandemics
Biological accidents or attacks
Chemical accidents or attacks
Nuclear/radiological accidents or attacks
Explosive accidents or attacks
Natural disasters
Does your emergency response plan specifically address these special populations?
Pediatric
Elderly
Medically fragile
Deaf
Blind
Since September 11, 2001, with which of the following entities has your hospital engaged in cooperative planning in developing or updating an emergency response plan for public health emergencies (e.g. terrorism, mass casualties, epidemics, disasters)?
Other hospitals
Emergency medical services (EMS)
Fire department
Hazardous materials (HAZMAT) teams
State or local law enforcement
Federal Bureau of Investigation (FBI)
State or local public health department
State or local office of emergency management
With which of the following actions has your hospital implemented during a hospital overcrowding incident or a public health emergency (e.g. disasters, mass casualties, disease outbreaks, terrorism)? (Choices will include yes, no, and not in emergency response plan.)
Collaboration with outside entities
A memorandum of understanding (MOU) with one or more other hospitals to accept adult patients in transfer from the emergency department when no beds are available at your hospital
MOU with one or more children’s hospitals to accept pediatric patients in transfer from the emergency department when no beds are available at your hospital
MOU with a regional burn center to accept patients in transfer in the aftermath of an explosive or incendiary mass casualty incident
Regional communication systems to track:
emergency department closures or diversions
available intensive care unit beds
available hospital beds
specialty coverage
Mutual aid agreements with other agencies to share supplies and equipment
Expansion of on-site surge capacity
Cancellation of elective procedures and admissions
Expansion of isolation capacity for airborne diseases (e.g. cohorting in designated units with negative airflow)
Conversion of inpatient units to augment ICU capacity (e.g. post-anesthesia care unit, same-day surgery)
Establishment of alternate care areas on site (with beds, staffing and equipment)
inpatient unit hallways
decommissioned ward space
non-clinical space (e.g. offices, storage areas, conference rooms)
Setting up temporary facilities when the hospital is unusable (without power or flooded, etc.)
Agreements with other outpatient facilities to augment outpatient services during a public health emergency
Priority setting for limited resources
Methods to deliver potassium iodide in response to radioactive release
Regional multi-hospital coordination of standards of care during a pandemic or other mass casualty incident
Process to be followed when adjusted standards of care are necessary for use and withdrawal of mechanical ventilation
Triage processes for other limited intensive care resources
Expanding on-site health care work force
Staff absenteeism from personal or family repercussions from the emergency
Advance registration of volunteer health professionals
Mutual aid agreements with other agencies to share health care providers
Continuity of operations
Mass casualty management
Fatality management
Establishing an on-site large capacity morgue during a mass casualty incident
Hospital evacuations
Pediatric
Guidelines on increasing pediatric surge capacity
Protocol to identify and protect displaced children rapidly
Tracking system for accompanied and unaccompanied children
Reunification of children with families
Special populations
Mechanisms to minimize communication difficulties in dealing with handicapped or vulnerable populations
Sheltering of pregnant women
Sheltering of patients with special health care needs
Communications
Notification of alerts from your state/local health department
Participation with local public health in public influenza education, vaccination or awareness campaigns
In how many mass casualty drills, simulations or exercises has your hospital participated in the last year?
Internal drills
Full scale simulation
How many victims?
How long did the drill last?
Table-top exercises
Drills in collaboration with other organizations (e.g. law enforcement, health department, emergency management, fire department, emergency medical services, hazardous materials teams, decontamination teams)
Full scale simulation
How many victims?
How long did the drill last?
Table-top exercises
What scenarios did the drills, simulations or exercises address?
General disaster and emergency response
Biologic accidents or attacks
Severe epidemic or pandemic
Mass vaccinations
Mass medication distribution to hospital personnel
Mass medication distribution to community
Chemical accidents or attacks
Nuclear or radiological accidents or attacks
Decontamination procedures
Explosive or incendiary accidents or attacks
With which organizations were the drills or exercises performed? (Choices will be yes, no, not present in community)
State or local law enforcement
State or local public health department
State or local office of emergency management
Fire department
Emergency medical services (EMS) – fire department based
Emergency medical services – not based in fire department
Hazardous materials (HAZMAT) teams
Decontamination teams
School systems
Day care organizations
Long-term care facilities
Industrial or commercial organizations
What resources and capabilities does your hospital have available in-house in the event of a mass casualty incident (total numbers)?
Mechanical ventilators
N95 masks to supply all patient care providers for at least one week
Personal protective suits with powered air-purifying respirators (PAPR)
Emergency department treatment spaces
Critical care beds (e.g. intensive care, pediatric intensive care, coronary care, post-anesthesia care)
Negative pressure isolation rooms
Regular inpatient staffed beds
Decontamination showers
How many ambulatory patients can be handled per hour?
How many stretcher patients can the shower handle per hour?
Designated cache of antibiotics for hospital employees
What is the total number of hours that your hospital’s emergency department was on ambulance diversion in 2007?
What is the total number of hours that your hospital was on trauma diversion in 2007?
What is the total number of hours that your hospital was on diversion for critical care cases in 2007?
Title of person completing the survey supplement
File Type | application/msword |
File Title | Pandemic and Emergency Response Preparedness Supplement |
Author | mxm3 |
Last Modified By | ziy6 |
File Modified | 2007-07-27 |
File Created | 2007-07-27 |