MCI GOALS BY STAGE
STAGE 1 GOALS
Needs Assessment
- - situation/incoming patients needs assessment/estimated time-line
- - ED/OR/Hosp capacity needs assessment
Activate Response (local)
- - (understand base concepts of code yellow ED vs. code yellow Hospital)
- - Declare code yellow ED
- - Activate local incident command (administration)
- - Notify clinical departments: ED, trauma for Peds & Adults, radiology & shift coordinators
- - Partial mobilization of staff: ED trauma nurses, radiology, public affairs, EVS, security, public affairs
- - Activate local reverse triage
Decide/Assess
- - [partial] mobilization of hospital incident command
- - Define staff, space, stuff needs
- - Acquire/Prepare additional supplies
Activate concepts of Triage
STAGE 2 GOALS
Needs Assessment
- - situation/incoming patients needs assessment/estimated ongoing time-line
- - Hospital capacity needs assessment
Activate Hospital Response
- - (understand base concepts of code yellow ED vs. code yellow Hospital)
- - Declare code yellow HOSPITAL
- - Activate Hospital incident command (HICS)
- - Notify clinical departments: wards, trauma for Peds & Adults, radiology & shift coordinators
- - Stop elective operations (ORs/Clinics)
- - Mobilization of staff: Hospital nursing, blood bank, EVS, radiology, public affairs, security, public affairs, facilities
- - Call in additional staff
- - Activate hospital-wide reverse triage
Decide/Assess
- - [partial] mobilization of hospital incident command
- - Define staff, space, stuff needs
- - Acquire/Prepare additional supplies
- - Establish contact with other hospitals
- - Go on ED diversion
- - Contact materials management for more supplies (eg, PPE)
Activate concepts of Re-Triage
STAGE 3 GOALS
Triage + Treat Patients
Move Patients Around
Expand available space to accommodate more patients
Secure perimeter/crowd control
Attempt to Resupply
STAGE 4 GOALS
maintain contact with other hospitals
needs assessment: open ICU/OR beds check
borrow supplies
re-supply
Triage
STAGE 5 GOALS
Staff management – getting more fatigue mitigation; food
Family management
Advanced triage
Definitive Treatment - ICU, OR, Home, Psych, Liaison, Morgue
Ongoing security
STAGE 6 GOALS
Send excess staff home
Begin elective procedures again
Bring in new staff
De-escalate security
Restock supplies
Laundry/Room Flips