MCI Action List: Difference between revisions
Created page with "MCI Action list ◦ Needs Assessment ◦ estimated time-line ◦ injury types ◦ incoming # patients ◦ Incident situation ◦ ED/OR/Hosp capacity assessment ◦ Staff - communicate ◦ Stuff - secure ◦ Space - assign ◦ 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 Ped..." |
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==STAGE 1 GOALS== | |||
◦ Needs Assessment | ◦ Needs Assessment | ||
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◦ Activate concepts of Triage | ◦ Activate concepts of Triage | ||
STAGE 2 GOALS | ==STAGE 2 GOALS== | ||
1. Needs Assessment | 1. Needs Assessment | ||
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4. Activate concepts of Re-Triage | 4. Activate concepts of Re-Triage | ||
STAGE 3 GOALS | ==STAGE 3 GOALS== | ||
1. Triage + Treat Patients | 1. Triage + Treat Patients | ||
2. Move Patients Around | 2. Move Patients Around | ||
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5. Attempt to Resupply | 5. Attempt to Resupply | ||
STAGE 4 GOALS | ==STAGE 4 GOALS== | ||
1. maintain contact with other hospitals | 1. maintain contact with other hospitals | ||
2. needs assessment: open ICU/OR beds check | 2. needs assessment: open ICU/OR beds check | ||
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6. Triage | 6. Triage | ||
STAGE 5 GOALS | ==STAGE 5 GOALS== | ||
1. Staff management – getting more fatigue mitigation; food | 1. Staff management – getting more fatigue mitigation; food | ||
2. Family management | 2. Family management | ||
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5. Ongoing security | 5. Ongoing security | ||
STAGE 6 GOALS | ==STAGE 6 GOALS== | ||
1. Send excess staff home | 1. Send excess staff home | ||
2. Begin elective procedures again | 2. Begin elective procedures again | ||
Revision as of 15:31, 25 September 2026
STAGE 1 GOALS
◦ Needs Assessment ◦ estimated time-line ◦ injury types ◦ incoming # patients ◦ Incident situation ◦ ED/OR/Hosp capacity assessment ◦ Staff - communicate ◦ Stuff - secure ◦ Space - assign
◦ 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: ◦ Define staff, space, stuff needs ◦ Acquire/Prepare additional supplies ◦ [partial] mobilization of hospital incident command ◦ Activate concepts of Triage
STAGE 2 GOALS
1. Needs Assessment ⁃ situation/incoming patients needs assessment/estimated ongoing time-line ⁃ Hospital capacity needs assessment
2. 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
3. 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)
4. Activate concepts of Re-Triage
STAGE 3 GOALS
1. Triage + Treat Patients 2. Move Patients Around 3. Expand available space to accommodate more patients 4. Secure perimeter/crowd control 5. Attempt to Resupply
STAGE 4 GOALS
1. maintain contact with other hospitals 2. needs assessment: open ICU/OR beds check 3. borrow supplies 4. re-supply 5. media/crowd management 6. Triage
STAGE 5 GOALS
1. Staff management – getting more fatigue mitigation; food 2. Family management 3. Advanced triage 4. Definitive Treatment - ICU, OR, Home, Psych Liaison, Morgue 5. Ongoing security
STAGE 6 GOALS
1. Send excess staff home 2. Begin elective procedures again 3. Bring in new staff 4. De-escalate security 5. Restock supplies 6. Laundry/Room Flips