Download 2. Emerging Infectious Disease Tabletop Exercise APRIL EVENT

EMERGING INFECTIOUS DISEASE
TABLETOP EXERCISE
SW HEALTHCARE PREPAREDNESS COALITION
PURPOSE
o
Participants will engage in a discussion based exercise to review and communicate facility and
coalition level planning in response an Emerging Infectious Disease incident to identify
opportunities for improvement and enhance awareness of current planning. Participants will
include, at a minimum, frontline facilities and EMS.
o
This exercise was designed to meet the requirements set forth in the Hospital Preparedness
Program (HPP) Ebola Preparedness and Response Activities (CFDA #93.817) Funding
Opportunity Announcement. More specifically, the participating agencies, in collaboration
with their regional healthcare coalition and the Minnesota Department of Health intend for this
exercise to at a minimum meet the detail listed in Part A; Activity C; Strategy 1; Bullet Point 3.
OBJECTIVES
o
o
Objective #1: Frontline (Assessment &
Treatment) healthcare facilities discuss
their ability to identify, assess and treat
(to the level planned by their facility) a
suspected highly infectious disease
case.
Objective #2: Frontline (Assessment &
Treatment) healthcare facilities discuss
their ability to coordinate response
operations with their coalition partners.
o
Objective #3: Participants will discuss
the processes and procedures for
communicating during an infectious
disease response at the local, regional
and state levels.
o
Objective #4: Participants will discuss
access, availability and training of
Personal Protective Equipment
appropriate to the care of a highly
infectious individual
o
This is an open, low-stress, no-fault environment.
o
Varying viewpoints, even disagreements, are expected.
o
Respond to the scenario using your knowledge of current plans, capabilities and insights
derived from your training.
o
Decisions are not precedent setting and may not reflect your organization’s final position on a
given issue.
o
This exercise is an opportunity to discuss and present multiple options and possible solutions.
o
Issue identification is not as valuable as suggestions and recommended actions that could
improve response efforts.
o
Problem-solving efforts should be the focus.
EXERCISE GUIDELINES
MODULE 1
PATIENT PRESENTATION
MODULE 1 SCENARIO
A person walks into the Emergency Department registration area of your hospital (or Urgent Care
of your clinic) visibly very sick. (Modification for EMS only: You arrive at the home of a person that
called 911 requesting assistance and is visibly very sick.)
This person describes their symptoms as “I have been really sick; vomiting, chills, diarrhea, and the
last I checked I had a fever of 102.4.” While obtaining more information the patient says that they
have not traveled recently, but their spouse works for an International Bioinformatics Management
organization, recently returned from a project in Sierra Leone and is currently being monitored by
MDH. The patient says they believe their spouse is also sick, but is not volunteering information
correctly and doesn’t want to go in for “just the flu”.
MODULE 1 DISCUSSION QUESTIONS
1.
Are your registration staff asking a question set that will provide enough information to identify
an individual as a high risk case? Will they ask all of the questions necessary to get
travel/potential exposure history?
2.
What actions does the hospital take immediately?
3.
Who does the hospital contact (internally and externally)?
4.
Will the hospital identify the disease first or attempt to transfer this patient immediately?
5.
At what point do you notify your local public health department, coalition response entity
and/or MDH?
Table Reports
MODULE 2
PATHOGEN IDENTIFIED
MODULE 2 SCENARIO
The patient has been correctly identified as a highly suspected (not confirmed) case of Ebola. The
hospital has isolated the patient, activated its incident command structure and notified the
Minnesota Department of Health, its coalition response entity, its local public/tribal health
department and its local county/tribal emergency manager.
MODULE 2 DISCUSSION QUESTIONS
1.
Will this patient be held in your Emergency Department, moved to an isolation unit and
admitted, or transferred as soon as resources allow?
2.
Upon notification, what actions will your local Public/Tribal Health Department and local
County/Tribal Emergency Manager take?
3.
Once the decision has been made to transfer the patient:
4.
i.
Where are you going to transfer the patient? Describe this decision making and coordination process.
ii.
What preparations are required for the transfer?
iii.
Has your hospital identified an EMS Service that is willing to transfer Ebola patients?
Does your agency, service or facility have the appropriate level and amount of personal
protective equipment to safely perform your role in this response?
Table Reports
MODULE 3
TRANSFER TO A TREATMENT CENTER
MODULE 3 SCENARIO
The patient is safely transported by EMS (within a 4 hour response window) to a treatment center in
the state of Minnesota.
MODULE 3 DISCUSSION QUESTIONS
1.
As a sending facility, what are your facility cleaning and Medical Waste protocols?
2.
Describe the physician to physician consultation that occurs on this case?
3.
As a sending facility, describe recovery actions and concerns including staff monitoring?
4.
Describe Local Public/Tribal Health Actions as a sending or receiving county.
5.
As an unaffected agency, service or facility what expectations do you have for
communication from your coalition or your state department of health?
6.
As a transferring EMS service, describe your medical waste protocols for Ebola.
7.
As a Treatment Center what communication would you offer to the other coalition
hospitals, public/tribal health departments, Minnesota department of health, local/tribal
emergency management and other state hospitals/coalitions?
Table Reports
HOTWASH / DEBRIEF