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Jay Hamm, RN, FACHE, COO/Acute Care Executive Steve Shelton, MD, Medical Director EM Eric Brown, MD, Physician Executive Preparedness Infrastructure Leadership Team COO/System Executive Physician Executive Chief Nursing Officer Medical Director, Emergency Preparedness System Director, Emergency Preparedness Safety Manager Administrator on Duty Infection Control Hospital Epidemiologist Steering Committee All Leadership Team as well as… Education Campus Executive Team Members System VPs, Ancillary & Support Services Outpatient Clinic Representatives Emergency Management Key Physician Leaders Chief of Infectious Disease Patient Placement Medical Transport Human Resources Supply Chain Regulatory Compliance Officer Public Information Officer Operational & Communication Strategy Daily morning briefing Daily leadership briefing Daily Hospital & System Safety Huddles Weekly Steering Committee Meetings Regular Participation in Community, Regional, and National Forums Additional Communication Strategies: Town Hall Forums Executive Briefings Digital Updates and Announcements Operational Plan Follow recommendations by CDC/SCDHEC •Detect •Protect •Respond Detect Evaluating and protecting points of entry Front line staff preparedness: Emergency Department/ Urgent Care Centers Alternate Points of Entry, Lab Draw Stations, Radiology etc Physician Practices and Ambulatory Care Clinics Screening tools: EMR hard stops and prompts Custom built ambulatory screening procedures Appointment Screening for clinical criteria Checklist For Patients being evaluated for Ebola Virus at PH CDC algorithm for evaluation of Return traveler Posters and Signage All points of entry Protect Employees, patients, people in the community entering the hospital Protocols for wearing Personal Protective Equipment (PPE) and having appropriate PPE available Re-Training of Donning/Doffing of PPE Standard, contact, droplet precautions Educational Training Video Team dedicated to respond PPE deployed to all EDs, Urgent Care, Transport, Physician Practices, and Ambulatory Care Sites Stockpiled PPE supply System simulation exercises Limiting number of HCW and visitors entering the room Protect: Personal Protective Equipment Protect: ED Isolation Rooms Designated rooms/area for treating suspected/probable/confirmed case of Ebola Protect: 9 West Isolation Unit Protect Limiting and protocols for transport of patient within hospital Protocols for safe handling of patient specimen by laboratory personnel Protocols for safe handling of contaminated/infectious material by waste management Safety measures and protocols for EVS workers Keeping up to date with recommendations by CDC/DHEC Respond Once suspected case is detected; Patients will be masked and moved to the designated isolation room with door closed. At the hospitals, contact: AOD/Infection Control/Emergency Management SC DHEC Ambulatory Care and physician practices, contact: AOD/Infection Control/Emergency Management/Transport SC DHEC Case Study Suspect patient Isolation Remote assessment DHEC / CDC PPE Flu swab & Lab tests? How much care? When do we move? QUESTIONS?