Biomedical Engineering Reference
In-Depth Information
Example After Action Report
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Recommendation
Coordinating department
1
The decontamination area needs to have a better water supply.
Fire & Safety
2 Communications, especially with Coordinated medical emergency dispatch (C-Med)
needs improvement and should be drilled more often.
ED/BT Reg. Planning
3
ED triage team and decontamination personnel need to collaborate and discuss
response integration.
ED/Fire & Safety
4 Decontamination should be performed thoroughly prior to patients being allowed in
the ED.
Fire Safety
5
There needs to be a greater number of staff members trained in decontamination and
donning and doffing PAPRs.
ED/Fire & Safety/ Industrial
Hygiene/BT
6
There needs to be a better communication system in the ED, especially between the
Attending ED Physician in charge at the time of the emergency and the rest of the staff,
representation in the EOC.
ED
7 Communications from area to area (external triage to internal ED) needs to be
enhanced as well. The leadership in the ED needs to be well-informed with the most
up-to-date information.
ED
8
Identify an alternative location in the plan for family overflow if the Chapel in not
sufficient to manage the number or size of the event.
BH/IOL
9 Mechanism to allocate and utilize clinicians that arrive to assist family members or /or
families. Plan needs to address where they should report to, who coordinates their
activity and assumes accountability.
BH/Security
10 Utilize ED staff/Pastoral Care Staff as a resource to direct social workers for assistance
in ED. Perhaps appoint a contact person to coordinate activity.
ED/BH
11 Initial attempts to contact the CTRP, did not have the right phone number and then took
some time to get a response back from them.
BHBT Reg. Planning
12 Provide access to a Family assistance center database to determine the patient's
location.
HEOC/BH/MIS
13 Determine a specific location of the temporary morgue. ED/Security/Facilities/IOL
14 Determine a proper location for the Press. Bus. Devel/PR/Security
15 Insufficient number of two-way radio communications. Security/Fire/ Comms
16 Battery life on the PAPRs dwindles quickly and needed replaced often. Industrial Hygiene/BT
17 Need for additional portable radios in EOC with Earpiece. Comms.
18 EOC telephone lines with lights may have been beneficial to cut down on the noise level. Comms.
Figure 22.7
The list included a total of 50 recommendations (Hartford Hospital; Hartford Connecticut “After Action Report from
Top Off 3,” G. Havican, Regional Planning Coordinator).
and “external clinical reception teams” must be
addressed within the emergency management plan
and tested and evaluated in the large-scale drill.
Evaluations must be created around the emer-
gency management plan and the evaluator must
be trained to be objective and follow a matrix
of numerically scored sections which will add
“weight” to the evaluation instrument. The hospital
must discuss said evaluations in its “After Action
Reviews” and utilize the results to establish process
improvement initiatives to establish “Best Prac-
tice” for the institution. The process improve-
ment initiatives and the emergency plans must be
reviewed and presented to the JCAHO accrediting
agency in the future site visits.
Hospitals must also be aware of the resources
in their area and contiguous communities. Plan-
ners from the hospitals Environment of Care or
Emergency Management committee must collabo-
rate with local emergency planning organizations
and develop plans to provide resources to and from
hospitals in case of mass disasters.
Hospitals are resilient. Maintaining that
resiliency is important to maintain a safe and
efficient environment. The practice of large-scale
drills and exercises is paramount to continue this
