Purpose of Document - Ohio Emergency Management Agency



Alternative Care Site (ACS) Operation and Wrap-Around ConsiderationsResponse to COVID-19Purpose of DocumentThis document is intended to be used to assist in the development, planning, and operations of an Alternative Care Site (ACS) in response to COVID-19. Points of consideration within this document include but are not limited to: Patient IntakeOperationsWraparound servicesThis document is not intended to be used as a comprehensive list of considerations for an ACS PATIENT INTAKE Patient Criteria for ACSCOVID/Non-COVIDCOVID but recoveringWho is NOT allowed/cannot be supported will also need to be established NotificationPatient transportPatient receiptCall/Dispatch centers at both locationsTransportationMovement to and from the alternate care site (hospitals currently planning to use internal transit/contracted ambulance service) Assets assigned for strictly shuttle missions if local resources tapped out.Ambulance drop off areas with ramps for wheeled cots24/7 or specific time of day?Patient tracking Must be able to track from intake to dischargeRelying on hospitals moving patient to ACS to trackDischarge from ACS or parent hospitalIntake forms – trackingHard copies of medical forms must if electronic record keeping is not availableIntake/PharmaceuticalsChain of custody will need established if physical medical files are being transported between facilities Patients arriving with medicationsHave limited pharms, may not be exact manufacturerGENERAL OPERATIONS OF ACSPower/backup powerpower drops to each patient area or just to serve the patient floor in generalEscape only lighting or operational backupStaff AccommodationsParkingBreak roomRestroomCommunicationsStrong communications plan will need establishedAdmin to floor to patient pick up/drop off to hospitals between functional areascell phone, radio, walkie-talkieWaste – Both medical and generalHow often will it be picked upWhere will it be storedRefrigerationMany drugs (such as insulin) need to be refrigeratedBlood productsOn site refrigeration vs mobile refrigeration units Coolers, reach in fridges, etc. Pharmacy area Secure within the ACS Ability to lock and trackO2 generationFill bottle or manifold off to serve patients Key medical gas for post COVID and geriatric patientsMedical Gas StorageRestroom facilitiesMany elements of the population can’t ambulate to a normal restroomRestrooms are not built around individuals with significantly restricted activities of daily living. May need special restroom trailers or bedside commodes.Storage space Bulk storage for medical supplies and grab and go spaces for the patient care floor Wi-Fi Is there current Wi-Fi capability and can it be expanded or enhancedSecurityControlled entrancesAlarm SystemsCamerasPerimeter securityWalk-insEmployee identificationSuction Are portable suction units available Recharge stations to charge a bank of portable suction unitsAncillary services required at the location Lab/x-ray requiredMobile units from the hospitalsHousekeepingContracted? Patient area cleanupLaundry Linen will need to be turned over regularly Laundry trailers (contracted? on site?) Handwashing facilitiesPortable handwashing units with ability to heat wateror walk across a patient care area to a bathroom after each patient visitWheel chairs Non ambulatory patientsMove people on floor - stretch or wheel chairCrash carts Sick people recovering and geriatric patients can decompensate or crashShould be a crash cart to addressFeeding patients and staff Does site have industrial kitchens onsiteCatering services can provide both hospital style meals AND feed the supporting staff (important if we had guardsman on site).Showers Both for patients and staffShower trailersMental health/faith based counselorsIs there on site support or a need for itStaffMedical staff Licensed personnel that meets the level they need – EMT (medic/med tech), RN, midlevel (NP/PA), or doctor.Supply movementAdmin functions24/7DISCHARGINGRelease from careDischarge from ACS or parent hospitalInterval release (2xDaily)– EMS/Mass Transit back to vehicleReefer trailer or morgue capacity On site? DEMOBILIZATIONCriteriaPre-established trigger or decision by stakeholdersCleaningSanitization of facility and equipmentReplace/dispose of carpeting/fabric that cannot be sanitized ................
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