Emergency Plan

Business and Financial Affairs > Emergency Plan > Emergency Response: Operations >

Checklist 2-E

Assignment: MEDICAL
Checklist	2-E
Position	DIRECTOR, STUDENT HEALTH SERVICES
Section	OPERATIONS SUPPORT

FOR IMMEDIATE ACTION

	Remain calm.
	Evacuate if incident affects your building or office. Do not go to the incident site.
	Turn on your cellular phone.
	If your building or office is not affected, report to the staging area at the Emergency Operations Center (EOC). (If unable to report to EOC, call Dispatch at 619-594-1991.) Make contact with the Operations Coordinator (Chief, Department of Public Safety) with a list of team members and obtain equipment and assignments.
	Determine the number of personnel available to respond.
	Keep the Operations Coordinator briefed.
	Develop an Action Plan for Medical operations. The plan should have contingencies for:
	An emergency First Aid Station for the campus community and emergency workers.
	Transporting the critically injured to medical facilities.
	Setting up a triage operation at specific location for mass injuries.
	Implementing medical mutual aid.
	Implementing a coroner operation and a temporary morgue.
	Report the results of assignment operations to the Situation Status Officer (Assistant to the Vice President for Business and Financial Affairs) under the Planning Section (injuries, deaths, etc.)
	Keep a log of your activities.

PRIMARY RESPONSIBILITIES

	Activate and staff a First Aid Center.
	Provide first aid to injured persons.
	Arrange for and coordinate hospital transportation.
	Establish a temporary morgue, if necessary.

SUPPORT RESPONSIBILITIES

Rescue operations.

ADDITIONAL ITEMS:

Outside Agency Issues
- Responding medical agencies have protocols that are specific to their agency and communication must be established and maintained to ensure that efforts do not conflict.
Extended Operations
- Some incidents could extend for several hours or days. Medical must determine continued availability of staff and resources and arrange for replacements.

MEDICAL SUPPORT: OPERATIONS
RESPONSE - ALL HAZARDS
	Request that field teams report persons needing medical assistance.
	Determine number and location of persons requiring medical attention.
	Report information to the EOC.
	Request assistance with incoming ambulance and medical personnel.
	Assign staff until county responders arrive.
	Request Medical staff be sent to the site or transport victims to Health Center.
	Provide assistance to the EOC in accordance with the County Medical Casualty Incident Procedures.
	Obtain and record information on identify of victims and destination of transported casualties.
If county medical units cannot respond sufficiently under extreme emergency situation, consider the following actions as appropriate:
	Establish contact with the EOC and determine condition of the local hospitals.
	Request the EOC contact outside public and private medical organizations to determine the availability of personnel and services.
	Contact the EOC and determine which facilities will be used to support the MEDICAL operation.
	Allocate staff to the following locations or activities as required:
	Casualty Collection Point
	Health Center: In the event that the Health Center building is compromised, the primary alternative site will be the Athletic Medicine Center. The secondary alternative site will be the seminar rooms on the first floor of the Cuicacalli Dining Complex.
	Transport of injured
	Staging location of medical support
	Location of temporary morgue
	Mobilize and brief volunteer medical personnel. Assign volunteer medical staff to medical care sites. Ensure that briefings for staff and volunteers include:
	Triage
	Arrest of significant bleeding
	Use of intravenous solution
	Pain relief
	Tagging injured
	Patient tracking
	Identification and handling of facilities
	Ensure that injured requiring supplemental treatment are taken to the Casualty Collection Point site.
	Determine the following support needs and request from the EOC:
	Medical supplies
	Portable generators
	Emergency radio net
	Transportation for victims to other medical facilities
	Food and water
	Conduct a periodic poll of injured and casualties to determine additional support requirements.
MEDICAL SUPPORT: DISASTER TRIAGE PROCEDURES
During disaster situations that produce mass casualties and tax or overwhelm available campus medical resources, it may be necessary to use unusual techniques to provide the most effective aid. Under such conditions, the rule of "the greatest good for the greatest number" will be the guiding principle. The disaster medical-care triage procedure initiated at campus disaster sites and disaster medical care facilities should be in accordance with the following guidelines: Priority I - Immediate transport. First priority casualties are those that have life threatening injuries that are readily correctable. For purposes of priority for transport to a hospital, a second sorting or review may be necessary so only those "transportable" cases are taken first. Some may require extensive stabilization at the scene before transport. Priority II - Delayed transport of casualties are all those whose therapy may be delayed without significant threat to life or limb and those for whom extensive or highly sophisticated procedures are necessary to sustain life. Casualties requiring minimal care will not be tagged or registered. They will not be given professional level care and will not be admitted to hospitals. They will be sent from the incident scene in order to reduce confusion unless they are needed to assist as litter bearers or first aid staff. The dead will be identified by an "X" on the forehead or covered with marked material. Professional opinion will be sought where needed. They will be completely covered with a sheet, blanket or other available opaque material. They should be moved out of the immediate casualty sorting area by the Coroner team as soon as practicable. Panic-stricken or psychologically disturbed persons, who might interfere with casualty handling, should be isolated from the incident scene as soon as possible.
MEDICAL SUPPORT: MULTIPLE CASUALTY INCIDENT PLAN
Emergency Medical Services (EMS) are normally provided to the campus through an EMS system administered by the county. The EMS system has detailed procedures for responding to multiple casualty incidents. Multiple casualty incidents may occur on campus as a result of events such as fire, explosion, vehicle accident, or hazardous materials release. If an incident occurs on campus, the County Multiple Casualty Incident Operational Procedures will be activated by the EMS system. The Communications Dispatcher will contact the local fire station. The local station is located at 4605 62nd Street. In an area-wide emergency that results in casualties on campus and delays or reduces the County EMS system’s ability to respond, the campus medical response will be managed by the Medical Branch under the Operations Section. The response of campus personnel to the incident will be governed by the following guidelines: The Communications Dispatcher will request an EMS response through the Sheriff’s Communication Center. Information will be provided on the number of casualties, conditions, and any special hazards. Law Enforcement units will escort ambulances to the site and will assist ambulance personnel in establishing an ambulance staging area. Law Enforcement personnel responding to the scene will establish a perimeter and, as feasible, initiate rescue and provide first aid to the victims. Student Health Services will be notified and placed on standby. A campus medical team will respond to the scene if the incident is a major medical emergency or larger incident, or if ambulance response is unduly delayed. Any medical personnel on scene will identify themselves to the incident commander or medical supervisor and provide assistance as requested.
CORONER OPERATION: SUPPORT
SUPPORTING ORGANIZATIONS AND RESPONSIBILITIES Student Health Services is the primary unit for supporting coroner operations on campus. The County Coroner has support responsibility for coroner operations countywide including the campus. Local mortuaries and morticians will provide personnel and facilities for handling fatalities.
CORONER OPERATION: RESPONSE
RESPONSE - ALL HAZARDS Determine the impact of the incident and have the EOC contact the County Coroner. Make recommendations to the EOC for sites that would be suitable as a temporary morgue. Refer all inquiries concerning number of the deceased to the EOC. Determine the number of personnel immediately available for assistance. Ensure personnel assisting the recovery teams understand the County Coroner policies and procedures. If the county coroner/medical examiner cannot be contacted under extreme emergencies, consider the following actions as appropriate: Designate Fatality Recovery Teams and prioritize assignments. Check condition of critical equipment and supplies. Obtain body bags, tags, gloves, masks and other support items. Assign staff for the following functions as needed: Recovery teams Identification records Morgue Assign a person to handle records and personal effects. Establish a communication system between the temporary morgue and EOC. Check with Operations before using or entering a damaged facility. Ensure staff have adequate protective clothing and equipment. Coordinate activities with Law Enforcement, Fire, Medical, and Search & Rescue operations. Observe assigned staff carefully for indications of stress. Evaluate the need for security of the temporary morgue. Advise Transportation (Director, Auxiliary Services, Public Safety) of the coroner transport needs.

Dial 9-1-1 for any emergency and University Police will respond.

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Last updated September 18, 2007
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