Pediatric Planning Resources Minnesota Department of Health - OEP April, 2013

Pediatric Planning ResourcesMinnesota Department of Health - OEP April, 2013

What’s the plan?

Primer

Template

Supporting appendices

Appendix

Pediatric Safe Area Checklist

Sample disaster menus

Behavioral health handout

Pediatric priorities poster

Pediatric referral resources

Hospital training matrix

Hospital training scenarios

Template pediatric MCI annex

JAS – Pediatric Technical Specialist

JAS – Pediatric Services Supervisor

JAS – Pediatric Safe Area Unit Leader

Safe area registry template

Registration form

Planning Assumptions

10 Steps – Facility Planning

Determine expertise among staff

Create staff leadership positions

Write a peds MCI annex

Training and Exercise plan

Equipment plan

Nutrition plan

Pharmaceutical plan

Security / safety needs addressed

Transfer / transport

Pediatric decontamination considerations

8 Steps – Regional Planning

Assess regional expertise and leadership

Determine training needs and support/resources

Assess regional capacity

Assess equipment needs / issues

Regional referral and transportation plan

Behavioral health resource assessment

Family Assistance Center concept of operations

Exercise plan

Regional Implementation

Regional roll-out

Educational offerings

Workshops

Partner facilities

Follow up

Trauma system

CO-S-TR – C4

Command

Control

Communications

Coordination

CO-S-TR - Logistics

SpaceTriageRedYellowGreen (ambulatory)Pediatric Safe AreaInpatient

CO-S-TR - Logistics

StaffWho has expertise / training?Who needs additional training?

Didactic – classes?Practical – classes? simulation?Refresher – emphasis on bedside,

brief, using usual equipmentJust-in-time

Stuff!

Based on AAP / ACEP guidelines

Per ‘red’ patient

Some equipment is per facility

Nothing too fancy!

Fits well with trauma preparedness / site visits

Pediatric Equipment

CO-S-TR - Logistics

Stuff (other)Beds / pack-n-playsPharmaceuticals

Potential for errors!Weight-based dosing

CO-S-TR LogisticsSpecial

Behavioral HealthFamily / Safe AreaInfectious DiseaseDecontamination

CO-S-TR - Operations

Triage

CO-S-TR - Operations

TreatmentOutpatient – release to pediatric safe

areaInpatient

Cohorting – kids with kids only!Priority transfer or pediatric-specific unit:

More serious injuries/illness Complex underlying diseases Age <8

CO-S-TR - Operations

TransportInternal

StretchersCar seats, cribs, etc.Supervision!

ExternalAmbulances – specialized, ALS/BLS,

rotor, fixed wingOther vehicles – school bus, cars with

car seats

CO-S-TR - Operations

TrackingRegistrationWristband

Purple - parentWhite – without parentBlue – belongs to staffPatient wristband may be used with

above

Appendix – Behavioral Health

Age <5

Age 6-11

Age 12-18

Handout – what to expect, when to seek help

Appendix - Template

Annex to the facility EOP

Pediatric Mass Casualty Plan

Pediatric Emergency Team (PET)

Appendix - JAS

Pediatric Technical Specialist

Pediatric Services Supervisor

Pediatric Safe Area Unit Leader

Appendix – Registry

Check-in, check-out

Registration