Community Service Learning Project

Alternate Care Site Evaluation Walkthrough

Alternate Care Site

Alternate care site Site of use in case the main facility is unusable. Black River Technical College (Paragould, AR) Walkthrough (what we actually did, brief overview)

1 1/2 hours

Organization Northeast Arkansas Emergency Preparedness

Coalition and Regional Leaders. Started after 911, prepare for disasters before they happen

St. Bernards AMMC (Paragould) Black River Technical College (Paragould)

Alternate Care Site

Site Infrastructure

Door sizes adequate for gurneys Gurneys will be able to fit through them

Floors are adequate for wheeled

stretchers Will the stretcher be able to be wheeled across the floor with

ease?

Loading dock Will the dock be able to handle the incoming ambulances,

morgue services, emergency vehicles?

Site Infrastructure

Site Infrastructure

Material handling equipment The proper equipment to be able to get the materials

needed to the site Forklifts Trucks

Parking for staff and visitors The site needs to be able to accommodate parking.

Parking area lighting The site will need to have plenty of lighting for security

purposes.

Site Infrastructure

Adequate ambulance and bus access The site will need to accommodate emergency vehicle access

and other transportation.

Adequate weather protection The site will need to have structures in case of inadequate

weather. Buildings Tents

Toilet facilities The site will need provide facility toilets.

On site bathrooms Portable toilets or mobile bathrooms

Site Infrastructure

Site Infrastructure

Showers The site will need to be able to provide for showering. Showering will be for employees, patients, visitors.

Hand washing stations The site will need to have a place to wash hands.

Bathrooms

ADA accessible The site will need to be able to accommodate all

people.

Site Infrastructure

Helipad or landing zone The site will need to have a clear place for a helicopter

to land for transport.

Fire protection safety and equipment The site will need to have certain protection in case of

fire or other safety concerns that could occur.

Total Space and Layout

Auxiliary spaces Check in point Chapel Counseling room

Equipment and supply storage area The should be a place that is safe and dry.

Family waiting area The site will need to designate an area for family to wait. This will need to be at the front of facility.

Total Space and Layout

Total Space and Layout

Separate areas for Isolation and Palliative Care

Isolation will need to be away from everything. Palliative care will need to be accessible to family.

Food supply and prep area This could be a kitchen, break room, etc.

Stove, refrigerator, sink

Lab specimen handling area Clean area that can handle the type of work performed.

Total Space and Layout

Total Space and Layout

Mortuary holding area Freezers, refrigerators Contracted mortuary holding containers

Patient decontamination areas Is there an area outside to set up decontamination

stations?

Pharmacy area This will need to be in a secured area.

Total Space and Layout

Total Space and Layout

Staff support and rest break area This area will need to be sealed off so that the staff can

get away.

Area for service animals This area will most likely be outside. This area will need to be secured.

UtilitiesHVAC

Does the site have proper ventilation, air conditioning? Pressurized rooms, surgery, comfort, etc Electric company understand the priority of ACS

Electrical power Does the site have electricity or access to electricity? Is there a backup generator?

Refrigeration Is there an adequate amount of refrigeration space for the

work that needs to be done?

Utilities

Utilities

Water Is there access to water at the site? Hose, sink, shower or tub, water heater, etc

Video monitoring systems or alarm

systems Does this facility have the monitoring for security

purposes?

Communication

Phones Are there an adequate amount of phones? Is there access to satellite phones?

Intercom or overhead paging This will be a way to communicate with employees or the

public.

Two-way radio capability to main facility This will keep everyone informed and will be a way to

keep in touch with Incident Command.

Communication

Communication

Wired Internet Is there wired internet to use for documentation and

other communication?

WiFi access This will be useful if there is no wired connection.

Computers available for staff use These will be needed for patient information,

documentation, and use by incident command.

Communication

Other

Not located in a flood plain This will determine if the site can be used as an alternate

care site.

Ability to lock down facility How many entrances and exits? Are there MOU’s and MAA’s in place? Fenced in perimeter

Area for shelter in place Gives security and protects from weather conditions

Other

Accessibility to transportation What kind of roads are there? Is there more than one way out?

Waste disposal Will there be a way to properly dispose of waste? Biohazard, trash, chemicals, etc

Laundry Is there a way to do the laundry that will be used and

needed for the site?

Other

Supplies and Services Will there be availability for supplies and services to

reach the site? Oxygen delivery

Proximity to main hospital How close is the site to the hospital? Will this site be beneficial to hospital?

  Northeast Regional Hospitals With List of Who Supplies the Item        

Vendor Item AMMCCrossRidg

e Crittenden Five Rivers Forrect City Helena Lawrence NEA Baptist Piggot SMC/GRMC

MCHS St Bernards Healthsouth

Food & Water                        

Potable Water Sunrise

US Foods/Sysco US Foods

Coleman Dairy

Sysco/Forrest City Grocery

Walmart/Hays Turner Dairy Clear Mountain Burch

Mississippi Co. OEM  

7 Up Bottling Co.

Food (list type) US. Foods US Foods US Foods

Sysco-general food & paper supplies

F. C. G. Produce Sysco US Foods Sysco-General US Foods Sysco/Primary Food-US Foods Sysco

Food (list type)   Sysco  

Coleman Dairy Milk & Dairy Products

F.C.G. Produce/Meat/Misc. Walmart  Sysco McCarty-Prod Sysco

Snider Wholesale/Secondary

Drinking Water-Pepsi

Flowers Bakery/Bread

Food (list type)   Walmart    Flowers Bread Hays   Flowers-Bread      

Turner Dairy/Milk

Food (list type)   Hays           Turner Dairy                                 

Patient Meds & Supplies                        Oxygen (bulk liquid) Nexair Nexair Nexair Nexair Air Products Praxair Airgas Praxaiir Praxair Praxair Nexair Nexair

Oxygen (portable) NexairNexair/Airgas Nexair Nexair Air Products Airgas

Airgas/TN Medical Nexair Nexair Nexair Nexair Nexair

Blood SupplierAmerican Red Cross

American Red Cross Life Blood

American Red Cross Life Blood

American Red Cross

American Red Cross

American Red Cross

American Red Cross Life Blood

American Red Cross  

Medicine (list type)Morris Dickson

Local Pharmacies

Morris Dickson

Cardinal 90% of Stock

Cardinal Pharmacy Walmart Morris Dickson

Amerisource Bergen Ameri-Source Cardinal Health

Morris Dickson (majority)  

Medicine (list type)  Morris & Dickson  

Hospira 10% of stock   Hickory Hill AmeriSource  

Piggott Discount Drug  

Cantrell (Premix IV Bags) Cardinal Health

Medicine (list type)  Morris & Dickson  

Hospira 10% of stock   Hickory Hill AmeriSource  

Piggott Discount Drug  

Cantrell (Premix IV Bags) Cardinal Health

Medicine (list type)       Baxter IV   FredsASD/Shinabery Compounding   Freds Pharmacy      

Medicine (Regional Stockpile)  

SBMC/Crittenden                    

Medicine (National Stockpile)  

Fed Government                    

Medical SuppliesMedline/Baxter

NEA Emergency Preparedness Trailer  

Medline Baxter

Owens & Minor Med Line Med Line/Owens UHS Med Line Owens & Minor   Medline

Medical Supplies   Medline                    

Ventilator supplier In-house N/A UHS Daetx UHS UHSUniversal Hospital Service Hill-Rom Tri-Aminin UHS

US Med Equipment Memphis UHS

Laboratory Supplies      

Beckman-Assays, Hematology, Fisher-General Lab Supplies, BioMerieux, Micro                

                         

                         

Utility Needs                        

Generator Fuel Eubanks Oil MFA Oil RitterRiverside Petroleum

Jimmy Sanders

Thomas Petroleum Farm Service

Centerpoint/Flash Oil Watson Oil

Bruner's Fule and Lubricant Farm Service Jimmy Sanders 

Water (for HVAC)  

Wynne Fire Department

In Ground Well   Well Pump N/A WR City Water In House N/A

Blytheville/Osceola Fire Dept

Jonesboro Fire Department

City Water & Light

Porta Potties HedgesSouthern Plumbing  

Hedger Brothers

Forrest City Plumbing N/A Hedges Harris Plumbing Hedges Hedges Rental

Hedge/Harris EZ Rent Roto Rooter

Back up generatorCummings Mid South RP Power

Cummings Mid South County RSC CHS Wayne Power ADEM Cummins Riggs/CAT Nucor Yamato Steel

Cummings Mid South Carter & Co.

Plumbing services Roto RooterSouthern Plumbing Upchurch

Erwin Pluming

Forrest City Plumbing/Ross Plumbing

Upchurch Service Smelser Harris Plumbing D&G

Roto Rooter Blytheville RGB Mechanical RGB Mechanical

Electrical Services   BSIGriffin & Sons Electric

Clay County Electric

Powerhouse Electric

Powerhouse Electric Entergy 5 Star Electric D&G Entergy Stewart Electric StewartElectrical

Heating Fuel Eubanks Oil MFA Oil Centerpoint  

Center Point/Clearwater N/A

CenterPoint Energy

Centerpoint/Flash Oil N/A

Bruner's Fule and Lubricant Farm Service Jimmy Sanders

                         Disaster Services                        

Child Care

Designated Staff In-house

CRCH Auxillary  

Undertermined None In House

Jelly Bean Junction/First Baptist Day Care Volunteers In House

MCHS Internal Plan   In House Staff

Pet Care N/A None

West Memphis Animal Shelter

Local Kennel None N/A Gateway Vet

NEA Humane Soc. City

Dr. Cato/Humane Society Convent In House Staff

AMMCCrossRid

geCrittende

nFive

Rivers Forrect

City Helena Lawrence NEA Baptist Piggot SMC/GRMC

MCHS St Bernards Healthsouth

Morgue Services

Kenyon/Raymond vaughn Trucking Kenyon Kenyon

County Coroner/Kenyon

Kenyon/F.C.G. Refrig Truck

Kenyon/County OEM

Bryan Funeral Home/Kenyon Kenyon

Kenyon/Clay County

Kenyon/Cobb/Carney/McDonald/Wilson Funeral Homes Kenyon

Kenyon/Emerson

Medical Waste Stericycle Stericycle Stericycle Stericycle Stericycle Stericycle Downum StericycleDanner Medical Danner Medical Stericycle Clean Habors

Hazardous Waste Stericycle Stericycle Stericycle Stericyclestericycle/Safety Clean Stericycle Stericycle Stericycle N/A Danner Medical Stericycle Stericycle

Social/Emotional Support Robin Patten

Midsouth Counseling Services/SBBH/AR Crisis Response Team/Wynne Ministerial Alliance

Methodist EAP

Ministerial Alliance/In house Psych Local Clergy

East Arkansas Counseling Service Karla Dotson

Chaplaincy Service Chaplains Red Cross SBBH

American Behavioral

Alternate cooking site Incident TBA

Crestpark Nursing Home

West Memphis Civic Center

Local Church

Forrest City Civic Center/First Baptist Church

Rehab * PC Community College

WR or Hoxie School  

Community Center

Blytheville/Osceola Public Schools  

FANS on Emergency Power

Alternate Care SiteBRTC Paragould

BRTC Paragould

BRTC Paragould/West Memphis Civic Center

BRTC Paragould/Local Church

BRTC Paragould/Forrest City Civic Center/First Baptist Chruch

BRTC Paragould/Phillips College & Barton Hight School

BRTC Paragould/Local Schools

BRTC Paragould/Surgey Hospital Jonesboro

BRTC Paragould/Tipton

BRTC Paragould/Blytheville Cancer Center/Osceola Public Shcools

BRTC Paragould/Healthsouth

BRTC Paragould/First United Pentecostal Church of Bono

Laundry Services In-house SBMCMethodist Laundry

Tipton Linen

Broadway Laundry

Broadway linen G & K Laundry Crothall   Angelica Laundry G & K Laundry  

Staffing (Medical) CNO SBMC In House  

Hospital/Physicians partners

Jackson Nurse Professionals   NEA Clinic   Arkansas Serves First Care  

Staffing (Medical)  Arkansas Serves    

OR Inc/Areus Med.

RN Network/RN Advantage   Baptist Corp        

                         Transportation                        

Ambulance

AMMC Paragould EMS

Southern EMS/Medic One/Pafford/Emerson

West Memphis Fire DepartmentMedic One

St. Francis County EMS Pafford AET Medic One Piggott EMD Pafford EMS Emerson Emerson

AmbulanceAMMC Rector EMS

St. Francis Co. EMS

Crittenden EMS Pro Med    

Medic One/Spring River Emerson Medic One   Medic One Medic One

Air Ambulance Air Evac Air EvacHospital Wing Air Evac Air Evac

Pafford Air One Delta Air Evac Air Evac Air Evac Air Evac Air-Evac  

Air AmbulanceHosptial Wing

Hopsital Wing  

Survival Flight Med Flight

Hospital Wing Survival Flight Survival Flight Childrens Hospital Wing    

Air Ambulance   Angel One  Angel One  

Air Evac/Angel One/Med Flight Angel One  

Survival Flight Kennet, MO      

Contracted Tranpotation Supplier  

Cross County Schools    

Forrest City School/First Baptist Chruch

None Contracted-MOU with Mid-Delta     None  

Jonesboro Schools (Bus)  

                         Communications                        

Ham radio operators N/A

Cross County Ham Club Danny Britt

In House Operator & WR Radio Club Scott Miller

2 onsite, Phillips County Ham Club

Lawrence Co Radio Club Bill Franklin Bryan Nagy

Stephen Ballio/GRMC Glenn Bridger

Mitch McCarroll

Ham radio operators                   Chris Lynn (SMC) Karla Davis  Ham radio operators                     Kevin Alphin  

Northeast Arkansas Emergency Preparedness CoalitionAlternate Care Site Use AgreementPurpose: The purpose of this agreement is to establish an alternate medical care site within the Northeast Arkansas Region of the state in anticipation of the loss of the hospital physical structures or excess capacity. We must be prepared for the possibility that the buildings or spaces in which patient care is normally provided will be rendered unusable. This agreement is to prepare for such and event by establishing agreement with alternate care site for use of designated spaces that can be prepared and staffed to provide patient care services. Use of the alternate care site will only be considered in the event of a declared disaster.Definitions:Loss of physical structure, the physical structure is deemed unsafe for normal healthcare use.Alternate Care Site, a site within the community, other than the hospital, utilized by the Northeast Arkansas Emergency Preparedness Coalition to provide healthcare services to the local community.Policy:The Northeast Arkansas Emergency Preparedness Coalition Regional Leaders will work with authorized representatives of Black River Technical College in Paragould to establish a mutual aid agreement for use of designated space to be used for provision of patient care services.The Arkansas Emergency Preparedness Coalition Regional Leaders in conjunction with representatives from Black River Technical Center in Paragould have agreed to the use of the Black River Technical College in Paragould as a designated Alternate Care site for the Northeast Regional Hospital Coalition. The following statements are included in the agreement:•A statement of authority for representatives of the Northeast Coalition and Black River Technical College of Paragould to initiate the implementation on of the Mutual Aid Agreement.•Accessing and securing the Alternate Care Site•Movement of staff, equipment, and supplies to the Alternate Care Site to provide support on-going provision of care as required.•Preparation of the designated space for provision of patient care•Movement of patients and patient care information to the designated site including medical records and other essential information related to the care of each patient. •Responsibilities of each party for maintaining the space.The alternate care site will be opened at the request of the Northeast Arkansas Emergency Preparedness Coalition Regional Leaders, in conjunction with input, when available from the Craighead and Green County OEM and St. Bernards Healthcare. The following should be taken into consideration prior to opening the alternate care site:1.Can local healthcare needs be met without opening an alternate care site?2.How long will the site be necessary?3.Is the emergency situation local or regional?4.Can the patients be safely treated elsewhere?5.Who will staff the site?6.Can supplies be delivered to the site?7.How will communications be handled?8.How will patients be tracked?9.How will the community be made aware that the site is open?10.Returning site to normal operations after event has ended.The Northeast Arkansas Emergency Preparedness Coalition has supplied the Black River Technical College in Paragould a generator to be kept onsite to be used in the event of an emergency or disaster. This agreement should be reviewed by both parties and signed annually. _________________________________________________ _________________Northeast Arkansas Emergency Preparedness Coalition Leader Date__________________________________________________ _________________Back River Technical College Paragould Representative Date

Impact

Experience Very informative Detailed (critical services in place to be able to support

the saving of lives) Understanding of what is needed for a site to be an

alternate care site.

Effect How does it effect the community.

Hospital relief Helps in the response phase.

Impact

What impact does it have on the public? Insures that there will be the essential service and healthcare will

be provided in an event of an emergency. What impact did it have on me?

Importance of site and importance of detailed checklist Impact on saving lives

Career Path Good feeling when the project was complete Continue on this path Expand upon this Explore all options