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We Need a Favor
Park Slope Armory Medical Needs Shelter 200 beds
Rockaway LTC Facilities Evacuated Nursing Homes Group Homes Assisted Living
NYCDOH MH Concerned Diarrhea outbreak Non medical shelter
Where To Begin?
Infection Control 101
Limited capacity patients Sanitary Conditions
Personal Hygiene Hand Hygiene Bathrooms Food Safety Spacing of Cots Non medical volunteers
Infection Control 102
Medical Care Rounds
Identifying the ill Isolation
Patient Rights Staff Safety Donations
Clothing Bed bugs
Personal Hygiene Limited capacity patients Limited to no privacy Incontinent patients
No showers Hourly bathroom cleaning
Cleaning products
Sinks Designated sinks as bathtubs Hand hygiene
Bathroom Monitors
Food Safety
Conflicting information
Food handling Temperature Gloves/Aprons/Nets
No refrigeration Patients Staff
Multiple sources Erratic delivery
Food Lines Hand hygiene Eating on cots
General Safety LTC Staff Volunteers
Orientation Competing agency
agendas DOH HHC FEMA
DMAT
Communication Joint rounding Meetings
Patient separation Facility Cots Behavioral health Medically ill
Donations Stock variation
Cleaning and hygiene Clothing Itching rounds
Pet therapy
Back at the Ranch Losses
• Main Hospital Building including Operating Rooms, Labor & Delivery, Laboratory, Radiological, Outpatient, Pharmaceutical and Food Services
• Emergency Department (Adult, Pediatric and Behavioral Health)
• Tower Building (Inpatient Services)
• Hammett Pavilion (Behavioral Health Inpatient/Outpatient)
• Power Plant and Engineering Services
• FDNY-EMS Battalion Station and Repair Facilities
• All Administrative Buildings including Human Resources, Financial and Administrative (clinical and non-clinical support) Services
• Ida G. Israel Community Health Center totally destroyed
Utility Losses
Approximately 250 different mechanical systems including:• Electrical distribution• Fuel, water, oxygen, medical gas and air
pumps• Ejector pumps for storm drainage• Communications systems failure (primary,
secondary and tertiary systems)• Primary IT and security network equipment
Preparing for the Future
• Long term solutions are required to avoid future evacuations• Perimeter of campus needs to be protected from 3 nearby
waterways• Emergency Department and all critical support services
including imaging equipment must be moved from 1st Floor and repositioned to a new structure
• Placement of critical hospital systems (medical gases, oxygen, air pumps), electrical and mechanical systems must be at significantly higher levels
• Replace pumps and motors with submarine type electrical cabling and submersible pumps