Rutgers University-Rutgers University-NewarkNewark

Health ServicesHealth Services

EMERGENCY RESPONSE EMERGENCY RESPONSE PLANPLAN

Luis G. de Jesus, MDStaff PhysicianRU-Newark Health Services

RUTGERS UNIVERSITY-RUTGERS UNIVERSITY-NEWARK HEALTH SERVICESNEWARK HEALTH SERVICES

StaffingStaffing– 2-3 MDs2-3 MDs– 2 NPs2 NPs– 1 Nurse1 Nurse– 1 Pharmacist1 Pharmacist– 3-4 Reception 3-4 Reception

PersonnelPersonnel

EMERGENCY RESPONSE EMERGENCY RESPONSE PLANPLAN

PurposePurpose Coordinate With Other University Coordinate With Other University

Services, Local Hospitals, State & Services, Local Hospitals, State & Federal Agencies.Federal Agencies.

Provide Emergency Medical Services.Provide Emergency Medical Services. Establish Procedures For Post-Establish Procedures For Post-

emergency Recovery Process And emergency Recovery Process And Distribution Of Prophylaxis Distribution Of Prophylaxis Medication.Medication.

EMERGENCY RESPONSE EMERGENCY RESPONSE PLANPLAN

PurposePurpose Coordinate With Other University Coordinate With Other University

Services, Local Hospitals, State & Services, Local Hospitals, State & Federal Agencies.Federal Agencies.

Provide Emergency Medical Services.Provide Emergency Medical Services. Establish Procedures For Post-Establish Procedures For Post-

emergency Recovery Process And emergency Recovery Process And Distribution Of Prophylaxis Distribution Of Prophylaxis Medication.Medication.

EMERGENCY RESPONSE EMERGENCY RESPONSE PLANPLAN

PurposePurpose Coordinate With Other University Coordinate With Other University

Services, Local Hospitals, State & Services, Local Hospitals, State & Federal Agencies.Federal Agencies.

Provide Emergency Medical Services.Provide Emergency Medical Services. Establish Procedures For Post-Establish Procedures For Post-

emergency Recovery Process And emergency Recovery Process And Distribution Of Prophylaxis Distribution Of Prophylaxis Medication.Medication.

COORDINATIONCOORDINATIONRU RU Medical ServicesMedical Services

Newark Medical ServicesNewark Medical Services– Psychological ServicesPsychological Services– College of NursingCollege of Nursing– Rutgers Environmental Health and SafetyRutgers Environmental Health and Safety– Pharmacy ServicesPharmacy Services

Other RU-Health ServicesOther RU-Health Services– New Brunswick Student Health ServicesNew Brunswick Student Health Services– Camden Student Health ServicesCamden Student Health Services– Occupational Health ServicesOccupational Health Services

COORDINATIONCOORDINATIONRutgers University ServicesRutgers University Services

AdministrationAdministration– Provost OfficeProvost Office

Safety & SecuritySafety & Security– Physical PlantPhysical Plant– Police DepartmentPolice Department

COORDINATION COORDINATION RU RU Back-up LocationsBack-up Locations

Golden Dome

Athletic Field

COORDINATIONCOORDINATIONLocal Emergency RoomsLocal Emergency Rooms

Saint Michael’s Medical Center

UMDNJ

COORDINATIONCOORDINATIONNJ State & Federal AgenciesNJ State & Federal Agencies

NJ Department of HealthNJ Department of Health– Newark (973)-733-7592Newark (973)-733-7592– Trenton (609)-588-7500Trenton (609)-588-7500

CDC CDC – Emergency Response Emergency Response

Hotline (770)-488-7100 Hotline (770)-488-7100

HAZMATHAZMAT– UMDNJ EMS (973)-972-6290UMDNJ EMS (973)-972-6290

EMERGENCY MEDICAL CAREEMERGENCY MEDICAL CAREInfectious/Hazardous MaterialInfectious/Hazardous Material

Personal Protective Equipment:Personal Protective Equipment:– All staff members have their own All staff members have their own

disaster PPE packet .disaster PPE packet .– All staff members are fitted and All staff members are fitted and

instructed in proper use by REHS. instructed in proper use by REHS. – PPE Packet: 1 gown, 1 pair of shoe PPE Packet: 1 gown, 1 pair of shoe

covers, 1 N95 mask, 1 N100 Mask, 1 covers, 1 N95 mask, 1 N100 Mask, 1 pair nitrile gloves, 1 eye protection.pair nitrile gloves, 1 eye protection.

EMERGENCY MEDICAL CAREEMERGENCY MEDICAL CAREInfectious/Hazardous MaterialInfectious/Hazardous Material

Isolation RoomsIsolation Rooms– 2 Negative 2 Negative

Pressure RoomsPressure Rooms– Adjacent Back-Adjacent Back-

up Roomsup Rooms– BathroomBathroom

EMERGENCY MEDICAL CAREEMERGENCY MEDICAL CAREHigh VolumeHigh Volume

START START – Simple Triage and Rapid Treatment.Simple Triage and Rapid Treatment.– Developed by Hoag Memorial Hospital in Developed by Hoag Memorial Hospital in

Newport Beach, California and the Newport Newport Beach, California and the Newport Beach Fire DepartmentBeach Fire Department

– Provides a simple and standard way to Provides a simple and standard way to triage patients based on objective physical triage patients based on objective physical findings.findings.

UMDNJ Center for BioDefenseUMDNJ Center for BioDefense– (973)-972-2783/ (973)-972-6166(973)-972-2783/ (973)-972-6166

EMERGENCY MEDICAL CAREEMERGENCY MEDICAL CAREHigh VolumeHigh Volume

Standard Algorithm:Standard Algorithm:– Categorize or sort patients based on Categorize or sort patients based on

severity of injuriesseverity of injuries– Prioritize their need for treatment and Prioritize their need for treatment and

transporttransport– Account for number of victimsAccount for number of victims

Four Parameters to Evaluate: Four Parameters to Evaluate: – AmbulationAmbulation– RespirationRespiration– Perfusion Perfusion – MentationMentation

EMERGENCY MEDICAL CAREEMERGENCY MEDICAL CAREHigh VolumeHigh Volume

Triage Triage Classification:Classification:– Priority 0 (Black)Priority 0 (Black)– Priority 1 (Red)Priority 1 (Red)– Priority 2 (Yellow)Priority 2 (Yellow)– Priority 3 (Green)Priority 3 (Green)

METTAG

EMERGENCY MEDICAL CARE EMERGENCY MEDICAL CARE Disaster Box ContentsDisaster Box Contents

Emergency Response Plan ProtocolEmergency Response Plan Protocol METTAGsMETTAGs Personal Protective EquipmentPersonal Protective Equipment GlovesGloves FlashlightFlashlight Staff Identification TagsStaff Identification Tags Accident Report FormsAccident Report Forms Patient Arrival Sheet and Contact InformationPatient Arrival Sheet and Contact Information ClipboardsClipboards Portable Battery-operated Radio and TelevisionPortable Battery-operated Radio and Television

POST-EMERGENCY POST-EMERGENCY RECOVERYRECOVERY

Point Of DistributionPoint Of Distribution (POD) (POD) TrainingTraining

– POD Operations Training on PlaguePOD Operations Training on Plague NJ DOH at NewarkNJ DOH at Newark

– POD TOPOFF 3 ExercisePOD TOPOFF 3 Exercise US Department of Homeland Security US Department of Homeland Security

PurposePurpose– To establish procedures for distribution of To establish procedures for distribution of

prophylaxis medications in the event of a prophylaxis medications in the event of a declared biological, chemical or radiation declared biological, chemical or radiation emergency.emergency.

DISASTER SUPPLIES KITDISASTER SUPPLIES KIT

Water: 3 gallons per personWater: 3 gallons per person Food: 3-day supply per personFood: 3-day supply per person Kitchen accessories: Manual can opener, Kitchen accessories: Manual can opener,

disposable cups, plates and utensils, utility disposable cups, plates and utensils, utility knife, sugar and salt, aluminum foil, plastic knife, sugar and salt, aluminum foil, plastic wrapper-sealable plastic bagswrapper-sealable plastic bags

Portable, battery powered radio and Portable, battery powered radio and television; extra batteriestelevision; extra batteries

Several flashlights; extra batteriesSeveral flashlights; extra batteries Blankets for each personBlankets for each person First aid kitFirst aid kit Sanitation and hygiene itemsSanitation and hygiene items

Robert BrownleeRobert BrownleeNJ Department of Health and Senior ServicesNJ Department of Health and Senior Services

Division of Health Infrastructure Preparedness and Division of Health Infrastructure Preparedness and Emergency ResponseEmergency Response

Exercise Support TeamExercise Support Team