/clinical/,/clinical/references/,/clinical/references/ed-resources/,/clinical/references/ed-resources/disaster-workflow-edc/,

/clinical/references/ed-resources/disaster-workflow-edc/

201410301

page

100

UWHC,

Patient Care,

Clinical Hub,References,Emergency Department Resources

Disaster Workflow for EDCs

Disaster Workflow for EDCs - Clinical Hub, References, Emergency Department Resources

Focus

EMS/County 911 contacts UWHC with information on disaster and approximate number of patients coming to the ED.

South EDC Responsibilities 

  1. When directed by the Care Team Leader (CTL), contact the Emergency Line at 2-0000 to send out a mass causality disaster page. Provide the necessary information, which you will receive from the CTL.
  2. Begin making calls to EDCs to see if anyone is able to come in for the disaster. Use the EDC Disaster Call List located in the schedule binder. If additional staff comes in; there should be 2-3 EDCs in the ambulance bay arriving patients, 2-3 EDC on the South side and North side. If there is still additional staff then they should help out where needed.
  3. Phone calls:
    • Calls from family members should be directed to Social Work
    • Calls regarding media inquiries should be directed to H6/215, media room
  4. Continue with normal duties. 

Registration EDC Responsibilities (North EDC if there is no Registration EDC)

1. The Registration EDC, or North EDC if there is not a Registration EDC, uses the estimated number of patients given by dispatch and expects that number of unident patients. The sex will remain unknown until the patient arrives.

Click "Arrival," and check the "Anonymous" box. Leave the sex as unknown for the time being. Click "new," then "skip."

Patient Lookup

Select the correct means of arrival method. Enter "Other Ambulance" if you are unsure which ambulance brought the patient in.

For chief complaint enter "Disaster."

Arrival Information

2. Print a wristband and 20 labels for each unident patient. Keep these organized so they can be easily distributed upon patient arrival.

3. The Registration EDC or North EDC will take the wristbands/labels and a WOW to the ambulance entrance and stand with the Resident and Tech. If the disaster patients go through Decontamination Room, the EDC will meet the patient on the "clean" side after decon.

4. Upon patient’s arrival, arrive the patient and change the sex from unknown to the appropriate sex. If sex cannot be determined, leave as unknown. All patients will show up in the waiting room in the order they were entered. (Wristbands should be kept together as they print so it is easier to keep them matched to the patient as they arrive.) The EDC will be responsible for putting a wristband on the patient.

5. The patient will have a Disaster Tag ID assigned to them during triage; you need to enter this number under their registration. Click "Registration." Enter the Disaster Tag ID under "Visit Info."

visit Info: Disaster ID Tag

6. Move the patients to the appropriate care areas as determined by the clinical staff.

7. After all disaster patients have arrived … go to disaster patient's rooms on the south side, and obtain the patient’s name and DOB. Enter name in the preferred name field and alias field. Enter DOB in permanent comments.

Name Edit

8. Enter descriptive words for the patients in the comments section. For example: toddler, green shirt, red hair, etc.

From the trackboard view, highlight the patient, click "comments," type in the information, and click "accept."

Comments

9. Phone calls:

North EDC Responsibilities

1. If there is not a Registration EDC, then the North EDC is responsible for the Registration EDC's responsibilities, in addition to the North EDC responsibilities.

2. Go to disaster patient’s rooms on the north side and surgery clinic, and obtain the patient’s name and DOB. Enter name in the preferred name field and alias field. Enter DOB in permanent comments.

Name Edit

3. Enter descriptive words for the patients in the comments section. For example: toddler, green shirt, red hair, etc.

From the trackboard view, highlight the patient, click "comments," type in the information, and click "accept."

Comments

4. Continue with normal duties.

5. Phone calls:

Greeter Responsibilities

1. Entrance to waiting room remains open for patients to check in. The greeter must remain at the greeter desk. People that were part of the disaster may drive themselves here and check in through the waiting room. During a disaster the greeter must ask every patient checking in if they were part of the disaster. For example; “Were you involved in the Camp Randall incident?” If they reply yes, then they must be arrived as a unident. If they reply no, then you arrive them with their actual name.

2. Continue with normal duties.

3. Phone calls:

4. When family members arrive in the ED contact Social Work

Note: If Health Link is down, you will have to use the pre-made unident packets. These are located in the triage area in the cabinet to the left of where the wristbands are located.