Riverbend City: Hospital Emergency MissionIntroduction Modal: Welcome to Riverbend CityExpository Te

Riverbend City: Hospital Emergency MissionIntroduction Modal: Welcome to Riverbend CityExpository Te

Riverbend City: Hospital Emergency MissionIntroduction Modal: Welcome to Riverbend CityExpository TextRiverbend City Medical Center has just hired recent DHA graduate Jodi Lundquist to be thehospital’s first Emergency Management Coordinator. This turned out to be a fortuitous decision,as three days after Jodi started the job a train derailed and caused a major chemical disaster.Unfortunately, the hospital’s Emergency Management Plan has not been fully updated to accountfor Jodi’s role-and the hospital personnel themselves are not all receptive to letting a rookie get towork right away under these circumstances. Jodi’s going to be having quite a day.Instructional Text:What would you do if you were the Emergency Management Coordinator for Riverbend CityMedical Center during a chemical disaster? Watch how Jodi Lundquist takes on her new role.Evaluate how well she is following procedure and doing her job, and when appropriate, think ofalternative strategies she might employ.Characters in this Mission•Eugene Pittman – Chief Executive Officer, RCMC•Edmond Yee – ER Medical Director•Beatriz Garcia-Chavez – MSN, Chief Nursing Officer, RCMC•Samantha Carter – Registered Nurse•Jodi Lundquist – Emergency Management Coordinator of RCMC•Keith Lively – Director of Security•Michael Blaine – Supervisor, MedAir Rescue•Amanda Sherman – Executive Assistant to CEO•Harold Essex – Chief Operating OfficerScene 1: Riverbend City Medical Center, CNO’s OfficeExpository TextAn early morning meeting between Eugene Pittman, CEO of Riverbend City Medical Center andBeatriz Garcia-Chavez is interrupted by news of the train derailment and the request forassistance. With time in short supply, Beatriz must determine how best to utilize her personnelresources.Dialogue 1: An incoming call alerts Eugene and Beatriz to the disaster.[Phone ringing]Beatriz Garcia-ChavezThis is Beatriz, how can I help you?Amanda ShermanHi, this is Amanda. Is Mr. Pittman still with you? There has been some kind of incident in townand someone from EMS is trying to reach him.Beatriz Garcia-ChavezYes, he’s here. I’ll put him on the line.Beatriz Garcia-ChavezEugene, you’ve got a call from EMS. Apparently some type of emergency just occurred.Eugene PittmanPut him on speaker. This is Eugene Pittman. You’re on speaker phone with my chief nursingofficer and my emergency room medical director. Who am I speaking with?Michael BlaineThis is Michael Blaine from EMS. We’ve had a train derailment and chemical spill just west ofthe Clellen Bridge. Engine 9 has established the incident command and they’re assessing thesituation. They’ve asked for additional medical help at the scene, though.Eugene PittmanI’ll activate the HICS and get the hospital command center up as soon as we’re done with thiscall.Michael BlaineGood. Apparently there is a chemical cloud that’s moving towards Ruby Lake. We’ve startedevacuating the areas downwind, but I don’t know yet exactly what we’re dealing with … it lookslike there could be a lot of casualties. We just don’t know yet.Beatriz Garcia-ChavezWhat are they asking for in terms of additional resources?Michael BlaineEmergency personnel-doctors and nurses. We’ve dispatched three ALS ambulances, but CaptainGoodman wants at least five more nurses and a couple docs on site.Eugene PittmanWe’ll have to take a look at our staffing. Beatriz – can you check on the nursing side of this andget back to Michael?Beatriz Garcia-ChavezSure. Let me check with the unit nurse managers and I’ll get back to you as soon as I can.Michael BlaineThanks. I’m also pinging Peggy Truman at the public health department for help in this area.Edmond YeeI’ll go ahead and pull Corey Gamble in. Michael, he would be replacing me this evening in here.I can send him to the site and if need be, I’ll pull a double here.Michael BlaineThanks everyone.Dialogue 2: The hospital leadership quickly move to implement the Emergency OperationsPlan.Eugene PittmanRight then! I’ll have Amanda activate the emergency operations plan. I’ll see you both in thecommand center as soon as possible, yes?Beatriz Garcia-ChavezAbsolutely. I’m going to have Ramona pull the staffing and acuity information right now andthen I can get a sense of what we’re dealing with.Edmond YeeGood luck … I don’t know if I’d be willing to spare five people. Not when we’re likely to begetting hit with incoming patients ourselves.Beatriz Garcia-ChavezI wish I had a better sense of the situation at the accident. If people are critically injured, thennurses on site will save lives. On the other hand, prompt treatment in hospital could mean betterrecovery for the victims. I need more information!Edmond YeeI’ll get out of your hair and let you do what you need to do. See you in the command center.Scene 2: Riverbend City Medical Center, Hospital Command CenterExpository TextIn the command center, the command staff attempts to prioritize problems, answer initialquestions, and address the concerns of patients, staff, the media, and the general public.Unfortunately, they quickly realize that their Emergency Management Plan doesn’t account forJodi Lundquist, the newly hired Hospital Emergency Management Director.Dialogue 3: Eugene Pittman attempts to define working strategies and tactics for RCMC’sresponse to the train derailment – but fails to acknowledge the role of the new EmergencyManagement Coordinator.Eugene PittmanAlright then-we have a lot of work to do. Since it’s been a while since our last tabletop exercise,I think our first order of business needs to be reviewing our roles. We need to get right on thetask of assessing operations and security considerations. Harold, that’s obviously you and yourfolks.Harold EssexRight. I’m emailing Keith Lively in security right now to get down here. I want him to alert histeam now so that they can support the units-particularly the ER. People get panicked and theystart acting like idiots. We need to make sure our people can do their jobs.Jodi LundquistWell, that’s part of my role. Hi, everyone, I don’t know if you know me….Beatriz Garcia-ChavezThat and they will need to be able to identify who should or shouldn’t have access. Dependingon how staffing looks, we may be issuing staff privileges on an emergency basis. Keith’s peopleneed to know how to deal with authorized personnel who aren’t in the system.Eugene PittmanThat leads to you, Beatriz. You’re the planning section chief. That includes handling the medicalstaffing pool, which is why I want you on it. Obviously you’ll want to work with Ramonaclosely.Beatriz Garcia-ChavezCan do.Jodi LundquistUm, Eugene, I…Eugene PittmanEdmond -you’re the medical care director, yes?Edmond YeeThat’s right.Eugene PittmanOkay. First order of business is for you to get in touch with each of the departments and havethem start assessing patients for possible discharge. I want to open up as many beds asreasonably possible. Allison Leighton up in PA is our Public Information Officer-she’ll need to behere. But you’re right-the last thing we need is for PA to be fielding calls in the command center.I’m going to get Amanda down here to help us with some of these admin issues includinghandling the Job Action Sheets and the position vests. Marcus just emailed that he’s on his wayin-I am going to have him wearing both the finance and logistics hats. I’m not sure who we havecovering for the liaison officer since Toby is out on short-term disability-obviously me for now,but I am going to want to delegate that. I just don’t remember off the top of my head who thealternate is. Alright then … let’s get to work! Edmond, Harold-let’s huddle for a minute and talkabout first steps here.Jodi LundquistEugene, I really hate to interrupt, but please here me out, everyone! You may not know me yet,but my name is Jodi Lundquist, and I’m the new Hospital Emergency Management Coordinator. Ijust started three days ago. I know that the official Emergency Management Plan doesn’t accountfor my role yet, but I was hired to coordinate situations like this.Eugene PittmanOh, that’s right. I’m sorry. Everyone, this is Jodi Lundquist, our brand new EmergencyManagement Coordinator. You’ve been here three days, huh? I guess we’re going to be puttingyou to work right away.Dialogue 4: Edmond Yee asks about emergency supplies.Edmond YeeThe ER needs emergency supplies. We don’t know yet what kind of chemicals we’re dealingwith, but we definitely need to make sure we have enough IV fluids, oxygen, bronchodilators,and pain medications. We also need decontamination suits for all medical personnel who mightcome in contact with a skin contaminant. Jodi, do you know the procedures for gettingemergency supplies?Jodi LundquistWell, there’s some information in the Emergency Management Plan. I could use a briefing on…Edmond YeeThis is something we need to do right now. Eugene, we need to get our designated runnersactivated to get emergency supplies from our vendors and from other hospitals.Eugene PittmanHow does that procedure work?Jodi LundquistWell, according to the Emergency Management Plan, “The Hospital has establishedarrangements with its vendors to supplement routing supply/equipment needs during an acute orprolonged disaster situation…”Edmond YeeJodi, I’ve read the disaster plan. I’m going to take care of this.Dialogue 5: Jodi asserts herself and takes charge as the Emergency Management Coordinator.Jodi LundquistOkay, with all due respect, everyone needs to work with me here. I know I’m brand new and thatyou don’t know me, but I was hired to be the Emergency Management Coordinator. If you let medo my job and work with me to fill in the details that I don’t know, I can help you all work moreefficiently as a team.Eugene PittmanI’m sorry, Jodi. I’m afraid we’re all assuming the job duties we were assigned by the EmergencyManagement Plan before you joined us. We need to let you take charge. I know this must bequite an overwhelming situation to find yourself in.Jodi LundquistThat’s okay, Eugene. This is what I was hired for. Okay, so like I said, the EmergencyManagement Plan doesn’t account for my role and clearly needs to be updated when this all isover, but we need to work with what we have. Dr. Yee, when this meeting is over, can you supplyme with a list of vendors and give me the information I need to secure emergency supplies?Edmond YeeI can take care of contacting the vendors.Eugene PittmanLet Jodi do her job, Edmond. I need you back in the ER. I’ll be checking back with her to makesure she doesn’t run into problems.Jodi LundquistThank you, Eugene! Dr. Yee, don’t worry. I’ve done this before-not for a disaster of thismagnitude, but I do have some experience. I’ll let you know right away if things don’t gosmoothly. Now, there’s also the issue of personnel and surge capacity. Beatriz, do we haveenough nurses?Beatriz Garcia-ChavezI’m afraid we’re already short-staffed. I’m going to have to call in everyone who’s available andprobably bring in nurses from area hospitals and clinics.Jodi LundquistI can take care of bringing in nurses. I’ve already pulled up that information on my computer.Beatriz Garcia-ChavezOh, good! That’s one less thing I need to worry about. I’ll be sure to update you on our nursingneeds throughout the crisis.Jodi LundquistAbsolutely. But let me get started on contacting additional nurses right away because it soundslike we’re definitely going to need extra hands. I’m also going to be taking care of emergencycredentialing. Volunteers can make a huge difference with surge capacity, but if they’re notcoordinated well, they can actually make the situation worse. There are procedures for issuingemergency credentials to appropriate medical personnel in the Emergency Management Plan.Are those up to date?Eugene PittmanYes, that part of the plan was updated about a month ago. It’s very important that these arefollowed closely or the hospital could be in a world of trouble. You’ll want to work with KeithLively and the security team to make sure everything is in order. And let me know right away ifyou have any questions.Jodi LundquistI will, Eugene!Downloadable Files•Riverbend City Medical center Emergency Management Plan•RCMC Good Samaritan PolicyScene 3: Riverbend City Medical Center, ER Waiting RoomExpository TextWith the Riverbend City Emergency Management Plan in hand, Jodi gets to work coordinatingthe disaster response.Dialogue 6: Jodi coordinates with Keith Lively, the Director of Security, to arrange foremergency credentialing for appropriate medical professionals.Jodi LundquistOkay, Keith, so the Emergency Management Plan says that we need to set up a credentialingcenter to process volunteers in the Graduate Medical Education office. Is there someone you feelconfident to handle the credentialing?Keith LivelyI sure do. I’ll call Earl Sanders and John Berger right away.Jodi LundquistGreat! I’d like to sit down with them to make sure they understand the emergency credentialingprocedures in the Emergency Management Plan. Eugene Pittman made it clear that it’s veryimportant for us to follow these procedures for liability reasons.Keith LivelyI’m glad to see you’re taking this seriously. In addition to liability problems, unqualified medicalpersonnel can pose a major security risk.Jodi LundquistI know. However, it’s also important to mobilize qualified volunteers during a disaster. Does thehospital have an established list of disaster volunteers to call?Keith LivelyNo. At least not that I know of.Jodi LundquistShoot. I know a lot of states have disaster volunteer registries and Disaster Medical AssistanceTeams that can be mobilized. I haven’t been here long enough to know what this state does. I’dbetter call Public Health to see what’s available. Also, I need to call Beck University MedicalSchool to see if they can send us some volunteers.Keith LivelyThere’s an Army Reserve unit stationed in Fort Ventura. You might give them a call and see ifthey have anyone.Jodi LundquistGood idea!Keith LivelyWe have one volunteer already. A family practice doc from out of state was coming in to thehospice to visit his aunt. He showed me his medical license and driver’s license, so he’s set.Jodi LundquistGood. But let’s get him up to the credentialing center once we have it set up. We should makesure everyone gets officially registered.Dialogue 7: Edmond Yee discusses the need for emergency supplies with Jodi.Edmond YeeJodi, what’s the situation with emergency supplies?Jodi LundquistWell, I just spoke with the state emergency preparedness team, and they were very helpful.They’re sending over blankets, saline solution, and dust masks. I think I have everything youasked for on the way. Oh, except… I don’t know what a brocco… bronco? Bronchodilator? Is thata large piece of equipment?Edmond YeeNo, Jodi, bronchodilators are a type of medication. They facilitate airflow in patients who arehaving trouble breathing. The hospital has enough on hand right now but will almost certainlyneed more soon. You need to contact other hospitals and clinics in the region to see what theyhave available.Jodi LundquistOkay then. I’ll do that right away, Dr. Yee. What other supplies does the ER need?Edmond YeeWe need more calcium gluconate gel. That’s used to treat chemical burns.Jodi LundquistI know what that is. I think we can get that by calling the Department of Environmental Healthand safety.Edmond YeeGood. We need it as soon as possible, so let me know right away if there’s a problem.Jodi LundquistI will. Dr. Yee. Oh… before you go, I just want to update you on the emergency credentialing.Keith Lively is setting up an emergency credentialing center in the Graduate Medical Educationoffice. If any volunteers find their way to the ER…Edmond YeeI’ll send them up. I need to go, Jodi.Dialogue 8: Samantha Carter, a nurse in the medical surgical unit, tells Jodi that she needs toleave the hospital.Samantha CarterExcuse me. Are you the Emergency Management Coordinator?Jodi LundquistYes, I’m Jodi Lundquist. What can I do for you?Samantha CarterI’m Samantha Carter. I’m a med surg nurse. Someone told me I should talk to you because youhandle family issues during a disaster?Jodi LundquistYes, that’s part of my job.Samantha CarterWell, I need to leave. My supervisor says I can’t because it’s a disaster situation. But I don’tknow where my son is.Jodi LundquistWhat do you mean?Samantha CarterMy son Logan… he goes to afternoon kindergarten at the elementary school right by where thetrain derailed. They brought a bunch of kids from that school into the ER who got exposed to thechemical cloud, and one of them died!Jodi LundquistOh no! Was he at the school?Samantha CarterI don’t know! He doesn’t go to school in the morning and stays home with my mom. Butsometimes my mom gets called in to work and drops Logan off at the morning care center in theschool. And I think she might have gotten called in, but I don’t know. She doesn’t have a cellphone, and I’ve been calling her home phone and work phone over and over again and I don’tknow where they are.Jodi LundquistAnd Logan’s father?Samantha CarterThere’s just me. That’s why I need to go! I have no idea where my baby is. But I can’t lose myjob either because no one else supports us. Does the hospital have any rules that might apply tome so I can leave?Jodi LundquistI’m so sorry, Samantha! This is a tough one. Hospital personnel are not supposed to leave duringa disaster, and I know the med surg unit is short staffed. But we do have contingency plans foremergency child care situations.Samantha CarterThis is an emergency. Please, Jodi, I don’t know what else to do.Jodi LundquistYou should go take care of your son. Take care, Samantha.

Looking for a similar assignment? Get help from our qualified experts!

Order Now

Related Posts