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<meta name="description" content="Interactive tool set to help institutions and communities select a temporary alternate care facility or facilities during a public health emergency within a small geographic area." />
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<p><strong>You Are Here:</strong> <span class="crumb_link"><a href="/" class="crumb_link">AHRQ Archive Home</a> > <a href="/prep/" class="crumb_link">Public Health Preparedness Archive</a> > <a href="index.html" class="crumb_link">Disaster Alternate Care Facility Selection Tool</a> > <a href="dacfrep.htm" class="crumb_link">Disaster Alternate Care Facilities: Selection and Operation</a> > Appendix D (continued)</span></p>
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<td height="30px"><span class="title"><a name="h1" id="h1"></a>Disaster Alternate Care Facility Selection Tool </span></td>
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<td><div id="centerContent"><p><strong>Public Health Emergency Preparedness</strong></p> <div class="headnote">
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<p>This resource was part of AHRQ's Public Health Emergency Preparedness program, which was discontinued on June 30, 2011, in a realignment of Federal efforts.</p>
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<!-- <p>Now this resource is supported by the <a href="http://emergency.cdc.gov/">Centers for Disease Control and Prevention</a> (CDC).</p> -->
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<p>This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: <a href="https://info.ahrq.gov/">https://info.ahrq.gov</a>. Let us know the nature of the problem, the Web address of what you want, and your contact information. </p>
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<p>Please go to <a href="https://www.ahrq.gov/">www.ahrq.gov</a> for current information.</p></div>
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<h2>Appendix D: Alternate Care Facility Questionnaire—Summary of Results (continued) </h2>
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<p><em>Notes</em>: Remarks in brackets [example] have been edited by the reviewing investigator to preserve confidentiality. No other changes have been made to survey data. The use of a period (.) in any field indicates no data was received from the survey respondent for that item. </p>
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<table border="1" cellspacing="0" cellpadding="2">
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<tr valign="top">
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<th scope="col">Survey Question/Topic</th>
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<th scope="col">Site 1</th>
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<th scope="col">Site 1'</th>
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<th scope="col">Site 2</th>
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<th scope="col">Site 3</th>
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<th scope="col">Site 4</th>
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<th scope="col">Site 5</th>
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<th scope="col">Site 6</th>
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<th scope="col">Site 7</th>
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<th scope="col">Site 8</th>
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<th scope="col">Site 9</th>
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</tr>
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<tr valign="top">
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<td scope="row">Private Partners?</td>
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<td>[name] question - I know that CVS was consulted - and [name] was eventually tapped</td>
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<td>Yes</td>
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<td>Yes - partnerships developed during the event</td>
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<td>Yes—[name] EMS/Health Dept. had MOU's with local suppliers</td>
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<td>No - donations came in</td>
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<td>No</td>
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<td>Yes - Wal-Mart</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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</tr>
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<tr valign="top">
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<td scope="row">Food Supply?</td>
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<td>[name] question</td>
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<td>Via a contract food supply service at [site].</td>
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<td>Patients fed by shelter operations (American Red Cross); workers fed by private vendor on contract to city OEM</td>
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<td>Initially local restaurants and then [college] food service all pitched in</td>
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<td>We initially had nothing but then used MRE (meals ready to eat). Hard for the elderly.</td>
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<td>Local faith-based group on-site, then FEMA logistics</td>
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<td>Contract</td>
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<td>Restaurants/catering services supplied food</td>
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<td>Local restaurant provided food. Food bank. College cafeteria.</td>
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<td>Plan involves using ESF - Mass Care resources to accomplish this.</td>
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</tr>
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<tr valign="top">
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<td scope="row">Family Food Supply?</td>
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<td>Yes—[name] question</td>
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<td>Yes</td>
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<td>No - patients and family members were fed by ARC as a result of residing in the co-located shelter</td>
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<td>No</td>
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<td>Yes</td>
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<td>No</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>No</td>
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</tr>
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<tr valign="top">
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<td scope="row">Separate Dining?</td>
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<td>[name] question</td>
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<td>Yes</td>
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<td>Yes - dining in shelter, treatment in ACF</td>
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<td>Yes for staff; No for patients</td>
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<td>Yes for us; No for patients</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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</tr>
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<tr valign="top">
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<td scope="row">Pediatrics Meds?</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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</tr>
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<tr valign="top">
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<td scope="row">Enough Pediatrics Meds?</td>
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<td>No</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>.</td>
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<td>Whatever was donated</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>.</td>
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</tr>
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<tr valign="top">
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<td scope="row">Pediatrics Meds Supplier?</td>
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<td>Initially the [hospital] provided pharmacy services - the supplies were dramatically under stocked so [name] moved in and opened and resupplied its own pharmacy and central supply</td>
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<td>All medications were initially filled by off-site [hospital] pharmacies and eventually transitioned (a few days into the response) to CVS Pharmacy, which provided two mobile pharmacy units at no cost.</td>
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<td>Same as for other supplies</td>
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<td>Local resources in [location]</td>
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<td>.</td>
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<td>SNS-VMI</td>
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<td>Wal-Mart</td>
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<td>Industry, hospital, NGO. (pharma)</td>
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<td>Local pharmacies. Samples from doctors.</td>
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<td>.</td>
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</tr>
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<tr valign="top">
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<td scope="row">Other Pediatrics Supplies?</td>
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<td>[name] question - same answer as the pharmacy question</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>.</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>.</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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</tr>
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<tr valign="top">
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<td scope="row">Enough Other Pediatrics Supplies?</td>
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<td>.</td>
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<td>Yes - unknown but likely so</td>
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<td>Yes</td>
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<td>.</td>
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<td>No</td>
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<td>Yes</td>
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<td>.</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>.</td>
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</tr>
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<tr valign="top">
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<td scope="row">Other Pediatrics Supplier?</td>
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<td>.</td>
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<td>If so, via clinical providers and likely donated by them as well.</td>
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<td>Same as for other supplies</td>
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<td>Minimal supplies initially - after 72 hours or so received quantities from Fed.</td>
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<td>We brought them in the Fed cache</td>
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<td>ESF-8 (FEMA)</td>
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<td>.</td>
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<td>Industry, hospital, NGO. (pharma)</td>
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<td>Local hospitals.</td>
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<td>.</td>
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</tr>
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<tr valign="top">
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<td scope="row">Most Important Supplies?</td>
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<td>See attached document [article]</td>
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<td>Medications for chronic medical conditions (such as HTN, DM, etc.) were critical as were a constant re-supply of necessary equipment to run an ACF (such as wheelchairs, lab supplies, needles, gloves, gowns, masks, etc.).</td>
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<td>Wound care supplies, point-of-care laboratory capabilities, and free standing pharmacy which stood up within the first 3-4 days of our operation. A local pharmacy chain built, de novo, a full service operation just outside the ACF site</td>
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<td>Point of care testing: only had 2 glucometers when we arrived, EKG & other diagnostic tools. IV fluids and starter kits. Patient gowns, sheets, blankets etc.</td>
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<td>1. Sheets - stretchers bed pans hand sanitizer diapers (young and old) chronic antiHTN and DM meds</td>
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<td>Chronic meds (insulin, anti-hypertensives, pain mgt.) and antibiotics</td>
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<td>.</td>
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<td>Cots, chronic disease meds such as insulin</td>
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<td>1) beds & cots with special mattresses. 2) dispensary run by pharmacist - antibiotics, nebulizations. 3) nebulizers & O2 supplies. 4) glucose monitoring equipment. 5) crash carts. 6) radios for communication</td>
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<td>.</td>
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</tr>
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<tr valign="top">
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<td scope="row">Supplies Unavailable?</td>
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<td>We had everything we needed once [name] took over</td>
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<td>Eventually everything was provided for - the issue was time and determining how to get the supplies in need.</td>
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<td>.</td>
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<td>After 48 hours desperately needed capability for dialysis - local resources were brought in.</td>
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<td>Oxygen was difficult</td>
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<td>None</td>
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<td>Difficulty time with narcotics. Lack of DEA # for the shelter.</td>
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<td>0</td>
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<td>None.</td>
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<td>.</td>
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</tr>
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<tr valign="top">
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<td scope="row">General Logistics Issues?</td>
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<td>let the regional resource do what it does every day - don't recreate the wheel</td>
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<td>.</td>
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<td>We offered on-site general dentistry and refraction for eyeglasses which was a great value to our patients. Also working narcotic addicted and dialysis patients into pre-existing care patterns within the community.</td>
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<td>Once the Federal supplies arrived a forklift was needed to move pallets, break them down, and repackage for use. A strong, young non-medical labor pool was essential.</td>
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<td>.</td>
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<td>We were self-supporting for 72 hours.</td>
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<td>.</td>
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<td>Need portable shower/toilet facilities</td>
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<td>Identify before the disaster who will provide logistics.</td>
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<td>.</td>
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</tr>
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<tr valign="top">
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<td scope="row">Set Provider Shifts?</td>
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<td> </td>
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<td>.</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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</tr>
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<tr valign="top">
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<td scope="row">Shift Type</td>
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<td>8 hour<br />
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12 hour<br />
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24 hour</td>
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<td>.</td>
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<td>8 hour<br />
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12 hour<br />
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4 hour</td>
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<td>12 hour</td>
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<td>12 hour</td>
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<td>12 hour</td>
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<td>12 hour</td>
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<td>Other</td>
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<td>8 hour</td>
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<td>12 hour</td>
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</tr>
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<tr valign="top">
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<td scope="row">Shift Type Detail</td>
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<td>This is for the [Clinic] only - housed within the much larger [name] response ACF residing in the [site] - [name] will have to answer the questions from their perspective</td>
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<td>.</td>
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<td>All scheduling based upon volunteer availability</td>
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<td>.</td>
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<td>Eventually we had shifts</td>
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<td>.</td>
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<td>.</td>
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<td>As available</td>
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<td>As per availability of community resources</td>
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<td>.</td>
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</tr>
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<tr valign="top">
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<td scope="row">Different Day/Night Staffing?</td>
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<td>Yes</td>
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<td>.</td>
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<td>Yes</td>
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<td>It varied by number of volunteers</td>
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<td>No</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>Yes</td>
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<td>.</td>
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</tr>
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<tr valign="top">
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<td scope="row">Docs on Shift?</td>
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<td>Varied from day one to day 14—[identifying details redacted: summary: 4 trained medical directors, 4 scheduled specialist physicians], lots of extra volunteers</td>
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<td>.</td>
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<td>16 am/4 pm</td>
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<td>Varied - generally 25/more in the beginning but specialists who really were not comfortable with general medicine.</td>
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<td>Unable to answer</td>
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<td>4-5</td>
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<td>4</td>
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<td>4</td>
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<td>2-3</td>
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<td>Use military recommended guidelines.</td>
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</tr>
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<tr valign="top">
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<td scope="row">Midlevel on Shift?</td>
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<td>Not sure - were not scheduled but many came</td>
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<td>.</td>
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<td>None</td>
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<td>20</td>
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<td>Unable to answer</td>
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<td>1-2</td>
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<td>5</td>
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<td>3</td>
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<td>2-3</td>
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<td>.</td>
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</tr>
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<tr valign="top">
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<td scope="row">Nurses on Shift?</td>
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<td>Same as docs above</td>
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<td>.</td>
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<td>20 am/6 pm</td>
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<td>50+</td>
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<td>Unable to answer</td>
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<td>8-10</td>
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<td>20</td>
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<td>10</td>
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<td>20-30</td>
|
|
<td>.</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">EMT on Shift?</td>
|
|
<td>[name] did not supply any EMTs</td>
|
|
<td>.</td>
|
|
<td>8 am/6 pm</td>
|
|
<td>50+</td>
|
|
<td>Unable to answer.</td>
|
|
<td>8-10</td>
|
|
<td>.</td>
|
|
<td>1-2</td>
|
|
<td>10</td>
|
|
<td>.</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Pharmacy on Shift?</td>
|
|
<td>One around the clock (12 hour shifts)</td>
|
|
<td>.</td>
|
|
<td>2 am/1 pm</td>
|
|
<td>6+ (all from USHPS)</td>
|
|
<td>2-3</td>
|
|
<td>2-3</td>
|
|
<td>2</td>
|
|
<td>1-2</td>
|
|
<td>1-2</td>
|
|
<td>.</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Additional Staffing Detail</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>Initially we had ~ 90 people 2/3 direct patient care so they had MD/nurse/ML/EMT; 1/3 transport & holding (3 nurses 1 MD >700 pt) and 20 people offloading helicopters. Eventually increased the number of MDs/nurses (mostly) and EMT when support arrived</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Clerks/Admins?</td>
|
|
<td>Yes</td>
|
|
<td>.</td>
|
|
<td>Yes - medical records, mental health</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
<td>No</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Clerk/Admin Detail</td>
|
|
<td>One around the clock (8hour shifts)</td>
|
|
<td>.</td>
|
|
<td>5 am/1 pm - much admin work done by medical command staff due to limited admin support</td>
|
|
<td>Well over 50, they were college students & staff</td>
|
|
<td>Each team has 1-2 admin folks plus there is support from NDMS</td>
|
|
<td>1-2</td>
|
|
<td>.</td>
|
|
<td>~6</td>
|
|
<td>[name] State guard medical rangers 20.</td>
|
|
<td>.</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Outside Providers?</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Outside Provider Issues?</td>
|
|
<td>Most pediatricians came from [name] or its referral source ([identifying detail redacted])- so they were credentialed through our hospital - did have some issues at time with [name] IC - most were resolved without incident</td>
|
|
<td>Communication was continual issue so daily briefings/ updates were important.</td>
|
|
<td>No</td>
|
|
<td>Very few problems - there was so much to do no time for turn battles. We always held change of shift reports within nursing - including numbers of pts., etc.</td>
|
|
<td>Each team has its own. In another situation we had Marines, VA nurses & public health - they stayed together but were under a command system and understood that</td>
|
|
<td>None</td>
|
|
<td>Initially with staff from DHS. Minimal command control issue</td>
|
|
<td>No</td>
|
|
<td>No - the shelter manager & health authority kept command over the shelter.</td>
|
|
<td>.</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Licensing Issues?</td>
|
|
<td>Yes</td>
|
|
<td>.</td>
|
|
<td>No - credentialling consisted of a visual check of providers professional ID badge to verify identity and job function (RN, MD, EMT, etc)</td>
|
|
<td>USPHS managed these issues</td>
|
|
<td>Yes - for narcotic refills</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
<td>.</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Interpreter Services?</td>
|
|
<td>Yes</td>
|
|
<td>.</td>
|
|
<td>Yes</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
<td>Yes</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">How Interpreted?</td>
|
|
<td>Trained interpreters<br />
|
|
Bilingual/ multilingual care providers<br />
|
|
Family members<br />
|
|
Other</td>
|
|
<td>.</td>
|
|
<td>Bilingual/ multilingual care providers<br />
|
|
Family members<br />
|
|
Other</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Interpreter Detail</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>Deaf video phone system</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>If we did, we would use volunteers.</td>
|
|
<td>.</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Volunteer Types?</td>
|
|
<td>Medical<br />
|
|
Non-medical</td>
|
|
<td>Medical<br />
|
|
Non-medical</td>
|
|
<td>Medical<br />
|
|
Non-medical</td>
|
|
<td>Medical<br />
|
|
Non-medical</td>
|
|
<td>Non-medical</td>
|
|
<td>None</td>
|
|
<td>Non-medical</td>
|
|
<td>Medical<br />
|
|
Non-medical</td>
|
|
<td>Medical<br />
|
|
Non-medical</td>
|
|
<td>Medical<br />
|
|
Non-medical</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Volunteer Coordinator?</td>
|
|
<td>Yes—[name] used its own coordinator but [name] had its own also</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
<td>Yes - college professors from campus</td>
|
|
<td>Not initially</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Volunteer Lessons?</td>
|
|
<td>They were essential</td>
|
|
<td>.</td>
|
|
<td>Pre-plan their job function (role), teach them the role, and always direct oversight of their activities</td>
|
|
<td>We would've failed without them. Convene a meeting, explain the prioritized issues/problems & let volunteers choose what they can help with.</td>
|
|
<td>They need to be given tasks as well as coordinated as a group - in [location] we had yellow shirts and if I remember correctly orange shirt folks - all faith based.</td>
|
|
<td>N/A</td>
|
|
<td>good support.</td>
|
|
<td>They are invaluable. Running an ACF requires acquisition of supplies, communications, plant management, security, etc. Non-medical people may be expert in those fields</td>
|
|
<td>Their availability is haphazard.</td>
|
|
<td>.</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Credentials Verified?</td>
|
|
<td>[name] used its own credentially process—[name] used its own system</td>
|
|
<td>.</td>
|
|
<td>We did not</td>
|
|
<td>USPHS did this</td>
|
|
<td>90% were all Federal</td>
|
|
<td>EMAC took care of that</td>
|
|
<td>not done, however they all came from VA with proper credentials</td>
|
|
<td>We did not</td>
|
|
<td>Local hospitals. Medical society. [name] State guard.</td>
|
|
<td>State is about to implement a credentialing system.</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Worker ID?</td>
|
|
<td>Yes</td>
|
|
<td>.</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
<td>No</td>
|
|
<td>Yes</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Worker ID Detail</td>
|
|
<td>[name] used its IDs but [name] also tried numerous cards - none were successful</td>
|
|
<td>.</td>
|
|
<td>A make-shift badge maker</td>
|
|
<td>Actually used wrist bands the university had thousands for special events</td>
|
|
<td>Already had some</td>
|
|
<td>Yes (owned by [State] office of EMS)</td>
|
|
<td>US VA ID card</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Worker ID Lessons?</td>
|
|
<td>Yes - early identification - prior to the response</td>
|
|
<td>.</td>
|
|
<td>Nothing different</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>No</td>
|
|
<td>Yes, a standardized system</td>
|
|
<td>We had 48 hours to become operational. Worker ID's was a nicety</td>
|
|
<td>Identify credentials of workers prior to any event.</td>
|
|
<td>.</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Imposters?</td>
|
|
<td>Yes</td>
|
|
<td>.</td>
|
|
<td>No - not that we are aware of</td>
|
|
<td>No - but we had a person from the media impersonate a priest to get in</td>
|
|
<td>Not that I was aware</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
<td>Yes</td>
|
|
<td>.</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Out-of-State Profs?</td>
|
|
<td>They allowed instant licensure with sponsorship - our section at [name] provided that sponsorship</td>
|
|
<td>.</td>
|
|
<td>The State of [State] did not assist in this issue.</td>
|
|
<td>Don't know. But as part of a pre-existing State team sent via EMAC we came with verified credentials</td>
|
|
<td>Ask [name] [email] - he coordinated with the State</td>
|
|
<td>Again - EMAC handled everything</td>
|
|
<td>None, no need.</td>
|
|
<td>To give blanket reciprocity and malpractice coverage to MDs and RNs from other States</td>
|
|
<td>Volunteer nurses were screened through the [State] nursing association.</td>
|
|
<td>.</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Pre-Event Training?</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
<td>No</td>
|
|
<td>.</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
<td>No</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td>Pre-Event Training Detail</td>
|
|
<td>only a few</td>
|
|
<td>Mass medication dispensing (for health department staff).</td>
|
|
<td>.</td>
|
|
<td>Nothing could have prepared us and we only prepared for field response - and only for 72 hours</td>
|
|
<td>Drills</td>
|
|
<td>2 years of team training on [clinic]</td>
|
|
<td>Some has emergency disaster training and HICS training</td>
|
|
<td>.</td>
|
|
<td>Health department trained in disaster management. [State] State guard medical brigade trained in disaster management.</td>
|
|
<td>.</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Other Staff Issues?</td>
|
|
<td>Credentialing must occur but a balance between rapid recruitment to meet rapid enormous need must be reached</td>
|
|
<td>.</td>
|
|
<td>Logistic/supply officer and medical records personnel very important. Pharmacists very important. We want to have a record of who (which providers) were present at given times. No easy way to credential, even now</td>
|
|
<td>Labor pool essential - college students particularly well suited. They all have IDs, can be verified by college. Professors & staff also extremely useful (counselors admin asst., etc.) A number of MDs with unique specialties found themselves out of the [redacted]</td>
|
|
<td>MDs are not the best people to have in charge - nurses are better at shifts - jobs - and people coordination</td>
|
|
<td>Emergency medicine, trauma surgery, orthopedic surgery, anesthesiology at first (2-3 weeks), then more primary care (FP, IM, Peds, etc.)</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>After action report - established a list of local physicians available in time of disaster. Established a medical reserve corp of volunteers. Utilize State guard.</td>
|
|
<td>.</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">ACF Admin Agency?</td>
|
|
<td>[name] question</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
<td>Yes and no</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
<td>.</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">ACF Admin Agency Detail</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>Initially locals have to get things going but as other assistance arrives a collaborative approach (like Unified Commerce) developed and was very effective</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
<td>.</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">ACF Purpose?</td>
|
|
<td>[name] question<br />
|
|
Shelter care<br />
|
|
Medical treatment facility</td>
|
|
<td>Shelter care</td>
|
|
<td>Shelter care (ACF colocated within a shelter); Medical treatment facility (operated as a standalone facility)</td>
|
|
<td>Shelter care<br />
|
|
Medical treatment facility<br />
|
|
Both at first then became strictly medical</td>
|
|
<td>Shelter care<br />
|
|
Medical treatment facility</td>
|
|
<td>Medical treatment facility</td>
|
|
<td>Medical treatment facility</td>
|
|
<td>Shelter care<br />
|
|
Medical treatment facility</td>
|
|
<td>Shelter care</td>
|
|
<td>Medical treatment facility</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">ACF Goal?</td>
|
|
<td>Primary receiving facility</td>
|
|
<td>Primary receiving facility</td>
|
|
<td>Primary receiving facility</td>
|
|
<td>Primary receiving facility</td>
|
|
<td>Hospital decompression<br />
|
|
Primary receiving facility</td>
|
|
<td>Primary receiving facility</td>
|
|
<td>Primary receiving facility</td>
|
|
<td>Hospital decompression</td>
|
|
<td>Hospital decompression<br />
|
|
Primary receiving facility</td>
|
|
<td>Hospital decompression<br />
|
|
Primary receiving facility<br />
|
|
May serve as both</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Daycare?</td>
|
|
<td>[name] question</td>
|
|
<td>Don't think we addressed via Medical Branch Operations.</td>
|
|
<td>No service provided. Volunteers were responsible for arranging this themselves.</td>
|
|
<td>N/A</td>
|
|
<td>N/A</td>
|
|
<td>N/A</td>
|
|
<td>N/a</td>
|
|
<td>N/A</td>
|
|
<td>Community resources. Church groups.</td>
|
|
<td>.</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Patient Childcare?</td>
|
|
<td>[name] question</td>
|
|
<td>No</td>
|
|
<td>No - the shelter provided this service</td>
|
|
<td>Yes—[college] students</td>
|
|
<td>No</td>
|
|
<td>No - other than our staff assisting when needed</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">ICU Patients?</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">ICU Reasonable?</td>
|
|
<td>Yes—[name] question</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
<td>No</td>
|
|
<td>Yes - with supplies skilled people and ability to place in comfort care if necessary</td>
|
|
<td>Yes</td>
|
|
<td>No</td>
|
|
<td>Depends</td>
|
|
<td>No - this would have to be a fully operational field hospital.</td>
|
|
<td>No</td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">Rounds System?</td>
|
|
<td>.</td>
|
|
<td>No - of note, no inpatient care was provided at the ACF / although an observation/ isolation unit was set-up</td>
|
|
<td>Not applicable</td>
|
|
<td>Nursing did; medicine did not - formally</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
<td>Yes</td>
|
|
<td>.</td>
|
|
<td>Yes</td>
|
|
<td>.</td>
|
|
</tr>
|
|
</table>
|
|
|
|
<p class="size2"><a href="dacfrep.htm#contents">Return to Contents</a><br /><a href="dacfrepappd4.htm">Proceed to Next Section</a></p>
|
|
|
|
<p> </p>
|
|
<div class="footnote">
|
|
<p> The information on this page is archived and provided for reference purposes only.</p></div>
|
|
<p> </p>
|
|
|
|
</div>
|
|
</td>
|
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</tr>
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</table>
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