Always Be Ready, Always Be Safe
Meera Kotagal, MD, confers with her colleagues during a full-scale emergency drill on Sept. 8 that involved first responders and other personnel from around the region.
Always Be Ready, Always Be Safe
Meera Kotagal, MD, confers with her colleagues during a full-scale emergency drill on Sept. 8 that involved first responders and other personnel from around the region.
September is National Preparedness Month—a designation that has been observed every year in the United States since 2004 to build awareness around the importance of emergency readiness. Why should you care?
Because when the time comes (and it will come) that you’re faced with a potential life-or-death situation and there’s a critical need for immediate action, you’ll be really glad you paid attention. And being prepared to help others is the right thing to do.
At Cincinnati Children’s, the Emergency Management team, in collaboration with many other internal and community partners, has put together a comprehensive plan to keep our patients, families, staff and neighbors safe when disaster strikes.
Our plan is an “All Hazards” plan. This takes into consideration all potential events and potential impacts across all areas of preparedness, response and recovery, including:
- Internal and external threats leading to evacuation
- Containment of damage and minimizing impact
- Communications—with patients, families, employees, other emergency responders, and the public
- Capacity and staffing
- Supplies
- Family reunification
- Media management
- Facilities restoration and repair
- And much more….
But a plan alone is not enough to deal effectively with a crisis. It requires that people familiarize themselves with it and stand ready to bring it to life at a moment’s notice.
For this reason, the Emergency Management team conducts and participates in exercises and drills, like the recent one with UC Health on Aug. 23 in Location D.
Said Amber Antoni, MSN, RN, director of Emergency Management, “We met with our emergency counterparts at UC Health—Trauma Services, Air Care and incident command leads—to test our capability to respond to a mass casualty event, or any event that could overwhelm either of our trauma centers. We talked through potential ways to coordinate transporting patients between our EDs, and sharing resources. We also reviewed our communication plans to best support each other and reinforce the importance of unified messaging. Our biggest strength is that we have established great relationships with UC Health and our own departments, and are able to work well together.”
A full-scale preparedness exercise also took place on Sept. 8, involving the Cincinnati/Northern Kentucky International Airport, local hospitals, EMS, police and fire departments, emergency management agencies and community liaisons, like the Red Cross. Volunteers posed as victims of a hard landing who were then transported to our ED for care. (See more photos from the drill.)
Said Amber, “Exercises like these are a great reminder that emergencies aren’t just contained within our walls. They happen in our neighborhoods. They cross state lines. The partnerships we have with all these entities and the opportunities to test our plans are what allow us to be as prepared as possible.”
What You Can Do
You have a key role to play in emergency preparedness. Here are some ways you can help:
- Yellow Emergency Preparedness binders can be found throughout our health system. These binders provide guidance for location-specific responses for fire, severe weather, armed and aggressive persons, bomb threats, utility failures and more. You are responsible for knowing your role in all these situations before they occur.
- Evacuation routes are posted near stairways on every floor of every building. Practice using these to improve your response and help you find your way, even in the dark.
- Check out the Emergency Management page on CenterLink for information about business continuity plans, preparedness checklists and guidance for inclement weather, including what to do if you need to stay overnight at work.
- Sign up for Active Assailant and Stop the Bleed training, offered by Trauma and Protective Services.
- Make sure your cell phone number is listed in your CenterLink profile so you can receive RAVE emails and text alerts. We send out test messages occasionally; if you are not receiving them, check to see why. (Get instructions on how to do this.)
- Be sure to complete your annual Safety, Health and Integrity campaign. It’s a great way to refresh your knowledge of safety practices.
- Preparedness begins at home. Make a plan for your family and practice it so that you can feel more secure about their well-being, even if you are unable to get to them.
Shuttles from the Cincinnati/Northern Kentucky International Airport were part of the regional drill that brought casualties to the Emergency Department.
Staff assess a volunteer portraying an injured patient during the mass casualty exercise.
Coordination Saves the Day
Emergencies are bound to happen, no matter how hard we work to prevent them. And when they do, Cincinnati Children’s teams work together tirelessly to keep everyone safe and resolve the situation. Many of our biggest heros are behind the scenes. Here is a recent example of excellent teamwork during an unplanned event.
On Tuesday, Aug. 22, around 10 am, Michael Mattar, director of Plant Engineering, and his team noticed an alarm that signaled a problem with a computer processing unit (CPU) in the Location G electrical system. A potential consequence of this failed CPU is that, in the event of a power outage, the system would not switch over to generator power automatically. It would have to be done manually. They immediately notified the vendor, ASCO, to arrange for a repair.
Later that day, at 4:42 pm, the defective CPU was replaced. However, during that repair, all of Location G experienced a total power outage that lasted approximately 8 minutes—which was the time it took for the electricians to manually switch over to generator power.
“At that point, our team only had access to radios for communication,” explains Charles Schnurpel, senior director of Plant Engineering. “Getting everything back online wasn’t just a matter of flipping a switch. The breakers, which are housed in two different locations, had to be turned on in a specific sequence, and we had to figure out what that sequence was. It was a completely unexpected occurrence, but our electricians didn’t rest until power was restored.”
For the next 24+ hours, the Plant Engineering team and ASCO technicians were on a mission to determine what had gone wrong to cause the outage and plan a second repair. Our Plant Engineering electricians were stationed at each of the electrical rooms in case we experienced another power outage. They remained at these locations during the entire event, ensuring that we would be able to respond and restore power as quickly as possible. Additional Plant Engineering technicians were busy making sure that all systems were functioning as they should, staying well past their shifts into the night and early morning hours.
Says Charles, “It was all hands on deck. When you lose power, it trips out HVAC units, elevators, the pneumatic tube system, Pyxis machines, automatic doors, refrigeration and more. It affects rooms that must maintain positive or negative air flow for infection control purposes. All of this equipment needs to be reset. Everyone on our team pitched in to get it done.”
On Wednesday, Aug. 23, at 9 am, Charles provided an update on the situation to the Hospital Operations team. The consensus was that staff in Location G needed to be notified when the second repair was made so they could be ready to care for critical patients, some of whom were on life-sustaining support. The electrical team predicted the repair would take about 90 minutes, with the possibility of a 45-minute power outage.
At 6:35 pm, a RAVE text and email went out to all employees, advising them of the pending repair and possible outage. Messages also went out over the Voalte phone system, while clinical directors informed families face-to-face of the plan.
At 7:30 pm, the Pediatric Hospital Incident Command System (PHICS) activated an Incident Command Center to serve as a communications and decision-making hub for the event. All affected parties in Location G—intensive care units, periop and others—stated their readiness to move ahead with the repair.
A little after 9 pm, the repair was complete with no power outage at all.
“It was the best possible outcome,” says Charles, “but we were fully prepared for the worst. We are still in the process of compiling our after-action report on what we learned from this event and how we can prevent it from happening again. I am very proud of our team, but we strive not to be noticed, because that means everything is working as it should be for our patients, families and staff.”
Those who responded to the Location G power outage include:
1st Shift Team
- Dan Speier
- Glenn Thompson
- Josh Miller
- Brad West
- John Janson
- Tim Bode
Utilities/Mechanical
- Rick Grigsby
- Jason Meiser
2nd Shift Team
- Kyle LaFramboise
- Joshua Shepherd
- Michael Halsey
- Marcus Causey
- Mathew Needham
- Avery Fossitt
3rd Shift Team
- Isidro Carrero
- Gabby Myers
- Scott Jennings
- Aaron Thome
- Thomas Cress