Emergency Preparedness

Appendix H.5 – HID

Kern Medical Emergency Preparedness

traffic around the locked unit.

o Monitor access to the Unit o Request supplies o Communicate with command center as necessary o Coordinate activities between clinical staff and personnel  Nurse Leader o Coordinate Primary and Observation RN schedules o Assist in acquiring materials and supplies from other areas as needed o Assist the site manager to oversee donning and doffing process o Performs all documentation as necessary.  Observation RN o Observe the care being provided by the Primary RN o Observe and talk to the Primary RN through doffing (with assistance of the Site Manager- (who will remain in the cold zone at all times.)  In the interest of ensuring the safest and most effective delivery to HID treatment, Kern Medical Observation RN’s, Nurse Leaders, Site Managers, and Primary RN’s are cross trained in certain functions otherwise served by the Site Manager (i.e., any HID team members can assist with donning/doffing) and ensures that all donning, doffing, transporting, and all other aspects of HID infection control are being effectively monitored, and evaluated in any other instance when a designated Site Manager is not readily available. • Respiratory Services  In the event that and HID patient is intubated, a respiratory Therapist will be available on the unit to provide guidance and support  HID respiratory Equipment  A standard Avea ventilator will be brought to the unit upon initiation of mechanical ventilation.  A V60 bipap machine will also be available  A single patient use disposable transport ventilator will be used in the event of transportation.  Cleaning of equipment: follow all current manufacturers’ recommendations o Circuits and filters are all single patient use o Disposable circuits are to be removed in hot zone o The Respiratory staff responsible for cleaning and respiratory equipment must don appropriate PPE  If patient is on oxygen, an E cylinder can move with the patient, and will remain segregated from other cylinders by signage. • Radiology Services  Testing should be limited (i.e., use portable ultra sound or plain films in the patient room when possible)  X Rays o Heavy plastic sheets, will accompany the machine

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