Information
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Audit Title
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Outbuilding
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Location
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Type of Drill
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Conducted on
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Prepared by
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Personnel Present
Scope
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This is an exercise planned for 1 day at an outpatient building.
Senario
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An angry father enters building, by-passes the receptionist and proceeds to the patient care area area. Father finds wife and daughter in an exam room with a nurse. Brandishing a weapon (gun) the Father holds the wife daughter and nurse hostage in the exam room.
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Location of exam room?
Mission Areas
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Prevention, Protection, Mitigation, Response
EM 02.02.01 Communications As part of its Emergency Operations Plan, the hospital prepares for how it will communicate during emergencies.
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Did staff dial 88?
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Did staff notify patients, family and visitors?
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Was Administration notified?
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Was Security notified?
EM 02.02.03 Resources & Assets As part of its Emergency Operations Plan, the hospital prepares for how it will manage resources and assets during emergencies.
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Check box if applicable.
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Compliant?
EM 02.02.05 Safety & Security As part of its Emergency Operations Plan, the hospital prepares for how it will manage security and safety during an emergency.
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Does the department have an evacuation plan?
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Was the evacuation plan followed?
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Did staff go to a rally point and account for staff members?
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Was the hostage situation resolve peacefully?
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Were outside agencies such as police, sheriff, national guard contacted?
EM 02.02.07 Staff As part of its Emergency Operations Plan, the hospital prepares for how it will manage staff during an emergency.
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Did staff Get Out, Hide Out, Strike Out?
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Does staff have a plan to contact patients to reschedule appointments?
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Did staff follow their plan to reschedule patients?
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Did staff evaluate the need for additional staff?
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Describe:
EM 02.02.09 Utilities As part of its Emergency Operations Plan, the hospital prepares for how it will manage patients during emergencies.
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Check box if applicable.
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Compliant?
EM 02.02.11 Patients As part of its Emergency Operations Plan, the hospital prepares for how it will manage patients during emergencies.
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Did patients, family and visitors hide out, strike out or get out?
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Were patients, family and visitors evacuated?
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Were patients, families and visitors directed to a rally point?
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Were patients, families and visitors accounted for?
EM 02.02.13 Visitors During disasters, the hospital may grant disaster privileges to volunteer licensed independent practitioners. Note: A disaster is an emergency that, due to its complexity, scope, or duration, threatens the organization's capabilities and requires outside assistance to sustain patient care, safety, or security functions.
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Check box if applicable.
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Compliant?
