For Official Use Only
COVID-19 Pandemic
Incident Action Plan (IAP)
Operational Period 46: 1/18/21 - 1/25/21 08:00am - 08:00am
16767616651365741310 Situation Summary:
- Task Force SitRep click here
- For text updates on COVID-19 and other Community related information, text GILARIVER to 797979
- For text updates on COVID-19 and other Community related information, text GILARIVER to 797979
- Targeted Testing of GRHC Employees - approx. 26,879 completed as of 1/19/21
- Targeted Testing of Community Members - approx. 18,372 completed as of 1/19/21
- On Campus Surveillance Testing (start date 1/12/21)
- HHK Weekly (1/18-1/24): 330
- KHC Weekly (1/18-1/24): 27
- Influenza Vaccination Campaign Totals (as of 1/19) | Goal is 15,000 Immunizations
- GRHC Patients: 9,473
- GRHC Employees: 2,221
- Total Vaccinations: 11,219
- Community COVID-19 Cases | (See Data Dashboard below)
- *GRIC Confirmed Positive D1 - D7: 1,870
- *GRIC Total Positive: 2,323
- (*This does not necessarily reflect the current number of active cases but reflects the total since testing began. Data source: GRHC Outcomes Management & Informatics)
- GRHC Staff Positive COVID-19 Cases
- Since 03/12/20: 278
- GRHC Employees - Current Quarantine
- As of 1/20: 135 (January)
- GRHC Census Information (updated 07:30am and 1:30pm daily)
- HHK Inpatient
- 11 Inpatient (8 COVID+)
- 2 available Negative Pressure beds
- 0 available Regular beds
- 0 patient pending transfer
- 0 patient recently transferred
- HHK ED Current Census
- 11 Patients
- Fast track area: 0 occupied- 6 open
- Cabana negative pressure area: 2 occupied- 4 open
- Isolation negative pressure: 3 occupied - 4 open
- General Beds: 5 occupied - 3 open
- Pediatric: 0
- Holds: 1 in triage, 2 waiting on transfer
- HHK ED Yesterday's Census (1/19)
- 61 Total Patients
- 1 admissions to Inpatient
- 7 patients recently transferred out
- 0 Drive Through Testing
- 9 Pediatric patients
- 0 Pediatric Admits
- 0 Pediatric Transfers
- HHK Inpatient
- GRIC Members currently in other Hospitals
- 58 members
- COVID+: 22
- Suspected COVID+: 0
- Influenza: 0
- 58 members
- HHK Mobile Hospital Unit
- 0
- 10 beds
- RTHHC ACS
- 0 COVID+ (43 Beds Open)
- 0 Non-COVID (7 Beds Open)
- 0 Patients transferred to outside facilities the day before
- 4 Patients discharged home the day before
- TCH
- 66 Residents
- 34 Open Rooms
- RTC
- Building 100: 8 clients, 13 open beds
- Building 200: 5 clients, 19 open beds
- Building 400: 0 clients, 10 open beds
- Building 300 (Quarantine): 1 guests, 5 open beds
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Health and Safety Briefing:
- Response-Related Injuries - 4 (2 heat-related; 2 fall)
- Follow the guidelines on the ICS 208 Safety Message and HICS 215A Safety Analysis
- Maintain physical distancing
- Refrain from shaking hands and other close body contact
- If you are sick, stay home
- Keep informed
- Double Up (Influenza Vaccine and Surveillance Test)
Chances for light rain through Wednesday with better chances for moderate to possibly locally heavy rainfall on Thursday. A second weather system is likely to affect the region over the weekend bringing another round of rain and high terrain snowfall.
IMT Directives (ELT/BOD driven)
Incident Objectives (Incident Commander driven)
Command Emphasis
- Provide care to all patients who present as a result of the COVID-19 event.
- Provide for the safety of GRHC staff.
- Conduct initial and ongoing communications with internal staff and external response partners.
- Conduct screening for all patients, visitors, and staff at Entry points of each Building/Facility.
- Provide for public health with effective after care to those in quarantine.
Incident Objectives (Incident Commander driven)
- Limit access and provide access control to all facilities.
- Monitor and report on PPE and medical supply usage.
- Coordinate with GRIC task force to provide care to those in quarantine.
- Communicate with Branch Directors and Group Supervisors to identify challenges, Communicate and evaluate strategies and tactics.
- Prepare and submit plan elements to the Planning Section by 1100 daily in preparation for the 1130 Planning Meeting.
- Update the online IAP for all staff to access and stay informed.
- Administer 15,000 Influenza Vaccines to the Community and GRHC Employees by 10/31.
- Evaluate strategies used for Influenza Vaccine to guide COVID Vaccine Planning.
Command Emphasis
- All organization-wide communication will be through the PIO with Incident Command and Executive approval
- Stay Focused on your assigned HICS 204 Assignments form.
- Avoid freelancing and operating in silos.
- Communicate tasks, objectives and challenges with the Command and General Staff.
Incident Commander |
Div Chief Patrick Peterson |
Senior Advisors |
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GRHC BOD / GRHC ELT |
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Denise Murphy |
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Bob Kiesecker |
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Joe Jicha |
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Dr. Ryan Southworth |
|
Dr. Viji Murugavel |
Safety Officer |
Stacy Welch |
Liaison Officer |
James Ornellas |
Public Information Officer |
Veronica Vaughn |
Planning Section Chief |
Angie Downs |
Finance Section Chief |
Doug White |
Logistics Section Chief |
Mario Torres |
|
Angie Ramirez |
|
Roland Enos |
Operations Section Chief |
Steve Schoffstall |
|
Steve Melin |
|
Michelle Kopec |
|
Ron Preston/Traci Haynes/Teresa Ratliff |
|
Lantz Biles |
Operations Section Chief |
Steve Schoffstall |
Acute Care Branch Director |
Steve Melin |
Acute Care Group: ED | EMS | Inpatient | DRS |
Group Supervisor: Diana Peters |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Continue plan for Pediatric Readiness |
Obtain supplies as needed Onboard/train staff as needed |
Manpower |
Pediatric Readiness Task Force Inpatient BHS |
Continue preparation for live patients in MHU |
Assess needs and patient flow with ED Determine if any areas and processes need improvement Piping for O2 finishing up this week, will need to be inspected week of 1/18 |
Manpower Supplies/O2 |
ED Nursing Facilities/Contractors |
Monitor necessary staffing and supplies for ED and Inpatient |
Monitor PPE daily tracking and inventory |
All PPE |
ED/MHU Inpatient Supply Unit |
Monitor Inpatient census and continue to increase ability for transfers and higher acuity patients |
Daily reporting of inpatient census Continue to monitor ability to transfer patients due to surge |
Cenus Report Manpower |
Inpatient |
Standby as needed at Vaccination sites |
Assist at VLJ and Community sites Determine plan for requesting EMS at needed vaccination sites |
Manpower |
EMS |
Continue Staff Training and Preparedness |
Continue planning for all EMS transfers: Hi-Flow O2 and Zoll Z-Vent training Online Baxter Infusion pump training Ongoing training and implementation of new CAREMSG (Central AZ EMS Guidelines) |
Manpower |
EMS |
Isolate and test DRS Inmates to reduce transmission risk |
Testing 2x/weekly due to recent outbreak with positive inmates and staff Quarantine new intakes until test results are available |
Manpower |
DRS |
Continue to maintain safety of Staff and Inmates |
Daily temp and symptom monitoring by med staff 2 Illuvia units 80% of staff vaccinated Sunday and remainder will finish up this week |
Thermometers DRS Medical Staff Illuvia units/filters |
DRS |
Continue using OTTO telehealth platform for medical visits |
Utilize telehealth platform for medical visits that are not emergent |
Manpower |
DRS |
Public Health Group: Primary Care | PCD | PHN | School Health | Screening |
Group Supervisor: Dr. Duc Vo |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Support temporary quarantine housing |
Monitor patients in quarantine space for COVID+ GRIC Members |
Manpower |
PHN |
Ongoing COVID-19 patient monitoring |
Testing and follow up with patients as needed including pulse oximeter education with patients Working to identify staff to assist on Saturdays |
Manpower PPE/Supplies |
PHN |
Continue Medication and Supply Delivery |
Deliver of medications and household supplies as needed |
Manpower |
PHN |
Continue utilization of telehealth platform for appropriate outpatient visits |
Utilize OTTO Tele-Health platform for non-urgent outpatient visits Switching routine visits to telehealth to allow for more space to distribute vaccines |
Signage Test kits/Vaccines PPE Manpower |
HHK PCD KHC PCD AKC IT |
Begin COVID Vaccination distribution clinic |
COVID Vaccinations continue in clinic Reaching out to GRHC Elders regarding vaccinations |
Manpower |
HHK PCD KHC PCD |
Continue distribution of Pulse Oximeters to necessary patients |
RN/MA provide patient education for Pulse Ox |
Oximeters Manpower |
PCD ED |
Continue management of Employee Screening Stations at all locations |
Staff and stock all screening stations with appropriate staff and PPE |
Manpower PPE |
SHS |
Dialysis Group: Dialysis East | West |
Branch Director: Angie Bitoon |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Continue to distance, isolate, and treat PUI’s and COVID+ Patients in Dialysis isolation area |
PUI’s are spaced 6’ apart Continue with 3rd shift for ability to isolate |
Manpower Designated Supplies |
Dialysis Group Transportation |
Continue Vaccination education and distribution |
Have begun vaccinations at Dialysis East and West Education for patients |
Manpower |
Dialysis Group |
Continue Dialysis services at all necessary locations - TCH, Inpatient and RTHHC ACS |
Continue to staff and stock supplies as needed Begin services as soon as there is a need |
Supplies/PPE Dialysis equipment Manpower |
Dialysis Group TCH Branch Inpatient Group RTHHC ACS |
Operations Section Chief |
Steve Schoffstall |
Non-Acute Care Branch Director |
Michelle Kopec |
Ancillary Care Group: Lab | Pharmacy | Medical Imaging | Patient Registration |
Group Supervisor: Peggy Hunkele |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Pharmacy will continue to support COVID-19 Response operations |
Provide medications and support. Omnicell received 1/12 and application training on 1/19 COVID Vaccination preparation and secure storage Training/education for nursing staff that assist with mixing vaccine Research vendors for syringes/needles for Pfizer dosage |
Manpower Supplies Vaccines |
Pharmacy |
Medical Imaging will continue to support COVID-19 Response operations. |
Provide Imaging support to HHK, TCH, RTH |
Manpower Portable X-Ray Unit Training Materials |
Medical Imaging IT |
Patient Registration will continue to support COVID-19 Response operations |
Provide Patient Registration needs and support. |
Manpower |
Patient Registration |
Ensure compliance with Consistent wearing of Face Masks, Social Distancing, Eye protection (front line staff), and Break Room parameters. |
Department Directors/managers for each department within Ancillary group will reinforce protocols and compliance. |
Manpower |
Ancillary Care Group Central Sterile |
Ensure ongoing and frequent General Environment Cleaning |
Daily cleaning and disinfection of work stations. Frequent cleaning and disinfection of high touch surfaces. |
Manpower PPE |
Ancillary Care Group |
Laboratory will continue to support COVID-19 Response operations. |
Provide COVID Testing, Supplies and Support |
Manpower Test Kits |
Lab |
Laboratory will absorb Veritor Testing for Ak-Chin |
Performing with Flu, RSV and Strep only Waiting on hood and can begin testing and training once received |
Manpower Supplies |
TCH Lab IT Revenue Cycle |
Laboratory to obtain various testing measures for specific locations |
Binax Now (Abbott) has received policy and training docs. Hood moved and needs to be re-certified by ATC Anti Xa (10a) and BioFire Torch (HHK) are live |
Manpower Supplies Test Kits |
Lab OMI Revenue Cycle IT |
Set up ID testing at KHC |
Received another ID through HIS Allocation Provide manpower and supplies to set up testing |
Manpower Supplies |
Lab |
Outpatient Care Group: Dental | Life Center | Optometry | PT | Podiatry | Women's Clinic |
Group Supervisor: Dr. Dean Fasciani |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Ensure Essential and emergent patient care needs are met on an ongoing an timely basis for PT, Podiatry, Optometry, Dental, Women’s Health, Life Center |
Continuous monitoring of PT, Dental, Podiatry, Optometry and Women’s health census and staffing plans. Tier 4 response by each dept. as planned. Assign necessary staff to LP |
Manpower Supplies |
Outpatient Care Group |
Ensure compliance with Consistent wearing of Face Masks, Social Distancing, Eye protection (front line staff), and ensure frequent cleaning |
Reinforce protocols and compliance. Frequent cleaning and disinfection of high touch surfaces |
Manpower PPE Items |
Outpatient Care Group |
Life Center and PCD to collaborate Influenza Vaccination Campaign for patients with Diabetes ON HOLD |
LC will designate an MA to contact and encourage patients to schedule with PCD/walk in for vaccination |
Manpower |
Life Center PCD |
The Community Outreach Mobile Unit continues to assist with Vaccine Administration |
Working with EH and Vaccine Task force for Employee Vaccination. Starting Phase 1B GRHC and GRIC employees Plan and Logistic for upcoming Community roll out |
Staffing, Supplies PPE Vaccines |
Community Outreach Mobile Unit Director Employee Health Vaccination Task Force |
Continue Pediatric Dental Screenings and Fluoride Treatments (ON HOLD) |
Pediatric patients will be treated outside PCD Exam Room #4 Will take place after scheduled PCD appts |
Staffing Supplies |
Dental |
BHS Group: New Beginnings | Oasis | RTC | RTHHC | Shegoi |
Group Supervisor: Kerry VanVolkinburgh |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Ensure ongoing and frequent General Environment Cleaning |
Daily cleaning and disinfection of work stations. Frequent cleaning and disinfection of high touch surfaces |
Manpower PPE Supply |
BHS RTC |
Ensure compliance with proper PPE, Social Distancing and Break Room parameters. |
Department Directors/managers for each department within BHS group will reinforce protocols & compliance. Ensure necessary PPE |
Manpower PPE/Supplies Signage |
BHS RTC |
Maintain BHS presence to provide crisis services and support for remote staff. |
Continue crisis services per best practices and GRHC policy/procedures Staff member will be present at COVID vaccine stations for employee support |
Policies and trained Staff |
BHS |
CARES Team to support GRHC staff who are experiencing mental/ emotional stress and burnout. |
Current support functions: 24/7 support line On site counselors available Develop strategies to help support staff - Pet Parade #2 has begun Leadership training approved and scheduling will begin |
Manpower |
Employee Wellness CARES Team IT PIO BHS Group |
Quarantine Housing Task Force |
Task Force Leader: Shannon Sims |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Manage the Quarantine site at RTC building 300 to quarantine up to 11 COVID-19+ persons who have no options to quarantine at home or elsewhere. |
Coordinate with Public Health Nursing for ongoing operations. Coordinate with BHS as needed |
GRHC: Food service, IT , security, EVS, Linen, Transportation, PHN, Risk GRIC: Tribal Social Services, OEM, Housing |
Quarantine Housing TF PHN BHS |
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RTHHC ACS Group |
Group Supervisor: Susan Cardona |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Obtain 24/7 Staffing coverage for the ACS |
Schedule all labor pool staff shifts and times. 87 RN's and 46 MA's trained to date Currently 17 Active RN's and 6 Active MA's 3 new travel RN's expected 1/11/21 Staff continue to assist COVID Hotline |
RN Scheduler Labor pool Scheduling spreadsheet |
Labor Pool RTHHC ACS Group ELT |
Ensure all appropriate equipment and supplies are procured. |
99% equipment identified 95% completion due to arrival of supplies. Many varied ETA’s Continue to order as needed to refill stock |
Equipment Supplies |
Supply Unit IT Unit PCD/Pharmacy |
Continue plan for Pediatric Readiness at RTH ACS |
Ongoing participation in Peds Readiness meetings 8 RN's trained thus far, 3rd class in January with 5 expected attendees |
Supplies Staff |
Supply Unit |
Continue training of RN and MA's as needed (including RPMS) |
Skills and training labs with new staff as needed RPMS Super user will train any new staff members moving forward |
Manpower |
RTH ACS Staff Educator EMS NP’s Labor Pool HIM |
Create plan for demobilization of the ACS |
Identify supplies that can be saved for future use and supplies that will be used now. Identify what equipment and supplies need to be returned to their original state. HICS 257 is 48% complete. |
Equipment Supplies |
Logistics RTHHC ACS Group Ancillary Care Group |
Ensure compliance with Consistent wearing of Face Masks, Social Distancing, Eye protection (front line staff), and Break Room parameters. |
Department Directors/managers for each department within RTH group will reinforce protocols & compliance |
Manpower |
RTHHC ACS Group Central Sterile |
Ensure ongoing and frequent General Environment Cleaning. |
Daily disinfection of work stations. Frequent cleaning and disinfection of high touch surfaces. |
Manpower PPE |
RTH ACS |
Continue conversion of COVID Inpatient Hallway to Non-COVID Inpatient Hallway housing 7 private rooms and room with Hemodialysis |
Split hemodialysis to accommodate COVID and non-COVID patients to be completed by 1/20/21 (waiting OK from Dialysis, HD, staffing) Ongoing eval of successful outcome daily |
Manpower |
RTH ACS Team Facilities/PDC Hemodialysis IMT |
Targeted Testing Task Force |
Group Supervisor: Dr. Dean Fasciani |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Continue testing of GRHC employees at all locations - HHK, KHC and Dialysis E/W |
Retest Dialysis WEST employees/patients Re-test DRS, RTC, TCH |
Manpower Supplies |
Targeted Testing TF |
Ensure compliance with Consistent wearing of Face Masks, Social Distancing, Eye protection (front line staff), and ensure frequent cleaning |
Reinforce protocols and compliance. Frequent cleaning and disinfection of high touch surfaces |
Manpower Supplies |
Targeted Testing TF |
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Operations Section Chief |
Steve Schoffstall |
The Caring House Branch Director |
Ron Preston |
Resident Care Group |
Group Supervisor: Theresa Ratliff |
Support Group |
Group Supervisor: Billy Estrada |
Logistics Group |
Group Supervisor: Max Haake |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Continue TCH Resident and staff CV-19 testing. |
Resident and staff testing 2x/week due to positivity rate (20.9% state rate) Perform mitigation and response measures when positive results reported (all work areas and equip. to be disinfected with Steramist) |
Manpower Supplies/Testing Kits |
TCH Branch Targeted Testing TF |
Whole Facility Isolation |
Precautionary measure subsequent to multiple staff testing positive All staff must wear PPE in all resident rooms |
Manpower PPE |
TCH Branch |
Ongoing audits of hand washing and PPE. |
Audits (PPE, surface tagging) completed at both nursing shifts and will be returned to IP and reviewed |
Staffing Audit Forms |
TCH Branch IP |
"Cruiser Program" (temporarily suspended) |
May consider resuming week of 1/18 Allow a 1-hour drive around the Community to address the psycho-social and emotional needs of Residents. |
Manpower Vehicle PPE |
TCH Branch Transportation and Recreation Staff |
Continue to prepare for additional COVID-19 IP Special Focus Surveys |
Continue audits tool to evaluate compliance Continue to monitor PPE and glucometer cleaning to prepare for next survey |
Manpower Supplies Audits |
TCH Branch IP |
Continue to maintain the safety of Residents through regular cleaning and disinfecting |
Steramist and HEPA Filtration units for terminal disinfecting following "Deep Cleaning Protocol" Weekly deep cleans on Wednesdays Steramist any contact areas with known positive exposure |
HEPA Filtration Units Steramist Unit |
TCH Branch Facilities Mgt. TCH EVS IP |
COVID Vaccination administration in partner with Walgreens |
46 residents and 73 staff received Begin preparation for 2/3 clinic (group 1 and 2). Final dose for group two is 3/3 Educational clinics and information will be provided with Town Halls and FAQ/Q&A |
Vaccine Manpower |
TCH |
| tch.120.107_public_health_emergency_covid_19_revised_time_lines.doc |
Operations Section Chief |
Steve Schoffstall |
Security Branch Director |
Lantz Biles |
HHK Group |
Group Supervisor: On-Duty Sergeant |
RTH Group |
Group Supervisor: On-Duty Sergeant |
KHC Group |
Group Supervisor: On-Duty Sergeant |
BHS Group |
Group Supervisor: On-Duty Sergeant |
Dialysis Group |
Group Supervisor: On-Duty Sergeant |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Maintain 24/7 Security support of all functioning GRHC facilities. |
Continuous monitoring of available manpower. Implementation of workforce triggers. |
Manpower |
Security Labor Pool |
Provide Security support for all patient screening locations during operation. |
Continuous monitoring of available manpower. Implementation of workforce triggers. |
Manpower |
Security Labor Pool |
Implement crowd and traffic control protocols as needed. |
Block/control access to identified parking areas and testing areas. |
Manpower |
Security |
Planning Section Chief |
Angie Downs |
Patient Communication Liaison |
Group Supervisor: Emily Robinson |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Continue plan for consistent and clear messaging with the patient hotline |
Plan for improving communication for Elders in regards to Vaccine and all other communication Ongoing communication with PR to update content for the HUB |
COVID and Influenza Hotline Manpower |
IMT PR Supporting staff |
Continue plan for the ideal patient experience through the Hotline |
Monitor call volume and patient feedback Ensure adequate staffing. RTH staff cont. to assist - 4 staff members to be trained next week Plan to separate the positive results from the COVID hotline. This will ensure patient satisfaction and help manage the call volume better. Have created 2 teams within the hotline staff and will plan go live in the coming week |
Manpower |
COVID Hotline Staff RTH ACS staff IT |
NEW - Create screening and scheduling process for Community COVID Vaccination |
Team of 4 RN/Providers that will be screening and scheduling those who qualify for the COVID Vaccine Will start training this week and tentative start date 1/20 as a branch of hotline Vaccination Referral will be placed in NG for tracking purposes |
Customer Service Group |
Group Supervisor: Joni Notah |
Supply Unit Group |
Group Supervisor: Mark Robles |
Transportation Group |
Group Supervisor: DeRees Clark |
Human Resources Group |
Group Supervisor: Denise Murphy |
Case Management Group |
Group Supervisor: Jerry Shinkle |
Employee Health Group |
Group Supervisor: Bob Kisecker |
Scrubs Task Force |
Group Supervisor: Paul Gibson |
Logistics Section Chief |
Mario Torres |
Support Branch Director |
Angie Ramirez |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Customer Service continue to provide quality care and service for patients / visitors. |
Reps to be proactive at entrances (all sites – HHK, KHC, RTH). One new CSR hired. Patient Advocates continue to round/assist patients at all sites. |
Education resources PPE |
Customer Service Infection Prev. |
MM continues to locate and obtain supplies and equipment |
Remain in contact with all contracted vendors Utilize AzCHER Vetted Vendors list as needed Internal stockpile process established to track distribution O2 concentrators to be delivered this week |
All requested supplies |
Supply Unit Facilities Mgt. Security Finance |
Case Management Dept continue to providing quality care and follow-up for patients. |
Work with all needed depts. to ensure patients receive adequate after care post-discharge from Inpatient and/or ACS Assist in obtaining needed appts, supplies and DME post d/c Provide daily updates on admissions to outside facilities to the IMT. |
Manpower |
Case Mgmt. RTHHC ACS Group Inpatient PRC |
Case Management to assist Tribal Health Departments with records |
Work with Tribal Health to obtain hospitalization information for Medsis Report A new utilization review CM RN will start 1/31 |
Manpower |
Case Mgmt Tribal Health |
Employee Health continues to support Surveillance Testing, Daily Duties and Influenza/COVID Vaccination planning |
Complete exposure investigation, secondary screenings/testing, and return to duty screenings, N95 fit testing Working with Comm Outreach & Vaccination Task Force for operational aspects of COVID vaccine distribution Tracking COVID Vaccination Deliveries Continue focuses testing frequency to TCH and DRS |
PPE Test Kits |
Employee Health Labor Pool IMT |
Provide labor pool staffing positions for various departments and RTH ACS |
Ongoing recruitment for temporary MA positions Weekly meetings with RTH Task Force Working with Fastaff to obtain replacement and add'l travel RN's Onboarding 12 AZ Surge Nurses with CNO Working with TCH Liaison to address needs LP Reserve staff extended from 1/31 to 3/31 |
LP Request Form Labor Pool assignment Master List |
HR/Labor Pool Liaison Directors/Supervisors Med Staff Credentialing |
Transportation continue to provide safe environment for staff and riders. |
Follow IP Policies and protocols Instituted driver mandated use of PPE and daily sterilization used to transport COVID patients Utilize Steramist units for disinfecting vehicles |
Disposable seat covers PPE EMS/MTS vehicles |
MTS EMS Employee Health SOFR PIO |
Continue assessment for current scrub numbers and use withing the organization |
Continue to ensure adequate supply for staffing (all sizes) - Work with Cintas to ensure daily delivery Locations surveyed for Machines: RTH, Dialysis E/W, RTC, TCH, HHK Proposal presented to COO to prepare for Board Approval |
Manpower |
Scrubs Task Force |
Logistics Section Chief |
Mario Torres |
Service Branch Director |
Roland Enos |
Facilities Group |
Group Supervisor: Keleto Sili |
EVS Group |
Group Supervisor: Curtis Osife |
Food Service Group |
Group Supervisor: Lenora Mora |
IT Group |
Group Supervisor: Scott McCrimmon |
Central Sterile |
Group Supervisor: Janice Nachie |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Continue to support build outs at HHK/RTH and convert additional negative pressure areas in ED |
Moving equipment and set up NP areas Room plans have been sent to mechanical contractor for proposal |
Staffing, including outside contractors Supplies |
Facilities Mgt |
Provide additional Emergency power for RTHHC ACS |
Generator delivery date end of January 2021 (due to damaging) No delivery date of switchgear Piping continues, wiring on site |
Staffing, including outside contractors Supplies |
Facilities Mgt. |
Provide ongoing support to all locations including PCD, ED, Inpatient, RTC |
Assisting with extended vaccine clinics needs |
Manpower |
Facilities Mgt. |
Provide ongoing support to GRHC surge expansion activities for HHK, RTHHC, and the Mobile Hospital Unit |
Demolition and construction of 2nd shower at RTH continues (delayed with RTH census) |
Staffing Supplies |
Facilities Mgt. |
Provide support for Surge Expansion Activity at all locations within GRHC |
Continue expansion of O2 capabilities in MHU |
Manpower |
PDC |
Continue to provide Food Services to HHK/RTH Inpatients and RTC Clients. |
Continue to assess process for meal delivery at HHK Inpt and RTH |
Manpower Supplies |
Food Services |
Continue to provide IT capabilities to all GRHC sites including Alternate Care Site and MHU |
Standby for any COVID related needs Respond to service calls |
Staffing and equipment |
IT |
Continue to ensure all areas remain clean |
Prioritize schedules with dedicated EVS staff at specific areas |
Manpower |
EVS |
Assist with distribution and laundering of reusable gowns |
Ongoing collection and distribution by EVS Laundering at RTC |
Reusable Gowns Manpower |
EVS Logistics |
Support cleaning and sterilization for surgical instrumentation |
Support cleaning and sterilization surgical instrumentation for all patient care units Disinfection of N95 masks continues |
Manpower |
Central Sterile |
Finance Section Chief |
Doug White |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Continue to provide absentee report for previous day by 12:30PM |
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Payroll |
Continue to provide Financial Cost Summary for the previous day by 2:00PM |
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Section Chief |
Continue to adapt accounting system to process COVID-19 costs |
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Finance |
Continue to assist Materials Management with the escalation of COVID-19 related purchases including expedition of specific vendor payments. |
Escalate specialized COVID-19 related purchases including expedition of specific vendor payments. |
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Finance |
Contracts & Grants Department continue to process contracts for COVID-related supplies, equipment, and services; and is applying for grant funding from the federal government. |
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Contracts & Grants |
| 1.8.21_incident_management_team_chart.docx |
A daily HICS 214 is due by 1630 hrs daily by all Command & General Staff, Branch Directors and Group Supervisors. This log will represent your activities of the previous 24 hours. When completed, post to your ICS position folder on the X-Drive.
Report On:
Report On:
- Objectives
- Task/Assignments
- Meetings
- Successes
- Challenges
- Needs
- Example: Attended the morning Task Force Meeting (45 mins x 2 personnel)
- Example: Worked on developing our department’s employee screening process (1.5 hours)
| hics_214-activity_log.pdf |
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| az_surge_line_centralized_transfer____postable.pdf |
| arizona_surge_line_minutes_1_14__1_.docx |
| arizona_surge_line_minutes_1_12.docx |
| asl_non-medical_transport_faq_-_postable.docx.pdf |
CDC Guidance
- Implementing Safety Practices for Critical Infrastructure Workers
- Risk Assessment & Public Health Management of Healthcare Personnel with Potential Exposure
- Criteria for return to work for Healthcare personnel with confirmed or suspected COVID-19
- Evaluating and Testing Healthcare Persons for COVID-19
| covid-19_informational_booklet_final_8-13-20.pdf |
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| 04-09-20_grhc_surge_consolidation_plan.docx |
| copy_of_20_11-20_grhc_tiered_response.xlsx |
| 20_11-20_tiered_response_overview.docx |
| use_of_cloth_mask_to_slow_spread_covid-19.pdf |
| covid-19-vaccination-program-interim_playbook.pdf |
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| 10.13.20_comp_exec_order_no9_tab.pdf |
| executive_order_no_9_amended11_13_2020.pdf |
The HUB is a central location for all COVID-19 and Influenza Related information including Surveillance Testing, Quarantine Guidelines, Influenza Vaccination Locations and much more! Information is updated 2x/month.
Internal HUB: grhc/Intranet/main.aspx?tid=628
External HUB: grhc.org/Hub/
Internal HUB: grhc/Intranet/main.aspx?tid=628
External HUB: grhc.org/Hub/
| ehs__flu_vaccination_plan_08-31-20.pdf |
| coronavirus_emergency_leave_policy_final_200406_hr.104.82.pdf |
| covid_patient_visitor_policy_05-18-20.pdf |
| hr_104.84_hero_pay_covid_19_policy_clean_rev_8.12.2020_-covid_policies.docx |
| mass_fatality_plan_06-18-20.doc |
Due to the worldwide supply chain issues, N95 respirators (for those departments issued these) should be practicing reuse procedures. Your department should also have a procedure/policy on when an N95 respirator is used versus a surgical/procedure mask.
GRHC is currently in Contingency Capacity Strategy: Measures may change daily standard practices but may not have any significant impact on the care delivered to the patient or the safety of healthcare personnel (HCP). These practices may be used temporarily during periods of PPE (Eye Protection, Isolation Gowns, Face Shields, Face Masks, and N95 Respirators) shortages.
GRHC is currently in Contingency Capacity Strategy: Measures may change daily standard practices but may not have any significant impact on the care delivered to the patient or the safety of healthcare personnel (HCP). These practices may be used temporarily during periods of PPE (Eye Protection, Isolation Gowns, Face Shields, Face Masks, and N95 Respirators) shortages.
| optimizing_ppe_supply_policy.doc |
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N95 Respirator Example
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Procedure/Surgical Mask Example
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| N95 Reuse Flyer |
Employees should wear appropriate PPE based on Department Policy, Procedures and Directives. Appropriate PPE is necessary to protect staff and patients. Below are some guidelines for the PPE staff should be utilizing.
| covid_employee_screening_flowchart_4-15-20.pdf |
