For Official Use Only
COVID-19 Pandemic
Incident Action Plan (IAP)
Operational Period 23: 08/10/20 - 08/17/20 08:00am - 08:00am
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. 8,693 completed as of 08/07/20
- Targeted Testing of Community Members - approx. 7,955 completed as of 07/07/20
- Community COVID-19 Cases | (See Data Dashboard below)
- *GRIC Confirmed Positive D1 - D7: 539
- *GRIC Total Positive: 682
- (*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: 58
- Since 03/12/20: 58
- GRHC Census Information (updated 07:30am and 1:30pm daily)
- HHK Inpatient
- 4 Inpatients
- 9 available Negative Pressure beds
- 1 available Regular beds
- 0 patients pending transfer
- 0 patient recently transferred
- HHK ED
- 8 Patients
- General Beds: 7 occupied- 1 open
- Isolation negative pressure: 0 occupied- 7 open
- Cabana negative pressure area: 0 occupied- 6 open
- Fast track area: 1 occupied- 5 open
- Pending Transfer: 0
- 2 patients recently transferred out (0-COVID)
- 1 admissions to Inpatient 08/09
- Holds: 1 (behavioral health - awaiting crisis)
- Drive Through Testing 08/09 = 3
- Visits 08/09: 46
- 8 Patients
- GRIC Members currently in other Hospitals
- 49
- 49
- HHK Mobile Hospital Unit
- 0
- 10 beds
- RTHHC ACS
- 0
- 17 staffed beds available - 50 total
- 1 Patients transferred to outside facilities the day before
- 2 Patients discharged home the day before (back to TCH)
- TCH
- 64 Residents
- 36 Open Rooms
- RTC
- Building 100: 6 clients, 15 open beds
- Building 200: 4 clients, 20 open beds
- Building 400: 2 clients, 8 open beds
- Building 300 (Quarantine ACS): 1 guests, 7 open beds
- HHK Inpatient
|
|
Health and Safety Briefing:
- Response-Related Injuries - 3 (2 heat-related; 1 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
- Monsoon Season is here! Monsoon season begins June 15th and continues through September 30th. With it comes higher humidity, which can lead to thunderstorms, heavy rain, lightning, hail, high winds, flash flooding, dust storms and extreme heat.
|
|
A new Excessive Heat Watch has been issued, beginning Wednesday for Phoenix and the lower elevations of Gila County and expands to all lower deserts Thursday. This watch lasts thru Sunday. Highs up to 112-116 is up to 10 degrees above normal for this time of year, leading to high to very high heat risk.
Could get some direct sun relief if clouds from Tropical Cyclone Elida spread over the area late-week, but temps should still be very high.
If you're going to be outside during the peak heat of the day, remember to drink plenty of fluids. Stay hydrated and stay safe.
Could get some direct sun relief if clouds from Tropical Cyclone Elida spread over the area late-week, but temps should still be very high.
If you're going to be outside during the peak heat of the day, remember to drink plenty of fluids. Stay hydrated and stay safe.
|
|
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.
- Implement and evaluate department strategies to secure PPE and medical supplies.
- 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.
- Provide Messaging and training for screening personnel to address employee and patient/visitor screening.
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.
Incident Commander |
Div Chief Patrick Peterson |
Senior Advisors |
. |
|
GRHC BOD / GRHC ELT |
|
Denise Murphy |
|
Robin Henry |
Safety Officer |
Stacy Welch & Doug Huber |
Liaison Officer |
Kelsey Adams |
Public Information Officer |
Veronica Vaughn |
Planning Section Chief |
Kathie Dumais |
Finance Section Chief |
Doug White |
Logistics Section Chief |
Mario Torres |
|
Angie Downs |
|
Richard Brache |
Operations Section Chief |
Steve Schoffstall |
|
Lindsey Silva |
|
Michelle Kopec |
|
Lantz Biles |
Operations Section Chief |
Steve Schoffstall |
Acute Care Branch Director |
Lindsey Silva |
Acute Care Group: ED | EMS | Inpatient | DRS |
Group Supervisor: Steve Melin |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Continue to plan for patient surge throughout OP23 |
Continue procurement of needed supplies. Ensure staffing is in place for 24-hour operations. Continue to work on O2 capacity options for HHK |
O2 generator, O2 plumbing – MHU |
ED MHU Inpatient |
Continue with ED drive-up testing 7 days per week, 12p-12a for those not requiring a MSE |
Monitor signage and traffic flow needs. Designate staff. |
Manpower PPE Test Kits |
ED |
Monitor PPE supply and ensure all units have appropriate PPE |
Monitor PPE daily tracking report Sign off 213RR’s |
All PPE |
ED Inpatient Mobile Unit Supply Unit |
Complete daily documentation of bed poll and COVID Survey on EMResource |
Complete bed poll and COVID Survey by 12:00pm daily. |
Manpower |
ED Inpatient |
Monitor Inpatient census and continue to Increase ability for higher acuity patients |
Daily reporting of inpatient census. Daily reporting of patient length of stay. Float staff to RTHHC ACS as census allows. |
Inpatient census report |
Inpatient |
Continue EMS testing their own staff every 2 weeks |
Test EMS staff every two weeks |
- |
EMS |
Continue participation in weekly Town Hall Meetings |
Dissemination of most up to date information via weekly Webex |
- |
EMS |
Assist with the Community targeted testing in D1 |
Ambulance stand by at testing site. |
Manpower |
EMS |
Continue Staff Training and Development |
Build department training program on Glidescope use (in process) Train for Stryker emergency relief cover. Work with Baxter to obtain online scorm program for infusion pumps. Work with IT and other departments for a health information exchange. Develop employee training schedule |
Glidescopes Training room Educator |
EMS |
Assess options for increasing ambulance capacity for high flow oxygen to limit decompensation risk during transport |
Researching issue with AEMS: Current receiving facility guidelines not accepting active aerosolizing procedures into facility. Continue consulting with AirVo manufacturer and assessing alternatives to determine best option Order adaptions necessary/able. |
Oxygen Adaption |
EMS |
Isolate and test DRS Inmates to reduce transmission risk |
Continue to test new intakes daily. Continue regular biweekly testing of all inmates Test at ED if medical clearance is required. Mask and quarantine new intakes until test results are available |
Labor pool RN staff Testing kits Daily communication with IP/DRS |
DRS |
Ensure safety of Inmates by identifying symptoms and ensuring infection prevention strategies are in place |
Daily temp and symptom monitoring by med staff 3 Illuvia units strategically placed. Enforce social distancing |
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 Ipads |
DRS |
Public Health Group: Primary Care | PHN | School Health | Screening |
Group Supervisor: Willard Korges |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Continue physical assessment of each school for appropriate infection prevention measures |
Coordinate with School RN Director and staff. Utilize information provided by IP to assess. |
Assessment information from IP |
SHS SOFR |
Continue behavioral health support options for PHN experiencing patient/family loss. |
Coordinate with GRHC CARES Team as needed |
Manpower |
PHN BHS |
Ongoing COVID-19 patient monitoring. |
Phone calls every 48h to assess symptoms And reinforce quarantine, 7 days/wk Home visits as necessary |
Office and cell phones GSA vehicles PPE |
PHN |
Continue Medication and supply Delivery. |
Delivery of medications and Necessary household supplies primarily by District PHN’s with support from School Health Staff |
Manpower |
PHN SHS |
Provide support for COVID-19 Targeted Testing |
Support expanded testing efforts For community members |
Manpower |
PHN |
Support temporary quarantine housing |
Maintain a safe space for GRIC Residents who are COVID+ and have no space to quarantine for 14days |
Manpower |
PHN |
Monitor daily census of patient screening area and PCD department staffing |
Staff the patient screening areas with the appropriate number of staff. Rotate staff as needed due to hot temperatures. |
Census Reports Staff |
HHK PCD KHC PCD OMI |
Continue school health physicals in Primary Care |
M-F at HHK Designated staff Designated times at KHC |
Manpower general supplies |
HHK PCD KHC PCD |
Continue utilization of telehealth platform for appropriate outpatient visits |
Utilize OTTO telehealth platform For non-urgent outpatient visits |
Computers with microphone and speakers |
HHK PCD KHC PCD AKC IT |
Perform follow up to community members with surveillance testing results |
Attempt 2 phone calls, then send letter advising client of results |
Manpower |
HHK PCD KHC PCD OMI |
Continue Employee testing at KHC and AKC every 2 weeks |
Test employees every 2 weeks. |
Manpower PPE Test Kits |
KHC PCD Ak Chin Lab |
Continue drive-up testing for PCD patients seeking COVID-19 testing only |
Designate staff to do COVID drive up testing. Ensure signage and instructions are clear. Ensure traffic flow is clear. Have test kits readily available in department. |
Traffic cones Signage SQL Test kits PPE Staff |
HHK PCD KHC PCD PR Facilities Lab |
Dialysis Group: Dialysis East | West |
Branch Director: Angie Bittoon |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Continue to distance, isolate, and treat PUI’s and COVID+ Patients in Dialysis isolation area |
Ensure dedicated staff assigned daily. Ensure PUI’s are spaced 6’ apart in PUI cohort area. Continue with 3rd shift in both East and West Dialysis for ability to isolate . |
Dedicated machines, spaces and staff for COVID+ and PUI’s |
Dialysis Group |
Monitor PPE supply and ensure adequate supply at all sites |
Continue submission of 213RR’s. Visual monitoring of staff compliance |
Isolation gowns, face shields, masks, Shoe covers, gloves Infection Prevention |
Dialysis Group |
Continue Dialysis services at The Caring House. |
Continue to staff and stock supplies as needed. |
Dialysis equipment Manpower |
Dialysis Group TCH Branch |
Continue Dialysis services for Inpatient |
Continue to staff and stock supplies as needed. |
Dialysis Equipment Manpower |
Dialysis Group Inpatient Group HR Facilities Mgt. |
Begin Dialysis services at RTHHC ACS. |
Ensure all supplies and machine are ready for implementation. Begin services as soon as there is a patient in need of Dialysis. |
Dialysis equipment Manpower |
Dialysis RTHHC ACS Group |
Manage staffing shortages of Dialysis Staff |
3 additional RN's have been hired and are currently in pre-employment process. Investigating Agency Staffing options. |
Manpower |
Dialysis |
Hold monthly meetings with Gila River Dialysis Support Associates to address patient concerns. |
Participate in monthly meetings. |
Manpower |
Dialysis |
Increase the ability to bill for Peritoneal Dialysis services. |
Accredit service by having a 3rd party conduct a survey for W. Dialysis |
Contract and funding for 3rd party surveyor. |
W. Dialysis |
Scrubs Task Force |
Task Force Leader: Ella Dayzie |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Continue adherence to infection control and safety guidelines. |
Ensure staff are always wearing appropriate PPE. Reinforce the importance of hand hygiene |
PPE Sanitizer/Hand Soap |
Scrubs Task Force |
Improve Taskforce Communication |
Daily Team huddles Weekly updates from managers |
Manpower |
Scrubs Task Force |
Identify pros, cons, and cost of utilization vendor provided machines for scrub distribution to present to ELT. |
Cost analysis pros and cons have been sent to ELT for a decision |
Manpower |
Scrubs Task Force |
Operations Section Chief |
Steve Schoffstall |
Non-Acute Care Branch Director |
Michelle Kopec |
Central Sterile Group: |
Group Supervisor: Janice Nachie |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Continue to pursue obtaining N95 (large) masks, shoe covers, and level 3 PPE coveralls |
PPE availability for disposable level 1 gowns, bouffant caps, shoe covers, & large N-95 masks (3M 1870) has become greatly reduced. MM reports they are on-order, pending backorder status. CSD PPE orders being received for level 3 gown, face shields, & face shield with mask. Coverall order reports delayed receipt into November 2020. Will begin to research other sources to include shoe covers that meet AAMI compliance. |
Manpower |
Central Sterile |
Continue to focus on utilizing Steramist and a developed process for disinfection of N95 and Face Shields. |
Develop process for disinfection utilizing Steramist system. CSD placed a request into the FY2021 budget for one unit for use in the CSD spaces, especially the decontamination area and specified PPE pieces. IP Director requested SteraMist CS Superusers. 2 staff will be scheduled and PPE will be orderd for them. Perform training and competencies. |
Steramist product information. |
Central Sterile |
Continue to support cleaning and sterilization for surgical instrumentation |
HHK – CSD will upport cleaning and sterilization surgical instrumentation for all patient care units in service. Hau’pal CSD will operate all sterilization equipment to maintain optimal operability for readiness in place when needed and as a backup sterilization processing unit during the HHK CSD renovaiton August-september 2020. |
Manpower CS Supplies |
Central Sterile |
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. Request resources as necessary. |
Manpower |
Pharmacy |
Laboratory will continue to support COVID-19 Response operations. |
Provide COVID testing, supplies, and support. |
Manpower VTM |
Lab |
Medical Imaging will continue to support COVID-19 Response operations. |
Provide Imaging support. Request resources as necessary. Pursue obtaining a portable X-Ray unit for The Caring House - has been approved by ELT and is going to BOD. |
Manpower Portable X-Ray Unit |
Medical Imaging |
Patient Registration will continue to support COVID-19 Response operations |
Provide Patient Registration needs and support. Request resources as necessary. |
Manpower |
Patient Registration |
Ensure ongoing and frequent General Environment Cleaning |
Daily cleaning and disinfection of work stations. Frequent cleaning and disinfection of high touch surfaces. Patient Reg. is complete |
Manpower PPE |
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 Outpatient Care group will reinforce protocols and compliance. Post related signage in all break rooms. |
Manpower |
Ancillary Care Group |
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. Adjust as required |
Staff and the same equipment and supplies as routine operations |
Outpatient Care Group |
Continue Optimization, monitoring, and secure PPE supply |
Request PPE items by submitting a Resource Request Form (HICS 213RR) to Branch Director and Operations Section Chief. Secure PPE per department plan. Update PPE Inventory daily |
PPE Items |
Outpatient Care Group |
Continue to manage and disseminate information to subordinate clinics and back up the chain to leadership. |
Email, Huddles, Rounding, Meetings |
Manpower |
Outpatient Care Group |
Continue to manage the environment |
Review with all staff cleaning and use of PPE. Disinfect all equipment between patient use |
PPE Items Oxivir Wipes |
Outpatient Care Group |
Ensure ongoing and frequent General Environment Cleaning |
Daily cleaning and disinfection of work stations. Frequent cleaning and disinfection of high touch surfaces |
Manpower PPE |
Outpatient 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 Outpatient Care group will reinforce protocols and compliance. Post related signage in all break rooms. |
Manpower |
Outpatient Care Group |
BHS Group: New Beginnings | Oasis | RTC | RTHHC | Shegoi |
Group Supervisor: Kerry VanVolkinburgh |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Continue to monitor all incoming patients for COVID-19 symptoms |
Ask each patient/staff the screening Questions. |
Screening questionnaire |
BHS RTC |
Continue to monitor PPE supply. |
Utilizing PPE Plan and Optimizing PPE Supply Policy, monitor supplies and maintain a minimally appropriate level |
Staff assigned to monitor and HICS-213RR form |
BHS RTC |
Maintain BHS presence to provide crisis services and support for remote staff. |
Continue crisis services per best practices and GRHC policy/procedures |
Policies and trained Staff |
BHS |
Continue to work with the Quarantine site at RTC 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. |
GRHC: Food service, IT , security, EVS, Linen, Transportation, PHN, Risk. GRIC: Tribal Social Services, OEM, Housing |
BHS Group Quarantine Housing TF |
Ensure ongoing and frequent General Environment Cleaning |
Daily cleaning and disinfection of work stations. Frequent cleaning and disinfection of high touch surfaces |
Manpower PPE |
BHS 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 Outpatient Care group will reinforce protocols and compliance. Post related signage in all break rooms. |
Manpower |
BHS Group |
CARES Team to increase support for GRHC staff who are experiencing mental and emotional stress and burnout. |
Current support functions: 24/7 support line On site counselors available at NBB and KHC. Developed self-care videos Collaborate with PR and provide self-care tips Added support functions: Cross promotion with BHS staff assigned to scrub distribution detail. Develop multi-disciplinary on-site support team. Provide self-care topics on WebEx during departmental team meetings. Create a webpage for “one stop shopping” for all information sent out in this capacity. Cross promotion with BHS staff assigned to scrub distribution detail. Develop multi-disciplinary on-site support team. Provide self-care topics on WebEx during departmental team meetings. Create a webpage for “one stop shopping” for all information sent out in this capacity. Create mechanism for employees to submit anonymous questions regarding mental health and self-care. Create videos employees can access that will assist with stress and fatigue (Yoga, Tai Chi etc.) Develop incentives to recognize employees going above and beyond. Cheers for Peers: Online platform for employees to recognize their peers. |
Manpower |
BHS Group Employee Wellness CARES Team IT PIO |
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. |
GRHC: Food service, IT , security, EVS, Linen, Transportation, PHN, Risk GRIC: Tribal Social Services, OEM, Housing |
Quarantine Housing TF PHN |
|
| ||||
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. Obtain information on assigned staffs skills and competencies. Obtain additional staffing as needed to cover patient census. Increase staff numbers to accommodate 50 patients. Awaiting the hiring of 22 Pool MA’s as they are hired they will be trained at RTH. 100% of completion for 50 patients for optimal condition. Working on 20% overage to cover call outs and PTO and Leave. 60 RN's and 39 MA's trained to date. |
RN Scheduler Labor pool Scheduling spreadsheet |
Labor Pool RTHHC ACS Group ELT |
Ensure all appropriate equipment is procured. |
All equipment has arrived except for cardiac monitors 99% equipment identified 95% completion due to arrival of supplies. Many varied ETA’s |
List of required equipment Materials Management and IT personnel PCD, Pharmacy personnel and various currently identified equipment |
Supply Unit IT Unit |
Ensure all appropriate Supplies are procured. |
Identify patient supplies not available Stock supply rooms with needed supplies. 99% equipment identified 93% completion due to arrival of supplies. Many varied ETA’s |
List of patient supplies that are needed. Staff members to stock supply rooms. |
Supply Unit |
Ensure all Processes for patient care are established and vetted. |
Complete mock patient run throughs. Develop processes that work at the ACS 99% of processes identified 98% of guidelines developed and being vetted. |
Recorder to create a list of identified gaps in processes during mock run through Policies and Procedures. |
Logistics Ancillary Care Group Food Service |
Ensure Electronic Medical Record is operational and staff are trained in use. |
Train Identified staff members in RPMS If unable to train prior to opening, will use paper down time forms. Collaborate with IT to set up training classes. Identify and train RPMS super users. 100% of staff trained |
Schedule IT Trainers/Super users for training classes Obtain and review forms and staff to review Train Charge Nurses and identify and additional staff |
IT Group Labor Pool Inpatient Group RTHHC ACS Group |
Continue Mock Patient Tracers to identify processes and gaps in processes. |
Schedule daily Tracers to identify gaps in process when there are no patients present. Continue to schedule day long Tracer(s) to further identify gaps in process when there are no patients present. |
Manpower |
Ancillary Care Group Food Services Supply Unit IT Customer Service |
Continue scheduling and training of identified skills for RN’s and MA's as needed |
Skills and training labs including ACLS to be done weekly. All current RN's and Providers are trained. |
Manpower |
RTH ACS Staff Educator EMS NP’s Labor Pool |
Identify staff’s completion of COVID-19 specific training in Bridge |
Review Bridge spreadsheet of staff assigned to: COVID-19 for Clinical Staff Hand Hygiene: The Basics Self-Paced Personal Protective Equipment Regulation Express: Transmission-Based Precautions Verify completion, address staff who have not completed and assign to those who need. 91% completed |
Specific spreadsheet from Bridge and staff |
HR RTHHC ACS Group |
Obtain 24/7 provider coverage for the field hospital. |
Recruit Providers from outpatient areas who are wanting to work inpatient. 14 MD’s obtained 9 NP’s obtained |
Schedule of how many providers needed and hours to be worked. |
RTHHC ACS Group Acute Care Group Public Health Group |
Create training program for identified Providers for the ACS |
Identify skills training needed to care for medical/surgical patients. Identify staff/people skilled and available to train staff. Identify days to perform training. ACLS certification classes weekly. 96% of providers completed training. |
List of needed skills. List of resources or people with certain skills. People to staff the needed stations. ACLS Instructor. |
RTHHC ACS Group Acute Care Group |
Create plan for Demobilization of the ACS. |
Identify all equipment that needs to be stored/returned. 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 47% complete. Items being added as they are delivered. Will need to complete as items are stored also. |
List of equipment that needs to be stored and locations. List of supplies that can be stored and location. List of what needs to be returned to original departments. |
RTHHC ACS Group Logistics Ancillary Care Group |
Create Loss of Power Plan for RTHHC ACS pending generator arrival. |
Continue to educate staff on emergency procedures. 46 rooms have red (EPSS) outlets. Power outage drill will be scheduled. |
Manpower |
RTHHC ACS Group Planning Logistics |
Create training program for MA’s for centralized telemetry monitoring |
Identify staff wanting and skilled to be trained as a monitor tech. Create training program for MA’s to become Cardiac Monitor techs. Training is being held August 5 - 12. |
List of employees to be trained. Materials and tools for training of MA’s. Staff to teach training class. |
RTH ACS Group Acute Care Group Educator |
Ensure ongoing and frequent General Environment Cleaning. |
Daily cleaning and disinfection of work stations. Frequent cleaning and disinfection of high touch surfaces |
Manpower PPE |
RTHHC ACS 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 Outpatient Care group will reinforce protocols and compliance. Post related signage in all break rooms. |
Manpower |
RTHHC ACS Group |
Implementation and training of the RN's and MA's for the Phillips Cardiac Monitors |
Training will be held August 10 - 12. Identify Superusers. Schedule staff training. |
Phillips Cardiac Monitors Manpower |
RTHHC ACS Group |
Targeted Testing Task Force |
Group Supervisor: Dr. Dean Fasciani |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Ensure task force is held accountable for directives. |
Continue follow-up meetings every 1-3 days to determine status of directives |
- |
Targeted Testing TF |
Continue testing of GRIC members at Community Testing Sites. |
Re-testing in D1 Communicate with key GRIC partners. Walk-thru site locations. Order PPE, supplies. |
PPE, supplies. Applicable sites, rooms, bathrooms. EMS on site. |
Targeted Testing TF |
Continue testing of GRHC employees at HHK Testing Site. |
Schedule dates/times at locations. Communicate with Directors. Ensure PPE is available. |
PPE |
Targeted Testing TF Employee Health |
Continue testing of TCH Residents and Staff at TCH Testing Site |
Schedule dates/times at locations. Communicate with Directors. Ensure PPE is available. Retest TCH Employees and Residents. |
PPE Testing Supplies |
Targeted Testing TF TCH Group |
Continue testing of Dialysis Patients and Staff at Dialysis Testing Site. |
Schedule dates/times at locations. Communicate with Directors. Ensure PPE is available. Retest Dialysis EAST Employees and Patients. |
PPE Testing Supplies |
Targeted Testing TF Dialysis Group |
Obtain additional methods to keep outdoor Targeted Testing Staff safe in the heat. |
2 large misting fans were received. Waiting on additional supplies. |
Misting systems electrolyte products |
Targeted Testing TF |
Ensure ongoing and frequent General Environment Cleaning. |
Daily cleaning and disinfection of work stations. Frequent cleaning and disinfection of high touch surfaces. |
Manpower PPE |
Targeted Testing TF |
Ensure compliance with Consistent wearing of Face Masks, Social Distancing, Eye protection (front line staff), and Break Room parameters. |
Reinforce protocols and compliance. Post related signage in all break rooms. |
Manpower |
Targeted Testing TF |
|
|
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. |
Test all residents and staff every 7 days until there is no positive finding for 14 days. TCH Employee testing will be done every Tuesday and Wednesday. Identify any asymptomatic residents and staff. Implement further mitigation actions as necessary. Maintain regular communications with residents, families/representatives and staff on the testing schedule and results. Perform mitigation and response measures when positive results are reported among staff or Residents |
Utilize TCH trained nursing staff to perform the testing and send to the appropriate lab(s). Assure necessary orders are entered into NG. |
TCH Branch Targeted Testing TF |
Provide ongoing communication to Residents and Families. |
Providing written updates to residents and families on TCH COVID-19 mitigation actions. Submit data on a weekly basis into NHSN/CDC per CMS. Communicate general test results, TCH prevention and mitigation actions. Maintain a "diary of actions and efforts taken on a weekly basis. The administrator creates the bullet points then sends the information to PR to "package" the content to be mailed to families and distributed to residents and staff. Personal telephone calls will be made to families/representatives as needed. |
Communication Topics |
TCH Branch PIO |
Continue Audits of hand washing and PPE. |
Audits include tagging surfaces and checking the thoroughness of the cleaning with with a UV light. Distribute the audit forms to both nursing shifts to perform. Audits are performed, returned to TCH infection preventionist for review and necessary follow-up on education. Staff Development will assure that education on hand washing and PPE use by staff is brought into the 90% completion range. Staff Development will monitor and report completion of required training and provide documentation of completion. |
Staffing Audit Forms |
TCH Branch |
Provide laundering of reusable cloth gowns for GRHC. |
Wash and deliver to a central location for redistribution to various Organizational locations. Pickup truck will be used to pick-up dirty gowns and a TCH van will be used to deliver clean gowns. Laundry Manager will provide information on necessary quantities of detergent. At this time TCH is laundering an average 220 gowns daily. |
Manpower 2 vehicles Laundry Supplies & Equipment |
TCH Branch Acute Care Branch Non-Acute Care Branch Support Branch |
Continue to utilize the 5 bed "overflow" unit in the Movie Theater. |
Asymptomatic residents will transition from B Unit to the OU before going to their home Unit. Will utilize bells as an alternative to a call light system. A water supply and a source for cleaning commode containers has been identified. Illuvia unit will be placed in the location. |
Waiting on O2 concentrators. |
TCH Branch Facilities Mgt. |
Continue to maintain the safety of Residents through regular cleaning and disinfecting |
Add additional HEPA Filtration Units Steramist disinfecting unit to be used for terminal disinfecting of TCH. G Unit receives Steramist disinfection each Wednesday after the staff CV testing. |
15 HEPA Filtration Units Steramist Unit |
TCH Branch Facilities Mgt. |
Acquire portable X-Ray Machine to be kept at TCH |
Station a portable x-ray machine at TCH that will minimize potential Resident exposure to CV-19. X-Ray Tech will come to TCH for imaging services as needed. Has been tentatively approved by BOD. |
Portable X-Ray Unit Manpower |
TCH Branch Medical Imaging. |
Obtain and distribute PPE from AZ National Guard. |
Receive 625 disposable gowns from AzNG. Distribute to staff |
Disposable Gowns |
TCH Branch |
| tch.120.107_public_health_emergency_covid_19_07-31-20.pdf |
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 |
Logistics Section Chief |
Mario Torres |
Support Branch Director |
Angela Downs |
Customer Service Group |
Group Supervisor: Josette Sanchez |
Supply Unit Group |
Group Supervisor: Mark Robles |
Transportation Group |
Group Supervisor: Melissa Notah |
Human Resources Group |
Group Supervisor: Denise Murphy |
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) Proper PPE at each location. Patient Advocates continue to round/assist patients at all sites. Assist PR&Marketing with collecting items for Elder Essentials Donation Drive. (all 3 sites HHK, KHC, RTH) |
Education resources PPE |
Customer Service Infection Prev. |
MM continues to locate and obtain supplies and equipment |
Remain in contact with all contracted vendors Ensure following proper process for orders by submitting complete 213’s Alternate routes for obtaining supplies – i.e. IHS, etc. Utilize AzCHER Vetted Vendors list as needed. Working with Finance for cost assignment and tracking |
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. Provide daily updates on admissions to outside facilities to the IMT. |
Manpower |
Case Mgt. RTHHC ACS Group Inpatient PRC |
Implement process for washing and transport of reusable gowns. |
Depts will receive hampers with disposable laundry bags to store soiled gowns. Start PCD on gowns process. Depts will bring bags to loading dock TCH provides pick up and drop off at loading dock - following proper IP guidelines (i.e. using designated vehicles for clean vs dirty) PR to assist with signage OMI will be tracking on Daily PPE reports. |
Reusable Gowns Laundry at TCH Disposable Laundry Bags Bins Signage |
Supply Unit ED Dental Inpatient TCH SOFR |
Employee Health continues to support GRHC Surveillance Testing |
Update daily ETSP numbers. Continue 5th round of employee testing on campus. Complete exposure investigation, secondary screenings/testing, and return to duty screenings. EH Guidelines for Clear Communication. |
PPE Test Kits |
Employee Health Labor Pool |
Determine process and logistics for employee flu shots for 2020-2021 season. |
Meeting every Tuesday. Determine if employee COVID Testing Area can be used to provide vaccination as well. |
Manpower Flu Vaccine |
Employee Health Operations Planning Logistics PIO |
Transportation continue to provide safe environment for staff and riders. |
Follow IP Policies and protocols. Keep same driver with same rider. All Dialysis riders to utilize procedure masks (drivers to dispense). Utilize Steramist units for disinfecting vehicles Train the needed staff to ensure optimal use of the Steramist. Work with HR to hire temporary staff. |
Disposable seat covers Masks (N95/Procedure) Bags Non-emergent transportation, EMS/MTS vehicles |
MTS EMS Employee Health SOFR PIO |
Transportation to i train staff with the Steramist system. |
3-5 super-users per shift. All drivers to complete Safety education. Individual training within dept with IP and competencies. |
Steramist Unit PPE Training Videos, Manuals and Demos |
Steramist Rep Transportation SOFR IP |
Continue identifying labor pool positions with staff at locations needed. |
Weekly Labor Pool Report to ELT. Temporary MA hiring process. Work w/ Liaison for possible NDMS staffing through ADHS and National Guard. 6 ICU nurses and 6 Medical RN’s will be arriving through ADHS Surge Staffing. Begin onboarding August 10. Work with Medical/Licensed Staff Credentialing Team to onboard potential volunteers/staff |
LP Request Form 5.12.20 (in X Drive under Labor Pool) Labor Pool assignment Master List |
Labor Pool Liaison |
Labor Pool continues to provide staffing for RTH ACS to prepare for surge. |
On Call List as we prepare for surge. Continue staff training in preparation for surge. Weekly meetings LP and RTH Task Force to keep up to date with schedule plan. |
Supply and Staffing List |
RTHHC ACS Group Labor Pool |
Continue to create a PAR for RTH field hospital warehouse supplies. |
Define system setup. Define replenishment process. Define supply needs, what needs to be tagged |
Asset Tags Staff Supplies |
Supply Unit RTHHC ACS Group Labor Pool Finance |
Logistics Section Chief |
Mario Torres |
Service Branch Director |
Richard Brache |
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 |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Continue to Support build-outs of surge space at HHK and RTHHC |
Moving equipment Set up negative pressure areas |
staffing and supplies up to an including outside contractors |
Facilities Mgt |
Perform Daily testing of the Negative Pressure and Isolation Rooms at HHK, KHC, RTH and TCH |
Daily testing |
- |
Facilities Mgt. |
Provide additional Emergency power for RTHHC ACS |
46 red outlets have been added to RTHHC patient care area and 15 in the Nurses’ Station to the existing EPSS. Full Coverage Generator is in contract and PO phase. After the PO is in place the generator itself takes 24 to 29 weeks once the PO is finalized (built to order). ECD 01/01/21 |
Electrical equipment and contractor |
Facilities Mgt. |
Add additional showers for RTHHC ACS |
Plan to add 2 showers to existing restrooms in RTHHC ACS. Proposal for the shower renovation to go ELT next and to the Board |
Per quote |
Facilities Mgt. |
Provide support to RTC quarantine site. |
Provide support as needed. |
Manpower |
Facilities Mgt. |
Provide support to Ak-Chin Clinic |
Provide support as needed. |
Manpower |
Facilities Mgt. |
Continue to ensure all areas remain clean |
Prioritize cleaning schedules. Determine staffing requirements to ensure clinical cleanliness. Dedicated EVS staff in HHK PCD red banded area for quick turnover of rooms. EVS Management team trained in steramist disinfecting equipment. The priority will be to disinfect all red band patient areas across all campuses. |
manpower and supplies |
EVS |
VProvide support to Scrub Task Forcealue |
Store all clean scrubs in designated areas. Pick up dirty scrub bins for Cintas pick up. Clean don and doffing areas routinely |
Space allocated and bins on back order Schedule in place and will be adjusted as needed |
EVS |
EVS to continue to provide Training to all New Hires and supporting Pool Staff |
EVS Management team completed training for 5 EVS employees (4 from HHK and 1 from KHC). EVS employees utilizing the Updated Orientation & Competency designated and the Basic Principles of Infection Control on Bridge |
Manpower |
EVS |
Continue to provide Food Services to HHK Inpatients and staff, RTC Clients, and patients at Alternate Care Sites. |
Prepare and deliver food as necessary HHK Dining Room is open to staff only. Tator Tots will be back on the menu beginning 08/10/20 |
Manpower and supplies |
Food Services |
Continue to provide IT capabilities to all GRHC sites including alternate care sites |
Ensure IT services are available in all areas. Respond to service calls. |
Staffing and equipment |
IT |
Work with RTH ACS staff to put together Philips Telemetry purchase, Survey wireless |
Project kickoff meeting was held in the first week of July New dates as of this week: Equipment Delivery 8/07 Installation 8/10 – 8/14 Education 8/11 Go-Live 8/12 – 8/13 Project Close 8/14 |
Staffing and equipment |
IT RTHHC ACS |
Provide IT support for the Mobile Hospital Unit |
Provide support as needed. |
Manpower |
IT |
Continue to provide support to GRHC surge expansion activities for HHK, RTHHC, and the Mobile Hospital Unit |
Get Oxygen supply to Mobile COVID Hospital for ventilators. Contacting a 2nd mechanical contractor for med gas plumbing for the MHU. (Did not have success with the first contractor after 3 weeks). 2nd contractor is n site currently working for NOREX. |
Manpower and equipment |
PDC Facilities Mgt. |
Order & test out STARC ICRA wall starter kit as COVID capital |
Ordered 100 linear feet of adjustable to 10’3” Max Height STARC ICRA walls. APPROVED ON 7/22/2020 Contract requested 7/23/2020 in order to request PO. |
STARC partitions - various |
PDC Facilities Mgt. |
Finance Section Chief |
Doug White |
Objective |
Strategy/Tactic |
Resources Required |
Unit Assigned |
Continue to provide absentee report for previous day by 12:30PM |
- |
- |
Payroll |
Continue to provide Financial Cost Summary for the previous day by 2:00PM |
- |
- |
Section Chief |
Continue to adapt accounting system to process COVID-19 costs |
- |
- |
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. |
- |
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. |
- |
- |
Contracts & Grants |
Determine if the Employee Screening Questions can be added to the KRONOS Attestation to be individually answered. |
Meetings are being held to finalize the process and ensure reports are being sent appropriately. |
Manpower |
Finance |
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 |
| covid_patient_visitor_policy_05-18-20.pdf |
| covid_employee_screening_flowchart_4-15-20.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
| use_of_cloth_mask_to_slow_spread_covid-19.pdf |
Employees should wear appropriate PPE based on department policy, directives and procedures.
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.
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.
| optimizing_ppe_supply_policy.doc |
|
N95 Respirator Example
|
Procedure/Surgical Mask Example
|
| N95 Reuse Flyer |
| 04-09-20_grhc_surge_consolidation_plan.docx |
| mass_fatality_plan_06-18-20.doc |
| hero_pay_covid-19_policy_06-30-20.pdf |
| coronavirus_emergency_leave_policy_final_200406_hr.104.82.pdf |
|
|
|
| ||||||||||||||||||||||||||||||
|
|