Hospitals play an essential role in planning for and responding to the needs of New Yorkers during a citywide public health emergency. Here you will find information, tools and resources to improve hospital mitigation, response, and recovery during emergencies.
Patient Surge in Disasters: A Hospital Toolkit for Expanding Resources in Emergencies
The ability of a hospital to take in more patients during a public health emergency is critical. This set of tools provides step-by-step instructions for assessing and documenting surge staffing, facility and supply needs. Also included are implementation strategies, timelines and forms that can be adapted to the size and services of any hospital.
- Introduction (PDF): Overview of the Patient Surge in Disasters: A Hospital Toolkit for Expanding Resources in Emergencies suite of DOHMH surge tools and templates.
- Bed Surge Capacity Expansion Tool (BSCET) (PDF): Designed to assist hospital administrators and emergency managers prepare for and respond to unexpected increases in patient volume by pre-identifying expansion opportunities in existing clinical and non-clinical areas.
- Rapid Discharge Tool (RDT) (PDF): Assists hospital administrators and emergency managers in preparing for and responding to unexpected increases in patient volume by providing them with adaptable plans for rapid discharge based on promising bed surge capacity practices.
- Rapid Patient Discharge Assessment (RPDA) (PDF): Assists hospitals in evaluating potential discharges and how patients' post-discharge care needs are met.
- Emergency Department Capacity Expansion Tool (EDCET) (PDF): Assists emergency planners in creating hospital-specific plans that identify and support expansion areas within and (preferably) nearby the Emergency Department.
- Intensive Care Unit Capacity Expansion Tool (ICUCET) (PDF): Assists identification and creation of additional staffed and supported critical care beds during immediate and sustained phases of public health emergencies.
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Mass Casualty Planning
Preparing for Burn, Trauma and Mass Casualty Incidents
- NYS Department of Health Regional Burn Centers:The New York State Trauma Program, housed within the NYS Department of Health- Bureau of Emergency Medical Services along with the statewide EMS System, regulates and assures high quality trauma care to seriously injured patients.
- NYS Department of Health Trauma Centers: These are the centers that are currently designated by New York State as trauma centers. EMS delivers patients meeting trauma center criteria to these hospitals.
- Integrated Explosive Event and Mass Casualty Event Response Plan Template (PDF): This guide was the final product of a collaborative effort between GNYHA, their Critical Care Advisory Group, and the DOHMH. The Guide provides a framework for a hospital disaster response system that improves coordination and integration of the ED, ICU, Radiology, and Trauma Surgery when presented with an influx of patients. It coordinates the ICS response and outlines the critical actions each unit should undertake.
Preparing to meet the needs of children in a disaster
- The Pediatric Disaster Coalition (PDC) was created in 2008 by the NYC Department of Health and Mental Hygiene. PDC is a group of hospitals, public health, municipal services, and community groups, created to ensure the effective use of critical assets during and after a large scale disaster affecting children.
- Children in Disasters: Hospital Guidelines for Pediatric Preparedness (PDF), 3rd edition, Nov. 2008: The Center for Bioterrorism Preparedness Planning Pediatric Task Force (CBPP), under the guidance of the New York City Department of Health and Mental Hygiene Pediatric Advisory group, created these guidelines to provide hospitals with useful, proactive strategies and protocols for providing protection, treatment and acute care for children during a disaster.
- Pediatric Disaster Hospital Tabletop Exercise Toolkit for Hospitals (PDF), 2nd edition, August 2008 (PDF): This toolkit supplies all the materials needed for a hospital to conduct a tabletop exercise using a predominantly pediatric population.
- Pediatric Disaster Hospital Tabletop PowerPoint Template: A complementary tool to be used by a facility conducting the tabletop exercise above.
Pediatric Preparedness Resources
Please visit the American Academy of Pediatrics (AAP) for important topics and approaches to improved pediatric preparedness.
Emergency Preparedness for Nursing Staff
This project began as a research initiative to determine what the emergency preparedness knowledge gaps and training requirements were for nurses at NYC hospitals. Our research demonstrated a need for baseline training on Chemical, Biological, Radiological, Nuclear and Explosive (CBRNE) incidents among hospital nursing staff. From this, DOHMH and Columbia University’s National Center for Disaster Preparedness developed an awareness-level orientation/training approach comprising 6 curriculum modules, 5 of which are based on CBRNE events. A 30 minute self-paced, online refresher training was also developed to support the initial train-the-training sessions.
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Learn about how hospitals can be better prepared for chemical emergencies.
Decontamination Recommendations and Protocols
The following documents should be considered for discussion and development purposes only. They may offer new, yet unproven, ideas and solutions to disaster planning activities. Each hospital or network that has submitted documents acknowledges that all preparedness planning tools are in constant revision.
Learn more about how hospitals can be better prepared for radiological emergencies.
- Learn more about radiological threats
- Radiation Event Medical Management, US Dept. of Health and Human Services Provides evidence-based information for healthcare professionals about radiation emergencies.
- CDC Emergency Preparedness and Response Radiation Emergencies Provides strategic direction, support, and coordination for activities across CDC as well as with local, state, tribal, national, territorial, and international public health partners.
- Armed Forces Radiology Research Institute (AFRRI) Preserve the health and performance of U.S. military personnel and to protect humankind through research that advances understanding of the effects of ionizing radiation.
- Communicating in the First Hours: Initial Communication With the Public During a Potential Terrorism Event: CDC Web Resource. The Office of Public Affairs of the U.S. Department of Health and Human Services (HHS) and the Centers for Disease Control and Prevention (CDC) have developed messages and other resources for federal, state, local, and tribal public health officials to use during a response to an emergency.