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Disaster Medical Services

Disaster Medical Services group picture

The Disaster Medical Services Section assists and coordinates healthcare sector coalition constituents, such as, hospitals, clinics, long term care facilities, ambulatory surgical centers, and dialysis centers in emergency management planning, response and recovery efforts. It also provides various emergency response training classes to these healthcare sectors and maintains a portion of the county's emergency medical supplies and equipment.

 

Business Continuity Planning (BCP)

Hospitals may utilize any of the provided BCP formats, or your facilities’ individual format.   

The 2016 HPP Deliverables include completion of a BCP for three (3) mission-critical services or departments.  Please contact Joe Palacio at (562) 347-1642 or JPalacio@dhs.lacounty.gov if you have any questions or require additional information. 

 

Wakefield Brunswick Templates

Accounts Payable (2016)

Admissions (2016)

Ambulatory Care Center (2016)

Business Continuity Planning General Template

Biomedical Engineering (2016)

Cancer Care - Oncology (2016)

Case Management and Bed Placement (2016)

Cath Lab CVIC (2016)

Critical Care (2016)

Department Status Report - Patient Care (2016)

Department Status Report - General Office Areas (2016)

Diagnostic Imaging (2016)

Dialysis Unit (2016)

Downtime Checklist (2016)

Emergency Services (2016)

Endoscopy (2016)

Environmental Health and Safety (2016)

Environmental Services (2016)

Facilities (2016)

Finance (2016)

Food and Nutrition (2016)

Health Information Management (2016)

Heart Institute (2016)

Human Resources (2016)

Labor and Delivery (2016)

Linen Services (2016)

Med Surg (2016)

Medical Staff Office (2016)

NICU (2016)

OBGYN Clinic (2016)

Operator Services (2016)

Outpatient Surgery (2016)

Pain Clinic (2016)

Pastoral Services (2016)

Pathology Lab Transfusion (2016)

Payroll (2016)

Pharmacy (2016)

Primary Adult Care (2016)

Research (2016)

Respiratory Therapy (2016)

Security (2016)

Supply Chain (2016)

Surgical services (2016)

Telemetry (2016)

Transplant (2016)

 

Fusion Performance LLC 2016 Templates

Clinical Department BCP Template with Embedded Instructions            Word || PDF

Clinical Department BCP Template                                                     Word || PDF

Facility-Wide BCP Template with Embedded Instructions                     Word || PDF

Facility-Wide BCP Template                                                              Word || PDF

Non-Clinical Department BCP Template with Embedded Instructions     Word || PDF

Non-Clinical Department BCP Template                                              Word || PDF

 

Additional Information:

CDPH Executive Toolkit Video  Password: executive

2014 Business Continuity Webinar

2015 Healthcare Business Continuity Workshop 

How to Conduct a Hospital Business Impact Analysis

Business Impact Analysis Tool

Incident Response algorithm

 

 

Contacts
 

Roel Amara Roel Amara, RN, BSN
Assistant Director 
(562) 347-1598
ramara@dhs.lacounty.gov
   
Terry Crammer Terry Crammer
Chief, Disaster Services
(562) 347-1646
tcrammer@dhs.lacounty.gov
   
Ami Boonjaluksa, RN Ami Boonjaluksa, RN
Disaster Program Manager
Emerging Infectious Disease, Family Information Center and Behavioral Health Liaison
(562) 347-1643
aboonjaluksa2@dhs.lacounty.gov
   
Aracely Campos Aracely Campos
DHV Administrative Assistant
(562) 347-1649
acampos4@dhs.lacounty.gov
   
Elaine Forsyth Elaine Forsyth, RN
Disaster Program Manager
Ambulatory Surgical Centers, EMS Providers and Home Health and Hospice

(562) 347-1647
eforsyth@dhs.lacounty.gov
   
Melissa Kelley, MS Melissa Kelley, MS
Disaster Program Manager
Disaster Healthcare Volunteers and Homeland Security Grants
(562) 347-1650
mkelley@dhs.lacounty.gov
 
   
Laurie Lee-Brown


Laurie Lee-Brown, RN, BSN
Disaster Program Manager
DRC, Trauma Surge, Burn Surge and Pediatric Surge
(562) 347-1651
LLee-Brown6@dhs.lacounty.gov

   
Michael Noone Michael Noone, EMT-P
Regional Disaster Health and Medical Specialist, Region I
(562) 347-1510
mnoone@dhs.lacounty.gov
   
Joe Palacio, BS 
Joe Palacio, BS 
Disaster Program Manager
Business Continuity Planning and HPP Exercise
(562) 347-1642
jpalacio@dhs.lacounty.gov
   
Chris Sandoval


Chris Sandoval, RN
Disaster Program Manager
Clinic, Long Term Care and Dialysis Programs

(562) 347-1645
csandoval@dhs.lacounty.gov

   
Cheryn Watkins Cheryn Watkins, RN, BSN
Disaster Program Manager
HPP Audits and Compliance

(562) 347-1644

chwatkins@dhs.lacounty.gov
   
   
   
 

 

 

Disaster Response Staff

 

 

Roel Amara

Roel Amara, RN, BSN
Assistant Director 
(562) 347-1598
ramara@dhs.lacounty.gov
 

   
Jim Eads

Jim Eads, EMT-P
Chief, Disaster Response
(562) 941-5545
jeads@dhs.lacounty.gov
 

   
Jerry Crow Jerry Crow, RN
Disaster Program Manager
Mobile Medical System
(562) 941-3115
jcrow@dhs.lacounty.gov
   
David Lee

David Lee
Fleet Manager
(562) 941-5338
davlee@dhs.lacounty.gov
 

   
John Ospital

John Ospital, RN
Disaster Program Manager
Pharmaceutical Cache and CHEMPACK
(562) 903-7069
jospital@dhs.lacounty.gov

 

   
Robert Smock Robert Smock
Warehouse Operation Supervisor
(562) 941-3907
rsmock@dhs.lacounty.gov
   
Steve Rosales

Steve Rosales
Warehouse Worker II
(562) 906-8853
erosales@dhs.lacounty.gov

 

   

 

Courses:


-Local

CBRN Medical Management- Clinical Personnel              
         -
Registration

Homicide Bombings: EMS and Hospital Preparation for the Effects of an Explosive Blast

Hospital Disaster Management Training     
         -
Registration 

Hospital Incident Command System (HICS) Training             
           -
Registration

Mass Casualty Decontamination-Hospital Course              
         -
Registration

Medical Management of Biological Casualties for Physicians             
         -
Registration

Medical Management of Chemical Casualties for Physicians             
         -
Registration

Medical Management of Radiological, Nuclear and Explosive Casualties
            for Physicians
    
        -
Registration

Surge World-Triage Training Tool 
 

-Federal

FEMA On-Line Training 

HAvBED Presentation by Dr. Stephen Cantrill

Assembling and Inspecting the ILC Dover Sentinel XL CBRN PAPR (7 min)

ILC Dover Sentinel XL Product Orientation (3 min) 

Tourniquet Training


 

Presentations:

Ambulance Response to a Radiological Event
Family Assistance Center Planning Guide Overview 

Triage Tag Training

Disaster Mental Health

MCI Triage for Physicians(2012)
    *
Part I
    *
Part II
    *
Part III

Mass Fatality Guide Presentation

Resource Documents
 

Policies

Disaster Management/Planning Policies


Brochures

Bioterrorism Pocket Guide for Healthcare Professionals (2007)

Disaster Resource Center Brochure (2015)

 

Manuals and Plans

15 ‘til 50 Mass Casualty Planning Toolkit

Ambulance Guidelines for Response to Radiation Events (2013)

Ambulatory Surgery Centers Disaster Surge Strategies and Considerations (2014)

Anticipate. Plan. Deter. Building Responder Resilience-Instructor Guide (2013)

Burn Resource Manual (2010)

Communication Plan (2013)

Conducting Drills and Exercise: A Guide for Hospitals (2012)

Disaster Preparedness Resource Guide for LTCHF (2012)

Emergency Preparedness Packet for Home Health Agencies (2011)

            Prepared by: The National Association for Home Care & Hospice

Evacuation/Shelter in Place for HealthCare Facilities (2012)

Part I: Guidance                     PDF File 

Part II: Plan Template             PDF File 

Part III: Tabletop Exercises     PDF File 

Family Assistance Plan (2010)

Family Information Center Planning Guide (2013)

Healthcare Coalition Governance Document (2012)

Home Health and Hospice Disaster Strategies and Considerations (2013)

Los Angeles County Disaster Healthcare Volunteers Clinic Tabletop Exercise Guidebook  (2014) 

Los Angeles County Disaster Healthcare Volunteers Deployment Operations Manual  (2014) 

Los Angeles County Disaster Healthcare Volunteers Hospital Tabletop Exercise Guidebook  (2014) 

Mass Casualty Decontamination for Hospitals-Instructor  (2006)

Mass Casualty Decontamination for Hospitals-Student (2006)

Mass Fatality Management Guide for Healthcare Entities (2013)

Medical Management of Internally Radiocontaminated Patients (2006)

Pediatric Ciprofloxacin Dosing

Pediatric Surge Plan  (2016)

Pediatric Surge Quick Reference Guide (2016)

Preparedness Items List for Ambulatory Surgery Centers (2012)

Preparing Hospitals and Clinics for the Psychological Consequences 
            of a Terrorist Incident or Other Public Health Emergency (2007)

PsyStart Disaster Mental Health Triage Systems Concept of Operations (CONOPS) Toolkit for the    Los Angeles County Emergency Medical Services Agency(2013)

 

Attachment 1-PsySTART Disaster Mental Health Triage System “Exercise Only” form
Attachment 2-
HICS- Mental Health Unit Leader with PsyStart Triage Manager Component Job Action Sheet
Attachment 3-
HICS – Mental Health Triage (PsySTART) Manager Job Action Sheet
Attachment 4-
PsySTART Staff Self Triage System (Single-day version)
Attachment 5-
PsySTART Staff Self Triage System (Multi-day version)
Attachment 6-
PsySTART Staff Self Triage System Leader Summary Form
Attachment 7
- HICS- Employee Health & Well-Being Unit Leader with PsySTART Staff Triage Component
Attachment 8
- Building Your Responder Personal Resilience Plan™.      Anticipate, Plan, Deter - Maximizing Resilience for Healthcare Workers (brochure)
Attachment 9-
Listen, Protect and Connect: Family to Family, Neighbor to Neighbor to Neighbor-Psychological First Aid (PFA) for the Community Helping Each Other
Attachment 10
- PsySTART  Disaster Mental Health Triage Systems TableTop Exercise  Guidebook for Healthcare Facilities
Attachment 11- Directions for signing on to PsySTART Application
(The attachment is currently under modification)

Recommended Actions to Prepare EMS Providers for Pandemic Influenza by Pandemic Phase

            PDF  |   WORD (2009)

Recommended Actions to Prepare Hospitals for Pandemic Influenza by Pandemic Phase

            PDF  |   WORD (2010)

Recommended Action to Prepare Law Enforcement Agencies for Pandemic Influenza by Pandemic Phase 

            PDF  |   WORD (2010)

Terrorism Agent Information and Treatment Guidelines for Hospitals and             Clinicians (2012)

 

Posters

Bioterrorism Syndromes Poster (2001)

 

 

Resource Links

-Local

2-1-1 LA County

ADA Guide for Local Government

Children’s Hospital of Los Angeles- Pediatric Disaster Resource and Training Center
   *
Emergency Preparedness for Children with Access and Functional Needs

Community Clinic Association of Los Angeles County (CCALAC)

Community Emergency Response Team (CERT)

Disaster Healthcare Volunteer- Los Angeles County Surge Unit

ESRD Network 18 of Southern California- Emergency Readiness

Hospital Association of Southern California (HASC)

Los Angeles City Emergency Management Department

Los Angeles County Department of Public Health

Los Angeles County Department of Public Health-Acute Communicable Disease Control (ACDC)

Los Angeles County Office of Emergency Management

Mobile Medical Systems Information

Mobile Medical Systems Photos

Pediatric Readiness Toolkit for Emergency Departments

Saint Mary Medical Center DRC

South Bay Area DRC


-National

Active shooter drill materials

Active shooter Preparedness

Active Shooter: What can you do? (IS-907)

American Burn Association

American Red Cross

Centers for Disease Control and Prevention

Center for Domestic Preparedness

CHEMPACK

DHHS HAvBED Login (Informational ONLY)

Emergency Survival Program (multiple languages)

Empower Map

Energetic Materials Research and Testing Center

Everbridge Client Portal

EverBridge-General

Everbridge Login

Federal Emergency Management Agency

Fire Safety Council

GeoHEALTH

Health and Human Services Response and Recovery Resources Compendium

Homeland Security Exercise and Evaluation Program (HSEEP)

Hospital Preparedness Program

Humane Society

Kidney Community Emergency Response Coalition

Long Term, Home Health, and Hospice Care Planning Guide for Public Health Emergencies

National Association of Homecare and Hospice (Disaster Plans and Educational Presentations)

National Fire Protection Association

National Hospital Available Beds for Emergencies and Disasters (HAvBED)            System (AHRQ Archive)

National Oceanic and Atmospheric Administration

Nevada National Security Site

Ready (FEMA)

Substance Abuse and Mental Health Services Administration

Technical Resources Assistance Center Information Exchange (TRACIE)

United States Department of Health and Human Services 

United States Department of Homeland Security

United States Geological Survey

 

-State

California Ambulatory Surgery Association (CASA)

California Association of Health Facilities –Disaster Preparedness Program

California Department of Food and Agriculture

California Department of Forestry and Fire Protection

California Department of Public Health-Emergency Preparedness Office

California Emergency Medical Services Authority- Disaster Medical Services Division

California Governor’s Office of Emergency Services

California Hospital Association Emergency Preparedness 

California Seismic Safety Commission

California Statewide Medical and Health Training and Exercise Program

Emergency Survival Program

ReddiNet-General

ReddiNet HAvBED Instructions

ReddiNet Login

Regional Catastrophic Disaster Planning 

Southern California Earthquake Center  

Structural Engineers Association of California

 

Published Articles (Local):

Burn Surge for Los Angeles County, California

Code Triage: Integrating the National Children’s Disaster Mental Health Concept of Operations Across Health Care Systems

Disaster Documentation for the Clinician

Disaster Management of Chronic Dialysis Patients

Field Triage and Patient Maldistribution in a Mass-Casualty Incident

Los Angeles County Addresses Pediatric Needs Using the Disaster Resource Center Program

Los Angeles County and the Disaster Resource Center Program

Transportation Resource Requirements for Hospital Evacuation

“Truck Driving Nurses”

Statewide Medical and Health Exercise 2017

November 16, 2017

0800-1200

(Save the Dates Flyer)


Scenario 

The 2017 Statewide Medical and Health Exercise (SWMHE) scenario is a coordinated, multi-site terrorist event that includes explosions, shootings and multi-vehicle crashes. The purpose of this exercise is to provide all health care participants an opportunity to evaluate their current response plans and capabilities related to medical surge from multi-casualty trauma and burn.  This year’s event emphasizes implementing LA County’s Burn Surge Plan as well as responding to medical surge conditions resulting from excessive injuries such as gun-shot wounds, trauma, broken bones, respiratory distress, altered levels of consciousness, seizures, and panic and anxiety.

 

On-Line Registration

    

  Participant Seminar       Deadline: September 12, 2017
  How the System Works      Deadline: September 12, 2017  
  Exercise 101     Deadline: September 12, 2017
  Intent to Participate       Deadline: October 24, 2017

                                    

                                                                                                                                                                                                       

                                                                             

Registration for Intent to Participate 

 

Pre-Seminar Materials

 

  • Self- Assessment
    • Clinical (e.g. Public Health, Hospitals, Clinics, Long Term Care, Dialysis Centers, Surgical Centers, etc.)
    • Non-Clinical (i.e., LEMSA, Public Health, Social Services, NGOs )
    • Public Safety (i.e., Emergency Medical Services Provider, Fire, Law Enforcement)

 

  • Exercise Objectives

            - Ambulance Services       
             - Ambulatory Surgery Centers
             - Community Health Centers
             - Dialysis Centers   
             -
Emergency Management
             - EMS Agency    
             - Fire Department
             - Home Health and Hospice
             - Hospital
             - Long Term Care Facility
             - Mental Health
             - Public Health

        

Participant Seminar

Date: September 12, 2017

Location: 
Town Center Hall
11740 Telegraph Road
Santa Fe Springs, CA 90670

  • Agenda
  • Exercise Plan
  • Master Scenario Events List
  • Incident Planning Guide      Word ||  PDF
  • Incident Response Guide    Word ||  PDF
  • Survivor Information Cards (Completed)
  • Survivor Cards (Incomplete)
    • Survivor Card Instructions
    • Survivor Card Template
    • Survivor Card Table
  • Table Top Exercise Situation Manual

 

  • Presentations:
    • EMS Response    
    • Chlorine Hazmat Information
    • Resource Requests
    • Victim Assistance

How the System Works

Date: September 12, 2017

Location: 
Town Center Hall
11740 Telegraph Road
Santa Fe Springs, CA 90670

  • Controller and Evaluator Handbook
    • Functional Exercise Controller and Evaluator Handbook
    • Table Top Exercise Controller and Evaluator Handbook
  • Participant Feedback Form
  • Presentation

 

Exercise 101

Date: September 12, 2017

Location:
Town Center Hall
11740 Telegraph Road
Santa Fe Springs, CA 90670

 

  • Presentation
    • Incident Action Planning Made Easy
    • IAP Checklist - California Hospital Association
    • IAP Meeting Summary

Exercise Evaluation Conference

Date: December 12, 2017

Location: 

Town Center Hall
11740 Telegraph Road
Santa Fe Springs, CA 90670 

  • Exercise Evaluation Guide/After Action Report/Improvement Plans
    • Ambulance Services
    • Ambulatory Surgery Centers
    • Community Health Centers
    • Dialysis Centers
    • Emergency Management
    • EMS Agency
    • Fire Department
    • Home Health and Hospice
    • Hospital
    • Long Term Care Facility
    • Mental Health
    • Public Health

 

Pertinent Resources

 

  • Resource Request
    • Form
    • Instructions
    • Algorithm 
  • Los Angeles County Emergency Services Agency Communication Plan
  • Exercise Types

 

Web Resources