Pediatric Reunification: Activation and Exercising Plans
Family reunification is a critical aspect of disaster medicine, especially in pediatric preparedness. This module focuses on the steps involved in activating and exercising family reunification plans in a hospital setting. It discusses the importance of proper tracking tools, stakeholders, space, and communication in implementing a successful plan. Hospitals need to be prepared for various scenarios, from small-scale events to larger incidents that may require additional resources. The decision to activate the plan is determined by the Incident Command Center based on the incident's magnitude. Exercising the plan at individual and system-wide levels is essential to educate staff, reveal resource gaps, and clarify roles and responsibilities.
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Pediatric Reunification: Module 4 Plan Activation and Exercising Family Reunification Plans By. Michelle Pintea, MD, MPH
Family Reunification: Activation and Exercising Plans Family reunification is a crucial part of disaster medicine and essential for hospital pediatric preparedness. As outlined by the AAP Family Reunification Toolkit, proper tracking tools, stakeholders, space, and communication need to be identified before a plan can be put into action, as outlined in Modules 1-3. This module will go through the necessary steps for the activation of a reunification plan, as well as exercising the plan in a hospital setting. This module is the 4th of 5 modules offered through R54K and PPN collaborative on successful family reunification for a pediatric disaster.
Plan Activation Most hospitals are ready for small scale events to reunite a child, such as when a child presents to the hospital without a family member or caregiver For larger scale events, when resources stress a hospitals normal operations, such as the need for additional space, staffing, or materials to safely care for unaccompanied pediatric patients, the hospital should consider the activation of their family reunification plan The Family Reunification Plan should be part of the overall hospital s emergency operations plan
Plan Activation The decision to active the plan should be made by the hospital s Incident Command Center and is dependent on the magnitude of the incident and the demands placed on the hospital system
Any Questions? 30 Seconds - 1 minute to answer questions on Plan Activation
Exercising Family Reunification Plans Individual Level System-wide Level - Educate staff on disaster plans and procedures Helps staff improve their performance through constructive feedback of their actions - Reveal gaps in resources Uncover planning weaknesses Clarify specific roles and responsibilities - - -
Exercising the Plan Tabletop Exercise Low-stress events designed to identify major gaps or conflicts in planning. Drills Tests a single specified operation within a response plan. Functional Exercise Involves command-level decision-making, but they do not include the deployment of equipment and personnel. Full-Scale Exercise Involves deployment of physical resources as part of exercise play, and they most closely resemble real-world incident response.
Tabletop Exercises Participants meet in person to discuss which actions they would take when faced with a given emergency, but no real resources are used Assumptions and operations of the hospital family reunification plan Hospital Family Reunification Center (HFRC) Components of the hospital family reunification plan: Pediatric-Safe Area (PSA) Family Reunification Site Hospital family reunification plan s integration with community resources and partners
Drills Drills test a single specified operation Notification to staff in HFRC, PSA, Family Reunification Site to see how quickly they can respond to the hospital at different times Physical setup of the HFRC, the PSA, or the Family Reunification Site Setup of the call center to support the family reunification plan
Functional Exercises Higher-stress events during which participants simulate their actions within a Hospital Command Center (HCC) or Emergency Operations Center (EOC) and must make immediate, specific decisions, but real field equipment and personnel are not deployed Communication among the HCC/EOC and the HFRC, the PSA, and the Family Reunification Site Communication among the hospital s HCC/EOC with the points of contact for other community resources and partners who are active in family reunification
Full-Scale Exercises Most realistic and most complex during which personnel perform as many of their actual duties as possible in a simulated emergency to best assess the true capabilities of the response system and plans Overall physical operations, coordination of all components of the hospital family reunification plan Physical operations of any components of the hospital family reunification plan, operations of the HFRC, the PSA, or the Family Reunification Site Physical operations of the hospital family reunification plan when integrated into an exercise with the operations of community resources and partners
Measuring Performance Specific, measurable, prespecified objectives Hot wash After-Action Report Improvement plan
Any Questions? 30 Seconds - 1 minute to answer questions on Exercising Family Reunification Plans? OR The rest of Module 4
What to look forward too Module 5: Recovery
MOC Part 4 Credit o MOC Part 4: Points: 25 o Qualifications: o Participation OR Asynchronous view of the 5 educational modules o Participation in the Reunification Post-Survey o Submit list of Reunification Plan Improvements to RVFK
ASPR: Region V For Kids Email: regionvforkids@gmail.com LinkedIn: www.linkedin.com/company/region-v- for-kids-coe/ Twitter: @RegionVforKids Website: QR Code to Website o o o o
Family Reunification References and Resources o AAP Reunification Toolkit o https://downloads.aap.org/AAP/PDF/AAP-Reunification-Toolkit.pdf o EIIC - Pediatric Disaster Preparedness Toolkit o https://emscimprovement.center/education-and-resources/toolkits/pediatric-disaster- preparedness-toolbox/
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