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A report just released by HHS’ Office of Inspector General found almost all (89%) of the 172 hospitals hit hard by Hurricane Sandy almost two years ago experienced “critical challenges” such as not enough fuel, not enough beds, as well as failures of their electrical and communication systems. That fact isn’t all that surprising. The disheartening part is that most of these hospitals had been cited in the three years before the hurricane for deficiencies in meeting emergency preparedness and response standards, according to a news report from the The Associated Press.
Many of the issues cited in the accreditation surveys were the same ones that popped up during the storm. For example, 47 of the hospitals in New York, Connecticut, and New Jersey had been cited for utility problems such as not testing their backup generators correctly or as frequently as required. After the superstorm hit, about half of the hospitals had problems with electricity, and half of those specifically had problems with backup generators, according to AP. Bellevue Hospital Center had to evacuate due to fuel pumps in the basement that flooded. Langone Medical Center was another hospital that lost generator power and had to evacuate. (See our blog `Everyone here is a hero’ – Hospital evacuates patients in middle of `Frankenstorm.’)
Other problems, according to AP:
So what works? Review your disaster plans regularly. The hospitals in Sandy’s path have done this, and some have updated policies and procedures, as well as their equipment. For example, Bridgeport Hospital had about eight “stair chairs” for evacuation. Now it has about 30.
What else? Drill. A lot. We heard the same thing after a tornado hit a hospital in Americus, GA, several years ago. Although the hospital had never drilled for an internal disaster, all of the drilling paid off in that staff responded quickly and decisively. The nurse manager and ER clinical coordinator, who had the role of evacuator, said, “They gave us a game plan on how to evacuate internally, because they were about handling massive amounts of patients." The vice president of nursing agreed. "They might have not done it just by the book, but they knew someone had to track every patient as they were transferred, and they knew all hands had to be on deck to evacuate," she said. "We practice and we practice all the time, I'm telling you. When you get so panicked and in the midst of chaos, it takes that practice, because it becomes what you do instinctively." (For more on this topic, see our blog “Is your hospital prepared for disaster?”)