Imagining the unimaginable: Preparing for mass casualty
The Centers for Medicare & Medicaid Services (CMS) and the Joint Commission require healthcare facilities to have policies and protocols in place for emergency situations and to hold regular practice drills. With natural disasters like hurricanes, floods, or fires, often there is at least some warning—some amount of time to…
Expect the unexpected: How we recovered operations after Hurricane Harvey
Whatever your facility’s disaster management plan, it needs continual refinement to account for the differences between imagined and real scenarios. Hurricane Harvey, which hit Houston hard on Saturday, August 26, 2017, is a case in point. The storm brought more than 60 inches of rain within a couple of days,…
Nurses scramble to save patients, themselves from California fire
Editor's Note At 7:30 am, Thursday November 8, With the Camp Fire raging through Paradise, California, staff at Adventist Health Feather River Hospital in Paradise were ordered to evacuate patients and flee themselves, the November 11 nbcnews.com reports. After helping load patients into every vehicle they could find, surgical nurses…
California fires threaten safety of OR staff
On Monday, July 23, a trailer blew a tire at the intersection of Highway 299 and Carr Powerhouse Road in the Whiskeytown district of Whiskeytown-Shasta-Trinity National Recreation Area in Northern California. As the driver tried to stop, the wheel’s rim scraped against the asphalt and threw some sparks into very…
FDA updates recommendations to reduce surgical fires
Editor's Note The Food & Drug Administration (FDA) on June 5 updated its Safety Communication: “Recommendations to Reduce Surgical Fires and Related Patient Injury.” Among the recommendations: Perform a fire risk assessment before each surgical procedure. Encourage communication among anesthesia personnel, surgeons, and OR staff. Practice safe use and administration…
June 8 is Hospitals Against Violence National Day of Awareness
Editor's Note On June 8, the American Hospital Association (AHA) is hosting its second annual Hospitals Against Violence National Day of Awareness, termed “#HAVhope Friday.” The day has been set aside to focus attention on how hospitals, health systems, and their caregivers work daily to end all forms of violence…
Joint Commission issues new Quick Safety to prepare healthcare organizations for disasters
Editor's Note The Joint Commission on May 31 issued a new Quick Safety advisory to help prepare healthcare organizations for disasters such as, power failure, fire, flood, industrial accident, or cyberattack. The advisory, "Quick Safety 41: Emergency management: Need for continuity of operations planning," provides risk factors, safety recommendations, and…
Military-civilian partnership creates first fully integrated trauma system
Editor's Note The American College of Surgeons on May 23 announced that a partnership between the Military Health System and civilian trauma institutions is underway to create the first fully integrated military-civilian trauma system. The system will train military surgeons before deployment, help surgeons retain skills while deployed, and bring…
Planning eases compliance with CMS emergency preparedness rules
As of November of 2017, healthcare providers—including ambulatory surgery centers (ASCs)—receiving reimbursement from the Centers for Medicare & Medicaid Services (CMS) were expected to comply with the 2016 Emergency Preparedness Requirements. And as with most government regulations, there are multiple pages of instructions to dissect and understand to satisfy the…
ACS advocates for a consensus strategy on preventing firearm violence
Editor's Note In an effort to bridge political differences and provide a constructive path forward, leaders of the American College of Surgeons (ACS) Committee on Trauma on April 19 released a set of strategies to reduce firearm-related injury, disability, and death by making ownership of firearms as safe as possible.…
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