Super Storm Sandy 2012

Robin HaagConey Island Hospital

Infection Control Department

We Need a Favor

Park Slope Armory Medical Needs Shelter 200 beds

Rockaway LTC Facilities Evacuated Nursing Homes Group Homes Assisted Living

NYCDOH MH Concerned Diarrhea outbreak Non medical shelter

Park Slope Armory

Where To Begin?

Infection Control 101

Limited capacity patients Sanitary Conditions

Personal Hygiene Hand Hygiene Bathrooms Food Safety Spacing of Cots Non medical volunteers

Infection Control 102

Medical Care Rounds

Identifying the ill Isolation

Patient Rights Staff Safety Donations

Clothing Bed bugs

Personal Hygiene Limited capacity patients Limited to no privacy Incontinent patients

No showers Hourly bathroom cleaning

Cleaning products

Sinks Designated sinks as bathtubs Hand hygiene

Bathroom Monitors

Food Safety

Conflicting information

Food handling Temperature Gloves/Aprons/Nets

No refrigeration Patients Staff

Multiple sources Erratic delivery

Food Lines Hand hygiene Eating on cots

General Safety LTC Staff Volunteers

Orientation Competing agency

agendas DOH HHC FEMA

DMAT

Communication Joint rounding Meetings

Patient separation Facility Cots Behavioral health Medically ill

Donations Stock variation

Cleaning and hygiene Clothing Itching rounds

Pet therapy

Wellness

Back at the Ranch Losses

• Main Hospital Building including Operating Rooms, Labor & Delivery, Laboratory, Radiological, Outpatient, Pharmaceutical and Food Services

• Emergency Department (Adult, Pediatric and Behavioral Health)

• Tower Building (Inpatient Services)

• Hammett Pavilion (Behavioral Health Inpatient/Outpatient)

• Power Plant and Engineering Services

• FDNY-EMS Battalion Station and Repair Facilities

• All Administrative Buildings including Human Resources, Financial and Administrative (clinical and non-clinical support) Services

• Ida G. Israel Community Health Center totally destroyed

Utility Losses

Approximately 250 different mechanical systems including:• Electrical distribution• Fuel, water, oxygen, medical gas and air

pumps• Ejector pumps for storm drainage• Communications systems failure (primary,

secondary and tertiary systems)• Primary IT and security network equipment

Main Building

Ida Israel

That Does Not Kill Us……..

Before and After

Preparing for the Future

• Long term solutions are required to avoid future evacuations• Perimeter of campus needs to be protected from 3 nearby

waterways• Emergency Department and all critical support services

including imaging equipment must be moved from 1st Floor and repositioned to a new structure

• Placement of critical hospital systems (medical gases, oxygen, air pumps), electrical and mechanical systems must be at significantly higher levels

• Replace pumps and motors with submarine type electrical cabling and submersible pumps