Welcome to ZZ Chatham Hospital

Critical Bed Status/Surge Capacity

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PURPOSE:
To implement the appropriate use of inpatient beds during full capacity or in the event of a large influx of patients due to disaster or infectious disease.

POLICY:
Chatham Hospital reports on a daily basis bed availability, service capability and disaster resources to a multistate communication system called NCSMARTT.

NCSMARTT is a web based tool capable of monitoring hospital, EMS system and health center resources on a regular basis.  SMARTT also serves as a communication tool which allows information to be disseminated throughout a state's healthcare system.

Chatham Hospital's Total Bed Capacity

Bed type
Emergency Dept Beds - 10
Floor Beds Adult - 17
Floor Beds Pediatric – 4
ICU Beds Adult – 2
ICU Beds Pediatric – 2
Operating Room Beds – 2
Pre/Post Beds – 6
PACU Beds - 6

Resource Capability
Isolation Rooms Capability – 25
Negative Pressure Rooms – 4
Morgue Capacity – 0

Surge Capacity
The surge capacity is the number of patients for each triage level and time period which Chatham Hospital could receive and care for in addition to our normal patient volume.

Type
Adult Floor
Triage Level
Yellow
2 hours
15
24 hours
19

Type
Adult ICU
Triage Level
Red
2 hours
4
24 hours
6

Type
Adult Outpatients
Triage Level
Green
2 hours
20
24 hours
100

Type
Pediatric Floor
Triage Level
Yellow
2 hours
4
24 hours
19

Type
Pediatric ICU
Triage Level
Red
2 hours
2
24 hours
6

Type
Pediatric Outpatient
Triage Level
Green
2 hours
10
24 hours
40

PROCEDURE:

At full capacity with a need for 1 – 10 beds:
Patients will not be housed in the Emergency Department.

1.  Outpatient Rooms
Low acuity non-cardiac monitored patients to Outpatient Room on Med/Surg. This is a semi-private, therefore same sex only.  No infection diagnosis Staffing to be performed by Med/Surg Nurses

2.  Sleep Lab Rooms
Patients that move independently, low acuity, and non cardiac monitor may be placed in Sleep Lab Room 1 and 2.
Staffing to be performed by ICU Nurses

3.  Pre/Post Rooms
There are 6 monitored pre/post beds available.  Patients of any acuity may be admitted to this area. Staffing to be performed by OR nurses.  During weekend and night hours 2 RNs will be utilized.

Large Influx of Patients
Initiate Chatham Hospital Emergency Operations Plan

1.  Each inpatient unit will prepare a list of inpatients that may be discharged

2.  Physicians will be contacted to discuss the need for:

Possible discharge of inpatients

Possible transfer of inpatients to another facility

Ceasing all elective hospital admissions

Canceling all non-urgent procedures

Patient Care
Each patient will be assessed and triaged in the Emergency Department and given a condition level.

Green – All non critical, stable patients who can be treated and discharged home

Yellow – Patients requiring acute care, diagnostics and inpatient treatment

Red – critical patients requiring immediate treatment, diagnostics and monitoring

Identification and Registration:
Disaster Tags (DT) and ID bracelets will be used to identify casualties, and record treatment received up to the time of inpatient hospital admission.  The DT is a pre-numbered, four-part tag filled out when the casualty victim first arrives at the Emergency Department.

A.  While the Triage Nurse is examining a patient, Registration will complete as much of the DT as possible.  The first two copies of the DT will be given to Registration.  The hard copy will be secured to the patient's right wrist.  The hard copy will not be removed from the patient until completion of treatment and release, or until completion of admission procedures.

B.  On the basis of information contained in the DT, triage will maintain a Victim Registration Log.  The Victim Registration Log will be prepared in duplicate, and will list each person received in the Triage Area:

1.  Disaster Tag (DT) Number
2.  Date and Time
3.  Name and address
4.  Method of Arrival
5.  Diagnosis
6.  Disposition

C.  After necessary data has been transferred to the Victim Registration Log a copy is then forwarded to the Incident Command Center.  Every hour the original of the Victim Registration Log will be sent to the Incident Command Center, and the duplicate copy retained.  A new log will be started at that time.

D.  If the patient is sent to the floor for admission from the Emergency Department, the DT will not be removed until replaced with a regular hospital ID bracelet by Registration at which time the DT becomes part of the patient's chart.

US Patent Numbers 7,720,998 B2, 7,836,207