School of Medicine Emergency Planning

David H. Silberman & Keith A. PerryStanford University School of Medicine

Presentation OutlineHistorical Background

School Statistics

School Department Planning

School Executive Planning

Historical Background

Early Emergency Preparedness at Stanford

“Sisters” (Originally SLAC, SoM, SH&C), later expanded to form first SOC’sOnly Rudimentary Planning Prior To Loma Prieta Earthquake (1989)Earthquake Commission Report (1990)First Exercise (sponsored by Sisters & Public SafetyStanford hires Emergency Preparedness Manager“… the rest is history”

School of Medicine Statistics

~ 5,000 employees

22 Buildings (and counting)

60+ Departments

1,000,000+ sq. ft. of laboratory space

Application

Steps to ImplementationUnderstand your organization

Must be willing to give up some control to others

Get management support

Leverage every incident that you canY2K9/11Seattle EarthquakeUniversity of Columbia power outageUC Santa Cruz lab fire Houston floods

Stanford University

Logistics

Stanford Hospital Supplies the School of Medicine with:

Engineering and Maintenance Support

Security (Security officers and building security system)

Housekeeping services

Biological waste disposal services

School of Medicine Deans Office

Jo an L . G ru en eb au m

A d m in istrativ e A sso ciate

T em p

B ev erly A . S im m o n d s

A ssistan t to th e D ean

S h aro n O lsen

E x ecu tiv e A sso ciate

L isa J. Jo o

E x ecu tiv e A sso ciate

L in d a D easy

A ssistan t D ean

A cad em ic A ffairs

Mau rice I. D ru zin , M .D .A sso ciate D ean

A cad em ic A ffairs

R o y J. K in g , Jr., M.D .

A sso ciate D ean

A cad em ic A ffairs

L u cy S . T o m p k in s, M.D .

A sso ciate D ean

A cad em ic A ffairs

D av id K . S tev en so n , M .D .

S r. A sso c. D ean fo r

A cad em ic A ffairs

A m y R . E rick so n

E x ecu tiv e A sso ciate

E lean o r A n to n ak o s

D irecto r, F in an ce &

A d m in fo r O S A

C o rileen A . B o ssen b erryD irecto r

H u m an R eso u rces

Caro le J. Bu ffu mEx ecu tiv e Directo rFin an ce & Ad min

A n ita C astan ed a

A d m in istrativ e S u p erv iso r

Perry W. Ev erettCo n tro ller

So M

C o n n ie L . H artn ett

C o -D irecto r, R M G

S erv ice & O p eratio n s

Nancy Ti er ney

Di r ect or , Faci l i t i es , Pl anni ng, &

Managem ent

K ath leen T h o m p so n

C o -D irecto r, R M G

P o licy & T rain in g

Mich ael A. Hin d erySr. Asso c. Dean fo rFin an ce & Ad min .

L o ren a N ajarro

E x ecu tiv e A sso ciate

T em p

P atricia C . C ro ss, P h .D .

A sso ciate D ean

P re-C lin . A d v. & R srch .

G ab riel G arciaA sso ciate D ean

Med ical A d m issio n s

N eil G esu n d h eit, M.D .

A sso ciate D ean

Med ical E d u catio n

B ertil E . G lad er, M.D .

A sso ciate D ean

C M E

F ern an d o M en d o za, M .D .

A sso ciate D ean

S tu d en t A ffairs

T im o th y K . S tan to n

D irecto r, C o m m u n ity

S v ces Med S ch o lars

E llio tt Wo lfe, M.D .A sso ciate D ean , C lin ical

A d v. & P ro f. T ran sitio n

Ju lie P arso n n et, M .D .

S r. A sso c. D ean fo r

Med ical E d u catio n

Mau reen B . R itten b erg

E x ecu tiv e A sso ciate

L in d a C . C o rk , D .V .M ., P h .D .

D irecto r, V eterin ary

S erv ice C en ter

Mich ael L . C o w anA sso ciate D ean

P o std o cto ral A ffairs

K arla A . K irk eg aard

C o -C h air, C o m m o n G rad u ate

A d m issio n & P erfo rm an ce

Jo sep h S . L ip sick , M .D .

C h air, C o m m o n

P o std o cto ral A ffairs

E llen P o rzig , P h .D .

A sso ciate D ean

G rad u ate E d u catio n

W. Jam es N elso n , P h .D .

S r. A sso c. D ean fo r R esearch

G rad u ate & P o st-d o c E d u catio n

Marg aret A . M alo n e

D irecto r

B ro ad cast M ed ia

Ru th an n Rich terDirecto r

Med ia Relatio n s

P atty C h en g

D irecto rO p eratio n s

S u san D ieterle

D irecto r, P rin t &

Web C o m m u n icatio n s

R itch E ich

C h ief

N ew s & P u b lic A ffairs

Marth a McK ee

O m b u d sp erso n

Dav id J. O' BrienDirecto r

In stitu tio n al P lan n in g

D arci M cIn ty re

A d m in istrativ e A sso ciate

R o ss B rig h t, M .D .

A sso ciate D ean

A lu m n i A ffairs

C h arles B ro w nD irecto r

Med ical D ev elo p m en t

A n d rew C o p e

D ir. A lu m n i R elatio n s

& A n n u al G iv in g

L au ral A . S led g e

B u sin ess M an ag er

Med ical D ev elo p m en t

T h eo d o re M . T u ssin g

D ir. C o rp o rate

F u n d raisin g (5 0 % )

Jacq u ely n B ro w n

A sso ciate V P fo r M ed ical

D ev elo p m en t & A lu m n i A ffiars

K en n eth L . C o x , M.D .

S r. A sso c. D ean fo r

P ed iatric & O b stetric C lin ical A ffairs

N ev a H ern an d ez

E x ecu tiv e A sso ciate

L aw ren ce M . S h u er, M .D .

A sso ciate D ean

C lin ical A ffairs/S H C C O S

N o rm an W. R izk , M .D .

S r. A sso c. D ean fo r

C lin ical A ffairs

L o ren a N ajarro

In terim E x ecu tiv e A sso ciate

T em p

P arv ati D ev, P h .D .

A sso ciate D ean

L earn in g T ech n o lo g ies

V alerie S uA ctin g D irecto r

L an e L ib rary

G erry Weitz

D irecto r, Med ical

In fo rm atio n T ech n o lo g y

H en ry J. L o w e, M.D .

S r. A sso c. D ean fo r In fo rm atio n

R eso u rces T ech n o lo g y

Jav aid I. S h eik , M .D .

A sso ciate D ean fo r

V eteran A ffairs

Ph ilip A. P izzo , M.D.Dean

Sch o o l o f Med icin e

School of Medicine Emergency Management Team

Information Coord.News Bureau

(Ruthann Richter)

Safety OfficerSoM Health & Safety

(David Silberman)

SOC CoordinatorSoM Health & Safety

(Keith Perry)

Technical AdvisorsDean of Research

Institutional Planning

Research Operations

Facilities

Security

EAP's

OperationsDirector of Planning and Facilities

(Nancy Tierney)

Situation

Resource Status

Documentation

BAT Teams

PlanningAssistant Director of Facilities

(Birgit Walker)

Communications

Materials/ Supplies

Transportation

Labor Pool/ Volunteers

LogisticsPlanning Department Anayst

(Tim Gadus)

Finance/Admin

Documentation

FinanceController

(Perry Everett)

Incident CommanderAssociate Dean for Finance & Admin

(Mike Hindery)

Stanford EOCDean of the School of Medicine

Assistant Dean for Finance & Administration

SOC Resources12 phone lines12 data portsIEEE1348 Wireless networkHAM Radios2 Fax machinesPrinterGeneratorPager/Phone notification system

Future ImprovementsAdditional EMT members

Ability to establish a mobile facility for small scale events

Ability to set establish an outdoor SOC if Fairchild is unavailable

~2 years, Fairchild Aud will be replaced

Using the System

MSLS/Lucas Building FireSeptember 6, 2002

Building statisticsThree story laboratory and office building~ 60,000 square feet of lab spaceLaboratory uses

Wet labs Animal sleep facility 2 MRI magnets

23 Principal Investigators8 Departments

MSLS/Lucas fire

~6:30 am an Engineering & Maintenance crew performs a routine test of the MSLS emergency backup generator

~7:00 am the Engineering crew notices smoke emanating from the ground floor of the MSLS building

MSLS/Lucas FirePalo Alto and Menlo Park Fire Departments respond to the alarm.

Hospital Security responds to the alarm.

The fire damages power circuits for both the main power AND the emergency power feed.

MSLS/Lucas FireSchool activates it’s Emergency Management Team

Fire is extinguished ~10:30 am

Main power and emergency power is out and will not be restored until the end of the day at the earliest.

Building is returned to School of Medicine authority ~12:00.

MSLS/Lucas fire

IssuesResearch samples in -80 freezers

Research samples in incubators

Well being of research animals

Security of MRI magnets

Incident Action PlanRestore power

Combined response by Hospital Engineering & Maintenance and University High Voltage Shop.

Retrieve research animalsRelocate animals to the Research Animal Facility

Preserve samples in research freezersPack freezers with dry ice

Incident Action Plan

OperationsRe-rout power circuits, clean electrical room and restore remaining transformers to working condition as soon as possible

Organize teams to enter the building under escort to pack freezers with ice

Organize teams to enter the building under escort to retrieve animals

Incident Action PlanLogistics

Procure 5,000 lbs of dry iceLocate or procure flashlights and/or glow sticksObtain personal protective equipment for handling dry iceObtain food and water for crews working on building repairs

FinanceRaise purchasing limit on Department Purchasing card to allow for purchase of dry ice

SafetyEnsure the safety of teams entering the buildingProvide escorts for entry teams

AftermathFinancial impact

$130,000 Building clean up costsTransformer replacement cost?

Research lossesMinimal

Significant good will received for management of incident

Excellent test of Emergency Management Team