Master Sequence Event List

Master Sequence Event List Biological Disease Outbreak - Pandemic Flu

Incident Objectives  Identify, triage, isolate, and treat infectious patients.  Admit a large number of infectious patients while protecting other (non-infected) inpatients.  Accurately track patients throughout the healthcare system.  Assure safety and security of staff, patients, visitors, and facility. Narrative The US Centers for Disease Control (CDC) has identified the particular strain as Type A H7N3, a subtype never before isolated from humans. The CDC also reports the H7N3 virus has been isolated from ill airline passengers and large numbers of cases are now being reported in the United States. There is an increase in the number of persons presenting to emergency rooms with symptoms consistent with influenza. Personnel in key positions are absent due to illness. Estimates indicate that 10% of the population is ill with H7N3 influenza. Intensive care units are overwhelmed, and there is a shortage of mechanical ventilators for patients with severe respiratory syndromes or postoperative needs. All essential services have personnel shortages.

Event Scenario Real Detailed Event Expected Actions Method Distributor Recipient Number Time Time  Introduction of players 0 – 10  How the exercise will be Intro min. played  Questions and answers

 Phone At 0800 the ED Doctor reviews Identify, isolate, triage  Fax 10 – 20 notes and has seen a number E-1 8:00 and treat infectious  Email min. of patients with the same flu like patients.  Voice symptoms.  Radio

Activate Pandemic Flu  Phone 20 - 30 Five more patients have Plan. Admit large  Fax E-2 10:00 min. entered ED with flu like numbers of infectious  Email symptoms. patients while  Voice protecting inpatients.  Radio Master Sequence Event List Biological Disease Outbreak - Pandemic Flu

 Phone A report from other hospitals Track patients  Fax 30 – 40 states they are seeing a vast E-3 11:30 throughout the  Email min. amount of patients with flu like healthcare system.  Voice symptoms.  Radio

50 – 60 Break 10 Minute Break min.

 Phone The news reports state the flu Manage patients that  Fax 40 – 50 E-4 6:00 situation could last five days. are already at  Email min. hospital.  Voice  Radio

 Phone Assure safety and News report local hospitals in  Fax 60 – 70 security of staff, E-5 11:00 surrounding areas are reaching  Email min. patients, visitors, and surge levels.  Voice facility.  Radio

 Phone  Fax 70 – 80 Reports come in from CDC E-6 Day 6 Demobilization  Email min. pandemic is over.  Voice  Radio

 Player’s feedback 80 – 90  Evaluator feedback Hot wash min.  Group discussion  Suggestions for improvement