UNIVERSITY OF MINNESOTA Twin Cities Emergency Medical Service EMERGENCY OPERATIONS PLAN Revision 4.0 Annex E- Emergency Medical Service- Administration Purpose The purpose of this annex is to describe policies and procedures for mobilizing emergency medical resources in the event of an unusual or major incident involving the University of Minnesota and its campuses in the Minneapolis/St. Paul metropolitan region. EMS Response (Primary Service Areas) Emergency Medical Service for the University of Minnesota in the Minneapolis/St. Paul metropolitan area is the primary responsibility of: ♦ HCMC Emergency Medical Services—Minneapolis Campus ♦ St. Paul Department of Fire and Safety Services (EMS)—St. Paul Campus Incident Command and Control The Minnesota Incident Management System (MIMS) is the basic structure used to coordinate the emergency medical response among EMS, fire, law enforcement, mutual aid providers, and other responding disciplines or agencies by employing unified command. The University of Minnesota will provide a liaison from the University of Minnesota to assist with questions and coordinating the University's response in support of unified command. Communications The University of Minnesota has limited capability for establishing radio communications with Incident Command or Branch (Sector) commanders. The University will provide a liaison to support the incident management functions described above. University of Minnesota Emergency Medical Service (UMEMS) The University of Minnesota maintains an emergency medical response group covering large athletic events and other special events on campus venues. They are licensed by the EMSRB as a specialized basic life support transportation provider and are available to provide limited support to EMS operations when requested. E-1 UNIVERSITY OF MINNESOTA Twin Cities Emergency Medical Service EMERGENCY OPERATIONS PLAN Revision 4.0 Large- Scale Disasters The University of Minnesota may request an EMS representative in the Emergency Operations Center (EOC) or an established communications link to emergency operations within an EOC coordinating the emergency response. E-2 UNIVERSITY OF MINNESOTA Twin Cities Emergency Medical Service EMERGENCY OPERATIONS PLAN Revision 4.0 Annex E- Emergency Medical Service- Operations Response: Each EMS provider responding to the University of Minnesota proper will follow their Standard Operating Procedures. University staff will not direct the operations of responding agencies. Incident Stabilization: Once the incident has been stabilized, there will be a transfer of operations to the University of Minnesota. This is to ensure that any hazards for University staff have been identified and an action plan created to restore normal operations. After Action Report: An after action report/debriefing will be completed after all major incidents on the University of Minnesota campuses. Some incidents might be debriefed even if the incident was not a major response. The objective of the debriefings is to identify the following: ♦ Facts of the incident ♦ Challenges to the response ♦ Items for future changes in operations or training ♦ Items that enhanced the outcome of the event The debriefings will be documented and maintained on file with University of Minnesota Department of Emergency Management and copies will be provided to all participating agencies. EMS First Responder Emergency Care: This is the primary responsibility of the Minneapolis Fire Department and the St. Paul Department of Fire and Safety (EMS). First Responder Care includes search and rescue, extrication, decontamination, and basic life support treatment consistent with the medical standards of care. The University of Minnesota Police may also respond. EMS Treatment and Transportation: It is the primary responsibility of Hennepin County Medical Center Emergency Medical Services (HCMC EMS), St. Paul Department of Fire and Safety Services (EMS), and their designated mutual aid providers. Treatment includes basic and advanced life support procedures consistent with medical standards of care as defined by written emergency medical services advanced life support protocols and by authority of their respective Medical Directors. EMS resources will respond to medical emergencies within the University of Minnesota campuses to provide triage, treatment, and transportation of the sick and injured. In addition, the system Medical Directors, management, or medical staff may respond to provide additional medical support as needed. EMS Transportation Mutual Aid: HCMC EMS and St. Paul Department of Fire and Safety (EMS) maintain mutual aid agreements. They also maintain mutual aid agreements with other ambulance providers within the Minneapolis—St. Paul metropolitan region as required by Minnesota statutes with respect to the rules and regulations pursuant thereto. University of Minnesota Emergency Medical Service (UMEMS): The University of Minnesota maintains an emergency medical response group covering large athletic events and other special events on campus venues. They are licensed by the EMSRB as a specialized basic life support transportation provider and are available to provide limited support to EMS operations when requested. E-3 UNIVERSITY OF MINNESOTA Twin Cities Emergency Medical Service EMERGENCY OPERATIONS PLAN Revision 4.0 EMS Communications: HCMC EMS maintains a 24-hour communication center, which is linked to the Minneapolis Emergency Communication Center (MECC) by direct telephone lines and computers. In addition, St. Paul maintains a 24-hour emergency communications center (ECC). The Hennepin County Medical Resource Control Center (West Metro MRCC) and the Medical Resource Control Center located at Region's Medical Center (East Metro MRCC) maintain the ability to establish communication links between Paramedics, Physicians, radio control hospitals, and other public safety agencies. EMS Hospital and Patient Assignments: In the event of a mass casualty incident, hospital and patient assignments are coordinated by the metropolitan Medical Resource Control Centers (West Metro MRCC and East Metro MRCC). System polices and procedures are established by the Hennepin County EMS Advisory Council in cooperation with HCMC EMS and the East Metropolitan Medical Director, respectively. Patient Tracking: In the event of a mass casualty incident, MRCC will perform patient tracking as a secondary function. The principal focus relates to patient and hospital assignments. Should the Federal Response Plan (FRP) become activated, the Red Cross would become responsible for tracking patients. The Regional Hospital Resource Center (RHRC), located at HCMC, will coordinate patient tracking and non-ambulatory patient care services until the Red Cross can assume these responsibilities. EMS Triage and Scene Treatment: Minneapolis Campus: In the event of a mass casualty incident, Minneapolis Fire Department is prepared to perform search and rescue functions and identify a patient collection area. HCMC EMS and their mutual aid providers—with assistance from the Minneapolis Fire Department—would establish a triage site, triage patients, and define treatment and transportation priorities—in coordination with the EMS Branch command and the Incident Commander. St. Paul Campus: In the event of a mass casualty incident, St. Paul Department of Fire and Safety Services (EMS) is prepared to perform search and rescue functions and identify a patient collection area. St. Paul Department of Fire and Safety Service (EMS) and their mutual aid providers would establish a triage site, triage patients, and define treatment and transportation priorities—in coordination with the EMS Branch command and the Incident Commander. EMS Equipment and Supplies: HCMC EMS, St. Paul Department of Fire and Safety Services (EMS), and their mutual aid providers maintain medical supplies and equipment for use in mass casualty incidents in and for the Cities of Minneapolis and St. Paul. Each EMS agency maintains a medical resource inventory. E-4 UNIVERSITY OF MINNESOTA Twin Cities Emergency Medical Service EMERGENCY OPERATIONS PLAN Revision 4.0 EMS Public Information: HCMC EMS, St. Paul Department of Fire and Safety Services (EMS), and their mutual aid providers coordinate with and support the information officer as designated by the Incident Commander. EMS Hazardous Materials Incident Response: HCMC EMS, St. Paul Department of Fire and Safety Services (EMS), and their mutual aid providers will respond to HazMat incidents within the Cities of Minneapolis and St. Paul at the Awareness level as defined by NFPA 473 Standard, Chapter 2 EMS/HM1. Each agency maintains specific internal procedures for notifying key personnel for response to a HazMat incident. Minneapolis Fire Department and St. Paul Department of Fire and Safety Services (EMS) maintain HazMat teams and are equipped to respond at Operations and Specialist levels. EMS Hazardous Materials Incident Response Training: HCMC EMS, St. Paul Department of Fire and Safety Services (EMS), and their mutual aid providers will maintain the necessary HazMat training and training records for their personnel. Decontamination: Minneapolis Fire Department and St. Paul Department of Fire and Safety Services will respond with the capability to function in the hot and warm zones of operations during a HazMat, radiological, or related incident. HCMC EMS, St. Paul Department of Fire and Safety Services (EMS), and their mutual aid providers will function in the cold zones of operations providing triage,