Hurricane Katrina Infection Control Perspective HCSD HCEF 22106

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Hurricane Katrina Infection Control
PerspectiveHCSD HCEF 2/21/06

• Joanne T. Maffei, MD
• Associate Professor
• LSUHSC Dept. of Medicine Section of ID/HIV
• Medical Director
• MCLNO Infection Control Department
  jmaffe_at_lsuhsc.edu

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MCLNO IC Hurricane Plans

• Pre-staged Port-A-Potty on each floor and buckets
  with plastic liners
• Waterless hand cleaner
• Empty sharps containers before storm

www.mclno.org
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Infection Controls Role

• Not much Infection Control possible
• Cleaned up office - water damage
• Medical staff - generated list with name, DOB,
  SS, and next of kin information
• Patient evacuation - coordinated patient
  information for evacuation, checked unit by unit
  to get census
• Visitor and guest information - generated list of
  who was present

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Patient Advocates

• Residents, Staff, Nurses
• Information needed for transfer of care -
  demographics, diagnosis, summary, triage class,
  stretcher or ambulatory, IV, vent
• attached to patient
• 3 days of meds to go with patient
• Triage
• Red - critical care, dialysis, ventilator
• Yellow - non-critical, non-ambulatory
• Green - walking wounded

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Just Another Day in the ED

• Relocated entire ED to the 2nd floor auditorium
• Cared for patients in the hallway
• Cared for staff in emotional or physical distress
• Obtained diesel
• Powered-up the 1st floor ED
• Air handler - fans to remove fumes
• Communication with outside to coordinate
  evacuation

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ED Phone Home

• None of the ED docs had guests
• Phone call from wife of ED doc
• What a great job all of us are doing
• What a great guy her husband is
• Tell him I love him

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Aint No Spring Chicken

• Ran out of spine boards
• Tables and costruct used to carry immobile
  patients
• Grueling task - patients as high as 12 floors up
• Many in labor pool were not young and athletic

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Job Well Done

• Psychiatry - 90 patients - separate evacuation in
  groups of 30 with designated staff - all went to
  one facility
• Prisoners - different jurisdictions - guards came
  with own transportation
• Obstetrics and pediatrics - help from UH
• Pharmacy - filled prescriptions for staff,
  guests, and visitors and sent 3 days of meds with
  patients

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Survivor Meets The Real World

• Katrina Diet and Exercise Plan
• Lots of sweating
• Limited food, water, supplies
• Stair climbing
• Press with cameras
• Sanjay Gupta

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The People You Work With

• Shorthand communication
• New bonds formed
• Know when to back off
• Know when to support
• More critical than bricks and mortar
• If I had to do it again, it would be with the
  same people

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Things I Learned

• Dont follow too close down the stairs after the
  SWAT team
• I can use the Port-A-Potty but prefer the bucket
  method
• I am really bad with names
• I have changed
• Not quite sure in what way just yet
• I know I will never be the same

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