PROPIEDADES DEL NITINOL
4.2 MEDICIÓN DE TEMPERATURAS DE TRANSFORMACIÓN EN ALEACIONES DE NITINOL
Time: Action: Action By: Expected Outcomes:
0800 Bomb threat calls to EDs “THIS IS A DRILL – A bomb has been placed in your ER waiting room and will explode at 8:30 am – THIS IS A DRILL”
Each Facility Point of Contact
All hospitals, clinics, SNFs call 911 (simulated only)
All hospitals clinics, SNFs activate Command Centers
Law responds to each site. Fire Responds to each site. 0802 Law responds to each site.
(actual only KMC ED, Mercy ED, Mercy SW ED, Memorial ED, SJH ED and Heart ED)
BPD, KCSO Arrive and contact facility Command Center.
0802 Fire responds to each site. (actual only KMC ED, Mercy ED, Mercy SW ED, Memorial ED, SJH ED and Heart ED)
BCFD, KCFD
Arrive and contact facility Command Center.
0810 Hospitals, Clinics, SNFs begin bomb search.
Hospitals, Clinics,
SNFs
Bomb searches begin.
0812 Hospitals contact EMS for Disaster Closure Simulated Only – Included in DOC Scenario
EMS receives multiple calls for Disaster Closure.
EMS Director is notified. Public Health Services DOC is activated.
0815 Public Health Services DOC establishes communications with each Hospital, Clinic, and SNF Command Center and requests regular situation status updates. Public Health Services DOC Primary: Med-9
Secondary: DOC Telephone – 661- 868-0545 or 661-336-0615, or Kern Mutual Aid.
Note: SNFs do not have radios – DOC phones must be used.
0815 Hospitals activate facility lock- down and surveillance of any suspect persons.
Hospitals Hospitals activate lock-down and advise security to intercept any suspect
persons. 0815 KMC locates suspected bomb
in ED Waiting Room trashcan.
KMC Sim KMC notifies on-scene law enforcement.
BPD Bomb Squad dispatched to KMC. 0815 KMC Command Center notifies KMC HCC Public Health Services DOC notifies all
that a suspect device has been located.
0815 BPD Bomb Squad respond to KMC.
BPD Bomb Squad
BPD Bomb Squad arrives at KMC and conducts size-up.
0820 SJH locates suspected bomb in ED Waiting Room trashcan.
SJH Sim SJH notifies on-scene law enforcement. KCSO Bomb Squad dispatched to SJH. 0820 KCSO Bomb Squad responds
to San Joaquin Hospital.
KCSO Bomb Squad
KCSO Bomb Squad arrives at San Joaquin Hospital and conducts size-up. 0820 SJH Command Center notifies
Public Health Services DOC that a suspect device has been located.
SJH HCC Public Health Services DOC notifies all other Hospitals, Clinics, SNFs and OES.
0830 Bombs explode dispersing powder at KMC, BHH, Mercy, Mercy SW, SJH, BMH.
Hospitals Isolate area, deny entry. Shut down HVAC Deploy PPE
Deploy mass decon
Notify the Public Health Services DOC 0832 KCFD Haz-Mat and BCFD Haz-Mat respond. KCFD Haz- Mat & BCFD Haz- Mat
Respond to the 2 highest priority sites (Haz-Mat Teams must remain intact). KMC (KCFD) and San Joaquin Hospital (BCFD) for Haz-Mat. 0833 KMC HCC reports suspected
Cyanide dispersal.
KMC HCC Public Health Services DOC notifies all other Hospitals and OES.
0833 Kern County Environmental Health responds.
KCEH To highest priority sites. 0832 Hospital Command Centers
update the Public Health Services DOC
All Hospitals Public Health Services DOC notifies all other Hospitals and OES.
0834 SJH HCC reports suspected Cyanide dispersal.
SJH HCC Public Health Services DOC notifies all other Hospitals and OES.
0835 Public Health Services DOC requests victim counts from KMC, BHH, Mercy, Mercy SW, SJH, BMH. Public Health Services DOC
Hospitals provide victim counts to Public Health Services DOC.
0840 Public Health Services DOC develops incident action plan.
Public Health Services
DOC
Incident action plan developed and communicated.
0845 KMC Hospital Command Center reports 15 Exposures Total – 5 Red, 5 Yellow, 5 Green and suspected Cyanide dispersal to the Public Health Services DOC.
KMC HCC Public Health Services DOC notifies OES and RDMHS.
RDMHS updates CDPH-EPO & EMSA.
0845 Public Health Services DOC requests an initial alert to KMRC members to assess number of members that are available – but not to respond.
KMRC Coordinator
KMRC Coordinator issues alert through DHV: “THIS IS A DRILL … Multiple explosions with Cyanide reported at hospitals in Bakersfield. Please confirm if you are available. But do not respond until requested. THIS IS A DRILL” 0847 BHH Hospital Command
Center reports 16 Exposures Total – 3 Red, 3 Yellow, 10 Green and suspected Cyanide dispersal to the Public Health Services DOC.
BHH HCC Public Health Services DOC notifies OES and RDMHS.
RDMHS updates CDPH-EPO & EMSA.
0850 Mercy Hospital Command Center reports 27 Exposures Total – 2 Red, 15 Yellow, 10 Green and suspected Cyanide dispersal to the Public Health Services DOC.
Mercy HCC Public Health Services DOC notifies OES and RDMHS.
RDMHS updates CDPH-EPO & EMSA.
0852 Kaiser Clinic Command Center reports a device has been located at Kaiser Stockdale to the Public Health Services DOC.
Kaiser CCC Public Health Services DOC notifies OES and RDMHS.
RDMHS updates CDPH-EPO & EMSA.
0855 MSW Hospital Command Center reports 22 Exposures Total – 2 Red, 10 Yellow, 10 Green and suspected Cyanide dispersal to the Public Health Services DOC.
MSW HCC Public Health Services DOC notifies OES and RDMHS.
RDMHS updates CDPH-EPO & EMSA.
0857 BMH Hospital Command Center reports 20 Exposures Total – 2 Red, 6 Yellow, 12 Green and suspected Cyanide
BMH HCC Public Health Services DOC notifies OES and RDMHS.
RDMHS updates CDPH-EPO & EMSA.
dispersal to the Public Health Services DOC.
0900 SJH Hospital Command Center reports 20 Exposures Total – 4 Red, 6 Yellow, 10 Green and suspected Cyanide dispersal to the Public Health Services DOC.
SJH HCC Public Health Services DOC notifies OES and RDMHS.
RDMHS updates CDPH-EPO & EMSA.
0900 KMC HCC requests 8
CyanoKits to the Public Health Services DOC.
KMC HCC Public Health Services DOC notifies RDMHS.
RDMHS attempts to find kits in Region 5.
RDMHS updates CDPH-EPO & EMSA.
0905 BHH HCC requests 30
CyanoKits to the Public Health Services DOC; 5 Emergency Physicians, and 10 Emergency RNs.
BHH HCC Public Health Services DOC notifies RDMHS.
RDMHS attempts to find kits in Region 5.
RDMHS updates CDPH-EPO & EMSA.
Public Health Services DOC activates KMRC.
0905 Public Health Services DOC requests KMRC deployment of Physicians and RNs.
KMRC Coordinator
KMRC Coordinator issues request through DHV for Physicians and RNs. Barbara Swanson to trigger DHV automatically at 0905; even if the DOC does not request KMRC.
“THIS IS A DRILL … We need all Physicians and RNs to respond to stage at the Public Health Services
Department in the San Joaquin Room. Bring your vehicle and arrive by 0930 hours. Report to Barbara Swanson. THIS IS A DRILL”
0910 Mercy HCC requests 60 CyanoKits to the Public Health Services DOC; 10 Emergency Physicians, and 10 Emergency RNs.
Mercy HCC Public Health Services DOC notifies RDMHS.
RDMHS updates CDPH-EPO & EMSA.
0912 MSW HCC requests 45
CyanoKits to the Public Health
MSW HCC Public Health Services DOC notifies RDMHS.
Services DOC; 5 Emergency Physicians, and 10 Emergency RNs.
RDMHS updates CDPH-EPO & EMSA.
0915 BMH HCC requests 40
CyanoKits to the Public Health Services DOC; 10 Emergency Physicians, and 15 Emergency RNs.
BMH HCC Public Health Services DOC notifies RDMHS.
RDMHS updates CDPH-EPO & EMSA.
0922 BHH HCC requests 3 ALS Ambulances to the Public Health Services DOC.
BHH HCC Public Health Services DOC notifies Hall to respond.
0923 SJH HCC requests 40
CyanoKits to the Public Health Services DOC; 10 Emergency Physicians, and 15 Emergency RNs.
SJH HCC Public Health Services DOC notifies RDMHS.
RDMHS updates CDPH-EPO & EMSA.
0925 KVH reports all clear, no device located to the Public Health Services DOC.
KVH HCC Public Health Services DOC notes the status.
0928 Mercy HCC requests 4 ALS Ambulances to the Public Health Services DOC.
Mercy HCC Public Health Services DOC notifies Hall to respond.
0930 RRH reports all clear, no device located to the Public Health Services DOC.
RRH HCC Public Health Services DOC notes the status.
0933 GSH reports all clear, no device located to the Public Health Services DOC.
GSH HCC Public Health Services DOC notes the status.
0935 KMRC deploys Physicians and RNs to SJH, KMC, Mercy, BMH, Mercy SW, and Heart.
KMRC Number to each depends on the numbers of Physicians and RNs that respond to staging. Barbara Swanson manages this. Physicians and RNs actually forward deployed to each site. 0940 Tehachapi Hospital reports
search complete, all clear, no
TH HCC Public Health Services DOC notes the status.
Health Services DOC.
0945
Note on Aggregate Resource Requests: CyanoKits – 178 Emergency Physicians – 30 Emergency RNs – 50 ALS Ambulances – 7 6 Vents 100 Cyanokits requested to KCPHSD 5 ASTs to stage at KCPHSD KMRC – 2 RNs – 1 to KMC, 1 to SJH. DOC requested 30 MDs, 45 RNs 1045 hours to RDMHS. DMAT & Mobile Field Hospital by EMSA to East High. 58 CyanoKits in Region-5 Region I - 290 Region II - 210 Region III - 36 Region IV - 90 Region V - 58 Region VI - 80 Statewide – 764 CyanoKits
0950 Clinica Sierra Vista reports search at all clinics completed; no device located to the Public Health Services DOC.
Clinica Sierra Vista
Clinic Command
Center
Public Health Services DOC notes the status.
1000 HAvBED Drill begins all Hospitals.
Jeff Fariss - EMS
EMS manages the HAvBED drill with all Hospitals – completed by 1200. 1000 Delano District SNF reports
search completed; no device located to the Public Health Services DOC.
Delano District SNF
Command Center
Public Health Services DOC notes the status.
1015 Glenwood Gardens SNF reports search completed; no device located to the Public Health Services DOC. Glenwood Gardens SNF Command Center
Public Health Services DOC notes the status.
1020 Golden Living Center SNF reports search completed; no device located to the Public Health Services DOC.
Golden Living Center SNF
Command Center
Public Health Services DOC notes the status.
1030 KMC HCC reports all victims decontaminated. ED in process of being relocated. Reported to Public Health Services DOC.
KMC HCC Public Health Services DOC notes the status.
1130 Exercise Concludes All Summarize actions, strengths,
weaknesses. 1230 Hot-Wash at KCPHSD in San
Joaquin Room (lunch provided)
2 Reps from each participating facility/ provider preferred.
Report actions, strengths, weaknesses.