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Chapter 29 : Emergency Management

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Emergency Management, Page 1 of 2

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Abstract:

This chapter lists emergencies and disasters that could affect the clinical laboratory. In the healthcare arena, external emergencies and disasters generally include meteorological disasters, landslides, floods, earthquakes, tsunamis, warfare, civil disorder, terrorism, and transportation accidents. Internal emergencies usually include utility failures, hazard spills, fires, bomb threats, and personnel or reagent shortages. A disaster caused by any of these events could ultimately prevent the laboratory from providing test results or services. Often the emergency management plan (EMP) developed by the laboratory is part of a larger plan for the entire healthcare organization and may be part of a regional or national EMP. The chapter identifies the elements of an EMP. The emergency operations center (EOC) represents the situational leadership that is necessary to manage the emergency, protect life and property, carry out the function of the laboratory, and assist in other areas of the facility. Communication is the most critical and difficult aspect of managing an emergency. A damage assessment should be performed as soon as possible following a disaster. Plans for the care of personnel should address the beginning, during, and aftermath of an emergency. The EMP must address ongoing monitoring of performance regarding staff knowledge and skills, level of staff participation, inspection activities, incident reporting, and interagency cooperation.

Citation: Linscott A, Medvescek P, Sewell D. 2014. Emergency Management, p 545-563. In Garcia L (ed), Clinical Laboratory Management, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817282.ch29

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Citation: Linscott A, Medvescek P, Sewell D. 2014. Emergency Management, p 545-563. In Garcia L (ed), Clinical Laboratory Management, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817282.ch29
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Citation: Linscott A, Medvescek P, Sewell D. 2014. Emergency Management, p 545-563. In Garcia L (ed), Clinical Laboratory Management, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817282.ch29
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Citation: Linscott A, Medvescek P, Sewell D. 2014. Emergency Management, p 545-563. In Garcia L (ed), Clinical Laboratory Management, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817282.ch29
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Citation: Linscott A, Medvescek P, Sewell D. 2014. Emergency Management, p 545-563. In Garcia L (ed), Clinical Laboratory Management, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817282.ch29
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Citation: Linscott A, Medvescek P, Sewell D. 2014. Emergency Management, p 545-563. In Garcia L (ed), Clinical Laboratory Management, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817282.ch29
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Citation: Linscott A, Medvescek P, Sewell D. 2014. Emergency Management, p 545-563. In Garcia L (ed), Clinical Laboratory Management, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817282.ch29
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Citation: Linscott A, Medvescek P, Sewell D. 2014. Emergency Management, p 545-563. In Garcia L (ed), Clinical Laboratory Management, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817282.ch29
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Citation: Linscott A, Medvescek P, Sewell D. 2014. Emergency Management, p 545-563. In Garcia L (ed), Clinical Laboratory Management, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817282.ch29
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Citation: Linscott A, Medvescek P, Sewell D. 2014. Emergency Management, p 545-563. In Garcia L (ed), Clinical Laboratory Management, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817282.ch29
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References

/content/book/10.1128/9781555817282.chap29
1.CLSI. 2003. Planning for Challenges to Clinical Laboratory Operations During a Disaster; A Report. CLSI document X4-R. CLSI, Wayne, PA.
2.College of American Pathologists. 2012. Laboratory Accreditation Program, Laboratory General Checklist. College of American Pathologists, Northfield, IL.
3. Gilchrist, M. J. R.,, W. P. Mckinney,, J. M. Miller,, and A. S. Weissfeld,. 2000. Cumitech 33: Laboratory Safety, Management, and Diagnosis of Biological Agents Associated with Bioterrorism. Coordinating ed., J. W. Snyder. ASM Press, Washington, DC.
4.Joint Commission. 2012. Laboratory Accreditation Standards. The Joint Commission, Oakbrook Terrace, IL.
5. Londorf, D. 1995. Hospital application of the incident management system. Prehosp. Disaster Med. 10:184188. [PubMed]
6. Macintyre, A. G.,, G. W. Christopher,, E. Eitzen, Jr.,, R. Gum,, S. Weir,, C. DeAtley,, K. Tonat,, and J. A. Barbera. 2000. Weapons of mass destruction events with contaminated casualties: effective planning for healthcare facilities. JAMA 283:242249. [PubMed]
7. Miller, J. M. 2001. Agents of bioterrorism: preparing for bioterrorism at the community health care level. Infect. Dis. Clin. North Am. 15:11271156. [PubMed]
8.National Institute for Occupational Safety and Health. 2002. Guidance for Protecting Building Environments from Airborne Chemical, Biologic, or Radiological Attacks. DHHS publication no. NIOSH2002-139. U.S. Government Printing Office, Washington, DC.
9. Shapiro, D. S.,, and D. R. Schwartz. 2002. Exposure of laboratory workers to Francisella tularensis despite a bioterrorism procedure. J. Clin. Microbiol. 40:22782281. [PubMed]
10. Snyder, J. W. 2003. Role of the hospital-based microbiology laboratory in preparation for and response to a bioterrorism event. J. Clin. Microbiol. 41:14. [PubMed]
11. Sharp, S. E.,, and M. Loeffelholz,. 2011. Biothreat agents, p. 174187. In J. Versalovic (ed.), Manual of Clinical Microbiology, 10th ed. ASM Press, Washington, DC.
12. Tweedy, J. T. 2005. Healthcare Hazard Control and Safety Management, 2nd ed., p. 121155. CRC Press, Boca Raton, FL.
13.U.S. Department of Health and Human Services. 1996. Health and Medical Services Support Plan for the Federal Response to Acts of Chemical/Biological (C/B) Terrorism. U.S. Government Printing Office, Washington, DC.
14.U.S. Army Medical Research Institute of Chemical Defense. 2000. Medical Management of Chemical Casualties Handbook, 2nd ed. U.S. Army Medical Research Institute of Infectious Diseases, Fort Detrick, MD.
15.U.S. Army Medical Research Institute of Infectious Diseases. 2011. Medical Management of Biological Casualties Handbook, 7th ed. U.S. Army Medical Research Institute of Infectious Diseases, Fort Detrick, MD.
16.Webster's American College Dictionary. 1998. Random House, New York, NY.

Tables

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Table 29.1

Elements of emergency planning

Citation: Linscott A, Medvescek P, Sewell D. 2014. Emergency Management, p 545-563. In Garcia L (ed), Clinical Laboratory Management, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817282.ch29
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Table 29.2

External and internal disasters and impact on the laboratory

Citation: Linscott A, Medvescek P, Sewell D. 2014. Emergency Management, p 545-563. In Garcia L (ed), Clinical Laboratory Management, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817282.ch29
Generic image for table
Table 29.3

Elements of a laboratory EMP

Citation: Linscott A, Medvescek P, Sewell D. 2014. Emergency Management, p 545-563. In Garcia L (ed), Clinical Laboratory Management, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817282.ch29
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Table 29.4

Stockpile items

Citation: Linscott A, Medvescek P, Sewell D. 2014. Emergency Management, p 545-563. In Garcia L (ed), Clinical Laboratory Management, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817282.ch29
Generic image for table
Table 29.5

Personal supplies

Citation: Linscott A, Medvescek P, Sewell D. 2014. Emergency Management, p 545-563. In Garcia L (ed), Clinical Laboratory Management, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817282.ch29

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