Pediatric Emergency Decision Support System (PEDSS) Web Tool
Contents
1. General guideline for transporting pediatric patients between hospitals units or diagnostic testing areas Covered Comments Transportation Guidelines Patient Triage 18 No Assessment of Transport personnel 1 Personne to transport stable patients 1 All transport personnel should be oriented to the special needs of a pediatric transport 2 Pediatric patients may not be left alone at any time regional 2 0 No 2 Personnel to transport unstable patients transportation 1 Use usual transport personnel resources 2 Additional staff skilled in pediatric airway management and familiar with pediatric resuscitation will be necessary Pete eam 28 No 3 Pediatric patients may not be left alone at army time Task completion score 0 _ ii Transport equipment Perfect Score 7 1 Have alway management and resuscitation supplies avaiable which are appropriate for af age groups See Section 11 Pediatric Equipment Recommendations 2 identify appropriate transport venicie sy 1 Adu stretchers may be approprtate for chidren gt 8 10 years oki 2 Smaller children may require crib additional transport personnel and or converting an adult stretcher by adding padding to inside rails assure safety during transport Ul Chaperone and safety personnel 1 Parents or adult care givers should be encouraged to stay with children 2 If no adult care giver bs available appropriate personnel must accompany and supervise pediatric patients2. 16 ChildrensHospital os Angeles Indernoational Leader in Pecisirics Editing Information If you logged in as a registered user some tabs will display Edit Information button in various places You can modify these parts by clicking the button The modifiable text should appear in a window You can edit the text directly Once you are done click Save Edits button You can restore the default text by clicking Restore Defaults button Both buttons will appear once you click Edit Information button Note To format your edits use HTML tags Medical Supplies Module consists of six tabs Context Mental Health and Family Support Transportation and Transfer Tracking Patients Reunification Task Progress Summary and Disaster Preparedness Plan and additional PEDSS Evaluation tab The tabs can be navigated in any order starting with the Context tab that is displayed when you login to PEDSS and finishing with the Disaster Preparedness Plan tab The context tab is similar to the context tab of the Medical Supplies Module See page 5 Mental Health and Family Support Tab This tab provides brief information about various topics related to mental health and family support This tab covers five tasks Planning Mental Health Response Psychological Triage FIC support Pediatric dietary needs and Coroner services The tasks can be navigated and completed in any order 17 ChildrensHospital LosAngeles In
3. Facility information Facility name Facility address Facility logo a ui G D Zipcode s covered by the facility Predicted number of children per age group in the area 0 tmo 0 1 12mo 0 zj Done E 1 To print the plan click Print button Note Produced plan will contain all user inputs and will omit any tasks that were not selected by the user For example if FIC option was not selected the plan will not display any related sub tasks Instead FIC support service was not selected message will be displayed ZZ ChildrensHospitall os ngcles International Leader in Pedicirics Step Three Evaluating PEDSS Web Tool The last tab of both modules is PEDSS Evaluation Tab that is used to evaluate perceived usefulness and ease of use of the tool 1 Rate the system by selecting the appropriate answer from the following set Strongly Agree Somewhat Agree Neutral Somewhat Disagree Strongly Disagree Pedss Tool Mozilla Firefox Fle gdt View History Bookmarks Tools Help CS Emene O o LE Most visted Windows Marketplace http maps googe c E Pess Tool JEC i Welcome quest E Please logout before exiting PEDSS by clicking t 7 Logout Evaluate percieved usefulness and ease of use of the system Please rate the usefulness and ease of use of the system Respond to all the items below Make sure all of the score fields are filled in Ad
4. Logos E F c9 E My Recent Documents Provide contextual information such as fac E event etc Desktop e My Documents Provide update facility information Facility name Pr l ve pes Saugus My Computer 4 Facility dddress Street LAcoutyLogo City State e AL My Network File name chla v Zip Code Places Files of type au Files x Cancel Provide update facility logo Facility logo ai SLOSO pe file C Documents and Settil Browse_ Upload New Logo Image store default logo Restore Default Image x oT Tae ChildrensHospitallosAngeles International Leader in Pedicirics In its calculations PEDSS uses demographic information based on the ZIP code s covered by the facility as described in the Appendix Fite Edt View History Bookmarks Tools Help a aar gt h ttp pedss isi edujpedss Context L amp I Most Visited Windows Marketplace http maps google c 2 Pedss Tool Enter 6 digit Area Code ZIP Code covered by the facility You may enter several zipcodes each on a separate line by pressing the Click to get explanation Status Got Demographics for ZIP Code 30001 Number of children in the specified area per age group under 1 month 99 IV Override gt Click to get explanation 5 New value Reason T2 MO gt PSE Ovemde Click to get explanation 1 3 years 3588 T Override gt
5. affordable customized disaster plan but instead of using it annually to deal with the past you use PEDSS constantly to manage the future f 1 l pz if 1 L i 3 4 A A aat D 3 i Dug 205m AAP ct cae gt Tut Fe p Sha oo ce i Cosy Ple Potep Ges g y lUn oy Ga 0 oo m rena vere Sy ote x i to fo Ves A Methods for estimating predicted distribution of patients per injury type http pedss isi edu pedss Required supplies equipment staffing per disaster type Formulas for calculating required supplies based on predicted load Like TurboTax PEDSS guides users through a decision process by asking for information and helping determine what s called for based on the inputs To do so it presents a set of tabs which you look at using your favorite web browser Users can either move sequentially through the steps by working through the tabs left to right or can use navigation tabs accessible from a top level menu PEDSS is designed as a growing set of modules addressing topic areas identified by the community as being of critical importance Currently PEDSS supports two modules 1 Medical Supplies Module calculates types and amounts of required medical supplies during an earthquake pediatric disaster ChildrensHospitall osAngeles International Leader in Pedicirics Main information sources e Jones LM Bernknopf R Cox D et al U S Geological Survey Open File Re
6. tab to continue Load Tab This tab determines the expected health facility load by number of children per group per injury type The right part of the tab provides summary of entered and calculated information PEDSS employs formulas developed by subject matter experts including physicians nurses and epidemiologists to calculate the load The calculation methods are described in Appendix ChildrensHospital os Angeles International Leader in Pedicirics PEDSS calculates and displays 1 The predicted number of injured children per age group in the area 2 Predicted number of injured children who require intubation per age group in the area 3 Expected number of injured children per age group per injury type including intubation Numbers are rounded up to the nearest integer A Mos Yates Winds Marhetstace eno imaos googie lt Pedss Toot i Welcome guest Please logout before exiting PEDSS by clichang the button Logout Disaster preparedness level from 0 no Coverage to 100 full coverage Zipcodets Coverage 100 0001 Total Cost of Medikcstoss 3967 49 Predicted number of children per age group in the area imo 100 Average Weight per Group Group Average Weight kg Cimo 39 1I2mo 71 lze 16 59y KB lerty 28 2 88y 1 3 Predicted number of injutied children per age group in the area Numbers are rounded up to the nearest integer Age group Number ot chidr
7. Logout Ploase fill the requected information and click SUBMIT REQUEST button Provide the following information You Narne Emad address Facility nare Provide Facility Address Stroet Provide Account infonrratbon AC oeurt name at leant 3 characters Pateword at least 6 characters Submit Aguest Request Status Click LOGOUT button on top ChildrensHospitallosAngeles International Leader in Pedicirics You need to enter requested information and click Submit Request button A confirmation about creation of your new account will be sent to the provided email address If you have an account but do not remember either username or password or both click PEDSS Account button and then select Password Retrieval Request tab PEDSS Password Retrieval Request tab should appear that looks like this Y peds Tool Mozilla Firelos fle Edt yew History lockmarks Jois Help e eee z Please logout before exiting PEDSS by clicking the button Please fll the requected information and click SUBMIT REQUEST button Provide the following information ou Name Email address Facility name Provida Facility Address Zip Code Provide Account Name if you remember it Account name at least 3 chanacters Submit Request Request Status Click LOGOUT button on top You need to enter requested information and click Submit Request button Infor
8. the current version of the PEDSS earthquake module the percentage is based on the report produced by the Great Southern California ShakeOut earthquake scenario The scientists at the U S Geological Survey with more than 300 partners and contributors including the California Geological Survey and the Southern California Earthquake Center predict consequences of an earthquake of the magnitude 7 8 rupture along the southern San Andreas Fault Based on this scenario we expect 0 15 of children in each of the seven age groups to have various injuries during the earthquake This is clearly a worst case scenario but in the example driven spirit in which the system works it is offered as a default rather than an obligatory set of factors Users may if they wish adjust those factors to reflect more optimistic assumptions The next task is to determine the kinds of earthquake related injuries and the number of children suffering from each injury type The injury distribution builds on previous research by our group which reviewed the epidemiological literature to develop representative patient profiles for exercises The work provides an analysis of percentages of patients likely to have various types of medical problems derived from data on prior earthquakes Table shows the percentage of children out of the total number of injured children sustaining different types of injuries1 The total does not add up to 100 as some patients sustain multiple inj
9. the required supplies and determines what needs to be additionally stocked Finally PEDSS can suggest different restocking options based on the cost of needed items To do that for each pharmaceutical or supply PEDSS finds specified alternatives e g gentamycin can be substituted for amikacin and builds a tree of restocking options For each option PEDSS calculates the total cost of items comprising the option A user can then choose the least expensive option Additional considerations can include expiration dates e g it may be more desirable to choose a more expensive option which includes supplies with a longer shelf life 26 ChildrensHospitall os ngcles Indernoational Leader in Pecisirics
10. to assure their safety at all times 3 Patients on stretchers 1 Patients less than 6 years old and not in an appropriate crib require continuous 1 1 observation 2 Patients 6 years and older should be evaluated for ability to follow safety rules while on stretcher 3 Individual patents separated from other pediatric patients require constant 1 1 observation by staff Stable ambulatory patents may be cohorted in a Pediatric Safe Area with staff experienced or trained in observation of groups of Children such as school teachers social workers of day Care workers See Section 5 Security 1 All ambulatory patients transported individually out of the Emergency Department require 1 1 adult supervision gt Transport of Pediatric Patients from The Hospital to Other Facilities http flocalhost 8080 index himis Transportation and Transfer iF Tracking Patients Tab This tab covers three tasks Tracking Patients Victim and family member identification and Search and release of patient information The tasks can be navigated and completed in any order Each task starts with a green area that was described earlier This tab provides high level information 20 ChildrensHospitall os ngecles International Leader in Pedicirics Pedss Tool Mozilla Firefox oO xf File Edit Yiew History Bookmarks Tools Help o ay arg x A E http pedss isi edu pedss Tracking Patients YW Most Visited windows Marketplace ht
11. 18 12 0 1 0 siik suture 12 12 0 Tape 19 12 0 Connector 19 120 La ee ee any ee Wating for pedos neds T F 1 You can correct cost per unit and expiration time for medications and supplies by clicking on a blue underlined number that you want to correct Two new fields should appear You need to enter correct number in the New value filed and provide a rationale for the change in the Add new comment and or override value field Click Medical Supplies Summary tab to continue ChildrensHospitallos Angeles International Leader in Pedicirics Medical Supplies Summary Tab This tab summarizes required medical supplies based on estimated number of children per group per injury type It suggests the best replenishment plan based on the optimization option cost or shelf life Ble pdt yew Hitoy Bookmarks Toos Heb oo i C xX tt fe heto pedss si edulpedss eMedia Sungibes Summary i3 P 2 Mos Visted Windows Marketplace hitps imaps google F Pedss tool ican ae Please logout before exiting PEDSS by clicking the button Logout Summarize required medical supplies based on estimated number of children per group per injury type Determine what needs to be replenished based on the current inventory Suggest best replenishment option Replenishment plangfor supplies Selected coverage Coverage 100 Total Cost of Medications 3967 49 Total Cost of Su
12. Click to get explanation 4 5 years 2392 Tl Override gt Click to get explanation 6 8 years 3688 I Override gt Click to get explanation 9 11 years 3688 Tl Override gt Click to get explanation 12 17 years 7176 Tl Override gt Click to get explanation Total for all groups 21628 6 I7 Select box for additional demographic information Additional Demographic information Percentage of Hispanic Nonwhite Population by Census Tract in Los Angeles Country 4 To obtain this information enter 5 digit Area Code ZIP Code covered by the facility You may enter several ZIP codes each on a separate line by pressing the ENTER key after each one Once all ZIP codes are listed click Get Demographic Data button OE PEDSS calls demographic server to obtain the number of children in the specified area per age group If the server is down or server is busy or provided ZIP code is invalid PEDSS will not be able to get demographic data In this case follow step 5 5 PEDSS allows users to override certain information If you think the retrieved demographic data number of children in the specified area per age group is incorrect or if PEDSS was not able to obtain the data you can correct this information by selecting Override option Two new fields should appear You need to enter correct value in the New value filed and provide a rationale for the change in the Reason field 6 To view additional demographic inf
13. Pediatric Emergency Decision Support System PEDSS Web Tool User Manual ChildrensHospitall osAngelcs imernotional Leader in Pedimirics Table of Contents PEDSS Overview PEDSS Privacy Note Step One Log into in the PEDSS Web Tool Step Two Working with PEDSS Web Tool Medical Supplies Module Context Capabilities Load Supplies Medical Supplies Summary Reunification Module Viewing Additional Information Editing Information Mental Health and Family Support Transportation and Transfer Tracking Patients Reunification Task Progress Summary Disaster Preparedness Plan Step Three Evaluating PEDSS Web Tool Appendix PEDSS Methods ChildrensHospital os Angeles International Leader in Pedicirics U9 0 oou gt 11 12 14 15 16 15 17 17 19 20 21 21 21 23 24 PEDSS Overview Pediatric Emergency Decision Support System PEDSS is a software tool that helps hospitals prepare and maintain disaster response plans PEDSS guides users at a health facility through collecting and preparing critical information needed for preparing a plan in the spirit of tax preparation software like TurboTax PEDSS asks only for relevant information and only if it cannot access that information itself TurboTax applies Federal State laws to personal financial data Its output is a low cost legal tax filing PEDSS applies pediatric best practice rules to a facility s specific conditions requirements Its output is an effective
14. d a comment about an item by filling in the comment field For each item once you finish click SUBMIT RESPONSE button Using the system in my job will enable me to accomplish disaster prepar dness tasks more quickly Strongly Agree Somewhat Agree C Neutral C Somewhat Disagree Strongh Disagree Provide additional comments 1 Submit Response Optionally provide additional comments and click Submit Response button 2 When you finish the evaluation logout by clicking Logout button 23 ChildrensHospitallosAngeles International Leader in Pedicirics Appendix PEDSS Methods This section describes the methods used by PEDSS to forecast the influx of patients and required medical supplies needed during a large scale earthquake event This flowchart illustrates the basic steps taken by PEDSS Determine the number of children Inthe area set demographic data hWilap the data into the 4 age groups Predict load Determine the kinds of injuries expected in an earthquake Predict the number of pediatric patients per each earthquake related injury type Determine needed supplies Determine the types of medical supplies required ta treat earthgquake _ related injuries Calculate the amount sizesfnumber of doses of the supplies required to treat the predicted number of patients Determine supplies to be restocked Determine the current supply inventory Determine vwhatis missing Calculate the supplies t
15. dernoational Leader in Pecisirics Pieate logout before exiting PEDSS by clicking the button Family information Center FIC main objectives aad feactions Towide he neces ary cefadle mformaton via systemahc organizstonal framework and sstistance in the identification process aptaton and artrate ty on thew testment of the casualties especially in the acute stage of the proceedings while proveding a ane a mpletion score Respnese Psychological Triage FIC support Pediatric dietary needs Coroner services eu T Setect bax if the Planning a hospital Gisaster mental hesh response task is Completed Provise task poogeess Comments opmonaty Planning a hospital disaster mental health response Chadren s responses to Geaster and hospitalizaton may share some aspects of adult responses tut are Gstinguished by the sevelopmental contexts in whi hadren of varying age erence the Impact of associated events and procedures An unfamiliar environment such as a medical setting can te made to feel peast toes and pater 3 taendiat poopie fandiar things and rout Hospital staff to consider the Cufteral differences that ay Cause 3 Group of chidren exposed to the same trauma to react Gfferertly Lastly ther ge CONCEMS regarding the testment and celease of chvideen wh consider when Creating the pediatric response portion of 3 os an To view more information select bores below I General Gudeines I How Ch den Cas React to a Di
16. e recommendations for required medical supphes dunng an earthquake Privacy Mote on CS CS S S i i Ed ie First you need to select a module to be loaded 1 Click on a button next to a module name to select one of the two modules to be loaded ChildrensHospitall os ngcles International Leader in Pedicirics Select PEDSS module to load C Medical Supplies Module Reunification Module Login to PEDSS Login as Guest Login name 2 b Password Login Request new account or retrieve information about existing account 3 PEDSS Account 4 Privacy Note There are two PEDSS login options Guest or Registered user 2 a Click Login as Guest button to login as a guest no prior registration is required N ote No user input except PEDSS evaluation will be saved by PEDSS tool 2 b Enter user name amp password and click Login button to login as a registered user Your inputs and data modifications will be saved editing capabilities enabled 3 If you need a username and password click PEDSS Account button New Account Request tab should appear that looks like this 4 Pedis Tool tozills firefox z al Gal a De Edt yew Migtory Bookmarks Took ep a GC X iD E tries m eduipedss atesacter Preparedress Plan T F bonje F ii Most vwted Windows Marketsiace htpi Imaps googie c F Perdes Tool Wialcome guest Ptease logout before exiting PEDSS by clicking the button
17. en Number ot children facility can accommodate 0 ime 20 2 0 1 5 2m0 20 2 0 1 3 5 0 5 0 3y 40 40 Ey 50 S0 Sty 5 0 60 12 18y 110 Predicted number of injuried children who require intubation per age group in the area Numbers are rounded up te the nearest integer Age group Injured O Ime 50 Waiting for pedis eds gt 1 PEDSS suggests different replenishment options to optimize hospital plans with respect to cost or to expiration time Select optimization option by clicking ether Cost or Shelf life button 2 To correct PEDSS calculations you may edit numbers in any of the two tables 1 Percentage of injured children per age group 2 Distribution of injury types out of the total number of injured children To do so click on a blue underlined number that you want to correct Two new fields should appear You need to enter correct number in the New value filed and provide a rationale for the change in the Add new comment and or override value field Click Supplies Tab to continue 13 ChildrensHospital osAngeles Indernoational Leader in Pecisirics Supplies Tab This tab determines the required pharmaceuticals and medical supplies per injury type with options The right part of the tab provides summary of entered and calculated information Medications sub tab lists for each injury type required medication concentration dose maximum dose cost per unit and expiration time Supplie
18. ess certain content services and features Member registration requires you to provide certain personally identifiable information such as your name e mail address and facility specific information medical facility street address and facility name You will be asked to select an account name and password so that you have access to this information and can revise it in the future To complete the registration process we will send you a validation e mail message ChildrensHospitall os ngcles Indernoational Leader in Pecisirics Step One Log into in the PEDSS Web Tool In order to log into the PEDSS Web Tool the user first must go to PEDSS homepage at www pedss isi edu pedss PEDSS login page should appear that looks like this Y Pedas Tool Mocilla Firefox ey CG X i ia Heep iipedss isi eduipedss Password Retrival Request L U Most Visited __ Windows Marketplace http fmaps qoogle c E Pedss Tool vin pediatric disaster and fanuly reunification Logm to PEDSS Select PEDSS module to load Medical Supplies Module Reunification Module Login to PEDSS Login as Guest OR Login name ____ Password Login Request new account or retrieve information about existing account PEDSS Account PEDSS Pediatne Emergency Decision Support System is a web based interactrve software tool used for trammg or operational purposes to foster site by site compliance with best practic
19. gi Bewor e Delas Irmoge Enter amp digit Area Code ZIP Code covered by the facility Tou may enter several zipcodes each on a separate line by pressing the ENTER key after cach ar Zipcode i S2 Get Demographic Daia i Click to get explanation Statue Got Demographics tor TIF Code 0783 Number of children in the spocifiod arma por age group under lmonth amp D Override E fick to get explanation 1 12 menthia GG Sweride i Slick to get explanation 1 3 yeara 21a Cveride b Glick to get explanation 18 years 146 TT Overie i Chick to get explanation 6 8 years 218 M Ovemide e Chek t get 2plarnetion ChildrensHospitallosAngeles International Leader in Pedicirics 1 To customize or correct PEDSS output you need to provide or update facility information by filling the Facility name and Facility address fields 2 You may also provide or update facility logo image by browsing local file system selecting image file accepted formats include jpg and gif and clicking Upload New Logo Image button 3 To restore default logo image click Restore Default Logo Image button Pedss Tool Mozilla Firefox File Edit View History Bookmarks Tools Help e Clg E http pedss isi edu pedss Context L Most Visited Windows Marketplace http maps google c Breds OO TTT Welcome guest Please logout before exiting PEDSS by clicking the button Logout File Upload Look in
20. hat need to be replenished Suggest different restocking options The amounts and types of required supplies depend on the age size and weight of patients as well as the types of sustained injuries PEDSS defines seven age groups to aggregate children with similar requirements weight and size characteristics Group 1 0 to 28 days average weight a w 3 9 kilograms kg Group 2 1 to 12 months a w 7 1 kg Group 3 1 3 years old y o a w 12 kg Group 4 3 to 5 y o a w 15 8 kg Group 5 6 to 8 y o a w 23 5 kg Group 6 9 11 y o a w 32 k Group 7 12 18 y o a w 51 3 kg 24 ChildrensHospital LosAngeles Indernoational Leader in Penimirics PEDSS uses this information to calculate predicted load and to determine needed medications and supplies First PEDSS determines the number of children for each of the seven age groups in the geographic area of concern PEDSS has been integrated with a U S Census 2000 data server We will switch to U S Census 2010 data once it becomes available Once a user identifies the geographic location covered by the health care facility PEDSS sends a request to the server to collect the demographic data the number of children of different ages living in the area and translates the results into the numbers for the seven age groups supported by PEDSS The next step is to determine the percentage of children that will be injured in an earthquake In
21. mation about your existing account will be sent to the provided email address 4 To view our Privacy note click Privacy Note button ChildrensHospitall os ngecles International Leader in Pedicirics Step Two Working with PEDSS Web Tool PEDSS presents a user with a set of tabs thus enabling the user to switch between different components one at a time Each tab encompasses a specific topic Medical Supplies Module Medical Supplies Module consists of five tabs Context Capabilities Load Supplies and Medical Supplies Summary and additional PEDSS Evaluation tab The tabs should be navigated sequentially starting with the Context tab that is displayed when you login to PEDSS Context Tab This tab is the first tab in the list and is used to collect contextual information such as facility information demographics environmental context type of event etc The tab looks like this Y pedes Too Morilla Firefox Die Edt yew Huor Gookmarks Jochi tjek Ga g oao A nipped h edupeds i Cuse Preparedness Plan LAL Mosk Viited Windows Marketplace http imaps qoogle c E Pedes Toot CE A A ac Wieho orn guit Please logout before exiting PROGS by clicking the butter Logout Provide fupdate facility information Facility marmi l Factity dddress Street Zip Code Providefupdate facility lage OLOGO togo mie iiome pioa Hew Loge image Fa chiby loge Restore dofault lo
22. o sought hospital treatment following a disaster is NOT currently available through ReddiNet ReddiNet has been reviewed by Sea cii County Counsel and is HIPPA compliant release of patient 1 0 No information Select SUMMARY tab to continue Task completion score 0 x Done Eg h Reunification Task Progress Summary Tab This tab provides a summary of coverage of all reunification issues For each of the following high level tasks Mental Health and Family Support Transportation and Transfer Tracking Patients it displays a summary table I Pedss Tool Mozilla Firefox File Edt View History Bookmarks Tools Help X a IR tp stipecss si edujpedss Reuniication Task Progress Summary Logout Summary of coverage of the reunification issues Task Priority denotes importance of a task 1 lowest 5 highest priority Mental Health and Family Support task progress status Task Task Priority Covered Comments Actions to complete task coe a 1 0 No 1 select Tab Mental Health and Family Support 2 select Subtab Planning mental health response Psychological triage 1 0 No 1 select Tab Mental Health and Family Support 2 select Subtab Psychological triage FIC Location 10 No APOCO Mental ii and Family Support 2 select Full FIC support box 3 select Subtab FIC Support 4 select SubTab FiC Location FIC Layout 10 No 1 select Tab Mental Health and Family Support 2 select Full FIC su
23. ols Help B e x lt A E hrtp ipedss isi edufpedss Capabilties 4 Googie LA Most Visited Windows Marketplace http maps google c E Pedss Toot Enter ED Day time Personnel 2j TEL Determine maximum number of children that your facility can accommodate based on the Emergency Department Capabilities facilities personnel surge capacity per age and injury type etc Enter ED Facilities Number of beds fo gt Click to get explanation Doctors fo gt Click to get explanation Nurses fo gt Click to get explanation zl Enter ED Night time Personnel Doctors fo gt Click to get explanation Nurses fo gt Click to get explanation Maximum number of patients that the facility can accommodate p Number of children Number of children facili can accommodate Comments for row 7 column 3 Default value 0 0 Add new comment and or override value New value 10 Submit Click LOAD tab to continue You can manually correct the number of children for each of the 7 age groups setting the maximum number of children in each group that your facility can accommodate 1 To do so click on a blue underlined number in the column titled Number of children facility can accommodate Two new fields should appear 2 You need to enter correct number in the New value filed and provide a rationale for the change in the Add new comment and or override value field Click Load
24. ormation which may help you correct demographic data select box for additional demographic information 10 ChildrensHospital os Angeles Indernoational Leader in Pecisirics 7 The next step is to select potential disasters events in the area Earthquake Fire and Flood N Ote Currently PEDSS only supports Earthquake option 8 Next select special environmental conditions School and Air pollution that influence required supplies N Ote Currently PEDSS does not support this option Select events 7 Vv Earthquake W Click to get explanation Currently we only support earthquake event Fire Click to get explanation T Flood Click to get explanation Special context environmental conditions 8 a School Y Click to get explanation Currently not supported Air pollution Click to get explanation Click CAPABILITIES tab to continue Click Capabilities tab to continue Capabilities Tab This tab prompts a user to enter emergency department capabilities facilities personnel and surge capacity per injury type This information is necessary to ensure that the preparedness plan accurately reflects the number of personnel available to administer the supplies and pharmaceuticals N OTE Currently PEDSS does not fully support this option ChildrensHospitall os ngecles International Leader in Pedicirics I Pedss Tool Mozilla Firefox joj xj Elle Edt View History Bookmarks To
25. port 2008 1150 and California Geological Survey Preliminary Report 25 vol 2008 e Hospital Based Disaster Preparedness for Pediatric Patients How to Design a Realistic Set of Moulage Patients American Journal of Disaster Medicine 2 Reunification Module addresses pediatric reunification issues Main information sources e Los Angeles County Emergency Medical Services Family Information Center Planning Guide Draft February 21 2007 e PEDIATRIC REUNIFICATION National Consensus Conference Recommendations 2008 e Mass Fatality Incidents and Family Assistance Center Planning Workshop March 19 2009 PEDSS Privacy Note This Policy describes how University of Southern California Information Sciences Institute treats personal and proprietary information received from our users Information Collection and Use We collect the following personally identifiable information about our on line users name and e mail address when users register for online services We also collect information that includes medical facility name address and other facility specific information required for enabling some services This information is considered confidential We do not trade sell rent or otherwise share your personally identifiable information with third parties Registration Users may login anonymously using Guest account that provides only limited set of services and features Only registered members users with accounts may acc
26. pplies 39 0 Total Cost 4006 49 Facility information Facility name Zipcode s Facility address seep Facility logo OLOGO Predicted number of children per age gro Imo 100 1 12mo 1096 Best Medications option 1 3y 3588 Cost of needed medications 3967 49 35y 2392 Potential In Medication Concentration Number of Units Needed Cost per Unit Total Cost for Units Needed 8y 3588 Abdominal Trauma Morphine Sulfate 2 mg mL 134 6 1 74 234 2 9 11y 3588 Normal Saline Standard 134 6 1 0 134 6 O neg Blood Standard 124 6 1 0 1246 pasa let Anxiety Diazepam iM 61 3 2 36 120 55 Total 21528 Lorazepam Ativan O5mgtablets 613 0 31 16 9 Asthma Decadron IM 61 3 0 86 43 61 Predicted number of injuried children per Prelone Precnisolon2 16 mg SmiL 61 3 0 13 6 67 Xopenex Levaibuterol Single unit 1 0 2 61 2 61 Number of Number of ch Burn Morphine VAM 61 3 1 74 89 26 children accommodati Sitvadine Silver sulfadiazine 1 1 0 2 07 2 07 Chest Trauma Lidocaine 1 61 3 0 52 26 68 Morphine Sulfate 2 mg mL 61 3 174 89 26 O neg Blood Standard 61 3 1 0 51 3 Closed Head Injury Atropine fv 61 3 0 26 13 34 Normat Saline 61 3 1 0 61 3 Fentanyt 61 3 0 28 14 38 Fentanyl 10 meg mi 61 3 0 28 14 35 FFP 51 3 1 0 51 3 Predicted number of injuried children whe Mannitol 851 3 0 86 44 12 per age arouo in the area _ vt x 1 You can print the list of needed medications or supplies by selecting Replenishment plan for medications sub tab or Replenishment plan for
27. pport box 3 select Subtab FIC Support 4 select ee i SubTab FIC Layout FIC Staffing 10 No Heese se agian and Family Support 2 select Full FIC support box 3 select Subtab FIC Support 4 select SubTab FIC Staffing 1 select Tab Mental Health and Family Support 2 select Full FIC support box 3 select Subtab FIC Support 4 select ee eae Ue x SubTab FIC Equipment FIC Activation 10 No 1 select Tab eestor Health and Family Support 2 select Full FIC support box 3 select Subtab FIC Support 4 select m am a mmm ChildrensHospitallosAngeles International Leader in Pedicirics In these tables for each of the tasks covered by particular tab it displays task priority status covered not covered and comment if it was provided and guidelines for navigating to the uncompleted tasks Additionally it displays task completion score for all tasks and perfect score if all tasks were addressed Disaster Preparedness Plan Tab This tab displays complete disaster preparedness plan Pedss Tool Mozilla Firefox File Edt View History Bookmarks Tools Help Se X lt a I nit stipectss isi eduypedss ebisaster Preparedness Plan L Most Visted Windows Marketplace L http maps google al Pedss Too Welcome quest a Please logout before exiting PEDSS by clicking the button Logout Disaster Preparedness Plan 1 Context Facility and demographic information
28. ressed Task Priority denotes importance of a task 1 lowest 5 highest priority 2 To change task priority value click on the priority value outlined in blue color Two new fields should appear You need to enter correct value in the New value filed provide a rationale for the change in the Add new comment and or override value field and click Submit button Transportation and Transfer Tab This tab covers four tasks Transportation Guidelines Patient Triage Assessment of regional transportation resources and Transfer to other facilities The tasks should be navigated and completed sequentially Each task starts with a green area that was described earlier This tab provides brief information about various topics related to transportation and transfer To obtain additional information select box as described earlier The right part of the tab displays task progress 19 ChildrensHospitall osMngeles Indernoational Leader in Pecisirics Pedes Tool Morville Firetc Ee oR pm Heny Disse ee C X a C tetostxaton s0snfnes tenis tranaportaton ard Tander 7 L Most Vieked windows Marketplace E http jjmaps googe c Please logout before exiting PEOSS by clicking the button Logout Task Priority denotes importance of a task t lowest amp highest priority To change priority value click on the priority value outlined in blue color enter new value and provide a reason for the update
29. s sub tab lists supply type cost per unit and expiration time Pedis Tool Mazila Firefox lai Ll nln henr piese ene i C X a Breen etetsscescnntes gt Be om j etted Weds Martetelace hrpejiinaps qoogie lt E Pedss tool Prease logout before exiting PEDSS ty chcking me buman Logout aj Coverage 100 Oat ou Esine mE Total Cost of Meacations 3967 49 Supply Option 2 unit months Unit months Comments for row 2 column 7 Abdominal een Tota Cost of Supptes 39 0 REE DPL tray 19 12 0 Total Cost 4006 49 Rapid infuser 19 12 0 Proassure bag 28 Fluid waemer 18 12 0 Zipcode s Anxiety Sott restraints 18 120 ely Leather restraints 10 12 0 Ana csc La 120 Paper cup 28 Predicted number of children per age group in the area Aecochamber chid 19 120 Paper cop smat 2 9 parka Spacer 10 12 0 Paper cop 28 1 120 1096 Nasal Cannula 18 12 0 1 3 3588 pani psn a or 5y 2392 xygen Nam redreather 2 is Aes Bura Dry sheet 10 12 0 Hya Nom adhesive gauze 1 0 120 Vigiton 28 12 0 12 187 7176 NS L0 120 Total 21528 Suture Removal 19 120 Pressure IR 120 Predicted number of injuried children per age group in the area 3 5 Inch spinal Chest Trauma ae 19 12 0 Imt syringe Lo 120 Betadine 19 120 taml syringe 18 12 8 25g needle 19 120 11 blade scaipat 18 120 hemostat 1a 12 0 Champ 2 19 12 9 Chest tube 12F 19 129 Chest Tube 14F Li 12 0 Chest tube 18F 12 120 Chest Tube 206 Lo 12 0 Chest Tube 24F
30. saster l Dewetopmert Specific Gudeines for Treating Chadren n the Hospital r Unserstancing Dead Developmental and Cutral Conaisershons gt pacer yee reia 1 Select FIC services that your facility wants to support by selecting the correspondi box ng m Full FIC support Pediatric dietary needs m Coroner services Each of the five task starts with a green area that looks like this M Select box if the Planning a hospital disaster mental health response task is completed Provide task progress comments optional Select the box once the task is completed and or provide a comment that describes task completion progress and outstanding issues FIC support and Coroner services tasks have sub tasks that can be completed in any order and are organized similarly to the five main tasks of the tab ChildrensHospital os Angeles International Leader in Pedicirics Note If some of the three FIC services are not selected related sub tasks will not be shown Instead you will see a message that looks like this Pediatric dietary needs service is not selected Please select Pediatric dietary needs box above to activate the service The right part of the tab displays task progress For each of the tasks covered by this tab it displays task priority status covered not covered and comment if it was provided Additionally it displays task completion score and perfect score if all tasks were add
31. supplies sub tab and clicking PRINT button ChildrensHospitallosAngeles International Leader in Pedicirics Reunification Module In contrast to the Medical Supplies Module that calculates required medications and supplies the set of issues addressed by the Reunification Module is wider and often no exact formulas exist Therefore three main Reunification Module output categories include 1 INFORMATION general not detailed information on a particular health issue 2 GUIDANCE a checklist of issues detailed information and required actions related to a particular preparedness mitigation task 3 CALCULATIONS recommendations e g amounts and types of supplies based on developed and endorsed data and formulas Viewing Additional Information Some tabs provide brief information about various topics To obtain additional information select box that looks like this m Select box for additional rational information To hide displayed information deselect the box Select box for additional rational information To view full documents click on the blue underlined text that looks like the following Tool Readiness for Events with Psychological Emergencies Assessment PDF 600 KB 1 Los Angeles County Department of Health Preparing Hospitals and Clinics for the Psychological Consequences of a Terrorist Incident or Other Public Health Emergency Child Identification Survey Form
32. tp maps google c E Pedes Tol Welcome quest Please logout before exiting PEDSS by clicking the button Logout J eas g Rapid identification and tracking of displaced children is imperative in order to reduce the potential for maltreatment neglect exploitation and emotional injury Victim and family member identification Search and release of patient information Task Progress Task Priority denotes importance of a task 1 lowest 5 highest priority To change priority value click on the priority value outlined in blue color enter new value and provide a reason for the update Tracking Patients haar racking ten Task Priority Covered Comments eae S Ss A a 3 Tracking patients 1 0 No LA County hospitals use the Rapid Emergency Digital Data Information Network ReddiNet ReddiNet is the operative technology Victim and family used to collect and distribute information for hospitals and some clinics in LA County ReddiNet is a digital emergency medical mambar 10 No communication system that is private and secure The system can also be accessed through a secure website ReddiNet tracks identification f patients who were transported to the hospital through the EMS system Patients who arrive at the hospitals and clinics on their own Tracking patients or who are transported by a relative or friend are not typically reported on ReddiNet Therefore a complete list of ALL of the people during transfer 1 0 No wh
33. uries Table 1 The distribution of injury types for children with all age categories combined Injury Type All Four Age Groups Extremity Fracture 45 0 Due to the lack of epidemiological data related to the age of patients sustaining the listed types of injuries we use the same percentage for each age group Log 25 ChildrensHospital os Angeles Indernoational Leader in Pecisirics Abdominal Trauma 12 5 Laceration 10 0 Closed Head Injury 8 0 Crush Injury 8 0 Anxiety 5 0 Asthma 5 0 Burn 5 0 Chest Trauma 5 0 Spine Injury 3 0 Percentages do not sum to 100 as some patients sustained multiple injuries Based on the data collected from the CHLA trauma division intubation is required for 12 of all injured children Once the total number of predicted injured children is established PEDSS calculates the number of children with specific injuries based on the percentages outlined in the Table CHLA experts determined the types of pharmaceuticals and supplies needed to treat the types of injuries outlined in the first column of the Table The next step is for PEDSS to combine the local demographic information predicted patient age and weight distribution and predicted injury distribution in order to calculate the required amounts dosages and sizes of the medical supplies needed to sustain the facility for 96 hours as recommended by the Joint Commission of Hospitals PEDSS compares the current inventory with
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