Pediatric Planning Resources
Minnesota Department of Health - OEP
April, 2013
What’s the plan?
 Primer
 Template
 Supporting appendices
Appendix
 Pediatric Safe Area
Checklist
 Sample disaster menus
 Behavioral health handout
 Pediatric priorities poster
 Template pediatric MCI annex
 JAS – Pediatric Technical
Specialist
 JAS – Pediatric Services
Supervisor
 Pediatric referral resources
 JAS – Pediatric Safe Area Unit
Leader
 Hospital training matrix
 Safe area registry template
 Hospital training scenarios
 Registration form
Planning Assumptions
10 Steps – Facility Planning
 Determine expertise
among staff
 Create staff leadership
positions
 Write a peds MCI
annex
 Training and Exercise
plan
 Equipment plan
 Nutrition plan
 Pharmaceutical plan
 Security / safety needs
addressed
 Transfer / transport
 Pediatric
decontamination
considerations
8 Steps – Regional Planning
 Assess regional expertise  Regional referral and
and leadership
transportation plan
 Determine training
needs and
support/resources
 Assess regional capacity
 Assess equipment needs
/ issues
 Behavioral health
resource assessment
 Family Assistance
Center concept of
operations
 Exercise plan
Regional Implementation
 Regional roll-out
 Educational offerings
 Workshops
 Partner facilities
 Follow up
 Trauma system
CO-S-TR – C4
 Command
 Control
 Communications
 Coordination
CO-S-TR - Logistics
 Space
 Triage
 Red
 Yellow
 Green (ambulatory)
 Pediatric Safe Area
 Inpatient
CO-S-TR - Logistics
 Staff
 Who has expertise / training?
 Who needs additional training?
 Didactic – classes?
 Practical – classes? simulation?
 Refresher – emphasis on bedside, brief,
using usual equipment
 Just-in-time
Stuff!
 Based on AAP / ACEP
guidelines
 Per ‘red’ patient
 Some equipment is per
facility
 Nothing too fancy!
 Fits well with trauma
preparedness / site
visits
Pediatric Equipment
CO-S-TR - Logistics
 Stuff (other)
 Beds / pack-n-plays
 Pharmaceuticals
 Potential for errors!
 Weight-based dosing
CO-S-TR
Logistics
 Special
 Behavioral Health
 Family / Safe Area
 Infectious Disease
 Decontamination
CO-S-TR - Operations
 Triage
CO-S-TR - Operations
 Treatment
 Outpatient – release to pediatric safe area
 Inpatient
 Cohorting – kids with kids only!
 Priority transfer or pediatric-specific unit:
 More serious injuries/illness
 Complex underlying diseases
 Age <8
CO-S-TR - Operations
 Transport
 Internal
 Stretchers
 Car seats, cribs, etc.
 Supervision!
 External
 Ambulances – specialized, ALS/BLS, rotor,
fixed wing
 Other vehicles – school bus, cars with car
seats
CO-S-TR - Operations
 Tracking
 Registration
 Wristband




Purple - parent
White – without parent
Blue – belongs to staff
Patient wristband may be used with above
Appendix –
Behavioral Health
 Age <5
 Age 6-11
 Age 12-18
 Handout – what to expect, when
to seek help
Appendix - Template
 Annex to the facility EOP
 Pediatric Mass Casualty Plan
 Pediatric Emergency Team (PET)
Appendix - JAS
 Pediatric Technical Specialist
 Pediatric Services Supervisor
 Pediatric Safe Area Unit Leader
Appendix –
Registry
 Check-in,
check-out
 Registration