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SUBJECT: ENVIRONMENT OF CARE- Emergency Operations Plan PAGE 11 OF 14 5. The Disaster Control Facility shall be utilized to coordinate all communication related to acceptance of transfers and transportation between alternative care sites. A telephone report shall be provided whenever possible prior to the patient transfer; however in the event verbal communication is not possible a brief written summary will be provided. When possible hand held or HAM radio communications will be established directly with the alternative care site. 6. DHM utilizes HICS tracking forms and Emergency Management System to document patient transfers to alternate care sites. 7. The hospital will attempt to notify patients and family members upon re- coordination of alternate care sites. See communication plan. O. Continuing or re-establishing operations: All available operations will be continued during the disaster incident to the full capabilities of the hospital. Disrupted services shall be re-established as quickly as possible following the disaster under the direction of the incident commander. The HICS organizational flowchart shall be utilized to establish positions to facilitate the transition. P. Alternative sources of essential utilities (electricity, water, ventilation, fuel sources, medical gas and vacuum, etc.) required for extended periods of operation during and after a disaster are found on the Emergency Vendor List. Policies and procedures have been developed to guide staff in the event of a utility failure. Q. Back-up internal and external communication systems: 1. Internal: Overhead paging system, individual pagers, radios, Spectral-ink phones, cell phones and runners may be utilized in the event of hospital telephone failure during a disaster. 2. External: Satelite phone, 3N system, Med-Net and HAM Radios, Fax Machines, EMSystem, Computer Correspondence, and telephones will be utilized for communication with the Disaster Control Facility and may be utilized for other necessary communication with external sources. R. Facilities for radioactive, biological, or chemical decontamination: A protected outdoor shower is available for radioactive, biological, and chemical decontamination. Large scale decontamination efforts will be coordinated with local fire and county Hazardous Material team assistance. Additional equipment for mass casualty decontamination is stored in the Disaster shed. S. The Emergency Operations Plan (EOP) will be kept in a red binder in all departments throughout the hospital and outlying buildings located on hospital grounds (see table to contents distribution lists). Each employee at Doctors Hospital of Manteca (DHM) is expected to be familiar with the contents of this plan. The Emergency Management Task Force will update the manual with approval of the Environment of Care Committee and Administration. &COMMOMEmergency Operations Planta-All Hazard Policies\EOC-Emergency Operations Plan.doc