LBJ CHIEF OF STAFF DISASTER PLAN

2015 LBJ CHIEF OF STAFF DISASTER PLAN

LBJ Chief of Staff Disaster Plan 2015 Table of Contents I. Overview II. III. RIDE OUT / RECOVERY INCLEMENT WEATHER PROCEDURE

Overview In the event of a disaster/hurricane occurring at LBJ, the Medical Staff is responsible for providing appropriate coverage and caring for the patients that are here at LBJ. It is also the responsibility of the Medical Staff to evaluate patients that can be safely discharged or transferred when appropriate prior to the disaster/hurricane occurring. In the specific event of a hurricane, the following services will be required to have appropriate faculty and resident coverage during the "Ride Out" portion of the hurricane. This will be based on the monthly call schedule. The services will also be required to have "Recovery Teams" assigned to come relieve the "Ride Out" team when that time occurs. Emergency Medicine/ Trauma Internal Medicine/ Hospitalists/ ICU Family Medicine Pediatrics Anesthesia Surgery OB/Gyn Radiology/Pathology All of the other services not needed to appropriately cover the above areas are not required to "Ride Out" the storm at LBJ (for example- consulting services, Neurology, Ophthalmology, etc.). All services will be required to provide normal coverage once the situation moves to "Recovery". All services must submit their most current call schedules to the Chief of Staff (COS) Office in the event a hurricane is in the Gulf of Mexico in order to ensure we are aware who should be in house as part of the "ride out" teams. Also, the services are required to give the planned numbers of Faculty and s, along with names and contact numbers, to cover both the Ride Out and Recovery portions of the event. The COS will be a part of the incident command during a hurricane and is part of the Ride Out team. The Community Health Program Clinics and outpatient clinics at LBJ will be closed in the event of a hurricane or disaster.

Medical Staffing Plan By Service RIDE-OUT (R/O) RECOVERY Service SERVICE CHIEF FACULTY RESIDENT S COMMENTS FACULTY RESIDENTS COMMENTS Chief of Staff Dyer, Carmel, MD Anesthesiology Doyle, Peter, MD 1 3* Part of Incident Command R/O * and/or CRNA's. Will be part of the R/O team Comm. Health Programs Zare, Mohammad, MD 0 0 CHP's will be closed in a disaster Emergency Medicine Robinson, David, MD See commen t section See comment section 26 Attending s, Midlevels, and s total to cover Adult and Pedi EC as part of the R/O team Family Medicine Olutimehin, Omobolaji, MD 1 2 Service Chief 2 s Service Chief - E-1 Surgery General Ko, Tien, MD 1 3 1 PGY5 1 PGY3 E-2 1 PGY1 PGY-3- Ophthalmology Bell, Nicholas, MD 0 1 Only available by phone. No in-house coverage. Orthopaedics Criswell, Allen, MD 1 1 Senior 1 Junior (those scheduled to be on call within 24 hours of expected landfall) 1 1 Senior 1 Junior Otolaryngology Alava, Ibrahim, MD 0 0 Otorhinolaryngology is not considered essential service during disasters Trauma Albarado, Rondel, MD 0 0 Trauma will be covered by in-house surgical team 1 in-house if there are any patients in the hospital/service. Urology McCarty, Melina, MD 0 1 1 Faculty / 2 s will be available by phone at all times for phone consults/emergencie s - permitting they can get to the hospital if needed.

2 general medicine teams will be inhouse. The team on call the 24 hour period before the storm is predicted to make land fall and the next call team. Medicine Foringer, John, MD 2 2 Teams The teams will consist of the attending on service, and only the upper level residents, no interns. Only one of the 2 attending s on call will need to remain in-house Geriatrics/Palliative Halphen, John, MD 0 0 Covered by GIM Neurology Furr-Stimming, Erin, MD 1 1 Available Via Phone Psychiatry Cho, Ray, MD 0 0 OB/GYN Riggs, John, MD 2 8 Oral Maxilofacial Surgery Hanna, Issa, MD 0 0 Psychiatry is not considered essential service during disasters (2 s at each level) Bases of operation will be BT and MHH. They will not be inhouse at LBJ during disaster. There will be one pathologist on site with access to clinical pathology consultation Pathology Kott, Marylee, MD 1 0 (if needed) via phone *all faculty in pathology will probably have to be on standby. it depends on the schedule and when a disaster comes. Pediatrics Garcia, Jose, MD 2 1 Fellow 2 s 1 Intern 1 Faculty for NICU 1 Fellow NICU for R/O 1 NICU for R/O 1 FacultyPedi Nursery for R/O 1 Pedi Nursery for R/O 1 Interns for Pedi Nursery for R/O 2 1 Faculty for NICU 1 Fellow for NICU 1 for NICU 1 Intern for NICU 1 Faculty for PediWard/Newb orn nursery 1 for PediWard/Newb orn Nursery 1 Intern for the Pedi Nursery Newborns will be discharge early, with mother who can discharge. The newbornswill have a early follow-up clinic approintment as a walk- in. Pediatric patients will be discharged, if possible with parent(s). The pediatric patients will have early follow-up appointment as walk-in NICU patients, in the Level 2 NICU, will be discharged, with parent(s), if possible. The Level 2 NICU patients will have an early

follow-up appointment as walk in PM & R Thomas, Judy, MD 0 0 Not in house at LBJ Radiology (Diagnostic Imaging) Hasapes, Joseph, MD 1 2 Will be in-house as part of the R/O team Gyn/Oncology Ramondetta, Lois, MD 0 0 we would not plan to have any faculty or fellows remain inhouse at LBJH as part of the R/O team Oncology Rieber, Alyssa, MD 0 0 we would not plan to have any faculty or fellows remain inhouse at LBJH as part of the R/O team Medicine - Specialties Pulmonary/Critical Care Estrada-Y-Martin, Rosa, MD 1 1 Fellow In-House GI Scott, Larry, MD 1 1 Fellow In-House Renal Dosekun, Akinsansoye, MD 1 1 Fellow In-House Cardiology Higgins, John, MD 1 1 Fellow In-House Hematology Juneja, Harinder, MD 0 0 Phone coverage ID Ericsson, Charles, MD 0 0 Phone coverage Rheumatology 0 0 Phone coverage Endocrine Varghese, Jeena, MD 0 0 Phone coverage

INCLEMENT WEATHER PROCEDURE Should the Houston and surrounding counties be under inclement weather watch, be prepared for hazardous weather conditions. The Chief of Staff will call the Administrative Director who will call the other members of the Chief of Staff team in case of a disaster to provide updates. In a serious weather emergency, UTHealth employees and students may find out whether the institution is officially open by the following means: Tune in to any of these radio stations: KILT-AM 610, KILT-FM 100.3, KPRC-AM 950, or KTRH-AM 740. Local television stations KHOU 11, KHCW 39, KPRC 2, KRIV 26, KTRK 13, KXLN 45 and KTMD 47. Employees located outside of the TMC: All other employees and students may call 713-500- 996. If Houston phone numbers listed above are out-of-order, please call toll-free, 1-866-237-0107 for university closure information. Closings and other emergency conditions will be posted on the www.uthoustonemergency.org Web site.