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[ Recorded presentation ] Recorded presentation

Assessing barriers to hospital staffing during a major disaster

Gillian S. Gibbs, MPH1, Gordon Trenholme, MD1, Jane Grady, PhD2, Francis Fullam3, Julio Silva, MD1, Dino Rumoro, DO1, Amy Vestal, RN1, Stephanie Black, MD1, Paul Severin, MD1, Daniel Levin, MD1, Rachel Burke, MD1, Frederick Serafin, RN1, Todd Green1, David Esterquest, BSN1, Russell Burck, PhD1, and Stacy Pur, RN1. (1) Center of Excellence for Bioterrorism Preparedness, Rush University Medical Center, 1653 W. Congress Pkwy, Suite 177 Murdock, Chicago, IL 60612, 312 563 3820, Gillian_Gibbs@rush.edu, (2) Human Resources, Rush University Medical Center, 729 S. Paulina, Chicago, IL 60612, (3) Strategic Planning, Marketing & Program Development, Rush University Medical Center, 1725 W. Harrison Street, Suite 364, Chicago, IL 60612

Purpose: A sufficient level of staffing is essential to hospitals' response to a disaster. The specific needs and concerns that health care workers may experience in responding to a disaster may impact their ability and willingness to report to work. Therefore, a study was designed based on the types of challenges health care workers may face during any disaster, such as transportation, communication, and dependent care.

Methods: An anonymous survey containing 17 multiple choice and 4 open ended questions was sent via email to a random sample of 1,066 employees of a large urban hospital. Results were tabulated using SurveyMonkey.

Results: The response rate was 19% (n=200), with responses from non-clinical personnel (56.4%), nurses (15.8%), technicians (12.6%), physicians (6.3%), and others (8.9%). Transportation and dependent care were seen as the biggest potential challenges during a disaster. Suggestions for ensuring staffing in an emergency included: providing an area to stay overnight, providing dependent/pet care, ensuring contact with families, increasing education on disaster plans, having a shuttle pickup service, and starting a volunteer registry for emergency response. Most employees agreed it was important to have a family emergency plan, yet most did not have the elements of a family emergency plan in place.

Conclusions: Just as hospitals rely on staff reporting to work in order to function, staff rely on hospitals for support in order to perform essential duties during a disaster. This study illustrates areas to address in hospital disaster plans to increase staff willingness and ability to report to work.

Learning Objectives: At the conclusion of the session, the participant will be able to

Keywords: Disasters, Health Care Workers

Presenting author's disclosure statement:

Any relevant financial relationships? No

[ Recorded presentation ] Recorded presentation

Emergency and Disaster Preparedness II

The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA