ASTM_E_2413_-_04_2009.pdf

Designation:E241304(Reapproved 2009)Standard Guide forHospital Preparedness and Response1This standard is issued under the fixed designation E2413;the number immediately following the designation indicates the year oforiginal adoption or,in the case of revision,the year of last revision.A number in parentheses indicates the year of last reapproval.Asuperscript epsilon()indicates an editorial change since the last revision or reapproval.1.Scope1.1 This guide covers concepts,principles,and practices ofan all-hazards comprehensive emergency management pro-gram for the planning,mitigation,response,recovery,andcoordination of hospitals in response to a major incident.1.2 This guide addresses the essential elements of the scope,planning,structure,application,and coordination of federal,state,local,voluntary,and nongovernmental resources neces-sary to the emergency operations plan for a hospital.1.3 This guide establishes a common terminology for hos-pital emergency management and business continuity pro-grams necessary to fulfill the basic service requirements of ahospital.1.4 This guide provides hospital leaders with concepts of anemergency management plan,but an individual plan must bedeveloped in synchrony with the community emergency op-erations plan and the National Incident Management System.1.5 This guide does not address all of the necessary plan-ning and response of hospitals to an incident that involves thenear-total destruction of community services and systems.1.6 For the purposes of this guide,the definition of hospitalwill be the current definition provided by the AmericanHospital Association for an acute care facility.1.7 This standard does not purport to address all of thesafety concerns,if any,associated with its use.It is theresponsibility of the user of this standard to establish appro-priate safety and health practices and determine the applica-bility of regulatory requirements prior to use.2.Referenced Documents2.1 NFPA Standards:2NFPA 1600 Standard for Disaster/Emergency Managementand Business Continuity ProgramsNFPA1994 Standard on Protective Ensembles for Chemical/Biological Terrorism Incidents3.Terminology3.1 Definitions of Terms Specific to This Standard:3.1.1 all-hazards,adjhazard is an inherent property of anevent,product,or object that represents a threat to human life,property,or the environment.In this context,all-hazards refersto any incident or event that could pose such a threat.3.1.1.1 DiscussionThese may include special equipmentand processes that are used less frequently on a daily basis andrequire routine training to be most effective during a majorincident.3.1.2 basic societal functions,nthose basic functionswithin a community that provide services for public health,health care,water/sanitation,shelter/clothing,food,energysupply,public works,environment,logistics/transportation,security,communications,economy,and education.3.1.3 business impact analysis(BIA),nmanagement levelanalysis that identifies the impacts of losing the entitysresources by measuring the effect of the resource loss andescalating losses over time to provide the entity with reliabledata upon which to base decisions concerning hazardmitigation,recovery strategies,and continuity planning.3.1.4 capacity,adjcapability at a given time for a hospitalto provide a given service that is distinct from capability,whichdefines an ability to provide a service under normal operatingconditions.3.1.4.1 DiscussionA facility may have the capability totreat acute major incident patients in a cath lab,but if a criticalresource is missing at the time of a disaster(for example,personnel,equipment,space,or electricity),the facility wouldnot have the capacity to care for such a patient at that timewhen there is a need.3.1.5 communications systems,nthose processes and re-sources(physical,procedural,and personnel related)thatprovide information exchange during an identified majorincident.3.1.6 community/region,nthat area in which a hospitalprovides health services and basic societal functions.3.1.7 continuity of essential services,nservices that hos-pitals provide as a vital daily function that must be maintained1This guide is under the jurisdiction of ASTM Committee E54 on HomelandSecurity Applications and is the direct responsibility of Subcommittee E54.02 onEmergency Preparedness,Training,and Procedures.Current edition approved June 1,2009.Published August 2009.Originallyapproved in 2004.Last previous edition approved in 2004 as E2413 04.DOI:10.1520/E2413-04R09.2Available from National Fire Protection Association(NFPA),1 BatterymarchPark,Quincy,MA 02269-9101.Copyright ASTM International,100 Barr Harbor Drive,PO Box C700,West Conshohocken,PA 19428-2959.United States1 as long as possible and then restored at the earliest opportunityafter managing the necessary elements of the emergencyincident.This is a business continuity planning focus.3.1.8 damage assessment,nappraisal or determination ofthe effects of the disaster on human,str