Objectives

Hospital Medical Coordinator (HMC)

Coordinate NHS Lothian’s immediate clinical response to the incident up to the point where casualties have been received by their clinical specialities (beyond ED); and to provide a medical perspective on tactical issues being considered by the control room

Scope

To do this they must:

• Maintain an overview of the incident including the number and types of casualties
• Ensure that the necessary clinical teams have been activated and that the necessary clinical capacity is available;
• Act as the point of contact between medical and surgical leads and the control room, providing and receiving updates
• brief clinical team leaders on the incident and on how it will be coordinated;
• Anticipate and address probable future clinical requirements and difficulties
• Resolve issues regarding medical priorities and resources
• Anticipate impacts on normal services and resolve these
• They will also
• Produce SITREPs in conjunction with the Tactical Lead and ensure that records of key events and decisions are maintained.

St Johns Hospital (SJH)  Medical Controller:

• To act as a link between tactical level management and medical staff, and to coordinate medical staff responses.
• The Hospital Medical Coordinator reports to the Tactical Lead and is supported by the Tactical Lead and other staff in the Control Room, where they are based.
• Based in management corridor, 2^nd floor

Actions:

• Identify and inform medical, surgical, ED and critical care clinical leads of Major Incident Details
• Communicate and support the SJH Theatre Control Team (Critical Care Consultant 1 (CCC1) Bleep 3096)
• Work with clinical leads to facilitate the following:
  • Escalate call out procedures
  • Allocation of staff to current inpatient clinical activity and major incident response, including inpatient cardiac arrest team
  • Identifying staff contingency for ongoing shift pattern and resilience
  • Allocation of rapid discharge teams to identify and facilitate rapid discharge/relocation/transfer of patients not requiring ongoing care/pre operative surgical or procedural patients.
  • Cessation of clinic activity and redistribution of staff
  • Cancellation of prospective elective patients
• Provide regular Sitreps and record activity
• Risk analysis and response
• Management of communication within the hospital
• Coordinate with Hospital Control Teams at other NHSL hospitals.
• Coordination with BTS/radiology