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["EMERGENCY DEPARTMENT—QUALITATIVE EVALUATION"]
[null,null,null,null,{"$f":"TODAY()","v":"2014-12-05"}]
[null,"Exercise Instructions:\nYour role as the ED Qualitative Evaluator is to assess the ED's overall response to the scenario using the metrics provided in the \"Qualitative Questions\" tab.  "]
[null,"During the exercise:  \n    1.  Observe the ED's response to the situation.\n    2.  Read through the items in the \"Qualitative Questions\" tab and click the appropriate box to give a [check] mark.\n    3.  For more information about what each question is asking, hover over the question to display a comment box that provides more information.\n    3.  Ask probing questions to ED staff to make sure they are acting realistically and taking into account existing manpower, resource, or time constraints."]

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["EMERGENCY DEPARTMENT—QUALITATIVE EVALUATION\n(Click the appropriate box to give a a mark)"]
[]
[null,null,null,"Strongly Disagree","Disagree","Neutral","Agree","Strongly Agree","Unable to Observe","Comments"]
[null,"Immediate Activation","Immediately initiated the hospital's mass casualty protocol"]
[null,null,"Alerted security to secure the hospital perimeter and place the hospital on lockdown"]
[null,null,"Rapidly switched from \"normal operations\" to \"disaster mode\""]
[null,null,"Considered the possible need for decontamination of incoming casualties"]
[]
[null,null,null,"Strongly Disagree","Disagree","Neutral","Agree","Strongly Agree","Unable to Observe","Comments"]
[null,"Space Creation/Usage","Designated an adequately sized area for the triage of walk-in arrivals"]
[null,null,"Designated a site separate from the main ED to treat \"minor\" (ambulatory) casualties"]
[null,null,"Used all available spaces to set up extra \"overflow\" beds"]
[]
[null,null,null,"Strongly Disagree","Disagree","Neutral","Agree","Strongly Agree","Unable to Observe","Comments"]
[null,"Move from Normal Stds","Kept the walking wounded out of the ED"]
[null,null,"Acted to clear as many beds as possible via expedited admission or discharge"]
[null,null,"Anticipated the possibility of a large number of arrivals, rather than just reacting to those who already arrived"]
[]
[null,null,null,"Strongly Disagree","Disagree","Neutral","Agree","Strongly Agree","Unable to Observe","Comments"]
[null,"Staff Coordination","Took steps to recruit additional staff to the ED"]
[null,null,"Notified pertinent surgical subspecialties to anticipate incoming casualties with traumatic injuries"]
[]
[null,null,null,"Strongly Disagree","Disagree","Neutral","Agree","Strongly Agree","Unable to Observe","Comments"]
[null,"Communication ","Transmitted injects to the command center without loss of fidelity"]
[null,null,"Received guidance from the command center"]
[null,null,"Registration system allowed for rapid access to medications, radiology, and laboratory services"]
[null,null,"Information systems allowed for situational awareness, including patient tracking and pending interventions"]
[]
[null,null,null,"Strongly Disagree","Disagree","Neutral","Agree","Strongly Agree","Unable to Observe","Comments"]
[null,"Physical Layout","The ambulance bay can accommodate a substantial number of arrivals"]
[null,null,"Plain film radiology facilities are physically proximate to the ED, and capacity is commensurate with the number of beds"]
[null,null,"CT scan is physically proximate to the ED and operational"]

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["ED QUALITATIVE EVALUATION HOTWASH"]
[]
[null,"Hotwash Instructions:\nAt the end of the exercise, you will debrief your observations during the hotwash."]
[null,"After the exercise:\n  1.  Direct all participants up to the command center for the hotwash. \n  2.  If possible, take 10-15 minutes to read through the script and discussion questions provided to prepare for your section of the hotwash.  \n  3.  Each member of the evaluation team should debrief his or her portion of the exercise using the \"Hotwash\" tab on their respective spreadsheets.  \n          a. The suggested order is:  (1) ED Exercise Controller, (2) ED Qualitative Evaluator (you), (3) CC Incident Commander Evaluator, (4) CC Bed Control Evaluator. "]
[null,"  4.  During the hotwash, lead a discussion using the following questions as a framework for discussing each section.\n          a. How did the hospital perform in this area?  \n          b. What were areas of strengths and weaknesses?\n          c. How can the hospital improve in this area?"]