food & nutrition’s response the aftermath of hurricane sandy
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Food & Nutrition’s Response The Aftermath of Hurricane Sandy. Betty Perez July 30, 2013 GNJSHFSA Scotch Plains, New Jersey. About NYU Langone Medical Center. Located 100 yards from the East River and in Manhattan the most densely populated of the five boroughs Composed of three hospitals: - PowerPoint PPT PresentationTRANSCRIPT
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Food & Nutrition’s ResponseThe Aftermath of Hurricane SandyBetty Perez
July 30, 2013GNJSHFSAScotch Plains, New Jersey
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About NYU Langone Medical Center•Located 100 yards from the East River and in Manhattan the most densely populated of the five boroughs
•Composed of three hospitals:
-Tisch Hospital, 705 –Bed acute-care tertiary facility (Zone A)-Rusk Institute of Rehabilitation Medicine (Zone A)-Hospital for Joint Diseases, 190-bed (Zone B)
•NYU School of Medicine
•Multiple outpatient facilities
•~15,000 employees
Zone A: Flood risks from any hurricane that makes landfall close to NYC.Zone B: Flood risks for a category 2 or higher hurricane.
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Super Storm Sandy at Landfall
• Category I Hurricane: Winds 74-95 mph
•Massive size: 1,000 miles in diameter
• Storm surge: ~14 feet high
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October 29, 2012:-Views of North Service Wing Loading Dock
-Corner of 34th Street and FDR Drive
(early to late evening)
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Super Storm Sandy Evacuation (10/29/2012)
•Water is reported in the basement of several NYUMC buildings as storm hits
-Ultimately 15M gallons of water entered into Medical Center
• HICS Emergency Operations Center loses power during evening report; moves to secondary location and eventually to lobby
• Systems rapidly begin to fail
• Scope of damage leads to decision to evacuate patients
• NYC Office of Emergency Management and other hospitals notified
•Multidisciplinary teams safely evacuated 325 patients using med sleds for non-ambulatory patients (298 transferred to 14 other facilities/remainder transferred to Hospital for Joint Diseases)
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10Department of Emergency Management
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Department of Emergency Management
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Starting all over….Kitchen Demolition
(New kitchen targeted to debut 8/19/2013)
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Before Kitchen Equipment Removal Started
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Before Kitchen Equipment Removal Started
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After Removal of Production Equipment
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After Removal of Walk-in Refrigerators
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Temporary Kitchen
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Location of Temporary Kitchen: Roof Top of Schwartz Building
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Crane Used to Lift Components of Temporary Kitchen
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Lifting Units
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Landing and Opening First Unit (repeated again for second unit)
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Temporary Kitchen on Roof Top with Two Refrigerator Units
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Inside Temporary Kitchen
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Staging Area(repurposed Main Cafeteria)
-For assembly of patient meals
-For perishable and dry storage
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Staging Area
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Staging Area
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Retail Innovation
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Roaming Food Carts
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Repurposed the Gift Shop
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Lessons Learned
• Reinforcement of the power of networking
• A true test of leadership “soft skills”
• Accounting for each staff member and returning them safely home
• Food and Nutrition plays an integral role in organizational emergency preparedness (evacuation and shelter in place plans)
• Contingency plan needs to include provisions if you lose your “entire department”--how do you plan to feed patients, staff, and visitors?
• From everything bad comes something good - Creating an opportunity to re-do…
-Coming – New hospital kitchen targeted for August 19, 2013 (ground level)
-Coming – New state of the art main cafeteria with a support kitchen (1st floor) planned to debut 1st half of 2014 (a new secondary location for emergency situations)
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“When people are tested they often discover strengths they never knew they had.”
Robert I. Grossman, MDDean and CEONYU Langone Medical Center
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