GNYHA offers the guidance below to member hospitals and health systems about naming conventions and associated protocols for identifying, tracking, and caring for unidentified patients during a mass casualty incident (MCI) response. There is also information for incorporating identifying features into the patient record and a tag for associating victims of the same incident. Given the importance of rapid patient registration during a MCI response scenario, this aspect should be drilled as part of a broader MCI response exercise plan. 1132 0 obj <> endobj This is necessary to ensure labs, radiography, and other clinical care elements associated either with the assigned name or reconciled name are available under a single patient record. endstream endobj startxref Associate all patients related to the incident, whether identified or unidentified, with an electronic disaster tag. Such an alert is often activated when a disappearance does not meet the threshold of a state AMBER Alert. The inconsistent nature of assigning a temporary name to an unidentified patient and the interaction with law enforcement and family members leads to further traumatizing a family who is searching for a missing loved one. Because the nature of the incident may not be known, a suggested convention for the disaster tag is: MCI_m/d/y_closest hour to the arrival of the first patient. GNYHA coordinated a delegation visit to Las Vegas in February 2018 to learn about that city’s response to the October 1, 2017, mass shooting in which 58 individuals were killed and more than 500 were injured. 1143 0 obj <>/Filter/FlateDecode/ID[<6FD899FA8762314B80945F6C29078328><27DFC980A5B5594FBDE00A94734A89FF>]/Index[1132 23]/Info 1131 0 R/Length 76/Prev 588409/Root 1133 0 R/Size 1155/Type/XRef/W[1 3 1]>>stream Missing Child Alert: Activated when a child under the age of 21 is missing and he or she is believed to be in danger due to special circumstances, such as a mental impairment or medical condition that places them at risk. A key takeaway was the importance of developing a regional approach to naming unidentified patients. How patient privacy can pose a barrier to identification. %PDF-1.6 %���� %%EOF Additionally, the lack of a consistent use of these protocols among hospitals impedes the creation of citywide or regional victim manifests. Abbreviation of hospital name + digit (beginning with “1”). Disaster registration protocols should accommodate arrivals by EMS and other means. The Clearinghouse is located at the New York State Division of Criminal Justice Services (DCJS). At a jurisdictional level, it was difficult for the public health authority to compile and track these patients. The multidisciplinary team should involve the following departments at a minimum: Emergency Department, Patient Registration, Trauma, Radiology, Laboratory, Critical Care, Nursing, Social Work, Child Life, Perioperative, and Public Affairs. As a result, the MPC and DOH convened a panel of experts to develop an Identification of Unknown Patients – Model Policy. This guidance was collaboratively developed by hospital representatives involved in mass casualty response planning, and government agency representatives. h�bbd```b``� �+A$������,�@�1�D�L�F� �@H����������F����� �J Division of Hospitals and Diagnostic & Treatment Centers, Johanna Sullivan Many hospitals maintain a supply of disaster medical record packets with basic documentation, an assigned medical record number, and a corresponding bracelet. Acknowledging the importance and complexity of patient tracking, jurisdictions in our region have and continue to develop systems that simultaneously support patient tracking, missing persons investigations, and family reunification. Ruth Leslie Hundreds of family members, friends and law enforcement personnel continued their search for the man over the period of a week until finally a doctor at the facility saw a news story on television about the missing man and recognized him as "Trauma XXX." • Take and store a photo of all patients presenting for services. The volume of unidentified patients quickly overwhelmed their existing naming convention procedures. Division of Criminal Justice Services, DAL 17-03 - Identification of Unidentified Patients - Model Policy, Health & Safety in the Home, Workplace & Outdoors, Clinical Guidelines, Standards & Quality of Care, All Health Care Professionals & Patient Safety, Identification of Unidentified Patients Model Policy, Missing Persons Clearinghouse, Addressing the Opioid Epidemic in New York State, Learn About the Dangers of "Synthetic Marijuana", Help Increasing the Text Size in Your Web Browser. Executive Summary Unidentified patients pose safety concerns because of the possibility of duplicate medical record creation and patient misidentification. II. Several unidentified patients may arrive together after an accident, or in mass casualty situations. A critical part of the Clearinghouse mission is coordinating three distinct statewide notifications similar in function to AMBER Alerts. Also, allow space for commonly used nicknames. The New York State Missing Persons Clearinghouse (MPC) has partnered with the New York State Department of Health (DOH) to provide hospital administrators with an Identification of Unidentified Patients – Model Policy. Patient registration staff and providers involved in patient triage should practice registering both identified and unidentified patients. A government entity may instruct hospitals to retroactively apply a different incident tag such as “Pulse Nightclub Incident.”. Both the medical record and identification bracelet should be updated as soon as the patient is identified, with both names visible. RATIONALE Positive patient identification is a process which, when followed, will promote good practice and reduce the risk of misidentification from occurring. We hope that this model policy will provide you with a basic protocol that can be easily implemented at your facility and that this standardized process will lessen the trauma and anxiety a family faces when searching for a missing loved one and allow for the identification of an unknown patient in a more reasonable time frame.