Examining New York City Hospitals’ Nonuse of Medical Volunteers in Disasters

Williams, Martha R.; Trued, Sally; Duggan, Betty; Pruitt, Darrin

doi:10.1017/dmp.2015.78

Cited by 2 publications

(3 citation statements)

References 10 publications

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“…1,2,4,8 Unfortunately, however, using external staff in a disaster is fraught with many well-described challenges, and external resources are often less effective than anticipated. 9 Our experience has shown that hospitals affected by disaster can effectively use external staff who have both previously been credentialed and had some experience working in those hospitals' environment. Using such medical professionals can reduce the administrative burden of rapidly credentialing and training responding disaster workers.…”

Section: Discussionmentioning

confidence: 96%

“…Therefore, these external responders may not be effective in supporting surge care needs. 8,9 In Japan, disaster medical assistance teams (DMATs) have been developed as a resource to help with surge capability problems in disasters. Each DMAT team is comprised of a small number of healthcare professionals who are trained in disaster response, work regularly in hospitals, and have acute care skills.…”

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confidence: 99%

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Pretraining and Precredentialing Staff for Disaster: A Lesson Learned From the Experience of the 2016 Kumamoto Earthquakes

Kato

Yamamoto

Kawachi

et al. 2019

Disaster med. public health prep.

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The integration of external staff into a hospital’s disaster response can present technical challenges. Although hospitals will always prefer to use their own staff in disaster response, there have been many historical examples where external staffing is required. During the 2016 Kumamoto Earthquakes, the Oita Prefectural Hospital required medical professionals to expand disaster response staff. They were able to identify 2 appropriate emergency physicians belonging to a remote hospital who had previously worked at the Oita Prefectural hospital. The physicians were effectively able to supplement the hospital staff, providing care for additional patients, and giving the existing on-duty staff some respite. Based on our experience, we suggest that hospital coalitions and disaster response authorities explore mechanisms of cross-credentialing and cross-training staff to make it easier to share staff in a disaster.

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Section: Discussionmentioning

confidence: 96%

mentioning

confidence: 99%

Pretraining and Precredentialing Staff for Disaster: A Lesson Learned From the Experience of the 2016 Kumamoto Earthquakes

Kato

Yamamoto

Kawachi

et al. 2019

Disaster med. public health prep.

View full text Add to dashboard Cite

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“…Volunteers at hospitals and in other settings often find themselves confused by the potpourri of available immunity and liability protections 45 . Indeed, during the Superstorm Sandy response and recovery period, local health department staff reported that “many MRC volunteers did not want to deploy to shelters without having a clearly defined understanding of liability coverage.” 28 In addition, a local MRC coordinator turned away medical volunteers due to liability concerns 28 .…”

Section: Discussionmentioning

confidence: 99%

Legal Considerations for Health Care Practitioners After Superstorm Sandy

Hershey

Nostrand

Sood

et al. 2016

Disaster med. public health prep.

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During disaster response and recovery, legal issues often arise related to the provision of health care services to affected residents. Superstorm Sandy led to the evacuation of many hospitals and other health care facilities and compromised the ability of health care practitioners to provide necessary primary care. This article highlights the challenges and legal concerns faced by health care practitioners in the aftermath of Sandy, which included limitations in scope of practice, difficulties with credentialing, lack of portability of practitioner licenses, and concerns regarding volunteer immunity and liability. Governmental and nongovernmental entities employed various strategies to address these concerns; however, legal barriers remained that posed challenges throughout the Superstorm Sandy response and recovery period. We suggest future approaches to address these legal considerations, including policies and legislation, additional waivers of law, and planning and coordination among multiple levels of governmental and nongovernmental organizations. (Disaster Med Public Health Preparedness. 2016;10:518-524).

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Examining New York City Hospitals’ Nonuse of Medical Volunteers in Disasters

Abstract: Although the NYC MRC has the potential to assist the health care system in the event of a disaster, NYC hospitals will need clarification of the clinical and legal issues involved in the use of MRC volunteers for patient care.

Cited by 2 publications

References 10 publications

Pretraining and Precredentialing Staff for Disaster: A Lesson Learned From the Experience of the 2016 Kumamoto Earthquakes

Pretraining and Precredentialing Staff for Disaster: A Lesson Learned From the Experience of the 2016 Kumamoto Earthquakes

Legal Considerations for Health Care Practitioners After Superstorm Sandy

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