Landstingsdirektörens stab. Norrbotten County Council, Sweden

Transkript

1 Norrbotten County Council, Sweden

2 The County Council's Activities Health Care Dental Care Regional Development Traffic and Infrastructure Economic Policy Education Culture

3 Political Organisation Auditors Democracy Committee Electoral Committee County Council Assembly Patients' Committee Executive Committee Northern Health Board Eastern Health Board Central Health Board Southern Health Board Regional Committee Supervisory Board The Foundation Board Programme Committee Operational Organisation

4 County Council Chief Executive Secretariat Staff Surgical Specialties Medical Specialties Diagnostic Specialties Primary Health Care Adult Psychiatry National Dentistry Culture & Education Service County Technology Emergency ward and ambulance General surgery Urology Orthopedic surgery Eyes Ears Oral surgery Gynaecology and obstetrics General internal medicine Infection Skin Respiratory medicine Hematology Renal medicine cardiology Neurology Gastroenterology Rheumatology Neuro and pain rehab Geriatric/Rehab Paramedicine Paediatric Paediatric psychiatry Paediatric rehab Radiology Laboratory medicine Infectious diseases Public health centres within the county's municipalities Rehabilitation unit in Luleå The County Division for special assistance/ disability General psychiatry Specialist emergency psychiatry General county activities General dental clinics Specialist dental clinics Dental technology laboratory Norrbotten Music. Ins. Norrbotten's museum Norrbotten County Library Gran Natural Resource College Kalix School of Renewable Resource Management County administrative services County property administration Food service Joint service Administrative service Purchasing Infrastructure Medical technology Operational systems Emergency technical support

5 Health care in Norrbotten 5 hospitals 37 primary care centers 70 dental care clinics ~ 7400 employeed

6 The Safe Count Council

7 The purpose of management = Patient benefit! Bla, bla Bla, bla - We just want to inform you all victims has now arrived to the hospital

8 NATIONAL BOARD OF HEALTH AND WELFARE Designated Duty officer / SoS-TiB OPERATIVE CHIEF AND STAFF National level (Obs! Not always established) ECC/ Dispatch Designated Duty Offiicer / TiB REGIONAL MANAGEMENT SL+ MA Staff (County Council NLL) Regional level/ Gold control AMBULANCES Local level Medical command and control SL+MA ev. stab (On scene) HOSPITAL MANAGEMENT SL+MA Stab HOSPITAL MANAGEMENT SL+MA Stab Figure. Organisation of the Health Care system at a Major Incidents in Sweden

9 Medical Command and Control Medical Incident Commander Swe: MEDICINSKT ANSVARIG Ambulance Incident Commander Swe: SJUKVÅRDSLEDARE

10 National priority system RED / Immediate- Prioritet 1 (= life-threatening) YELLOW / Urgent- Prioritet 2 (= can wait) GREEN / Delayed- Prioritet 3 (= shall wait ) Black Lifeless!/Dead?

11 On scene it starts with the first rescue, police and ambulance commanders

12 I am!!! I am!!! I am!!! Who s in charge?

13 They work under different legislation but in LIAISON!

14 COORDINATION COMMAND /RESCUE AREA CONTROL COMMAND /POLICE COMMAND/ MEDICAL COORDINATION

15 Possible Major Incident

16 1 st report from the scene Through the windsceen report according to METHANE to the ECC M= Possible Major Incident- YES! E= Exact location T= Type of incident H= Hazards A= Access routs N= Number of causalities E= Extra resources required

17 Brister katastrofmedicinska utbildningskedjan Larm till SOS alarm Ambulans 1. SL & MA Misstänkt allvarlig händelse JA Rapport SOS alarm Akutmottagning berört sjukhus Samordningsköterska Allvarlig händelse NEJ Hanteras i ordinarie organisation med befintliga resurser Transportresurser Ambulans Sjukvårdsgrupp Helikopter Flyg Bårbil Buss Annat Berörd Bakjour Larmplan vid höjd beredskap Samordningssköterska larmar LKL och presumtiva funktioner/ avdelningar inom eget sjukhus enligt gällande riktlinjer. Höjd beredskapsnivå NEJ Höjd beredskapsnivå JA Hanteras i ordinarie organisation med befintliga resurser Berörd bakjour bildar särskild sjukvårdsledning för sjukhuset. Ledningsansvaret övergår till LKL när de trätt i funktion.

18 County Council Chief Executive Secretariat Staff Surgical Specialties Medical Specialties Diagnostic Specialties Primary Health Care Adult Psychiatry National Dentistry Culture & Education Service County Technology Emergency ward and ambulance General surgery Urology Orthopedic surgery Eyes Ears Oral surgery Gynaecology and obstetrics General internal medicine Infection Skin Respiratory medicine Hematology Renal medicine cardiology Neurology Gastroenterology Rheumatology Neuro and pain rehab Geriatric/Rehab Paramedicine Paediatric Paediatric psychiatry Paediatric rehab Radiology Laboratory medicine Infectious diseases Public health centres within the county's municipalities Rehabilitation unit in Luleå The County Division for special assistance/ disability General psychiatry Specialist emergency psychiatry General county activities General dental clinics Specialist dental clinics Dental technology laboratory Norrbotten Music. Ins. Norrbotten's museum Norrbotten County Library Gran Natural Resource College Kalix School of Renewable Resource Management County administrative services County property administration Food service Joint service Administrative service Purchasing Infrastructure Medical technology Operational systems Emergency technical support

19 Crises Organization Tsunami RKL with Duty officer Incident Commander Medical Incident Commander Pandemic LKL Kiruna LKL Gällivare LKL Sunderbyn LKL Piteå LKL Kalix Incident Commander Medical Incident Commander Incident spot Incident Commander Medical Incident Commander

20 Stafforganization on regional and local level Funktion Område Uppgift SL Incident Commander Leder sjukvårdens insatser MA Medical Incident Commander Medicinska inriktningsbeslut, samverkan med MA Socialstyrelsen och MA LKL SC Cheif of Staff Leder stabens arbete S1 Personnel/Debreif support Personalförsörjning, krisstöd S2 Analysis Planering på lång sikt, omfallsplanering, uppföljning av tagna beslut S3 Current Samordning, fördelningsnycklar, lägesbild, kontakter med LKL, dokumentation S4 Logistics Materielförsörjning, transport, drift, stabsstöd, bevakning m m S5 Liasion Samverkansplanering, samverkan med andra myndigheter, kommuner och landsting S6 Technology Upprättar kommunikation, tekniksupport m m S7 Information Producerar intern/extern information, omvärldsbevakning

21 Similar tasks speeds up the information flow SL MA RKL SC S1 S2 S3 S4 S5 S6 S7 LKL SL SC MA S1 S2 S3 S4 S5 S6 S7

22 Possible Major Incident 1. Alarm to the geographically responsibly hospital. 2. Inform the closest hospital 3. Alarm to the Duty officer Other types of alarm always direct to the duty officer!

23 Duty officer in Norrbotten County Council Who does he call a Saturday evening in Kemi, Rovaniemi, Oulo and Helse-Nord???