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MANAJEMEN

UTILITAS
RUMAH SAKIT

NURUL AINY SIDIK, dr, MARS


KONSILOR, PEMBIMBING, SURVEIOR KARS

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Fill in one of the below for each company with which you have an MOU for water deliver
EMERGENCY WATER PLANNING TOOL 1 of 4
Tanker Management

Tanker Company MOU


Delivery Terms (time to respond, time to station, etc.)
Total list of subscribers
Exclusions to MOU
Ability for assets to be co-opted in disaster

Tanker Operations
Source of Water
Origins of Tanker (primary non-emergency purpose)
Size of Tanker (gallons)
Maintenance and Pre-Delivery Sanitation Protocol (include expected range of Chlorine
levels)
Pump, Pressure and Connection Details

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The below processes likely exist in other places whether it be your emergency
plan or elsewhere. It is a worthwhile exercise to collate a copy of these with
the above information so that everything related to management of tanker
deliveries is available in one place.
Hospital Processes
Insert description and or process diagram for the following processes (include
process owner / key contact):

Process to enact tanker delivery


Process to receive delivery
Process to monitor flow
Process to sample delivered water, measure chlorine levels
Process to manage pressure issues (Sloan valves, hammering, etc.)
Process to manage critical potable water users (lab, dialysis, central sterile)
Process to manage industrial users (cooling, boilers, liquid ring vacuum pumps)
Process to transition back to municipal flow

(Question on use of this tool? Contact Christopher Tuffli: ctuffli@re-thinkh2o.com)

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Overview of System Failures —
A Guidance for Incident Commander/Hospital Command Center

Primary Users Key Actions


Impacts Primary Partners
(Who is Affected) (What Do You Need to Do)

Normal Power Failure

Lighting  All facility  Assess critical areas POM


affected
 Use flash lights/lanterns
as needed
 Caution for trip hazards
 Minimal lighting on
generators
Medical Devices  Clinical areas  Critical devices in Red Bio Med
 Laboratory Plugs
 Surgery,  Delay/cancel elective
Cath Lab, L&D procedures
 Consider relocating
services to unaffected
areas
Equipment  All facility  Critical equipment in POM
Red Plugs Pharmacy
 May need to unlock
Pyxis/medication
delivery
 Manual activities

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Overview of System Failures —
A Guidance for Incident Commander/Hospital Command Center

Primary Users Key Actions


Impacts Primary Partners
(Who is Affected) (What Do You Need to Do)

Normal Power Failure

Computers  All facility  Use Downtime IT


Procedures as needed
 # computer is on
generator
Elevators  All facility  Check for trapped POM
persons in elevators
 Limit unnecessary
elevator use
 # 1&2 elevators are on
generator
Communications  All facility  Notification of failure POM
 Fax  Inform of alternate Telecom
 DOD Lines plans
 Nurse Call  Cell phones, HAM,
 Telephone Server other backups
 Pagers  Runners
 See Communication
Failure below

Insert Additional Items as  


Needed

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UTILITY HAZARD AND
VULNARABLE
ASSESSMENT (UHVA)

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Multiple Systems
Electrical Power
Chillers
Steam

Water

Ventilation

Fuel

Piped Medical Gases

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Matur Suksma

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