ASTM E2413-04(2009)

Standard Guide for Hospital Preparedness and Response (Withdrawn 2018)

SIGNIFICANCE AND USE
This guide is intended to assist the leaders of hospitals in the design, planning, and response to be undertaken by hospitals and health care organizations to an event that necessitates the activation of an emergency operations plan.
This guide provides procedures to coordinate and provide a systematic and structured response to manage an incident.
This guide provides management tools that can assist in providing essential training objectives and decision-making models for hospital leadership and hospital regulatory agencies.  
This guide will be as consistent as possible with the following existing industry standards: Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) Environment of Care (EC) standards, NFPA 1600, the National Incident Management System (NIMS), and the Health Resources and Services Administration (HRSA) Hospital Bioterrorism (BT) Preparedness Program.  
Compliance with the JCAHO standards is of paramount concern to health care organizations. JCAHO’s EC standards include safety, security, hazardous materials and wastes, emergency management, fire safety, medical equipment, and utilities management. The EC chapter addresses planning and implementation and measuring and improving activities, with education and training activities addressed in standards relating to human resources.  
NFPA 1600 is highly regarded as a national preparedness standard. NFPA 1600 serves as the basis for the standard used by the Emergency Management Accreditation Program (EMAP) for state, local, and tribal governments.  
The National Incident Management System (NIMS) was required for all federal departments and agencies as a part of Homeland Security Presidential Directive #5. NIMS is also required for state and local government entities who receive federal grant funds. This impacts hospitals (public and private sector) through participation in the HRSA Hospital BT Program as well as the JCAHO Incident Command System/Incident Management System ...
SCOPE
1.1 This guide covers concepts, principles, and practices of an all-hazards comprehensive emergency management program for the planning, mitigation, response, recovery, and coordination of hospitals in response to a major incident.
1.2 This guide addresses the essential elements of the scope, planning, structure, application, and coordination of federal, state, local, voluntary, and nongovernmental resources necessary to the emergency operations plan for a hospital.
1.3 This guide establishes a common terminology for hospital emergency management and business continuity programs necessary to fulfill the basic service requirements of a hospital.
1.4 This guide provides hospital leaders with concepts of an emergency management plan, but an individual plan must be developed in synchrony with the community emergency operations plan and the National Incident Management System.
1.5 This guide does not address all of the necessary planning and response of hospitals to an incident that involves the near-total destruction of community services and systems.
1.6 For the purposes of this guide, the definition of hospital will be the current definition provided by the American Hospital Association for an acute care facility.
1.7 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory requirements prior to use.
WITHDRAWN RATIONALE
This guide covered concepts, principles, and practices of an all-hazards comprehensive emergency management program for the planning, mitigation, response, recovery, and coordination of hospitals in response to a major incident.
Formerly under the jurisdiction of Committee E54 on Homeland Security Applications, this guide was withdrawn in July 2018 in accordance with section 10.6.3 of the Regul...

General Information

• Status: Withdrawn
• Publication Date: 31-May-2009
• Withdrawal Date: 10-Jul-2018
• ICS: 13.200 - Accident and disaster control
• Technical Committee: E54 - Homeland Security Applications
• Drafting Committee: E54.02 - Continuity of Operations

Relations

• Replaces: ASTM E2413-04 - Standard Guide for Hospital Preparedness and Response
• Effective Date: 01-Jun-2009
• Referred By: ASTM E2771-11(2019) - Standard Terminology for Homeland Security Applications
• Effective Date: 01-Jun-2009

Standards Content (Sample)

NOTICE: This standard has either been superseded and replaced by a new version or withdrawn.
Contact ASTM International (www.astm.org) for the latest information
Designation: E2413 − 04 (Reapproved 2009)
Standard Guide for
1
Hospital Preparedness and Response
This standard is issued under the fixed designation E2413; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. A
superscript epsilon (´) indicates an editorial change since the last revision or reapproval.
1. Scope NFPA1994 StandardonProtectiveEnsemblesforChemical/
Biological Terrorism Incidents
1.1 This guide covers concepts, principles, and practices of
an all-hazards comprehensive emergency management pro-
3. Terminology
gram for the planning, mitigation, response, recovery, and
coordination of hospitals in response to a major incident. 3.1 Definitions of Terms Specific to This Standard:
3.1.1 all-hazards, adj—hazard is an inherent property of an
1.2 Thisguideaddressestheessentialelementsofthescope,
event, product, or object that represents a threat to human life,
planning, structure, application, and coordination of federal,
property, or the environment. In this context, all-hazards refers
state, local, voluntary, and nongovernmental resources neces-
to any incident or event that could pose such a threat.
sary to the emergency operations plan for a hospital.
3.1.1.1 Discussion—These may include special equipment
1.3 This guide establishes a common terminology for hos-
and processes that are used less frequently on a daily basis and
pital emergency management and business continuity pro-
require routine training to be most effective during a major
grams necessary to fulfill the basic service requirements of a
incident.
hospital.
3.1.2 basic societal functions, n—those basic functions
1.4 This guide provides hospital leaders with concepts of an
within a community that provide services for public health,
emergency management plan, but an individual plan must be
health care, water/sanitation, shelter/clothing, food, energy
developed in synchrony with the community emergency op-
supply, public works, environment, logistics/transportation,
erations plan and the National Incident Management System.
security, communications, economy, and education.
1.5 This guide does not address all of the necessary plan-
3.1.3 business impact analysis (BIA), n—management level
ning and response of hospitals to an incident that involves the
analysis that identifies the impacts of losing the entity’s
near-total destruction of community services and systems.
resources by measuring the effect of the resource loss and
1.6 For the purposes of this guide, the definition of hospital escalating losses over time to provide the entity with reliable
will be the current definition provided by the American data upon which to base decisions concerning hazard
Hospital Association for an acute care facility. mitigation, recovery strategies, and continuity planning.
1.7 This standard does not purport to address all of the 3.1.4 capacity, adj—capability at a given time for a hospital
safety concerns, if any, associated with its use. It is the
toprovideagivenservicethatisdistinctfromcapability,which
responsibility of the user of this standard to establish appro- defines an ability to provide a service under normal operating
priate safety and health practices and determine the applica- conditions.
bility of regulatory requirements prior to use. 3.1.4.1 Discussion—A facility may have the capability to
treat acute major incident patients in a cath lab, but if a critical
2. Referenced Documents
resource is missing at the time of a disaster (for example,
2 personnel, equipment, space, or electricity), the facility would
2.1 NFPA Standards:
not have the capacity to care for such a patient at that time
NFPA 1600 Standard for Disaster/Emergency Management
when there is a need.
and Business Continuity Programs
3.1.5 communications systems, n—those processes and re-
sources (physical, procedural, and personnel related) that
1
provide information exchange during an identified major
This guide is under the jurisdiction of ASTM Committee E54 on Homeland
Security Applications and is the direct responsibility of Subcommittee E54.02 on
incident.
Emergency Preparedness, Training, and Procedures.
3.1.6 community/region, n—that area in which a hospital
Current edition approved June 1, 2009. Published August 2009. Originally
approved in 2004. Last previous edition approved in 2004 as E2413 – 04. DOI:
provides health services and basic societal functions.
10.1520/E2413-04R09.
2
3.1.7 continuity of essential services, n—services that hos-
Available from National Fire Protection Association (NFPA), 1 Batterymarch
Park, Quincy, MA 02269-9101. pitals provide as a vital daily function that must be maintained
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