California’s Crisis Care Guidelines

Click here for the California Crisis Care Guidelines for Henry Mayo Newhall Hospital.

This document is a framework designed to help health care facilities plan for the COVID-19 pandemic, which may cause overwhelming medical surge. This guidance assumes incident management and incident command practices are implemented and key personnel are familiar with healthcare emergency management planning and processes that underlie scarce resource decision-making.

During a catastrophic public health event that results in medical surge, each health care facility or health care system should use this guidance as a framework to determine the most appropriate steps and actions for their entity based on their environment, hazards, and resources. Since pre-planned actions are always preferred to impromptu decisions, pre-event emergency management planning and training is recommended. This document addresses common categories of health care delivery, triage, staff and space that could arise when available resources are limited or insufficient to meet the medical needs of patients. In California, local or regional HCCs, hospitals and health care systems may determine additional issues and strategies in addition to those outlined in this document.

This document provides an overview of surge capacity and crisis care operational considerations for health care facilities with an emphasis on hospitals for the State of California. In addition to this framework, hospitals and health care systems are encouraged to review federal guidance which can be found on the National Academies of Science webpage.

This document is meant to provide information to support regional or county health entities, including health departments as well as individual health care facility operations, as they develop and implement their operational plans. It is the responsibility of the regional entity or the facility to work with their management team and medical staff to ensure operational plans are in place. This document does not replace the judgment of the regional health care facilities’ operational management, medical directors, their legal advisors or clinical staff and consideration of other relevant variables and options during an event. States and national medical organizations have shared best practices and incorporated relevant medical literature in developing Crisis Care guidelines. California is using this collaborative work as a cornerstone for these guidelines.

California is committed to achieving and sustaining a California for All and to its nation-leading laws and policies, including prohibiting discrimination on such protected bases as, age, disability, race, sex, gender identity and sexual orientation and immigration status.

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