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Food & Nutrition’s ResponseThe Aftermath of Hurricane SandyBetty Perez
July 30, 2013GNJSHFSAScotch Plains, New Jersey
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About NYU Langone Medical Center
•Located 100 yards from the East River and in Manhattan the most densely populated of the five boroughs
•Composed of three hospitals:
-Tisch Hospital, 705 –Bed acute-care tertiary facility (Zone A)-Rusk Institute of Rehabilitation Medicine (Zone A)-Hospital for Joint Diseases, 190-bed (Zone B)
•NYU School of Medicine
•Multiple outpatient facilities
•~15,000 employees
Zone A: Flood risks from any hurricane that makes landfall close to NYC.Zone B: Flood risks for a category 2 or higher hurricane.
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Super Storm Sandy at Landfall
• Category I Hurricane: Winds 74-95 mph
•Massive size: 1,000 miles in diameter
• Storm surge: ~14 feet high
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October 29, 2012:
-Views of North Service Wing Loading Dock
-Corner of 34th Street and FDR Drive
(early to late evening)
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Super Storm Sandy Evacuation (10/29/2012)
•Water is reported in the basement of several NYUMC buildings as storm hits
-Ultimately 15M gallons of water entered into Medical Center
• HICS Emergency Operations Center loses power during evening report; moves to secondary location and eventually to lobby
• Systems rapidly begin to fail
• Scope of damage leads to decision to evacuate patients
• NYC Office of Emergency Management and other hospitals notified
•Multidisciplinary teams safely evacuated 325 patients using med sleds for non-ambulatory patients (298 transferred to 14 other facilities/remainder transferred to Hospital for Joint Diseases)
10Department of Emergency Management
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Department of Emergency Management
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Starting all over….
Kitchen Demolition
(New kitchen targeted to debut 8/19/2013)
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Before Kitchen Equipment Removal Started
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Before Kitchen Equipment Removal Started
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After Removal of Production Equipment
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After Removal of Walk-in Refrigerators
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Temporary Kitchen
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Location of Temporary Kitchen: Roof Top of Schwartz Building
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Crane Used to Lift Components of Temporary Kitchen
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Lifting Units
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Landing and Opening First Unit (repeated again for second unit)
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Temporary Kitchen on Roof Top with Two Refrigerator Units
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Inside Temporary Kitchen
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Staging Area(repurposed Main Cafeteria)
-For assembly of patient meals
-For perishable and dry storage
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Staging Area
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Staging Area
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Retail Innovation
Presentation Title Goes Here 28
Roaming Food Carts
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Repurposed the Gift Shop
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Lessons Learned
• Reinforcement of the power of networking
• A true test of leadership “soft skills”
• Accounting for each staff member and returning them safely home
• Food and Nutrition plays an integral role in organizational emergency preparedness (evacuation and shelter in place plans)
• Contingency plan needs to include provisions if you lose your “entire department”--how do you plan to feed patients, staff, and visitors?
• From everything bad comes something good - Creating an opportunity to re-do…
-Coming – New hospital kitchen targeted for August 19, 2013 (ground level)
-Coming – New state of the art main cafeteria with a support kitchen (1st floor) planned to debut 1st half of 2014 (a new secondary location for emergency situations)
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“When people are tested they often discover strengths they never knew they had.”
Robert I. Grossman, MDDean and CEONYU Langone Medical Center
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