Table 1.

Activity by Critical Task in the Activation of the Quarantine Unit. The spreadsheets were developed in cooperation with the NYC DOHMH which addressed readiness of the Quarantine unit. A yes response on the evaluation forms was considered a positive response and therefore compliance with protocols and procedure were adhered to.

			% Positive Response from Evaluators and Patient Actors, 2009 Quarantine Exercise	% Positive Response from Evaluators and Patient Actors, 2010 Quarantine Exercise	% Improvement from Previous Exercise
Activity 1: Activation of the Unit	Critical Task 1a	Prepare unit for opening within 24 hours of notification	96	98	2
	Critical Task 1b	Receive communication from DOHMH about case definition and monitoring tools	100	100	Stayed the same
	Critical Task 1c	Accept quarantinees on arrival to A42 Unit	67	100	33
	Critical Task 1d	Be able to contact EOC if needed	100	100	Stayed the same
Activity 2: Staffing	Critical Task 2a	Designate and clearly identify a leader within each staffing group	98	100	2
	Critical Task 2b	Conduct and participate in daily meetings	70	100	30
	Critical Task 2c	Debrief incoming team of current situation and any ongoing issues	100	100	Stayed the same
Activity 3: Charting/Admission	Critical Task 3a	Assign each quarantinee to a room	80	100	20
	Critical Task 3b	Perform admission history and physical with each quarantinee	100	100	Stayed the same
	Critical Task 3c	Complete all admission paperwork for each quarantinee	100	100	Stayed the same
	Critical Task 3d	Conduct surveillance using symptom monitoring tool for each quarantinee	60	100	40
	Critical Task 3e	Complete psycho-social monitoring form for each quarantinee	60	100	40
Activity 4: Symptoms and Infection Control	Critical Task 4a	Explain the difference between quarantine and isolation to the quarantinee	100	100	Stayed the same
	Critical Task 4b	Explain illness to quarantinees	100	100	Stayed the same
	Critical Task 4c	Explain the function of the symptom monitoring tool to the quarantined individual	27	100	73
	Critical Task 4d	Explain the signs and symptoms of the defined illness (SARS) to the quarantined individual	100	100	Stayed the same
	Critical Task 4e	Describe the method of self-reporting to the quarantinee	60	100	40
	Critical Task 4f	Properly evaluate, isolate and transfer a newly symptomatic quarantinee	80	100	20
Activity 4: Symptoms and Infection Control	Critical Task 4g	Appropriately counsel other quarantinees after detection of a newly symptomatic quarantinee	30	100	60
	Critical Task 4h	Demonstrate proper hand hygiene	55	100	45
	Critical Task 4i	Demonstrate proper donning, removal and disposal of PPE (gloves, gowns, masks)	40	100	60
	Critical Task 4j	Determine which infection control precautions are appropriate for SARS and implement them accordingly	50	100	50
Activity 5: Client Management	Critical Task 5a	Give a tour of the unit	2	80	72
	Critical Task 5b	Review daily schedule with each quarantinee on admission	0	60	60
	Critical Task 5c	Review patient code of conduct with each quarantinee	0	60	60
	Critical Task 5d	Access services such as social work, clergy, psychiatry, crisis intervention when needed	100	100	Stayed the same
	Critical Task 5e	Appropriately call for a psychiatric consult	100	100	Stayed the same
	Critical Task 5f	Conduct a meeting to update all quarantinees	0	100	100
	Critical Task 5g	Provide information to quarantinees regarding SARS, stress reduction and support services available at KCHC	100	100	Stayed the same
	Critical Task 5h	State the visiting policies	100	100	Stayed the same
	Critical Task 5i	State the smoking policies	100	100	Stayed the same

Abbreviations: DOHMH, Department of Health and Mental Hygiene; EOC, Emergency Operations Center; KCHC, Kings County Hospital Center; PPE, Personal Protective Equipment; SARS, Severe Acute Respiratory Syndrome