NEAR SOUTHWEST REGIONAL HOSPITAL PREPAREDNESS TASK FORCE EMERGENCY

NEAR SOUTHWEST REGIONAL HOSPITAL PREPAREDNESS TASK FORCE EMERGENCY OPERATIONS PLAN AN OVERVIEW David Chaplin, Hospital Preparedness Trainer

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN What is it ? n Reference material to plan for and mitigate the effects of anticipated and unanticipated disasters of all sizes. n A tool to be used to establish a Regional Healthcare Coordinating Center and to provide guidance for its operation. “e pluribus unum” 2

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN THE BASIC PLAN n n n n General information that everyone involved should know. Defines the purpose and the stakeholders. Establishes a common understanding. Assigns responsibilities under the plan. Establishes administration and logistics. Establishes relationship with similar plans. Requires exercises and training. Establishes plan development and maintenance. “Just the facts, Ma’am. ” 3

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN CORE FUNCTIONS n n n More specific information and direction with a focus on operations. Each annex is devoted to an operational area emphasizing tasks, actions, and responsibilities. Annexes include policies, processes, roles, and responsibilities to be used before, during, and after a disaster or emergency. “All-hazards” approach is used. Should expound upon and complement the Basic Plan. 4

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Annex A: Direction & Control n n This section provides overview information on the means used to direct and control Task Force Activities essential to saving lives and protecting property, especially hospitals and their functions. When there is no emergency, the purpose is to plan and assign emergency duties and responsibilities, direct planning, conduct training, and generally to maintain an effective emergency response capability. In time of emergency, the purpose is to direct and control emergency operations, assure the implementation of actions as called for in this plan, disseminate emergency information to the public, and coordinate with the State Emergency Operations Center should outside assistance be required. All “responsible parties” should know the Basic Plan and 5 Annex A thoroughly.

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Annex A: Direction & Control n n n State EOC n RHCC Emergency Organizational Chart Incident Command System/Expanded ICS National Incident Command System/Unified Command Hospital Emergency Incident Command System Regional Task Force Matrix of Responsibilities EOC Standard Operating Procedures VDH State EOC Command VDH Regional EOC Local EOC Regional Hospital Command Center Hospitals Operations Planning Logistics Admin/Finance 6

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Annex B: Emergency Communications n n To identify available methods of communication within the region; and To develop compatibility and interoperability of voice and data communications between hospitals in the region, the RHCC, the health department, emergency management agencies, public safety agencies, and state and federal agencies; and To identify communications capabilities of the RHCC, hospitals, and other local and state emergency organizations; and To describe the warning system(s) in place and the responsibilities and procedures for using them. 7

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Annex C: Critical Patient Issues & Surge Capacity n n To develop capacities and capabilities for patient assessment and critical and palliative patient care within the region to effectively manage extraordinary surges in admissions due to large-scale emergencies in the region (surge capacity) involving adult and pediatric patients; and To address foreseeable patient issues that may be critically important during an emergency or disaster. 8

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Annex C: Critical Patient Issues & Surge Capacity n n n n n Levels of Activation Modular Emergency Medical System (MEMS) Hospital Bed Capacity Decontamination Proposed HCF Concept of Operations Isolation & Quarantine Trauma & Burn Care Overcrowding & Diversion Special Needs Populations Fatality Management 9

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Annex D: Evacuation n To ensure the safe and orderly evacuation of threatened people, patients, and facilities that may be subject to flooding, contamination, severe resource shortage, or other situation that would necessitate evacuation. 10

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Annex E: Health & Medical n To define and develop policies and procedures for mobilizing and managing health and medical services under emergency or disaster conditions, especially pharmaceutical storage, handling, and dispensing. 11

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Annex E: Health & Medical n n n Emergency Medical Services Medical Personnel Emergency Response Teams Pharmaceuticals Augmentation & Emergency Credentialing of Personnel Psychosocial Consequence Management Critical Incident Stress Management 12

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Annex F: Mass Casualty n n n To assist in the organization and management of the distribution of patients in a mass casualty incident; and To assist in the distribution of patient load to as many facilities as is necessary to avoid any one or more from becoming overwhelmed; and To organize and muster additional healthcare resources as may be needed and/or requested by responsible parties. 13

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Annex F: Mass Casualty n n Modular Emergency Medical system (MEMS) Mutual-Aid Resources EMS On-scene Incident Command System Officer Goals & Objectives “S. T. A. R. T. ” Triage Protocols n “Jump S. T. A. R. T. ” Pediatric MCI Triage n 14

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Annex G: Resource Management & Logistics n n n To define the means, organization, and process by which the Task Force will find, allocate, and distribute resources to satisfy needs that are generated by an emergency. Essential Goods & Services Personal Protective Equipment Medical Waste Disposal Resource Request Form 15

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Annex H: Hospital Security n To ensure a secure environment and protect patients, staff, visitors, information, and the physical infrastructure; and n To help manage the pedestrian and vehicle traffic flow at the hospital; and n To mitigate or prevent acts of terrorism. n Security Management Plan Requirements 16

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Annex I: Recovery n To briefly describe how the region will begin to recover after a disaster or emergency once the event has been determined to be under control. n Communications n Facility Decontamination n Facility Re-entry Authorization n Patient Re-transfer n Record-keeping 17

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Annex J: Budget & Financial Management n To ensure that the necessary management controls, budget authorities, and accounting procedures are in place to provide the necessary funding in a timely manner; and n To conduct emergency operations, document expenditures, and maximize state and federal assistance following the disaster. H 18

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Annex K: Terrorism n n n The main purpose of this annex is to disseminate a broad range of information on terrorism; and To better prepare for, understand, deal with, and recover from incidents of terrorism in its many forms. This will require a comprehensive, coordinated, and integrated response capability, involving all levels of government. Crisis Mgmt vs. Consequence Mgmt Homeland Security Advisory System Unified Command Structure State Agencies and their tasks under the State Plan 19

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Annex L: Federal Disaster Assistance n To coordinate with state and federal officials; to obtain needed manpower and equipment resources during both the response period, when such assistance can save lives and protect property; and during the post-disaster recovery period, to help the victims of the disaster. Much of the information presented here is for awareness only. However, the Resource Request Form may be utilized by hospitals and other facilities in an emergency. When these requests are submitted to the RHCC, EOC staff will do everything possible to fulfill them. n 20

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Hazard-Specific Appendix 1: Chemical Emergencies n n To recognize threat of chemical emergencies whether known or unknown, so that emergency first responders and healthcare providers do not become secondary victims to the emergency; and To utilize proper personal protective equipment when dealing with chemical emergencies; To report these incidents to the proper authorities; and To manage chemical emergencies safely and effectively in both the hospital and the community. • US EPA PPE Levels of Protection • National Information Resources • VDEM Quick Reference Chart 21

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Hazard-Specific Appendix 2: Biological Emergencies n n To recognize incidents of biological emergencies, especially if related to terrorism; and To utilize proper personal protective equipment when dealing with biological emergencies; and To report these incidents to the proper authorities; and To manage biological emergencies safely and effectively in both the hospital and the community. • National Information Resources • VDEM Quick Reference Chart 22

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Hazard-Specific Appendix 3: Nuclear & Radiological Emergencies n n n To establish open-ended plans and procedures which could be used in conjunction with state plans and guidance; and To develop an emergency response capability during the anticipated crisis buildup period prior to a full-scale nuclear attack upon the USA; and To prepare for and respond appropriately to the use of a Radiological Dispersion Device (RDD), or what is more commonly called a “Dirty Bomb. ” • National Information Resources • VDEM Quick Reference Chart 23

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Hazard-Specific Appendix 4: Explosives n n To understand the nature and destructive force of explosives; and To plan and prepare for the illegal use of explosives. • • • National Information Resources VDEM Quick Reference Chart Classification of Explosives Recognizing a Package Bomb Threat Stand-off Distances 24

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Hazard-Specific Appendix 5: Flooding n n To protect the public health and safety in the event of severe flooding, primarily flash flooding; and To prevent or mitigate the loss of health care services available to the public; and To mitigate the losses from property damage to health care facilities. Areas subject t flooding. 25

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Hazard-Specific Appendix 6: Severe Weather & Storms n To better understand severe weather and the associated risks of response operations during severe weather events. • • • Definitions Saffir/Simpson Scale Fujita-Pearson Tornado Scale Wind-Chill Chart Heat Index Chart Richter Scale 26

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Standard Operating Procedures & Checklists 27

Regional EOP Overview May, 2004 REGIONAL EMERGENCY OPERATIONS PLAN Questions ? Comments ? Snide Remarks ? Thank you very much ! 28