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Santa Barbara County Disaster Healthcare Partners Disaster Training 2019
October 1st 2019 Santa Barbara
Santa Barbara County Public Health Department & Emergency Medical Services Agency
Jan Koegler, MPH Program Manager
Stacey Rosenberger, MPH Emergency Planner
2
“The last place I want to meet you for the first time is during a disaster.”
Who’s your partner?
Introductions
3
Training Objectives • Learn about potential vulnerabilities of our facilities
and agencies to flooding and an extended power outage.
• Review how partners and county and city emergency agencies work together in a disaster
• Learn how to participate in the 2019 medical &health community based exercise
• Identify ways to improve your response during flooding and a power outage
• Draft your exercise plan objectives, scenario and schedule of events 4
Agenda Exercise Scenario, Activities, and Schedule
Full Scale Exercise Requirements
Impacts of Flooding & Power Outages
County and Public Health Department Disaster Roles
How to Report Your Status and Resource Needs
Exercise Participation & Documentation 5
Exercise Days: November 19th-21st
7
November 19th • 9am -12pm • Home Health & Hospice
Agencies, and Serenity House
November 20th • 9am -12pm • Skilled Nursing Facility
Evacuation
November 21st • 9am -12pm • All other facilities- Hospitals,
Clinics, Surgery Centers, Dialysis , Assisted Living, ICF
Scenario • Early morning on November 19 a winter storm causes flooding with road
blockages in Santa Maria, Lompoc, and areas of southern Santa Barbara. • Freeway underpasses are flooded in some areas. • Rain continues through November 21st leaving roads and homes flooded
for 3 days. • Santa Ynez River is close to overflowing its banks in Lompoc, and street
flooding is reported around the Lompoc Skilled and Rehabilitation Facility and a large assisted living facility.
• Ambulance access to Lompoc Hospital is delayed due to street flooding. • Santa Maria River is overtopping banks. Due to flooding, CHP has closed
surface streets and Highway 101 bridge between North Broadway and Highway 166.
8
Scenario Cont. Road Closures: • Highway 101 at the county line
between San Luis Obispo and Santa Maria
• Hwy 1 between Lompoc and 101 closed due to rock falls
• Hwy 154 closed below Painted Cave closed in both directions due to rock falls, flooded roads and extremely limited visibility
Power Outages: • Power outages reported due
to trees down on power lines
• Large sections of cities are experiencing outages
• SCE and PGE representatives are telling the public that power cannot be restored for at least 24 hours
9
Exercise Webpage
10 http://www.countyofsb.org/phd/statewideexercise/2019.sbc
2019 Disaster Exercise Participation Survey • Please complete the survey by October 31st • Let’s the PHD know what each facility/agency is planning on doing • Survey link:
https://www.surveymonkey.com/r/2019DisasterExercise
11
CMS Emergency Preparedness Rule
12
Emergency Plan • Based on a risk
assessment • Use an all-hazard
approach to risk assessment
• Update plan annually
Policies & Procedures • Develop based on risk
assessment & emergency plan
• Must address: subsistence of staff/patients, evacuation, shelter in place and tracking of patients
• Review/update annually
Communications Plan
• Complies with federal & state laws
• Coordinate patients are within facility, across providers, and with state, local public health and emergency management
• Annual update
Training & Exercise Program
• Initial & annual training on policies & procedures
• Conduct drills and exercises
• Tabletop annually • Annual Full scale
community based exercise
1. Conduct one FULL SCALE EXERCISE annually • Must participate in a community based exercise if offered • The PHD annual medical and health exercise in November is a
community based exercise • SNF/ICF’s have option to do PHD/ EMS Agency annual
evacuation exercise as full scale
2. Conduct one additional exercise • Can be a tabletop exercise
CMS Annual Exercise Requirements
13
Disaster Exercise Process
Read/Train Procedure: “read thru”
Discuss Procedure: Tabletop
“talk thru”
Do Procedure: Full Scale
“walk thru”
14
Need more information on exercise development?
• http://www.countyofsb.org/phd/statewideexercise/2019-trainings.sbc
15
Threats Flooding
• Winter storms/ prolonged heavy rains
• Dam break • Tsunami
Electrical Outage • Fire burning under
transmission lines • Fire – shut off for safety
of responders • Earthquake • Public Safety Power Shut
Down “PSPS” 17
How do you know if your facility or agency is at risk of flooding? • Past flooding experiences • Check flood maps:
• http://myhazards.caloes.ca.gov/ - Select Flooding tab and put in address • https://msc.fema.gov/portal/search#searchresultsanchor
18
Flooding can cause….. • Staffing issues • Blocked roads due to
standing water or trees/debris in the road
• Damage to your building and/or campus
25
Ways to Exercise Flooding • Plan for housing staff on
site • Evacuation • Alternate site to conduct
operations • Continuity of Business
• Identify staff that could be impacted by road closures
• If access to your building is blocked, identify areas for ambulances and staff to park
26
Key Health Challenges in Power Outage • Home medical equipment- including oxygen
concentrators • Dialysis • Air conditioning
• Health conditions exacerbated by heat • Food spoilage • Pharmaceuticals & Vaccines • Blood bank • Gasoline for home health and other workers 30
Notification from power companies
When possible electrical companies will provide up to 48 hours of advance notice
33
1. Update contact information with local power company
• PG&E: www.pge.com/mywildfirealerts • SCE: www.sce.com/safety/wildfire/psps
2. Register for county alerts- www.readysbc.org 3. Sign-up as a medical baseline customer 4. Plan for where they will go, and who will assist
them, in an extended outage
Encourage clients/patients to….
34
SCE Medical Baseline Program
https://www.sce.com/residential/assistance/medical-baseline
QUALIFYING MEDICAL DEVICES • Aerosol Tent • Air Mattress/Hospital Bed • Apnea Monitor • Breather Machine (IPPB) • Compressor / Concentrator • Dialysis Machine • Electronic Nerve Stimulator • Electrostatic Nebulizer • Hemodialysis Machine • Infusion Pump • Inhalation Pulmonary Pressure • Iron Lung • Left Ventricular Assist Device (LVAD) • Motorized Wheelchair/Scooter • Oxygen Generator • Pressure Pad • Pressure Pump • Pulse Oximeter/Monitor • Respirator (all types) • Suction Machine • The Vest/Airway Clearance System • Total Artificial Heart (TAH-t) • Ultrasonic Nebulizer
36
How can we assist electricity dependent individuals? • Identify those individuals and facilities most at risk • Make sure individuals have a plan
• Extra oxygen tank • Someone to check on them and transport if necessary • Plan for a destination with power
• During large outages shelters for electrical dependent individuals • Note: If power outage is widespread few shelter sites have generators
• Be aware that dispatch may be overwhelmed with calls • Activate EOC call centers, contact clients and facilities to determine
status 37
http://www.countyofsb.org/phd/epp/poweroutages/
Outreach Campaign to Prepare Individuals Dependent on Electricity • Request that agencies distribute this resource and encourage or assist individuals to fill it out
38
• https://prepareforpowerdown.com/
• http://prepareforpowerdown.com/wp-content/uploads/2019/06/Emergency-Power-Planning-Factsheet_revised-5.2018.pdf
• www.readysbc.org
• https://www.pge.com/en_US/safety/emergency-preparedness/natural-disaster/wildfires/public-safety-power-shutoff-faq.page
• https://www.sce.com/safety/wildfire/psps
• https://www.cpuc.ca.gov/deenergization/
Additional Resources
39
Does my facility have priority for restoration? • Electricity providers are aware of buildings that are
essential service providers • This may expedite restoration, but it may not • Depends on the area damaged and where you are located • The health department will advocate for early restoration
of essential service providers • In a PSPS all facilities are at risk!
40
Will Phone and Internet Work in Power Outage? • As long as the fiber optic cables and other infrastructure is good,
then internet should function. • However WIFI modems and routers will not have power • Determine if your facility or agency phones work in a power outage
• VOIP phones will not work without power
41
What are the threats to cell service from Power Outages? • Individuals cannot call 911 from cell phone if battery dies • Cell and internet availability is based on the battery
backup or generator capability of each cell tower and internet data center feeding our area • Most towers have battery backup that should last a few hours • Others (longer range primary towers) have generators and can
run indefinitely as long as they can be refueled
42
Tips to Keep your Phone Running During a Power Outage During a power outage: • Turn off phone’s location services, Wi-Fi, NFC, Bluetooth and any background apps to
preserve battery power • Dim the screen to the lowest point that you can comfortably read it • Avoid using the phone unless necessary • If your phone supports “low power mode,” enable that feature as soon as the power goes
out: • iPhone — go to Settings, scroll down to Battery and select Lower Power Mode. That will reduce
power consumption by disabling Siri, background apps, mail fetching and other power hungry activities
• Samsung Galaxy phones –Go to Settings and then Device and then Battery and select “ultra power saving mode”
• Other phones — Use a search engine to search for “power saving mode” + the name of your phone to see if it is available
• If you have access to a car, charge phone in car’s power plug • If the power comes back on, plug your phone back in. Power may not stay on.
43
Power Restoration and Surges Avoid damage to electronics due to voltage surges during power restoration When power goes out: • Unplug appliances with electronic components • Computers, refrigerators, microwaves, TV’s • Plug back in, waiting a few minutes, after power is
restored • Good surge protector (Hi joules, low VPR) is an
alternative 44
How will staff get gasoline?
45
• Limited gas stations with generators in Santa Barbara County
• Encourage staff to keep tanks at least half full if possible
County Emergency Operations Center In widespread and prolonged events: • Prioritize gasoline distribution for essential
services • Bring in gasoline trucks for essential workers
and essential generators
46
Ways to Exercise Power Outage Procedures and Training
• Do you have a power outage procedure?
• Patient paper record procedure • Vaccine storage procedure • Are your staff trained in the
power outage procedure? • Do you have exam room
lanterns/batteries? • Generator/Fuel? • What is powered by generator?
Exercise Activities • Follow your procedure • Put building on generator • Print out records on battery
power • Activate downtime procedures • Access/use paper charts • Use vaccine and medication
maintenance procedure • Access patient schedules • Provide meals without power
47
Communication during Disasters • What communications systems might work?
• Landlines/Fax line • Satellite Phones • Radios and walkie talkies • Texting/cell phones
• What might not work? • Cell phones (initially overloaded-no battery) • Email/Internet: tied to electricity /routers and cables • Facility phones if VOIP or the system requires power
48
If Communication are Systems Out: • Do you have a disaster communication
plan/procedure? • Are your staff trained? • How will your facility/agency report that you need assistance? • How will the City/County/PHD determine your status?
49
Disaster Communication Methods
• PHD 800 MHz radios: Hospitals, PHD Health Care Centers, Sansum, Direct Relief
• Facilities send a runner to report status to a City EOC to be relayed to County EOC, for urgent needs or closures
• Facilities could report immediate needs to a fire station or hospital
• Satellite phone at hospital and DOC/EOC • ARES will deploy to hospital (Amateur Radio Emergency Services)
• Other? What is your plan to communicate with staff? 51
• CAHAN is the official public health altering and notification program for California
• PHD uses CAHAN to alert partners in a disaster or emergency • All facilities should have at least 2 staff enrolled in CAHAN • Contact Stacey Rosenberger- phdpreparedness@sbcphd.org if
you need to sign-up for CAHAN
52
Ways to Test Communication Do you have a plan for…
• With and without communication failure
• Communication to: • Staff • Clients • PHD/Emergency Agencies
• Equipment: generator, extra phone chargers, phone power pack
• Radio: solar or crank
Exercise your plan • Communicate to staff/clients
without internet or phones • Post information on large
sheets of paper for staff • Locate and use landline for
fax, test radio solar/crank • Use runners within your
building to bring messages • Use walkie talkies or radios to
request items, give assignments, status
54
Need Full Scale Exercise Ideas?
• http://www.countyofsb.org/phd/statewideexercise/2019-trainings.sbc
55
Break • Flood maps • Get up and look at flood maps • Is your facility in flood area? • Are roads to your facility in flood area?
56
EOC and PHD DOC Activations Agency Date Incident Name Location
PHEP/EMSA November 2018
Woolsey Fire Ventura
PHD DOC May-June 2019
Measles Santa Barbara/Ventura
EOC/PHD February 2019 Storms 1-3 Santa Barbara EOC/PHD September
2019 Conception Boat Incident – Mass Casualty
Santa Barbara
PHEP/EMSA September 2019
PSPS Santa Barbara
PHEP/EMSA September 2019
McMurray Fire Santa Ynez
58
Organizational Levels of Disaster Response & Assistance
59 Field
Operational Area
Local Government
OES Region
State County Emergency Operations Center
60
COUNTY EMERGENCY OPERATIONS CENTER
Public Works DepartmentOperations
Center
Public Health DepartmentOperation
Center
City of Santa Maria
City of Guadalupe
City of Buellton City of Solvang
City of Goleta City of Carpinteria
City of Santa Barbara
City of Lompoc
Sheriff’s Department Operation
Center
County Fire Department Operation
Center
Role of County and Cities in Supporting Essential Services
If you need resources to maintain services in a disaster who will you ask for help?
• Vendors • Partners • Public Health Department • Cities
61
62
County EOC
City EOC Public Health Department /EMS
Healthcare or Long Term Care Facility or
Agency
Licensing CDPH & CCLD
Water/Utility Service Generator Shelter PortaPotties 911 Calls
Medical Evacuations Transportation
Generator Medical Shelter
Medical Services/Supplies
Public Health Department & EMS Agency Healthcare arm of emergency management • Responsibilities:
• Report the status of healthcare, residential care, mental health, environmental health to CDPH
• Order medical/public health mutual aid • Assure and facilitate ongoing delivery of care
• Activate field EMS and outpatient operations • Coordinate care among Disaster Healthcare Coalition Partners
• Evacuate and shelter medically fragile • Assist with medical and general population sheltering
63
Required Function as identified in CA Health and
Safety Code §1797.153 Lead Entity Associated Disaster Plans, Policies, & Procedures
1. Assessment of immediate medical needs. PHD/EMS
2. Coordination of disaster medical and health resources.
PHD
3. Coordination of patient distribution and medical evaluation.
PHD/EMS
4. Coordination with inpatient and emergency care providers.
PHD/EMS
5. Coordination of out-of-hospital medical care providers.
PHD/EMS
6. Coordination and integration with fire agency personnel, resources, and emergency fire pre-hospital medical services.
PHD/EMS
7. Coordination of providers of non-fire based pre-hospital emergency medical services.
PHD/EMS
8. Coordination of the establishment of temporary field treatment sites.
PHD
9. Health surveillance and epidemiological analyses of community health status.
PHD
10. Assurance of food safety. PHD
11. Management of exposure to hazardous agents. EHS 49 CFR 1910.12
12. Provision or coordination of mental health services.
ADMHS
13. Provision of medical and health public information protective action recommendations.
PHD
14. Provision or coordination of vector control services.
EHS
15. Assurance of drinking water safety. EHS
16. Assurance of the safe management of liquid, solid, and hazardous wastes.
EHS
17. Investigation and control of communicable disease.
PHD
MHOAC 17
functions
64
MHOAC in Action
66
SNF FACILITY LOSES
GENERATOR PSPS
Heat Wave Evacuation
Needed
CALL TO EMS DUTY
OFFICER “MHOAC”
Launches Reddinet to
Request Beds and
Transport
Requests ambulances and W/C vans from
Region 1
Opens PHD Department Operations Center to
Coordinate Send situation status report to Region,
CDPH, and State EMSA
67 Healthcare, long term care,
animal services, environmental health, EMS,
status
MHOAC
Status Report and Requests from
Medical and Health during disaster
Reporting Status and Requesting Resources Medical and Health Operational Area
Coordinator “MHOAC”
• CAHAN is the official public health altering and notification program for California
• PHD uses CAHAN to alert partners in a disaster or emergency • All facilities should have at least 2 staff enrolled in CAHAN • Contact Stacey Rosenberger- phdpreparedness@sbcphd.org if
you need to sign-up for CAHAN
74
Disaster Healthcare Partners Coalition Plan
• Governance Document • Preparedness • Response
76
http://www.countyofsb.org/phd/epp/coalition.sbc
In a Disaster: How do we know the Status of Your Facility or Agency? You provide your facility/agency status: Open or Closed? Can accept patients? Can support field
operations? Damaged building? Needs to evacuate? 79
How to Communicate Status • Partners provide status to the PHD Via:
• Hospitals and SNF : “Reddinet” • Partners: Email or fax status report forms • Verbal status is OK initially • Call, fax, sat phone, runner, radio, or ARES if
communication damaged
80
Cumulative Status Report Facility Status
Report 1
Facility Status
Report 2
Facility Status
Report 3
Cumulative Status Report
84
Organization Command center reviews and populates cumulative Status Report providing a full picture of organization capacity and capability to the PHD DOC
PHD DOC
Organization Command Center
Home Health & Hospice Agency Status Report
88
Provide list of all patients who your agency is unable to contact, refuses evacuation or is sheltering in place.
Requesting Resources from the PHD • What forms will you
use if you want to make a resource request? • General • Personnel • Medical
91
What to include on Resource Requests • Provide specific details,
size, type • Delivery site location
and contact information
• Signed • You may be responsible
for paying for the item(s) procured
92
Status Report Activity Based on the scenario and what your facility plans to do for the exercise:
1. Complete a status form for your facility/agency type 2. Identify one potential resource need & what form
you will need to submit to the PHD DOC
93
Scenario • Early morning on November 19 a winter storm causes flooding with road
blockages in Santa Maria, Lompoc, and areas of southern Santa Barbara. • Freeway underpasses are flooded in some areas. • Rain continues through November 21st leaving roads and homes flooded
for 3 days. • Santa Ynez River is close to overflowing its banks in Lompoc, and street
flooding is reported around the Lompoc Skilled and Rehabilitation Facility and a large assisted living facility.
• Ambulance access to Lompoc Hospital is delayed due to street flooding. • Santa Maria River is overtopping banks. Due to flooding, CHP has closed
surface streets and Highway 101 bridge between North Broadway and Highway 166. 94
Scenario Cont. Road Closures: • Highway 101 at the county
line between San Luis Obispo and Santa Maria
• Hwy 1 between Lompoc and 101 closed due to rock falls
• Hwy 154 closed below Painted Cave closed in both directions due to rock falls, flooded roads and extremely limited visibility
Power Outages: • Power outages reported
due to trees down on power lines
• Large sections of cities are experiencing outages
• SCE and PGE representatives are telling the public that power cannot be restored for at least 24 hours
95
BREAK! • Review CAHAN list!
• Make sure your facility/agency has at least two staff in CAHAN
• Update staff CAHAN information- highlight staff that need to be deleted
• Fill out CAHAN sign-up form if you need to be added to they system
96
Preparing for the Exercise • Review your emergency operations plan
• Decide what procedures or policies you want to test • Develop your Exercise Plan
• Determine objectives and activities that go with those objectives
• Develop your scenario • Plan full scale activities to test your procedure using the
Schedule of Events & Evaluation Guide
98
Exercise Day: November 19th-21st • Activate your emergency operations plan and command structure • Exercise facility/agency power outage procedures and any other
procedures or policies you have identified • Communicate with PHD: CAHAN, Submit a Status Report and/or
Resource Request. • Evaluate participation using schedule of events and evaluation
guide • Debrief with your staff • Write after action report
99
Exercise Schedule Date/Time Activity
Tuesday, November 19th - 9:00am-12pm
Home Health Agencies • CAHAN goes out to Home Health, Hospice Agencies
and Serenity House • Gives scenario, starts exercise day • Conference Call
Wednesday, November 20th – 9:00am-12pm
Skilled Nursing Facilities & CCRCs • CAHAN • Evacuating SNF report • Conference Call
Thursday, November 21st - 8:00 am
CAHAN sent out to all healthcare partners Gives scenario, starts exercise day Facilities activate plans and start your exercise
9:00am-11:00am Submit Status Reports & Resource Requests to PHD
11:00 am Conference call between healthcare partners & PHD
12:00 pm End of Exercise 100
Partner Instructions
101
• Found on the exercise webpage
• Instructions provided for each each exercise day
What documents & forms do you need? On PHD Exercise Webpage
• Exercise Plan & After Action Report
• Schedule of Events & Evaluation
• Status Report • Resource Request
Your own
• Sign- in sheet • HICS/NHICS/ICS Forms
102
Exercise Plan & After Action Report
104 http://www.countyofsb.org/phd/statewideexercise/2019-forms.sbc
Developing Objectives – Describe what you trying to test SMART Objectives • Specific • Measurable • Achievable by staff • Realistic • Timebound
106
Not So SMART • Test the ability to
communicate with staff during an emergency
SMART • Staff will
demonstrate activation of the disaster communication procedure within 20 minutes of drill alert. 107
Sample Objectives & Tasks Objective Task/Activity to Meet Objective
Set-up, staff, and activate HICS for the Hospital Command Center within 20 minutes of code disaster call.
Overhead page activated to call staff to HCC. 6 major HICS roles assigned. Staff access vests and job checklists. Logistics section set up command center.
Activate and demonstrate use of the power outage communication procedure (within 30 minutes of activation).
Staff locate procedure. Staff and client communication provided according to procedure. Unplug fax line, plug in analog phone, use phone to report status to PHD DOC.
108
Objectives, Tasks, and Evaluation Sheet
109
Objective Task/Activity to Meet Objective Met Partially
Met Not Met
1. Staff will demonstrate activation of the disaster communication procedure within 20 minutes of drill alert.
Staff locate disaster communication procedure
Staff activate overhead paging system to announce activation of disaster communication within 20 minutes
Staff locate and activate walkie talkies and use them to communicate.
Staff locate analogue phone line and plug in landline phone.
Staff perform activities on procedure checklist
2. Facility will be able to use generator power to maintain health of residents within 20 minutes of power outage.
Generator comes on when power goes out. Staff locate red plugs for essential client/resident needs and assure items are appropriately plugged in.
Objectives and Activity Samples List
110
Threat Objective Facility Type Activity
Power Outage
Demonstrate ability to activate disaster plan including staff communication, set-up, and staff agency/facility command center within 30 minutes of exercise/event notification. All
Perform call in process for staff to the command center. Staff take all actions to set-up command center . Access of disaster plan and procedures in hard copy. Staff put on vests and locate job checklists.
Power Outage
Activate and demonstrate use of the power outage communication procedure (within 30 minutes of activation). All
Staff locate power outage communcation procedure.Provide staff and client communication according to procedure.Unplug fax line, plug in analog phone, use phone to report status to PHD DOC.
Power Outage
Staff demonstrate ability to activate the facility/agency computer/power downtime procedures (within XX minutes of outage.). All
Begin computer downtime procedures within 5 minutes of power outage. Staff take necessary actions to print out patient schedules, records, charts. Staff locate and demonstrate ability to use paper charts.
Activity: Developing Objectives & Tasks • 10 minutes:
• Develop your facility/agency specific objectives and tasks to test that objective
• Share ideas with group
111
Scenario • Early morning on November 19 a winter storm causes flooding with road
blockages in Santa Maria, Lompoc, and areas of southern Santa Barbara. • Freeway underpasses are flooded in some areas. • Rain continues through November 21st leaving roads and homes flooded
for 3 days. • Santa Ynez River is close to overflowing its banks in Lompoc, and street
flooding is reported around the Lompoc Skilled and Rehabilitation Facility and a large assisted living facility.
• Ambulance access to Lompoc Hospital is delayed due to street flooding. • Santa Maria River is overtopping banks. Due to flooding, CHP has closed
surface streets and Highway 101 bridge between North Broadway and Highway 166.
112
Scenario Cont. Road Closures: • Highway 101 at the county line
between San Luis Obispo and Santa Maria
• Hwy 1 between Lompoc and 101 closed due to rock falls
• Hwy 154 closed below Painted Cave closed in both directions due to rock falls, flooded roads and extremely limited visibility
Power Outages: • Power outages reported due
to trees down on power lines
• Large sections of cities are experiencing outages
• SCE and PGE representatives are telling the public that power cannot be restored for at least 24 hours
113
Developing Facility/Agency Specific Scenario Include:
• Impacts to Facility/Agency • Building damage, communication loss, utility loss, damage around
the facility, access to the building etc.
• Impacts to Staff • # of staff unable to come into work due to road closure or family, any
staff injuries, staff stuck at facility due to road closures etc.
• Impacts to Patients/Residents • # of injured patients/ residents
114
Activity: Scenario Mad Libs • Add screen shot of
scenario madlibs 10 minutes:
• Complete Facility/Agency specific Scenario
• Share with group
115
117
• PHD will provide Exercise Schedule of Events & Evaluation Guide for each exercise day • PHD activities that partners need to response to are in bold • Items in blue shaded rows are examples and can be changed/update by partners
Activity: Filling in Schedule of Events • 10 minutes:
• Write in the objectives and tasks you developed earlier • Write in any messages or events that activate exercise play:
• Overhead page alerting staff to the exercise • Incident Commander being given note with information about a downed tree
blocking facility • Facilities reports over walkie talkie that there is standing water in one section
of the building
118
What forms need to be to submitted to PHD?
November 19th-21st All Healthcare Partners: Status Report
Emailed, Faxed or ReddiNet (SNF/Hospitals)
Resource Request (Optional) Home Health: List of patients in impacted
area Evacuating Skilled Nursing Facility List of residents- where they
went and how they were transported
After the Exercise After Action Report &
Improvement Plan Photos (optional) Submit to
phdpreparedness@sbcphd.org by January 31st
119
2019 Exercise Participation Record
Participation Letter
Submitted Status Report
Respond to ReddiNet
Respond to CAHAN Alerts
Submitted After Action Report
120
Document, Document, Document!
• Exercise Plan & After Action Report
• Photos of exercise • Sign-in sheets • Letter of Participation from
Public Health Department
123
1. Collect all documents used during the exercise
2. Conduct after an action meeting
3. Write an After Action Report and Improvement Plan
4. Submit AAR/IP to PHD
Wrap Up & Next Steps • Complete & turn in training evaluation form • Plan for your exercise with your planning team:
• Decide what procedures or policies you want to test • Determine objectives and activities that go with those objectives • Complete Exercise Plan for your facility
• Call in to pre-exercise conference calls as needed • Attend Final Exercise Planning Meeting if needed
125
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