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Volunteers in Surge Functional Exercise Slide 2 Schedule Slide 3 ESF8 WebConference Agenda ESF8 situation status Health Department surveillance reports Incident Command update Health facility reports Hospital Emergency Medical Supplies Warehouse DPHE/County coordination issues Slide 4 Injects/Homework Will be basis of reporting to ESF8 WebConference Requests by other agencies (i.e., MRC, DPHE, HC Facilities, County EOC) Items necessary for future coordination Requests from Incident Command Slide 5 Rules of conduct Real emergency actions take priority over exercise actions. THIS IS AN EXERCISE REAL WORLD EMERGENCY TIMEOUT Identify YOURSELF and the person/agency you wish to SPEAK TO. Follow ESTABLISHED policies and procedures WHENEVER PRACTICAL. Slide 6 Objectives Volunteer activation, training, and management plans Rapid staffing analysis, situation assessment, and ESF8 coordination Surge staff planning using ICS/NIMS Slide 7 Target Capabilities Medical Surge is defined as rapid expansion of the capacity of the existing healthcare system in response to an incident/event that results in increased need of personnel, support functions, physical space and logistical support. Volunteer Management and Donations is defined as the capability to effectively coordinate the use of volunteers and donations in support of domestic incident management. Slide 8 Target Capability Assumptions Offers of assistance may not come from other cities, counties, organizations, jurisdictions. Allocation of resources community, field, hospital. Patient tracking/family reconciliation Altered Standards of Care Shortages: Staff, resources, space, equipment. Healthcare practioners working in compromised conditions Public anxiety/risk communication Emergency Medical Services are overwhelmed Slide 9 Resources Emergency Operations Resource Manual (from the EOP Workshop.) Associated Appendices as requested/provided or revised Functional EXPLAN Maps, contacts, support as requested Virtual Healthcare Coordination Center (HCC) ESF8 Partners, resources, data/info First step in county-level requests Data/Information portal for ESF8 Contacts: ; FAX to HCC at Attn: Exercise-HCC Slide 10 STARTEX Slide 11 Looking Back During the peak illness period in October H1N1 there were only 52 hospitalizations in County (tests for H1N1 were done only for hospitalizations). Slide 12 Slide 13 Novel Influenza Situation Update Novel Influenza virus- originated in Mexico City with later outbreaks in major metropolitan areas. Attack rate is approx. 40%. Thought to be a possible H1 variant, mortality is near 15% in seasonal risk groups. However, secondary infection (i.e., pneumonia) has been high among healthy adults. Slide 14 Coordinated Hospital Response Increased PPE usage and healthcare practitioner ILI policy similar to during H1N1. Visitor Restrictions Daily Hospital Status Report data to ESF8 Liaison. Inpatient/ED census (including ILI) Staff absenteeism monitoring (ILI/non-ILI) Medical Supply Monitoring/Antiviral counts HCP ILI illness staffing policy in non- essential services with flexible leave. Slide 15 Community Messages Call First ED is for Emergency! Hand Hygiene Shoo the Flu Stay Home if you are sick. Slide 16 To make matters worse 0900: A train with an unknown liquid became separated and derailed during a routine railcar connection. More than 50 students/staff are exposed to a plume while arriving for school. Numerous resources were dispatched through 911 and the ED at was alerted. School staff is told to shelter- in-place for an indefinite period of time. It is projected that the operations will continue for at least the next 15 hours (until midnight.) Slide 17 Situation (contd.) is the Emergency Operations Center for the response due to the proximity to the incident, to medical care, and food service for responders and volunteers. Volunteer and EMS support will be crucial to maintaining support operations throughout the evening and the next day for all medical facilities within the surrounding and area. ED began seeing arrivals by POV at 0935. / Police are joint Incident Command on scene. Right now they are trying to contain patients exposed to ensure tracking system is established. Slide 18 Plume Wind Direction High School Location of Tanker with unknown liquid Time: 0935 Slide 19 Incident Command Post is identified as the Incident Commander on scene. Incident Command Post is located downwind from the railcar. ICP High School Slide 20 Current Staff Shortages (HCC) FacilityMedical Staff ILI Medical Staff Type Non-Medical Staff ILI Non-Medical Staff Type 16 RT, RN-CC, ED- various, Pharmacy, Lab Tech 12 Admissions, Environmental Services, Purchasing, [ ] 8 RN, CNA, PA 12 (3 Vol) Admin, Finance, Materials, Housekeep 2, 4 RN, CNA 2, 1 Housekeeping, Front desk 12**14** As of 0900 4/15/10 per Hospital Status Report Slide 21 Homework #1 Hospitals have been asked by HCC to do an assessment of staff and resources, taking into account: Number of Staff affected by school incident Number of Staff Ill, options for coverage in ED/Inpatient HCC has requested MRC to do a volunteer assessment for deployment to healthcare facilities. Slide 22 Homework #1 EM has asked for ESF8 info: Plan for enforcement of existing hospital restrictions/ consequences of ILI absence policy Hospital activation levels with corresponding staffing/resource decisions Capacity for decontamination of patients from scene EMS coordination and assistance in planning for patient tracking Hospital Public Messaging through JIC (how/who). Slide 23 ESF8 WebConference Agenda for 1200 ESF8/HCC situation status Health Department surveillance reports Incident Command update- Health facility reports ,,, DPHE/County coordination issues Contacts: ; FAX to HCC at Attn: Exercise-HCC