Basic emergency preparedness for public health workers,emergency response action plan template,waterbob emergency drinking water storage uk - PDF Review

Main ContentThe jurisdictional EOP provides action guidance for incident response at the level of the responding community. By incorporating basic ICS and emergency management principles, and by integrating public health and acute-care medical disciplines, a functional Tier 3 management structure is proposed. Important family documents such as copies of insurance policies, identification and bank account records in a waterproof, portable container. Household chlorine bleach and medicine dropper – When diluted nine parts water to one part bleach, bleach can be used as a disinfectant.
What management structure will allow us to discuss, analyze, and describe complex medical and public health response under exceptional[2] circumstances as a single system? Examinations of major public health and medical emergencies reveal exceptionally complex management scenarios. Medical system resiliency: The ability of healthcare organizations (HCOs) to survive a hazard and rapidly recover any compromised medical services is critical. Responder safety: The protection of healthcare personnel and other responders as they perform activities to minimize the hazard impact on an affected population is paramount. Information management: A large amount of complex information must be collected, analyzed, and managed to determine incident parameters and response needs. Coordinating diverse operating systems: The multiple disciplines involved in response to a major public health or medical event do not routinely work together.
Resolving intergovernmental issues: Major public health or medical incidents often involve initiatives across multiple levels of government. Medical asset support: For public health and medical response agencies to perform optimally, extensive logistical, financial, and administrative support is necessary. Addressing time constraints: Medical emergencies are time-sensitive and require rapid intervention by clinicians to address the urgent medical and surgical needs of victims. Incorporating public health and medical assets into public safety response: In many locales, public health and medicine are not recognized as traditional first responders.
Given the complexity of response to major public health and medical events described here and elsewhere, sustainable solutions to these multifaceted challenges have been elusive. The basis of the MSCC handbook is the Medical and Health Incident Management (MaHIM) System, the first published U.S.
The goal of this project is to develop a management system (framework) that promotes public health and medical system resiliency and maximizes the ability to provide adequate public health and medical services during events that exceed the normal medical capacity and capability of an affected community. Provide concrete operational direction without supplanting State and local authorities' responsibilities and initiatives. Promote coordination between medical response management and the larger emergency response community. Delineate information management and coordination processes that can be established at the local and regional levels to rapidly enhance surge capacity and capability.
Define a management system that is directly applicable to mitigation, preparedness, response, and recovery activities, and on which current and future training efforts may be based. Use a working group process to obtain a wide range of expert input through an open, valid peer review of concepts and products. As shown below, the MSCC handbook presents a system for management integration that ranges from the individual healthcare organization (HCO) through jurisdictional, State, and Federal Government levels.[5] Because of the local jurisdiction's central role in providing MSCC, the handbook's primary emphasis is on jurisdictional incident management and the coordination and support of HCOs. The MSCC Management System is designed to promote the integration of existing programs for incident management used by hospitals, public health, and traditional response entities into an overarching management system for major public health and medical response. Defining a system that integrates the management of local, State, Tribal, and Federal medical response to provide optimal surge capacity and capability, while protecting healthcare staff, current patients, and healthcare system integrity. Defining the management relationship between HCOs and providers, and the multiple levels of government response.
Establishing incident planning processes and information management to promote an integrated medical response that is timely and accurate.
Providing a platform for effective training of medical incident management and response, from the local to the Federal response levels. This handbook does not focus extensively on the internal management of individual public health and medical assets, nor is it specifically for hospital emergency preparedness. The National Response Plan and individual Federal health and medical programs should be accessed for specifics on these Federal capabilities.
Readers may apply the management processes detailed in the MSCC handbook to ongoing preparedness planning activities. The concepts are applicable to response across all hazards, from small incidents to the largest and most intense events.


The management processes described in the MSCC may also be leveraged to integrate local capabilities developed through other Federal programs, such as the Metropolitan Medical Response System (MMRS). In complex incidents, the victims have unusual medical needs or require medical care that is not readily available. Throughout this document, exceptional refers to unusual numbers or types of victims, affected medical care systems, or other adverse conditions. The term system in this project means a clearly described functional structure, including defined processes, that coordinates otherwise diverse parts to achieve a common goal. The MSCC handbook acknowledges the sovereignty of Tribal Nations and the responsibility of Tribes for preparedness and response planning in areas governed by Tribal authority. Emergencies can be caused by nature (an earthquake or disease outbreak), accidents (a hazardous chemical spill), or intentional events (bioterrorism). Our goal is to prevent harm where possible, and, when harm is unavoidable, to limit its damage to you and your family. We also participate in local and regional emergency response exercises and maintain a region-wide emergency health communications system. Help state and federal agencies monitor air, food, and water supplies to ensure they are safe. Washington State healthcare professionals interested in volunteering their services during an emergency, please visit Region 2 Medical Reserve Corps or Washington State volunteer list. Many agencies are working together to protect the public from the possible threat of bioterrorism.
The Centers for Disease Control (CDC) is the best source for current bioterrorism information. The Washington State Department of Health has similar information available about possible threats, and how they are handled in Washington State. When there is an oil spill or other chemical spill in Clallam County, the Environmental Health Division assists the Washington State Department of Ecology (DOE) to help ensure proper cleanup. There are a variety of disasters that are possible in Clallam County, such as floods, droughts and earthquakes. The American Red Cross has suggestions on their website about being prepared before a disaster, being safe during one, and handling the aftermath.
The Seattle & King County Public Health Department has several fact sheets available about disaster preparedness.
The sum of all activities related to developing and implementing the jurisdictional EOP represents preparedness.
In a mass casualty or complex medical event, the Tier 2 liaison will likely integrate at the Operations Section of the incident management team.
This means having your own food, water, and other supplies in sufficient quantity to last for at least three days. You can use the Emergency Financial First Aid Kit (EFFAK) – PDF, 277Kb) developed by Operation Hope, FEMA and Citizen Corps to help you organize your information.
Or in an emergency, you can use it to treat water by using 16 drops of regular household liquid bleach per gallon of water. This is true for all hazard types (natural disasters, infectious diseases, terrorism, large-scale explosives, and etc.) and is apparent even in events without large numbers of physically injured or ill patients. Personal protective equipment (PPE), vaccination, prophylactic medication, and other interventions may be necessary in the midst of a rapidly evolving emergency.
Information is needed to rapidly and accurately determine patient distribution and numbers, the range of injury and illness caused by the hazard, recommendations for evaluation and treatment, the post-impact condition of public health and medical assets, and other response considerations. Usually, Federal and State Governments operate in support of the local response, though the reverse may occur. This may include ensuring prompt and reasonable financial compensation for extraordinary medical efforts, and temporarily waiving certain regulatory and compensatory requirements so medical assets may care for increase patient volume.
As a result, they may not receive equal treatment and prioritization for training and funding compared to public safety and other response assets. The MSCC Management System proposed in this document outlines and recommends a systems-based approach[3] that focuses on the management solution for these complex tasks.
This guidance must be flexible and allow the integration of ongoing initiatives and programs, while maintaining consistent management architecture. The handbook also highlights the functions and processes that promote integration of assets into an overall response system and coordination between assets. It defines the basic requirements for medical and public health asset participation in the overall response system.


Whether undergoing initial development or revision of existing plans, readers are encouraged to examine portions of the MSCC applicable to their specific situation. They are presented in a manner that demonstrates their consistency with NIMS, a requirement for Federal funding. These medical needs may be difficult to define or address without specialized expertise, even with only a few casualties. Our emergency planning and preparation begins with developing health-related strategies, guidelines and protocols for emergency response with local partners, such as the Clallam County Department of Emergency Management, hospitals, tribes and local health care providers.
This system assures that every Clallam, Kitsap, or Jefferson County resident with a public health concern has access to an on-call public health duty officer, around the clock, every day of the year. Sign up for Clallam County Sheriff's Office community notification system called Clallam Co. As a public health agency, the Environmental Health Division may become involved in a variety of emergency situations.
This includes establishing equipment and supply needs, educating and training personnel, and exercising the system to evaluate and improve procedures.
In a primarily non-medical event, the Tier 2 liaison may integrate through the health and medical Emergency Support Function (ESF) or other functional group in the EOC (see IS-701, Lesson 2). Local officials and relief workers will be on the scene after a disaster, but they cannot reach everyone immediately.
More recently, the devastation caused by Hurricane Katrina and the mass disruption of public health and medical services along the Gulf Coast spotlighted the need for cohesive strategies that focus on management systems for major public health and medical response. Medical evaluation and treatment of incident victims require many complicated tasks that extend beyond hands-on medical care and are dispersed across a wide range of resources.
Management activities at each level will vary from incident to incident and must be well coordinated. It further describes the processes that coordinate these functions to limit morbidity and mortality after exposure to a hazard. Though the handbook describes overall management processes and systems, it is not a compre-hensive, standalone description of MSCC.
They include, but are not limited to, public health (State and local) and emergency management personnel, emergency planners, planners at hospitals or other community health and medical organizations, public safety personnel, healthcare executives, public health and medical providers, and political officials responsible for emergency preparedness and response.
Incorporating the MSCC guidance may enhance their ability to interface with other response entities.
In fact, the MSCC Management System was incorporated into the 2006 guidance for the Hospital Preparedness Program (HPP). In States where Tribal Nations are located, State and local emergency planning should consider Tribal health and medical resources that may be called on to augment State or local response efforts. Surprisingly, however, the management of such complex scenarios has received very little attention. The MSCC Management System extracts key concepts from MaHIM to develop practical, operational guidance for medical and health emergency planners.
In so doing, it provides a systematic approach to organize and coordinate available public health and medical resources so they perform optimally under the stress of an emergency or disaster. For example, it does not address the specific amounts of materials, personnel, and other resources required for specific numbers of patients.
The handbook is meant to promote collaborative planning and discussion among these professionals. Most importantly, the material presented is intended to promote cooperative planning and community integration of public health and medical assets into the overall response.
This represented a major shift in the program's focus towards the development of management systems for emergency public health and medical response.
In addition, basic services such as electricity, gas, water, sewage treatment, and telephones may be cut off for days, or even a week or longer. The material is also relevant as an evaluative measure during after-action analyses, and in developing and implementing education, training, drills, and exercises. HPP awardees should use the MSCC to promote more consistent terminology, processes, and interfaces between HCOs and the various disciplines and levels of government involved in emergency preparedness and response. Medical and Health Incident Management (MaHIM) System: A Comprehensive Functional System Description for Mass Casualty Medical and Health Incident Management.



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