Severe Weather Ttx Train the Trainer

Agenda Overview Facility focus Scenario Discussion Questions Hotwash

Overview Scenario will be presented, followed by questions pertaining to your emergency plans Everyone receives the same information at the same time No fault learning environment. No trick questions, no wrong answers, no stress Everyone will have up to 20 minutes to answer and record to share with the group Scenario is plausible, don’t fight it

Facility Focus: Outpatient Hospice Ambulatory Surgical Centers Programs of All-inclusive Care for the Elderly Home Health Agencies Therapy Dialysis Centers Comprehensive Outpatient Rehabilitation Clinics (such as Federally Qualified Healthcare Clinics, Rural Health Clinics)

Objectives and Capabilities https://phe.gov/Preparedness/planning/hpp/reports/Documents/2017-2022-healthcare-pr-capablities.pdf

Section 1 Scenario July 12th 2017 around 0830am. It’s a muggy, overcast day with a very light breeze. Temperatures are projected to reach 92*F, with a low of 81*F. The National Weather Service has issued a severe thunder storm warning for Clark County. NWS is advising several strong storm cells capable of producing high winds, excessive rain, and pea sized hail is traveling east at 25 to 35 mph. The National Weather Service has deemed the first cell unstable as it gains speed and strength. This cell is expected to reach your area around 10am.

Section 1 Discussion Questions Is this an incident? How do you receive information? What plans do you activate? What are the triggers? Who activates them, and how is that communicated? Describe the locations if they are designated Are you moving locations or away from windows? Do you have clear pathways? Who is moving it if not? Do you prepare the pt? shoes, belongings, etc? Does food include EVERYONE in the facility? What about medications for visitors? Insulin?

Section 1 Continued Scenario 0930 A tornado warning is issued

Section 1 Continued Discussion Questions What plans do you activate? Who activates them, and how is that communicated; and to whom?

0946am. Local media confirms a tornado touchdown Section 2 Scenario 0942am. The first of several storm cells reach your area. Local media is advising to take cover 0946am. Local media confirms a tornado touchdown 0948am. Residential power is lost to several areas, as well as your office. Generators have failed to engage 0950am. Significant damage is sustained to your office from the flying debris 0955am. Immediate threat has cleared the area

Section 2 Scenario Continued 1015am. Tornado warning has been lifted. Emergency services are tied up with search and rescue Many roads are blocked by trees and debris. Heavy rain continues with the next passing storms and rain water is coming into your office. You are starting to obtain a better picture of damages and strive for accountability. Explain phone infrastructure overload

Section 2 Discussion Questions Has your staff been trained to operate the backup generator at your office, and troubleshoot issues? Who are the internal and external communications with? How are internal and external communication taking place? How do you prioritize patient contact? What are the procedures for patients you are unable to make contact with? External= patients? Staff? Partners?

Section 3 Scenario Staff is trying to make contact and prioritize patient care. Office generator was made operational through troubleshooting Inside temperatures at patient homes are a problem Many patients have medications due How are you managing anxieties of patients/residents?

Section 3 Discussion Questions What patients are contacted and what procedures are followed if they're unreachable? How long can you sustain current operations in austere conditions at your office? How will you document your medications and care if electronic charting is unusable? What medical care are you continuing under emergency operations? Are you using altered standards of care? If yes, describe

Section 4 Scenario Injured have been transported by ambulance You have accounted for all staff members and patients Emergency crews will have all roadways cleared by morning

Section 4 Discussion Questions Do you have agreements established with other facilities or agencies for assistance? If non emergency transport is needed, how are they to be transported? Do you have agreements for equipment if shortages arise ? Do you have any long term relocation plans? Plug for county MOU EMS TX by private

Hotwash Have you identified any strengths in your emergency plans? Have you identified any areas for improvement? Suggestions? Comments?

Local contacts Clark County Emergency Management Agency 3130 East Main Street, Suite 1E Springfield, OH 45505 (937) 521-2176 Lisa D’Allessandris, Director - (937) 605-0576 Ken Johnson, Deputy Director (937) 605-2629 Selinda Sizemore, Planner (937) 521-2177 Clark County Combined Health District 529 East Home Road, Springfield, OH 45503 (937) 390-5600 (24/7 access)