Tabletop Exercise Sept 15, 2016 Prepared by: Brian Madison The Center for Preparedness Education

Exercise Planning Team Brian Pamela

Life Support Issues Phones/Pagers Restrooms Emergency Exits Other Safety Information Breaks

Agenda Exercise Structure and Format Player and Facilitator Roles Exercise Rules STARTEX

Purpose The purpose of the exercise is to evaluate and review Memorial Health Care Systems Emergency Operations Plan.

Exercise Objectives Communications. Evaluate the Great Plains Health Care processes and procedures for communicating with staff and key stakeholders Critical Resources Logistics and Distribution. Assess Great Plains Health Care ability to identify and acquire resources needed in responding to a localized disaster. Emergency Operations Center Management. Great Plains Health Care staff will demonstrate understanding of their roles in an emergency that surges normal capabilities

Exercise Objectives Cont. Emergency Public Safety & Security Response. Exercise participants will understand the role of Public Safety in an emergency and how Great Plains Health Care interact with Public Safety staff on-scene. Emergency Public Information & Warning. Great Plains Health Care staff will demonstrate their ability to provide public information and warning to staff and key stakeholders.

Exercise Structure & Format Discussion Based Exercise (Tabletop) Briefing Discussion Period Report-out Repeat the process

Facilitator Roles Guide the discussion Ensure that responses are recorded for inclusion in after action report Act as general information resources (if needed)

Exercise Rules Respond based on what you know (your understanding of your agency’s Disaster Plans and your knowledge of other existing plans and capabilities) Answers given are not carved in stone Assume realistic cooperation and support from responders and other public agencies

Exercise Rules Continued Issue identification is not as valuable as suggestions and recommended actions that could improve response and preparedness efforts. Problem-solving efforts should be the focus.

Tabletop Exercise June, 21 2016 STARTEX

Module 1 – April 15, 2016 It’s a sunny April morning with a 5 mph wind out of the NW. A school bus with 5 children on board is headed east toward an intersection. The sun is in just the right spot to make it difficult for the bus driver to see clearly. As the bus is approaching the intersection a pickup truck hauling an anhydrous tank turns west from the north and is hit by the bus, toppling the pickup and tank into the north ditch.

Module 1 – continued The bus driver keeps the bus upright but it has severe front end damage and is now facing north, blocking the entire road. The hoses on the anhydrous tank come off and anhydrous is spewing wildly from the hoses. The pickup truck driver manages to free himself from the cab and has only some cuts and bruises. He runs to the tank to try and grab the hoses and reconnect them. He is quickly overcome by the fumes and falls to the ground. A passing car has called 911 but the individual stays in his car. 911 Call Center has notified Memorial Health Care Systems.

Module 1 Questions What are Memorial Health Care Systems staff doing at this point? Who among the ICS staff should be notified? How will they be notified? How long will it take you to get to your ICS designated area? Where do you go first when reporting?

Module 2 – April 15, 2016 The fumes are being carried by the wind right towards the school bus. The driver sees the cloud of fumes and quickly unloads the 3 unhurt children from the back Emergency door exit and tells them to go down the west road in the ditch and stay away from the fumes. 2 of the children have head lacerations and possible broken arms.

Module 2 – April 15, 2016 A passing car stops, and the driver and his passenger help get the injured children out of the bus and away from the fumes. The passenger stays with the children while the bus driver and car driver attempt to get to the pickup truck driver. They immediately start coughing and having trouble breathing and are forced to get away from the area.

Module 2 Questions How are you getting information from the scene? What information do you NEED from the scene? For the ICS, what is the length of your first operational period?

Module 2 Questions, continued What are your objectives for your first operational period? What is each member of the ICS doing in order to meet that objective? What material and/or personnel do you need to meet your objectives? What information are you sending out at this point? Who are you sending information to?

Module 3 – April 15, 2016 A sheriff’s car pulls up from the south, realizes he’s in an anhydrous cloud and backtracks it south to come around from the west. He radios the fire dept. and rescue squad to do the same. The deputy arrives from the west a few minutes later, checks on the conditions of the children and the adults and knows that he can’t try to get to the driver on the ground without a breathing apparatus.

Module 3 – continued A fire truck arrives and the personnel suit up in special chemical suits and oxygen tanks. They use a spray of water to knock the anhydrous cloud down and 2 men go in to pull the driver out of the fumes. They start CPR immediately as the man is not responding. Several rescue squads arrive to transport victims.

Module 3, continued One of the students has been taking pictures throughout the response and posting them to instagram and facebook and twitter with captions like “BusCrashInSeward!” and the hashtag #SewardBusCrash. Numerous parents who have not been able to contact their children start calling the Memorial Health Care System to find out about happened and if their child is safe.

Module 3 Questions For the ICS, what is the length of your second operational period? What are your objectives for your second operational period? What is each member of the ICS doing in order to meet that objective? How are /will you account for students on board that will show up to your building?

Module 3 Questions, continued What is the process for monitoring social media to prevent the spread of rumors? What is the role of public safety in comparison with local first responders? Are additional resources required?

Hotwash

Please Complete your Evaluations. Thank you!! “Before anything else, preparation is the key to success.” Alexander Graham Bell