1. Evaluator Training August 16, 2012 St. Luke’s Hospital Auditorium

2.  Exercise Point of Contact (POC) ◦ Kathy Silvestri, Regional Healthcare System Coordinator  Cell: 734-652-3069 Please ask questions anytime!

3.  Evaluated the effectiveness of just-in-time Open Medication Point-of-Dispensing (POD) site.

4.  Observe and record player actions  Assist Controller with set-up  Assist Controller with Participant Hot-wash discussion after the exercise  Provide input into the After Action Review (AAR) and Improvement Plan (IP)  Complete Exercise Evaluation Guidelines (EEGs)

5. Usually at least one evaluator for each exercise area May have more than 1 area to observe in some cases Should be familiar with the just-in-time training module(s) the staff receive tonight Medication POD Module-an overview of all PODS operations for all staff members Medical Group Module-provided to staff who will be dispensing the medications Non Medical Group-provided to staff responsible for inventory tracking, counting consent forms, data entry, translator/interpreter services, and after care Line Control Group-viewed by staff working at the POD entrance or in the registration area POD Supply Room Group-staff who will serve as POD runners and medication runners,

6.  Exercise site set-up ◦ Assist Controller with site set-up ◦ Best practice to view site prior to exercise with controller ◦ Check on exercise communications plan: e-mail / phone / radio requirements

7. 6:30-6:45Registration (Assign group # and roles) 6:45-7:00Welcome, Introductions, Exercise Briefing 7:00-7:30Just-in-Time Training-Module 1(all participants) 7:30-8:15Exercise-Phase 1(Secondary trainings) 8:15-8:25Break & Switch Groups 8:25-9:10Exercise-Phase 2 9:10-9:30Hot Wash and Evaluation

8.  Day of the Exercise ◦ Identify players, controllers, evaluators, and observers ◦ Review just-in-time training materials and other documentation provided to you by the Lead Evaluator, Kathy Silvestri ◦ During the exercise, direct questions concerning the evaluation process to the Lead Evaluator

9.  Exercise Play Responsibilities ◦ Evaluators primary duty is documenting player performance  Evaluators should work independently  Keep a running list of observations  Record significant event actions on Activity Log (HICS 201)  Then complete the Exercise Evaluation Guides (EEG) after the exercise using your notes.

10. Stay in proximity to player decision makers Focus on critical activities listed on the evaluation guidelines Ensure that you gather enough information during the exercise for an Improvement Plan to be written Controllers are the only participants that will provide information to the exercise players Evaluators should not interact with exercise layers during the exercise

11.  Timeliness in initiating mitigating actions  Communication among players and organizations  Direction and coordination of the exercise activities  Monitoring and assessing scenario events  Command and Control within the POD  Creative player solving, beyond current plans  Plans or procedures that affect player efforts

12.  After the exercise (page 29) ◦ Termination of exercise ◦ Assist Controller with Hot-wash ◦ Listen and record player comments ◦ Assist Controller with the distribution and collection of Participant Feedback Forms ◦ Share evaluator notes ◦ Review after-action report draft by email

13.  An anthrax exposure in Lucas County has resulted in the need to dispense medications to the general public as a protective measure  This open medication dispensing POD has been activated to dispense medications to a portion of the general public  Assumptions: Simulated event, medications are not real, participants are actors

14. ◦ While the EEG lists specific tasks, they are to be used as guides only, meant to assist evaluators by prompting them to focus on specific events that may occur during an exercise. ◦ EEGs are not a report card, rather evaluators are asked to record summaries, the full completion/partial completion/non-completion of each activity and/or task.

15. ◦ When completing the EEGs during the exercise, simply record weather the prescribed tasks/activities were completed, partially completed or not completed. ◦ Record detailed observations and strengths and weakness noted at the end of each EEG. ◦ Include your notes when submitting EEGs.

16.  Throughout the exercise, try to focus on: ◦ Tasks and actions of the players at the various stations ◦ The use of ICS ◦ Efforts to maintain client confidentiality/HIPAA ◦ Traffic control/line flow ◦ Treatment of persons with disabilities ◦ Treatment of persons with symptoms of the illness and/or a medical emergency ◦ How staff handle unexpected situations (scenario cards) ◦ Staff communication with each other and with clients

17. Training modules Treatment/dosage algorithms Log Sheets Color-coded Cards Other supporting documents

18. Any Questions?

19.  Thank you for your time and participation !  Contact me at any time during the exercise with any additional questions.