1. Severe Weather TTX
Train the Trainer

2. Agenda
Overview
Facility focus
Scenario
Discussion Questions
Hotwash

3. 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 15 minutes to answer and record to share with the group Scenario is plausible, don’t fight it

4. Facility Focus: Inpatient
Hospitals Critical Access Hospitals Long Term Care Facilities Psychiatric Residential Treatment Facilities Intermediate Care Facilities Religious Non-medical Healthcare Institutions Transplant Centers

5. Capabilities and Objectives

6. 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 facility around 10am A tornado warning is issued for Clark County

7. 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?
Are there plans to shelter in place?
Who is included, and what is the capacity?
How long could you sustain operations with the supplies you have right now including:
Food
Water
Medical supplies
Medications
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?

8. 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. Power is lost to the facility, generators have failed to engage 0950am. Significant damage is sustained to the structure from the flying debris 0955am. Immediate threat has cleared the area

9. Section 2 continued Scenario
1015am. Tornado warning has been lifted. Emergency services are tied up with search and rescue, and roads are completely blocked by trees and debris. All phone and internet communication is unusable. Heavy rain continues with the next passing storms and rain water is coming into your facility. Temperatures inside begin to climb as you are starting to obtain a better picture of damages and strive for accountability.
Explain phone infrastructure overload

10. Section 2 Discussion Questions
How many people are at your facility? How do you account for everyone including patients, staff, contractors, visitors, and volunteers? Has your staff been trained to operate the backup generator and troubleshoot issues? How are internal and external communication taking place?
Explain why its important to know and account for everyone in the facility
What are the safety issues with others in your facility
Do door alarms still work on gen power?
Laundry?

11. Section 3 Scenario
Staff is trying to manage injuries and maintain scheduled medications and care. Generator was made operational through troubleshooting Inside temperatures are a problem Bandaging supplies are running low, and much of your equipment is being damaged from the leaking roof Many patients have medications due Its also time for dinner
How are you managing anxieties of patients/residents?

12. Section 3 Discussion Questions
Is the generator capable of running A/C, refrigeration, food preparation appliances, phones, sewage, and emergency lighting?
What is not covered and how do you overcome that?
What fuel does the generator use, and how long can you sustain operations with your current fuel level?
How will you document your medications and care, as well as view patient charts within HIPAA compliance?
What medical care are you continuing under emergency operations?
Are you using altered standards of care?
If yes, describe
Understaffed, no way to reach the facility, few injured… pt to staff ratio?

13. Section 4 Scenario
Emergency crews have cleared roadways and made it to your facility the following morning Injured have been transported by ambulance You have accounted for everyone remaining at the facility

14. Section 4 Discussion Questions
Do you have MOU’s established with other facilities for evacuation? If so, how are they to be transported? Do you have MOU’s for equipment if some parts of your facility are still functional? Do you have any long term relocation plans?
Plug for county MOU
EMS TX by private

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