1. PDLS © : Disaster Planning and Organization

2. Learning Objectives Steps of disaster planning Steps of disaster planning Concepts in management planning and interventions Concepts in management planning and interventions

3. Steps of Disaster Planning Planning Planning Resource assessment Resource assessment Risk and hazard analysis Risk and hazard analysis

4. Risk and Hazard Analysis Assessment of threats to the locality Assessment of threats to the locality - Geographic - Building - Population cluster Children groups Children groups - Day care or schools - Summer camps - Field trips

6. Risk and Hazard Analysis Environmental Hazards Weather Weather - Winter storms - Hurricanes Geographic Geographic - Earthquakes - Flood plains

8. Risk and Hazard Analysis Man-made Hazards Chemicals Chemicals - Production, storage and transport Biologic hazards Biologic hazards Terrorism Terrorism Transportation Hazards Materials Materials Mass transit centers Mass transit centers

10. Resource Assessment Local resources Local resources - EMS - Police - Fire department Volunteers Volunteers - Boy Scouts - Rotary, Shriners Children’s advocacy groups Children’s advocacy groups

11. Resource Assessment National National - Red Cross - FEMA - Department of Defense Agencies and unions Agencies and unions - AMA - ENA

13. Resource Needs Personnel Personnel - Pediatric specialists (if available) Equipment Equipment Supplies: water, food, blankets Supplies: water, food, blankets Shelter Shelter Suppliers with contact source Suppliers with contact source - Back-up suppliers and contact sources

15. Resource Needs Communications Communications - Equipment and personnel - Telephone company/cell phones often overload - Ham radio / alternative methods

16. Resource Needs Transportation Transportation - Roads - Vehicles, public and private Maintaining access for emergency vehicles often problematic Maintaining access for emergency vehicles often problematic

18. Planning is a Dynamic Process Plan before, during and after Plan before, during and after Contingency planning Contingency planning Continued revising Continued revising

19. Plan Ahead Resource assessment Resource assessment - Be realistic about resources not already committed to the disaster - Know local limits When and how to call for outside resources - Scale of response

20. Plan Ahead Discuss with groups / individuals Discuss with groups / individuals - Identify problems - Find options - Keep updated on response abilities Resources and personnel Vary by incident

21. Plan Ahead Involve all potential participants Involve all potential participants - Don’t overlook potential resources - Avoid improper assumptions Regular planning meetings Regular planning meetings - Risks of area - Unforeseen events

22. Planning Exercises Look for deficiencies Look for deficiencies Single components vs. multi-group Single components vs. multi-group - Moulage useful but complex - Inter-group cooperation

24. Planning after Exercise Debriefing after exercise Debriefing after exercise - Share information - Improve plan - Ensure dissemination of changes to plans Honest not defensive feedback from all Honest not defensive feedback from all

25. During the Disaster Constant revision of plan Constant revision of plan - New risks and resources - Loss of resources Flexibility Flexibility - Alternate uses of resources - Alternate ways of transporting patient to resources or resources to patient

27. Incident Command System IncidentCommander Planning CommandStaff Finance LogisticsOperations

28. Identified central commander with limited scope of control Identified central commander with limited scope of control - leave chain of command for smaller groups intact Unified command Unified command Modular system Modular system Expand as needed Expand as needed

29. Medical control - Decisions for children Disaster interventions differ from everyday Disaster interventions differ from everyday - less information - more victims - different priorities Stress for responders Stress for responders “Greatest good to greatest number” “Greatest good to greatest number” - may not be optimal care for each person Triage/treatment protocols for children Triage/treatment protocols for children will help providers

30. Documentation Need to provide permanent record Need to provide permanent record Transfer of information from field to base hospital Transfer of information from field to base hospital Limit information Limit information - will lose some details

31. Documentation problems Data loss / inaccuracies Data loss / inaccuracies Patient limitations - unable to obtain / convey accurate information Patient limitations - unable to obtain / convey accurate information Multicopy permanent record Multicopy permanent record Deterioration of record Deterioration of record Identifying the nameless victim Identifying the nameless victim

32. Documentation uses To track patient movements To track patient movements To reunite families To reunite families Epidemiological studies Epidemiological studies Evaluation and post disaster critique Evaluation and post disaster critique Long term sequelae and resupply Long term sequelae and resupply

33. Conclusion Planning Planning - risk / hazard analysis - resource assessment - planning is a dynamic process Incident Command System Incident Command System