1. “Expect the Unexpected” Exercise Planning andConduct

2. The Basics Determine a need to exercise Determine a need to exercise Base on established plans, policies and procedures Base on established plans, policies and procedures Select what will be exercised Select what will be exercised Prepare Goals and Objectives Prepare Goals and Objectives Decide on the scope of the exercise Decide on the scope of the exercise Evaluate and prepare recommendations Evaluate and prepare recommendations

3. Types and Levels of Exercises Discussion based exercises – Discussion based exercises – Seminars Seminars Tabletops Tabletops Operations based exercise – Operations based exercise – Drills Drills Functionals Functionals Full Scale Full Scale Games Games Simulations Simulations

4. Scenarios Currently 15 National Scenarios Currently 15 National Scenarios Cover both natural and man-made events Cover both natural and man-made events Baseline process to examine capabilities Baseline process to examine capabilities Support National Preparedness Goals Support National Preparedness Goals Universal Task Lists Universal Task Lists Target Capabilities Lists Target Capabilities Lists Can be tailored to fit Can be tailored to fit Found on DHS Website Found on DHS Website

5. Exercise Training There are several programs to teach exercise design and evaluation. In state – NJSP – www.state.nj.us/njoem/progams/training- about.html/ www.state.nj.us/njoem/progams/training- about.html/ www.state.nj.us/njoem/progams/training- about.html/ Federal through FEMA – Exercise Design Course – IS139, Independent Study Program – http://training.fema.gov/emiweb/is/

6. Exercise Planning Considerations Design exercises with realistic scenarios – most probable for your location and activity Design exercises with realistic scenarios – most probable for your location and activity Exercise will examine (assess) current plans, etc. Exercise will examine (assess) current plans, etc. Decide on primary mission outcomes Decide on primary mission outcomes Establish expected results for each task Establish expected results for each task Use results as measurement tools Use results as measurement tools

7. Sample Discussion Based Exercises 1. Communicable disease outbreak – deliberate or natural 2. Chemical exposure threat – accidental 3. Major snow fall with power outage 4. Large scale accident on campus with many injuries

8. No. 1 Major Public Health Issue- Suspected Pneumonic Plague Over the previous four days an increasing number of patients from the surrounding city have been presenting to local hospitals with very similar symptoms. Your institution is starting to see an increase in students illness and visits to the clinic. As of 10:30AM the day before four patients at a local hospital succumbed to the disease -

9. No 1. Discussion Questions How would you be made aware of this event? How would you be made aware of this event? What are the immediate steps you would take? What are the immediate steps you would take? Who would provide support to your institution? Who would provide support to your institution? Do you have enough supplies immediately available to you? Do you have enough supplies immediately available to you? What long term issues concern you? What long term issues concern you?

10. No. 2 Chemical Exposure Threat – Accidental No. 2 Chemical Exposure Threat – Accidental At 09:30 this morning a train accident occurred at the freight transfer railhead about five miles west of your institution. One of the trains involved was hauling tankers filled with liquid chlorine and one with Anhydrous Ammonia. Both are leaking and a gaseous plume has started to form The prevailing winds are out of the west at 5 miles per hour….

11. No 2. Discussion Questions What do you do first? What do you do first? What happens to the student population? What happens to the student population? Do you plan for sheltering in place? Do you plan for sheltering in place? What is the clinics role? What is the clinics role? Are you equipped to handle local respiratory issues in large numbers? Are you equipped to handle local respiratory issues in large numbers?

12. No 3. Major Snow Fall with Power Outage Snow and cold winds have affected the surrounding area. In your region two local municipalities have already had major power outages and the continuing winds, snow and forming ice are beginning to have an affect locally. At 1:30 this afternoon lights began to go out in certain areas of the campus and there is fear that the continued loss of power will cause an inability to keep the dorms heated…

13. No 3. Discussion Questions What impact does this have on your clinic’s operation? What impact does this have on your clinic’s operation? Do you have a role in remediation of this type of event? Do you have a role in remediation of this type of event? Do you expect to help in protecting the resident population? Do you expect to help in protecting the resident population?

14. No 4. Large scale accident on campus with many injuries. One of the boilers in a major campus building exploded. The insuring damage caused explosive debris to hit several students in the area. In addition, another building was damaged and some students may be in the structure. Already, 15 students with slight to moderate trauma affects have reported to the clinic…

15. No 4. Discussion Questions How are you notified? How are you notified? Do you have resources to call to increase your clinic’s presence on campus? Do you have resources to call to increase your clinic’s presence on campus? Who do you interface with? Who do you interface with? What agreements do you have in other communities for assistance? What agreements do you have in other communities for assistance? What records of this type event are you required to keep? What records of this type event are you required to keep?

16. Summary Exercises are examination tools Exercises are examination tools Exercises can help to continue education and improve skills Exercises can help to continue education and improve skills Using exercises in increasing complexity increase and refine response protocols Using exercises in increasing complexity increase and refine response protocols Exercises are a critical component of the preparedness cycle Exercises are a critical component of the preparedness cycle

17. Questions

18. Contact Information Bob Brownlee Exercise Coordinator 609-292-2525 Email: robert.brownlee@doh.state.nj.us robert.brownlee@doh.state.nj.us Warren Backer Exercise Coordinator 609-633-9780 Email: warren.backer@doh.state.nj.us warren.backer@doh.state.nj.us