EMERGENCY PREPAREDNESS

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1 EMERGENCY PREPAREDNESS At the crossroads

2 Jeff Straub, CHEP Corporate Emergency Manager & Safety Officer Spartanburg Regional Health Services District Past President, SC Society of Healthcare Emergency Managers Chairmen, Upstate Healthcare Coalition (11 Upstate Counties) Patient Reception Coordinator SC NDMS 25 years in Healthcare & Emergency Response Paramedic, US Navy Corpsman (FMF)

3 EMERGENCY PREPAREDNESS IS SAFETY Everyone's responsibility regardless of primary position

4 WHAT EMERGENCY MANAGEMENT REALLY IS! simple process of pounding in the right screw with the right wrench

5 FUNDAMENTALS OF EMERGENCY PREPAREDNESS

6 DEADLY MISCONCEPTIONS It won t happen here It won t happen to me Someone else will take care of it

7 EMERGENCY PREPAREDNESS Emergency Preparedness = Disaster Preparedness = Consequence Management = Emergency Management Ongoing process of Readiness!

8 LIFE CYCLE OF PREPAREDNESS Preparedness Response Recovery Mitigation

9 Capabilities and Resources TIERED RESPONSE STRATEGY State Response Regional / Mutual Response Systems Local Response, Municipal and County Federal Response Minimal Low Medium High Catastrophic Increasing magnitude and severity

10 US Department of Health & Human Services REGIONS Seattle X San Francisco IX VIII Denver VII Kansas City V Chicago III II New York Philadelphia DC I Boston VI Dallas IV Atlanta NOTE: These regions are used by DHHS and FEMA.

11 HAZARDS AND RISKS

12 INCLEMENT WEATHER

13 TORNADO TRACKS

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16 EARTHQUAKES 16

17 EARTHQUAKES 17

18 PANDEMIC INFLUENZA 18

19 Chemical Biological A Weapon of Mass Destruction is a device or material specifically designed to produce casualties or terror. CBRNE incidents may result from industrial accidents, acts of war, or acts of terrorism. Radiological Nuclear Energetics / Explosives

20 ACTIVE SHOOTER Active shooter incidents are becoming more frequent. All employees can help prevent and prepare for potential active shooter situations. An active shooter is an individual killing or attempting to kill people in a confined and populated area. Typically, there is no pattern in the selection of victims in an active shooter incident. Common motives include, anger, revenge, ideology, and untreated mental illness.

21 RELEVANCE The Dec. 14 massacre at Sandy Hook Elementary left 27 victims, including 20 children, and the killer dead, making it the third-worst school attack in history after the 2007 Virginia Tech massacre and the 1927 Bath School bombing.

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24 RULES OF ENGAGEMENT Evacuate (Run): If there is an accessible escape path, attempt to evacuate the premises. Hide out (Hide): If evacuation is not possible, find a place to hide where the active shooter is less likely to find you. Take action (Fight): As a last resort, and only when your life is in imminent danger, attempt to disrupt and/or incapacitate the active shooter.

25 EVACUATE Warn individuals not to enter an area where the active shooter may be. Have an escape route and plan in mind. Evacuate regardless of whether others agree to follow. Leave your belongings behind. Help others escape, if possible. Prevent individuals from entering an area where the active shooter may be. Keep your hands visible. Follow the instructions of any police officers. Do not attempt to move wounded people. Call 911 when it is safe to do so.

26 HIDE OUT If safe evacuation is not possible, find a place to hide where the active shooter is less likely to find you. Your hiding place should: Be out of the active shooter s view. Provide protection if shots are fired in your direction (i.e., an office with a closed and locked door). Not trap you or restrict your options for movement. To prevent an active shooter from entering your hiding place: Lock the door. Blockade the door with heavy furniture. Close, cover, and move away from windows.

27 KEEPING YOURSELF SAFE WHILE HIDING If the active shooter is nearby: Lock the door. Silence your cell phone and/or pager. (Even the vibration setting can give away a hiding position.) Hide behind large items (i.e., cabinets, desks). Remain quiet. Consider the difference between cover and concealment. Cover will protect from gunfire and concealment will merely hide you from the view of the shooter. Choose the best space that is available quickly.

28 HOW TO REACT WHEN LAW ENFORCEMENT ARRIVES Remain calm, and follow officers instructions. Put down any items in your hands (i.e., bags, jackets). Immediately raise hands and spread fingers. Keep hands visible at all times. Avoid making quick movements toward officers such as attempting to hold on to them for safety. Avoid pointing, screaming, and/or yelling. Do not stop to ask officers for help or direction when evacuating just proceed in the direction from which officers are entering the premises.

29 PREPAREDNESS SUCCESS STORY

30 ONCE UPON A TIME THE HISTORY SMC HERT was developed as a direct result of the States response to Hurricane Katrina. Developed out of necessity Official Date: October 15, 2005

31 Decontamination / HAZMAT Strike Team RAD Strike Team SCMED 2 Strike Team Forward Assessment Strike Team Water Filtration System Mortuary System Surge Strike Team (Clinical) Logistic Strike Team Communication Strike Team Crisis Intervention Strike Team

32 HOSPITAL EMERGENCY RESPONSE TEAM Exercising the Team members Currently 65 members strong Has participated in over 40 Federal, State and Local exercises/event since 2005 Real World Events Cleveland Park Casualty Event 2011(Community) NICU Evacuation 2011(Internal Event) Severe Weather Event 2014 (Internal Event) SCMED2 Surge Event Feb 2015

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34 The numbers do not lie! Region Population Beds Upstate 1,352,489 5,964 Midlands 1,398,163 4,236 Pee-Dee 642,154 1,404 Low Country 827,767 2,301 State Population 4,320,593 Hospital Beds 11,764

35 THE WORLD OF GLOOM AND DOOM 35

36 SRHS EMERGENCY MANAGEMENT INITIATIVES 36

37 DO MORE GET ENGAGED! Where to start??

38 INVEST IN YOUR OWN SAFETY AND PROTECTION Personal Preparedness Occupational Preparedness Community Preparedness

39 PERSONAL PREPAREDNESS Home / Vehicle Preparedness Extra Water (1g/per person/ per day) Extra Food Extra toiletries Extra medicine Extra Pet supplies Generator / Power support Ready.gov

40 BASIC DISASTER SUPPLIES KIT A basic emergency supply kit could include the following recommended items: Water, one gallon of water per person per day for at least three days, for drinking and sanitation Food, at least a three-day supply of non-perishable food Battery-powered or hand crank radio and a NOAA Weather Radio with tone alert and extra batteries for both Flashlight and extra batteries First aid kit Whistle to signal for help Dust mask to help filter contaminated air and plastic sheeting and duct tape to shelter-in-place Moist towelettes, garbage bags and plastic ties for personal sanitation Wrench or pliers to turn off utilities Manual can opener for food Local maps Cell phone with chargers, inverter or solar charger

41 EMERGENCY KIT FOR YOUR VEHICLE Jumper cables: might want to include flares or reflective triangle Flashlights: with extra batteries First Aid Kit: remember any necessary medications, baby formula and diapers if you have a small child Food: non-perishable food such as canned food, and protein rich foods like nuts and energy bars Manual can opener Water: at least 1 gallon of water per person a day for at least 3 days Basic toolkit: pliers, wrench, screwdriver Pet supplies: food and water Radio: battery or hand cranked Cat litter or sand: for better tire traction Shovel Ice scraper Clothes: warm clothes, gloves, hat, sturdy boots, jacket and an extra change of clothes for the cold Blankets or sleeping bags Charged Cell Phone: and car charger

42 COMMUNITY PREPAREDNESS Faith based institutions American Red Cross Medical Reserve Corps Upstate Healthcare Coalition

43 TRAINING Flexible Training Schedules / Education must be designed for easy comprehension and compliance Keep training interesting, focused and fun!!! EXERCISE - EXERCISE - EXERCISE!!!

44 TRAIN EXERCISE.TRAIN SOME MORE!!!

45 THE COMMAND STRUCTURE Incident Management is an emergency management system which employs a logical management structure Incident Commander Safety Officer Liaison Officer HCC Manager Public Affairs Operations Chief Logistics Chief Planning Chief Finance Chief

46 Partnership = Success Health and Human Services and DHEC require hospitals to participate in Healthcare Coalitions sharing resources and assets across normal jurisdictional lines. Upstate Coalition Hospitals Health clinics Doctors Offices Public Health EMS Systems Coroners SC Society of Healthcare Emergency Managers

47 Q U E S T I O N S

48 THE END

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