Hepatitis A Drive-Through POD

Transcription

1 Erie County Department of Health Hepatitis A Drive-Through POD Incident Action Plan Saturday September 13, :00 20:00 hours

2 INCIDENT BRIEFING See Attached 1. INCIDENT NAME 2. DATE PREPARED 3. TIME PREPARED Hep A Drive-Thru POD 09/12/ hrs 4. MAP SKETCH ICS 201 (12/93) NFES 1325 PAGE 1 5. PREPARED BY (NAME AND POSITION) Tracy Chalmers (Planning Section Chief)

3 S = Slow F = Fast S F F O P E N 1st 2nd L A N E 3rd

4 SECTOR 2 SECTOR 1 1st 2nd 3rd 4th SECTOR 3 SECTOR 4 POD SECTOR SECTOR 5

5 F/P 11 FIRE POLICE AND 2 FOR RELIEF 3 MED-STAFF/SCREENING 3 STAFF/EMT S AND 1 FOR RELIEF F/P = Fire Police F/P MED/STAFF STAFF/EMT Med-Screening F/P 2-F/P STAFF/EMT STAFF/EMT F/P F/P F/P F/P F/P F/P

6

7 Feed-back Forms RN RN V/L V/L V/L V/L RN RN RN RN RN RN RN RN L/M L/M L/M L/M RUNNER RN RN RN RN RN RN V/L V/L V/L V/L RN RN RN RN RN L/M L/M L/M L/M RN EMT V/L = Vaccine Loader L/M = Line Man F/P RN RN RN RN RN RN RN RN V/L V/L V/L V/L Feed-back Forms V/L V/L V/L V/L RN RN RN RN L/M L/M L/M L/M RUNNER RN RN RN RN V/L V/L V/L V/L V/L RN RN RN RN L/M L/M L/M L/M EMT V/L F/P RN RN RN RN V/L V/L V/L V/L 48 RN S, 24 V/L S 16 L/M, 4 EMT S, 2 Runners, 2 F/P and 2 for Feed-back Forms 12 RN S, 6 V/L S, and 1 Runner for relief

8

9 GATE 1st 2nd 256 ft 55 ft 85 ft 85 ft 3rd 4th

10 UB CENTER FOR TOMORROW STAGING AREA 4th 3rd 2nd 1st S T A F F S T A F F P A R K I N G

11

12

13 6. SUMMARY OF CURRENT ACTIONS POD Set-up commenced at 1430 hours on Friday, September 12 and concluded at 1920 hours. A total of 69 vaccinations were administered. Initially, the center POD lanes were not set up. After evaluation of the anticipated effectiveness of adding the center lane, the POD layout was reconfigured at approximately 1830 hours. This operational period will begin with the center lanes operational on both the Fast Track side and the Slow Track side. As a potential contingent, the center lane on the Fast side would only be staffed with 1 nurse. Cars with only drivers would then be directed to Lane 1, and cars with passengers would be directed to lane 2. Significant reductions in vaccination stations will be necessary as there are insufficient numbers of vaccinators scheduled. The evaluation form will be handed out by the POD Flow Controller, and he/she will also inform the vaccinees that a 10 minute post-vaccination wait will be required prior to release. Evaluation forms will be collected as the vehicles pass the exit point, and the goody bags will be given to participants at this time. As rain is anticipated for the duration of the operational period, all forms will be handed out and collected under shelter so that they stay dry and can be properly scanned following the event. The media staging point will be relocated to the outside of the Highway building instead of the area near the fuel pumps. The PIO anticipates media arrival at approximately 1030 hours. ICS 201 (12/93) NFES 1325 PAGE 2

14 7. CURRENT ORGANIZATION SAFETY John Adolf PIO Kevin Montgomery LIAISON Tom Harvey UNIFIED COMMAND Dan Neaverth Jim Zymanek Craig Cooley POLICY GROUP Mick Kubik Greg Skibitsky PLANNING OPERATIONS LOGISTICS Tracy Chalmers (Chief) Beau Alexander (Deputy) Tiger Schmittendorf (Chief) Gerry Whittington (Deputy) Tony Balester (Chief) Dominic Creamer (Deputy) POD BRANCH AMHERST HWY BRANCH UB STAGING BRANCH Linda Witmer John Buttino Jim Reger ICS 201 (12/93) NFES 1325 PAGE 3

15

16 RESOURCES ORDERED 8. RESOURCES SUMMARY RESOURCES IDENTIFICATION ETA ON SCENE LOCATION/ASSIGNMENT Hepatitis A Vaccine NYSDOH X Amherst Highway Garage Vaccine supplies ECDOH X Amherst Highway Garage (syringes) POD Supply kits ECDOH X Amherst Highway Garage MOC Units (3) ECES X Amherst Highway (1& 2) UB Staging (3) Amherst Highway Garage Nurses/Vaccinators ECDOH, SMART, NYSDOH Staff Non-Clinical/Support ECDOH, SMART, NYSDOH, CERT, WNYPHA Counties Amherst Highway Garage, UB Staging Command Staff ECDOH, SMART, ES Amherst Highway Law Enforcement Amherst Police Roving EMS Twin City HAZMAT ECHO Amherst Highway Garage Traffic Trailers ECES X Amherst Highway Garage, UB Staging ICS 201 (12/93) NFES 1325 PAGE 4

17 1. INCIDENT NAME 2. DATE PREPARED 3. TIME PREPARED INCIDENT OBJECTIVES Hep A Drive-Thru POD 09/13/ hrs 4. OPERATIONAL PERIOD (DATE/TIME) Saturday, 09/13/2008 ( hrs) 5. GENERAL CONTROL OBJECTIVES FOR THE INCIDENT (INCLUDE ALTERNATIVES) 1. Ensure safety of all staff, volunteers and POD participants 2. Maintain Unified Command 3. Maintain Incident Facilities (Command Post, Staging Area, Media Briefing Area, etc.) 4. Set up UB Staging areas with all required equipment, supplies, and personnel. 5. Maintain traffic flow pattern and set up traffic control devices. 6. Establish communications between UB Staging Site and Amherst Highway Garage. 7. Provide just-in-time training including: Job Action Sheet (JAS), site walk-through, operational briefing, safety briefing. 8. Provide second dose of Hep A vaccine to patients. 9. Evaluate POD flow pattern, determine potential bottle-necks, and correct as needed. 6. WEATHER FORECAST FOR OPERATIONAL PERIOD Saturday: Slight chance of showers before 1100, then chance of showers and thunderstorms between 1100 and 1400 hours. Showers and thunderstorms likely after 1400 hours. Cloudy with high near 76. West wind between 5 and 8 mph. Chance of precipitation is 60%. Saturday Night: Showers and chance of thunderstorm. Low around 68. Southwest wind between 11 and 16 mph. Chance of Precipitation is 80%. (From NOAA) 7. GENERAL SAFETY MESSAGE All personnel should be cautious of surroundings and moving vehicles. Staff stationed outdoors should be cautious for potential thunderstorms. Staff stationed indoors should be cautious of wet/slippery floors. 8. ATTACHMENTS ( IF ATTACHED) ORGANIZATION LIST (ICS 203) MEDICAL PLAN (ICS 206) DETAILED ORG CHART (ICS 207) ASSIGNMENT LIST (ICS 204) COMMUNICATIONS PLAN (ICS 205) INCIDENT MAP TRAFFIC PLAN 9. PREPARED BY (PLANNING SECTION CHIEF) 10. APPROVED BY (INCIDENT COMMANDER) Tracy Chalmers 202 ICS (1/99) NFES 1326

18 ORGANIZATION ASSIGNMENT LIST 1. INCIDENT NAME Hep A Drive-Thru POD 2. DATE PREPARED 09/13/ TIME PREPARED 0100 hrs POSITION NAME 4. OPERATIONAL PERIOD (DATE/TIME) Saturday 09/13/08 ( hrs) 5. UNIFIED COMMAND AND STAFF 9. OPERATIONS SECTION INCIDENT COMMANDER Dan Neaverth CHIEF Tiger Schmittendorf INCIDENT COMMANDER Jim Zymanek DEPUTY Gerry Whittington INCIDENT COMMANDER Craig Cooley a. POD BRANCH INFORMATION OFFICER Kevin Montgomery BRANCH DIRECTOR Linda Witmer LIAISON OFFICER Tom Harvey ASSISTANT DIRECTOR Lee Nadler SAFETY OFFICER John Adolf FAST TRACK GROUP Mary Walawander 6. AGENCY REPRESENTATIVES SLOW TRACK GROUP Amy Rockwood AGENCY NAME POD SUPPORT GROUP Mick Kubik Wegmans Ann McCarthy SECTOR 4 B AMHERST HIGHWAY GARAGE BRANCH BRANCH DIRECTOR ASSISTANT DIRECTOR 7. PLANNING SECTION SECTOR 1 (MAIN ENTRANCE) CHIEF Tracy Chalmers SECTOR 2 (REAR OF GARAGE) DEPUTY Beau Alexander SECTOR 3 (GARAGE EXIT) RESOURCES UNIT Mary Jo Carlo SECTOR 4 (POST VAC HOLDING) SITUATION UNIT SECTOR 5 (DRIVE-WAY EXIT) DOCUMENTATION UNIT Mary Arent DEMOBILIZATION UNIT Jim Glass TECHNICAL SPECIALISTS c. UB STAGING BRANCH BRANCH DIRECTOR ASSISTANT DIRECTOR SECTOR 1 (POD PAPERWORK) SECTOR 2 (TRAFFIC FLOW) John Buttino Jim Reger Judy Courtade 8. LOGISTICS SECTION CHIEF Tony Balester DEPUTY Dominic Creamer d. AIR OPERATIONS BRANCH AIR OPERATIONS BR. DIR. AIR TACTICAL GROUP SUP. a. SUPPORT BRANCH AIR SUPPORT GROUP SUP. DIRECTOR Brian Multerer HELICOPTER COORDINATOR SUPPLY UNIT Tom Harvey AIR TANKER/FIXED WING CRD. FACILITIES UNIT Brian Multerer GROUND SUPPORT UNIT 10 FINANCE/ADMINISTRATION SECTION CHIEF Tony Simonetta DEPUTY Kathy Muck b. SERVICE BRANCH TIME UNIT Gail Sharp-Zawadski DIRECTOR PROCUREMENT UNIT COMMUNICATIONS UNIT Kevin Hughes COMPENSATION/CLAIMS UNIT MEDICAL UNIT Brian Clemency COST UNIT FOOD UNIT Clare Yager PREPARED BY (RESOURCES UNIT) 203 ICS (1/99) NFES 1327

19 1. BRANCH 2. DIVISION/GROUP UB Staging POD Paperwork ASSIGNMENT LIST 3. INCIDENT NAME 4. OPERATIONAL PERIOD Hep A Drive-Thru POD DATE 09/13/2008 TIME hrs 5. OPERATIONAL PERSONNEL OPERATIONS CHIEF Tiger Schmittendorf BRANCH DIRECTOR Jim Reger GROUP SUPERVISOR Judy Courtade AIR TACTICAL GROUP SUPERVISOR 6. RESOURCES ASSIGNED THIS PERIOD STRIKE TEAM/TASK FORCE. RESOURCE DESIGNATOR EMT LEADER NUMBER PERSONS TRANS. NEEDED PICKUP PT./TIME DROP OFF PT./TIME FORM COMPLETERS LEAD FORM COMPLETER 3 GREETERS LEAD GREETER 4 FORM ASSISTANTS 4 RUNNERS 2 7. CONTROL OPERATIONS 8. SPECIAL INSTRUCTIONS SEE ATTACHED 9. DIVISION/GROUP COMMUNICATIONS SUMMARY FUNCTION FREQ. SYSTEM CHAN. FUNCTION FREQ. SYSTEM CHAN. COMMAND LOCAL REPEAT COMMAND LOCAL REPEAT DIV./GROUP TACTICAL GROUND TO AIR PREPARED BY (RESOURCE UNIT LEADER) APPROVED BY (PLANNING SECT. CH.) DATE TIME 204 ICS (1/99) NFES 1328

20 1. BRANCH 2. DIVISION/GROUP POD Branch Fast Track Group ASSIGNMENT LIST 3. INCIDENT NAME 4. OPERATIONAL PERIOD Hep A Drive-Thru POD DATE 09/13/2008 TIME hrs OPERATIONS CHIEF Tiger Schmittendorf BRANCH DIRECTOR Linda Witmer (Clinic Manager) 5. OPERATIONAL PERSONNEL GROUP SUPERVISOR Mary Walawander (Assistant Clinic Manager) AIR TACTICAL GROUP SUPERVISOR 6. RESOURCES ASSIGNED THIS PERIOD STRIKE TEAM/TASK FORCE. RESOURCE DESIGNATOR EMT LEADER NUMBER PERSONS TRANS. NEEDED PICKUP PT./TIME DROP OFF PT./TIME LANE 1 VACCINATORS LEAD VACCINATOR 7 LANE 1 VACCINE ASSISTANTS 4 LANE 1 RUNNERS 2 LANE 2 VACCINATORS LEAD VACCINATOR 7 LANE 2 VACCINE ASSISTANTS 4 LANE 2 RUNNERS 2 POD FLOW CONTROLLERS LEAD POD FLOW CONTROLLER 12 MIDDLE LANE VACCINATORS LEAD VACCINATOR 7 MIDDLE LANE VACCINE ASSISTANTS 3 7. CONTROL OPERATIONS 8. SPECIAL INSTRUCTIONS SEE ATTACHED 9. DIVISION/GROUP COMMUNICATIONS SUMMARY FUNCTION FREQ. SYSTEM CHAN. FUNCTION FREQ. SYSTEM CHAN. COMMAND LOCAL REPEAT COMMAND LOCAL REPEAT DIV./GROUP TACTICAL GROUND TO AIR PREPARED BY (RESOURCE UNIT LEADER) APPROVED BY (PLANNING SECT. CH.) DATE TIME 204 ICS (1/99) NFES 1328

21 1. BRANCH 2. DIVISION/GROUP POD Branch Slow Track Group ASSIGNMENT LIST 3. INCIDENT NAME 4. OPERATIONAL PERIOD Hep A Drive-Thru POD DATE 09/13/2008 TIME hrs OPERATIONS CHIEF Tiger Schmittendorf BRANCH DIRECTOR Linda Witmer (Clinic Manager) 5. OPERATIONAL PERSONNEL GROUP SUPERVISOR Amy Rockwood (Assistant Clinic Manager) AIR TACTICAL GROUP SUPERVISOR 6. RESOURCES ASSIGNED THIS PERIOD STRIKE TEAM/TASK FORCE. RESOURCE DESIGNATOR EMT LEADER NUMBER PERSONS TRANS. NEEDED PICKUP PT./TIME DROP OFF PT./TIME LANE 3 VACCINATORS LEAD VACCINATOR 6 LANE 3 VACCINE ASSISTANTS 3 LANE 3 RUNNERS 2 LANE 4 VACCINATORS LEAD VACCINATOR 6 LANE 4 VACCINE ASSISTANTS 3 LANE 4 RUNNERS 2 POD FLOW CONTROLLERS LEAD POD FLOW CONTROLLER 12 MIDDLE LANE VACCINATORS 6 MIDDLE LANE VACCINE ASSISTANTS 3 7. CONTROL OPERATIONS 8. SPECIAL INSTRUCTIONS SEE ATTACHED 9. DIVISION/GROUP COMMUNICATIONS SUMMARY FUNCTION FREQ. SYSTEM CHAN. FUNCTION FREQ. SYSTEM CHAN. COMMAND LOCAL REPEAT COMMAND LOCAL REPEAT DIV./GROUP TACTICAL GROUND TO AIR PREPARED BY (RESOURCE UNIT LEADER) APPROVED BY (PLANNING SECT. CH.) DATE TIME 204 ICS (1/99) NFES 1328

22 1. BRANCH 2. DIVISION/GROUP POD Branch Slow Track Group ASSIGNMENT LIST 3. INCIDENT NAME 4. OPERATIONAL PERIOD Hep A Drive-Thru POD DATE 09/13/2008 TIME hrs OPERATIONS CHIEF Tiger Schmittendorf BRANCH DIRECTOR Linda Witmer (Clinic Manager) 5. OPERATIONAL PERSONNEL GROUP SUPERVISOR Mick Kubik (Assistant Clinic Manager) AIR TACTICAL GROUP SUPERVISOR 6. RESOURCES ASSIGNED THIS PERIOD STRIKE TEAM/TASK FORCE. RESOURCE DESIGNATOR EMT LEADER NUMBER PERSONS TRANS. NEEDED PICKUP PT./TIME DROP OFF PT./TIME MEDICAL SCREENERS LEAD MEDICAL SCREENER 5 POST VACCINATION MONITORS LEAD POST VACCINATION MONITOR 5 PHARMACIST 1 MENTAL HEALTH COUNSELORS LEAD MENTAL HEALTH COUNSELOR 4 RUNNERS 2 PHYSICIAN CONSULTANT 1 7. CONTROL OPERATIONS 8. SPECIAL INSTRUCTIONS SEE ATTACHED 9. DIVISION/GROUP COMMUNICATIONS SUMMARY FUNCTION FREQ. SYSTEM CHAN. FUNCTION FREQ. SYSTEM CHAN. COMMAND LOCAL REPEAT COMMAND LOCAL REPEAT DIV./GROUP TACTICAL GROUND TO AIR PREPARED BY (RESOURCE UNIT LEADER) APPROVED BY (PLANNING SECT. CH.) DATE TIME 204 ICS (1/99) NFES 1328

23 INCIDENT RADIO COMMUNICATIONS PLAN Incident Name: Hep A Drive Through POD Date/Time Prepared: 0900 Hrs. Operational Period Date/Time 1200 Hrs 2000 Hrs Ch # Function Channel Name/Trunked Radio System Talkgroup Assignment RX Freq N or W RX Tone/NAC TX Freq N or W Tx Tone/NAC Mode Remarks 1 Unified Command EM-3 All Command Staff MHz (W) D MHz (W) D 131 A 2 POD Op s Local Government POD Op s MHz (W) CSQ MHz (W) CSQ A SMART Team Cached Portables 3 Traffic Op s TAC-4 AMH Hwy & UB Details MHz (W) MHz (W) A COML Cached Portables on Temporary TAC Repeater 4 Fire Op s Amherst Fire Ch-3 On-scene Fire Units MHz (W) MHz (W) A 5 EMS Op s Twin City Tac-5 On-scene EMS Stand-by MHz (W) MHz (W) A 6 Police APD Channel-1 Amherst PD MHz (W) MHz (W) A Prepared by (Communications Unit) Incident Location: 1042 North Forest Rd., Amherst, NY Kevin Hughes, COML County: Erie State: NY Latitude N Longitude W The convention calls for frequency lists to show four digits after the decimal place, followed by either an N or a W, depending on whether the frequency is narrow or wide band. Mode refers to either A or D indicating analog or digital (Project 25) ICS 205-Draft

24 1. INCIDENT NAME 2 DATE PREPARED 3. TIME PREPARED 4. OPERATIONAL PERIOD MEDICAL PLAN Hep A Drive-Through POD 9/8/ /12/08-9/14/08 5. INCIDENT MEDICAL AID STATIONS MEDICAL AID STATIONS LOCATION ALS YES NO Main Aid Station (MD & EMT Staffing) Amherst Highway Building, 1042 North Forest Rd, Amherst NY X 6. TRANSPORTATION A. AMBULANCE SERVICES NAME ADDRESS PHONE ALS YES NO Twin City (1 st Due) 365 Fillmore Ave., Tonawanda NY X Rural Metro 481 William L Gaiter Pkwy., Buffalo, NY X B. INCIDENT AMBULANCES NAME LOCATION ALS YES NO SMART #1 (MD 1 st Response) Amherst Highway Building X SMART #2 (MD 1 st Response) Amherst Highway Building X SMART #3 (MD/EMT 1 st Response) Amherst Highway Building X Utility Vehicle "Woodie" (EMT 1 st Response) Amherst Highway Building X 7. HOSPITALS NAME ADDRESS TRAVEL TIME HELIPAD BURN CENTER PHONE AIR GRND YES NO YES NO Millard Fillmore Suburban 1540 Maple Rd., Williamsville, NY N/A 3 min X X Erie County Medical Center 462 Grider St., Buffalo NY N/A 10 min X X Buffalo General Hospital 100 High St., Buffalo NY N/A 12 min X X Women & Children's Hospital of Buffalo 219 Bryant St., Buffalo NY N/A 14 min X X 8. MEDICAL EMERGENCY PROCEDURES Staff shall notify the safety officer of any potential patients. He or the medical unit leader will then assign appropriate resources. Any patients who can not be immediately dispositioned will be taken to the 1st Aid station for secondary assessment and observation. All SMART EMTs regardless of their level of training shall operate as EMT-B's. 9. PREPARED BY (MEDICAL UNIT LEADER) 10. REVIEWED BY (SAFETY OFFICER) 206 ICS 8/78 Brian Clemency, DO MBA John Adolf, EMT-P NFES 1331

25 UNIFIED COMMAND Dan Neaverth Jim Zymanek Craig Cooley Incident Name Hep A Drive-Thru POD Operational Period Friday Date 09/13/2008 Time hrs SAFETY OFFICER John Adolf LIAISON OFFICER Tom Harvey INFORMATION OFFICER Kevin Montgomery OPERATIONS SECTION CHIEF PLANNING SECTION CHIEF LOGISTICS SECTION CHIEF FINANCE/ADMINISTRATION SECTION CHIEF Tiger Schmittendorf Gerry Whittington Tracy Chalmers Beau Alexander Tony Balester Dominic Creamer Tony Simonetta Kathy Muck STAGING AREA MANAGER BRANCH DIRECTOR BRANCH DIRECTOR AIR OPERATIONS BRANCH DIRECTOR RESOURCES UNIT LEADER SERVICE BRANCH DIRECTOR SUPPORT BRANCH DIRECTOR TIME UNIT LEADER Mary Jo Carlo Gail Sharp-Zawadski POD BRANCH DIRECTOR DIVISION/GROUP SUPERVISOR AIR SUPPORT GROUP SUPERVISOR AIR TACTICAL GROUP SUPERVISOR SITUATION UNIT LEADER COMMUNICATIONS UNIT LEADER SUPPLY UNIT LEADER PROCUREMENT UNIT LEADER Linda Witmer Frank Sacco Kevin Hughes Tom Harvey AMHERST HWY BRANCH DIRECTOR DIVISION/GROUP SUPERVISOR HELIBASE MANAGER HELICOPTER COORDINATOR DOCUMENTATION UNIT LEADER MEDICAL UNIT LEADER FACILITIES UNIT LEADER COMPENSATION/CLAIMS UNIT LEADER John Buttino Mary Arent Brian Clemency Brian Multerer UB STAGING BRANCH DIRECTOR DIVISION/GROUP SUPERVISOR HELISPOT MANAGER AIR TANKER/FIXED-WING COORDINATOR DEMOBILIZATION UNIT LEADER FOOD UNIT LEADER GROUND SUPPORT UNIT LEADER COST UNIT LEADER Jim Reger Clare Yager DIVISION/GROUP SUPERVISOR FIXED-WING BASE COORDINATOR TECHNICAL SPECIALISTS 207 ICS (1/99) NFES 1332

26 Safety Plan Hep A Drive-Through Clinic Information Location Date: Radio Info: Amherst Highway Building, 1042 North Forest Rd, Amherst NY Staff to assemble 2 hrs prior to clinic time _9/13/08 Time: _8:00-20:00? Clinic Staff will operate on the Local Gov t. Channel Traffic Flow will operate on TAC-4 ( MHz ) Staff: Clinic Manager Linda Witmer Safety Officer John Adolf Radio Local Gov t Radio Local Gov t Physician Brian Clemency, DO Radio Local Gov t Security Radio Operational Areas: _Traffic Radio TAC-4 Clinic Radio Local Gov t Radio Emergency Numbers: Telephone Location/number MOC 1 has telephone capabilities Fire / EMS Amherst Police EOC Fax MERS Control Fax Safety John Adolf Cell Pager pin 24190

27 Environmental, Mechanical/ Biomechanical Definition: Factors encountered in the work environment that cause or potentiate accidents, injuries, strain, or discomfort Examples: Tripping hazards, unsafe/unguarded equipment, air quality, slippery floors, confined spaces, cluttered or obstructed work areas/passageways, forceful exertions, awkward postures, localized contact stresses, vibration, temperature extremes, repetitive/prolonged motions or activities, lifting and moving patients Checklist: Floors clean and dry [ (a)(2)]. Locate warning signs for wet floor areas [ (c)(2)]. Walking/Working Surfaces Standard requires [ (a)(1)]: Keep all places of employment clean and orderly and in a sanitary condition. Keep aisles and passageways clear and in good repair, with no obstruction across or in aisles that could create a hazard [ (b)(1)]. Power cords should not run across pathways. If unavoidable, dress cords with duct tape to minimize trip hazard Clearly mark uneven floor surfaces, excavations, open floor grates, etc. Identify two means of exit. Keep these exits free from obstruction, as they will serve as emergency evacuation routes. [ (b)(4)]. Air monitoring will be performed to monitor CO levels and for explosive gas mixture. Other Biological Definition: Infectious/biological agents, such as bacteria, viruses, fungi, or parasites, that may be transmitted by contact with infected patients or contaminated body secretions/fluids Examples: Human immunodeficiency virus (HIV), hepatitis B virus, hepatitis C virus, tuberculosis Checklist: BSI Precautions

28 Appropriate BSI supplies available Vaccine Product insert available Biohazard spill kit available Biohazardous waste bags/sharps containers available No Eating or Drinking in the vaccination area Other Physical Definition: Agents within the work environment that can cause tissue trauma Examples: noise, electricity, extreme temperatures, workplace violence Checklist: Assess for fire hazards Identify location of Fire Extinguishers in clinic area Identify location of First Aid Station Identify source of clean, fresh, running water/shower Assess Heating, Ventilation, Air Conditioning Assess for excessive ambient noise Assess electrical outlets (grounded, GFI, damaged receptacles, etc.) Assure electrical cords are serviceable (good connectors, insulation intact, etc.) remove from service any damaged receptacles and portable electrical equipment O2 cylinders properly secured Site Security Amherst Police Liaison Other

29 Chemical Definition: Various forms of chemicals that are potentially toxic or irritating to the body system, including medications, solutions, and gases Examples: carcinogens, corrosives, toxic or highly toxic, irritants, sensitizers, or target organ effectors. (Hazardous chemicals, hazardous drugs, solvents, etc.) Checklist: Assess for any potential Chemical Hazard. Verify that all hazardous chemicals are labeled appropriately Other Psychological Definition: Factors and situations encountered or associated with one's job or work environment that create or potentiate stress, emotional strain, an/or other interpersonal problems Examples: Stress, workplace violence, shift work, inadequate staffing, heavy workload, increased patient acuity Checklist: Assess for adequate work space, unreasonable work load, lack of readily available resources, inadequate and unsafe equipment. Assess for adequate staffing. Assess for an organized and efficient work environment. Assess for signs/symptoms of elevated stress, emotional strain, or interpersonal problems Notes:

30 1. INCIDENT NAME 2. DATE PREPARED 3. TIME PREPARED UNIT LOG Hep A Drive-Thru POD 09/13/ hrs 4. UNIT NAME/DESIGNATORS 5. UNIT LEADER (NAME AND POSITION) 6. OPERATIONAL PERIOD AMHERST HIGHWAY GARAGE BRANCH Sector 1 (Main Entrance) Amherst Hwy Garage Branch Director John Buttino 7. PERSONNEL ROSTER ASSIGNED Saturday 09/13/ hrs to 2000 hrs NAME ICS POSITION HOME BASE Sector 2 (Rear of Garage) Sector 3 (Garage Exit) Sector 4 (Post Vaccination Holding) Sector 5 (Exit Driveway)

31 8. ACTIVITY LOG TIME MAJOR EVENTS 214 ICS PREPARED BY (NAME AND POSITION)

32 1. INCIDENT NAME 2. DATE PREPARED 3. TIME PREPARED UNIT LOG Hep A Drive-Thru POD 09/13/ hrs 4. UNIT NAME/DESIGNATORS 5. UNIT LEADER (NAME AND POSITION) 6. OPERATIONAL PERIOD POD BRANCH POD Support Group Saturday 09/13/2008 Supervisor 0800 hrs to 2000 hrs 7. PERSONNEL ROSTER ASSIGNED NAME ICS POSITION HOME BASE Medical Screening Matt Hoertkorn Lead Medical Screener Diane Federowicz Medical Screener Robert Ackerhalt Medical Screener Donald Tucker Medical Screener Josh Lynch Medical Screener Beth Zeigler Medical Screener Physician Consultant Keith Cartmill Physician Consultant Jeff Harding Physician Consultant Vaccination Monitoring Pati Aine Guzinski Lead Vaccination Monitor Peter Putnam Vaccination Monitor Timothy Gibbons Vaccination Monitor Bob Bentkowski Vaccination Monitor Mental Health Counseling Bonnie Frazer Lead Mental Health Counselor Tara Hughes / Cheryl Kennedy Mental Health Counselor Runners Jordan Kellerman Runner Bonnie Carter Runner Gail Broctor Lee Nadler POD Supply Pharmacist

33 8. ACTIVITY LOG TIME MAJOR EVENTS 214 ICS PREPARED BY (NAME AND POSITION)

34 1. INCIDENT NAME 2. DATE PREPARED 3. TIME PREPARED UNIT LOG Hep A Drive-Thru POD 09/13/ hrs 4. UNIT NAME/DESIGNATORS 5. UNIT LEADER (NAME AND POSITION) 6. OPERATIONAL PERIOD UB STAGING BRANCH UB STAGING Branch Director Jim Reger Saturday 09/13/ hrs 7. PERSONNEL ROSTER ASSIGNED NAME ICS POSITION HOME BASE POD PAPERWORK GROUP Judy Courtade Carol Merckel Jennifer Stelmach / Diana Cottonne / Marcie Roddie Denise Graser POD Paperwork Group Supervisor Greeter Pat Huels Sandy Kopera Jane Macris Form Reviewers Sue Dziedzic Elizabeth Bonerb Angela Braun / Thomas Place Mary Bronson Form Completion Assistants TRAFFIC FLOW GROUP

35 8. ACTIVITY LOG TIME MAJOR EVENTS 214 ICS PREPARED BY (NAME AND POSITION)