1 CHARLOTTE COUNTY HEALTH DEPARTMENT Emergency Preparedness Core Competencies for Public Health Workers.

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CHARLOTTE COUNTY CHARLOTTE COUNTY HEALTH DEPARTMENTHEALTH DEPARTMENT

Emergency Preparedness Core Competencies

for Public Health Workers

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Purpose of TrainingPurpose of Training

Provide a basic understanding of the Provide a basic understanding of the Core Competencies for Emergency Core Competencies for Emergency PreparednessPreparedness and Responseand Response for the for the Public Health WorkerPublic Health Worker

Columbia University Center for Public Health Preparedness

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Charlotte County Health Charlotte County Health Department MissionDepartment Mission

To promote, protect, and provide public health To promote, protect, and provide public health and safety throughout Charlotte Countyand safety throughout Charlotte County

Public health employees must be competent to Public health employees must be competent to respond to any public health hazardrespond to any public health hazard

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In order to respond to any emergency/disaster, ALL public health

workers should be able to:

DESCRIBE the role of Public Health

• IDENTIFY & LOCATE the emergency plan DESCRIBE the Chain of Command DESCRIBE & DEMONSTRATE one’s functional role RECOGNIZE deviations from the norm IDENTIFY limits to own authority DESCRIBE communication roles DEMONSTRATE use of communication equipment APPLY creative problem solving skills


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Potential Emergencies/DisastersPotential Emergencies/Disasters

Coastal Flooding

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Transportation Accidents


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FireFire


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Potential Emergencies/DisastersPotential Emergencies/Disasters HurricaneHurricane

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Potential Emergencies/DisastersPotential Emergencies/Disasters OutbreakOutbreak


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Common Features of Large Common Features of Large Scale Disasters/EmergenciesScale Disasters/Emergencies

Pose a threat to public health & safetyPose a threat to public health & safety May disrupt social and economic May disrupt social and economic

infrastructureinfrastructure May require large scale mobilization of May require large scale mobilization of

local resources to manage local resources to manage consequencesconsequences


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EMERGENCY EMERGENCY PREPAREDNESS PREPAREDNESS COMPETENCY #1COMPETENCY #1

DESCRIBE the public health role in emergency response in a range of emergencies that might arise.


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Emergency Support FunctionsEmergency Support Functions

ESF 1 - TransportationESF 1 - Transportation ESF 2 - CommunicationsESF 2 - Communications ESF 3 - Public WorksESF 3 - Public Works ESF 4 - Fire ServicesESF 4 - Fire Services ESF 5 - Information & PlanningESF 5 - Information & Planning ESF 6 - Mass CareESF 6 - Mass Care ESF 7 - Resources SupportESF 7 - Resources Support ESF 8 - Health & MedicalESF 8 - Health & Medical ESF 9 - Search & RescueESF 9 - Search & Rescue

ESF 10 - Hazardous MaterialsESF 10 - Hazardous Materials ESF 11 - Food & Water ESF 11 - Food & Water ESF 12 - Utility ServicesESF 12 - Utility Services ESF 13 - Military SupportESF 13 - Military Support ESF 14 - Public InformationESF 14 - Public Information ESF 15 - Volunteers/DonationsESF 15 - Volunteers/Donations ESF 16 - Law EnforcementESF 16 - Law Enforcement ESF 17 - Animal ControlESF 17 - Animal Control ESF 18 – Business & IndustryESF 18 – Business & Industry

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ESF 8 Health and Medical at the ESF 8 Health and Medical at the EOCEOC

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ESF-8: Health and MedicalESF-8: Health and Medical

Coordinates the state’s health and medical Coordinates the state’s health and medical resources, capabilities, and capacities.resources, capabilities, and capacities.

Provides the means for a public health Provides the means for a public health response, triage, response, triage, treatment, and treatment, and transportation. transportation.

Assists with Assists with evacuation. evacuation.

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ESF-8: Health and MedicalESF-8: Health and Medical

Supports hospitals, nursing homes, and Supports hospitals, nursing homes, and assisted living facilities.assisted living facilities.

Provides emergency behavioral health Provides emergency behavioral health crisis counseling. crisis counseling.

Provides special needs sheltering and careProvides special needs sheltering and care Re-establishes all healthcare systems.Re-establishes all healthcare systems.

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Examples of ESF-8 MissionsExamples of ESF-8 Missions(In support of the Healthcare System)(In support of the Healthcare System)

Ambulance or Air Asset DeploymentsAmbulance or Air Asset Deployments Health & Medical Assessment Team DeploymentHealth & Medical Assessment Team Deployment Biological, Chemical, Biological, Chemical,

Radiological Incident Radiological Incident ManagementManagement

Behavioral HealthBehavioral Health Healthcare Workforce Healthcare Workforce

Staff DeploymentStaff Deployment

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Disease Surveillance & InvestigationsDisease Surveillance & Investigations Laboratories (State) Laboratories (State) Testing Testing Hazardous Materials Hazardous Materials Incident AssessmentsIncident Assessments Medical Supply Medical Supply

DeploymentDeployment Feeding Station and Shelter InspectionFeeding Station and Shelter Inspection

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Portable Toilet Placement Portable Toilet Placement Special Needs Shelter (SpNS) Set-Up and Special Needs Shelter (SpNS) Set-Up and

Management Management Zoonotic DiseasesZoonotic Diseases Environment AssessmentsEnvironment Assessments Support for Healthcare FacilitiesSupport for Healthcare Facilities Other Missions Assigned by SERT ChiefOther Missions Assigned by SERT Chief

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Which Public Health Employees are Which Public Health Employees are Needed During Emergency or Needed During Emergency or

Disaster Response?Disaster Response?• Some emergencies and disasters could require the

mobilization of MOST or ALL public health employees.

• Therefore, ALL public health workers need to learn what their roles may be in these situations.


http://www.ssec.wisc.edu/media/spotlight/images/HurricaneCharley_20040813_1635_1000m.jpg

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Example of a Common Multi-level Scheme for Example of a Common Multi-level Scheme for Disaster Communication and CoordinationDisaster Communication and Coordination

PRESIDENT FEMA

GOVERNOR’S OFFICE

Police

Florida OEM Florida DOH

HHSCDC

Charlotte County Officials

Charlotte CountyEmergency

ManagementCharlotte County

DOH

Fire OtherState

Federal

City

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EMERGENCY PREPAREDNESS EMERGENCY PREPAREDNESS COMPETENCY #2COMPETENCY #2

Do you know where the Emergency Disaster Plan is for CCHD?– The Charlotte County Health Department’s All

Hazard Plan is located on the K Drive .– A printed copy of the All Hazards plan is

located in the Office of Public Health Preparedness

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Our PlansOur Plans

How many plans does Charlotte How many plans does Charlotte CHD have?CHD have?–1515

Can you name some?Can you name some?

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Our PlansOur Plans

Special Needs ShelterSpecial Needs Shelter Surge and VolunteerSurge and Volunteer Activation & NotificationActivation & Notification ESF 8ESF 8 Risk CommunicationsRisk Communications Epidemiology Epidemiology LabLab Quarantine and IsolationQuarantine and Isolation Pandemic FluPandemic Flu

Mass Prophylaxis and Mass Prophylaxis and ImmunizationImmunization

Alternative Treatment Alternative Treatment SiteSite

Mass Fatality Mass Fatality ManagementManagement

Environmental HealthEnvironmental Health Behavioral HealthBehavioral Health Strategic National Strategic National

StockpileStockpile


DESCRIBE the CCHD chain of command in emergency response.

–The chain of command depends on the The chain of command depends on the incident and the Incident Commanderincident and the Incident Commander

–In a minor incident You may be the IC.In a minor incident You may be the IC.


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Charlotte County Health Department Chain of Charlotte County Health Department Chain of CommandCommand

Incident Commander

Information Technology

Liaison to other agencies

Public Information Officer

Safety Officer

Operational Section Chief

Planning Section Chief

Logistics/Finance Section Chief

Environmental Branch Director

Nursing Branch Director

WIC Branch Director

Epidemiology Branch Director

Special Needs Shelter

Clinic Staff

WIC Check Issuance Epidemiology

Staff/Team

Situation UnitLeader

Resource Unit Leaders)

Check-In/Tracking Status

Documentation Unit Leader

Technical Specialists

Service Branch

Supply UnitEquipment/

SuppliesWIC Staff

AdministrationDebbie Guibault

Facilities Supervisor

Scott Schermehorn

Food Inspections

SepticLeslie

Bauchamp

Environmental Health Staff

Personnel

Demobilization Unit Leader

Vital StatisticsBranch Director

Physician Branch Director

Staff Physician

CCHD INCIDENT COMMAND SYSTEM

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DESCRIBEDESCRIBE your functional your functional role(s) in emergency responserole(s) in emergency response


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Functional Roles of Public Health Functional Roles of Public Health Workers in an Emergency/DisasterWorkers in an Emergency/Disaster

Your role may be the same or similar Your role may be the same or similar to what you do every day to what you do every day

oror Your role may be different from what Your role may be different from what

you usually do.you usually do.


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EXAMPLE: Epidemiology/SurveillanceEXAMPLE: Epidemiology/SurveillanceRoles and Responsibilities in Emergency Roles and Responsibilities in Emergency

ResponseResponse

Provide background info on emergency surveillance Provide background info on emergency surveillance data data

Conduct field epidemiological investigations (prn)Conduct field epidemiological investigations (prn) Monitor existing surveillance systemsMonitor existing surveillance systems Establish new surveillance systemEstablish new surveillance system

- Assemble field teams- Assemble field teams - Establish databases- Establish databases

- Develop questionnaires/forms- Develop questionnaires/forms - Enter data- Enter data- Liaison with hospital/field personnel- Liaison with hospital/field personnel - Analyze data- Analyze data- Collect data- Collect data - Develop recommendations for policy- Develop recommendations for policy


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Prepare recommendations on clinical aspects of Prepare recommendations on clinical aspects of emergencyemergency-Public safety issues -Public safety issues -Training of community MDs-Training of community MDs-Occupational safety issues -Occupational safety issues -Disinfection/decon issues-Disinfection/decon issues-Develop prevention & treatment message-Develop prevention & treatment message

Establish and staff prophylaxis/treatment distribution centersEstablish and staff prophylaxis/treatment distribution centers

Staff DOH clinics involved in emergencyStaff DOH clinics involved in emergency

Liaison with OCME regarding mortuary issuesLiaison with OCME regarding mortuary issues

Supplement clinical backup to school health program sheltering Supplement clinical backup to school health program sheltering

activitiesactivities

EXAMPLE:Medical/ClinicalEXAMPLE:Medical/ClinicalRoles and Responsibilities in Roles and Responsibilities in

Emergency ResponseEmergency Response


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Facilitate computing issues during Facilitate computing issues during emergenciesemergencies

-Field to Headquarters data transmission-Field to Headquarters data transmission

-Database management-Database management

-Mapping/GIS-Mapping/GIS

EXAMPLE: Medical Information Systems EXAMPLE: Medical Information Systems (MIS)(MIS)

Roles and Responsibilities in Emergency Roles and Responsibilities in Emergency ResponseResponse


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Research specific topicResearch specific topic Provide background informationProvide background information Prepare Prepare recommendationsrecommendations re: re:

--Public health threat: food, water, sanitationPublic health threat: food, water, sanitation

--Sample collectionSample collection

--Evacuation/reoccupationEvacuation/reoccupation

Collect samples and collaborate with HazMatCollect samples and collaborate with HazMat

EXAMPLE: EnvironmentalEXAMPLE: EnvironmentalRoles and Responsibilities in Roles and Responsibilities in



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““To work in cooperation with Emergency To work in cooperation with Emergency Management to ensure the staffing of Management to ensure the staffing of shelter sites in response to OEM’s shelter sites in response to OEM’s determination of a potential for an determination of a potential for an adverse weather event which may adverse weather event which may necessitate the activation of the shelter necessitate the activation of the shelter protocol” protocol”

School Health Program Shelter ProtocolSchool Health Program Shelter Protocol

EXAMPLE: ShelteringEXAMPLE: ShelteringRoles and Responsibilities in Roles and Responsibilities in



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Potential Functional Roles for thePotential Functional Roles for thePublic Health Public Health

LEADER / ADMINISTRATORLEADER / ADMINISTRATOR

I.I. Agency Director:Agency Director: serve as Incident Commander; serve as Incident Commander; direct provision of a specific servicedirect provision of a specific service

II.II. Division or Section Head:Division or Section Head: Communicate with the Communicate with the Liaison Officer; direct departmental operations; Liaison Officer; direct departmental operations; communicate with the Logistics Section Chief for communicate with the Logistics Section Chief for procurement of suppliesprocurement of supplies

III.III. Clinic Administrator:Clinic Administrator: Coordinate departmental Coordinate departmental operations; monitor use of, need for and availability of operations; monitor use of, need for and availability of resources.resources.


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Potential Functional Roles for the Public Health (PH) PROFESSIONAL

I. PH Physician: communicate with medical providers; provide clinical expertise and consultation regarding bio-threats; develop clinical protocols

II. PH Nurse: administer immunizations and medications, staff shelters

III. Health Education Specialists: staff hotlines; develop special public information messages

IV. Environmentalists: monitor/test environment

V. Epidemiologist: coordinate local lab with CDC; conduct special investigations


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Potential Functional Roles for the Public Health Potential Functional Roles for the Public Health TECHNICAL AND CLERICAL SUPPORT STAFFTECHNICAL AND CLERICAL SUPPORT STAFF

Lab TechnicianLab Technician: : gather samples, staff gather samples, staff the labthe lab

Environmental WorkerEnvironmental Worker: : participate in participate in cleanup or recoverycleanup or recovery

SecretarySecretary: : communicate with the field; communicate with the field; maintain action logsmaintain action logs

DriverDriver: : deliver specimens or suppliesdeliver specimens or supplies


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RECOGNIZE deviations from the norm that might indicate an emergency, and…

DESCRIBE appropriate action (e.g. communicate clearly within the chain of command).


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DeviationsDeviations

Notice and report unusual number or Notice and report unusual number or clustering of medical conditions at the clinicclustering of medical conditions at the clinic

Be alert for any deviations / increases or Be alert for any deviations / increases or decreases from the norm and report to your decreases from the norm and report to your supervisorsupervisor

Suspicious packages or mail at your work Suspicious packages or mail at your work sitesite

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• IDENTIFY limits to own knowledge/skills/authority and..

• IDENTIFY key system resources for referring matters that exceed these limits


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Some ExamplesSome Examples

LIMITS TO OWN SKILLS OR AUTHORITY

• Communication with media

• Legal authority

• Supervision of others

• Allocation of resources

• Clinical skills or decision making

• Policy decision

KEY SYSTEM RESOURCES

• Agency chain of command

• Web resources

• Logistics Officer

• Policy and procedure manual

• Disaster plan / protocols


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Some Examples for a Public Health Nurse in Some Examples for a Public Health Nurse in the Shelter Setting:the Shelter Setting:

Limits• Treatment of the

seriously ill

• Providing information to the media

• Re-assigning roles of other shelter staff

Resources• Local Emergency Room

• DOH Public Relations (or Public Affairs Dept.)

• Shelter manager


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DESCRIBE communication role(s) in emergency response:

• Within agency• Media• General public• Personal (family, neighbors)


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Communication Communication Within the AgencyWithin the Agency

Communication through the Chain of Command will insure that your information and requests for support get to the correct individual.


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Communication with theCommunication with theMediaMedia

• In emergency situations, there are many media inquiries, and they are made to everybody.

• Know your agency’s media plan

• Usually, all press inquiries are to be referred to the Joint Information Center at the EOC.


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Communication with the Communication with the General PublicGeneral Public

• As a public health employee, you always represent PUBLIC HEALTH to the community in your day to day lives.

• You may be required to answer queries and take information through hotlines or disseminate public health messages.


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Communication with Communication with Your FamilyYour Family

Your family may be concerned, involved and/or have their routines changed.

Do you have a:• Family Disaster Plan

• Personal Emergency Plan

•http://www.floridadisaster.org/Remember to make provisions for: child(ren),

spouse/partner, parents, pets, and any others


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DEMONSTRATE correct use of all communication equipment used for emergency communication (phone, fax, radio, etc.).


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Communication Equipment Frequently Used in a Disaster/Emergency

• Telephone: know how to transfer a call

• Fax: know how to operate the copier or group fax functions

• Walkie-talkie

• E-mail

• Bullhorn

• Paper and pencil • Use of “runners” (staff to deliver messages)

• Intercom system


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APPLY creative problem solving and flexible thinking to unusual challenges within functional roles and responsibilities and

EVALUATE the effectiveness of all actions taken.


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CREATIVE PROBLEM SOLVING

What situations requiring creative problem solving and flexible thinking can you imagine occurring?

• Telephone system fails?

• Expected supplies are not delivered?

• Agency facility is inaccessible?

• Other types of problems???


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Evaluation of All Actions

How would you evaluate the effectiveness of all actions you took?

• Were the issues you referred to others acted upon?

• Was the issue that you addressed resolved?

• After the situation, evaluate the effectiveness of the plan.


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Core Public Health Worker Competencies for Emergency Preparedness and Response

Effective public health emergency preparedness and response depends upon the coordinated efforts of multiple people from many different agencies, working in concert.

Mastery of the Core Public Health Worker Emergency Preparedness and Response Competencies is the first step for the public health team.


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In order to respond to any emergency/disaster, ALL public health

workers should be able to:

• IDENTIFY & LOCATE the emergency plan

• DESCRIBE the role of Public Health

• DESCRIBE the Chain of Command

• DESCRIBE & DEMONSTRATE one’s functional role

• RECOGNIZE deviations from the norm

• IDENTIFY limits to own authority

• DESCRIBE communication roles

• DEMONSTRATE use of communication equipment

• APPLY creative problem solving skills


1 CHARLOTTE COUNTY HEALTH DEPARTMENT Emergency Preparedness Core Competencies for Public Health Workers.

Documents

health medical esf

public information esf

transportation esf

public works esf

public health response

public health safety

examples of esf

role of public health