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Louisiana Department of Health & Hospitals. RELIEF WORKERS (WAEs) ROLES & RESPONSIBILITES. Objectives. To define “Department of Health and Hospitals (DHH) Relief Worker”. To review the roles and responsibilities of Emergency Support Function(ESF)8 and DHH during emergencies and disasters.

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Louisiana department of health hospitals

Louisiana Department of Health & Hospitals

RELIEF WORKERS (WAEs)

ROLES & RESPONSIBILITES


Objectives
Objectives

  • To define “Department of Health and Hospitals (DHH) Relief Worker”.

  • To review the roles and responsibilities of Emergency Support Function(ESF)8 and DHH during emergencies and disasters.

  • To review the supporting ESFs and the corresponding roles.

  • To review the functions of the various types of ESF 8 operations to which relief workers may be deployed.

  • To review the roles and responsibilities of Relief Workers for medical operations.


Pre test
Pre-test

  • 1.What are some examples of disasters?

    • A. tornadoes

    • B. anthrax

    • C. oil spills

    • D. all of the above

  • 2. The Department of Health and Hospitals is the primary lead agency for Emergency Support Function 8 responsible for providing public health and medical services.

    True or False

  • 3. Emergency Support Function 8 deployment sites for Relief Workers are:

    • A. Medical Special Needs Shelter

    • B. Transportation Triage

    • C. Temporary Medical Operations Staging Areas

    • D. Receiving, Staging and Storage Warehouse

    • E. All of the above

    • F. None of the Above

    • G. a, b and c only


Pre test1
Pre-test

  • 4.What can transportation triage be used for?

    • A. Transport vehicles across the state to be utilized by citizens

    • B. A medical screening operation to determine the level of care needed by evacuees to determine if the individual will be placed in a Critical Transportation Needs Shelter, Medical Special Needs Shelter or healthcare facility.

    • C. oil spills

    • D. None of the above

  • 5. The Incident Command System (ICS) provides a standardized, on-scene, all hazards incident management approach for any size, scope or complex incident. All Emergency Support Function 8 medical operations are National Incident Management System (NIMS) compliant using the ICS structure.

    True or False


What are dhh relief workers
What are DHH Relief Workers?

Relief Workers = WAEs (Workers as Employed)

  • Only work when they are activated for

    employment.

  • Comprise a labor pool that is readily activated, trained, and deployable.

  • Stand ready to respond when a federal declaration is established in the event of any emergency/disaster.


Who are dhh relief workers
Who are DHH Relief Workers?

  • Physicians

  • Nurse Practitioners

  • Registered Nurses

  • Licensed Practical Nurses

  • Nursing Assistants

  • Respiratory Therapists

  • Social Workers

  • Administrators

  • Administrative Assistants


Types of disasters
Types of Disasters

  • Natural and Human-Caused

    Tornados

    Hurricanes

    Flooding

    Winter storms, Freezes


Types of disasters1
Types of Disasters

Chemical, Biological, Radiation, Nuclear, and Explosives

Chemical Spills


Types of disasters2
Types of Disasters

Transportation Accidents


All hazards approach preparations for all types of disasters
ALL HAZARDS APPROACH:Preparations for All Types of Disasters

  • Severe Weather (thunderstorms, tornadoes, hurricanes, floods)

  • Toxic spills/chemicals (accidental toxic releases by railways, waterways, pipelines, and highways)

  • Naturally occurring disease outbreaks (West Nile virus, influenza)


All hazards approach preparations for all types of disasters continued
ALL HAZARDS APPROACH:Preparations for All Types of Disasters (continued)

  • Biological Threats (anthrax, botulism, plague, smallpox, tularemia, viral hemorrhagic fever)

  • Radiation (accidental releases of radioactive material, a nuclear reactor meltdown, terrorist act)



Incident command system ics
INCIDENT COMMAND SYSTEM (ICS)

The Incident Command System (ICS) provides a standardized, on-scene, all hazards incident management approach for any size, scope or complex incident. All Emergency Support Function 8 medical operations are National Incident Management System (NIMS) compliant using the ICS structure.



Emergency support functions
Emergency Support Functions

The Emergency Support Functions (ESFs) provide the structure for coordination of responses to an incident.


Emergency support functions esf
Emergency Support Functions (ESF)

ESF-1

  • Transportation

    ESF-2

  • Communications

    ESF-3

  • Public Works and Engineering

    ESF- 4

  • Firefighting

    ESF-5

  • Emergency Management

ESF-6

  • Mass Care, Housing and Human Services

    ESF-7

  • Resource Support

    ESF-8

  • Public Health and Medical Services

    ESF-9

  • Search and Rescue

    ESF-10

  • Oil Spill, Hazardous Materials and Radiological


Emergency support functions esf1
Emergency Support Functions (ESF)

ESF-11

  • Agriculture

    ESF-12

  • Energy

    ESF-13

  • Public Safety and Security

ESF-14

  • Community Recovery, Mitigation, and Economic Stabilization

    ESF-15

  • Emergency Public Information

    ESF-16

  • Military Support to Civil Affairs


Emergency support functions esf roles responsibilities
Emergency Support Functions (ESF) Roles/Responsibilities

  • ESF 1- Transportation– led byDepartment of Transportation and Development(DOTD)-assists with evacuation of nursing homes, Transportation Triage, and with Medical Special Needs Shelters (MSNS) transportation needs.

  • ESF 2- Communications-led by the Governor’s Office of Homeland Security and Emergency Preparedness(GOHSEP)

  • ESF 3- Public Works and Engineering- led by DOTD


Emergency support functions esf roles responsibilities1
Emergency Support Functions(ESF) Roles/Responsibilities

  • ESF 4- Firefighting- led by Department of Public Safety/Office of State Fire Marshall

  • ESF5- Emergency Management- led by GOHSEP

  • ESF 6- Mass Care, Housing, and Human Services - led byDepartment of Children and Family Services- responsible for Critical Transportation Needs Shelters(CTNS); Shelter management

  • ESF 7- Resources Support – led by GOHSEP


Emergency support functions esf roles responsibilities2
Emergency Support Functions(ESF) Roles/Responsibilities

  • ESF 8- Public Health & Medical Services – led by Department of Health & Hospitals

  • ESF 9- Search and Rescue -led by Department of Wild Life and Fishery

  • ESF 10 - Oil Spills, Hazardous Materials, Radiological - led by Departmentof Environmental Quality (DEQ)

  • ESF 11- Agriculture – led by Department of Agriculture

  • ESF 12- Energy - led by Department of National Resources .


Emergency support functions esf roles responsibilities3
Emergency Support Functions(ESF) Roles/Responsibilities

  • ESF 13 - Public Safety and Security- led by Louisiana State Police with security tasked to Louisiana Army National Guard(LANG).

  • ESF 14 - Community Recovery, Mitigation and Economic Stabilization- led by GOHSEP

  • ESF 15- Emergency Public Information-led by GOHSEP and the Bureau of Media

  • ESF 16-Military Support to Civil Affairs – led byLouisianaArmy National Guard



Emergency support function 8 public health medical services
Emergency Support Function 8: Public Health & Medical Services

  • DHH has the lead role for overall state efforts in providing leadership for planning, directing and coordinating public health and medical assistance.

  • The Secretary of Health and Human Services through the Office of Public Health Emergency Preparedness is responsible for the federal coordination.


Esf 8 deployment sites for relief workers
ESF 8 Deployment Sites forRelief Workers

  • Medical Special Needs Shelter (MSNS)

  • Transportation Triage

  • Temporary Medical Operations Staging Areas (TMOSA)

  • RSS (Receiving, Staging, & Storage) Warehouses

  • Points of Dispensing Sites (PODS)

  • Emergency Operations Center (EOC)



Functions of esf 8 deployment sites for relief workers
Functions of ESF 8 Deployment Sites forRelief Workers

Medical Special Needs Shelter (MSNS) –provides sheltering for evacuees who

  • Require medical assistance with daily activities.

  • Cannot take care of themselves and are accompanied by a caregiver for assistance.

  • Do not have conditions severe enough to be admitted to a hospital.


Medical special needs shelter msns
Medical Special Needs Shelter (MSNS)

ESF 8- Department of Health & Hospitals- Responsible for the coordination of medical care in the MSNS


Medical special needs shelter
Medical Special Needs Shelter

  • Medical (MDs, APRNs, Nurses, Social Services, Behavioral Health, Nurse Assistants etc.)

  • Non-Medical (Clerical, Environmental Health employees, IT etc.)

  • Volunteers


Msns services provided
MSNS Services Provided

  • TRIAGE

  • MEDICAL ASSESSMENT AND TREATMENT

  • PHARMACY (MINIMAL OVER THE COUNTER MEDICATIONS)

  • DISCHARGE PLANNING

  • SECURITY

  • MEALS

  • BEHAVIORAL HEALTH COUNSELING

  • TRANSPORTATION(DIALYSIS)


Medical Special Needs Shelters are designed for Individuals who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.They may be individuals who have disabilities and who have no other recourse for care.Remember- A shelter is a "lifeboat, not a cruise ship" and like a lifeboat, should only be used as a last resort.

Medical Special Needs Shelter


TRANSPORTATION TRIAGE who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.


Functions of esf 8 deployment sites for relief workers1
Functions of ESF 8 Deployment Sites for who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.Relief Workers

Transportation Triage- A medical screening operation to determine the level of care needed by evacuees in the CTNS (Critical Transportation Needs Shelter) evacuation operation.

Personnel determine if an evacuee can continue on to a CTNS site or needs placement in an MSNS site or further definitive care.


Transportation triage
TRANSPORTATION TRIAGE who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.


Transportation triage1
TRANSPORTATION TRIAGE who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.

Objective:

The emphasis is also on speed and efficiency to get vehiclesback enroute as soon as possible


Critical transportation needs shelter ctns
CRITICAL TRANSPORTATION NEEDS SHELTER (CTNS) who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.

  • A non-medical shelter operated for those

    persons evacuated by local governments from

    affected areas.

  • Evacuees who do not have their own means of

    transportation to evacuate.

  • Evacuees who are evacuated via bus or van

    according to city/state assisted plans.


TEMPORARY MEDICAL OPERATIONS STAGING AREA (TMOSA) who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.


Temporary medical operations staging area tmosa
Temporary Medical Operations Staging Area (TMOSA) who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.

A mobile operation post event that has the capability to treat and stabilize patients suffering from emergent medical conditions including but not limited to all hazards.

“MASH” type environment: Disposition may be to hospital, nursing home, MSNS or general shelter


RECEIVING, STAGING, AND STORING(RSS) SITE who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.


Rss warehouses
RSS Warehouses who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.

Receive, stage, store and distribute relief supplies and equipment


  • Receiving, Staging and Storing who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.

    (RSS) Sites

  • Assets arrive by ground or air

  • Large, secure temperature controlled warehouses


POINT OF DISPENSING SITE (POD) who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.


Point of dispensing site pods
Point Of Dispensing Site (PODS) who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.

A Point of Dispensing Site is facility where members of the community go during a public health emergency to receive medication.


Point of dispensing pod sites
Point of Dispensing (POD) sites who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.

  • Location where medications/vaccines are provided to the public to prevent disease

  • Range from small clinics to very large facilities

  • Work within specific timelines to get the medicines to the public (national guidance for anthrax response recommends oral antibiotics within 48 hours)


EMERGENCY OPERATION CENTER (EOC) who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.


Emergency operation center
Emergency Operation Center who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.

  • A central control and command center that coordinates emergency response and recovery activities that provides needed resources and communication.


ACTIVATION/DEPLOYMENT who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.


Call to duty activation deployment
CALL TO DUTY (Activation/Deployment) who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.

The DHH Incident Commander approves

“Stand-by” and “Activation/Deployment” orders

for Relief Workers.


Activation deployment of relief workers
Activation & Deployment of who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.Relief Workers

Goal:

  • Assist ESF 8 efforts and augment regional staffing in

    providing public health and medical services to Louisiana

    citizens and visitors.

  • When there is an impending emergency/disaster, DHH

    regions assess personnel resources and request additional

    staff.

  • Requests will be matched to the relief worker staffing

    pool.


Dhh s 9 regions
DHH’s (9) Regions who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.

Region 7

Region 8

Region 6

Region 2

Region 9

Region 1

Region 5

Region 4

Region 3


Health alert network system hans notifications
Health Alert Network System (HANS) Notifications who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.

HANS sends notification alerts via phone and/or email.

“Stand-by” – Stand ready to be deployed; get prepared to be activated for duty. Stand-by alerts may be sent in anticipation of an event progressing to a state or federal emergency.


Activation deployment
“Activation/Deployment” who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.

  • Report to the designated operation site within (2) hours unless otherwise specified.

  • Complete the Disaster Operations Individual Time Sheet (HR 48 form).

  • Receive orientation to the site, Just-in-Time training, and assignment to a Section Leader


HR 48 TIME SHEET who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.


Facts for relief workers
Facts For Relief Workers who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.

Activation for work can occur only after a Federal Declaration

of Emergency. Activation must be approved by the Center for

Community Preparedness.

Relief workers are paid only for hours worked.

Relief workers receive no benefits (such as

annual leave, retirement, K-time, insurance).

Shifts may vary based on staffing needs; however 12 hour

shifts are usual and customary.


Post test
Post-test who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.

  • 1.What are some examples of disasters?

    • A. tornadoes

    • B. anthrax

    • C. oil spills

    • D. all of the above

  • 2. The Department of Health and Hospitals is the primary lead agency for Emergency Support Function 8 responsible for providing public health and medical services.

    True or False

  • 3. Emergency Support Function 8 deployment sites for Relief Workers are:

    • A. Medical Special Needs Shelter

    • B. Transportation Triage

    • C. Temporary Medical Operations Staging Areas

    • D. Receiving, Staging and Storage Warehouse

    • E. All of the above

    • F. None of the Above

    • G. a, b and c only


Post test1
Post-test who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.

  • 4.What can transportation triage be used for?

    • A. Transport vehicles across the state to be utilized by citizens

    • B. A medical screening operation to determine the level of care needed by evacuees to determine if the individual will be placed in a Critical Transportation Needs Shelter, Medical Special Needs Shelter or healthcare facility.

    • C. oil spills

    • D. None of the above

  • 5. The Incident Command System (ICS) provides a standardized, on-scene, all hazards incident management approach for any size, scope or complex incident. All Emergency Support Function 8 medical operations are National Incident Management System (NIMS) compliant using the ICS structure.

    True or False


Questions
Questions? who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be harmful to their health.

Contact email address: [email protected]

or call 225-763-5470

Please complete and print out the completion certificate and post test.


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