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NURSING HOME EMERGENCY MANAGEMENT 101

NURSING HOME EMERGENCY MANAGEMENT 101. Presenter: Derek Hanson. NH EMERGENCY MANAGEMENT. EM Basics Communications Safety & Security Utilities. Core EM Planning Resources & Assets Staff Roles Resident Support. PREPARING YOUR NH. Assortment of threats Medical Surge Community Surge

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NURSING HOME EMERGENCY MANAGEMENT 101

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  1. NURSING HOME EMERGENCY MANAGEMENT 101 Presenter: Derek Hanson

  2. NH EMERGENCY MANAGEMENT • EM Basics • Communications • Safety & Security • Utilities • Core EM Planning • Resources & Assets • Staff Roles • Resident Support

  3. PREPARING YOUR NH • Assortment of threats • Medical Surge • Community Surge • Fatality Management • Unified Command

  4. EMERGENCY MANAGEMENTBASICS • Local, State & Federal authorities (EM / EPR) • NIMS (national incident management system) • Accrediting agencies • Healthcare recognized agency • Consider MOU’s

  5. FOUR PHASES OF EMERGENCY MANAGEMENT • Mitigation: Actions taken to reduce vulnerability of the organization to an incident by lessening the severity and impact.

  6. FOUR PHASES CONTINUED • PREPAREDNESS: Actions taken to advance both capacity (space & resources) and capability. Education for staff.

  7. FOUR PHASES CONTINUED • RESPONSE: Actions taken during an emergency to manage treatment of casualties, manage illnesses, maintain responder health & safety, and protect the organization.

  8. FOUR PHASES CONTINUED • RECOVERY: Actions taken to restore the organization to normal operations and services.

  9. CREDENTIALING • Awareness Program • IS – 100 • IS-200 • IS-700 • IS -800 • NHICS

  10. HSEEP (HOMELAND SECURITY EXERCISE & EVALUATION PROGRAM) • Standardized method to plan and evaluate exercises, as well as, to identify performance improvement measures, corrective actions, and evaluation of those actions.

  11. NH EM TEAM LEADER • Qualifications of coordinator • Communicate your plan to other stakeholders • Interact with community resources • Leadership skills / personality traits

  12. INCIDENT COMMAND SYSTEM • Common organizational Structure • Coordinated communications • Common planning & Objectives • Clear lines of authority • Common language

  13. HAZARD VULNERABILITY ANAYLSIS (HVA) • Designed to help you become familiar with hazards that your facility may face, and help you prioritize your planning, training, and exercises for your facility based on the likelihood of an event occurring.

  14. HVA CONSIDERATIONS • 24 /7 operation period • Power is critical • Water / Sewer is important • Evacuation possibilities • Hazardous materials • Structural aspects / parking / fences

  15. HVA CONTINUED • Involve community partners (EM’s / EPR’s) • Conducted annually • Completed by committee • Consider a Security Assessment • Can differ from one building to another

  16. HVA CONTINUED FACILITY COMMUNITY • Tornado • Flooding • Utility Failures • Snow Emergency • Pandemic (Surge) • Hazardous Materials • Transportation issues • State Penitentiary • Other Medical Facilities • Mass Casualty Incident

  17. COMMUNICATIONS • Landline Telephone • Wireless phone (in bldg) • Overhead paging • Nurse call systems • IP systems • Cell phones • Beepers • BlackBerry devices • Text messaging • Fax machines • E-mail • Electronic boards • Tracking systems • Hand-held radios • Satellite phones • Battery backup phones

  18. COMMAND CENTER TOOLS • Laptop computers • Telephones • Maps • Radios • Cell Phones • Copy machine • Computer printer • Flashlights, cameras, etc

  19. RESOURCES & ASSETS • Obtain / replenish medications and supplies • Forms (FEMA forms & local) • Call lists (internal /external) - Resource binder • Codes / Keys • Vendor agreements • Personal Protective Equipment (PPE) • Transportation list • Food & water supplies

  20. STAGING • Close to entrance / exit • Easy access • Easily secured • Adequate storage space

  21. SAFETY & SECURITY • Security Plan • Community involvement • Vehicle access • Restricted areas • Control Movement (Lockdown/controlled access) • Identify Staff • Cameras

  22. STAFF ROLES & RESPONSIBILITIES • Training • Review plans • Participate in exercises • Basic disaster awareness • Personal preparedness • Follow lead of Incident Command Team • Prepare for evacuation

  23. UNDERSTANDING SURGE • Medical Surge • Community Surge • This is bigger than your facility • Will stress your system • Make room for surge • Tag, numbering or name system (tracking) • Short Term • Altered Standards of Care

  24. ACHIEVING BUY-IN • Money • Image • Alignment • Accreditation

  25. THANK YOU QUESTIONS ?

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