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“SOME ASSEMBLY REQUIRED”

“SOME ASSEMBLY REQUIRED”. “Bridging the Gaps” Health & Emergency Preparedness Atlanta, March 23, 2011 Grant Coffey Hazmat Team Coord – Portland, OR Fire & Rescue RSO, NFPA Rad Spec, Cert Emerg Mgr grant.coffey@portlandoregon.gov

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“SOME ASSEMBLY REQUIRED”

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  1. “SOME ASSEMBLY REQUIRED” “Bridging the Gaps” Health & Emergency Preparedness Atlanta, March 23, 2011 Grant Coffey Hazmat Team Coord – Portland, OR Fire & Rescue RSO, NFPA Rad Spec, Cert Emerg Mgr grant.coffey@portlandoregon.gov Office (503) 823-3946 BlackBerry (503) 793-1606 Pgr (503) 323-6093

  2. What did we really learn in TOPOFF 4 ? A fresh look at the public comms piece by dealing with it from the bottom up Exercises & learning – do it better and the public benefits Equipment & monitoring – ground truth for PAG’s The Devil’s in the Details

  3. Responder 101–how dialed in is our front line? Tools of the Trade – Modeling programs & field guides Patient treatment & education – how are the hospitals doing? The Medical Care Point Option The Devil’s in the Details

  4. Getting the message out–what is the best method? The vetting process with partner agency liaisons Special populations and resulting pub ed efforts Sampling, evidence and keeping secrets RECOMMENDATIONS and NEXT STEPS The Devil’s in the Details

  5. Unexpected concerns that affect behavior 60% of PopN has at least 1 pet = 700,000 in metro Pets brought to MCP’s Special decon concerns Responder security during search and rescue ops Brief, relevant info with PR sheets Animals Are People Too

  6. PIO’S located with the IC, at the ECC. A qualified PIO at the incident and communicating directly into the ECC/JIC Press releases sent out by multiple ECC/EOCs cause confusion and nullify the value of the JIC. PIOs need to work directly with Command & the media to get the infor out early Incident Action Plan (IAP) needs to be shared with JIC early on. IMT’s need to conduct regular FACE TO FACE briefings with Branch experts PUBLIC INFORMATION OFFICIALS

  7. Common terminology across all disciplines and jurisdictions (hot zone, contamination zone, exclusion zone, etc) JIC close to the decision makers once it is functional Difficult to contain info flow from hospitals and other outside agencies. This information often conflicts with numbers and stats being released by the ECC and JIC PUBLIC INFORMATION OFFICIALS

  8. GETTING THE MESSAGE TO THEM - Hit them hard with text in the first few sentences - Use all the current media weapons JUST IN TIME…….. - Responder skill - Site briefing - SIRAD Tools KISS ALGORITHMS Goiania Public Reaction Model Are You Elephant Hunting With a BB Gun ???

  9. The problem is for Rad, IT IS about the equipment - Faceshield issue Poor understanding about monitor types, uses, SOP’s Quality “JUST IN TIME” training to civilian teams and other response and public agencies must be done now and also repeated during the crisis Vetted standards down to the field responders for zones, PAG’s, and contamination levels Quick field cards for monitors It’s Not The Equipment Stoopid

  10. On scene pts self evac to hospitals – media spreads news Goiania model – expect many pts – establish MCP’s Hospital preparedness/capabilities produce need for off-site capaability Media Area of concern info and home decon Instructions for MCP locations Volunteer help at MCP sites and “just in time” training Patient procedures, injury trumps rad, SECURITY ISSUES Public Screening Issues

  11. Which model to use for an Incident of National Significance ? Reachback – delays, and interpretation politics Such model may be worse than none, if interpreted incorrectly Agency use of different models - HOTSPOT, IMAAC, PEAC, CAMEO Hazmat protocols and REDUNDANCY Modeling for Public Protection

  12. Communication of Nuclide field ID to hospitals for countermeasures, and FBI/Law for intel/interdiction Pub info - MCP locations - other potential agents that may necessitate other security concerns Problematic IMAAC training support Media relations and various iterations of plume models Science officers and experts from CST teams Multiple but similar tools, can help to ID key data elements not captured by any individual tool Modeling for Public Protection

  13. Media access to projections may precipitate negative public actions based on erroneous interpretation We discussed plain language descriptions of plume maps, or in effect “translate” or simplify these The T4 problem was not how the public “read” the maps through PIO’s, but how the maps were used by the “experts There was no interpretation in this area, but more specifically, lack of timely action on any of the recommendations discussed Inaccurate models prevented timely inputs, delaying early field models. Coord problem with ground truth Modeling for Plume Protection

  14. There was an initial delay in getting the partners together and after the feds took over, progress and info flow was an issue. Later in the exercise, there was heated discussion between federal partners on how and even whether to integrate FRMAC’s resources into the data collection efforts. RECOMMENDATIONS Separate Plume Model for public dissemination. Give them only what they need to know for their safety. Superfluous data only muddles the primary focus: “ What should I do to keep my family safe?” PLUME MODELING INPUT

  15. Non- techie version, in simple language. Modify color scheme. Red “death zone” with possible responder warm and hot zone confusion Talking point translation with media PAR’s message focus Refer media back to the decision makers for their interpretations Speak with unified voice, instilling confidence in populace Simplified field guide for the first responder, leading to a better early model – therefore, BETTER PIO INFO PLUME MODELING RECOMMENDATIONS

  16. INTEGRATE RAD INTO NORMAL SOPS – - First response capability and SOP - 10 step screening for HMRT’s - Field Quick Guides - PR sheets on CBRNE squads and integrated into current delivery modalities INCREASE RAD TRAINING CADRE - RSO’s on technical teams - T the T model for responders - Explore on line sim model - Use Citizen Corp and other teams NEXT STEP RECOMMENDATIONS

  17. SCENE RECON INFO AND IED SOP’s STRESS JOINT INTERAGENCY TRAINING BUILD TRUST - Integrated NIMS classes - Promote more training with state rad and the CST’s - stress law, USAR, Fire & medical cross training for bomb/collapse scenes IMPROVEMENT IN THE SHARING OF INTELLIGENCE - Couple this with better interdiction, Nuclide ID in the field and training NEXT STEP RECOMMENDATIONS

  18. CONSISTENT STANDARDS FOR HAZARD ZONES, PAG’SAND DECISION DOSES - Communicate these to all in a standard process AFTER ACTION REPORTS EDUCATION MISNOMERS AND INCONSISTENCIES NOTIFICATION & SAMPLING/EVIDENCE ISSUES ESTABLISH RELATIONSHIPS WITH UNIVERSITIES NEXT STEP RECOMMENDATIONS

  19. ALL HAZARDS APPROACH WHO’S ON FIRST ??? - Law, USAR and Fire on the same page IMPROVE TRAINING, EQUIP AND PROCEDURES FOR THE HOSPITALS VETTING OF A NATIONAL STANDARD FOR ALL OF THE ABOVE NEXT STEP RECOMMENDATIONS

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