Emergency Preparedness Training And Exercise Guide For-Books Pdf

Emergency Preparedness Training and Exercise Guide for
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ACKNOWLEDGEMENTS, The federal Department of Homeland Security Exercise and Evaluation Program HSEEP. provides specific standards for emergency preparedness training and exercises that. complies with the National Incident Management System To assist its many health and. medical partners to become proficient in the HSEEP standards the Florida s Department. of Health Division of Emergency Operations developed a handbook called the Mechanic s. Manual a Handbook for Becoming HSEEP Compliant This manual assists health and. medical partners such as nursing homes and hospitals to become proficient in developing. conducting and evaluating preparedness exercises that meet the HSEEP standards The. Florida Department of Health gave permission to the Florida Health Care Association to. use the Mechanic s Manual as a primary source document for this training and exercise. guide for nursing homes Additional materials and resources developed by the Florida. Health Care Association under a grant awarded by the John A Hartford Foundation have. also been used extensively in the preparation of this guide. Readers are strongly encouraged to visit the website of the Department of Homeland. Security Exercise and Evaluation Program https hseep dhs gov for additional education. about developing and conducting emergency preparedness exercises. The Preparedness System 1,Key Concepts 1,Step by Step Process for Planning an Exercise 2. Run the Exercise 7,Collect Performance Data 7,Improve the Process 8. Track the Progress 8,Resources for Independent Study 9. Exercise Examples 10,Conducting a Drill 11,Conducting a Tabletop Exercise 13.
Tabletop Exercise Planning Worksheet Directions Samples 16. Emergency Preparedness Training and Exercise Guide for Nursing Homes. The Preparedness System, It is important to recognize preparedness as a system. requiring the continuous integration of plans training. programs exercises and evaluations It is a system that. functions like a machine, Turning the planning gear writing or revising a plan sets in. motion the training gear making sure all staff understands. the plan After training the exercise and evaluation gear. kicks in helping to identify weaknesses in the plan as well as. areas where additional training is needed, If you have a comprehensive emergency plan for your. facility you ve put the preparedness machine into motion. The next step is to set the training gear into motion by. training your staff on the plan After training follow up with. exercises to give staff a chance to practice the procedures. about which they ve been trained and evaluate each exercise to determine needed plan changes. or additional training, The goal of this guide is to help you design and maintain a preparedness system for your facility. keeping the gears turning and the preparedness machine running smoothly. Key Concepts, People generally respond to an emergency in the way that they have been trained By using an.
ongoing process of training exercising and evaluation nursing homes have a greater assurance. that their staff will know what is expected of them in an emergency situation and act accordingly. Following are several key concepts essential to developing an emergency preparedness training. and exercise program for your facility, Make disaster preparedness a part of new employee orientation and ensure that all. employees receive the training, Provide refresher training on disaster preparedness for all staff on a routine basis. recognizing that some will require more frequent training because of their specific roles and. responsibilities, Exercise all portions of your facility s emergency management plan in accordance with the. training and exercise schedule described in the plan. Use a variety of training and exercise approaches including discussion based tabletop. exercises and operations based drills This guide provides additional information about how. and when to use various methods, Conduct exercises that include representatives from the fire department local law. enforcement the local health department the emergency management office the Red Cross. and your utility provider, Exercise all vendor and mutual aid agreements identified in your emergency plan to be sure.
of their continued viability particularly evacuation transportation agreements receiving facility. agreements and energy generator agreements, Evaluate all training and exercise activities and use the information to make improvements to. your emergency management plan and training and exercise schedule. Develop relationships with your local emergency management office and health department. and participate in training and exercise opportunities they might sponsor. Emergency Preparedness Training and Exercise Guide for Nursing Homes. Step by Step Process for Planning an Exercise, Following is a recommended step by step process for developing an emergency preparedness. exercise plan for your facility These steps are based on the Florida Department of Health s. Mechanic s Manual Handbook for Becoming HSEEP Compliant. Step 1 Synchronize your exercise with your emergency plan and training programs. Determine the emergency management plan or capability or training competency that you want to. exercise and evaluate Ask these questions, Will all of the exercise participants be knowledgeable of the plan If not then you must. distribute the plan and ensure that it is read and understood before considering the type of. exercise you want to conduct See page 3 4 for exercise descriptions. Does the plan or parts of the plan that will be exercised and evaluated require first time or. refresher training If so ensure that you conduct training to an established standard of. proficiency before conducting an exercise Drills are very useful as intermediate exercises. to validate specific training proficiency standards. What if there is no existing plan You can effectively use seminars and workshops to. review issues requiring writing of new plans and to determine what needs to be included in. the plans they are developing Types of exercises are discussed in Step 3. Step 2 Determine which topic to use in developing exercise objectives The topic can be. anything from a simple single task activity or process involving a few people to a complex multi. tasked activity involving multiple departments and organizations Some topics to consider. The roles and responsibilities of key staff members during an emergency. The Incident Command System and how it relate to the nursing home staff. The physical layout of the facility and the location of the nearest stair exit alternate stair. exit s and the direct route to each exit, The location of fire extinguishers and how to use them some fire extinguisher companies. provide free in service training during the regular annual equipment servicing. The location of emergency equipment such as E tanks concentrators Ambu bags. suctioning equipment and other supplies used in a medical emergency. Emergency telephone numbers and call down procedures as defined in the facility s. emergency management plan, How to assume control minimize rumors and prevent panic.
Managing decedents when routine services are interrupted. Evacuation priorities e g ambulatory wheelchair and bedfast residents. Procedures for protection of residents during an evacuation. Response procedure to a missing resident, Minimizing resident vulnerability to extreme temperature due to power outage when the. generator is inoperable or does not maintain air conditioning heating. Responding to staff injuries during an emergency event. Basic First Aid CPR training, How to help staff prepare personally for a disaster with a goal of maintaining a viable. workforce for the facility during a disaster resource www redcross org. Emergency Preparedness Training and Exercise Guide for Nursing Homes. Localized Fire Response,Procedures for utility and water shut offs. Sudden power outage, Procedures for switching to and or troubleshooting the generator. Sudden water loss or water contamination,Sudden flooding.
Significant structural damage to a section of the facility. Violent resident family member staff member or other guest visitor. Step 3 Determine the type of exercise which would be the most appropriate to evaluate the. selected topic objectives Build exercises to correspond with the topic s objectives plans and or. training programs that are to be evaluated and the level of the nursing homes current capabilities. IMPORTANT Do not immediately jump into a full scale exercise or even a tabletop. exercise unless your plan is mature and your participants have the appropriate. level of training, Discussion based exercises familiarize participants with current plans policies agreements and. procedures They may also be used as a forum to develop or revise plans policies agreements. and procedures Discussion based exercises include seminars workshops tabletops and. games Discussion based exercises typically require facilitators in lieu of controllers and may also. require evaluators, Seminar A seminar is an informal discussion that orients participants to new or updated. plans policies or procedures e g a seminar to review new family notification procedures. It is also a good method for informing and training staff on changes that have been made to. the facility s emergency management plan, Workshop A workshop resembles a seminar but it builds specific products such as a draft. plan or policy Workshops can also be used effectively to bounce canned scenarios off a. Emergency Preparedness Training and Exercise Guide for Nursing Homes. new plan to see where it will break e g a workshop to create a new and improved policy. for responding to a missing resident event, Tabletop Exercise TTX A tabletop exercise involves key participants discussing simulated. scenarios in an informal setting TTXs can be used to assess plans policies and. procedures e g unplanned power outage Tabletop exercises provide an excellent. opportunity for a nursing home to identify assess and correct strengthen their emergency. management plan This guide includes detailed information about developing and. conducting a tabletop exercise including a template for nursing homes. Game A game is a simulation of operations that involves two or more teams in a. competitive environment using rules data and procedures and scenarios designed to. depict an actual situation and test whether training is sufficient e g create a list of tips for. how to best notify residents of an emergency event and how to keep them informed of. what s going on, Operations Based Exercises validate plans policies agreements and procedures clarify roles.
and responsibilities and identify resource gaps in an operational environment Types of. Operations based Exercises include drills functional exercises and full scale exercises. Operations based exercises typically require safety officers controllers evaluators and may also. require actors and simulators Operations based exercises require much greater logistical support. cost and planning time than discussion based exercises See Step 6 Exercise Staffing. Drill A drill is a coordinated supervised activity usually employed to test a single specific. operation or function within a single entity In nursing homes the fire drill is the most. common drill conducted although many other aspects of the emergency preparedness plan. can be practiced using a drill For example a drill would be an effective way to test the. responsiveness of the facility s evacuation transportation provider or the facility s ability to. switch to the generator when the person responsible for the generator is not accessible. Functional Exercise FE A functional exercise examines and or validates the coordination. command and control between various multi agency coordination centers e g sister. nursing homes emergency operation center etc A functional exercise does not involve. first responders or emergency officials responding to an incident in real time at an actual. location with actor simulated victims For example a facility might develop and conduct a. functional exercise to test its capacity to evacuate a portion or all of its residents. Full Scale Exercises FSE A full scale exercise is typically a multi agency multi. jurisdictional multi discipline exercise involving functional e g sister nursing homes. emergency operation center etc and first responders or emergency officials e g a. medical response team decontaminating actor simulated victims in real time real place. Step 4 Determine exercise cost, Seminars workshops and drills can usually be executed at low cost They can be and should be. developed in house without relying on contractors, Tabletop exercises with multiple objectives and scenarios and functional exercises may require. contractor support But you can avoid major expense by using existing tools to develop the. exercise basis The more work that can be done in house the less contractor support will be. needed and less cost will be incurred, Emergency Preparedness Training and Exercise Guide for Nursing Homes. Step 5 Set the Exercise Date,Allow yourself enough time to. Identify and organize the planning team,Reserve a meeting space for the planning team.
Schedule planning meetings, Identify the type scope objectives and purpose of the exercise. nursing homes emergency operation center etc A functional exercise does not involve first responders or emergency officials responding to an incident in real time at an actual location with actor simulated victims For example a facility might develop and conduct a

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