emergency preparedness training for social workers new jersey preparedness consortium (nj-ptc) umdnj...
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Emergency Preparedness Training for Social Workers
New Jersey Preparedness Consortium (NJ-PTC)UMDNJ & US Department of HHS
Grant No. T01HP01407
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Goals & Objectives List 12 categories of items in an
Emergency Preparation Kit Identify 3 ethical issues dealing
with an emergency Name 2 laws dealing with legal
issues in an emergency Identify the role of NIMS & ICS
during a crisis
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HSPD – 5 Executive Order #50Executive Order #5
Homeland Security Presidential Directive – 5 Purpose: Develop & administer a National
Incident Management System (NIMS)Executive Order #50 (Codey) Purpose: Mandates NIMS as state emergency
response standard for NJ Executive Order #5 (Corzine) Purpose: Creates cabinet level Homeland Security
Director to oversee state emergency response efforts
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National Incident Management
System (NIMS)
Provides a national structure to prepare for, prevent, respond & recover from disasters
Training at www.fema.gov/emiweb/is
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NIMS Components1. Command & Management – Incident
Command System (ICS)2. Preparedness – Emergency Operations Plan
(EOP), training3. Resource Management – Personnel, facilities,
equipment, supplies4. Communications & Information Management
– Public Information Officer (PIO)5. Supporting Technologies – Computers6. Ongoing Management & Maintenance –
Changes, demobilization
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Emergency Operations Planning – 4 Components
1. Preparedness – evaluate risks/probabilities2. Response – how to deal with risks/probabilities3. Mitigation – how to minimize the effects or
prevent reoccurrence of disaster4. Recovery – What would be needed to restore
unmet needs/how to do this
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Incident Command System(ICS)
System for organizing a response (based on the Emergency Operations Plan) to an emergency after it occurs
Common goal of stabilizing the incident - protecting life, property & the environment
Directed by an Incident Commander (IC) Has 4 Basic Functions
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4 Basic Functions of ICS
1. Planning – Determine what specifically needs to be done to handle incident
2. Operations – Directs all resources to carry out the plan
3. Logistics – Provides the resources & all other services needed to support the plan
4. Finance/Administration – Monitors costs related to managing the incident
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Laws Pertaining to Incidents
Homeland Security Presidential Directive – 5Established NIMS on national level
Executive Order #50Established NIMS on state level
Executive Order #5Established Cabinet Level Homeland Security Director
NJ Emergency Health Powers Act - N.J.S.A. 26:13Established powers of Commissioner of DHSS during incident
Health Insurance Portability & Accountability Act - HIPAAEstablished permitted disclosures of identifiable health information
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NJ Emergency Health Powers Act N.J.S.A. 26.13
Report Suspected Disease - DHSS Track Disease Process - Commissioner Emergency Health Care Providers Registry Transfer management of health care facility to
DHSS Control of Health Care Supplies Vaccination – mandate Require Health Care Providers to Assist Immunity from Liability Reasonable Reimbursement for Services
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HIPAA
Personal Health Information (PHI) Persons exposed to reportable
communicable diseases Persons who refuse treatment
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Principles of Ethics
Autonomy: Respect self-determination; choice of action
Beneficence: Enhance welfare of others; avoid harm (nonmaleficence)
Paternalism: Protect against self-harm or harming others (compromised autonomy)
Justice: Equitable treatment
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Biological Agents of Highest Concern
Smallpox Anthrax Plague Tularemia Botulism Viral Hemorrhagic Fevers
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Types of Illnesses These Agents Can Cause
“Flu-like” illness (fever, sweats, nausea) Cough and/or pneumonia Headache, confusion Skin ulcers (anthrax, tularemia, plague) Rashes (smallpox, viral hemorrhagic
fevers) Paralysis (botulism)
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Contagious Agents
Person-to-Person TransmissionSmallpox
Plague PneumoniaSome Viral Hemorrhagic
Fevers (Ebola)
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Antibiotics, Antitoxin, or Immunization
Antibiotics – Anthrax, Plague, Tularemia
Antitoxin – Botulism Immunization – Smallpox, Anthrax,
Some Viral Hemorrhagic Fevers
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Infection Control – Category A
Critical Agents
Standard precautions – all cases Airborne & contact precautions -
smallpox, viral hemorrhagic fevers Droplet precautions – pneumonic
plague
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Infection ControlStandard Precautions
Disposable, non-sterile gloves Handwashing after glove removal Disposable gown/apron, face-shield
if splashing anticipated Change protective gear between
cases
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Infection ControlContact Precautions
Standard precautions plus Wear gloves & gown, change after
contact with infectious material Dedicate non-critical patient care
items to single patient or disinfect between patients
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Infection ControlAirborne Precautions
Airborne Precautions Standard precautions plus Patient in negative air pressure room Wear respiratory protection (HEPA
filter mask)
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Infection ControlDroplet Precautions
Standard precautions plus Wear mask when within 6 feet of
patient
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Quarantine vs. Isolation Isolation: separation of a contagious
person/group from other people to prevent spread of infection
Quarantine: restrictions of activities or limitations of freedom of movement of those presumed exposed to communicable disease to prevent contact with those who have not been exposed
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Severity of Response Dependent Upon Proximity to event (injured/bereaved) Intensely exposed (first responders) Displaced from home/work Loss of property Age (child/elderly) Special Needs (developmentally
disabled/blind/cognitively impaired/etc) Culture
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Severity of Response Dependent Upon Continued
History of:Previous traumaMental illnessSubstance AbuseChronic Illness
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Early Intervention Goal #1
Safety: Protect from further physical harm
(remove from traumatic scene) See to basic needs (food, shelter,
clothing, sanitation, sleep, medical care)
Information dissemination
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Early Intervention Goal #2
Function: Support to return to normal function
(reduce stressors/reminders) Link to critical resources Reunite and keep families together Educate about responses to
stressful or traumatic events
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Early Intervention Goal #3
Action: Support to return to productive
activity Redirect to constructive/helping
tasks
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CommunicationGeneral Guidelines
Tell the truth as it is known, when it is known Explain what is being done to deal with the
situation Avoid withholding bad news or disturbing
information Be forthright about what is not known Provide practical guidance Messages should be simple & straightforward
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Self-Care
Healthy lifestyle Self-regulation Positive coping skills (resilience) Stress management Education Emergency Preparedness Practice