Field Operating Guide

Single Student Housing Emergency Plan

For Hall Advisors

Updated October 2012

2

3

Table of Contents Disaster Process 5

Area Command Post Operations 6

Area Command Post Sample Forms 7

Planning and Prioritizing 8-9

Search and Rescue 10-11

Triage Flow Chart 12

Triage Guide 13

Medical Operation 14-15

RA Responsibilities 16-17

CSA Radio 18

Water Purification 18

4

5

Disaster Process

6

Area Command Post Operations

Step 1: Open Command Post with prayer. Step 2: Account for everyone in the area and gather facts—use turned in rosters and RA Logs (pg 13) Step 3: Light Search and Rescue and Fire Sup-pression (if Needed) sample forms p. 5 1: Gather Facts—hazards, time of day, weather, potential victims 2: Assess Damage to the Building – From RA Logs 3: Identify Your Resources 4: Establish Rescue Priorities & Plan - - Make assignments for fire suppression, search and rescue, triage, transport, treatment, communications, etc. - Inventory food, water, sanitary conditions, and property conditions. 5: Conduct the Rescue 6: Fire Suppression—gather facts, assess hazards and resources, establish priorities, plan of action

Step 4: Medical Operations Treat life-threatening first Conduct triage evaluations– (I) Immediate, (D) Delayed, (M) Minor, Dead Transportation Manager

Step 5: Find Shelter for Displaced Residents

Regularly report to the SAS Center in 111 AXMB and the Emergency Operations Center1164 HCEB

7

Structural Conditions (Codes) L = Light: Superficial or cosmetic damage, broken windows, fallen plaster; primary damage to contents of the structure. M = Moderate: Questionable structural stability; fractures, tilting, founda-tion movement or displacement. H = Heavy: Obvious structural instability; partial or total wall collapse, ceil-ing failures. E = Electrical: Please note what electrical problems are observed (power line down, exposed wires, lights out, etc) C = Chemical: Note chemical hazards (gasoline, propane, paint thinner, etc)

Personnel HAs: RAs: Residents:

Equipment

Tools

Victims Name:

Victim Location

Team Sent

Team Responsibili-ties

Victim Condition

Ass

ess

Dam

age

to t

he

Bu

ildin

g

Iden

tify

R

eso

urc

es

Est

ablis

h P

rio

riti

es

and

Pla

n

Building Name: Codes Notes

Area Command Post Operations

8

Identifying Information

Physical Description

Clothing Injuries Treatment Transfer location

Planning and Prioritizing

Morgue Designate an area separate from the treatment areas and out of sight, if possible. Consider weather, wind direction and distance from water and food sources.

Documenting in the Treatment Area Head-to-toe assessments

Treatment Area Safe, consider hazards and debris Close to site Upwind and uphill from site Accessible Expandable

9

Possible Teams

Transport Objectives Move victims from incident locations to treatment area Move DEAD to the Morgue from the treatment area

Fire Suppression Objectives Shut off utilities Extinguish small fires Document If the fire can’t be put out in 5 seconds, it is too big to handle. Leave the premises

Supply Objectives Procurement and Distribution

Search and Rescue (Triage) Objectives Locate Triage Treat 3 killers Evacuate Document

CERT Size-up 1. Gather facts: time, weather,

occupancy, hazards 2. Assess and communicate damage 3. Consider probabilities, what else

could go wrong? 4. Assess your situation: resources,

supplies, personnel

5. Establish priorities 6. Make Decisions 7. Develop a Plan of Action 8. Take Action 9. Evaluate Progress: continue to size-up and adjust

Communications Objectives Runners to communicate with the Command Post and EOP

Morgue Objectives Identify and document victims

Treatment Objectives Triage again I, D, M, Dead Move to treatment area Head-to-toe assessment Treatment Transport as needed

Planning and Prioritizing

Sheltering Objectives Find shelter for displaced victims

Remember Document

Take safety precautions Know limitations

Rotate teams

10

1. Call Out

1. Begin the search by shouting something like, “If you can walk, come to the sound of my voice.” 2. Be sure to ask victims for any information they may have about building damage or about others trapped in the building.

2. Be Systematic

1. Bottom-Up/Top-Down: Searching from the bottom of the building up and/or from the top down is well suited to multi-story buildings. 2. Right Wall/Left Wall: Moving systematically from one side to the other is well suited to single-floor structures and avoids repetition. The wall is the res-cuer’s lifeline. If you or your partner becomes disori-ented, reverse your steps, staying close to the wall until you get back to the doorway. Through out your search, maintain voice contact with your part-ner so you don’t get separated.

3. Listen Carefully

Stop frequently and just listen – for tapping sounds, movement, or voices.

4. Triangulate Use the triangulate technique to find trapped individ-uals you can hear but can’t see.

5. Use the Buddy System

Working together, two rescuers can search a struc-ture more effectively and provide an additional meas-ure of safety to each other.

6. Mark Searched Areas

Marking searched areas prevents duplication of ef-forts and identifies where rescuers are and have been. Make an X were the search has been complet-ed.

7. Create a Safe Area

- Maintain rescuer safety - Triage in lightly damaged buildings - Stabilize (airway, bleeding, and shock) and evacuate as quickly as possible from moderately damaged buildings, while minimizing additional injury.

Search and Rescue Operations Work in teams of 3. Two stick together in the buddy system and the 3rd can be a runner as needed.

11

Search and Rescue Operations

Just an X means not safe to enter

Action taken

Initials

When you hear a victim, but can’t locate them: Three rescu-ers, guided by victim sounds, form a triangle around a desig-nated area and direct flashlights into the area. The light from different directions will elimi-nate shadows that could other-wise hide victims.

12

Triage

Airway Check for breathing Head Tilt/Chin Lift

Bleeding Control obvious bleeding Direct Pressure; Elevate; Pressure Points

Shock—Mental Status Maintain body temperature Blankets; elevate feet; no food/drink; avoid excessive handling;

3 Killers Concern How to treat

Step 1

Step 2

Step 3

13

Stop, Look, Listen, and Think. Before you start, THINK about how you will approach the task at hand. Consider safety, capability and limi-tations. Continue to size up the situation as you work.

Conduct Voice Triage. Begin with voice triage, calling out something like, “Emergency Response Team. If you can walk, come to the sound of my voice.”

Identify the Walking Wounded with an “M” for Minor. Instruct those survivors who are ambulatory to the treatment area or the Command Post. Continue with the triage operation.

Follow a Systematic Route. Start with victims closest to you and work outward in a systematic fashion.

Conduct Triage Evaluation. Evaluate victims and tag them I (immediate) D (delayed) M (minor) or DEAD

Remember to evaluate the walking wounded. Everyone must get a tag Treat “I” Victims Immediately. Initiate airway management, bleed-

ing control, and/or treatment for shock for Category I (immediate) victims. If conscious, ask for their permission to treat them.

Document Results. Document triage results for: - Effective deployment of resources. (page 5) - Information on locations of victims for transport team - A quick record of the number of casualties by degree of severity

Triage Guide

Status Location A Location B Location C Location D

I #

D #

M #

Dead #

Sample Triage Documentation

Triage pitfalls: Poor planning, organization and documentation Too much focus on one injury Treatment performed, stick to triage

Triage involves rapidly evaluating victims’ injuries and prioritizing them for treatment.

14

Medical Operations Head-to-toe Assessments

Watch for Bruising Swelling Severe Pain Disfigurement Continuity of Bones

Assessments should be Conducted on all victims (Everybody gets a tag) Verbal Hands-on Systematic Looking and feeling for anything unusual

Closed Head Injuries MOVE THEM ONLY IN AN EMERGENCY

Uneven pupils Nausea Treatment Keep the spine straight Backboard

Symptoms Tingling in extremities Difficulty breathing or seeing Blood in nose or ears Bruising behind ear Raccoon eyes

Burns DO NOT USE ICE, APPLY OINTMENTS, REMOVE SHREDS OF TISSUE,

BREAK BLISTERS, OR COOL MORE THAN 15% OF THE BODY AT A TIME. Watch for victims without obvious cause or with clothing stuck to skin.

Treatment Remove from burning source If still hot, immerse in cool water <1 min. Cover with clean compresses wrung out in water Cover loosely with dry, sterile dressings Elevate extremities 3rd degree burns—Treat for shock

Symptoms Reddened, dry skin Pain Swelling Blisters Wet appearance Whitened, leathery, or charred skin

Hypothermia

Treatment Remove wet clothing Wrap in blanket, cover head and neck Protect from weather Warm, sweet drinks and food Warm bath if conscious

Symptoms Temperature of 95º or less Redness or blueness of skin Numbness and shivering Slurred speech Unpredictable behavior or listlessness

15

Medical Operations

Wound Care DO NOT SCRUB

Impaled Objects Immobilize Don’t move or remove Control Bleeding Clean and dress wound Wrap Nasal Injuries Look for cause blunt force skull fracture non-trauma related Pinch nostrils Apply pressure between upper lip and nose Have victim sit with head slightly forward Do not tilt head back Ensure that airways remain open Keep the victim quiet—anxiety will increase blood flow

Objectives Control bleeding Prevent secondary infection Watch for swelling, discoloration,

discharge, striations Clean wound Apply dressing and bandage Lacerations If no active bleeding, remove

dressing and flush every 4-6 hours If active bleeding, redress OVER

existing dressing Amputations Control bleeding Treat for shock Save tissue parts, wrapped in clean cloth Keep tissue cool Keep tissue with victim, label it

Fractures, Dislocations, and Sprains DO NOT DRAW BONES BACK IN OR IRRIGATE OPEN FRACTURES

Splints Soft Towels, blankets, Rigid Wood, rolled magazines

Fractures/Dislocations Immobilize injury Immobilize joints above and below injury Open Fractures Cover wound Splint without disturbing Place a moist dressing over bone end Sprains Splint and elevate. Apply ice if possible.

16

Step 1 – Account for all residents Step 2 – Assess Facilities Level of Damage Plan Priorities

Step 3 – Send RA reports to the Command Post. Continue to report every ½ hour Step 4 – Light search and rescue Step 5 – Send available RAs and students to the Command Post - Assist with treatment, conducting head to toe assessments - Transport victims to treatment or morgue - Fire Suppression - Gather and distribute supplies - Inventory food, water, sanitary conditions, and property conditions.

RA Role Under direction of HA if possible

17

RA Log Sheet

RA:_____________________________________________ Date: ___________________ Time: ___________________ Report #: _____________ Building:_____________ Phone: _______________ Triage: Y or N Structural Conditions of the Building: ________________________________________________________________________________________________________________________________________________________________________________________________________________________

Structural Conditions L = Light: Superficial or cosmetic damage, broken windows, fallen plaster; primary damage to contents of the structure. M = Moderate: Questionable structural stability; fractures, tilting, foundation move-ment or displacement. H = Heavy: Obvious structural instability; partial or total wall collapse, ceiling failures. E = Electrical: Please note what electrical problems are observed (power line down, exposed wires, lights out, etc) C = Chemical: Note chemical hazards (gasoline, propane, paint thinner, etc) NG = Natural Gas: Note if you smell Natural Gas. Wyview has Natural Gas to all apartments; Helaman and new Heritage buildings have Natural Gas to the basement dryers. F = Fire: Please note the location of the fire and the size.

1st Priority Medical Emergencies: Airway, Bleeding or Shock

Triage Areas = Light damaged buildings can be used for triage

Resident’s Name

Location Trapped? Injured? Medical Needs if known?

Notes

18

Instructions for calling the CSA radio Dial 2-6600 (this will get you into the radio system). Then after the beep dial 6 digit number: 700270 HR; 700275 WY; 700265 HL stored at Helaman 700266 is stored at Helaman

700271 is stored at Heritage 700276, 700261 are stored at Wymount

Keep in mind that the radio is not the same as your regular telephone. Unlike your cell or desk telephone, two parties cannot speak and be heard simultaneously. If you try, only the quickest between you will get through and the other will not. There is a transmission delay between each speaker, so remember to wait a moment before your turn to respond in your conversation.

Radio Use 1. Channel 1 is the Housing channel. 2. Channel 2 is the Auxiliary Maintenance channel. 3. Channels 3 and 4 are Grounds channels. 4. Channels 11 through 16 are police dispatch channels.

Water Purification

Water can be purified by three methods- heat, filtration and chemical treatment. All pathogens can be killed by boiling water for 10 minutes. For chemical treatment, use the following chart.

19