sdo staff duty officer handbook make a plan ~ be prepared preparedness & emergency response...

SDOStaff Duty Officer Handbook

Make A Plan ~ Be PreparedPreparedness & Emergency Response

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Overview

• This course provides the Staff Duty Officer (SDO) the specific requirements needed to successfully perform their rotational obligation through the affirmation of policy and procedure.


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Objective

• After completion of this course, you will be able to:

– Identify area(s) and unit assigned to, and the minimum qualifications,

– Define the job description,

– Recite shift duties,

– Explain the method of the notification system,

– Describe the event process, and

– Name a few tools required.


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A Quick Review

• Why are we here?

• Who can recite the Preparedness & Emergency Response Branch (PERB) Mission Statement?

“Prepare And Respond To Bioterrorism, Infectious Disease Outbreaks and Other Public Health Threats and Emergencies.”

• Breaking it down, we are responsible for . . .

http://www.healthy.arkansas.gov/programsServices/preparedness/Pages/default.aspx


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Job Action Sheet

• Area(s) Assigned To:– Arkansas Department of Health (ADH):

• Center for Health Protection

• Unit Assigned To:– Preparedness and Emergency Response Branch

(PERB)

• Report To:– Dr. William Mason

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Job Action Sheet

• Minimum Qualifications:

– Knowledge and experience in public health and emergency preparedness.

– Formal training or experience in the epidemiology of disease and environment health is helpful.

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Job Action Sheet

• Job Description:

– Will be responsible for receiving event calls or emails.

– With receipt of event calls and emails, the SDO will:

• Contacts the appropriate specialists for assistance/referral,• Document the incident, and • Notify the ECC of actions:

– Event information is recorded into WebEOC.

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Job Action Sheet

• Job Description (cont’d):

NOTE: As the SDO, if you start an event, you need to follow thru to its completion.

Duty hours for the SDO position start at 0800 HRS on Monday and end at 0759 HRS on the following Monday.

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Beginning of Shift Duties

• What to do:– Review your Job Action Sheet.– Obtain current ‘On-Call’ lists.– Have SDO manual handy.– Current and up-to-date.– Does the ECC have current phone information?– Appropriate equipment required for cell phone and

AWIN radio.– Obtain copies of the Event Tracking Log.

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During Shift Assignment

• Protocols we should address:

– Cell phones should be charged and assessable.– Remember the 15 minutes rule.– Actions noted for ECC Operator.– Who do you call?– Review, review and review the message log.– Replace needed forms.– Complete the reverse notification system.*– Shift ending with active incident?


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Important Phone Numbers

ADH Emergency Communications

Center (ECC)

Arkansas Dept. of Emergency

Management (ADEM)

501-661-2136

800-554-5738800-633-1735800-651-3493

501-683-6700800-322-4012

Building 9501Camp Joseph T. Robinson

North Little Rock, AR 72199


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Significant Incidents

• Thresholds that require initiating the notification system:

– Natural disaster– Terrorist – Media on-site– Radiation

– Evacuation or death– Communicable disease– Unidentified powder substance– Chemical spill


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Tropical Storm Debby, St. Petersburg, FL – June 25, 2012

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NOTE: Make sure you have worked through the checklist and have complete information before initiating the notification.


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Notification System


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Tropical Storm Debby, St. Petersburg, FL – June25, 2012

Phone Call Alerts

Call Dr. Halverson

Cell: 501-412-2650Work: 501-661-2400Home: 501-954-9990

Call Dr. Mason

Cell: 501-454-1305Work: 501-280-4127Home: 501-663-3902

Call Ann Wright (or PIO on call)

~see your Contact List for #s~

Phone Call Alerts

Only call ifDr. Halverson is

unavailable!!

Call Dr. Smith

Cell: 501-265-9450Work: 501-661-2919Home: 501-847-5435

Call Backup PIO~see your Contact List for #s~

Email Alerts

(Dr. Bates)[email protected]

[email protected]

(Dr. Mason)[email protected]

[email protected]

(Dr. Smith)[email protected]


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Continued

Incident TypeQuestions to Ask/Action

Unknown Substance Credible Threat(unidentified powder)

Note: color could be different or it’s in a liquid form.

Caution: If it appears the media will become involved - notify the Communication On-Call Person as soon as you can.

ECC operator will:

Find out who is calling.

Obtain the sequence of events, including

Status of victims: symptoms, how many injured, hospitalized

Was building evacuated?

Is hazmat on scene?

Find out who is in charge of the scene.

Email the on call list of personnel (SDO, EPI, PHP

Coordinator, Regional Director, EH Manager).

Log all event information in ESS

SDO will then:

Notify lab on-call person of the incident

Determine if FBI/Arkansas State Police thinks it is a credible

threat or if it has a potential health risk. If so, ASP will

arrange transportation to ADH (ASP may coordinate with

FBI).

Ensure that chain of custody has been maintained.

Begin Notification System.

Determine when the sample will be arriving.

NOTE: We CANNOT transport.

Get final lab results and begin reverse notification process.

Make sure ECC operator logs event information in ESS

Unknown Substance(unidentified powder)Moved from Credible to NonCredible ThreatNote: color could be different or it’s in a liquid form.

If it is determined that sample has potential risk to public health and is being

brought to lab for testing, follow credible substance procedure above.

Begin Notification System. (page 5)

Make sure ECC operator logs event information in ESS

Unknown

Substance

CHECKLIST

Page 6


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Continued

Incident Type Questions to Ask/Action

Hazmat Incidents

EXAMPLES

Gasoline or Diesel spills,

Burnings,

Insecticide/chemical sprays,

Dumping,

Environmental Damage with Chemical

Spill,

Train Derailment,

Truck Wreck,

Crop Duster Crash,

Gas Leak,

Toxic Fumes,

Chlorine,

Pipeline incident,

Etc. Always email Shirley Louie about environmental HazMat incidents, unless she’s the EPI On-Call person. Caution: If it appears the media will become involved - notify the Communication On-Call Person as soon as you can. Note: Sometimes these incidents escalate. Be sure to follow up until the incident is closed.

ECC Operator will find out:

What chemical/fuel was spilled?

How much chemical/fuel was spilled?

What is the location (physical address) where the chemical/fuel was

spilled?

Has anyone been evacuated?

Is there a fire?

Who is responding? i.e. ADEQ, Hazmat

Are there any deaths?

Find out who is in charge of the scene. (On-Scene Incident

Commander info)

Critical infrastructures nearby?

Near schools, hospitals, at-risk populations?

Is the chemical/fuel going into a waterway?

Has the hazmat team been called?

What waterways are involved?

If waterways are affected: Call engineering.

Email the on call list of personnel (SDO, EPI, PHP Coordinator,

Regional Director, EH Manager, Shirley Louie).

SDO will then:

If site is contained- no further action.

If site is not contained- maintain contact with engineering person on-

call until incident is contained

Once incident is contained begin the reverse notification process

If meets the notification threshold, initiate Notification System.

(page 5)

Make sure ECC operator logs all event information in ESS.

Hazmat Event is contained

No action required. ECC operator will document information in ESS.

If nothing needs to be done by ADH. (No waterways affected, someone else is cleaning the spill or its contained etc.) The ECC Operator will send an FYI Email to EPI On-Call, Shirley Louie, Regional Preparedness Coordinator, Regional Directors and Regional Environmental Health Manager in the region where the incident occurred.

Hazmat Incidents

CHECKLIST

Page 7


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Continued


Environmental Damage with Food involved Train derailment, Truck wreckEstablishment fire, etc

ECC Operator will:

Email the on call list of personnel (SDO, EPI, PHP Coordinator, Regional

Director, Environmental Health Manager).

SDO will:

Follow up with EH.

Complete reverse notification process.

Make sure ECC Operator documents information in ESS.

Dead Animals Get contact name/# and information

Call EPI On-Call & Email Shirley Louie.

Event is contained No action required. Complete documentation in ESS.

All significant incidents Follow the Notification System. (page 5)

When in doubt Ask the ECC personnel for advisement or call a more experienced SDO.

Hazmat

Incidents

(Continued)

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CHECKLIST


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Continued

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Biological Occurrenceor Outbreak (Disease Outbreak or Suspected Outbreak) Caution: If it appears the media will become involved - notify the Communication On-Call Person as soon as you can.

ECC Operator will:

Find out what disease is suspected/diagnosed.

Determine many patients are suspected/diagnosed with the disease.

Report any deaths or patients in the hospital.

Report which hospital.

What is the phone number of the hospital?

Find out who the physician in charge is and their contact information

Email the on call list of personnel (SDO, EPI, PHP Coordinator,

Regional Director, and Physician).

SDO will:

Determine if this is a reportable disease? Check the reportable disease

policy in this manual. (page 10)

Call the Physician On-Call.

o Physician will call/advise calling the EPI On-Call Person

Make sure the Communicable Disease program receives the

information so they can follow up.

Email information to Linda Gladden and Dr. Dirk Haselow

If samples are going to arrive in the lab - Call Lab On-Call person.

Initiate the Notification System. If a reportable communicable disease

occurrence or outbreak involves Anthrax, Plaque, Viral Hemorrhagic Fevers,

SARS, Emerging Threat Agents, and Smallpox. (page 5)

Make sure ECC Operator updates information in ESS.

Biological &

Rabies

Rabies If unable to reach Dr. Weinstein – call the Physician On-Call.

ECC Operator will:

Get information and contact person name and phone number

Notify Dr. Susan Weinstein (State Public Health Veterinarian).

o Ask her if you should contact the Physician On-Call

CHECKLIST


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Continued

How to report

Communicable

Diseases

Page 10


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Continued

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Natural Disaster (Tornados, Flooding, Earthquakes, Ice Storm, Fires) Caution: If it appears the media will become involved - notify the Communication On-Call Person as soon as you can.

ECC Operator determine:

Where and when the disaster hit.

If there is still a threat for more? More storms?

If any hospitals, nursing homes, local health units, food service, water/sewer

plants, etc affected?

Who is responding?

i.e. ADEQ, Hazmat

Are there any deaths?

Who is in charge of the scene. (On-Scene Incident Commander info)

If the media on site?

E-mail: SDO, PHP Coordinator, Regional Director

SDO will:

Make contact with PHP Coordinator for on-site information.

Initiate the Notification System. (page 5), if necessary.

Make sure ECC Operator updates all information in ESS.


ANO and Radiological Incidents

Radiation Control SDO’s gets ALL calls regarding ANO and radiological incidents.

If you get call about this – remind the ECC operator to call the Radiation Control SDO.

Natural Disaster

& Radiological


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Continued

CONTACT NAME DATE/TIMEPHONE

NUMBERAGENCY INFORMATION

Staff Duty Officer Signature:

Distribution: Original: Communications CenterCopy:_____________________________

EVENT DESCRIPTION

Date/Time

Event Type

Circle Type

Biological

Chemical

Radiological

Event Tracking

Log

Page 12

Revised 5-2-12


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ADH PHP Coordinators

Page 13


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Anthrax Threat:Guidelines for Arkansas Law Enforcement

• The Public Health Lab is the sole facility certified to conduct biological testing for anthrax.

• The FBI and the Public Health Lab are involved only when there is a credible or implied threat.

• If having concerns over a package, place in plastic bag and throw away.

• Hoaxes aggressively investigated by FBI in violation of Federal statutes.

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Levels Of Response

• Level One Threat:– is an incident in which there is a credible or implied

public health threat of anthrax.

• Level Two Threat:– requires consultation with and a threat assessment

from the FBI in order to determine if the threat is deemed credible. ASP or FBI will have the discretion to transport the suspect items to the Public Health Lab.

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Levels Of Response

• Level Three Threat:– may require a limited response to a particular

incident, but due to the lack of a credible Public Health threat, would not involve transporting items to the Public Health Lab.

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ADH Policies And Procedures:Preparedness and Emergency Response

• Draft 6-27-2007

– Definitions:• This policy and procedure refers to a powder or other

material known to contain or suspected of containing anthrax (bacterial spores).

– Purpose:• To provide guidance for Department of Health staff.• To provide a guide for safe handling of powder substance

samples and to protect the health of everyone.

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Suspicious Substance:Guidelines For Local Health Units

• GEN-165/166 ~ TN # 09-29

– Policy:

• This policy and procedure refers to a powder or other material known to contain or suspected of containing anthrax (bacterial spores). The purpose of this policy is to:

– provide guidance for the Arkansas Department of Health staff.

– provide a guide for safe handling of powder substance samples and to protect the health of everyone.

• Local Health Units DO NOT accept . . .

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Suspicious Substances:Packaging

• GEN-162/163/164 ~ TN # 09-29

– Policy:

• The procedure in this policy is to be used to advise HazMat Teams or other approved sample collection teams on acceptable procedures for collection, packaging, and shipping of suspicious substances to the Public Health Laboratory for testing.

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Suspicious Substances:Packaging

• GEN-162/163/164 ~ TN # 09-29

– Policy Cont’d:

• Department of Health employees are not approved to collect, package and transport credible suspicious substances. These samples are not to be transported through the Department of Health courier system. Packaging and transport should be done by the Hazmat/Bomb Squad Unit or other properly trained person. Department of Health employees will support local law enforcement efforts.

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Suspicious Substance:Laboratory Sample Submission Form

• FOR-77 ~ TN # 10-01

– Policy:• To provide documentation and information about the sample

being collected.

– Used By:• HazMat teams or other approved suspicious substance

collection teams.

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Screening Information: Explosives Radiological Biological ChemicalScreening Performed □ Yes □ No □ Yes □ No □ Yes □ No □ Yes □ NoResults Method Used Name (printed) and Signature

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Received From Received ByAgency Street Address City, State Phone Number Name (print) Signature Date/Time

Submitting Agency Case Number ADH BT Lab Number

Test Requested by Submitter:

Anthrax General Bioterrorism Screen Chemical Terrorism Screen

1. Call the Public Health Laboratory at the Arkansas Department of Health before transporting.2. If after hours, call the EOC to arrange receipt of samples at the Public Health Laboratory.3. Complete Chain of Custody form.4. Sample cannot exceed seven inches due to hood opening limitation of seven inches.

Form AS-48(Top)


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Continued

Color Odor Solid/Liquid Identifiers Weather and Temperature Article Description Specimen Collection Date/Time

Comments

Descriptive Information:

Product Name/Identifier UN/DOT Shipping Number Manufacturer Shipper Recipient Emergency Contact Information

Product Information:

Will pick up Destroy Authorization Signature Note: If not marked, items will be destroyed. AS-48 (R 1/10)

Form AS-48(Bottom)


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Chain Of Custody:AS-49

• FOR-48/49 ~ TN # 09-10

– Purpose:• To provide documentation and information about the sample

being collected.

– Used By:• HazMat teams or other approved suspicious substance

collection teams.

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Date: Time

Organization:

Reason:

Received By (print/sign):

Date: Time:

Organization:

Reason:

Received By (print/sign): Date: Time:

Organization:

Reason:


Date: Time:

Organization:

Reason:


Date: Time:

Organization:

Reason:


Date: Time:

Organization:

Reason:


Date: Time:

Organization:

Reason:

AS-49 (7/08)

ARKANSAS DEPARTMENT OF

HEALTHCHAIN OF CUSTODY

FORM

Case ID:__________________________________

This Chain of Custody form remains with the sample at all times. The sample is attended at all times.


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Review & Summary

• We have defined/described what . . .

. . . the area(s) and unit you’re assigned to,

. . . the minimum qualifications are as an SDO ,

. . . the job description requires of you,

. . . your shift duties are,

. . . the method is of the notification system,

. . . the event process, and

. . . four tools that are required.


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Final Thought

• Preparedness is:

– Prevent loss of lives,– Preserve property, and– Maintain state of readiness.

• You are now empowered to successfully perform your job.

ThThTh - That’s ALL Folks!


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References

• FEDERAL BUREAU OF INVESTIGATION,

(501) 221-9100

• ARKANSAS STATE POLICE,

(501) 618-8100

• ARKANSAS DEPARTMENT OF HEALTH,

1-800-633-1735

• ARKANSAS DEPARTMENT OF EMERGENCY MANAGEMENT,

1-800-322-4012

sdo staff duty officer handbook make a plan ~ be prepared preparedness & emergency response...

Documents

emergency preparedness

event information

event process

current phone information

emergency management

environment health

health protectionunit

action sheetareas