Transcript Emergency Preparedness Training for Social Workers

Emergency Preparedness
Training for Social Workers
New Jersey Preparedness Consortium (NJ-PTC)
UMDNJ & US Department of HHS
Grant No. T01HP01407
Goals & Objectives
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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
HSPD – 5
Executive Order #50
Executive 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
National Incident Management
System (NIMS)
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Provides a national structure to prepare
for, prevent, respond & recover from
disasters
Training at www.fema.gov/emiweb/is
NIMS Components
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Command & Management – Incident Command
System (ICS)
Preparedness – Emergency Operations Plan (EOP),
training
Resource Management – Personnel, facilities,
equipment, supplies
Communications & Information Management –
Public Information Officer (PIO)
Supporting Technologies – Computers
Ongoing Management & Maintenance – Changes,
demobilization
Emergency Operations
Planning – 4 Components
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Preparedness – evaluate risks/probabilities
Response – how to deal with risks/probabilities
Mitigation – how to minimize the effects or
prevent reoccurrence of disaster
Recovery – What would be needed to restore
unmet needs/how to do this
Incident Command System
(ICS)
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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
4 Basic Functions of ICS
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Planning – Determine what specifically
needs to be done to handle incident
Operations – Directs all resources to carry
out the plan
Logistics – Provides the resources & all
other services needed to support the plan
Finance/Administration – Monitors costs
related to managing the incident
Laws Pertaining to Incidents
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Homeland Security Presidential Directive – 5
Established NIMS on national level
Executive Order #50
Established NIMS on state level
Executive Order #5
Established Cabinet Level Homeland Security Director
NJ Emergency Health Powers Act - N.J.S.A. 26:13
Established powers of Commissioner of DHSS during incident
Health Insurance Portability & Accountability Act - HIPAA
Established permitted disclosures of identifiable health
information
NJ Emergency Health Powers
Act N.J.S.A. 26.13
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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
HIPAA
Personal Health Information (PHI)
 Persons exposed to reportable
communicable diseases
 Persons who refuse treatment
Principles of Ethics
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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
Biological Agents of Highest
Concern
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Smallpox
Anthrax
Plague
Tularemia
Botulism
Viral Hemorrhagic Fevers
Types of Illnesses These
Agents Can Cause
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“Flu-like” illness (fever, sweats, nausea)
Cough and/or pneumonia
Headache, confusion
Skin ulcers (anthrax, tularemia, plague)
Rashes (smallpox, viral hemorrhagic
fevers)
Paralysis (botulism)
Contagious Agents
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Person-to-Person Transmission
Smallpox
Plague Pneumonia
Some Viral Hemorrhagic Fevers
(Ebola)
Antibiotics, Antitoxin, or
Immunization
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Antibiotics – Anthrax, Plague, Tularemia
Antitoxin – Botulism
Immunization – Smallpox, Anthrax,
Some Viral Hemorrhagic Fevers
Infection Control – Category A
Critical Agents
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Standard precautions – all cases
Airborne & contact precautions smallpox, viral hemorrhagic fevers
Droplet precautions – pneumonic
plague
Infection Control
Standard Precautions
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Disposable, non-sterile gloves
Handwashing after glove removal
Disposable gown/apron, face-shield if
splashing anticipated
Change protective gear between cases
Infection Control
Contact Precautions
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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
Infection Control
Airborne Precautions
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Airborne Precautions
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Standard precautions plus
Patient in negative air pressure room
Wear respiratory protection (HEPA filter
mask)
Infection Control
Droplet Precautions
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Standard precautions plus
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Wear mask when within 6 feet of patient
Quarantine vs. Isolation
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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
Severity of Response
Dependent Upon
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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
Severity of Response
Dependent Upon Continued
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History of:
Previous trauma
Mental illness
Substance Abuse
Chronic Illness
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
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
Early Intervention Goal #3
Action:
 Support to return to productive activity
 Redirect to constructive/helping tasks
Communication
General Guidelines
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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
Self-Care
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Healthy lifestyle
Self-regulation
Positive coping skills (resilience)
Stress management
Education
Emergency Preparedness Practice