CDPHE Pneumonic Plague - PowerPoint Presentation

Slide1

CDPHE Pneumonic Plague Functional Exercise Series

Player Briefing

Date: TBD by local HCC PartnersSlide2

Welcome and IntroductionsName

OrganizationExercise role Slide3

Agenda08:30 Player BriefingScenario

informationExercise safety plan09:00 Exercise Play beginsSlide4

Exercise OverviewThe purpose of this exercise is to execute player actions against current response concepts, plans, and capabilities for the response to a Pneumonic Plague incident. The exercise will focus on the coordinated response by all community partners.

The purpose of the Player Briefing is to address individual roles and responsibilities, exercise parameters, safety, security badges, and any remaining logistical exercise concerns or questionsSlide5

PHEP/HPP Capabilities:Mission SetResponse

Public Health Emergency Preparedness CapabilitiesRecovery and Continuity of OperationsEmergency Operations Center CoordinationInformation Sharing

Medical SurgeADD ADDITIONAL CAPABILITIES AS NECESSARYSlide6

Exercise ObjectivesHealthcare coalition members and ESF 8 partners will monitor public health, medical, and mental/behavioral health needs of the community, throughout incident response, to ensure health system recovery operations are ongoing.

Healthcare coalition members will demonstrate their ability to coordinate emergency response procedures, utilizing the established jurisdictional response framework (including ESF 8) to activate or support a local emergency operations center, within one hour of event notification.Slide7

Exercise Objectives Evaluate the ability of the incident response structure (including ESF 8) to maintain agency, healthcare coalition and community level situational awareness by disseminating pertinent event information as it is gathered, utilizing existing and redundant means of communication and following locally established processes and procedures, throughout incident response and recovery.

Evaluate the ability of the ESF 8 response structure to maintain and support the activation of local healthcare emergency response processes; including tracking patients and monitoring the status of each healthcare facility, within four hours of event notification.Slide8

Exercise ObjectivesHCC should add agency or HCC specific injects hereSlide9

ScenarioOn October 26, _______ County hosted a large sporting event with approximately 20,000 people in attendance. In preparation for the sporting event, the complex held two mandatory training days for all 150 event staff on

(October 22 and 23). Event staff were being trained to perform customer service tasks such as ticket handling, food preparation or service, direct sales of tickets, or leading people to their seats.

 Slide10

ScenarioSmall groups of trainees would work closely with a trainer to learn each task, and the trainees mingled freely sharing smokes and drinks with one another during breaks.On the afternoon of the first day of the pre-event training

(October 22), one member of the event staff, John Smith, suddenly became ill with fever, headache, cough and chills. Slide11

ScenarioJohn told his co-workers that the week prior to the mandatory training (October 12-19),

he spent time at his grandparent’s farm helping his grandpa clean out an old barn with a history of rodent infestation. His grandpa told him the squirrels at the farm had been dying recently. John really needed the job so he continued with the training, though he felt quite ill.John had a cat on the farm, who lived mainly outside. The cat had recently seemed sick, but John had allowed him inside and onto the couch with him.Slide12

ScenarioBy the second day of the pre-event training (October 23), John’s symptoms had worsened. He became nauseated and was coughing frequently.

His supervisor took him to the hospital where he was diagnosed with pneumonia. Tests for viruses came back negative and it was unclear what infectious agent was causing the pneumonia.With the exception of the supervisor who drove the employee to the hospital, none of the other event staff paid much attention to their sick co-worker, and everyone else completed the two day training. Slide13

ScenarioOn the day of the sporting event (October 26), 6 of the 150 event staff called in sick (including the supervisor who had taken John to the hospital) but the remaining staff showed up for work.

People began pouring into the stadium, interacting with the staff. Some of the event staff who were working weren’t feeling well and were coughing. A few of them even had to leave work as they felt too ill to continue.Slide14

ScenarioAfter the sporting event, local area hospitals and clinics noticed a significant increase in patients presenting with fever, chills, and exhaustion. Some of these patients also had respiratory and pneumonic symptoms.

Influenza testing was negative in these patients, and hospitals struggled to identify the agent causing the illness. Slide15

ScenarioSince the disease had a respiratory component and appeared to be transmissible person-to-person, hospitals began to enforce their applicable infection control protocols related to controlling the spread of the disease including the use of personal protective equipment (PPE) and appropriate patient isolation. Slide16

Exercise ParticipantsLocal Public Health Agencies

HospitalsClinicsLong Term Care Facilities

Community healthcare providersLaw EnforcementEMS Providers

Medical Examiner/CoronerCommunity‐based OrganizationsEnvironmental Health Agencies

Local Emergency Management

State Emergency Management

VOAD Partners

Community Response PartnersSlide17

Exercise Support

There will be multiple staff members and volunteers supporting exercise play. These roles include:Observers

Controllers Evaluators Support staff

Slide18

Exercise Identification (Should be modified to reflect local colors/identification)

Controllers Orange Vests with

identificationEvaluators

Orange Vests with identificationObservers Orange Vests with identificationPlayersNormal uniformsSlide19

Exercise ArtificialitiesExercise communication and coordination will be limited to participating exercise organizations, venues, and the CDPHE SimCell.

Only communication methods listed in the Communication Plan will be available to players to use during the exercise.Participating agencies may need to balance exercise play with real-world emergencies. Real-world emergencies will take priority.Slide20

Exercise PlayExercise Set Up: 8:00 amC/E Briefing: 8:15 am

Player Briefing 8:30 amStartEx: 9:00 amEndEx

: 12:00 pmHot Wash: Immediately after EndExSlide21

SafetySafety is EVERYONE’S concern.

Safety concerns override exercise execution.Be aware of your environment and the responder’s activities.

Controllers and evaluators must immediately inform the Safety Controller or Senior Controller of the safety concerns.

Actual emergencies will be identified by the phrase “Real-World Emergency”.Slide22

Exercise CommunicationsThe exercise communications plan enables players to:

Communicate with other exercise participantsReport emergencies or safety issuesReport major timeline events

Acknowledge communication checks and issuesThe primary means of communication will be

telephone and radioA list of phone numbers and positions can be found in the Exercise Plan (ExPlan) under the Communications Annex Use the phrase “This is an exercise” before and after any exercise messaging Slide23

Exercise DocumentationExercise PlanPlayer Evaluations

Necessary Supporting annexes Communication planVenue information

(Insert other applicable player documentation)Slide24

Evaluation OverviewThe goal of exercise evaluation is to assess an organization’s capabilities to accomplish a mission, function, or objectiveEvaluators will observe and record evaluation notes throughout the exercise

Evaluation is accomplished by: Observing the event and collecting supporting data

Analyzing the data to compare performance against expected outcomesReporting exercise outcomes in the AAR and CDPHE AAR Survey Slide25

Administration DetailsRestroomsEmergency Exits located at the end of the hallwaysFood and Water

(If being provided)After Hot Wash, please return:All documentation (EEGs and any notes/logs)Participant feedback formSlide26

Player Roles and ResponsibilitiesSlide27

Conduct of the Exercise

Emergency Response to a pneumonic plague scenarioThere may be follow-up exercise injectsSubsequent player actions are self-directed

Scenario timeline is constantSlide28

Player Roles During the Exercise

Conduct operations as normally as possibleFollow safety guidelinesWear your exercise identification

Follow any instructions given by exercise controllersRespond as you normally would during a real incident, following locally established processes and procedures Slide29

Player Roles After the Exercise

Participate in the Hot WashBe prepared to provide constructive feedback on things that went well during exercise play, as well as areas of improvementRecord and report any observed gaps

Complete and submit your Participant Feedback FormProvide copies of all logs, notes, and other documentation to the controllersSlide30

Final RemindersSafety comes first. Use the phrase “real-world emergency” when an emergency occurs

Know your role and responsibilitiesFollow established response procedures and guidelinesHave fun! We hope this exercise is beneficial to your agency, coalition and community!Slide31

Questions?