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Special Needs Shelters: Lessons Learned from the Florida Hurricanes Patrick Gardner.

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Presentation on theme: "Special Needs Shelters: Lessons Learned from the Florida Hurricanes Patrick Gardner."— Presentation transcript:

1 Special Needs Shelters: Lessons Learned from the Florida Hurricanes Patrick Gardner

2 Objectives Discuss Florida’s potential for natural, man made and technological disasters Discuss Florida’s potential for natural, man made and technological disasters Analyze lessons learned and best practices (from the recent hurricanes) at the state and local level Analyze lessons learned and best practices (from the recent hurricanes) at the state and local level Discuss the system issues related to sheltering Special Needs Shelter (SpNS) clients and their implications for future events Discuss the system issues related to sheltering Special Needs Shelter (SpNS) clients and their implications for future events

3 Definition: Special Needs Shelter Clients “One who needs assistance during evacuations and sheltering because of physical or mental handicaps”{Chapter , FS} “One who needs assistance during evacuations and sheltering because of physical or mental handicaps”{Chapter , FS} The level of care goes beyond basic first aid The level of care goes beyond basic first aid

4 Hurricane Paths

5 Florida Factoid “Florida is the most vulnerable state in the nation to hurricanes, and has the highest predicted storm surges in the world, only to be exceeded by the nation of Bangladesh, which borders the Indian Ocean” National Hurricane Center

6 Human Generated Factors (Hurricanes) Insufficient lead times for warning & evacuation Insufficient lead times for warning & evacuation Non compliance with timely evacuation (80-90% of people living in hurricane prone areas had never experienced a major hurricane) Non compliance with timely evacuation (80-90% of people living in hurricane prone areas had never experienced a major hurricane) Seasonable increase in populations Seasonable increase in populations Placement of health care facilities Placement of health care facilities

7 Human Generated Factors (continued)

8 Maxim: People’s ability to survive and recover from disasters is directly related to their poverty

9 6.8 – 10.1% 10.2 – 13.8% 13.9 – 18.0% 18.1 – 26.0% State Average: 12.5% Individuals Below Poverty Level (2000)

10

11 Lessons Learned: State Participation and support from senior leadership (all agencies) Participation and support from senior leadership (all agencies) Shelters and alternate locations prior to the event Shelters and alternate locations prior to the event Schools are not the ideal Schools are not the ideal Pre-deployment activities allows for quicker response post incident Pre-deployment activities allows for quicker response post incident

12 Lessons Learned: State Standardization of SpNS process and operations Standardization of SpNS process and operations Information sharing and laws / regulations Information sharing and laws / regulations Events bring out the medically fragile in the community Events bring out the medically fragile in the community The more moves, the more complications among the clients The more moves, the more complications among the clients Behavioral Health: Responders are sometimes the victims as well Behavioral Health: Responders are sometimes the victims as well

13 Lessons Learned: State Systems perspective Systems perspective Mission tracking Mission tracking Deployment process Deployment process Federal and Emergency Management Assistance Compact (EMAC) Federal and Emergency Management Assistance Compact (EMAC) Caches of equipment and supplies Caches of equipment and supplies Critical Incident Team (CIT) / Overhead Team Critical Incident Team (CIT) / Overhead Team

14 Lessons Learned: State Deployment Command Center / Staff Staging Area Deployment Command Center / Staff Staging Area - Human resources (staffing matrix) - Global view of the staffing needs - Single point of contact - Lodging (impacted staff) - Accountability (travel, work, travel) - Clarification of licensure issues

15 Leadership and Management in Special Needs Shelters

16 Leadership is an action, not a position

17 Incident Command Organizational Chart Incident Commander LiaisonSafety FinanceLogisticsOperationsPlanning Public Information Officer

18 Incident Command Organizational Chart Incident Commander SafetyLiaison FinanceLogistics Public Information Officer Planning Disaster Workers Operations Disaster Victims

19 Command Command Incident Command Incident Command System System Implement for small scale incidents Implement for small scale incidents Unified Command Unified Command Experience & novice Experience & novice Should be able to ask for advice and not need permission Should be able to ask for advice and not need permission

20 Maxim: The likelihood that someone will inform you of your errors is inversely proportional to your perceived rank in the organization

21 Lessons Learned: Local Shelter Incident Commander: Incident Commander: - Establish teams now - Have technical specialists in EOC’s - Identification of staff positions, clients, etc. clients, etc. - Behavioral health (clients, staff, etc.)

22 Lessons Learned: Local Shelter Safety Officer Safety Officer - Elderly and mobility issues - Equipment issues (cots) - Visible evacuation signs - Compressed gas safety - Just in time information - People watching the storm - Smokers

23 Lessons Learned: Local Shelter Finance Finance - Purchase Cards - Payment for hours worked - Equipment / Supplies: Donation or billed? billed? - Unused item return

24 Lessons Learned: Local Shelter Logistics Logistics - Resource typing - Supply, staffing ‘packs’ - Medications - Turn around times for requests - Health logisticians

25 Resource Request Ask the requestor, “What are you trying to do? Ask the requestor, “What are you trying to do? Gain consensus on the right resources Gain consensus on the right resources Size & Support Size & Support Amount & Assignment Amount & Assignment Location & Liability Location & Liability Type & Time Type & Time Document what you are doing Document what you are doing

26 Lessons Learned: Local Shelter Operations Operations - Determine Essential Elements of Information (EEI) pre - event Information (EEI) pre - event - Open General & SpNS shelters at the same time time - Triage while in vehicle - Have separate entrance for client and staff check in staff check in - Stagger arrival of clients if possible

27 Lessons Learned: Local Shelter ‘Ground Boss’ out in parking lot to manage client flow into the shelter ‘Ground Boss’ out in parking lot to manage client flow into the shelter

28 Maxim: Politics and economics will impact the incidence and response

29 Lessons Learned: Local Shelter Electrical power issues: What is the capabilities of the site? Electrical power issues: What is the capabilities of the site? Air conditioning Air conditioning Disconnect unnecessary equipment (i.e.: vending machines) Disconnect unnecessary equipment (i.e.: vending machines) Headlamps vs. flashlights Headlamps vs. flashlights

30 Lessons Learned: Local Shelter Oxygen Oxygen Respiratory Therapists Respiratory Therapists

31 Lessons Learned: Pediatric Clients in Shelters Should be ‘kid friendly’ Should be ‘kid friendly’ Keep families together Keep families together Personnel to organize separate area for children Personnel to organize separate area for children Create children’s groups in shelter (toys, books, etc.) Create children’s groups in shelter (toys, books, etc.)

32 Lessons Learned: Pediatric Clients in Shelters Children’s Medical Services Agency Children’s Medical Services Agency - Preparation before disaster - Actions during disaster - Recovery phase Specialists (know when and how to call for outside resources) Specialists (know when and how to call for outside resources) Equipment / Supplies Equipment / Supplies

33 Lessons Learned: Local Shelter Planning Planning - Square footage & floor plan - Client belongings (meds x 7 days, food, H2O) and space considerations H2O) and space considerations - Separate populations - Management of undocumented individuals, homeless, etc. homeless, etc. - Communication: position, individual, current events current events - Back channel communication

34 Planning: The Disaster Life Cycle Non-disaster or Inter-disaster Phase Non-disaster or Inter-disaster Phase Pre-disaster or Warning Phase (duration may change rapidly) Pre-disaster or Warning Phase (duration may change rapidly) Impact Phase Impact Phase Emergency (Isolation & Relief) Phase Emergency (Isolation & Relief) Phase Recovery Phase Recovery Phase

35 Lessons Learned: Local Shelter Planning Planning - Life cycle of incident - Life cycle of shelter (activation, operation, deactivation) operation, deactivation) - Discharge issues (Dept of Elder Affairs) Affairs) - Policy Group - Functional vs. Compliance Planning

36 Media Maxim: Perception is reality until changed

37 Is this a kiss or taste test?

38 Maxim: Bioterrorism preparedness planning paid dividends during the hurricanes

39 Teamwork

40 Semper Gumby

41 Contact Information Patrick Gardner RN, MPH Patrick Gardner RN, MPH Emergency Management Coordinator Emergency Management Coordinator Office of Public Health Nursing Office of Public Health Nursing Florida Department of Health Florida Department of Health 4052 Bald Cypress Way 4052 Bald Cypress Way Bin # C27-HDSHPHN Bin # C27-HDSHPHN Tallahassee, Florida Tallahassee, Florida Address: Address: Phone: extension 2168 Phone: extension 2168 Fax: Fax:


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