1. Severe Weather Ttx
Train the Trainer

2. Agenda
Overview
Facility focus
Scenario
Discussion Questions
Hotwash

3. Overview
Scenario will be presented, followed by questions pertaining to your emergency plans Everyone receives the same information at the same time No fault learning environment. No trick questions, no wrong answers, no stress Everyone will have up to 20 minutes to answer and record to share with the group Scenario is plausible, don’t fight it

4. Facility Focus: Outpatient
Hospice Ambulatory Surgical Centers Programs of All-inclusive Care for the Elderly Home Health Agencies Therapy Dialysis Centers Comprehensive Outpatient Rehabilitation Clinics (such as Federally Qualified Healthcare Clinics, Rural Health Clinics)

5. Objectives and Capabilities

6. Section 1 Scenario
July 12th 2017 around 0830am. It’s a muggy, overcast day with a very light breeze. Temperatures are projected to reach 92*F, with a low of 81*F. The National Weather Service has issued a severe thunder storm warning for Clark County. NWS is advising several strong storm cells capable of producing high winds, excessive rain, and pea sized hail is traveling east at 25 to 35 mph. The National Weather Service has deemed the first cell unstable as it gains speed and strength. This cell is expected to reach your area around 10am.

7. Section 1 Discussion Questions
Is this an incident?
How do you receive information?
What plans do you activate?
What are the triggers?
Who activates them, and how is that communicated?
Describe the locations if they are designated
Are you moving locations or away from windows?
Do you have clear pathways? Who is moving it if not?
Do you prepare the pt? shoes, belongings, etc?
Does food include EVERYONE in the facility?
What about medications for visitors? Insulin?

8. Section 1 Continued Scenario
0930 A tornado warning is issued

9. Section 1 Continued Discussion Questions
What plans do you activate?
Who activates them, and how is that communicated; and to whom?

10. 0946am. Local media confirms a tornado touchdown
Section 2 Scenario
0942am. The first of several storm cells reach your area. Local media is advising to take cover
0946am. Local media confirms a tornado touchdown
0948am. Residential power is lost to several areas, as well as your office.
Generators have failed to engage
0950am. Significant damage is sustained to your office from the flying debris
0955am. Immediate threat has cleared the area

11. Section 2 Scenario Continued
1015am. Tornado warning has been lifted. Emergency services are tied up with search and rescue Many roads are blocked by trees and debris. Heavy rain continues with the next passing storms and rain water is coming into your office. You are starting to obtain a better picture of damages and strive for accountability.
Explain phone infrastructure overload

12. Section 2 Discussion Questions
Has your staff been trained to operate the backup generator at your office, and troubleshoot issues? Who are the internal and external communications with? How are internal and external communication taking place? How do you prioritize patient contact? What are the procedures for patients you are unable to make contact with?
External= patients? Staff? Partners?

13. Section 3 Scenario
Staff is trying to make contact and prioritize patient care. Office generator was made operational through troubleshooting Inside temperatures at patient homes are a problem Many patients have medications due
How are you managing anxieties of patients/residents?

14. Section 3 Discussion Questions
What patients are contacted and what procedures are followed if they're unreachable?
How long can you sustain current operations in austere conditions at your office?
How will you document your medications and care if electronic charting is unusable?
What medical care are you continuing under emergency operations?
Are you using altered standards of care?
If yes, describe

15. Section 4 Scenario
Injured have been transported by ambulance You have accounted for all staff members and patients Emergency crews will have all roadways cleared by morning

16. Section 4 Discussion Questions
Do you have agreements established with other facilities or agencies for assistance? If non emergency transport is needed, how are they to be transported? Do you have agreements for equipment if shortages arise ? Do you have any long term relocation plans?
Plug for county MOU
EMS TX by private

17. Hotwash
Have you identified any strengths in your emergency plans? Have you identified any areas for improvement? Suggestions? Comments?

18. Local contacts
Clark County Emergency Management Agency 3130 East Main Street, Suite 1E Springfield, OH (937) Lisa D’Allessandris, Director - (937) Ken Johnson, Deputy Director (937) Selinda Sizemore, Planner (937) Clark County Combined Health District 529 East Home Road, Springfield, OH (937) (24/7 access)