Louisiana%20Department%20of%20Health%20

1
Louisiana Department of Health Hospitals

• RELIEF WORKERS (WAEs)
• ROLES RESPONSIBILITES

2
Objectives

• To define Department of Health and Hospitals
  (DHH) Relief Worker.
• To review the roles and responsibilities of
  Emergency Support Function(ESF)8 and DHH during
  emergencies and disasters.
• To review the supporting ESFs and the
  corresponding roles.
• To review the functions of the various types of
  ESF 8 operations to which relief workers may be
  deployed.
• To review the roles and responsibilities of
  Relief Workers for medical operations.

3
Pre-test

• 1. What are some examples of disasters?
• A. tornadoes
• B. anthrax
• C. oil spills
• D. all of the above
• 2. The Department of Health and Hospitals is the
  primary lead agency for Emergency Support
  Function 8 responsible for providing public
  health and medical services.
• True or False
• 3. Emergency Support Function 8 deployment sites
  for Relief Workers are
• A. Medical Special Needs Shelter
• B. Transportation Triage
• C. Temporary Medical Operations Staging Areas
• D. Receiving, Staging and Storage Warehouse
• E. All of the above
• F. None of the Above
• G. a, b and c only

4
Pre-test

• 4. What can transportation triage be used for?
• A. Transport vehicles across the state to be
  utilized by citizens
• B. A medical screening operation to determine the
  level of care needed by evacuees to determine if
  the individual will be placed in a Critical
  Transportation Needs Shelter, Medical Special
  Needs Shelter or healthcare facility.
• C. oil spills
• D. None of the above
• 5. The Incident Command System (ICS) provides a
  standardized, on-scene, all hazards incident
  management approach for any size, scope or
  complex incident. All Emergency Support Function
  8 medical operations are National Incident
  Management System (NIMS) compliant using the ICS
  structure.
• True or False

5
What are DHH Relief Workers?

• Relief Workers WAEs (Workers as Employed)
• Only work when they are activated for
• employment.
• Comprise a labor pool that is readily activated,
  trained, and deployable.
• Stand ready to respond when a federal declaration
  is established in the event of any
  emergency/disaster.

6
Who are DHH Relief Workers?

• Physicians
• Nurse Practitioners
• Registered Nurses
• Licensed Practical Nurses
• Nursing Assistants

• Respiratory Therapists
• Social Workers
• Administrators
• Administrative Assistants

7
Types of Disasters

• Natural and Human-Caused
• Tornados
• Hurricanes
• Flooding
• Winter storms, Freezes

8
Types of Disasters

• Chemical, Biological, Radiation, Nuclear, and
  Explosives
• Chemical Spills

9
Types of Disasters

• Transportation Accidents

10
ALL HAZARDS APPROACHPreparations for All Types
of Disasters

• Severe Weather (thunderstorms, tornadoes,
  hurricanes, floods)
• Toxic spills/chemicals (accidental toxic releases
  by railways, waterways, pipelines, and highways)
• Naturally occurring disease outbreaks (West Nile
  virus, influenza)

11
ALL HAZARDS APPROACHPreparations for All Types
of Disasters (continued)

• Biological Threats (anthrax, botulism, plague,
  smallpox, tularemia, viral hemorrhagic fever)
• Radiation (accidental releases of radioactive
  material, a nuclear reactor meltdown, terrorist
  act)

12

• INCIDENT COMMAND SYSTEM (ICS)

13
INCIDENT COMMAND SYSTEM (ICS)
The Incident Command System (ICS) provides a
standardized, on-scene, all hazards incident
management approach for any size, scope or
complex incident. All Emergency Support Function
8 medical operations are National Incident
Management System (NIMS) compliant using the ICS
structure.
14

• EMERGENCY SUPPORT FUNCTIONS (ESFs)

15
Emergency Support Functions

• The Emergency Support Functions (ESFs) provide
  the structure for coordination of responses to an
  incident.

16
Emergency Support Functions (ESF)

• ESF-6
• Mass Care, Housing and Human Services
• ESF-7
• Resource Support
• ESF-8
• Public Health and Medical Services
• ESF-9
• Search and Rescue
• ESF-10
• Oil Spill, Hazardous Materials and Radiological

• ESF-1
• Transportation
• ESF-2
• Communications
• ESF-3
• Public Works and Engineering
• ESF- 4
• Firefighting
• ESF-5
• Emergency Management

17
Emergency Support Functions (ESF)

• ESF-14
• Community Recovery, Mitigation, and Economic
  Stabilization
• ESF-15
• Emergency Public Information
• ESF-16
• Military Support to Civil Affairs

• ESF-11
• Agriculture
• ESF-12
• Energy
• ESF-13
• Public Safety and Security

18
Emergency Support Functions (ESF)
Roles/Responsibilities

• ESF 1- Transportation led by Department of
  Transportation and Development(DOTD)-assists with
  evacuation of nursing homes, Transportation
  Triage, and with Medical Special Needs Shelters
  (MSNS) transportation needs.
• ESF 2- Communications-led by the Governors
  Office of Homeland Security and Emergency
  Preparedness(GOHSEP)
• ESF 3- Public Works and Engineering- led by DOTD

19
Emergency Support Functions(ESF)
Roles/Responsibilities

• ESF 4- Firefighting- led by Department of Public
  Safety/Office of State Fire Marshall
• ESF5- Emergency Management- led by GOHSEP
• ESF 6- Mass Care, Housing, and Human Services -
  led by Department of Children and Family
  Services- responsible for Critical Transportation
  Needs Shelters(CTNS) Shelter management
• ESF 7- Resources Support led by GOHSEP

20
Emergency Support Functions(ESF)
Roles/Responsibilities

• ESF 8- Public Health Medical Services led by
  Department of Health Hospitals
• ESF 9- Search and Rescue -led by Department of
  Wild Life and Fishery
• ESF 10 - Oil Spills, Hazardous Materials,
  Radiological - led by Department of
  Environmental Quality (DEQ)
• ESF 11- Agriculture led by Department of
  Agriculture
• ESF 12- Energy - led by Department of National
  Resources .

21
Emergency Support Functions(ESF)
Roles/Responsibilities

• ESF 13 - Public Safety and Security- led by
  Louisiana State Police with security tasked to
  Louisiana Army National Guard(LANG).
• ESF 14 - Community Recovery, Mitigation and
  Economic Stabilization - led by GOHSEP
• ESF 15- Emergency Public Information-led by
  GOHSEP and the Bureau of Media
• ESF 16- Military Support to Civil Affairs led
  by Louisiana Army National Guard

22
What is ESF-8
23
Emergency Support Function 8 Public Health
Medical Services

• DHH has the lead role for overall state efforts
  in providing leadership for planning, directing
  and coordinating public health and medical
  assistance.
• The Secretary of Health and Human Services
  through the Office of Public Health Emergency
  Preparedness is responsible for the federal
  coordination.

24
ESF 8 Deployment Sites forRelief Workers

• Medical Special Needs Shelter (MSNS)
• Transportation Triage
• Temporary Medical Operations Staging Areas
  (TMOSA)
• RSS (Receiving, Staging, Storage) Warehouses
• Points of Dispensing Sites (PODS)
• Emergency Operations Center (EOC)

25

• MEDICAL SPECIAL NEEDS SHELTER (MSNS)

26
Functions of ESF 8 Deployment Sites forRelief
Workers

• Medical Special Needs Shelter (MSNS) provides
  sheltering for evacuees who
• Require medical assistance with daily activities.
• Cannot take care of themselves and are
  accompanied by a caregiver for assistance.
• Do not have conditions severe enough to be
  admitted to a hospital.

27
Medical Special Needs Shelter (MSNS)

• ESF 8- Department of Health Hospitals-
  Responsible for the coordination of medical care
  in the MSNS

28
Medical Special Needs Shelter

• Medical (MDs, APRNs, Nurses, Social Services,
  Behavioral Health, Nurse Assistants etc.)
• Non-Medical (Clerical, Environmental Health
  employees, IT etc.)
• Volunteers
• 
  

29
MSNS Services Provided

• TRIAGE
• MEDICAL ASSESSMENT AND TREATMENT
• PHARMACY (MINIMAL OVER THE COUNTER MEDICATIONS)
• DISCHARGE PLANNING
• SECURITY
• MEALS
• BEHAVIORAL HEALTH COUNSELING
• TRANSPORTATION(DIALYSIS)

30
(No Transcript)
31
Medical Special Needs Shelters are designed for
Individuals who may require assistance with
Activities of Daily Living or may require special
equipment or medication in order to
sustain life. Long journeys for these
individuals may be harmful to their health.
They may be individuals who have
disabilities and who have no other recourse for
care.Remember- A shelter is a "lifeboat, not a
cruise ship" and like a lifeboat, should only be
used as a last resort.
Medical Special Needs Shelter
32

• TRANSPORTATION TRIAGE

33
Functions of ESF 8 Deployment Sites forRelief
Workers

• Transportation Triage- A medical screening
  operation to determine the level of care needed
  by evacuees in the CTNS (Critical Transportation
  Needs Shelter) evacuation operation.
• Personnel determine if an evacuee can continue on
  to a CTNS site or needs placement in an MSNS site
  or further definitive care.

34
TRANSPORTATION TRIAGE
35
TRANSPORTATION TRIAGE

• Objective

The emphasis is also on speed and efficiency to
get vehicles back en route as soon as possible
36
CRITICAL TRANSPORTATION NEEDS SHELTER (CTNS)

• A non-medical shelter operated for those
• persons evacuated by local governments from
• affected areas.
• Evacuees who do not have their own means of
• transportation to evacuate.
• Evacuees who are evacuated via bus or van
• according to city/state assisted plans.

37

• TEMPORARY MEDICAL OPERATIONS STAGING AREA (TMOSA)

38
Temporary Medical Operations Staging Area (TMOSA)

• A mobile operation post event that has the
  capability to treat and stabilize patients
  suffering from emergent medical conditions
  including but not limited to all hazards.

MASH type environment Disposition may be to
hospital, nursing home, MSNS or general shelter
39

• RECEIVING, STAGING, AND STORING(RSS) SITE

40
RSS Warehouses

• Receive, stage, store and distribute relief
  supplies and equipment

41

• Receiving, Staging and Storing
• (RSS) Sites
• Assets arrive by ground or air
• Large, secure temperature
  controlled warehouses

42

• POINT OF DISPENSING SITE (POD)

43
Point Of Dispensing Site (PODS)

• A Point of Dispensing Site is facility where
  members of the community go during a public
  health emergency to receive medication.

44
Point of Dispensing (POD) sites

• Location where medications/vaccines are provided
  to the public to prevent disease
• Range from small clinics to very large facilities
• Work within specific timelines to get the
  medicines to the public (national guidance for
  anthrax response recommends oral antibiotics
  within 48 hours)

45

• EMERGENCY OPERATION CENTER (EOC)

46
Emergency Operation Center

• A central control and command center that
  coordinates emergency response and recovery
  activities that provides needed resources and
  communication.

47

• ACTIVATION/DEPLOYMENT

48
CALL TO DUTY (Activation/Deployment)

• The DHH Incident Commander approves
• Stand-by and Activation/Deployment orders
• for Relief Workers.

49
Activation Deployment ofRelief Workers

• Goal
• Assist ESF 8 efforts and augment regional
  staffing in
• providing public health and medical services to
  Louisiana
• citizens and visitors.
• When there is an impending emergency/disaster,
  DHH
• regions assess personnel resources and request
  additional
• staff.
• Requests will be matched to the relief worker
  staffing
• pool.

50
DHHs (9) Regions
Region 7
Region 8
Region 6
Region 2
Region 9
Region 1
Region 5
Region 4
Region 3
51
Health Alert Network System (HANS) Notifications

• HANS sends notification alerts via phone and/or
  email.
• Stand-by Stand ready to be deployed get
  prepared to be activated for duty. Stand-by
  alerts may be sent in anticipation of an event
  progressing to a state or federal emergency.

52
Activation/Deployment

• Report to the designated operation site within
  (2) hours unless otherwise specified.
• Complete the Disaster Operations Individual Time
  Sheet (HR 48 form).
• Receive orientation to the site, Just-in-Time
  training, and assignment to a Section Leader

53

• HR 48 TIME SHEET

54
(No Transcript)
55
Facts For Relief Workers

• Activation for work can occur only after a
  Federal Declaration
• of Emergency. Activation must be approved by the
  Center for
• Community Preparedness.
• Relief workers are paid only for hours worked.
• Relief workers receive no benefits (such as
• annual leave, retirement, K-time, insurance).
• Shifts may vary based on staffing needs however
  12 hour
• shifts are usual and customary.

56
Post-test

• 1. What are some examples of disasters?
• A. tornadoes
• B. anthrax
• C. oil spills
• D. all of the above
• 2. The Department of Health and Hospitals is the
  primary lead agency for Emergency Support
  Function 8 responsible for providing public
  health and medical services.
• True or False
• 3. Emergency Support Function 8 deployment sites
  for Relief Workers are
• A. Medical Special Needs Shelter
• B. Transportation Triage
• C. Temporary Medical Operations Staging Areas
• D. Receiving, Staging and Storage Warehouse
• E. All of the above
• F. None of the Above
• G. a, b and c only

57
Post-test

• 4. What can transportation triage be used for?
• A. Transport vehicles across the state to be
  utilized by citizens
• B. A medical screening operation to determine the
  level of care needed by evacuees to determine if
  the individual will be placed in a Critical
  Transportation Needs Shelter, Medical Special
  Needs Shelter or healthcare facility.
• C. oil spills
• D. None of the above
• 5. The Incident Command System (ICS) provides a
  standardized, on-scene, all hazards incident
  management approach for any size, scope or
  complex incident. All Emergency Support Function
  8 medical operations are National Incident
  Management System (NIMS) compliant using the ICS
  structure.
• True or False

58
Questions?

• Contact email address dhhreliefstaff_at_la.gov
• or call 225-763-5470
• Please complete and print out the completion
  certificate and post test.

59
(No Transcript)