operations section training first aid team workshop developed by: renee a. domingo – oakland fire...

OPERATIONS SECTION TRAINING

First Aid Team Workshop

Developed by:Renee A. Domingo – Oakland Fire Department

andJeannie Goobanoff, Loss Prevention Director

RESIG

Agenda

REVIEW: The role of the Emergency Operations Center (EOC)

REVIEW of SEMS and NIMS

REVIEW: The Incident Command System (ICS) structure that is used during Emergency Response

REVIEW: The Emergency Operations Plan and the Emergency Response Teams and how they fit into the ICS/SEMS/NIMS model

The Operations Section – First Aid Team roles and responsibilities

What is the role of an Emergency

Operations Center (EOC)?

What is the role of anEmergency Operations Center?

Centralized facility from which emergency response efforts can be coordinated and directed

Centralized facility for decision makers

Central information gathering and record keeping centerSource of CONFIRMED public information and media coordination

Emergency Operations Center Requirements

Must be SEMS/NIMS compliant

Provides Management, Operations, Logistics, Planning/Intelligence and Financial coordination for response and recovery efforts

Facility should be self sufficient and self contained for at least a 24 hour operation

What is S.E.M.S.?SEMS is the Standardized Emergency Management System developed by the State of CaliforniaSEMS is used:– To qualify to receive State reimbursement;– To improve coordination between response agencies;– To coordinate flow of information & resources;– To improve mobilization, use and tracking of resources.– The use of SEMS has been required since December of 1996!!!!

Emphasizes the use of ICS– Uses the functions of:

Management/CommandOperationsLogisticsPlanning/IntelligenceFinance/Administration

What is N.I.M.S.?

National Incident Management System– Uses an ALL-Hazards approach– Required to qualify for Federal

preparedness assistance (FEMA)– Emphasizes the use of ICS– Uses the same functions as SEMS

Management/CommandOperationsLogisticsPlanning/IntelligenceFinance/Administration

NIMS TRAINING REQUIREMENTS

All disaster service workers (all public All disaster service workers (all public employees, employees, including school employeesincluding school employees) are ) are to complete IS-700, ICS 100 and ICS 200.to complete IS-700, ICS 100 and ICS 200.

These are all on-line FEMA coursesThese are all on-line FEMA courses

Deadline for completion: September 30, 2007Deadline for completion: September 30, 2007

NOTE: RESIG has developed a one hour combined course that meets these requirements.

What is the structure of the Incident Command System

(ICS)?

Incident Command System (ICS)Organizational Structure

Incident Command System (ICS)Organizational Structure

MANAGEMENT/COMMAND

PLANNING/

INTELLIGENCEOPERATIONS LOGISTICS FINANCE/ADM

Incident Command System (ICS) Functions

MANAGEMENT - Overall emergency policy and coordination including public information, safety officer and liaison officer- COLOR: BLACK

THE LEADERS

OPERATIONS - *Tactical response teams

*TACTICAL is defined as….”Any skillful method to gain an end. Done or made for the purpose of trying to achieve an immediate or short-term aim.” COLOR: RED

THE DOERS

PLANNING/INTELLIGENCE - Information gathering and action plans. COLOR: BLUE

THE THINKERS

LOGISTICS - Support, supplies, equipment and personnel COLOR: YELLOW

*Logistics is defined as “The military science of procuring, maintaining and transporting of material and personnel.”

THE GETTERS

FINANCE/ADMIN - Monitoring costs and assisting with recovery COLOR: GREEN

THE PAYERS & TRACKERS

The ICS Functions

Student Release/ Staff Accounting

Crisis Intervention

Finance/Admin

EOC Director/Incident Commander

Operations

Situation

Status

First Aid

Light Search & Rescue

Maintenance/Fire/Site Security

Recordkeeping

-PIO-Safety-Liaison

Planning/Intelligence

Documentation

Supplies and Staffing

Transportation

Assembly/Shelter

Communications

Logistics

Operations SectionRoles and Responsibilities


Crisis Intervention

Finance/Admin


Operations

Situation

Status

First Aid



Recordkeeping

-PIO-Safety-Liaison


Documentation


Transportation

Assembly/Shelter

Communications

Logistics

Operations Section Responsibilities

Carries out all emergency response activities including:Assembly/ShelterCommunicationsCrisis InterventionFirst AidLight Search and RescueMaintenance/Fire/Site SecurityStudent Release/Staff Accounting

THE DOERS

OperationsSection Chief Responsibilities

Ensures LIFE SAFETY Measures

Alerting and Warning

Emergency First Aid

Psychological First Aid

Response Teams

Supervises the execution of the Operations portion of the Action Plan

Passes all information to the Planning/Intelligence Section Chief

Provides information to Liaison and PIO as required

Approves release of resources

Maintains close communication with EOC Director/Incident Commander


Crisis Intervention

Finance/Admin


Operations

Situation

Status

First Aid



Recordkeeping

-PIO-Safety-Liaison


Documentation


Transportation

Assembly/Shelter

Communications

Logistics

First AidTeam Leader Responsibilities

Identify all first aid priorities and scope of emergency medical response needs

Coordinate emergency medical response

Direct the set up of the medical treatment areas

If necessary, determine location of on-site morgue

First AidTeam Responsibilities

FIRST ACTIONS INCLUDE:FIRST ACTIONS INCLUDE:

Sign inSign in

Put on Personal Safety equipment (protective gloves) and Put on Personal Safety equipment (protective gloves) and Position Position IdentifierIdentifier

Read Position DescriptionRead Position Description

Obtain a Briefing from the Team LeaderObtain a Briefing from the Team Leader

Review and understand Section Objectives and StrategiesReview and understand Section Objectives and Strategies

Locate and Set up work spaceLocate and Set up work space

Gather all team supplies and transport to site of first aid areaGather all team supplies and transport to site of first aid area

Set up morgue (if needed)Set up morgue (if needed)

First AidFirst AidTeam ResponsibilitiesTeam Responsibilities

OPERATIONAL DUTIES INCLUDE:OPERATIONAL DUTIES INCLUDE:

– Administer appropriate first aidAdminister appropriate first aid

– Maintain accurate treatment recordsMaintain accurate treatment records

– Fill out Situation Status and Situation Status Update Fill out Situation Status and Situation Status Update reports and provide to Team Leader at regular intervalsreports and provide to Team Leader at regular intervals

– Monitor/assess patients at regular intervalsMonitor/assess patients at regular intervals

– Report deaths immediately to Team Leader (by runner, Report deaths immediately to Team Leader (by runner, NOT over the radio)NOT over the radio)

First AidFirst AidTeam ResponsibilitiesTeam Responsibilities

OPERATIONAL DUTIES (continued):OPERATIONAL DUTIES (continued):

– Set up Intake AreaSet up Intake AreaConfirm Triage CategoryConfirm Triage Category

Send to appropriate treatment areaSend to appropriate treatment area

– Set up Medical Treatment AreasSet up Medical Treatment AreasImmediateImmediate

DelayedDelayed

– Set up Morgue (if necessary)Set up Morgue (if necessary)


OPERATIONAL DUTIES (continued):

– Document all incoming messages, actions taken, decisions and justifications, and requests being filled on an Activity Log

– When Transportation becomes available, prior to patient transport;

Do medical assessment, note status on Triage tagMaintain medical assessment/treatment recordsDO NOT send any original records off-site with patientIf patient is transported off-site, send copies of identification and emergency contact information with him/her



INTAKE AREA TEAM(staffed with a minimum of 2 team members)

One Team member confirms patient triage category

Second Team member logs patients’ names on Medical Treatment Log Form (completed forms are forwarded to Team Leader)



TREATMENT AREAS’ TEAMS - “Immediate” and “Delayed”

(each staffed with a minimum of 2 team members)– One Team member conducts “head-to-toe” assessment

– Second Team member logs patients’ names on triage tags and Medical Treatment Log Form (completed forms are forwarded to Team Leader)

– Provide appropriate medical treatment based on level of injury

MEDICAL TREATMENT BASICS

In Terms of Emergency Medical Services (EMS),

What are the three “Killers”?

The three “Killers” are:

– Airway Obstruction

– Excessive Bleeding

– Shock

What are the three life-threatening signs that are checked when conducting a rapid

medical assessment of large number of victims?

The three life-threatening signs that are checked are:

– Respirations

– Profusion

– Mental status

What is Medical Triage?

Triage: Comes from the French, meaning: To Sort

Therefore, Medical Triage is:

– The Process of rapidly assessing victims’ injuries and prioritizing them for treatment

What is START?

Standard Triage And Rapid Transport

START is a system of rapidly assessing patients’ medical condition and placing them into one of three categories– Immediate– Delayed– Dead



MORGUE AREA TEAM- ( staffed with a minimum of 2 team members)

– Confirm that the person is actually dead

– Attempt to identify body, if possible

– Notify Team Leader, as soon as possible, so law enforcement authorities and Coroner can be notified


OPERATIONAL DUTIES (continued):MORGUE AREA TEAM (continued)-

– DO NOT move the body until directed by the Team LeaderDO NOT move the body until directed by the Team Leader

– DO NOT remove any personal effects from bodyDO NOT remove any personal effects from body

– Complete Report of Death formComplete Report of Death form

– Complete 2 Triage Tags with the following information:Complete 2 Triage Tags with the following information:Date and time body foundDate and time body foundExact Location where foundExact Location where foundName of deceasedName of deceasedHow Identified and by whomHow Identified and by whomName of Person completing tagsName of Person completing tags



MORGUE AREA TEAM (continued)

– Attach one tag to body– If there will be a delay from Coroner’s

office, place body in a plastic bag and tape securely

– Secure 2nd tag to outside of bag– Place any additional personal belongings

found in a separate container and label as above – keep items near the body

REMEMBER……

DO THE MOST GOOD FOR THE MOST PEOPLE……….it may not be possible to save everyone. Focus on those who can be saved………………….


UPON EOC DEACTIVATION

CLOSING DOWN ACTIONS INCLUDE:

– Complete the close out of all Activity Logs, reports, documentation and turn in to Team Leader

– Return of all equipment and unused supplies to Logistics

– Sign out and leave contact information in case you need to be reached

Group Activity-10 minutes

SCENARIO:– It is 1:00 p.m. on a Tuesday. The students are

just returning to their classrooms after lunch and…..the ground begins to shake!! The shaking gets stronger and a huge jolt hits! Windows are breaking and file cabinets are falling……some students have been injured along with several staff members…..

– The shaking stops and you can hear people calling out for help…..the smell of gas fills the air…………..

First things first……

All students and staff should drop, cover and hold on at the first sign of shakingThose who are outside should move away from buildings and other structures that could fall on themAfter the shaking has stopped, all those who have not been injured should leave the buildings and assemble in a pre-designated areaBefore proceeding to your team’s meeting area, wait for instructions from your Team LeaderTake care of immediate safety issues

Group Activity-10 minutes

1) Based on the limited information provided in the scenario, what might happen at this point?

2) Who would need to make a decision as to what actions, if any, should be taken?

3) Based upon your Team’s responsibilities,

What might your objectives be during an Emergency Response?

4) LIST ONE TO TWO OBJECTIVES

First Aid TeamObjectives (examples)

Obtain briefing from Team Leader to understand the situation and to receive assignments

Evaluate students and staff for injuries and determine triage categories

Get supplies needed from Logistics

Set up the first aid area

Make sure to put on personal protective equipment BEFORE providing any assistance

THANK YOU!

operations section training first aid team workshop developed by: renee a. domingo – oakland fire...

Documents

emergency operations

emergency response review

leaders operations

emergency response efforts

emergency response teams

use of ics

media coordination slide

operations section training