PDLSPDLS©©::Disaster Planning and Disaster Planning and OrganizationOrganization

Learning ObjectivesLearning Objectives

Steps of disaster planningSteps of disaster planning

Concepts in management planning and Concepts in management planning and interventionsinterventions

Steps of Disaster PlanningSteps of Disaster Planning

PlanningPlanning

Resource assessmentResource assessment

Risk and hazard analysisRisk and hazard analysis

Risk and Hazard AnalysisRisk and Hazard Analysis

Assessment of threats to the localityAssessment of threats to the locality- GeographicGeographic

- BuildingBuilding

- Population clusterPopulation cluster

Children groupsChildren groups- Day care or schoolsDay care or schools

- Summer campsSummer camps

- Field tripsField trips

Risk and Hazard AnalysisRisk and Hazard Analysis

Environmental HazardsEnvironmental Hazards

WeatherWeather- Winter stormsWinter storms

- HurricanesHurricanes

GeographicGeographic- EarthquakesEarthquakes

- Flood plainsFlood plains

Risk and Hazard AnalysisRisk and Hazard Analysis

Man-made HazardsMan-made Hazards ChemicalsChemicals

- Production, storage and transportProduction, storage and transport Biologic hazardsBiologic hazards TerrorismTerrorism

Transportation HazardsTransportation Hazards MaterialsMaterials Mass transit centersMass transit centers

Resource AssessmentResource Assessment

Local resourcesLocal resources- EMSEMS

- PolicePolice

- Fire departmentFire department

VolunteersVolunteers- Boy ScoutsBoy Scouts

- Rotary, ShrinersRotary, Shriners

Children’s advocacy groupsChildren’s advocacy groups

Resource AssessmentResource Assessment

NationalNational- Red CrossRed Cross

- FEMAFEMA

- Department of DefenseDepartment of Defense

Agencies and unionsAgencies and unions- AMAAMA

- ENAENA

Resource NeedsResource Needs

PersonnelPersonnel- Pediatric specialists (if available)Pediatric specialists (if available)

EquipmentEquipment

Supplies: water, food, blanketsSupplies: water, food, blankets

ShelterShelter

Suppliers with contact sourceSuppliers with contact source- Back-up suppliers and contact sourcesBack-up suppliers and contact sources

Resource NeedsResource Needs

CommunicationsCommunications

- Equipment and personnelEquipment and personnel

- Telephone company/cell phones often overloadTelephone company/cell phones often overload

- Ham radio / alternative methodsHam radio / alternative methods

Resource NeedsResource Needs

TransportationTransportation- RoadsRoads

- Vehicles, public and privateVehicles, public and private

Maintaining access for emergency vehicles Maintaining access for emergency vehicles often problematicoften problematic

Planning is a Dynamic ProcessPlanning is a Dynamic Process

Plan before, during and afterPlan before, during and after

Contingency planningContingency planning

Continued revisingContinued revising

Plan AheadPlan Ahead

Resource assessmentResource assessment

- Be realistic about resources not already Be realistic about resources not already committed to the disastercommitted to the disaster

- Know local limitsKnow local limits

When and how to call for outside resourcesWhen and how to call for outside resources

- Scale of responseScale of response

Plan AheadPlan Ahead

Discuss with groups / individualsDiscuss with groups / individuals- Identify problemsIdentify problems

- Find optionsFind options

- Keep updated on response abilitiesKeep updated on response abilities

Resources and personnelResources and personnel

Vary by incidentVary by incident

Plan AheadPlan Ahead

Involve all potential participantsInvolve all potential participants- Don’t overlook potential resourcesDon’t overlook potential resources

- Avoid improper assumptionsAvoid improper assumptions

Regular planning meetingsRegular planning meetings- Risks of areaRisks of area

- Unforeseen eventsUnforeseen events

Planning ExercisesPlanning Exercises

Look for deficienciesLook for deficiencies

Single components vs. multi-groupSingle components vs. multi-group- Moulage useful but complexMoulage useful but complex

- Inter-group cooperationInter-group cooperation

Planning after ExercisePlanning after Exercise

Debriefing after exerciseDebriefing after exercise- Share informationShare information

- Improve planImprove plan

- Ensure dissemination of changes to plansEnsure dissemination of changes to plans

Honest not defensive feedback from allHonest not defensive feedback from all

During the DisasterDuring the Disaster

Constant revision of planConstant revision of plan- New risks and resourcesNew risks and resources

- Loss of resourcesLoss of resources

FlexibilityFlexibility- Alternate uses of resourcesAlternate uses of resources

- Alternate ways of transporting patient to Alternate ways of transporting patient to resources or resources to patientresources or resources to patient

Incident Command SystemIncident Command System

IncidentIncidentCommanderCommander

PlanningPlanning CommandCommandStaffStaff

FinanceFinance

LogisticsLogistics OperationsOperations

Incident Command SystemIncident Command System

Identified central commander with limited Identified central commander with limited scope of controlscope of control- leave chain of command for smaller groups intactleave chain of command for smaller groups intact

Unified commandUnified command

Modular systemModular system

Expand as neededExpand as needed

Medical control - Decisions Medical control - Decisions for childrenfor children Disaster interventions differ from everydayDisaster interventions differ from everyday

- less informationless information

- more victimsmore victims

- different prioritiesdifferent priorities

Stress for respondersStress for responders

““Greatest good to greatest number”Greatest good to greatest number”- may not be optimal care for each personmay not be optimal care for each person

Triage/treatment protocols for childrenTriage/treatment protocols for childrenwill help providerswill help providers

DocumentationDocumentation

Need to provide permanent recordNeed to provide permanent record

Transfer of information from field to base Transfer of information from field to base hospitalhospital

Limit information Limit information - will lose some detailswill lose some details

Documentation problemsDocumentation problems

Data loss / inaccuraciesData loss / inaccuracies

Patient limitations - unable to obtain / convey Patient limitations - unable to obtain / convey accurate informationaccurate information

Multicopy permanent recordMulticopy permanent record

Deterioration of recordDeterioration of record

Identifying the nameless victimIdentifying the nameless victim

Documentation usesDocumentation uses

To track patient movementsTo track patient movements

To reunite familiesTo reunite families

Epidemiological studiesEpidemiological studies

Evaluation and post disaster critiqueEvaluation and post disaster critique

Long term sequelae and resupplyLong term sequelae and resupply

ConclusionConclusion

PlanningPlanning- risk / hazard analysisrisk / hazard analysis

- resource assessmentresource assessment

- planning is a dynamic processplanning is a dynamic process

Incident Command SystemIncident Command System