Just-in-Time Training for Local Health Department & Hospital CHEMPACK Tabletop Exercise

Transcription

1 Just-in-Time Training for Local Health Department & Hospital CHEMPACK Tabletop Exercise Cait Purinton, MEP Exercise & Training Coordinator KDHE Preparedness Program January 2012 TRAIN Course ID#

2 Training Objectives To instruct participants on how to use & modify the HSEEP templates for the LHD & Hospital CHEMPACK TTX to meet local needs & fulfill grant deliverables To provide tips & instruction on how to prepare for, facilitate, & evaluate local/regional exercises using the templates provided for the LHD & Hospital CHEMPACK TTX

3 Agenda 1. Work Plan Deliverables for Exercises 2. Exercise Registration in KS-TRAIN 3. CHEMPACK Program Overview 4. Preparing the Situation Manual 5. Evaluation & Improvement Planning 6. Summary & Review

4 Acronyms Acronym AAR/IP CESSL EEG HPP HSEEP LHD PHEP SitMan TTX Meaning After Action Report / Improvement Plan Chemical Event Shipping & Supply Location Exercise Evaluation Guide Hospital Preparedness Program Homeland Security Exercise & Evaluation Program Local Health Department Public Health Emergency Preparedness Situation Manual Tabletop Exercise

5 Terminology Players Discuss their agencies role & response plans Evaluators Observe & record players actions Participate in data analysis for AAR Do not interfere with exercise play Facilitators Facilitate discussion & coordinate issues among groups Observers Hear & see exercise play but do not participate

6 Module 1 Overview of Work Plan Deliverables for Exercises

7 CDC Public Health Capabilities 15 Public Health Preparedness Capabilities Focus of is on 3 capabilities for PHEP: #8 Medical Countermeasure Dispensing #9 Medical Materiel Management & Distribution #13 Public Health Surveillance & Epidemiological Investigation #10: Medical Surge was added for the HPP requirements

8 LHD Work Plan Participate in at least one exercise TTX, Functional, Full-Scale, or Real Incident May be local or regional exercise Capabilities #8 dispensing & #13 epidemiology Post in KS-TRAIN HSEEP AAR/IP due to KDHE

9 Capability #9: Distribution Required only for State & CRI jurisdictions KC CRI: Leavenworth, Wyandotte, Johnson, Franklin, Miami, & Linn counties Wichita CRI: Harvey, Sedgwick, Butler, & Sumner counties Capability #9 included to focus on the management & distribution of the CHEMPACK

10 Hospital Work Plan Participate in at least one exercise TTX, Functional, Full-Scale, or Real Incident Level 1 Medical Surge Capabilities Interoperable communications Partnership/coalitions/Memoranda of Understanding Medical surge, fatality management, medical evacuation / shelter in place, or bed tracking Post in KS-TRAIN HSEEP AAR/IP due to KDHE

11 Work Plans Overview LHD Medical Countermeasure Dispensing Epidemiological Investigation Hospitals Interoperable communications Partnerships & coalitions Medical surge Both Post exercise in TRAIN HSEEP AAR/IP

12 Module 2 Exercise Registration in KS-TRAIN

13 Background Two tabletop exercises (TTX) will be provided for LHDs & hospitals to meet work plan deliverables for Participation is not mandatory TTX may be county-level or regional exercise Participation in this training does not register you for the exercise, nor does it count as exercise credit on the work plan.

14 TTX Dates & Registration Choose a date & time that work best for you! LHD exercise deadline: August 9, 2012 CRI document submission deadline to DSNS: July 15, 2012 Hospital exercise deadline: June 1, 2012 Note: After Action Reports (AAR) are due within days following the date of your exercise.

15 Registration in KS-TRAIN LHD & Hospital CHEMPACK TTX Course ID# Date Location Beginning & End Times Primary point of contact Plan for 2 to 4 hours, including hot wash Questions or Need Technical Assistance? Debbie Nickels, dnickels@kdheks.gov

16 Participant Registration BEFORE the exercise, encourage your participants to sign up in TRAIN Facilitator Observer Player Evaluator You may print sign-in sheets from KS-TRAIN

17 Participant Verification AFTER the exercise, verify attendance for everyone who participated Log into TRAIN & click on the verify boxes for each person, or Submit your sign-in sheet with the AAR to KDHE Must be legible, printed name, & address Participants who did not pre-register can be verified in the system retroactively

18 Registration Overview Registration ID# Before the Exercise After the Exercise KDHE-BCHS Exercise: LHD & Hospital CHEMPACK TTX ( ) Register date, times, locations, & primary point of contact Or, contact KDHE for assistance Verify attendance in TRAIN Or, submit sign in sheet to KDHE

19 Module 3 CHEMPACK Program Overview with Gilbert Tabares

20 Kansas CHEMPACK Program Voluntary Participation Project for the forward placement Pre-Positioned nerve agent/organophosphate antidotes Increase state and local capacity Allow rapid response to nerve agent/organophosphate incidents

21 Why the CHEMPACK Program? 1.Nerve agents can cause rapid system failure. 2.Antidotes can reverse symptom if administered in a timely manner. 3.Most hospitals & pharmacies don t stockpile nerve agent antidotes. 4.CHEMPACK antidotes are packed to be rapidly administered.

22 Module 4 Preparing the Situation Manual & Facilitating the Exercise

23 Exercise Paperwork Download the TTX templates from TRAIN Click LCMS or library at the top Click LHD & Hospital CHEMPACK TTX on the left Sample Agenda Situation Manual Exercise Evaluation Guides AAR & Improvement Plan template Participant Feedback Form TTX Power Point Informational Handouts

24 What is a Situation Manual? Acronym = SitMan Textual background for multi-media, facilitated discussion-based exercise Scope Capabilities Objectives Structure Rules of play Scenario details

25 CHEMPACK TTX SitMan 3 modules Questions following each module are intended to facilitate conversation Questions are derived from CDC preparedness capabilities SitMan provides full narrative of scenario TTX Power Point with key bullet points from the scenario

26 Modifying the SitMan Areas highlighted in may be customized for your jurisdiction s needs Comment boxes in the margins to provide direction on how to modify the template Be sure that any changes made in SitMan are replicated in the Power Point & other documents

27 SitMan Appendices & Handouts Appendices Area Maps Acronym List CHEMPACK Handouts State Plan Cache Map Requesting Protocol Container Contents Chain of Custody Forms Malathion Fact Sheet & MSDS Organophosphate Fact Sheet

28 Distributing the SitMan Evaluators & Facilitator Receive the SitMan prior to the exercise Players & Observers Distribute at the exercise Close each module with a sticker & instruct participants when to open it so they don t read ahead in the scenario.

29 Review of the Situation Manual IMPORTANT: If you modify the scenario in the SitMan, don t forget to replicate those changes on the Power Point!

30 Tips for Facilitators Adequate preparation is best safeguard Do not wait until the last minute to prepare for this exercise! Review & understand the exercise materials Exercise is a learning environment Generate group conversation to identify gaps, strengths, & areas of improvement

31 Room Set Up Screen Group 1 Group 6 Facilitator Group 2 Group 5 Group 3 Group 4 Observers Observers Observers

32 Situation Manual Overview KS-TRAIN Materials are in TRAIN under the LCMS library; click on LHD & Hospital CHEMPACK TTX on the left. Situation Manual Modify the scenario to meet jurisdictional needs Distribute final version accordingly Room Set Up Arrange the seating so exercise participants can engage in conversation

33 Module 5 Evaluation & Improvement Planning

34 What are Exercise Evaluation Guides? Acronym = EEG Used by evaluators to document observations & collect data for the AAR Each function & task on the EEG connects to the exercise objectives & module discussion questions in the SitMan

35 Review of Exercise EEG

36 Tips for Evaluators Before the TTX Conduct an Evaluator Briefing Provide Evaluators with: EEGs Situation Manual Plans, policies, procedures, etc., that are being evaluated During the TTX Do not prompt or interfere with exercise play Provide Evaluators with paper, pens/pencils, & clipboard Seated where they can see & hear Player discussions

37 Tips for Evaluators continued Evaluators record discussions & key points: Issues How decisions were made Roles & responsibilities Coordination or cooperation issues Recommendations from the group Do not focus on individual player performance

38 Hot Wash & Participant Feedback Purpose: Examine issues identified during the exercise Strengths / areas of sustainment Improvement for planning, equipment, & training Immediately following the exercise Plan for approximately 30 minutes Assign a recorder to take notes Distribute & collect participant feedback forms

39 After Action Report/Improvement Plan Acronym = AAR/IP Provide feedback on the jurisdiction s performance Assess preparedness Identify needed resources & support AAR includes: Summary of what happened Analysis of performance of essential activities Analysis of major strengths & areas of improvement Recommendations for improvement based on analysis

40 Elements of an AAR Executive Summary Exercise Overview Exercise Design Summary Analysis of Capabilities Conclusion Appendices Improvement Plan Acronyms Participant Feedback Summary Lessons Learned

41 Review of the AAR

42 After the Exercise Verify exercise attendance in KS-TRAIN Submit your sign-in sheet & AAR to KDHE Due within 90 days for LHDs Due within 60 days for hospitals Optional to submit EEGs to KDHE Submit all documents to

43 Regional/Multi-Agency AARs Multi-agency AAR accepted. Each agency must be: Identified as a participating organization in the AAR, and Assigned with at least one task on the Improvement Plan. Allow agencies to review the AAR before it is submitted. Notify KDHE that the AAR is representing more than one agency.

44 Evaluation Overview EEG Evaluators record observations & collect data Directly contribute to the AAR Hot Wash Immediately after the exercise Collect participant feedback AAR Written record of what happened Regional AARs are acceptable

45 Module 6 Summary & Review

46 Work Plans Overview LHD Medical Countermeasure Dispensing Epidemiological Investigation Hospitals Interoperable communications Partnerships & coalitions Medical surge Both Post exercise in TRAIN Submit AAR/IP to

47 Registration Overview Registration ID# Before the Exercise After the Exercise KDHE-BCHS Exercise: LHD & Hospital CHEMPACK TTX ( ) Register date, times, locations, & primary point of contact, or Contact KDHE for assistance Verify attendance in TRAIN, or Submit sign in sheet to KDHE

48 Situation Manual Overview KS-TRAIN TTX materials are in TRAIN under the LCMS library; click on LHD & Hospital CHEMPACK TTX on the left. Situation Manual Modify to meet jurisdictional needs Distribute final version accordingly Room Set Up Arrange the seating so exercise participants can engage in conversation

49 Evaluation Overview EEG Evaluators record observations & collect data Directly contribute to the AAR Hot Wash Conducted after the exercise Collect participant feedback AAR Written record of what happened Regional AARs are acceptable

50 Thank you! KDHE Contact Person Phone Cait Purinton Exercise & Training Coordinator Debbie Nickels KS-TRAIN Coordinator Gilbert Tabares Planning Specialist CHEMPACK Subject Matter Expert