hazardous material tabletop exercise - harvard university · pdf filehomeland security...

Homeland Security Exercise and Evaluation Program (HSEEP) Master Scenario Events List (MSEL) Package HAZMAT TTX

i HSPH-EPREP

Hazardous Material Tabletop

Exercise

Master scenario events list (MSEL)

Prepared by:

With funding support from:

Office of Assistant Secretary for Preparedness and Response (ASPR) Hospital Preparedness Program

through the Massachusetts Department of Public Health

Office of Preparedness and Emergency Management


ii HSPH-EPREP

PREFACE

The purpose of the Master Scenario Events List (MSEL) Package is to provide central exercise

facilitation team members a complete edition of the MSEL. This includes the summary listing as

well as any detailed inject forms that will be delivered to players. Core control team members

may use this document to track exercise play, manage Simulation Cell (SimCell) functions, and

maintain situational awareness for the Exercise Director. Evaluators may also reference

individual pieces of the document through teamwork with facilitators.

Exercises are the culmination of training toward a higher level of preparedness. This document

was produced with help, advice, and assistance from planning team members from various

departments and agencies.

The information in this document is current at the date of publication and is subject to change as

dictated by the Exercise Planning Team.


iii HSPH-EPREP

This page is intentionally left blank.


iv HSPH-EPREP

CONTENTS Preface ...................................................................................................................i

Handling Instructions ............................................. Error! Bookmark not defined.

Exercise Objectives .............................................................................................1

Overall Objectives ..................................................................................................1

MSEL (Expanded)

Module 1 - Initial Response and Awareness ..........................................................3

Module 2 - Operations, Part 1 ................................................................................6

Module 3 – Operations, Part 2 ............................................................................ 11

Module 4 - Demobilzation and Recovery ............................................................ 17


1 HSPH-EPREP

EXERCISE OBJECTIVES

Overall Objectives

1. Discuss relevant protocols and procedures involved in obtaining and deploying

CHEMPACK assets.

2. Examine key assumptions and actions that relate to hospital-based decontamination

during a HAZMAT incident.

3. Assess the communication systems and networks used during a large-scale hazardous

materials event that support field and hospital situational awareness regarding the

responders' capability to respond.

4. Name best practices in the flow and care of contaminated and uncontaminated patients,

visitors and medical personnel to the hospital during the event.

5. Identify essential recovery issues related to the incident, including the supplies, staff and

resources needed to demobilize and return to normal operations.


2 HSPH-EPREP

Event # 1 Event Time: December 9, 2011 - 8:45am

TTX Time: March 16, 2012 - 5:45pm

Recipient Player(s): All Players

Event Description:

Establishes the starting point related to events that will serve as catalysts for subsequent

preparatory/response activities

Inject:

Date and Time: Friday, March 16th

, 2012 at 5:45pm.

Weather: It is overcast, 45 degrees, and there is a 40% chance of precipitation. Winds are out

of the West at 5mph. A recent thaw has melted the last snowfall.

Location: A high school located approximately 25 minutes from your facility.

A high school in a nearby town is hosting a basketball game between their team and a

neighboring rival. Attendance at the game is estimated at 650 people. At 5:45pm, during the

half-time break, fans seated in the visiting team bleachers begin coughing, experiencing

difficulty breathing, and vomiting. Other fans begin drooling, experiencing headaches, blurred

vision, tearing, and feeling tightness in their chest.

Multiple fans call 9-1-1 from their cell phones and State Police is inundated with calls for help

at the high school. At 5:46pm, a student inside the gymnasium pulls the fire alarm. There are

two police officers at the event on a detail for security and traffic control who are the first

responders on scene. Assisted by school teachers and staff, the officers attempt to evacuate the

building and keep fans from leaving the scene. The senior police officer directs local dispatch to

alert responding units that there is a suspected hazardous material incident at the school and the

cause is unknown. The officer states that a large number of people at the high school are having

difficulty breathing and some have reported smelling a sulfurous odor in the gymnasium.

Additional Police, Fire, and EMS units begin to arrive on scene at the high school at 5:50pm.

Teachers at the school report to responders that they think everyone is out of the building. The

ranking Fire Officer on scene confirms with the town dispatcher that there is a potential

hazardous materials incident at the high school with a large number of people sick or injured and

assumes incident command.

Summary:

There is a possible hazardous material incident at a local high school where a basketball

game was being held. The crowd is estimated at 650 people.


3 HSPH-EPREP

Expected Action(s): Notes

Responders should recognize the need for additional assets

and the importance of early notification of nearby hospitals.

Module 1- Initial Response and Awareness

Key Issues

Responders should recognize the scale of the incident and disseminate notifications.

Responders and hospitals should activate plans and mobilize assets to respond.

Information sharing should be established between hospitals and first-responders.

Responders should classify the unknown hazardous material.

General Discussion Questions

1. When do first-responders notify local hospitals of a potential Mass

Casualty/Hazardous Materials Incident?

a. *What triggers first-responders to notify hospitals of an incident?

b. *Who on scene contacts hospitals? How do they contact hospitals?

c. *What specific information do hospitals need?

d. *Which hospitals do they contact?

e. *When and how often do they provide updates?

f. What information do responders share?

g. How are hospitals getting this information?

2. What is your hospital’s response to notification of a potential MCI/HAZMAT

incident?

a. *What are your hospital’s initial priorities? Who is in charge at this point?

b. *What are your hospital’s actions before the HAZMAT incident is confirmed?

c. How do you receive confirmation of a HAZMAT incident?

3. What information do hospitals need to share with first-responders? What information do

hospitals need to share with DPH? What information do hospitals need from DPH?

a. Who produces this information?

b. How is it shared?

c. How often is it updated?

Situational

Awareness


4 HSPH-EPREP

d. How is this information compiled to maintain a common operating picture and

regional situational awareness?

4. What monitoring of available information do hospitals conduct on a daily basis?

a. Is there ongoing surveillance of HHAN, NWS alerts, and/or first-responder radio

channels at your hospital?

b. Would your hospital hear about an event through informal means of

communication (social media, friends) before formal communication?

c. How would your hospital address these rumors?


5 HSPH-EPREP


TTX Time March 16, 2012 - 5:55pm


Event Description:

More definitive information that will continue play and challenge participants during response.

Inject:

The audience at the game has evacuated the building and many people are crowded outside the

school. The audience has used several different exits to exit the school and the crowd is

dispersed throughout the parking lot and nearby playing fields. The majority of the crowd is

presenting with difficulty breathing, drooling, and decreased vision. Several patients appear to

have difficulty ambulating.

First-responders are directing everyone who exited the school toward the decontamination site

that they are creating. The Police Department is establishing a perimeter around the school

closing off the surrounding roads. Emergency Medical Services is preparing to triage, treat, and

transport patients. A staging area is designated, and additional Police, Fire, and EMS resources

responding to the scene are directed to check in and await assignment. The Incident

Commander has requested mutual aid assistance and on-scene decontamination capability.

EMS personnel are beginning to treat patients who have gone through decontamination. The

EMS supervisor notifies the Incident Commander that, based upon the signs and symptoms of

patients, he believes that they have been exposed to a nerve agent and there is a need for

CHEMPACK assets. The Incident Commander requests that CHEMPACK assets be activated

and deployed to the scene.

Summary:

EMS personnel have identified that signs and symptoms of patients are potentially

consistent with a nerve agent. The Incident Commander has requested CHEMPACK

assets be activated and deployed to the scene.

It is unclear how many fans have been affected; first-responders are trying to direct the

crowd through the gross decontamination the Fire Department has set up and away from

the school.

Local assets are overwhelmed by the initial response and have requested mutual aid from

the surrounding communities


6 HSPH-EPREP


Local dispatch should request the deployment of

CHEMPACK assets. Host-site hospitals should discuss

their plans for distributing CHEMPACK assets. Non-host

site hospitals should discuss their plans for receiving assets.

Discussion should focus on how to rapidly access and

deploy CHEMPACK assets.

Module 2- Operations, Part 1

Key Issues

Early notification should occur between hospitals that an incident requiring CHEMPACK

assets has occurred.

Participants should discuss how to request and coordinate the deployment of

CHEMPACK assets from host-site hospitals to appropriate locations.

Participants should discuss how to develop a common operating picture through

information sharing between hospitals and first-responders.


1. When would you activate your EOP in this scenario?

a. *What is the trigger to activate your EOP?

b. How would this decision be made? Who makes the decision?

2. What does your Incident Command structure/organization look like at this point?

a. How will you rapidly compile, verify and share information/reports?

b. What mechanisms are you using to send/receive information from local public

safety and local public health representatives?

c. What specific information do you need?

d. Who are you informing about your plans and status? What information are you

sending? When are you sending it?

3. What is your plan for obtaining CHEMPACK resources?

a. *What is the trigger to access these resources?

b. *How will Incident Command or EMS communicate the need for CHEMPACK

assets in the field?

c. *How will non-host hospitals communicate the need for CHEMPACK assets at

their facility?

Obtaining

CHEMPACK


7 HSPH-EPREP

d. *How do host facilities communicate the need for additional CHEMPACK assets

at their facility?

e. *Do hospitals have redundant and resilient forms of communicating the need for

CHEMPACK assets?

f. *Who has the authority to access CHEMPACK resources? Is there always

someone onsite who can make this decision?

g. *What scale nerve agent incident would overwhelm your capability to manage

patient health?

h. What security measures do you put in place when you are notified of an incident

requiring CHEMPACK assets?

i. Who has the key to the room or cage that the CHEMPACK container is stored in?

Who has the key to the containers? Where are they stored?

j. With whom do you coordinate opening and distributing CHEMPACK assets?

k. Do you conduct training with your staff and partners on CHEMPACK?

l. How often do you inspect CHEMPACK containers and assess their readiness?

m. How long do you have to notify DPH that a CHEMPACK container has been

opened?

n. Do host hospitals verify the need with EMS or non-host hospitals before opening

CHEMPACK supplies?

o. What written policies and procedures do you have regarding a potential nerve

agent incident? Do your clinicians know these policies and procedures?

p. Do hospitals and EMS have interoperable forms of communication?

q. Do all agencies in your region use common language when communicating by

radio?

4. How are CHEMPACK assets mobilized in your region?

a. *Who is responsible for distributing the supplies in a CHEMPACK to their

appropriate location?

i. In-hospital transport to a loading area?

ii. Transport from host hospitals to non-host hospitals?

iii. Transport from host hospitals to the incident scene?

b. *What vehicles are used? Who requests these vehicles and how? How many are

needed?

c. *Are there sufficient emergency vehicles in your region to handle the immediate

response to the scene and to rapidly transport CHEMPACK assets?

d. *Has an agency been pre-identified as being responsible for transporting

CHEMPACK assets?

e. *Are loading areas for CHEMPACK resources and vehicles pre-identified?

Deploying

CHEMPACK


8 HSPH-EPREP

i. Are they in an area that is likely to be free of contamination?

ii. Can these areas be secured?

iii. Who manages these staging areas?

iv. How are assets and responders directed to these locations?

f. *How long will it take to transport assets between host and non-host hospitals?

g. *Where do CHEMPACK assets go for pick up at host hospitals?

h. *Where do CHEMPACK assets go for delivery at non-host hospitals?

i. *Is the loading zone co-located with the ambulance bay at your facility? Will

regular operations or decontamination operations interfere with distributing

CHEMPACK assets? Is the loading zone secure?

j. *How do you allocate supplies among host hospitals, non-host hospitals, and

EMS during a response?

i. Which boxes stay with the host hospital/go to non-host hospitals/go to the

scene?

ii. Are resources at host hospitals dedicated for a specific non-host hospital?

iii. Can you subdivide non-host site resources (blue tags) for more than one

hospital?

iv. Can you subdivide EMS resources for more than one scene?

v. How do you determine which non-host site hospitals receive tagged boxes

if there are multiple non-host hospitals requesting CHEMPACK assets.

k. Are there predetermined staging locations for packages of medication that are

intended for field or non-host site hospital use?

l. Who receives CHEMPACK resources at your facility?

m. Who oversees the distribution of tagged boxes to appropriate parties? Who

handles completing the Transfer of Custody forms?

n. Are the individuals responsible for preparing boxes for transportation familiar

with the Transfer of Custody forms? Who is authorized to fill out these forms?

5. How do you communicate with your partners about CHEMPACK status?

a. With other hospitals? With responders on scene?

b. How often are updates going out? How is this information disseminated?

c. What process do you have in place for coordinating the flow of CHEMPACK

data?

i. Who is responsible for tracking CHEMPACK deployment?

ii. What information is collected?

iii. How is it collected?

iv. How is it stored and transmitted?


9 HSPH-EPREP

v. How are you maintaining a regional or statewide awareness of what is

occurring?

vi. Do you have any functional system for communicating regionally with

your partners?

vii. What information would you need to know? How would you get that

information?

viii. How do you determine if additional CHEMPACK resources are needed on

scene or at other hospitals?

6. What information are you looking for from DPH and/or local public health authorities

and what information are you providing to them? When and how are you communicating

with them?

7. Are you performing an assessment at this point?

a. Have your hospital’s priorities changed based on new information?

b. Is someone assessing critical personnel and material resource needs? How long

will this take?

c. Do any decisions need to be made before the assessment is completed?


10 HSPH-EPREP




Event Description:

More definitive information that will continue play and direct participants to focus on hospital-

based decontamination.

Inject:

It is fifteen minutes after the beginning of the incident. A situation update from Incident

Command via online information sharing tool:

o Many fans are known to have bypassed the decontamination zone that responders

established and were able to get to their vehicles and leave the scene. It is unknown

how many were exposed to the potential toxic agent.

o As of 6:00pm the Police Department has established a perimeter around the school

controlling traffic and is attempting to contain patients.

o It is unknown how many people fled the scene; however, responders estimate the

remaining crowd at the school to be between 300 and 400 people.

o The Fire Department is setting up their on-scene mass decontamination.

o Staging, treatment, and transport areas have been established and EMS has begun

transporting critical patients to the closest hospitals.

o DPH is asking local hospitals to report their status and decontamination capability.

o Ambulances have been depatched to the nearest CHEMPACK host-site hospital to

transport CHEMPACK assets to the nearest non-host site hospital and to the scene.

o Local media is en route to the high school and is already reporting that a nerve agent

has been released at the high school.

o Transit buses have been requested to serve as temporary shelters for decontaminated

individuals, but they have not arrived. Their estimated time of arrival is within the

hour. It is expected that anyone with symptoms will be taken to a hospital.

Summary:

An unknown number of contaminated individuals fled the school before the scene could

be contained. These individuals are expected to be heading for the nearest hospitals

which are approximately 25 minutes away from the high school.

EMS and hospitals still need to receive CHEMPACK assets.

Mutual aid Police/Fire/EMS units are responding to the high school to assist local

responders. Hospitals should not expect immediate assistance from Police/Fire/EMS.


11 HSPH-EPREP


Hospitals should prepare to receive an influx of critical

patients and large numbers of patients suffering minor

illnesses. Many patients may not be decontaminated prior

to arrival. Decontamination operations should be set up at

the hospital with facilities secured and staff instructed to

wear appropriate PPE. On scene responders and hospitals

should communicate and coordinate so patients are

transported to the most appropriate facilities.

Module 3 – Operations, Part 2

Key Issues

Hospitals should prepare to be inundated by contaminated patients self-presenting to their

facilities.

Local public safety resources will be overwhelmed by the initial on scene response.

Hospitals should not anticipate immediate assistance from local Police/Fire/EMS.

Communication between hospitals and on scene incident command will be crucial to

coordinate patient treatment and transport to the most appropriate facilities.

Responder safety and patient care must be maintained during the operations.

Coordinating the timely release of public information and warnings will be challenging.


1. What information is being shared between the scene and hospitals now?

a. How are you getting this information?

b. How quickly are you getting the information you need?

c. What information is most crucial for hospitals and responders to know?

2. Are there formalized stages in your hazardous materials response plan with

defined actions?

a. *If so, what are those actions?

b. *Who is directing operations at end stage?

3. Describe your plans for setting up a Mass Decontamination Unit at your

hospital?

a. *What triggers you to prepare for decontamination operations?

i. How do you alert your hospital staff?

Hospital

Decontamination


12 HSPH-EPREP

ii. How do you alert first-responders?

iii. Do you notify DPH? Other Hospitals?

b. *Do you rely upon support from external partners to conduct decontamination

operations?

c. *Who decides to prepare for decontamination?

4. What security measures do you put in place when you are notified of a

HAZMAT incident?

a. *How do you secure your facility?

b. *How many staff does it take to secure your facility?

5. *How long does this take both during the day and during off hours? (record

time)

6. How long does it realistically take for you to set up your MDU? (record time)

a. *Where does this staff come from?

b. *What is the minimal number of staff you need to set up your MDU?

c. *How long does it take for your staff to suit up in PPE? (record time)

d. *What do you do with contaminated patients if they arrive before your MDU is

set up?

e. *What is the minimal number of staff you need to operate your MDU?

f. *What is the pressurized water source for your MDU? Do you have

alternatives?

7. Who do you notify that you have started decontamination operations?

a. *How do you make this notification?

b. *What information do you share?

8. How do you determine the appropriate level of PPE for your staff to don?

a. *Who selects and maintains your PPE?

b. *Who is trained to wear PPE at your facility?

c. *What level PPE are they trained on and equipped with?

d. *Are people capable of providing security trained to wear PPE?

e. *Are people capable of conducting triage trained to wear PPE?

f. *Are people who are capable of providing treatment such as auto-injectors

trained to wear PPE? Up to what level?

g. *Do you have sufficient staff on 24/7 to provide these services and continue

normal or surge operations?

h. *Can you provide sufficient medical personnel to staff prescreening area,

disrobing area, decontamination area, gowning area, and a triage area?


13 HSPH-EPREP

i. How long do allow staff to work in PPE?

i. During normal conditions?

ii. During extreme heat or cold?

iii. How do you monitor staff health?

j. What is your response plan for an injured staff member in the decon area?

i. How do decon members communicate? Verbally/Non-verbally?

ii. Do you have a safety officer?

k. How is the use of PPE prioritized during the response?

i. How have you identified the amount and types of additional PPE needed

to support your response?

ii. Where can you get additional PPE during a response? How long does

this process take?

l. What do you do if you need responders in Level B PPE (SCBA)?

9. How do you decontaminate:

a. *Non-ambulatory people, individuals who require additional assistance, and

children?

b. *Service animals or pets?

c. *Critically injured individuals who require therapy throughout

decontamination?

d. *How do you track and securely store personal belongings?

e. *What items do you allow patients to take with them through decon?

10. At what rate can your MDU decontaminate: (patients per hour)?

a. *Ambulatory patients?

b. *Non-ambulatory patients?

c. *How long can you maintain operations at this rate? What factor limits your

response capability (decon staff, PPE, fuel)?

11. What is your response to a contaminated person in your hospital?

12. How do you provide shelter for contaminated patients waiting to go through

decontamination?

13. How do you establish triage and patient tracking during decontamination?

14. What do you do with patients who are not injured and have gone through

decontamination?

15. How are you initially assessing adequacy of inventory of key material resources and

existing supplies?

a. What are the challenges in defining these resources?


14 HSPH-EPREP

b. Is there a plan for automatically conducting/submitting unit-level resource

needs/utilization reports? What is the trigger for units to submit such

reports? Who is compiling the reports? How long will it take? How is the

information updated?

c. Do you have caches of critical supplies related to mass decontamination?

Where are they and how are they accessed? What critical supplies will likely

run out first?

16. How do you adapt your decontamination plan to changing events/weather?

a. Extreme temperatures?

b. Severe weather?

c. A power outage?

17. How do you manage patient flow at your facility?

a. *How do you demarcate the hot zone, warm zone, cold zone?

b. *Does your hospital identify a prescreening area, disrobing area,

decontamination area, gowning area, triage area?

c. *Who do you allow to bypass decontamination?

d. *How do you manage traffic flow at your facility?

e. *How do you identify vehicles with contaminated patients? Where do they

park?

f. *How do you handle accepting other, non-contaminated ED patients during the

event?

g. *How do you direct contaminated patients from hospital entrances to the

decontamination area?

h. *How would you ensure that contaminated individuals go through

decontamination before entering the hospital?

i. *How do you handle other hospital visitors, patients, and staff arriving at your

facility during the event?

j. *How will patients arriving by EMS be directed to decontamination?

k. *What information do you relay to people trying to seek help at the hospital?

l. *How do you communicate with non-English speakers who arrive at your

hospital?

m. *How do you communicate with people with disabilities who arrive at your

hospital?

18. How do you distinguish contaminated patients from uncontaminated patients?

a. *Who conducts this screening?

b. *Where are they positioned?

Patient

Flow


15 HSPH-EPREP

c. *What PPE are they wearing?

19. What are your primary methods of internal and external communication?

a. What external agencies/entities are you communicating with at this point?

b. What information do you need from them and what information are you

giving them?

c. How are you interacting with EMS? With LPH? With public safety?

20. Who takes the lead for risk communication with staff internally? With patients and

families?

21. What is your understanding of the role of DPH and emergency management agency

during a hazardous materials event? How will the hospital IC structure

coordinate/communicate with DPH and emergency management agency during the

response?


16 HSPH-EPREP




Event Description:

Incident summary and additional information that will direct participants to focus play on

recovery issues.

Inject:

It is just over five hours since the incident began. A small device was found underneath the

bleachers in the high school gymnasium that appears to have dispersed a chemical and an

investigation is underway to determine who planted the device. Preliminary test results have

confirmed that the liquid in the device is a concentrated organophosphate pesticide.

In total, 298 patients showed signs and symptoms of nerve agent exposure and were transported

from the scene. An additional 334 patients self-presented to the two closest area hospitals

complaining of signs and symptoms of nerve agent exposure. The majority of these cases were

unfounded. Fortunately, many fans were not in the gymnasium during half-time when the nerve

agent was released and were able to evacuate before being exposed. A significant amount of

CHEMPACK supplies remain unused both at hospitals and with EMS at the scene. All patients

showing signs and symptoms of exposure to the nerve agent have been decontaminated either on

scene or at area hospitals.

Sixty-four patients are in serious or critical condition following the incident. Many of these

patients are pediatric and had to be intubated. Families are contacting local hospitals trying to

locate their family members. Identifying patients has been complicated by the decontamination

process. The combination of the scale of the incident and the large amount of pediatric patients

has resulted in significant stress among responders and hospital staff. Several of your staff

members lived in the nearby town and are familiar with victims. In addition, there is a

significant amount of media interest in the incident and response from both local and national

outlets. Your staff members report being asked questions from reports while coming and going

to work.

Summary:

A large number of patients are in serious or critical condition following the incident and

will require ongoing intensive care at area hospitals.

There are CHEMPACK assets that were deployed but not used during response at both

hospitals and the incident scene.

Mass Decontamination Units and the areas used for decontamination at hospitals need to

be restored as soon as possible to allow normal operations to resume.


17 HSPH-EPREP


Participants should discuss the procedure for inventorying

and properly storing deployed CHEMPACK assets.

Hospitals should discuss the steps they would take to

demobilize their MDUs and restore their facilities to normal

operations.

Module 4 - Demobilization and Recovery

Key Issues

Patients are being stabilized, observed, discharged, and transferred as is appropriate.

Several patients will require ongoing therapy to counter the effects of the nerve agent.

Many family members and friends are still attempting to locate their loved ones.

Hospitals will need help facilitating these connections.

CHEMPACK assets will need to be handled appropriately and added to existing

pharmaceutical supplies.

Reports will need to be filed by public health regarding the response and activation of

CHEMPACK assets. Samples should be taken and sent to the state lab.

Agencies will need to work together to determine the cost of the response and, if

possible, file for reimbursement.


1. What are your priorities at this point? Who determines them?

2. Do you have policies and procedures in place for absorbing unused CHEMPACK

assets into your pharmaceutical supplies?

a. *Who accepts these resources?

b. *Where do they go?

c. *How are they inventoried and stored?

3. How do you safely clean and restock your MDU?

a. *Who is responsible for restoring the MDU?

b. *How long does this process take?

c. *What decontamination services are available at your facility in the interim?

d. *How do you safely dispose of waste water?

e. *How do you dispose of contaminated clothing?

Recovery

Issues


18 HSPH-EPREP

f. *Do you have procedures in place for decontaminating personal belongings and

returning them to their owners?

4. How do you decontaminate your facility and property?

a. *How much area do you need to decontaminate?

b. *How long will it take to decontaminate this area?

c. Who is responsible for this process?

d. What actions are involved?

5. How long will it take to restore your ED to normal operations?

6. Are you prepared to handle the mental health of the public and your staff following an

incident of this nature?

a. What specific services will you provide?

b. How would you manage a large number of people seeking mental health services?

c. Is your staff aware of these resources?

d. To whom are these resources available?

7. What agencies are you coordinating recovery with? What information are you sharing?

a. What support do you need from DPH? From other hospitals? From the private

sector? From nongovernmental organizations?

b. When does the transition to normal operations begin?

8. Who has the authority to make the decision to transition back to normal operations?

a. What is the process to make this transition?

b. Are there defined triggers?

c. Who is involved in this process?

9. Do you have policies and procedures in place to facilitate family linking for large

numbers of unidentified patients?

a. How do you facilitate this link?

b. Who is responsible for this process?

c. When does this process start? How long do you estimate this process will take for

each patient?

10. How do you handle media inquires?

a. Do you have a PIO assigned?

b. Will you allow media on site?

c. Are your staff trained to handle media inquires or direct media to the PIO?


19 HSPH-EPREP



Event Description:

END EXERCISE

hazardous material tabletop exercise - harvard university · pdf filehomeland security...

Documents