Emergency Preparedness Training for Social Workers - New Jersey

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					Emergency Preparedness
Training for Social Workers

  New Jersey Preparedness Consortium (NJ-PTC)
        UMDNJ & US Department of HHS
             Grant No. T01HP01407
          Goals & Objectives
n   List 12 categories of items in an
    Emergency Preparation Kit
n   Identify 3 ethical issues dealing with an
n   Name 2 laws dealing with legal issues in
    an emergency
n   Identify the role of NIMS & ICS during a
                     HSPD – 5
                Executive Order #50
                Executive Order #5

Homeland Security Presidential Directive – 5
n Purpose: Develop & administer a National
      Incident Management System (NIMS)
Executive Order #50 (Codey)
n Purpose: Mandates NIMS as state emergency
  response standard for NJ
Executive Order #5 (Corzine)
n Purpose: Creates cabinet level Homeland Security
  Director to oversee state emergency response efforts
    National Incident Management
           System (NIMS)

n   Provides a national structure to prepare
    for, prevent, respond & recover from
n   Training at
           NIMS Components
1.   Command & Management – Incident Command
     System (ICS)
2.   Preparedness – Emergency Operations Plan (EOP),
3.   Resource Management – Personnel, facilities,
     equipment, supplies
4.   Communications & Information Management –
     Public Information Officer (PIO)
5.   Supporting Technologies – Computers
6.   Ongoing Management & Maintenance – Changes,
           Emergency Operations
          Planning – 4 Components

n   Preparedness – evaluate risks/probabilities
n   Response – how to deal with risks/probabilities
n   Mitigation – how to minimize the effects or
                 prevent reoccurrence of disaster
n   Recovery – What would be needed to restore
                 unmet needs/how to do this
      Incident Command System

n   System for organizing a response (based on
    the Emergency Operations Plan) to an
    emergency after it occurs
n   Common goal of stabilizing the incident -
    protecting life, property & the environment
n   Directed by an Incident Commander (IC)
n   Has 4 Basic Functions
4 Basic Functions of ICS
n   Planning – Determine what specifically
    needs to be done to handle incident
n   Operations – Directs all resources to carry
    out the plan
n   Logistics – Provides the resources & all
    other services needed to support the plan
n   Finance/Administration – Monitors costs
    related to managing the incident
     Laws Pertaining to Incidents
n   Homeland Security Presidential Directive – 5
    Established NIMS on national level
n   Executive Order #50
    Established NIMS on state level
n   Executive Order #5
    Established Cabinet Level Homeland Security Director
n   NJ Emergency Health Powers Act - N.J.S.A. 26:13
    Established powers of Commissioner of DHSS during incident
n   Health Insurance Portability & Accountability Act - HIPAA
    Established permitted disclosures of identifiable health
     NJ Emergency Health Powers
          Act N.J.S.A. 26.13
n   Report Suspected Disease - DHSS
n   Track Disease Process - Commissioner
n   Emergency Health Care Providers Registry
n   Transfer management of health care facility to DHSS
n   Control of Health Care Supplies
n   Vaccination – mandate
n   Require Health Care Providers to Assist
n   Immunity from Liability
n   Reasonable Reimbursement for Services
Personal Health Information (PHI)
n Persons exposed to reportable

  communicable diseases
n Persons who refuse treatment
              Principles of Ethics

n   Autonomy: Respect self-determination;
    choice of action
n   Beneficence: Enhance welfare of others;
    avoid harm (nonmaleficence)
n   Paternalism: Protect against self-harm or
    harming others (compromised autonomy)
n   Justice: Equitable treatment
Biological Agents of Highest
n   Smallpox
n   Anthrax
n   Plague
n   Tularemia
n   Botulism
n   Viral Hemorrhagic Fevers
Types of Illnesses These
Agents Can Cause
n   “Flu-like” illness (fever, sweats, nausea)
n   Cough and/or pneumonia
n   Headache, confusion
n   Skin ulcers (anthrax, tularemia, plague)
n   Rashes (smallpox, viral hemorrhagic
n   Paralysis (botulism)
Contagious Agents
n   Person-to-Person Transmission
       Plague Pneumonia
       Some Viral Hemorrhagic Fevers
Antibiotics, Antitoxin, or
n   Antibiotics – Anthrax, Plague, Tularemia
n   Antitoxin – Botulism
n   Immunization – Smallpox, Anthrax,
       Some Viral Hemorrhagic Fevers
Infection Control – Category A
        Critical Agents
n   Standard precautions – all cases
n   Airborne & contact precautions -
    smallpox, viral hemorrhagic fevers
n   Droplet precautions – pneumonic
Infection Control
Standard Precautions
n   Disposable, non-sterile gloves
n   Handwashing after glove removal
n   Disposable gown/apron, face-shield if
    splashing anticipated
n   Change protective gear between cases
Infection Control
Contact Precautions
n   Standard precautions plus
n   Wear gloves & gown, change after
    contact with infectious material
n   Dedicate non-critical patient care items
    to single patient or disinfect between
Infection Control
Airborne Precautions
n   Airborne Precautions
    n   Standard precautions plus
    n   Patient in negative air pressure room
    n   Wear respiratory protection (HEPA filter
Infection Control
Droplet Precautions
n   Standard precautions plus
    n   Wear mask when within 6 feet of patient
Quarantine vs. Isolation
n   Isolation: separation of a contagious
    person/group from other people to prevent
    spread of infection
n   Quarantine: restrictions of activities or
    limitations of freedom of movement of those
    presumed exposed to communicable
    disease to prevent contact with those who
    have not been exposed
Severity of Response
Dependent Upon
n   Proximity to event (injured/bereaved)
n   Intensely exposed (first responders)
n   Displaced from home/work
n   Loss of property
n   Age (child/elderly)
n   Special Needs (developmentally
    disabled/blind/cognitively impaired/etc)
n   Culture
Severity of Response
Dependent Upon Continued
n   History of:
    Previous trauma
    Mental illness
    Substance Abuse
    Chronic Illness
Early Intervention Goal #1
n Protect from further physical harm

  (remove from traumatic scene)
n See to basic needs (food, shelter,

  clothing, sanitation, sleep, medical care)
n Information dissemination
Early Intervention Goal #2
n Support to return to normal function

  (reduce stressors/reminders)
n Link to critical resources

n Reunite and keep families together

n Educate about responses to stressful or

  traumatic events
Early Intervention Goal #3
n Support to return to productive activity

n Redirect to constructive/helping tasks
           General Guidelines
n   Tell the truth as it is known, when it is known
n   Explain what is being done to deal with the
n   Avoid withholding bad news or disturbing
n   Be forthright about what is not known
n   Provide practical guidance
n   Messages should be simple & straightforward
n   Healthy lifestyle
n   Self-regulation
n   Positive coping skills (resilience)
n   Stress management
n   Education
n   Emergency Preparedness Practice

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