Partnering for Preparedness

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					Pulling in the Partners

 Establishing relationships
within the community for the
        common good


            J.J. Justis
       Emergency Planner
   Eastern Shore Health District
Eastern Shore Rural Health System, Inc.


   5 Community Health Centers located
    all along the 60 mile peninsula of the
    Eastern Shore of Virginia.
   Centers serve as primary care clinics
    for 75-80% of the Eastern Shore
    population.
   Centers receive federal grant monies
    to serve indigent and migrant patients.
Eastern Shore Rural Health System, Inc.
              continued

   All centers have highly skilled staff – MD,
    PA, NP, RN, LPN, DDS, Health Educators,
    Administrative and IT staff, and translators
   All centers have several examination rooms
    and each center has crash cart equipped
    with defibrillator
   There is a center located within 25 miles of
    all areas of the Eastern Shore.
What are the benefits of a
 partnership for ESHD?
   Stand alone operational clinics
    requiring minimal equipment being
    brought in during an emergency
   Highly skilled staff that are familiar
    with the center
   Locations close to everyone
 What are the benefits for
Eastern Shore Rural Health?
   Volunteers and immediate family
    receive prophylaxis prior to general
    population
   Daycare for children provided through
    MOU with ESAAA/CAA Head Start
    program close to centers
   Community service
      How do we train and
       exercise together?
   All 5 centers are exercised each year as a
    NEHC operation
   Each exercise involves setup, walk-thru
    explaining patient flow, and scenario based
    treatment involving several patients
   Twelve ESRH staff members just graduated
    from CERT class
   Job description sheets are available at each
    center so staff knows their role in advance
Isolation Flow Signs


     ISOLATION
       ROOM
First Aid Flow Signs


     FIRST AID
       ROOM
Dispensing Flow Signs


     DISPENSING
      STATION
Staff Only Signs


    STAFF
  BATHROOM
          Sample NEHC Flow Diagram
                                                                                                                                                                Ambulance
                                                                                                                                                                  Entry
Medical                            Staff      Staff        Dispensing       Dispensing      Dispensing      Dispensing   Bath-         Office          Office                 Storage
                 EXIT


                          Staff
Screen                             Room       Room                                                                       room




                                                                                                                                                                    EXIT
Medical                                                                                                                                                                      Morgue
Screen
                              Staff          Vaccination      Vaccination       Vaccination       Vaccination         First                       Mechanical
                              Room             Station          Station           Station          Stations           Aid                          Room
Medical                                                                                                               Room                                                   Isolation
Screen                                                                                                                                              X-Ray                      Room
                            Kitchen                           Laboratory                 Bath-                        First                       Developing




                                                                                                                                                                                                 Ambulance Driveway
                                                                               Storage
                                                                                         room                         Aid
                                             Supplies




Medical                     Bath-                                                                                     Room                                                   Isolation
Screen                      room                                                                                                                    X-Ray                      Room
                                                                                                                                                    Room
                            Bath-
Medical                     room                                                                                                                                             Isolation
Screen                                      Storage                                                                                                                            Room
                                                                                                                         Radio
                                                                                             Registration                Room                                                Medical
                                  Well Waiting             First Aid                                                                                                         Records
 Medical                             Area                  Waiting
 Screen                                                      Area                                            Closet
                                                                                                                                                 First Aid                   Medical
                                                                                                                         Office                                              Records




                                                                                                                                                                     EXIT
                                                                                                                                                  Room


                                                                                  Main
                                                                                 Entrance         TRIAGE
Atlantic Community Health Center
     Neighborhood Emergency Help Center
                                                                                         Triage
                 Flow Sheet
                                                                                                                                  Parking Area                      Fox Building to be
                                                                                                                                                                    used for family
                                                                                                                                                                    care facility to
                                            First Aid Patient Flow                                                                                                  house family
      Fire Extinguisher
                                                                                                                                                                    and/or children of
                                            Isolation Patient Flow
          Well Patient Flow                                                                                                                                         working staff        April 30, 2003
      How do we train and
       exercise together?
   First responders including CERT and MRC
    members exercise with Rural Health and
    ESHD staff members.

   It is important that we involve all
    responders in our exercises so we know all
    the players and establish a network of team
    members well before the emergency.
NEHC Exercises
   Volunteers play a vital
  role in NEHC operations!




   Eastern Shore        Eastern Shore Community
Medical Reserve Corps   Emergency Response Team
   131 Members                60 Members
Eastern Shore Rural
 Health CERT Team
  Eastern Shore Disaster
  Preparedness Coalition
The mission of the ESDPC is to prepare the
  Eastern Shore of Virginia for all types of
  disasters and to promote regional planning
  and coordination.

The Coalition is recognized as an advisory
  body to the Board of Supervisors for
  Accomack And Northampton County and the
  Chincoteague Town Council
Intent of the Coalition

   To work closely with all response
    agencies to provide education, plan
    emergency response drills and
    facilitate collaborative efforts in
    emergency planning and response.
       Tabletop Exercise

   October 20, 2005
   100 persons representing almost all
    response agencies on the Eastern
    Shore.
   Utilized a hazardous materials scenario
    at a local processing plant
   Encouraged collaboration within the
    response
Key players at tabletop
Sent letters from governing
   bodies as opposed to
          Coalition
What did we learn?

   We need a lot of ICS training across
    the first responder population
   Plans need to be revised in
    collaboration with all agencies involved
   We need to plan and train together
    more
Rural Issues to consider in
our planning, training and
response
   Large geographic area
   Lack of transportation
   Lack of public alert system
   Large Hispanic population
   Literacy levels
   Poverty levels
   Underserved in healthcare
Questions?
ns?

				
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