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?