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Department of Homeland Security Shield / FEMA

Center for
Domestic Preparedness

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Highly Infectious Disease Theme Week

The Center for Domestic Preparedness (CDP) will host the 2018 Highly Infectious Disease Theme Week training during the week of August 27 – August 31, 2018 on the CDP campus in Anniston, AL.

CDP training is completely funded for state, local, tribal and territorial emergency responders to include roundtrip airfare, meals, lodging, training and any equipment required during training.

The Highly Infectious Disease Theme Week is intended to broaden the training experience of healthcare responders beginning with the first recognition of illness, and continues through treatment, isolation and recovery. Healthcare response is part of an overall community response and may involve many agencies, departments, organizations and facilities to ensure students effectively respond to and recover from the dangers of infectious diseases. The Highly Infectious Disease Theme Week will provide the student with the best practice, knowledge, and skills for triaging, transporting, transferring, treating, and managing persons with highly infectious diseases. Students will attend Subject Matter Expert discussions of best practices for managing and treating persons with a highly infectious disease throughout the week. Students receive demonstrations and practical experience required to prevent provider and other patient contamination by managing events in a realistic healthcare setting to ensure best practices in barrier precautions and infection-control procedures.

Upon successful completion, participants will have enhanced their response capabilities in multiple areas to include: mass casualty incident response and recovery operations, determining infection control-barrier precautions and guidelines, managing risk of transmission of a highly infectious disease, don and doffing of protective equipment, process infectious human remains, proper handling of infectious and/or hazardous waste and disinfect patient treatment area and equipment.

Personnel who attend this training will be better prepared to respond to emergencies in their communities.

All healthcare and environmental health personnel who work in an emergency response capacity are authorized to attend.

The CDP will host one iteration each of the following courses:

Healthcare Leadership for Mass Casualty Incidents

Healthcare Leadership for Mass Casualty Incidents

Contact Hours: 32

Overview

Healthcare Leadership for Mass Casualty Incidents is a four-day course that addresses disaster preparedness at the facility and system level. Healthcare leaders must be prepared for any incident that results in multiple casualties, whether it is the result of a natural disaster; an accidental or intentional release of a chemical, biological, radiological, nuclear, or explosives (CBRNE) hazard; or a disease outbreak that results in an epidemic or pandemic. This course focuses on preparing healthcare leaders to make critical decisions in all-hazards disaster emergency preparedness activities. Responders learn essential disaster-planning response and recovery functions through lecture/discussion format that are then applied in a tabletop exercise and a two-day functional exercise.

Below are some, but not all, of the critical skill sets learned during this training program:

  • Clarify healthcare emergency management roles and responsibilities in the disaster life-cycle process — mitigation, preparedness, response, and recovery — for all-hazards disasters.
  • Identify key partners in disaster preparedness, their roles, and interrelationships in responding to a disaster.
  • Relate the use of the Incident Command System in the healthcare system through Hospital Incident Command System (and the Public Health Incident System.
  • Illustrate roles and responsibilities in obtaining and distributing medical supplies in a disaster situation.
  • Illustrate the difficult decisions that healthcare leaders face regarding palliative care and mass-fatality management.
  • Summarize the development of emergency public information and risk communications messages.
  • Differentiate requirements for types of decontamination procedures and facilities, in addition to personal protective equipment to be used in healthcare facilities for a variety of hazards.
  • Describe the various concepts associated with the disaster-planning process.
  • Identify important aspects of Noble, U.S.A., and roles of the functional areas in the exercises.
  • Apply Comprehensive Emergency Management to a disaster-response situation
  • Apply the concepts of healthcare disaster planning.
  • Summarize the role of healthcare response in an all-hazards disaster.
  • Conduct healthcare response to a disaster.
  • Respond to a healthcare all-hazards disaster.
Target Audience/Disciplines
  • Hospital executive group — Senior executives who have ultimate legal and overall fiduciary responsibilities for the institution;- Mid-level management — Those who have responsibility for activating the disaster plan;
  • Patient services group — Senior patient care services leadership who are responsible for the following: organizing and delivering patient care services and resources; maintaining a patient-tracking system; assuring the treatment of inpatients and managing the inpatientcare areas; and controlling discharge procedures
  • Emergency Department (ED) group — Those responsible for overall clinical and administrative management of the ED resources;
  • Physical plant operations group — Those responsible for the physical plant and its environment;
  • Emergency Medical Services (EMS) — Those responsible for authorizing policy and/or participating in the formation of policy that determines the response of EMS resources to a disaster;
  • Public health group — Those responsible for authorizing policy and/or participating in the formation of policy that determines the public health response to a disaster; and
  • Other patient care — Patient-support areas may be represented, including infection control, chaplains, social workers, legal, and others.
Barrier Precautions and Controls for Highly Infectious Disease

Barrier Precautions and Controls for Highly Infectious Disease

Contact Hours: 24

Overview

Barrier Precautions and Controls for Highly Infectious Disease (HID) is a three-day course that provides the student with the best practice, knowledge, and skills for triaging, transporting, transferring, treating, and managing persons with highly infectious diseases. Students participate in a guided discussion of best practices for managing and treating persons with a highly infectious disease from identification or presentation through conclusion and final outcome of treatment. Students receive demonstrations and practical experience in the proper donning and doffing of personal protective equipment required to prevent provider and other patient contamination. Lastly, students conduct a series of patient management and treatment exercises in a realistic healthcare setting to include presentation at an emergency room and treatment in a hospital isolation ward using best practice barrier precautions and infection-control procedures.

Below are some, but not all, of the critical skill sets learned during this training program:

  • Determine infection control-barrier precautions and guidelines.
  • Manage risk of transmission in a patient with a highly infectious disease.
  • Don and doff personal protective equipment.
  • Process infectious human remains.
  • Handle infectious and/or hazardous waste.
  • Disinfect patient treatment area and equipment.
Target Audience/Disciplines

Emergency Medical Services, Healthcare, and Public Health Professionals with a requirement to triage, transport, and treat persons with a highly infectious disease.

Framework for Healthcare Emergency Management

Framework for Healthcare Emergency Management

Contact Hours: 32

Overview

Framework for Healthcare Emergency Management (FRAME) is a four-day course designed for personnel who are responsible for the development, implementation, maintenance, and administration of emergency management programs and plans for healthcare facilities and/or systems (e.g., hospitals, clinics, or community health centers). Functional areas addressed in this course include an overview of relevant standards, regulations, and organizations; integration with agencies and stakeholders; the Incident Command System (ICS) as it applies to healthcare; plans and the planning process; facility and personnel preparedness; exercises and training; and surge and related mass casualty issues (including patient care and/or ethics, evacuation, public affairs, and risk communications), recovery, and finances/reimbursement.

Below are some, but not all, of the critical skill sets learned during this training program:

  • Identify the various regulatory, accrediting, and standard-setting organizations/agencies for healthcare emergency management.
  • Describe the major components of the ICS as it applies to healthcare, including the roles and responsibilities of various functional areas, incident command post organization, Unified Command and operation, and the relationship to the National Incident Management System.
  • Identify the essential elements of a typical all-hazards healthcare facility/system emergency management program.
  • Identify how to conduct requirement planning, including resource acquisition and situational planning.
  • Identify how to assess a healthcare facility's threats, risks, and vulnerabilities, both internal and external, that may affect the continuous provision of high-quality healthcare services, including how to complete a Hazard Vulnerability Analysis.
  • Describe various methods of managing medical surge.
  • Describe ethical issues healthcare personnel may face in a disaster, including treatment issues, tracking and disclosure of patient information, patient diversion, alternate-care facilities, mass-fatality management, and restricted access.
  • Describe a comprehensive exercise program, including different models and methods of exercises.
Target Audience/Disciplines

Emergency Management, Emergency Medical Services, Healthcare and Public Health.

Hospital Emergency Response Training for Mass Casualty Incidents

Hospital Emergency Response Training for Mass Casualty Incidents

Contact Hours: 24

Overview

The Hospital Emergency Response Training for Mass Casualty Incidents (HERT) course addresses healthcare response at the operations level for the facility and its personnel. This three-day course prepares healthcare responders to utilize the Hospital Incident Command System — integrating into the community emergency response network while operating an Emergency Treatment Area as hospital first responders during a mass casualty incident involving patient contamination. The healthcare responders will determine and use appropriate personal protective equipment and conduct triage followed by decontamination of ambulatory and nonambulatory patients as members of a Hospital Emergency Response Team.

Below are some, but not all, of the critical skill sets learned during this training program:

  • Analyze the need, composition, and use of a Hospital Emergency Treatment Team during an emergency, mass casualty incident, or disaster situation.
  • Summarize the organization and operation of the Hospital Incident Command System as it integrates with the Incident Command System during response to mass casualty incident.
  • Differentiate the medical responses to a variety of illnesses and injuries that may result from a mass casualty incident.
  • Select and use the appropriate level of personal protective equipment as hospital first receivers in response to a disaster involving patient contamination.
  • Structure the healthcare facility Emergency Treatment Area to support medical operations in response a mass casualty incident.
  • Establish a Hospital Emergency Response Team that meets all safety requirements, provides security to the hospital, and efficiently manages patients for processing into the hospital facility for follow-up treatment.
  • Compare decontamination methods and procedures.
  • Perform Simple Triage and Rapid Treatment© (START) and JumpSTART procedures within the Emergency Treatment Area during a hospital response to a mass casualty incident involving contamination.
  • Conduct operations in an Emergency Treatment Area while wearing appropriate personal protective equipment in response to a mass casualty incident involving contamination.
  • Conduct an effective medical response to a mass casualty incident using the Hospital Emergency Response Team approach.
Target Audience/Disciplines

Hospital staff members who comprise a Hospital Emergency Response Team, such as physicians, nurses, administrators, security personnel, environmental staff, and other hospital staff.

Hazardous Materials Technician

Hazardous Materials Technician

Contact Hours: 40

Overview

Hazardous Materials Technician (HMT) is a five-day course that prepares Operations-level responders for Technician-level Hazardous Materials (HAZMAT) certification. This 40-hour course, based on NFPA® 472 standards, provides participants with HAZMAT-specific response knowledge and skills, enabling them to respond safely and effectively to a suspected incident at the hazardous materials technician level. Participants receive hands-on training in donning and doffing Personal Protective Equipment (PPE) Levels A and B, containing leaks and drum over-packing, containing leaks in pressurized containers, and performing technical and mass decontamination. The HMT course culminates with performance of these offensive-level tasks in an activity in which the participants apply the knowledge and skills learned in a simulated HAZMAT environment. Graduates have the opportunity to take the National Board on Fire Service Professional Qualifications (Pro Board) and the International Fire Service Accreditation Congress (IFSAC) exam for HAZMAT Technician certification through the Alabama Fire College.

Below are some, but not all, of the critical skill sets learned during this training program:

  • Plan a response to a hazardous materials incident
  • Identify hazardous material container damage
  • Identify hazardous materials
  • Estimate size of an endangered area
  • Terminate the incident
  • Perform decontamination operations
  • Don and doff personal protective equipment level A
  • Don and doff personal protective equipment level B
  • Contain a leak in a 55-gallon drum
  • Contain a leak in a pressurized container
  • Contain a leak in a MC 306/DOT 406 Dome Cover
Target Audience/Disciplines

The target audience for this course is operational-level responders with technician-level HAZMAT response duties, assignments or requirements in their jurisdiction. This course meets prerequisite for responders attending the Hazardous Devices School, Huntsville, AL.

Technical Emergency Response Training for CBRNE Incidents

Technical Emergency Response Training for CBRNE Incidents

Contact Hours: 32

Overview

The Technical Emergency Response Training for CBRNE Incidents (TERT) is a four-day course that provides responders with chemical-, biological-, radiological-, nuclear-, and explosive- (CBRNE-) specific and all-hazards response skills enabling them to respond safely to either event. This course presents information regarding immediate response actions associated with life safety, preservation of property, and restoration of an incident site, as well as information related to the identification of CBRNE hazards. The TERT course concludes with the performance of acquired skills and tasks in the Nation’s only toxic chemical-agent training facility dedicated solely to emergency responders, the Chemical, Ordnance, Biological and Radiological (COBRA) Training Facility.

Below are some, but not all, of the critical skill sets learned during this training program:

  • Identify potential targets terrorists may attack using CBRNE agents.
  • Discuss the various aspects of biological agents when used as weapons.
  • Describe the types of threats associated with chemical weapons and the proper response to a chemical hazard incident.
  • Describe radiological sources/hazards used by terrorists.
  • Perform the necessary skills to support mass casualty triage and evacuation operations at a CBRNE/all-hazards mass casualty incident.
Target Audience/Disciplines

Emergency Management, Emergency Medical Services, Fire Service, Governmental Administrative, Hazardous Materials, Healthcare, Law Enforcement, Public Health, Public Safety Communications, and Public Works. This course is not designed for Hazardous Materials Technicians.

Produced by the National Institute of Allergy and Infectious Diseases (NIAID), under a magnification of 25,000X, this digitally-colorized scanning electron microscopic (SEM) image depicts numerous filamentous Ebola virus particles (green) budding from a chronically-infected VERO E6 cell (orange).
Highly Infectious Disease Theme Week