CHEMICAL ATTACK TABLETOP EXERCISE

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CHEMICAL ATTACK TABLETOP EXERCISE
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This Training is Provided to you by

• UAB South Central Center for Public Health
  Preparedness
• UAB Center for Labor Education and Research

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AGENDA

• Overview of Incident Management System for Mass
  Casualty Incidents
• Orientation to Tabletop Exercise
• Tabletop Exercise Responding to an Attack on
  Anytown, USA
• Post Incident Analysis and Exercise Critique

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• Part 1Overview of Incident Management System
• for Mass Casualty Incident Response

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1st.Responders 1st.Recievers Public Health
Officials Face Many Challenges during Disasters
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Hospital Emergency Incident Command System

• a medical survival plan for hospitals and
  communities

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What Is HEICS ?

• Organizational Core of Emergency Response Plan
• Organizational Chart
• Standardized Job Descriptions Checklists and
  Supporting Forms
• A Communication Tool
• It is a Process

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HEICS Hierarchy
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Basic ICS Structure
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How Many People Can You Talk To?

• The Organizational Chart Helps to Organize
  Communication
• Promote Meaningful Communications

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D
AUTHORITY
RESPONSIBILITY
ACCOUNTABILITY
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Command
Safety
Liaison
Public Information
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Operations Section
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Operations Section

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Planning Section
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Logistics Section
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Finance Section
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What Is IMS???

• Management System for Large and Small Incidents
• Based on 5 Basic Functions

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IMS Components
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IMS 5 Major Functions
COMMAND
Operations
Finance
Logistics
Planning
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COMMAND
Section
Branch
Branch
Sector / Division
Sector / Division
Sector / Division
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Response Tools...
Status Board
Pocket Directory
Vests
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Position Preparedness

• Identification Vest
• Job Action Sheet Clipboard/Binder
• Quick Start Sheet

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Job Action Sheet

• One for Each Position
• Embodies Title, Mission/Function and Duties
• Adjusted to Meet Hospital Needs

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Position Vests Absolutely!

• Valuable for Identification
• Valuable for Organization

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Roles of IMS
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HEICS Success

• ICS Used by Public Service Since Early 1980s
• HEICS Successful Exercises, Disasters Events
• HEICS Successfully Deployed in the Northridge
  Earthquake (1/94) and the California Winter
  Floods 95 97

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The Unified Command Structure
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Terminal Objective

• At the completion of this module, participants
  will be able to effectively work and communicate
  within an Unified Command Structure.

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Perception Exercise
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Homeland Security Presidential Directive 5

• February 28, 2003

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What Is Unified Command

• Management System for
• Multi-Jurisdictional/Multi-Agency Incidents
• Based on 4 Basic Elements
• 1. Policies, Objectives, Strategies
• 2. Organization
• 3. Resources
• 4. Operations

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Establishing a Unified Command

• It should be incorporated into local emergency
  planning and preparedness.
• Threats and risks should first be assessed in
  your area and then major stakeholders identified
  to be part of the unified command.

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Unified Command Structure
Fire/EMS
Public Health
Hospitals
Operations
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Primary Features Unified Command

• Single Integrated Incident Organization
• Shared Facilities
• Single Planning Process IAP
• Shared Planning, Logistical, Finance Sections

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Command Post Placement

• In the cold zone
• One Base ICP
• Safe distance from hazard
• Highly visible
• Secure
• Potential target for secondary devices

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Guidelines for Use of Unified Command

• Understand ICS Unified Command
• Share Essential Functions
• Implement at a Early Stage
• Agree on major Section Chiefs Staff Members
• Designate One IC as Spokesperson for Unified
  Command Team
• Train often as a Team

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Functioning in Unified Command

• IC must be clear on jurisdictional or agency
  limitations.
• IC must be authorized to perform activities
  actions.
• IC has responsibility to manage incident to the
  best of their ability.
• All members of UC must function as a Team.

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Command Meeting

• State jurisdictional/agency priorities
  objectives.
• Present jurisdictional limitations, concerns,
  restrictions.
• Develop a collective set of incident objectives
• Establish agree on acceptable priorities.
• Adopt overall strategy for objectives.
• Agree on basic organizational structure.

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Command Meeting Cont

• Designate one Operations Section Chief
• Agree on General Staff Section procedures
• Agree on the Resource ordering process.
• Agree on cost-sharing procedures.
• Agree on informational matters.
• Designate one agency official as UC spokesperson.

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Command Meeting Requirements

• Include only agency Incident Commanders
• Meeting should be brief and important points
  documented.
• Prior to meeting, officials should have reviewed
  the purposes and agenda items described
  previously, and be prepared to discuss them.

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Unified Command Concept

• All stakeholders (law, fire, EMS, hospitals,
  public health) or agencies (local, state,
  federal) who have a functional, jurisdictional,
  or legal responsibility at an incident contribute
  to the process by
• Determining overall response strategy and
  objectives
• Ensuring that joint planning for response
  activities is accomplished
• Ensuring that integrated operations are conducted
• Making maximum use of all assigned resources
• Resolving conflicts between the players
• Keeping track of financial costs

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Unified Command Challenges

• Individuals must understand other agencies
  concerns, responsibilities, and focus
• One member of the unified command should be
  selected as the overall leader
• Usually represents the primary entity responsible
  for operations at that time
• The leadership may change as the incident evolves
  

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Questions????