Louisiana Department of Health & Hospitals

RELIEF WORKERS (WAEs)ROLES & RESPONSIBILITES

Objectives• To define “Department of Health and Hospitals (DHH) Relief

Worker”.

• To review the roles and responsibilities of Emergency Support Function(ESF)8 and DHH during emergencies and disasters.

• To review the supporting ESFs and the corresponding roles. • To review the functions of the various types of ESF 8 operations to

which relief workers may be deployed.

• To review the roles and responsibilities of Relief Workers for medical operations.

Pre-test• 1. What are some examples of disasters?

– A. tornadoes– B. anthrax– C. oil spills– D. all of the above

• 2. The Department of Health and Hospitals is the primary lead agency for Emergency Support Function 8 responsible for providing public health and medical services. True or False

• 3. Emergency Support Function 8 deployment sites for Relief Workers are:– A. Medical Special Needs Shelter– B. Transportation Triage– C. Temporary Medical Operations Staging Areas– D. Receiving, Staging and Storage Warehouse– E. All of the above– F. None of the Above– G. a, b and c only

Pre-test• 4. What can transportation triage be used for?

– A. Transport vehicles across the state to be utilized by citizens– B. A medical screening operation to determine the level of care needed by evacuees to determine if

the individual will be placed in a Critical Transportation Needs Shelter, Medical Special Needs Shelter or healthcare facility.

– C. oil spills– D. None of the above

• 5. The Incident Command System (ICS) provides a standardized, on-scene, all hazards incident management approach for any size, scope or complex incident. All Emergency Support Function 8 medical operations are National Incident Management System (NIMS) compliant using the ICS structure.True or False

What are DHH Relief Workers?

Relief Workers = WAEs (Workers as Employed) • Only work when they are activated for

employment.• Comprise a labor pool that is readily activated,

trained, and deployable.• Stand ready to respond when a federal

declaration is established in the event of any emergency/disaster.

Who are DHH Relief Workers?• Physicians

• Nurse Practitioners

• Registered Nurses

• Licensed Practical Nurses

• Nursing Assistants

• Respiratory Therapists

• Social Workers

• Administrators

• Administrative Assistants

Types of Disasters

• Natural and Human-CausedTornadosHurricanesFloodingWinter storms, Freezes

Types of Disasters

Chemical, Biological, Radiation, Nuclear, and ExplosivesChemical Spills

Types of Disasters

Transportation Accidents

ALL HAZARDS APPROACH:Preparations for All Types of Disasters

• Severe Weather (thunderstorms, tornadoes, hurricanes, floods)

• Toxic spills/chemicals (accidental toxic releases by railways, waterways, pipelines, and highways)

• Naturally occurring disease outbreaks (West Nile virus, influenza)

ALL HAZARDS APPROACH:Preparations for All Types of Disasters (continued)

• Biological Threats (anthrax, botulism, plague, smallpox, tularemia, viral hemorrhagic fever)

• Radiation (accidental releases of radioactive material, a nuclear reactor meltdown, terrorist act)

INCIDENT COMMAND SYSTEM (ICS)

13

INCIDENT COMMAND SYSTEM (ICS)

The Incident Command System (ICS) provides a standardized, on-scene, all hazards incident management approach for any size, scope or complex incident. All Emergency Support Function 8 medical operations are National Incident Management System (NIMS) compliant using the ICS structure.

EMERGENCY SUPPORT FUNCTIONS (ESFs)

Emergency Support Functions

The Emergency Support Functions (ESFs) provide the structure for coordination of responses to

an incident.

Emergency Support Functions (ESF)

ESF-1Transportation

ESF-2Communications

ESF-3Public Works and Engineering

ESF- 4Firefighting

ESF-5Emergency Management

ESF-6 Mass Care, Housing and Human

ServicesESF-7

Resource SupportESF-8

Public Health and Medical Services

ESF-9Search and Rescue

ESF-10 Oil Spill, Hazardous Materials

and Radiological

Emergency Support Functions (ESF)

ESF-11 Agriculture

ESF-12Energy

ESF-13Public Safety and Security

ESF-14Community Recovery,

Mitigation, and Economic Stabilization

ESF-15Emergency Public Information

ESF-16Military Support to Civil Affairs

Emergency Support Functions (ESF) Roles/Responsibilities

• ESF 1- Transportation – led by Department of Transportation and Development(DOTD)-assists with evacuation of nursing homes, Transportation Triage, and with Medical Special Needs Shelters (MSNS) transportation needs.

• ESF 2- Communications-led by the Governor’s Office of Homeland Security and Emergency Preparedness(GOHSEP)

• ESF 3- Public Works and Engineering- led by DOTD

Emergency Support Functions(ESF) Roles/Responsibilities

• ESF 4- Firefighting- led by Department of Public Safety/Office of State Fire Marshall

• ESF5- Emergency Management- led by GOHSEP• ESF 6- Mass Care, Housing, and Human Services -

led by Department of Children and Family Services- responsible for Critical Transportation Needs Shelters(CTNS); Shelter management

• ESF 7- Resources Support – led by GOHSEP

Emergency Support Functions(ESF) Roles/Responsibilities

• ESF 8- Public Health & Medical Services – led by Department of Health & Hospitals

• ESF 9- Search and Rescue -led by Department of Wild Life and Fishery

• ESF 10 - Oil Spills, Hazardous Materials, Radiological - led by Department of Environmental Quality (DEQ)

• ESF 11- Agriculture – led by Department of Agriculture

• ESF 12- Energy - led by Department of National Resources .

Emergency Support Functions(ESF) Roles/Responsibilities

• ESF 13 - Public Safety and Security- led by Louisiana State Police with security tasked to Louisiana Army National Guard(LANG).

• ESF 14 - Community Recovery, Mitigation and Economic Stabilization - led by GOHSEP

• ESF 15- Emergency Public Information-led by GOHSEP and the Bureau of Media

• ESF 16- Military Support to Civil Affairs – led by Louisiana Army National Guard

What is ESF-8

Emergency Support Function 8: Public Health & Medical Services• DHH has the lead role for overall state efforts

in providing leadership for planning, directing and coordinating public health and medical assistance.

• The Secretary of Health and Human Services through the Office of Public Health Emergency Preparedness is responsible for the federal coordination.

ESF 8 Deployment Sites forRelief Workers

• Medical Special Needs Shelter (MSNS)• Transportation Triage• Temporary Medical Operations Staging Areas

(TMOSA)• RSS (Receiving, Staging, & Storage)

Warehouses• Points of Dispensing Sites (PODS)• Emergency Operations Center (EOC)

MEDICAL SPECIAL NEEDS SHELTER (MSNS)

Functions of ESF 8 Deployment Sites forRelief Workers

Medical Special Needs Shelter (MSNS) –provides sheltering for evacuees whoRequire medical assistance with daily activities. Cannot take care of themselves and are

accompanied by a caregiver for assistance.Do not have conditions severe enough to be

admitted to a hospital.

Medical Special Needs Shelter (MSNS)

ESF 8- Department of Health & Hospitals- Responsible for the coordination of medical care in the MSNS

Medical Special Needs Shelter• Medical (MDs, APRNs, Nurses, Social

Services, Behavioral Health, Nurse Assistants etc.)

• Non-Medical (Clerical, Environmental Health employees, IT etc.)

• Volunteers

MSNS Services Provided• TRIAGE

• MEDICAL ASSESSMENT AND TREATMENT

• PHARMACY (MINIMAL OVER THE COUNTER MEDICATIONS)

• DISCHARGE PLANNING

• SECURITY

• MEALS

• BEHAVIORAL HEALTH COUNSELING

• TRANSPORTATION(DIALYSIS)

Medical Special Needs Shelters are designed for Individuals who may require assistance with Activities of Daily Living or may require special equipment or medication in order to sustain life. Long journeys for these individuals may be

harmful to their health.

They may be individuals who have disabilities and who have no other recourse for care.Remember- A shelter is a "lifeboat, not a cruise ship" and like a lifeboat, should only

be used as a last resort.

Medical Special Needs Shelter

TRANSPORTATION TRIAGE

Functions of ESF 8 Deployment Sites forRelief Workers

Transportation Triage- A medical screening operation to determine the level of care needed by evacuees in the CTNS (Critical Transportation Needs Shelter) evacuation operation.

Personnel determine if an evacuee can continue on to a CTNS site or needs placement in an MSNS site or further definitive care.

TRANSPORTATION TRIAGE

TRANSPORTATION TRIAGE

Objective: The emphasis is also on speed and efficiency to get vehicles back en route as soon as possible

CRITICAL TRANSPORTATION NEEDS SHELTER (CTNS)

• A non-medical shelter operated for thosepersons evacuated by local governments fromaffected areas.

• Evacuees who do not have their own means oftransportation to evacuate.

• Evacuees who are evacuated via bus or vanaccording to city/state assisted plans.

TEMPORARY MEDICAL OPERATIONS STAGING AREA

(TMOSA)

Temporary Medical Operations Staging Area (TMOSA)

A mobile operation post event that has the

capability to treat and stabilize patients

suffering from emergent medical conditions

including but not limited to all hazards.

“MASH” type environment: Disposition may be to hospital, nursing home, MSNS or

general shelter

RECEIVING, STAGING, AND STORING(RSS) SITE

RSS Warehouses

Receive, stage, store and distribute relief supplies and equipment

• Receiving, Staging and Storing (RSS) Sites

• Assets arrive by ground or air

• Large, secure temperature controlled warehouses

POINT OF DISPENSING SITE (POD)

Point Of Dispensing Site (PODS)

A Point of Dispensing Site is facility where members of the community go during a public health emergency to receive medication.

Point of Dispensing (POD) sites• Location where medications/vaccines are provided to

the public to prevent disease• Range from small clinics to very large facilities• Work within specific timelines to get the medicines to

the public (national guidance for anthrax response recommends oral antibiotics within 48 hours)

EMERGENCY OPERATION CENTER (EOC)

Emergency Operation Center

• A central control and command center that coordinates emergency response and recovery activities that provides needed resources and

communication.

ACTIVATION/DEPLOYMENT

CALL TO DUTY (Activation/Deployment)

The DHH Incident Commander approves “Stand-by” and “Activation/Deployment” orders

for Relief Workers.

Activation & Deployment ofRelief Workers

Goal: • Assist ESF 8 efforts and augment regional staffing in

providing public health and medical services to Louisianacitizens and visitors.

• When there is an impending emergency/disaster, DHHregions assess personnel resources and request additionalstaff.

• Requests will be matched to the relief worker staffingpool.

DHH’s (9) RegionsRegion 8

Region 6

Region 5

Region 4

Region 3

Region 9

Region 7

Region 1

Region 2

Health Alert Network System (HANS) Notifications

HANS sends notification alerts via phone and/or email.

“Stand-by” – Stand ready to be deployed; get prepared to be activated for duty. Stand-by alerts may be sent in anticipation of an event progressing to a state or federal emergency.

“Activation/Deployment”

Report to the designated operation site within (2) hours unless otherwise specified.

Complete the Disaster Operations Individual Time Sheet (HR 48 form).

Receive orientation to the site, Just-in-Time training, and assignment to a Section Leader

HR 48 TIME SHEET

DO NOT ENTER IN LEO - SAMPLE- DEPARTMENT OF HEALTH and HOSPITALS- DISASTER OPERATIONS INDIVIDUAL TIME SHEET- DO NOT ENTER IN LEO

Employee Name/ Title/Contact Phone #: (Please Print)J ane Doe/Adm. Coord./337-123-4567 Event: Hurricane DHH

Personnel Number: 711 Time Adm Name/Phone #: J ohn Henry/225-342-5555 Site Parish: Lafayette

Office: (Check one) □ OS/OMF □ MVA □ OAAS □ OMH

□OCDD □ OAD X OPH □ DD □(Other-Specify)

Site Name & Address: Heymann Performing Arts Center 1374 South College Rd Lafayette, LA

Place of Work: (Check one)

GOHSEP ESF-8:

□Command

□HmSvc Br Mgr

□Hm Svc Br Tasker

□Support Staff

□Other (specify)

DHH EOC

□ Exec Staff

□ Command

□ Adm/Finance

□ Logistics

□ Operations

□ Planning

□ Other-specify

X Med SNS □DHH Emp Reg

X Patient Care

□Cred/Reg Prof Vol

□Inventory

□Non-Prof Vol Reg

□Shelter Phones

□Triage Phones

□Other (specify)

REG EOC Briefly state primary task:

TMOSA Briefly state primary task:

PODS Briefly state primary task:

Other (Specify):

Primary Task at Place of Work: (Check all that apply.)

Briefly state primary task:

NOTE: DAYS BEGIN AND END AT MIDNIGHT OFFICIAL TIME ADMINISTRATION - OFFICE USE ONLY

Arrival Day/ Date

*Travel Time (Hr, Min)

See note below Home to Site

Site Arrival Time Time for Meals/Sleep/ Off Duty

Total for each (Hr, Min)

Depart Day/Date

*Travel Time (Hr, Min)

See note below Site to Home

Site Depart Time

Total Hours

Worked

Meals/Sleep/ Off Duty

(-)

Travel Hours

(+)

Regular Hours

(-)

Overtime Hours

(=)

HR/Time Adm.

Initials Daily

Mon./ 6/5/07

( ) a.m. ( ) p.m.

( ) a.m. ( ) p.m.

Tues./ 6/6/07

7:00 (X ) a.m. ( ) p.m.

30 min.- meal Tues./ 6/6/07

7:00 ( ) a.m. (X) p.m.

Wed./ 6/7/07

( ) a.m. 7:00 ( X) p.m.

30 min.- meal

Thurs./ 6/8/07

7:00 (X) a.m. ( ) p.m.

Thurs./ 6/8/07

( ) a.m. 7:00 (X) p.m.

30 min.- meal

Fri./ 6/9/07

7:00 (X ) a.m. ( ) p.m.

Fri./ 6/9/07

( ) a.m. ( ) p.m.

( ) a.m. ( ) p.m.

Sat./ 6/10/07

7:00 (X) a.m. ( ) p.m.

30 min.-meal Sat./ 6/10/07

7:00 ( )a.m. (X )p.m.

Sun./ 6/11/07

( ) a.m. ( ) p.m.

( ) a.m. ( ) p.m.

TOTAL I certify that I have worked the hours and times as indicated above.

Employee Signature/Date

Signature of EOC/Shelter/Other disaster oper. mgr or appt. authority / Date / Job Title

*Travel Time is for those employees traveling outside of their official work parish/domicile and/or for work-related travel while on work time.

HR– 48 (Replaces HR 45, 46, & 47) Rev.4/29/10

Facts For Relief Workers

Activation for work can occur only after a Federal Declarationof Emergency. Activation must be approved by the Center forCommunity Preparedness.

Relief workers are paid only for hours worked.

Relief workers receive no benefits (such asannual leave, retirement, K-time, insurance).

Shifts may vary based on staffing needs; however 12 hourshifts are usual and customary.

Post-test• 1. What are some examples of disasters?

– A. tornadoes– B. anthrax– C. oil spills– D. all of the above

• 2. The Department of Health and Hospitals is the primary lead agency for Emergency Support Function 8 responsible for providing public health and medical services. True or False

• 3. Emergency Support Function 8 deployment sites for Relief Workers are:– A. Medical Special Needs Shelter– B. Transportation Triage– C. Temporary Medical Operations Staging Areas– D. Receiving, Staging and Storage Warehouse– E. All of the above– F. None of the Above– G. a, b and c only

Post-test• 4. What can transportation triage be used for?

– A. Transport vehicles across the state to be utilized by citizens– B. A medical screening operation to determine the level of care needed by evacuees to determine if

the individual will be placed in a Critical Transportation Needs Shelter, Medical Special Needs Shelter or healthcare facility.

– C. oil spills– D. None of the above

• 5. The Incident Command System (ICS) provides a standardized, on-scene, all hazards incident management approach for any size, scope or complex incident. All Emergency Support Function 8 medical operations are National Incident Management System (NIMS) compliant using the ICS structure.True or False

Questions?

Contact email address: dhhreliefstaff@la.gov or call 225-763-5470

Please complete and print out the completion certificate and post test.

Certificate of Completion

Awarded to:

Name:__________________________ Date:____________________________

For completion of: Louisiana Department of Health and Hospitals: Relief Workers

Roles and Responsibilities