Centers for Medicare & Medicaid Services and ESRD National Coordinating Center Network Emergency Preparedness Training Tools for Facilities February 25, 2015
Purpose To provide the Networks with preparedness training to use with their facilities Two presentations provided: � Personal Preparedness � Pandemic Preparedness Benefits: � Uniform message throughout the nation � Networks have readymade tool for use – no time wasted reinventing the wheel � Networks can add their own regional information as they feel appropriate 2
Availability This presentation, along with the two training presentations, were emailed to the Networks in PDF format The PowerPoint presentations may be found on the KCER website in the Network Login section There is one script for each presentation, that corresponds with each slide, and are available on the KCER website in the Network Login section 3
Part I Personal Preparedness Presentation
Network Tools Personal Preparedness presentation will enable your participants to: � Give reasons why preparedness is important � List the essential items for a preparedness kit � Describe the important parts of a basic plan � Explain how to stay informed and get involved 5
Personal Preparedness Pointers Emergency versus Disaster Why should we prepare? Where do we prepare? Who should be prepared? Preparing a kit or go-bag Develop a family emergency plan Evacuation versus Sheltering-in-Place Staying Informed Get Involved Helpful Links 6
Sample of Personal Preparedness Presentation
Preparedness Presentation � Each slide in the presentation has a corresponding script, numbered by slide 8
Presentation Slide 5: Slide 5 Script: Research on preparedness shows that people who believe themselves "prepared" for disasters often aren't as prepared as they think. Forty percent of survey respondents to a national survey from FEMA said they did not have household plans, 80 percent had not conducted home evacuation drills, and nearly 60 percent did not know their community's evacuation routes. Whether it's your home, your neighborhood, your place of business, or your school, you can take a few simple steps to prepare your community. Becoming more prepared in case of an emergency is easier than you might think. Preparedness can minimize the impact of the emergency and make a big difference in ensuring the safety and well-being of individuals, families, businesses, and your community. Let’s look at ways that you can be prepared. Make a go-kit or go-bag, develop a family emergency preparedness plan, stay 9 informed from trusted media and get involved in your community.
Presentation Slide 14: Slide 14 Script: As a family unit, plan and write down what you will do in advance. Give everyone an opportunity to speak about what they may be anxious about, but also allow them to say what they think they need so the family can better prepare. Then, determine what sort of aid that might be available to you in an emergency. Next, learn about the hazards most likely to affect your community and their appropriate responses. Engage government agencies about local emergency response information as well as plans and drills. Lastly, find out what your community - including schools and religious organizations - are doing to prepare. 10
Presentation Slide 19: Slide 19 Script: We live in an information-based society where rumors can spread much faster than validated news or fact. Stay informed by tuning into verified sources – this helps us to make good decisions based on the best information. Select trusted local media in advanced and sources for television, radio, and internet monitor weather developments from NOAA. Always listen carefully to instructions from government authorities and share your preparedness planning with others. While it’s important to be aware, take care to reveal information with sensitivity to others, especially younger children. Repetitive images of damage and destruction can be harmful to anyone. Also, not all information released is verified so be cautious what you share with others. 11
Part II Pandemic Preparedness Presentation
Network Tools Pandemic Preparedness presentation will train your participants to: � Understand basic concepts of viral illnesses and the threat of pandemic � Understand the historical impacts of pandemic illness � Discuss important facility emergency planning considerations � Identify key resources for pandemic preparedness 13
Pandemic Preparedness Pointers Flu basics and complications Key facts on seasonal flu Epidemic and pandemic influenza Historical perspectives and lessons learned Pandemic planning components Emergency management basics Pandemic assumptions Get Involved Helpful Links 14
Sample of Pandemic Preparedness Presentation
Pandemic Presentation � Each slide in the presentation has a corresponding script, numbered by slide 16
Presentation Slide 6: Slide 6 Script: Seasonal flu is transmitted through respiratory droplets—the fluids we hope people don’t spray when they have to cough or sneeze. An infected person typically infects 1 to 3 other people. Children are particularly prone to spreading infections because, first, they are infected more frequently and, second, they may not have their respiratory hygiene practices developed such as covering their mouth and nose when they cough. After exposure, the viral infection incubates from 1 to 5 days before symptoms begin. An infected person is contagious beginning 1 or 2 days before infected person even shows symptoms. However, overall, people are less contagious before symptoms simply because they’re not coughing or sneezing or otherwise spreading respiratory droplets. Seasonal flu season typically begins in the fall, runs through winter and often into the spring with a peak usually during one of the winter months. Flu may occasionally breakout outside of the typical range if travelers from the southern 17 hemisphere carry the disease to the United States. Pandemic flu, as we will see, can occur anytime.
Presentation Slide 18: Slide 18 Script: EVERYONE has a job to play in preparedness and response. Ask yourself a few questions to assess in what ways each group of people might have a negative impact on your facility if they are not prepared to work with your facility’s all-hazards plan. Where will patients go if they need to be evacuated out of their homes? If they are sick and go to the hospital or are assigned to a shelter? How will your facility know? Do patients have go bags that contain their medications? Are they aware of their emergency renal diet? If something happens suddenly while dialyzing at your facility, do they know quick disconnect procedures? Who is your backup facility should you lose power or water services or your facility is contaminated by an infectious disease? Who do you plan would you want to plan with? Do other groups or agencies have plans that you should know about? Do you think there will be a demand on Personal Protective Equipment or other medical supplies in the event of a pandemic? 18
Presentation Slide 24: Slide 24 Script: 1918 and many other pandemics have created the expectation of absenteeism especially among clinicians. Take the time now to determine what levels of staff can allow for what patient capacity. Cross training can be essential in an emergency therefore train your staff on various important roles so they can cover and/or assist one another. Does your facility have a plan to supplement additional Staff if employees become ill? Think of the items you would require to familiarize an employee if they were asked to work for an alternate facility in the midst of a disaster. They would need a map of the facility, locations of utility shutoffs, and basics like locations of light switches. Have these available in your plan so new staff can more easily complement existing staff. Supplemental staff may come from organizations such as the Medical Reserve Corps, the American Red Cross and the National Disaster Medical System. In a prolonged pandemic, patient surge should be expected as well. As new cases of kidney failure emerge as a complication to severe flu, new expectations will likely be made of your facility as new vascular access candidates are determined. 19
Comments and Questions 20
Feedback Your evaluation of this call is welcome and do incorporate your feedback, as possible, to future meetings. Please go to the link provided to share your thoughts and comments: https://www.surveymonkey.com/r/NW_Tools_Fac 21
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FOR MORE INFORMATION CMS GTL Kathleen Egan, RN, MSN, CPHQ Kathleen.Egan@cms.hhs.gov KCER Director, Emergency Management Joan Thomas, MPA, CEM, ABCP, MEP jthomas@ncc.esrd.net This material was prepared by the ESRD NATIONAL COORDINATING CENTER (NCC) End Stage Renal Disease Network 1979 Marcus Avenue, Suite # 105 Coordinating Center (NCC), under Lake Success, NY 11042-1072 contract with the Centers for Medicare & Fax: 516-326-7805 Medicaid Services (CMS), an agency of ncc@ncc.esrd.net the U.S. Department of Health and Human Services. The contents presented do not www.esrdncc.org necessarily reflect CMS policy. www.fistulafirst.org CMS Contract Number: www.kcercoalition.org0 HHSM-500-2013-NW002C .
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