# Presentation: 923999

## FEDERAL EMERGENCY RESPONSE

*Administrative Perspective*
- CAPT Joan Hunter, RN, MSW

- Federal Occupational Health

- a component of the U.S. Public Health Service
- Program Support Center
- Department of Health and Human Services

## Comprehensive Programsand Services

- Clinical
- Environmental
- Behavioral

## Emergency Response Management Administrative Perspective

- National Response Plan
- Emergency Support Functions (ESF)
- ESF 8 (HHS) versus FOH (HHS)
- Victims vs. Responders
- DHS/FEMA Mission Assignments
- FOH Interagency Agreements
- Federal Agency “Points of Contact” (POCs)
- Local Agency managers/On Site Supervisors

## FOH Programs and Services

**FOH**** ****Programs**** ****and ****Services**

**Clinical Health**
***On-site Disaster Response Health Centers***
- Assessment of public health/medical needs
- Walk-in/first aid for minor illness and injuries
- Public health surveillance
- Medical equipment and supplies
- Immunizations (typical): flu, tetanus, hepatitis
- Medical information

## FOH Programs and Services

**FOH**** ****Programs**** ****and ****Services**

**Environmental Health**
- HAZMAT consultation
- Vector control
- Potable water/wastewater and solid waste disposal
- Medical/environmental surveillance
- Environmental health safety and security-building surveys

## FOH Programs and Services

**FOH**** ****Programs**** ****and ****Services**

**Behavioral**

***Employee Assistance Program***
-  24 hour toll-free assistance number
-  On-site and off-site certified counselors
-  Short-term counseling/problem 		 		   resolution
-  Referral to community resources
-     (if appropriate) after assessment
-  Specialized subject matter training and 	   experience
-  Confidentiality issues
-  Critical incident stress management

## FOH Programs and Services

**FOH**** ****Programs**** ****and ****Services**

**Specific Services**

***Highlight on stress management***
- Incidence Response Team
-     Component
- Emergency Intervention
- Management Consultation
- Individual and Group Counseling
- On-site Training/Orientation

## Gulf Coast Hurricane Katrina/Rita/WilmaResponse Data

## Emergency Response Management Administrative Perspective

- Advance operations planning
- SWOT analysis
- Ready team, training, supplies, standardization, clear authority, contract resources, expanded purchase authority
- Weekly asset allocation report
- Daily situation report
- Daily supply report
- Evaluation
- Benchmarks, quality control measures, measurable objectives, hotwash, lessons learned

## Emergency Response Management Administrative Perspective

- Challenges
- Interagency communication
- Interagency coordination
- Manager requests and clinical assessments
- 	(expectations and reality)
- Management consultation
- Agency protocols and POCs
- Data gathering/reporting
- Maintaining communication flow

## Emergency Response Management Administrative Perspective

- Pre-Planning
- Resource identification
- Role definition
- Policies/Procedures
- Expectations
- Event response:
- - Coordination
- - MAs, IAAs,

- Regular interaction
- Reports
- Daily evaluations
- Specific service Modifications

## Emergency Response Management Administrative Perspective

- Considerations for the Future
- Consistency
- Policies/protocols/guidelines/definitions/staffing
- Emergency management training for senior
-    executives
-       Agency protocols/HR management/H&S offices/COOP planning/POCs
- Clear chain of command/structure (POCs)
- Interagency coordination/expectations

## Federal Occupational Health

- a program of the U.S. Public Health Service
-                     Program Support Center
- U.S. Department of Health and Human Services