# Presentation: 673004

## “We Need YOU!”  Enlisting Los Angeles Public Health Employees to Work During an Emergency

- September 22, 2005
- Presenters:  	Ernesto O. Hinojos, MPH
- 		Karen A.  Garman, Ed.D., CPT,
- 		Alonzo Lewis, MHA

## TOPICS

- Problem Statement
- Prep U 101 Goals
- Considerations for Training
- Recommendations for Training
- Learning Map Theory
- Learning Map Objectives

## PROBLEM STATEMENT

- Method** **to get all public health employees to participate and understand their role in responding to a public health emergency?

## PREP U 101 GOALS

- Provide basic level Bioterrorism Education to all Public Health Staff (PHS)
- Provide PHS with an understanding of their role in a response to an **“all-hazards emergency”**
- Educate staff on how to prepare a family emergency safety kit and develop a communication plan and evacuation plan

## PREP U 101 GOALS

- Describe the chain of command (ICS) in an all-hazards public health** **emergency response
- Change the attitude of PHS to increase PHS attitudes towards how they view their participation in an all-hazards public health emergency response

## CONSIDERATIONS FOR TRAINING STAFF

- PHS were not self prepared with emergency supplies for an emergency at home, work, and in or** **their cars.
- PHS were unaware of the County Policy to report to work in an all-hazards public health emergency.
- PHS did not know what they would be doing their role in an emergency response.

## TRAINING NEEDS

- Develop a Prep U 101 Advisory Group (including key stakeholders and target population).
- Research effective teaching methods on how to change organizational culture and common beliefs held by PHS.
- Consider the cost of the intervention which would be targeted to 3, 700 PHS.

## RECOMMENDATIONS FOR TRAINING

- Hire consultant with experience in developing large**-**scale BT Curriculum
- Hire consultant to develop the adult learning map
- Hire coordinator to implement training curriculum
- Develop training for Train-the-Trainer curriculum

## Slide 9

| PREP
101
Lessons | Corresponding CDC Competencies | Estimated
Delivery Time | Training
Delivery Methods | CDC Performance Measurement |
| --- | --- | --- | --- | --- |
| Section 1
We Need U:
Orientation
To Prep U |         Describe the public health role in emergency response | 35 minutes | Trainer:
Didactic
Powerpoint | #2:   100% of a random sample of 5 PH staff can describe their job functions during a response and the description matches the Agency’s plan  |
| Section 2:
B-NICER:
Bioterrorism  Agents  |         Identify limits to knowledge, skills and authority and identify key system resources for referral | 15 minute | Video
Presentation
&
Pocket Guide | #10:  Within 30 minutes of being asked, 100% of a random sample of 5 staff that have front-line responsibilities can retrieve current information to address a disease or exposure |
| Section 3:
Family
First |         Complete personal and family emergency response plan using template provided. | 50 minutes | Trainer:
Didactic
Powerpoint & Emergency Response Card | #3:   Must provide quarterly training to targeted groups to increase provider awareness – personal protection and safety |

## Slide 10

| PREP
101
Lessons | Corresponding CDC Competencies | Estimated
Delivery Time | Training
Delivery Methods | CDC Performance Measurement |
| --- | --- | --- | --- | --- |
| Break |  | 15 minutes |  |  |
| Section 4:
MFLOP |         Describe the agency chain of command

        Describe his/her functional role and responsibilities | 50 minutes | Trainer: Didactic Powerpoint | #2:    100% of a random sample of 5 PH staff can identify by positin or title whom they report to in the initial stage of a disaster. |
| Section 5:
PREP U Success:
Plan, Prepare, PRACTICE |         Recognize deviations from the norm that might indicate an emergency and describe appropriate actions | 75 minutes | Tabletop Exercise | #5:    Demonstrates active involvement in planning and conducting jurisdiction-wide disaster drills. |

## LEARNING MAP THEORY	

- THE MAP PROVIDES:
- Customized strategic-learning solution
- Contextual understanding  (WHY?)
- Content Knowledge (WHAT?)
- Opportunities to practice, apply, and reinforce what they learn (HOW?)

## LEARNING MAP OBJECTIVES

- Create emergency preparedness plans and supplies** **for home, office, and car
- Identify specific preparedness actions to complete at home and office
- Apply knowledge of the Incident Command System to a public health emergency ( DOC, EEC, POD)

## LEARNING MAP OBJECTIVES

- Increase knowledge of specific Public Health response systems used in emergencies
- Increase knowledge of specific public health recovery systems used in bioterrorism events

## LEARNING MAP OBJECTIVES

- Increase knowledge of consequences to public health emergencies to the County of Los Angeles
- Provided opportunity to network with other PHES through the sharing of knowledge and experiences.

## Course Evaluation (N = 2816/84%)

- Content rating
- Average = 4.5
- Opportunity to participate
- Average = 4.3
- Anthrax learning map
- Average = 4.4

## Course Evaluation (N = 2816/84%)

- Instructors rating
- Average = 4.6
- Recommend course
- Average = 4.6
- Overall rating
- Average = 4.6

## Understanding of What It Means to Be a Public Health Emergency Response Team Member 

## Willingness to Report to Work   If There Was a Public Health Emergency