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Modules
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The Tipping Point
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The Incident Mgmt.
Sys. (Explosive)
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Your Role in
Emergency Response
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Chemical Case
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Biological Case
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Radiological Case
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Nuclear Case
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Concepts
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Paradigm Shift
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Unified Incident Command
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Unified Incident Command
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Agency Role & Interactions
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Event Recognition
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Safety
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Safety
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Risk Communication
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Safety
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Safety
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Safety & Protection
(PPE/Isolation/Quarantine)
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Treatment
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Treatment
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Treatment (includes maintenance of regular health care)
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Risk Communication
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Decontamination
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Treatment
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Psych & Cultural Support
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Fatality Management
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Response Support
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Evidence Preservation
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Recovery Operation
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Transportation
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Treatment
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Objectives
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Awareness
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I5.
Describe accepted principles specific to mass casualty
incidents.
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IIA3.
Describe general signs and
symptoms of exposure to selected chemical, biological, radiological, nuclear,
and explosive agents (CBRNE).
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IV4.
Identify one’s own role in
the emergency response plan for the place of employment.
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VI2.
Define relevant
terminology, including: scene assessment.
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VI2.
Define relevant
terminology, including:
PPE
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IIA1.
Assess the safety issues
for self, the response team, and victims in any given response situation in
collaboration with the incident response team.
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III5.
Assess the need for and
initiate the appropriate CBRNE isolation and decontamination procedures
available, ensuring that all parties understand the need.
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VI1.
Define and distinguish the
terms disaster and mass casualty incident (MCI) in relation to other major
incidents or emergency situations.
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V12.
Define relevant
terminology, including: chain of command and management system for emergency
response; comprehensive emergency management
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IV3.
Locate and describe the
emergency response plan for one’s place of employment and its role in
community, state, and regional plans.
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IIA5.
Describe the essential
elements included in a mass casualty incident (MCI) scene assessment.
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IIA2.
Identify possible
indicators of a mass exposure (i.e., clustering of individuals with the same
symptoms).
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III5.
Assess the need for and
initiate the appropriate CBRNE isolation and decontamination procedures
available, ensuring that all parties understand the need.
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IX1.
Identify and discuss ethical issues related to MCI
events:
-Rights and
responsibilities of health care providers in MCIs, e.g. refusing to go to
work or report
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Modules
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The Tipping Point
|
The Incident Mgmt. Sys. (Explosive)
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Your Role in
Emergency Response
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Chemical Case
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Biological Case
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Radiological Case
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Nuclear Case
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Awareness (cont.)
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IX1. (cont.)
for duty, refusal of
vaccines.
- Need to protect the public versus an individual’s
right for autonomy, e.g. right to leave the scene after contamination.
- Right of the individual to refuse care, informed
consent.
- Allocation of limited resources.
- Confidentiality of information related to
individuals and national security.
- Use of public health authority to restrict
individual activities, require reporting from health professionals, and collaborate
with law enforcement.
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VI2.
Define relevant
terminology: weapons of mass destruction; triage
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IIA4.
Demonstrate the ability to
access up-to-date information regarding selected nuclear, biological,
chemical, explosive, and incendiary agents.
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XI2.
Identify the most
appropriate or most likely health care role for oneself during a MCI.
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III5.
Assess the need for and
initiate the appropriate CBRNE isolation and decontamination procedures
available, ensuring that all parties understand the need.
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IIA6.
Identify special groups of
patients that are uniquely vulnerable during a MCI, e.g. the very young,
aged, immunosupporessed.
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IIB6.
Describe the psychological
impact on responders and health care providers.
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Modules
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The Tipping Point
|
The Incident Mgmt. Sys. (Explosive)
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Your Role in
Emergency Response
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Chemical Case
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Biological Case
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Radiological Case
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Nuclear Case
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Awareness (cont.)
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V14.
Describe the local
emergency response system for disasters.
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IV1.
Describe the local chain of
command and management system for emergency response during a MCI.
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IV2.
Identify your role, if
possible, within the emergency management system.
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V13.
Describe the four phases of
emergency management: preparedness, response, recovery, and mitigation.
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IIB1.
Conduct a focused health
history to assess potential exposure to CBRNE agents.
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IV9.
Identify reactions to fear,
panic and stress that victims, families, and responders may exhibit during a
disaster situation.
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X1.
Discuss the cultural,
spiritual, and social issues that may affect an individual’s response to a
MCI.
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IV7.
Identify appropriate
resources for referring requests from patients, media, or others for
information regarding MCIs.
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IV5.
Discuss security and
confidentiality during a MCI.
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V17.
Discuss principles related
to a MCI site as a crime scene, e.g. maintaining integrity of evidence, chain
of custody
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III5.
Assess the need for and
initiate the appropriate CBRNE isolation and decontamination procedures
available, ensuring that all parties understand the need.
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IV10.
Describe appropriate coping
strategies to manage self and others.
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IV8.
Describe principles of risk
communication to groups and individuals affected by exposure during a MCI.
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X13.
Identify the limits
to one’s own knowledge/skills/abilities/
authority related to MCIs.
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IV5.
Discuss security and
confidentiality during a MCI.
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III6.
Demonstrate knowledge and
skill related to personal protection and safety, including the use of
Personal Protective Equipment (PPE) for: Level B protection, Level C
protection, and respiratory protection.
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V1.
Identify possible threats
and their potential impact on the general public, emergency medical system,
and the health care community.
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VIII1.
Describe use of emergency
communication equipment that you will be required to use in a MCI response.
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VIII2.
Discuss the principles of
containment and decontamination.
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VI6.
Describe the legal
authority of public health agencies to take action to protect the community
from threats, including isolation, quarantine, and required reporting and
documentation.
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Modules
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The Tipping Point
|
The Incident Mgmt.
Sys. (Explosive)
|
Your Role in
Emergency Response
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Chemical Case
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Biological Case
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Radiological Case
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Nuclear Case
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Awareness (cont.)
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V2.
Describe community health
issues related to MCI events, specifically limiting exposure to selected
agents, contamination of water, air, and food supplies, and shelter and
protection of displaced persons.
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VII1.
Discuss the
differences/similarities between an intentional biological attack and that of
a natural disease outbreak.
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Performance
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I1.
Use an ethical and
nationally approved framework to support decision-making and prioritizing
needed in disaster situations.
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III10.
Demonstrate use of
emergency communication equipment and information management techniques required
in a MCI response.
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VIII3.
Describe procedures for
decontamination of self, others, and equipment for selected CBNRE agents.
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IIB2.
Perform an age-appropriate
health assessment, including:
- airway and respiratory assessment,
- cardiovascular assessment, including vital
signs and monitoring for signs of shock,
- integumentary assessment, particularly a
wound, burn, and rash assessment,
- pain assessment,
- injury assessment from head to toe,
- gastrointestinal assessment, including
specimen collection,
- basic neurological assessment,
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