Training & Command Center Course Catalog

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Training & Command Center

Course Catalog

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Basic Incident Command and Emergency Management

For Hospitals

This 1.5 day class is intended for hospital personnel that will take a role in the Hospital Command Center as a member of the Hospital Incident Management Team (HIMT) and/or sits on the Emergency Management Committee. The interactive class will focus on the topics listed below.

 Emergency Management Principles

 Hospital Incident Command System

 Coalitions/Whole Community

 Emergency Management Tasks

 Critical Function Considerations

In addition to the discussions, attendees will practice what they have learned in a table top exercise based on a natural disaster with escalating events including medical surge, utility failures, and resource concerns. Attendees should have access to their own facility’s Emergency Operations Plan during the exercise. Following the exercise, attendees will participate in a debriefing process to share lessons learned and network with their peers from other hospitals.

Prerequisites for attendees: IS-700.a, IS-100.HCb, and IS-200.Hca certification

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Basic Incident Command and Emergency Management

For Ambulatory Surgery Centers

This 1-day course consists of a brief review of Emergency Management Principles, an overview of the Hospital Incident Command System (HICS), and in-depth examination of best practices during emergencies. This Basic session is for the ASC staff that have previous experience in emergency management preparedness and response.

Specific objectives and tasks during this session will include the following:

 Review the 4 phases of Emergency Management – Mitigation, Preparedness, Response, Recovery

 Learn the primary features of the Incident Command System including modular organization and span of control, management by objectives, functions of positions, forms, and checklists

 Interactive discussion of critical functions of emergency management including communication, resources and assets, safety and security, staff, utilities management, and patient and clinical support activities

 Discuss the capabilities of the ASCs in mass casualty incidents and how to integrate with the medical community

 Discover the roles of the district multi-agency coordination center, emergency management agencies, and emergency support functions and how to build relationships with each

 Participate in a tabletop exercise for an escalating event with focus on activation of incident command, communication, resource management, surge management, facility management, and incident action planning

 Conduct debriefing and peer review to share best practices, identified gaps, and lessons learned from this session, previous events attendees have participated in, and/or disasters that have happened in recent history

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Basic Incident Command and Emergency Management

For Home & Hospice Care Agencies

This 1-day course consists of a review of Emergency Management Principles, an overview of the Hospital Incident Command System (HICS), and an in-depth examination of best practices during emergencies.

 Participate in an interactive discussion of HHC Emergency Management Plans and how to incorporate with hospitals, public safety, and emergency response partners

 Discuss the capabilities of the HHCs in mass casualty incidents and how to integrate with the medical community

 Discover the roles of the district multi-agency coordination center, emergency management agencies, and emergency support functions and how to build relationships with each

 Participate in tabletop exercises for an escalating event with focus on activation of incident command, communication, resource management, surge management, facility management, and incident action planning

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Basic Incident Command and Emergency Management

For Rural Health Clinics

This 1-day course consists of a review of Emergency Management Principles, an overview of the Hospital Incident Command System (HICS), and an in-depth examination of best practices during emergencies.

 Participate in an interactive discussion of RHCs Emergency Management Plan and how to incorporate with hospitals, public safety, and emergency response partners

 Discuss the capabilities of the RHCs in mass casualty incidents and how to integrate with the medical community

 Discover the roles of the district multi-agency coordination center, the emergency management agencies, and emergency support functions and how to build relationships with each

 Participate in tabletop exercises for an escalating event with the focus on activation of incident command, communication, resource management, surge management, facility management, and incident action planning – one exercise will be focused on an internal emergency, the other as a community-wide response

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Intermediate Incident Command and Emergency Management

For Hospitals

This 1-day class is for hospital personnel that would assume Incident Command and/or Section Chief positions during a disaster. The interactive class portion will focus on the topics listed below.

 Setting priorities, objectives, and tactics and development of an Incident Action Plan (presentation of process and group activity)

 Mass Decontamination (lecture and discussion)

In addition to the discussions and work groups, the attendees will participate in a functional exercise based on a natural disaster with escalating events including medical surge, facility damages, resource needs focusing on 96-hour sustainability, and communication concerns (staff and media). There will be an opportunity during the exercise to work through the transfer of command process. Following the exercise, the attendees will complete an After Action Report. The day will wrap up with a discussion on demobilization and recovery planning.

Prerequisites for attendees: Each attendee from the hospital must have participated in a Basic Incident

Command and Emergency Management class or have experience as a member of a Hospital Incident Management Team (HIMT) during actual events or full-scale exercises

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Intermediate Incident Command and Emergency Management

For Ambulatory Surgery Centers

This 1-day course consists of education regarding dealing with Hazardous Material Situations, Shelter-in-Place, and Evacuation. The exercise portion of the class will focus on an event(s) that impacts the center directly, and deals not only with response but the recovery component as well. The Incident Command System will be used during this exercise to further the attendees’ knowledge of this commonly used structure for dealing with disaster situations.

Prerequisites for attendees: Attendance at a Basic Incident Command and Emergency Management

session

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Advanced Incident Command and Emergency Management

For Hospitals

This 1-day class is for hospital personnel that will play a key role as a member of the Hospital Incident Management Team (HIMT). There will be interactive presentations on evacuation principles and long-term recovery efforts, as well as cyber-attacks and their effects on healthcare.

The functional exercise for this class is based on a man-made disaster which forces the hospital to work through a total evacuation process while dealing with other simultaneous issues related to violence in the workplace. The hospitals will need to develop and work through a recovery plan/process on how to re-open the hospital and return to normal (and/or new normal/near normal) operations. Hospitals will be given the opportunity during the exercises to use the Hospital Incident Command System forms and job action sheets. At the end of the day, the hospitals will network and discuss their response and recovery decisions/processes.

Prerequisites for attendees: All attendees from the hospital must have attended a Basic and Intermediate

class or have extensive experience as a member of the Hospital Incident Management Team (HIMT)

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Incident Command System for Senior Leadership

Although hospital executives understand the importance of incident command and emergency management training, they do not necessarily have the time to leave the hospital for a two-day training session or even for a few hours. Lighthouse Readiness can bring that essential information to your hospital. This made-to-order training course highlights the key command positions and section operations of the incident command system (ICS) and where senior leadership falls into that structure. A review of the key principles of emergency management and critical functions for response and recovery is presented. This is followed by participation in a tabletop exercise customized to your hospital. The discussion-based exercise will focus on input needed from leadership to make decisions that may not be clearly defined in the current emergency operations plan due to the novelty of the situation. It also gives senior leadership the opportunity to learn what your hospital already does well and makes them aware of opportunities for improvement their staff have reported from previous exercises.

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Hospital Incident Management Team (HIMT)

Time critical is to key hospital personnel and executives. We offer a streamlined and comprehensive training program that is cost-effective, highly informative, and maximizes time by segmenting the training throughout the course. Best practice is that an organization builds a Hospital Incident Management Team (HIMT) that identifies and trains staff to fill the Incident Command level and Section Chief positions:

 Three to five people for the Incident Commander

 Two to three people for the Command Staff and Section Chief Staff

 One to two people for the Branch/Unit level positions

Cross-training is critical as most organizations have limited staff to fill these roles. Education and opportunities to practice in these positions should be provided frequently to all those identified as part of the HIMT.

Our training is divided into four segments as follows:

 Incident Command and Command Staff

 Operations – General Staff Roles and Responsibilities

 Planning – General Staff Roles and Responsibilities

 Logistics – General Staff Roles and Responsibilities

These sessions are then followed with a drill in which specific local demographics are utilized and practical use of the day’s training is applied.

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Operations Section Chief Training

The Hospital Operations Section Chief class is a 1-day course that covers the duties and responsibilities of this job within the Hospital’s General Staff. The program includes a brief overview of Hospital Incident Command System (HICS) structure and where and how the Operations Chief falls into that structure. A discussion of the multiple branches and their sub-components in this section will be conducted including Staging Manager, Medical Care Branch Director, Infrastructure Branch Director, HazMat Branch Director, Security Branch Director, and Business Continuity Branch Director. Students will learn the many duties, essential HICS forms (204, 213, and 214), and meetings that are included with the role. Group activities will include the use of the Operational Worksheet form and how the incident objectives help to drive its completion. Students will learn what is included in an Operational Period Briefing and how to conduct one. The course will conclude with a Tabletop scenario to put all of the pieces together and allow those in attendance the opportunity to function in the Operations Section Chief and/or Branch Director roles.

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Planning Section Chief Training

The Hospital Planning Section Chief class is a 1-day course that covers the primary duties and responsibilities of this job within the Hospital’s General Staff. The program begins with a brief overview of the Hospital Incident Command System (HICS) structure and how the Planning Section Chief fits into that structure. Students then will focus on the key internal relationships within the command structure (Command Staff and Planning Section components [Resource Unit, Situation Unit, Documentation Unit and Demobilization Unit]) that are required to fulfill the duties and responsibilities of this position. The students will review the essentials for developing the Incident Action Plan (IAP) including writing objectives and using the Planning “P” tool. Group activities will include a review of the essential HICS forms (202, 204, 207, 213, 214, 252, 253, 254, 255, 256, 257, and 259), how they relate to this specific position, and the completion of an IAP. The course will conclude with a Tabletop scenario to put all of the pieces together and allow those in attendance the opportunity to function in the Planning Section Chief and/or Branch Director roles.

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Logistics Section Chief Training

The Hospital Logistics Section Chief class is a 4-hour course that covers the primary duties and responsibilities of this job within the Hospital’s General Staff. The program begins with brief overview of the Hospital Incident Command System (HICS) structure and how the Logistics Section Chief fits into that structure. Students will focus on the key internal relationships within the command structure (Command Staff and Logistics Section components—Service and Support Branches, and external resource relationships (e.g., Hospital District, Local Emergency Management/Emergency Support Functions [ESFs]), Vendors, Mutual Aid, etc.) that are required to fulfill the duties and responsibilities of this position. The students will delve more deeply into the roles and responsibilities of the individual units of the Service Branch (Communications Unit, IT/IS Unit and Staff Food/Water Unit) and the Support Branch (Employee Health and Wellness Unit, Family Care Unit, Supply Unit, Facilities Unit, Transportation Unit, and Labor Pool and Credentialing Unit). This will be followed by a review of the typical meetings and activities that the Logistics Section Chief has during the development of the Incident Action Plan (IAP) for each operational period. Students will review the essential HICS forms (204, 205, 206, 207, 213, 214, 251, 252, 253, 256, 257, and 258) and how they relate to the Logistics Section. The course will conclude with a Tabletop scenario to put all of the pieces together and allow those in attendance the opportunity to function in the Logistics Section Chief and/or Branch Director roles.

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Finance/Administration Section Chief Training

The Hospital Finance/Administration Section Chief class is a 4-hour course that covers the primary duties and responsibilities of this job within the Hospital’s General Staff. The program begins with a brief overview of the Hospital Incident Command System (HICS) structure and how the Finance/Administration Section Chief fits into that structure. Students will focus on the key internal relationships within the command structure (Command Staff and Finance/Administration Section components [Time Unit, Procurement Unit, Compensation/Claims Unit and Cost Unit]) that are required to fulfill the duties and responsibilities of this position. The students will receive an overview of state and Federal Emergency/Disaster funding programs. This will be followed by a review of the typical meetings and activities that the Finance/Administration Section Chief has during the development of the Incident Action Plan (IAP) for each operational period. Students will review the essential HICS forms (204, 207, 213, 214, 252, and 257) and how they relate to this specific position. The course will conclude with a Tabletop scenario to put all of the pieces together and allow those in attendance the opportunity to function in the Finance/Administration Section Chief and/or Branch Director roles.

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Risk Communications / Public Information Officer Training

This 1-day Risk Communications class draws from lessons learned during public health emergencies and presents the basic principles of risk communication. This introductory course structure provides management and frontline personnel with the knowledge they need to talk to the media and community about emergencies affecting the community as well as the hospital. The course also provides an overview of the role of the Public Information Officer (PIO) related to understanding the media. The attendees will have opportunities to write a news release, learn interview techniques, and conduct a press conference. A review of using social media during normal operations and public emergencies will be provided. This course is interactive to include communication issues and appropriate strategies to increase trust and credibility in times of crisis.

Who Should Attend: Public Information Officers, frontline senior staff, management, and designated

personnel who may be called upon to discuss public health emergencies with the media, agencies and communities.

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ICS-100.b / ICS-100.HCb: Introduction to Incident Command System

This course introduces the Incident Command System (CIS) and provides the foundation for higher level ICS training. This course describes the history, features and principles, and organizational structure between ICS and the National Incident Management System (NIMS). ICS-100 is mandated for NIMS compliance and is targeted to personnel at the following levels of responsibility in emergency management operations: first-line supervisor, mid-level management, and command, and anyone filling general staff positions (Finance-Administration/Logistics/Operations/Planning).

Specific objectives to be covered during this course include the following:

 Identify the requirements to use ICS

 Outline the three purposes of ICS and common incident tasks

 Describe the basic features of ICS

 Describe the role and function of the Incident Commander and Command Staff

 Describe the six basic ICS facilities

 Identify facilities that may be located together, and identify facility map symbols

 Describe the common mobilization responsibilities and common responsibilities at an incident

 List individual accountability responsibilities

 Describe common demobilization responsibilities

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ICS-200.HCa: Applying ICS to Healthcare Organizations

ICS-200.b: ICS for Single Resources and Initial Action Incidents

This course is designed to enable personnel to operate efficiently during an incident or event within the Incident Command System (ICS). ICS-200 provides training on and resources for personnel who are likely to assume a supervisory position within the ICS. ICS-200 is mandated for NIMS compliance and is targeted to personnel at the following levels of responsibility in emergency management operations: first-line supervisor, mid-level management, and command, and anyone filling general staff positions (Finance-Administration/Logistics/Operations/Planning). Successful completion of ICS-100 is a prerequisite for attendance in this course.

 Describe chain of command and formal communication relationships

 Identify common leadership responsibilities

 Describe span of control and modular development

 Describe the use of position titles

 Describe scope of authority and the process by which authority is delegated

 Describe and explain management by objectives

 Identify the ICS tools to manage an incident

 Demonstrate the function of organizational positions within ICS

 Demonstrate the use of an ICS 201 form

 Perform an Operational Briefing

 Describe components of field, staff and section briefings/meetings

 Explain how the modular organization expands and contracts

 Complete a complexity analysis given a specific scenario

 Define the five types of incidents

 Describe the importance of preparedness plans and agreements

 List the essential elements of information involved in transfer of command

 Describe a transfer of command process

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ICS-300

This 2-day course is intended to share proven incident management strategies and practices as well as to enhance teamwork and coordination among the hospital's “mid-level managers and command staff” directly responsible for emergency response to incidents of all types; “all hazards” in which the Incident Command System (ICS) will be employed. The course utilizes scenarios and application exercises to highlight key issues and facilitate discussion. The concluding tabletop exercise is intended to allow participants to apply the information provided during the course in a controlled environment.

Prerequisites for attendees: IS-100, IS-200, IS-700.a, IS-800.b certification

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ICS-400

This 2-day course is intended to share proven incident management strategies and practices as well as to enhance teamwork and coordination among all response agencies' officers directly responsible for emergency response to a Weapon of Mass Destruction/terrorism incident or other “Incident of National Significance.” The course is specifically intended for those emergency response personnel who have duties that require that they be directly involved in incident management or command at either a “field” Incident command post (ICP) or in a city, county, or regional emergency operations center (EOC).

Prerequisites for attendees: IS-100, IS-200, IS-700.a, IS-800.b certification

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ICS-700.a: Introduction to National Incident Management System

This course introduces and overviews the National Incident Management System (NIMS). NIMS provides a consistent nationwide template to enable all government, private-sector, and nongovernmental organizations to work together during domestic incidents. ICS-700 is mandated for NIMS compliance and is targeted toward all personnel with a direct role in emergency preparedness, incident management or response.

 Describe the intent of NIMS

 Describe the key concepts and principles underlying NIMS

 Describe the purpose of the NIMS Components including: Preparedness, Communications and Information Management, Resource Management, and Command and Management

 Describe the purpose of the National Integration Center

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ICS-800.b: Introduction to National Response Framework

This course introduces participants to the concepts and principles of the National Response Framework (NRF). ICS-800.B. is mandated for NIMS compliance and is targeted toward any personnel whose primary responsibility is emergency management, who support and interact with persons in Emergency Support Function (ESF) capacities, who have responsibility for emergency management by delegation, and persons primarily involved in emergency planning.

Upon completion of this course, participants will be able to describe:

 The purpose of the National Response Framework

 The response doctrine established by the National Response Framework

 The roles and responsibilities of entities as specified in the National Response Framework

 The actions that support national response

 The response organizations used for multiagency coordination



How planning relates to national preparedness

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Core Disaster Life Support (CDLS

®

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The Core Disaster Life Support® (CDLS) course is a 3.5 hour competency-based, awareness-level course that introduces clinical and public health concepts and principles for the management of disasters and public health emergencies. The course incorporates the “all-hazards” approach to personal, institutional, and community disaster management through the use of two unique mnemonics, the PRE-DISASTER Paradigm™ (which applies to event mitigation and preparedness) and the DISASTER Paradigm™ (which applies to event recognition, response, and recovery).

The overarching aim of the CDLS course is to provide participants from diverse professions, disciplines, and backgrounds with a common lexicon, vocabulary, and knowledge in disaster-related medicine and public health that can be reinforced and expanded in the BDLS® and ADLS® courses. The CDLS course is aimed at a broad range of audience categories, including medical first responders, health professionals, health service providers, public health workers, and health support personnel.

Upon completion of the CDLS course, participants will be able to:

 Describe the all-hazards approach to disaster mitigation, preparedness, response, and recovery

 Discuss essential components of federal, state, regional, and community disaster health systems, including the role of the public and private health sectors

 Describe the elements of the PRE-DISASTER Paradigm and their application to the management of disasters and public health emergencies

 Describe actions that can be taken to enhance personal preparedness and resilience for disasters and public health emergencies

 Identify legal and ethical issues that impact disaster mitigation, preparedness, response, and recovery, including the basic legal framework for public health

 Describe the elements of the DISASTER Paradigm and their application for the management of disasters and public health emergencies

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Basic Disaster Life Support (BDLS

®

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BDLS® is targeted to multiple disciplines including emergency medical service (EMS) personnel, hazardous materials personnel, public health personnel, and health care providers. The goal of teaching multiple disciplines simultaneously is to develop a commonality of approach and language in the health care community, improving the care and coordination of response in Weapons of Mass Destruction (WMD) disasters and public health emergencies.

The BDLS® course is a review of the "all-hazards" topics including natural and accidental man-made events, traumatic and explosive events, nuclear and radiological events, biological events, and chemical events. Also included is information on the health care professional’s role in the public health and incident management systems, community mental health, and special needs of underserved and vulnerable populations.

The recognition and management of the disaster scene and victims are reinforced through a unique approach, introduced in the Core Disaster Life Support Course® called the D-I-S-A-S-T-E-R Paradigm™, which helps to organize the student’s preparation and response to disaster management.

The paradigm emphasizes an "all-hazards" approach to mass casualty incident management and facilitates’ ongoing qualitative and quantitative assessment of an incident.

The mass casualties triage system used in BDLS® and the other NDLS™ courses employs the S.A.L.T. methodology. Id-me! Is a simple mnemonic for sorting patients during triage of mass casualties, and it is used effectively in the S.A.L.T. Triage model. A detailed discussion and application of these assessment tools is reinforced throughout the BDLS® course.

D-I-S-A-S-T-E-R Paradigm™ D Detect

I Incident Command S Scene Security and Safety A Assess Hazards

S Support

T Triage and Treatment E Evaluation R Recovery S.A.L.T. Triage S Sort A Assess L Life-saving Interventions T Triage/Treatment Id-me! I Immediate D Delayed M Minimum E Expectant

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Advanced Disaster Life Support (ADLS

®

₎

ADLS® is an advanced practicum course for those who have successfully completed the BDLS® course. It is an intensive, two-day course that allows students to demonstrate competencies in casualty decontamination, specified essential skills, and mass casualty incident information systems/technology applications. Using simulated, all-hazards scenarios and mass causality incidents, ADLS® makes use of four interactive sessions in which participants treat simulated patients in various disaster drills and situations. Training is focused on the development of hands-on skills to allow participants to apply the knowledge learned in BDLS®.

ADLS®’s interactive scenarios and drills utilize high-fidelity mannequins and volunteer patients to simulate a realistic experience in treating pathologic patient conditions not routinely encountered by the responders and health care providers. Day 2 of ADLS® is the “hands-on” day of training. Hands-on exercises teach practical skills, such as decontamination and use of protective equipment, and provide instruction in topics that traditionally are not addressed in health care education curricula. Four skills stations reinforce the previous day’s learning. These skills stations are as follows:

S.A.L.T. Triage – This challenging station allows students to practice the concepts of the

D-I-S-A-S-T-E-R Paradigm™ with an emphasis on patient triage. Simulated disaster victims must be triaged and treated correctly while attempting to manage a chaotic scene and request appropriate resources.

Personal Protective Equipment (PPE) and Decontamination – This station teaches important

concepts about the use of personal protective equipment (PPE) and decontamination techniques. Students are given the opportunity to wear PPE and participate in a simulated decontamination while attempting to render medical care.

Disaster Skills – This station teaches vital skills necessary for medical disaster management. Students

are taught about the Strategic National Stockpile and proper Mark-I kit use. Students are also allowed to practice Smallpox immunization.

Human Patient Simulator – Recognition of victims of a chemical and biological disaster is paramount.

This station is designed to reinforce the detection and proper treatment of conditions that may occur during disasters that we do not normally treat. Treatment of chemical, biological, and traumatic patients is covered. The use of high fidelity human patient simulators allows the student to see, hear, and feel information that would normally be provided by an instructor, creating a more realistic experience than standard mannequins can provide.

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4-Hour Hazardous Materials Awareness Training

Lighthouse Readiness Group is proud to provide training essential to exceeding the mandates of the Occupational Safety and Health Administration (OSHA) for Hazardous Materials Awareness in the workplace. OSHA dictates that all employers provide a safe and healthful workplace and adopt a standard for those that work in or around environments that contain hazardous materials.

The Hazardous Materials Awareness level training conducted by Lighthouse Readiness Group is focused towards employees who may witness or discover the release of a hazardous substance, or be approached by an individual that may be suffering from exposure to a hazardous material, and are required to make safe and appropriate decisions in controlling such incidents. The Awareness level training is structured around a defensive approach that includes the following:

 Definition of a Hazardous Material

 Identification of the risks and complications that may occur in a Hazardous Material incident

 Recognition of a Hazardous Material situation

 Description of the immediate safety precautions to be taken by the responder

 Summarization of the notification procedures to alert the proper authorities

 Demonstration of methods to isolate and deny entry to affected area(s)

The target audience for this course is non-clinical associates (e.g., receptionist/registration personnel, environmental services, food services, facilities, transportation, and security staff, as well as volunteers).

Lighthouse Readiness Group has a robust staff of highly educated individuals with specialized training credentials to support you in meeting the yearly mandates of OSHA. This course can be used for all newly hired employees or as an annual refresher to meet continuing education requirements.

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16-Hour HazMat Operations/Decontamination Training

This 2-day course includes lecture, classroom discussion, tabletop exercises, and hands-on practicals to cover the topics needed to meet the Occupational Safety and Health Administration (OSHA) requirements for Hazardous Materials (HazMat) Operations of hospital personnel. It is intended for those employees with no prior experience in decontamination.

Classroom discussion and lectures covers items including:

 HazMat recognition and identification

 Community risks

 Use of necessary reference material

 Activation of the Emergency Plan

 Weapons of Mass Destruction (WMD) incidents

 Overview of the Hospital Incident Command System (HICS)

 Triage of the contaminated patient

 Proper decontamination procedures

Hands-on skills include setup and tear down of the decontamination equipment; donning and doffing of personal protective equipment and respirators; proper decontamination procedures for ambulatory and non-ambulatory patients; and demobilization and cleanup of the equipment and resources used.

Upon completion of this course the student will be able to define what a Hazardous Material situation is; identify the risks and problems associated with a HazMat incident; describe the safe and effective response; understand the proper notifications procedures; describe how to isolate the scene and deny entry; and be able to conduct directed self-decon.

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10-Hour HazMat Operations/Decontamination Refresher Course

This course is offered as an annual refresher, as required by the Occupational Safety and Health Administration (OSHA), for healthcare employees who have been previously trained for decontamination operations for first receivers. The course can also serve as an accelerated program for employees with prior experience in Hazardous Materials (HazMat) and/or the National Incident Management System (NIMS). Hands-on skills reviewing decontamination setup, as well as procedures for and proper use of personal protective equipment are demonstrated in the course.

Classroom discussion and lectures cover items including:

 National Emergency Response and the Hospital Emergency Response Team (HazMat Team)

 Hospital Incident Command overview

 How to recognize medical effects of chemical, biological, radiological, nuclear, and improvised explosive (CBRNE) events

 Personal protective equipment

 Emergency treatment area

 Triage

 Hospital decontamination procedures

Upon completion of this course the student will be able to define what a Hazardous Material situation is; identify the risks and problems associated with a HazMat incident; describe the safe and effective response; understand the proper notifications procedures; describe how to isolate the scene and deny entry; and be able to conduct directed self-decon.

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8-Hour Hazardous Waste Operations & Emergency Response

(HAZWOPER)

This course meets the requirements in OSHA 29 CFR 1910.120 for eight hours of annual refresher training for workers at hazardous waste sites. Topics include an update of HAZWOPER, Occupational Safety and Health Administration (OSHA), Department of Transportation, and Environmental Protection Agency (EPA) regulations, safety and health plans, hazardous chemicals, safety hazards, air monitoring, medical surveillance, site control, decontamination, personal protective equipment, and respiratory equipment.

After completing the course, attendees will have demonstrated competency in response organization, response operations, personal safety, equipment and instruments, resources, and control methods. They will be able to:

 Select the appropriate personal protective equipment for on-site incidents involving hazardous materials.

 Recognize and identify hazardous material situations.

 Use confinement and containment techniques to control the release of a hazardous material.

 Identify the importance of an incident command system for effectively managing an incident involving hazardous materials.

 Develop procedures for the decontamination of personnel.

 Use size-up techniques to develop strategies and select the appropriate tactics for mitigating hazardous material incidents.

Individuals who respond to hazardous materials incidents should meet the minimum requirement set forth under the Occupational Safety and Health Administration's (OSHA) 29 CFR 1910.120 paragraph 9 (q). Individuals should have completed 24- or 40-hour HAZWOPER training within 12 months prior to attending this course.

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24-Hour Hazardous Waste Operations & Emergency Response

(HAZWOPER)

Are your employees prepared to deal with hazardous or contaminated material? If not, this in-depth, three day class is for them. Participants will learn how to recognize, prevent, and respond to both common and uncommon hazardous and/or contaminated material situations safely and effectively. Individuals who complete the class will receive Certification in Hazardous Waste Operations & Emergency Response.

24-Hour HAZWOPER Training is required for employees visiting an Uncontrolled Hazardous Waste Operation mandated by the Government. This course covers broad issues pertaining to the hazard recognition at work sites. Occupational Safety and Health Administration (OSHA) has developed the HAZWOPER program to protect those working at hazardous sites and devised extensive regulations to ensure their safety and health. This course, while identifying different types of hazards, also suggests possible precautions and protective measures to reduce or eliminate hazards at the work place. This course meets the requirements outlined in OSHA 29 CFR 1910.120.

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Workplace Violence and/or Active Shooter

Preparedness Training

The nature and location of work, types of clients, business hours, service and facility access, staffing levels and skill capabilities affect the risk of exposure to aggression or violence. The Workplace Violence and Active Shooter training has been developed using guidelines established by the Department of Homeland Security (DHS). The training session will examine workplace violence issues for healthcare providers and recognition of warning signs of credible threats that may lead to the highest level of violence—an active shooter. Guidance will also be provided related to potential victim response to an active shooter incident. Risk assessments, polices, and education will additionally be addressed.

Other emergency preparedness subjects incorporated into the session include:

 Crisis management—identifying concerns, supporting staff

 Media issues—public information guidelines, public information, safety briefings

 Incident Command System—review basic ICS and how it can assist in managing crisis situations

 Disaster issues—communications, bomb threats, suspicious items and persons

 Drills and exercises—examine benefits of testing plans and improvement plans

The Workplace Violence and Active Shooter training will specifically incorporate the following elements:

 Recognition of a threat

 De-escalation

 Planning

 Response—Evacuate, Hide out, Take action

 Recovery from physical violence including an armed attack or active shooter

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Critical Incident Stress Management

& Workplace Violence Training

In recent years, a great deal of attention has been placed on the impact of crisis within a work environment; how employees are affected, the stressors to their processes, and the cultural changes. The Workplace Violence/Critical Incident Stress Management training course introduces the definitions, causative factors for the eruption of an incident, and currently accepted practices for responding to and recovering from such an incident. Emotional and psychological trauma response represents an element unfamiliar to most individuals, as it challenges a person’s normal ability to function within an abnormal event. An overview of signs of aggression that may lead to a physical attack will be covered as well as indicators of the highest level of violence—an armed attack. The application of knowledge is the best technique to integrate the components of a crisis response to an actual incident. A critical incident response scenario will be presented, with various roles assigned for observation and participation. Processing of the event, including the emotional and psychological responses, will follow the scenario.

When an organization is preparing to respond to a traumatic incident, it is essential to have a plan. As weaknesses in the response or plan are identified, areas for improvements related to workplace violence and disaster management implementation are critical to future successes. Evaluation methods and planning best practices will be examined. A discussion will focus on the foundation necessary and specific points to consider when developing the plan. Once the traumatic incident is a reality, individuals will be called upon to respond to and spontaneously implement the plan. This course will ready the participant to apply all areas of the disaster management cycle to a workplace violence incident.

The training objectives for this one-day session include the following:

 Define the variances when referring to stress, crisis, and trauma

 Identify the appropriate steps to follow, while considering the impact on the trauma responders given their prior history and life experiences

 Define workplace violence and explain the four categories of workplace violence

 Present key facts about workplace violence

 List risk factors for potential violence at the workplace

 Describe several techniques to prevent violence at work

 Prioritize response procedures and post-incident reporting

 Describe the key components of a workplace violence prevention policy

 Discuss how to manage an angry consumer

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Weapons of Mass Destruction

Weapons of Mass Destruction (WMD) may seem like the concern of Pentagon generals, but in fact, they are a risk factor for us all, each and every day. Toxic Industrial Chemicals routinely cross our paths on rail lines, trucks, and in storage tanks so commonly that we rarely notice them anymore. Radiological and biological risks can come at us by careless disposal and management of such material, by accidents, or by intention from a terrorist threat. A “dirty bomb” recipe is no further away than an internet connection.

For hospitals, having a WMD focused emergency plan and actively training to be prepared for such an incident is required for compliance with the Healthcare Facilities Accreditation Program (HFAP) and encouraged by The Joint Commission standards. The emergency preparedness experts at Lighthouse Readiness Group design customized training and exercise programs that help prepare your staff to recognize WMD risk factors, develop minimization skills, implement emergency planning, learn response techniques, and improve decontamination procedures.

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Self-Defense Training for Healthcare Providers

Overall 18,000 employees are non-fatally assaulted every week while on the job. Workplace homicide is the leading cause of death among female workers in the U.S. and is the second leading cause of death for men. Sadly, hundreds of thousands of nursing and allied health professionals are victims of workplace violence every year. The statistics are startling and indicate this is a growing problem:

 Nearly 500,000 nurses are victims of violence at their work sites each year, according to the U.S. Department of Justice

 Nurses in emergency departments (EDs) and mental health settings are common targets

 Every week, between 8 to 13% of ED nurses are victims of physical violence, according to a study by the Emergency Nurses Association

 Three in four nurses who experienced physical violence reported that their hospitals did not respond to the incident

This hands-on course will employ patient-based techniques that focus on defense against an attack without harming the attacker. This training covers situational awareness and includes defense tactics against pushes, grabs and punches. Methods of controlling unruly and disoriented patients will also be provided. (Maximum of six 1-hour sessions per day constitute a course.) In addition to the valuable defense techniques that will be practiced, this program can help your organization:

 Reduce the risk of injury due to workplace violence

 Improve staff retention

 Minimize exposure to liability

 Promote the philosophy of Care, Welfare, Safety, and Security amongst your staff

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Security Officer Defensive Tactics Training

As a Security Officer, you will come in in contact with people in a wide variety of contexts. Some encounters are much like ordinary social or business contacts. In some situations, however, your duties may require you to exert control over people by giving them orders, directing their movement, or even taking them into custody. Your goal always is to get subjects to comply voluntarily. If they do, you will have achieved your objective without making the encounter unnecessarily adversarial and without any risk of injury to officer or subject.

Unfortunately, even the best efforts of the most skilled officer to gain voluntary compliance do not always work. Officers are often put in situations where they need to use defensive tactics to defend themselves, their partners and even innocent bystanders. They are attacked in a variety of situations, via empty hand, knife threats and attacks, gun threats, clubs and even by multiple attackers. Sometimes you will have to use physical force to achieve control and accomplish your legitimate law enforcement objective.

In this Indiana Law Enforcement Academy approved course, which is designed to control subjects prior to the arrival of local law enforcement agency assistance, you will learn when and how to use physical force to control people. These techniques are psychomotor skills, which mean that they involve both the brain and the muscles. For that reason, you will spend much of your course time actually practicing the techniques—learning the skills first in isolation, and then eventually applying them in simulations.

Psychomotor skills offered with this course include the following:

 Empty hand control tactics

 Pressure point pain compliance

 Striking techniques

 Hand cuffing

 Weapon retention (optional)

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Aggression Management Course

This course focuses on awareness level training to enhance your staff’s ability to recognize, de-escalate, and protect themselves from all levels of violence. It also emphasizes the use of practical measures to prevent incidents and achieve a safe work environment. Hands-on physical examples and skills will be demonstrated and practiced in this course.

The objectives of this course will focus upon:

 Understanding reasonable force and the applicable legal parameters of its use

 Discuss the legislation pertaining to aggression in the workplace

 Assess behaviors for potential conflict

 Recognizing self-awareness and how it applies to escalating situations

 Employing communication skills to assist in violent situations

 Identifying high risk conflicts

 Describe a range of preventative strategies

 Demonstrating defusing and calming techniques

 Practice of restrictive methods, controlled take-up and down, and distraction techniques

 Interpret our own responses to aggressive behaviors

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Law Enforcement Protective Measures for CBRNE Incidents

Law Enforcement Protective Measures for CBRNE Incidents (LEPM) is a 1-day course that provides law enforcement responders the opportunity to develop skills to deal with chemical, biological, radiological, nuclear, and explosive (CBRNE) emergencies. This not only reinforces their ability to identify suspicious activity that could lead to a CBRNE event, but also arms them with the knowledge, skills, and attitudes necessary to respond effectively. LEPM is designed to produce law enforcement responders who understand the immediate protective actions to safely and appropriately respond to a CBRNE incident at the performance defensive level.

Below are some, but not all, of the critical skill sets learned during this training program:

 Describe the terrorist threat and indicators of suspicious activities

 Recognize vulnerabilities in potential terrorist targets within one’s community

 Recognize and employ techniques that aid in the prevention of terrorist activities

 Identify the signs and symptoms of victims of a CBRNE incident and methods used to identify hazardous materials deployed by terrorists

 Initiate appropriate response actions to a CBRNE incident

 Develop an Incident Action Plan (IAP) and implement initial site management procedures

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Law Enforcement Response Actions for CBRNE Incidents

Law Enforcement Response Actions for CBRNE Incidents (LERA) is a 1-day training course designed to enable law enforcement personnel to effectively respond to chemical, biological, radiological, nuclear, or explosive (CBRNE) incidents. Participants in LERA will receive hands-on training in surveying and monitoring, decontamination, mass casualty triage, scene survey and safety, and the use of personal protective equipment (PPE).

Below are some, but not all, of the critical skill sets learned during this training program:

 Construct a decontamination corridor and operate it safely

 Decontaminate victims after a CBRNE incident

 Provide support to mass casualty triage operations in prioritizing victims for treatment and evacuation

 Utilize equipment capable of surveying and monitoring compounds to detect CBRNE hazards

 Recognize potential hazards and explosive devices

 Use appropriate levels of PPE

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Continuity of Operations/Recovery

This 1-day course covers continuity of operations planning (COOP) for hospitals to use for business resumption and disaster recovery. The participant will understand the importance of having a continuity of operations plan and executive buy-in, the steps to initiate COOP, conduct a business impact analysis (based on the hazardous vulnerability analysis), and develop strategies for loss of essential services and/or expansion of operational capabilities. The course will provide the participant with practical lessons learned from other health care organizations regarding the recovery process. In addition, the participants will be given opportunities to discuss and put into practice this information through group activities and/or tabletop exercises.

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Ham Radio Functional Training

This 1-day course will provide an introduction to emergency communication strategies and tactics that can be used by the Amateur Radio licensed operator who wants to serve in the hospital as part of the response team. Course contents will include, but may not be limited to, discussions of the following:

 Introduction to Emergency Communication

 Amateurs as Professionals

 Emergency Communication Organizations and Systems

 Working with the Hospital, the Public, and other Agencies

 Basic Communication Skills and Message Handling

 What to Expect in Large Scale Disasters

Prerequisites for attendees: Must provide proof of Ham radio license at time of registration

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Ham Radio Licensing Training

In this 1-day course, the participant will understand how amateur radio fits into your overall communications strategies, what is available from amateur radio to support your emergency communications, and what is required to utilize amateur radio during an event.

 What is amateur radio and how does it fit into overall communications?

 Types of communications—Modes, Methods, and Applications

 Emergency Communications

 Operators

 Communicating during an Emergency

 Equipment Choices for Emergency Communications

 Activation

 Operations and Logistics

At the end of the day, the attendees can take the test to pass the FCC Technician License requirements which will be conducted by an independent examination team.

Prerequisites for attendees: Complete self-study packet if expecting to sit for certification exam (suggest

registering at least 30 days in advance to have time to complete self-study packet)

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Critical Incident Stress Management (CISM)

(Taught by P. Ruster from Supportive Services, Inc.)

This 2-day course defines CISM as a comprehensive, integrative, multicomponent crisis intervention system. CISM interventions range from the pre-crisis phase through the acute crisis phase, and into the post-crisis phase. CISM also is considered comprehensive in that it consists of interventions which may be applied to individuals, small functional groups, large groups, families, organizations, and even communities. The seven core components of CISM are defined as follows:

1. Pre-crisis preparation—This includes stress management education, stress resistance, and crisis mitigation training for both individuals and organizations

2. Disaster or large-scale incident, as well as, school and community support programs including demobilizations, informational briefings, “town meetings,” and staff advisement

3. Defusing—This is a 3-phase, structured small group discussion provided within hours of a crisis for purposes of assessment, triaging, and acute symptom mitigation

4. Critical Incident Stress Debriefing (CISD) refers to the “Mitchell model” (Mitchell and Everly, 1996) 7-phase, structured group discussion, usually provided 1 to 10 days post crisis, and designed to mitigate acute symptoms, assess the need for follow-up, and if possible provide a sense of post-crisis psychological closure

5. One-on-one crisis intervention/counseling or psychological support throughout the full range of the crisis spectrum

6. Family crisis intervention, as well as organizational consultation

7. Follow-up and referral mechanisms for assessment and treatment, if necessary

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Mass Casualty Triage Training

When health care professionals think of a mass casualty incident (MCI), they often envision a plane crash, bus accident, or other incident that thrusts a large number of victims on responders and tests the resources of the public safety and health care system. However, multiple-patient incidents that have complicating factors occur throughout the world every day. These “MCI multipliers” tax the resources of the health care system or inhibit the response.

When MCI multipliers exist or occur during an incident, a small MCI can be just as challenging to manage as a large one, so it’s important that those initially managing the incident recognize these factors and take them into account when developing their action plans and managing an event that involves one or more multipliers.

The Mass Casualty Triage training course provides health care professionals and students with the necessary knowledge and skills to appropriately prioritize the treatment of patients during a Mass Casualty Incident and challenges learners with an interactive triage scenario.

During this one-day course learners will be taught to engage in important communications with supervisors, communications centers, hospitals and regional medical resource centers to stay ahead of the chaos via the following objectives:

 Learn the phases of emergency management and the associated duties for mitigation, preparedness, response, and recovery

 Understand the organization and functions of the positions related to Incident Command System

 Discuss the importance of and how to build coalitions in the medical community and establish Memorandums of Understanding (MOU) for services and/or products

 Discuss potential hazards and participate in a group task to develop a hazardous vulnerability analysis (HVA)

 Discuss the potential roles an ASC may take during a mass casualty incident

 Review the process for developing an emergency operations plan and key components to include in the plan

 Participate in a tabletop exercise to operationalize a response to an escalating event

 Share best practices, identified gaps, and lessons learned from this session, previous events attendees have participated in, and/or disasters that have happened in recent history

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Evacuation Training

Healthcare facilities must be ready to tackle anything that comes their way. In times of disaster, natural or technological, they must remain open, operational, and continue carrying out their functions. When the situation escalates to a level that endangers the health and/or safety of the facility's patients, staff, and visitors, evacuation of the endangered areas is necessary. Safety and continuity of care among evacuees during a disaster depend on planning, preparedness, and mitigation activities performed before the event occurs. At the completion of the course, facilities will have basic training and tools to develop an evacuation plan.

This course will take the participant through the stages of preparing for a facility evacuation. It begins by performing an assessment of possible vulnerabilities and the resources available to a facility. Next, the course walks the learner through the development of a functional plan for a healthcare facility, and identification of key personnel positions implemented when a facility evacuates and the roles and responsibilities of each.

The course concludes by addressing recovery issues, both plan development and operational:

 Identify three policies or practices that can be put in place to decrease a facility’s overall vulnerability

 Distinguish the two main types of mitigation activities

 Summarize three ways a hazard vulnerability analysis contributes to the effectiveness of mitigation activities

 List at least five components of an effective community disaster preparedness assessment

 Describe how Memorandums of Understanding (MOUs) can augment response resources

Training & Command Center Course Catalog