Capability #14: Responder Safety and Health

Jurisdiction/Organization: / Name of Exercise:
Location: / Date:
Identify Risks
Were all subject matter experts and stakeholders engaged prior and during the incident/exercise? / Fully Partially Not N/A / Comments:
Did the group discuss response specific risks and how to address the concerns? / Fully Partially Not N/A / Comments:
Did the group discuss how situational awareness would be shared with community partners? Including potential acute and chronic health conditions. / Fully Partially Not N/A / Comments:
Did the group discuss what safety materials may be needed? How would the responders acquire these materials? / Fully Partially Not N/A / Comments:
Did the group discuss pharmaceutical needs to protect responders and healthcare workers? / Fully Partially Not N/A / Comments:
Identify Needs
Did the group discuss responder safety resources and equipment that would be needed? / Fully Partially Not N/A / Comments:
Did the group discuss what pharmaceuticals would be needed for responder safety? / Fully Partially Not N/A / Comments:
Did the group discuss what personal protective equipment (PPE) would be needed for responder safety? / Fully Partially Not N/A / Comments:
Did the group discuss wherePPE, pharmaceuticals and resources would come from? Partners, other regions, state caches, etc. / Fully Partially Not N/A / Comments:
Did the group discuss the process and protocols for receiving and administering pharmaceuticals, PPE or other resources from outside partners? / Fully Partially Not N/A / Comments:
Training
Did the group discuss Just-in-Time (JIT) Training? Who would be the instructor? What topics would be covered? / Fully Partially Not N/A / Comments:
Monitor Actions
Did the group discuss process and protocol for medical-readiness screening of potential responders? / Fully Partially Not N/A / Comments:
Did the group discuss surveillance activities to monitor levels of:
  • Environmental Exposure
  • Environmental Effects to responders
  • Incident related injuries
  • Mental/Behavioral Health
/ Fully Partially Not N/A / Comments:
Did the group discuss use of mental/behavioral health services for responders? How would the responders be aware of this service? Would this be set up onsite or off site? / Fully Partially Not N/A / Comments:
Did the group discuss how to conduct monitoring of medical/mental/behavioral health outcomes of the responders? / Fully Partially Not N/A / Comments:
Did the group discuss PPE recommendations/changes as the incident/exercise progressed? Such as altering equipment use, terminating activity etc. / Fully Partially Not N/A / Comments:
Did the group how the public information officer (PIO) would work with partners to communicate risks to responders? / Fully Partially Not N/A / Comments:
Major Strengths:
List (in complete sentences) at least 3 major strengths identified during the exercise.
Major Areas of Improvement:
List (in complete sentences) at least 3 major areas of improvement identified during the exercise.
Evaluated By: / Name: / Organization:
Phone: / Email:
Function Alignment for Capability #14
Looking at outcomes and goals in terms of the functions assigned to HPP and PHEP can assist in identifying and eliminating misalignments, misunderstandings and performance issues. Alignment of similar functions assigned to PHEP and HPP further promotes coordination in effort and evaluation across disciplines. This chart compares the functional alignment of the capability.
Public Health Preparedness (PHEP) / Hospital Preparedness (HPP)
Function 1: Identify responder safety and health risks / Function 1: Assist healthcare organizations with additional pharmaceutical protection for healthcare workers
Function 2: Provide assistance to healthcare organizations with access to additional personal protective equipment (PPE) for healthcare workers during response
Function 2: Identify safety and personal protective needs / Function 1: Assist healthcare organizations with additional pharmaceutical protection for healthcare workers
Function 2: Provide assistance to healthcare organizations with access to additional personal protective equipment (PPE) for healthcare workers during response
Function 3: Coordinate with partners to facilitate risk-specific safety and health training / Function 1: Assist healthcare organizations with additional pharmaceutical protection for healthcare workers
Function 2: Provide assistance to healthcare organizations with access to additional personal protective equipment (PPE) for healthcare workers during response
Function 4: Monitor responder safety and health actions / Function 1: Assist healthcare organizations with additional pharmaceutical protection for healthcare workers

Discussion-Based Exercise Evaluation Guide (EEG) Page 1