Master Scenario Events List (MSEL) Package

Master Scenario Events List (MSEL) Package

2011 SHASTA MEDICAL AND HEALTH EXERCISE

2011 STATEWIDE MEDICAL AND HEALTH EXERCISE

Exercise Date: 11/17/11 Publishing Date: 11/15/11

Homeland Security Exercise and Evaluation Program (HSEEP) 2011 Shasta Medical and Health Exercise


Preface i Shasta County FOR OFFICIAL USE ONLY

PREFACE The 2011 California Statewide Medical and Health Functional Exercise is sponsored by the California Department of Public Health (CDPH) and the Emergency Medical Services Authority (EMSA) in collaboration with the California Hospital Association (CHA), California Association of Health Facilities (CAHF), California Primary Care Association (CPCA) and the California Emergency Management Agency (Cal EMA) as wells as response partners representing local health departments, public safety and health care facilities. This Controller/Evaluator Handbook was produced with input, advice, and assistance from the Statewide Medical and Health Exercise Design Workgroup, which followed guidance set forth by the Homeland Security Exercise and Evaluation Program.

The Master Scenario Events List (MSEL) Package is a supplement to the 2011 Statewide Medical and Health Exercise Plan. The purpose of the Master Scenario Events List (MSEL) Package is to provide central exercise control team members a complete edition of the MSEL. This document is not intended to be distributed in full to field controllers; rather, they should receive those portions for which they are responsible as handouts. This includes the summary listing as well as any detailed inject forms they will deliver to players. The Controller and Evaluator (C/E) Handbook should be consulted for more information on MSEL inject procedures. Core control team members, primarily located at a Control Cell, may use this document to track exercise play, manage Simulation Cell (SimCell) functions, and maintain situational awareness for the Exercise Director. Evaluators may also reference individual pieces of the document through teamwork with controllers.

Exercises are the culmination of training toward a higher level of preparedness. This document was produced with help, advice, and assistance from planning team members from various departments and agencies. As such, this document is tangible evidence of the public safety partnership in response to the specified hazard.

The information in this document is current at the date of publication and is subject to change as dictated by the Exercise Planning Team.

Important! This MSEL Package is complementary to the Exercise Plan (ExPlan) and the C/E Handbook. Refer to the ExPlan and C/E Handbook for more extensive information about the exercise, including participating agencies, schedules, briefings, and the responsibilities of various participants.

This document contains information about the events of the exercise and should be safeguarded from disclosure before and during the exercise. Only designated controllers should have access to this document.



Handling Instructions ii Shasta County FOR OFFICIAL USE ONLY

HANDLING INSTRUCTIONS 1. The title of this document is the 2011 Shasta Medical and Health Exercise Master Scenario

Events List (MSEL) Package. 2. Information gathered in this MSEL Package is designated as For Official Use Only (FOUO)

and should be handled as sensitive information that is not to be disclosed. This document should be safeguarded, handled, transmitted, and stored in accordance with appropriate security directives. Reproduction of this document, in whole or in part, without prior approval from Shasta County Health and Human Services Agency – Public Health is prohibited.

3. At a minimum, the attached materials will be disseminated strictly on a need-to-know basis and, when unattended, will be stored in a locked container or area that offers sufficient protection against theft, compromise, inadvertent access, and unauthorized disclosure.

4. For more information about the exercise, please consult the following points of contact (POCs):

State Point-Of-Contact: John Wogec California Department of Public Health Emergency Preparedness Office [email protected] (916) 650-6430 Shasta County Hospital Preparedness Program Exercise Planning Team Shasta HPP Exercise Director: Nicole Bonkrude, MPH Emergency Preparedness Coordinator Shasta County Health and Human Services Agency – Public Health 2650 Breslauer Way Redding, CA 96001 (530) 245-6839 [email protected]

Shasta HPP Senior Controller: Scott Holmquist Consultant PURSUE IT 530-605-5080 [email protected]

Hospital Preparedness Program Coordinator: Heidi Vert Shasta County Health and Human Services Agency – Public Health 2650 Breslauer Way Redding, CA 96001 (530) 225-5298 [email protected]

mailto:[email protected]�





Handling Instructions iii Shasta County FOR OFFICIAL USE ONLY

Hospital Preparedness Program Exercise Planning Team Members: Richard Yoder American Red Cross Mark Belden American Medical Response - Shasta County Carla Alexander Health Alliance of Northern California Linda Whitehead Hill Country Community Clinic Happy Barrios Mayers Memorial Hospital District Debbie Wiechman Northern California Rehabilitation Hospital Philip Simi Patients Hospital Karen Vancleave & Michael Rogers Pit River Health Services Joy Willis SHASCOM 9-1-1 Denise Highfill & Geoff Reynolds Shasta Community Health Center Gloria Newton, Jake Pry, Jeremy Wilson, Maureen Robison, Niambi Felker & Stephanie Taylor Shasta County Health & Human Services Agency - Public Health LyRae Sullivan Shasta Regional Medical Center Carl Seguin & Richard Cloyd Shasta – Tehama Amateur Radios Emergency Services Carolyn Hopkins & Jan Sweringen Shingletown Medical Center



Contents iv Shasta County FOR OFFICIAL USE ONLY

CONTENTS Preface ...................................................................................................................i Handling Instructions ..........................................................................................ii Exercise Objectives .............................................................................................1

November 17, 2011 MSEL (Summary) ................................................................6

MSEL (Expanded) .............................................................................................. 16

Appendix A: Glossary ...................................................................................... A-1



Exercise Objectives 1 Shasta County FOR OFFICIAL USE ONLY

EXERCISE OBJ ECTIVES Exercise Objectives

The Exercise Design Workgroup selected objectives that focus on evaluating emergency response procedures, identifying areas for improvement, and achieving a collaborative attitude. This exercise will focus on the following objectives:

A. Demonstrate the ability of emergency response partners within the operational area to share critical information in planning for and responding to a disruption in the public water supply.

B. Demonstrate the ability to continue ongoing communications during an event.

C. Evaluate the ability to maintain services and operations in the event of a disruption in the public water supply.

D. Evaluate plans and procedures for resource requesting and consistency with the Standardized Emergency Management System

To provide further guidance, the exercise design workgroup developed discipline/agency specific exercise objectives which are located in the 2011 Statewide Medical and Health Exercise Guidebook.

Objectives by Discipline and Agency:

Local Health Department

1) Shasta County Health & Human Services Agency - Public Health

a) Communications

i) Test the ability to assess public health threat and disseminate relevant status information to general public

b) Intelligence/Information Sharing and Dissemination

i) Test the ability to analyze public health information, make recommendations for mitigation of public health threat, and disseminate relevant information to medical providers

c) Medical Surge

i) Test the ability to activate the Medical Health Operational Area Coordinator Program to provide situational reports and support resource requesting

d) Emergency Operations Center Management

i) Test the ability to activate staff and operate the Public Health DOC in response to this event




e) Epidemiology and Surveillance

i) Test the ability to distribute and receive information for the purpose of active case finding with partner hospitals and/or medical clinics.

Local Water District

2) Bella Vista Water District

a) Communications

i) To evaluate organizational preparedness and assess adequacy of communications, plans, policies and procedures.


i) Evaluate threat mitigation and response capabilities

c) Emergency Operations Center Management

i) Review internal and external emergency response

ii) Identify weaknesses and opportunities for improvement

Acute Care Facility/Hospital

3) Mayers Memorial Hospital

a) Medical Surge

i) Exercise Hospital Shelter in Place / Lockdown Procedure

b) Emergency Operations Center Management

i) Activation of Emergency Operations Plan

ii) HICS Activation / IC Command Center setup

iii) Participants will assist in development of IAP

4) Mercy Medical Center Redding (MMCR)

a) Communications

i) Test interoperable communications

5) Northern California Rehabilitation Hospital (NCRH)

a) Communications

i) Testing interagency communications

b) Medical Surge

i) Test hospital and interagency communication and safely and efficiently care for an increased number of patients

ii) Testing resource requesting




iii) Testing hospital surge plan

6) Patients’ Hospital of Redding

a) Communications


7) Shasta Regional Medical Center (SRMC)

a) Communications


Community Care Clinic/Medical Clinic

7) Health Alliance of Northern California (HANC)

a) Communications

i) Test communications with other organizations

b) Medical Surge

i) Ensure that our member clinics are able to meet the health care needs of patients who may come into their facilities, and to coordinate and cooperate with other local, state and federal health care and emergency service organizations

ii) Test available emergency resources/equipment/supplies against the presenting emergency situation

iii) Test ability of clinic staff to provide patient care during crisis situation

8) Hill Country Community Clinic (HCCC)

a) Communications

i) To test the communications systems currently in place

b) Medical Surge

i) To help determine what our abilities are to assist other agencies

ii) Determine strengths and weaknesses current level of on-hand supplies


i) To better understand and practice the processes involved in emergency planning and implementation

9) Pit River Health Services

a) Medical Surge

i) Determine preparedness capability




ii) Determine gaps in policy and procedure

iii) Identify needs of facility

10) Shasta Community Health Center (SCHC)

a) Medical Surge

i) Determine which departments can continue to function in a water disruption

ii) Determine period of time will each department be able to continue function in a water disruption

b) Emergency Operations Center Management

i) To determine what services we can continue to provide in a water disruption using several different scenarios

ii) Determine ways the health center better prepare for a water disruption

11) Shingletown Medical Center

a) Communications & Intelligence/Information Sharing and Dissemination

i) Test communications with all partners, requesting and sharing resources.

b) Medical Surge

i) To test our Emergency Response Plan community wide.

ii) Evacuate our facility to alternate care site, Black Butte School (our MOU) and test our operational capabilities community wide, focusing on at-risk populations


i) Test our EOP, and define gaps in our Incident Management Team and NIMS compliance

Emergency Medical Services Providers/Ambulance Providers

12) American Medical Response (AMR) - Shasta County

a) Communications.

i) Test Communications Interoperability

Local EMS Agency (LEMSA)/Regional Disaster Medical Health Specialist (RDMHS)

13) Sierra-Sacramento Valley Emergency Medical Services (SSV EMS)

Public Safety Answering Point

14) SHASCOM 9-1-1

a) Communications.

i) Test GETS cards




ii) Test AVL

iii) Test communicator call out

iv) Test school notification system

a) Intelligence/Information Sharing and Dissemination

i) Check contacts to confirm we have current & correct numbers & USU Tactical Dispatch Team

Volunteer Agencies

15) American Red Cross of Northeastern California

a) Communications

i) Establish interfaces with other participating agencies

b) Medical Surge

i) Assess degree of readiness in preparation for next disaster response and determine resources necessary for that response

16) Shasta County Disaster Healthcare Volunteers (DHV)

a) Communications

i) To determine the functionality of our communications and emergency alerting capabilities

ii) To familiarize our volunteers with utilizing the DHV system during call outs

b) Medical Surge

i) To test the availability of our volunteers; to test their knowledge and understanding of the ICS system; to test our emergency alerting system; to test our communications system

ii) To provide a sufficient number of medical and non medical volunteers to support the first responder agencies in a medical surge situation

17) Shasta Tehama Amateur Radio Emergency Services (STARES)

a) Communications

i) Provide reliable back-up emergency communications

ii) Provide training

iii) Identify problem areas


i) Man all medical agencies by testing radio voice and data packet communications in Shasta County



MSEL (Summary) 6 Shasta County FOR OFFICIAL USE ONLY

NOVEMBER 17, 2011 MSEL (SUMMARY) The summary of the Master Scenario Events List (MSEL) follows. This is a high-level view of MSEL injects in chronological order.

Event #

Event Time

Event Description

Responsible Controller

Recipient Player(s)

Expected Outcome of Player Action

PRE-EVENT EXERCISE INFORMATION

1 11/16 (Day Before)

On November 16, the local water system contacts law enforcement after finding a truck illegally connected to one of its fire hydrants with a pump found to be positioned to pump into the hydrant. This hydrant is just around the corner from a municipal water source.

HPP CAHAN Alert All HPP Controllers

• Alert issued for suspected water contamination from unknown source(s) in several California counties. Organizations/jurisdictions should follow directions from local water authorities.

2 11/16 (Day Before)

SHASCOM receives a 9-1-1 call of a large tanker trailer leaking large volume of unknown substance at the extreme northwest end of West Street below Shasta High School. Redding Police and Fire are dispatched to check it out. Sources have stated that a large quantity of unknown substance was dumped into the Sacramento River affecting both the City of Redding water supply and the Bella Vista water supply which draws its water just below the Sundial Bridge. Decision has been made to discontinue pumping water from the Sacramento River by both City of Redding and Bella Vista Water District.


• Acknowledge receipt of information

• Notification of key leadership and administrative personnel

• Activation of organization/jurisdiction EOP and hazard specific plans to manage event response

• Activation of organization/jurisdiction command and/or operations center

11/16 (Day Before)

The Burney Water District and Fall River Valley Community District have reported to the Shasta County Sheriff’s Office of a series of break-ins were discovered this morning at the storage reservoir on Mountain View Rd. that serves the pressure zone serving the town of Burney and the three storage tanks that serve the McArthur and Fall River Mills areas.


• Burney Water District and Fall River Valley Community District The locks on the hatch directly leading into the reservoir have been cut and several containers were left that had a slight residue.

• The local Hazmat Team SCHMRT was called and chemical field tests were inconclusive.




Event #

Event Time

Event Description


Recipient Player(s)


3 11/16 (Day Before) KEY

Shasta County Public Health has received information from the hospitals and clinics in the Redding area that they have seen upward of 330 patients that are experiencing lower gastrointestinal issues in the past 24 hours. SCPH ITAM Meeting.

SCPH EMCR Public Health ITAM Players

SCPH ERP Activation. Notify key staff to report to DOC 11/17/11. Ensure IAP development. Use Algorithm to determine need to activate Joint Epidemiology Response Plan. Initiate outbreak investigation..




Event

# Event Time

Event Description


Recipient Player(s)


DAY OF EXERCISE PLAY November 17, 2011 0900 to 1300

4 0800 Alert issued for suspected water contamination from unknown source(s) in several California counties. Organizations/jurisdictions should follow directions from local water authorities.

State officials representing health, law enforcement, emergency management and water authorities

SCPH & HPP SimCell

5 0830 KEY

COMMUNICATIONS CHECK HPP SimCell All

6 0840 KEY

The water system has sampled the local water, but results will not be available for 6 to 12 hours. As a precaution, the water system has issued a “Do Not Use” notice. Sheriff –OES Activate Shasta County Emergency Operations Center.

HPP SimCell (Local/OA water authorities)

Sheriff-OES/ SHASCOM 9-1-1

SHASCOM follows normal notification protocol

• Notify citizens affected by EAS Shasta EOC (HPP SimCell)

• Send Press Release #1 clarifying who is affected by the City of Redding, Bella Vista Water District Fall River Community Services District and Burney Water District “Do Not Use” orders.

7 0845 KEY

Sheriff-OES request to SHASCOM to activate medical health branch by notifying Public Health

SHASCOM 9-1-1 Shasta County HHSA – Public Health

SHASCOM notifies Shasta County HHSA – Public Health of water disruption

8 0850 KEY

Activate Medical Health Branch of EOC/SCPH DOC Activation.

SHASCOM 9-1-1 Shasta County HHSA – Public Health

SCPH Callout of DOC personnel (CAHAN). Notify key staff. Start of Operations Period for 11/17/11.

9 0900 KEY

Start of Shasta Medical and Health Functional Exercise (StartEx)

HPP SimCell/ SCPH DOC Controller

All Medical Health Exercise Participants

E-mail and CAHAN Alert for beginning of exercise sent. Com Check with all participants complete




Event #

Event Time

Event Description


Recipient Player(s)


10 0906 KEY

SCPH DOC alerts Health Care Community SCPH HPP Group CAHAN alert, Message and Information • Receipt and confirmation of

information • Notification of key (internal)

personnel • Activation of event and

organization specific plans • Activation of communication plans

11 0910 What is the scope of “Do Not Use” notice; does this apply to non-potable water?

Clinics and Hospitals (HPP Players)

Local water authority or LHD/EHD (HPP SimCell)

Send as requested and post on HPP website the provision of information on scope of notice fact sheet

12 0915 Immediately discontinue use of all public water delivery systems within the facility.

Organization’s Incident Commander or Senior Official

(Agency Controllers)

Organization leadership and employees

(Facility Staff)

• Discontinue use of all water within the facility (simulation)

• Ensure activation of Emergency Operations Plan and applicable hazard specific plans

• Activation of command or operations center

• Initiate Incident Action Planning • Notification of all employees,

clients, patients, stakeholders of water restrictions and/or limitations for all impacted sites

13 0920 Reports across the State of vandalism at reservoirs and tampering with fire hydrants; request information on safety of your organization’s water supply.

KRCR Channel 7 television and radio stations (HPP SimCell)

All participants • Information is validated • PIO or organization’s media

spokesperson prepares response • Coordination with local/OA Joint

Information System on media and community messaging

14 0930 Dietary Department wants to know if the public water supply can be used in food preparation if it is boiled?

Mayers & NCRH LTC Facilities (HPP SimCell)

Shasta SCPH DOC (LHD/EHD)

• Acknowledge receipt of inquiry • Provide response/guidance to LTC

Facility • Provide provision of information

on scope of notice fact sheet




Event #

Event Time

Event Description


Recipient Player(s)


15 0930 The Shasta County Office of Education School District representative contacts the Shasta County EOC to let them know they have 50 gallon drums of water for earthquake preparedness, but needs pumps to move water into small containers.

Local/OA EOC Logistics (HPP SimCell)

SCPH DOC Logistics

• Acknowledge receipt of information

• Ensure Logistics Section is informed of resource

16 0930 KEY

The Facilities Director, through the Liaison Officer, let the MHOAC know that the chillers have been shut down due to the water restriction. Portable air conditioning units are needed to cool the buildings or evacuation may be necessary.

MMCR & SRMC Hospitals (HPP SimCell)

Shasta SCPH DOC MHOAC

• Acknowledge receipt of inquiry • Provide response/guidance on

resource requesting process

17 0935 Workers at Burney Water District water treatment plant noted tampering with perimeter fencing and gates in the past week.

KRCR Channel 7 television news (HPP SimCell)

All participants

• Receipt and confirmation of information

• Notification of key (internal) personnel

• Activation of event and agency specific plans related to message (security, perimeter lockdown)

18 0935 KEY

Monitor and track all patients for signs of GI symptoms after exposure to public water supply and forward case histories for patients meeting the refined case definition.

SCPH DOC (Epidemiologist)

All health care providers

• Patient tracking systems are activated

• Symptomatic patients are reported to the LHD

19 0940 KEY

Several reporters are asking for definitions and guidance concerning the “Do Not Use” notice. What does it mean for the general public? Major increase in calls from community to 211 Information Center and SHASCOM 911 Dispatch Center asking about the safety of the water: is it safe to drink? To use for washing and food preparation?

SCPH PIO Shasta OA emergency management (HPP SimCell) & LHO: Andrew Deckert, Shasta County Health Officer

• Acknowledge receipt of inquiry • Provide response/guidance • Activation of JIC to oversee risk

communications • HHSA-Public Health PIO

representatives requested at Shasta County EOC to participate in JIC

• Development of 2nd press release and public service announcements

20 0945 Shasta OA EOC activates a Joint Information Center (JIC). Agency with a role in the response should immediately respond by sending their PIOs to the EOC.

Shasta OA EOC (HPP SimCell)

SCPH DOC M/H Branch of EOC

Ensure SCPH PIO identified to report to EOC (simulated reporting).




Event #

Event Time

Event Description


Recipient Player(s)


21 0945 KEY

Request status of organization’s current and projected operations based on water outage and /or restrictions in use. HICS Facility Status Report due to SCPH DOC in 45 minutes.

Shasta OA EOC (SCPH DOC M/H Branch of EOC)

All participants • Status of current and ongoing operations are assessed

• Information shared with local/OA EOC

• COOP and COG plans are activated per policy

22 0950 Request information on projected length of water notice “Do Not Use” notice.

Health care providers Media

Shasta OA water authorities EHD (HPP SimCell)

• Information on projected length of water system disruption is shared with command and/or operations center staff

• Planning section begins projection of needs and capability to sustain operations for 24,48,72,96 hrs

23 1000 KEY

The 2nd Shasta County EOC Press releases issued: services provided may be curtailed or canceled due to the disruption in the public water supply

Community Organizations (HPP SimCell)

Media Local/OA EOC

• Identify clients/patients who received services from community organizations

• Assess ability to provide expanded services to clients /patients

24 1000 KEY

The State Operations Center (SOC), the CDPH & EMSA Joint Emergency Operations Center (JEOC) and Region III Regional Emergency Operations Center (REOC) in Sacramento are all activated.

Cal EMA State Warning Center

All Participants Command and operations centers are aware of activation as reflected in Incident Action Plan

25 1000 KEY

California declares a State of Emergency for the affected counties including Shasta County

Cal EMA State Warning Center

All Participants

Command and operations centers are aware of declaration as reflected in Incident Action Plan (IAP)

26 1005 Should school be closed? They have their own water supply and are not in the “Do Not Use” area.

The Simpson School President (HPP Players)

SCPH DOC • Acknowledge receipt of inquiry • Provide response/guidance

27 1005 What is the contaminant? What are the symptoms of exposure? Is there a number we can refer the worried well to call for guidance?

Local healthcare clinicians (HPP Players)

SCPH DOC • Acknowledge receipt of inquiry • Provide key information if

available 28 1010 Participating Public Information Officers are asked

“How does the closure of many community services impact your operations?”

Media All participants • Notification of internal leadership concerning closure of some community services

• Determination of effect(s) of community service disruption on organization’s current and projected operations




Event #

Event Time

Event Description


Recipient Player(s)


29 1010 We need specific talking points to respond to the media.

Shasta OA EOC JIC

State Operations Center (SOC)

• REOC provides information as requested

• JIC reviews talking points and incorporates into written and news media releases

• Local/OA EOC uses information in media releases

30 1015 KEY

JIC has been activated; participants should engage in JIS policy for development of media and community messages.

Shasta OA EOC JIC (Relayed by SCPH DOC)

All participants • (if applicable) send organization PIO or identified representative to JIC

• Assist in development of media and community messages

• Ensure organizational approval of messages released

31 1020 Dramatic increase in number of walk-in patients; some with symptoms of GI illness, others requesting evaluation after drinking the public water.

All hospitals and clinics

LEMSA/LHD MHOAC (Epidemiologist)

Initiate surge plans and incorporate into Incident Action Plans

32 1025 We need water trucks to supply HVAC and refrigeration to maintain operations.

Medical Examiner/Coroner (HPP SimCell)

Local/OA EOC and SCPH DOC

• Policy and procedure for resource requesting is utilized

• Determine type of water trucks and potable or non-potable water type needed

33 1030 KEY

Provide situation status report for current and continued operations within 2 hours (1230).

Shasta LHD/LEMSA MHOAC (SCPH DOC)

Health care providers

Utilize jurisdiction specific policy, format and technology to provide situation status to [email protected]

34 1030 Shasta Operational Area morgue cannot accept decedents until water supply is restored.

Medical Examiner/Coroner (HPP SimCell)

All Hospitals EMS Providers Local/OA EOC Law Enforcement

Activation of organization/jurisdiction mass fatality surge plans

35 1035 The local high school calls in to ask “Can we add bleach to water to continue using water? Can we drink pool water?”

Shasta High School (HPP SimCell)

SCPH DOC • Acknowledge receipt of inquiry • Provide guidance/response to

inquiry 36 1040 Requests are put in to deliver additional potable

water caches to be delivered ASAP. All participants Vendors Activation of MOA/MOU with partner

organizations and vendors for water supplies

37 1040 Contact RDMHS for information on health care operations in the State.

SOC REOC REOC works with RDMHC to respond to information request from SOC





Event #

Event Time

Event Description


Recipient Player(s)


38 1045 Request current water order be evaluated and recalculated for emergency needs based on high demand from multiple clients.

Water Distributers (HPP SimCell)

Clients Assessment of potable water needs for 24,48,72 and 96 hours for current and expanded operations

39 1050 Assess ability to sustain current operations based on current supply; identify needs for continued operations and request additional water supplies through mutual aid.

HPP Participants (HPP Agency Controllers/ Players)

Key administrative staff Command and operations center staff Logistics Section

• Assessment of supplies, equipment, personnel to sustain operations

• Resource needs are communicated to Logistics Section and communicated to operational area mutual aid coordinators

• Resource needs are documented and requested through appropriate ICS forms

40 1055 Limited transports to the hospital can be accepted due to the disruption in public water supply.

MMCR, SRMC, NCRH & Patients Hospitals (HPP Players)

Clinics LTC Facilities EMS Providers LEMSA Private Providers

Activation of medical surge plans to handle increased patient care demands

41 1055 Despite the “Do Not Use” notice, can we boil the water for hand washing?

HPP Clinic (HPP Players)

MHOAC (SCPH DOC)

Provision of information on “Do Not Use” notice

42 1100 KEY

Request immediate bed capacity for the facility at 0900 and report by 1100

MHOAC (EMSystems)

All hospitals All LTC facilities

Healthcare facilities provide requested information by 1100

43 1100 The gym class showered because they did not get the notice in time; what should they do?

Simpson University (HPP SimCell)

SCPH DOC • Acknowledge receipt of inquiry • Provide guidance on medical

evaluation and intervention 44 1100 Several patients at our clinic have water samples.

Where do I send them for testing? HPP Clinics (HPP Players)

SCPH DOC Provide information on local resource for water testing if applicable

45 1100 2 patients require transfer to hospitals, which are declining transfers due to water emergency. Need assistance with patient transfers.

NCRH LTC Facility (HPP Player)


Notify RDMHS to initiate patient dispersal policy and procedure

46 1105 Multiple patients require transport to hospitals that are closed due to the water disruption. Need assistance with operational area and/or regional patient dispersal.

EMS Providers (HPP Players)


Notify RDMHS to initiate patient dispersal policy and procedure

47 1110 The ED has approximately 40 patients waiting to be seen, all with requests to be evaluated for illness after from a public water source.

Mayers Memorial Hospital (HPP Players)


Notify RDMHS and activate Medical Surge Plans




Event #

Event Time

Event Description


Recipient Player(s)


48 1115 Several patients with water samples are in the main lobby and they wish to have tested for possible contamination.

HPP Hospitals (HPP Players)


Provide guidance on available water testing if applicable.

49 1120 We need port-a-potties, hand sanitizers and potable water to continue operations.



• Acknowledge request • Provide guidance on resource

requesting procedures for non-medical resources

• MHOAC directs hospital to contact local/OA EOC

50 1125 We are experiencing a dramatic rise in calls for advice. Is there any way to curtail the calls and respond to the public?

211 information centers, poison control centers, water authorities (HPP SimCell)


Information is relayed to the JIC

51 1140 Can you identify the geographic area where the symptomatic patients drank water?

Local water authorities (HPP Player)

LHD/EHD (SCPH DOC)

LHD/EHD initiate investigations

52 1200 Please identify the location where all symptomatic patients drank or were exposed to contaminated water.

LHD/EHD (SCPH DOC)

All Hospitals Hospitals provide LHD/EHD with needed information

53 1200 KEY

Call for resource requests. Resource requests that will be submitted today need to be received at SCPH DOC by 1230.

SCPH DOC All Send resource requests to SCPH DOC by 1230.

54 1230 KEY

Resource requests that will be submitted today need to be received at SCPH DOC by 1230.

SCPH DOC All Send resource requests to RDMHS and OES to enter into RIMS.

55 1230 Request for water tankers to supply HVAC and fire suppression systems.


EOC Medical Health Branch

• Acknowledge request • Provide guidance on resource

requesting procedures for non-medical resources

56 1235 People are continuing to use bathrooms since the water is running. What should we do?

HPP Clinics (HPP Players)


• Confirm receipt of message • Develop action items

57 1240 Our maintenance chief has determined we cannot use the sprinklers if there is a “Do Not Use” notice. Can you provide a fire truck to our facility in case of emergency?


Local Fire Dept. (HPP SimCell)

Acknowledge request and provide response and guidance




Event #

Event Time

Event Description


Recipient Player(s)


58 1245 Notify all organizations and the community to initiate “Fire Watch” policy and procedure.

Fire (HPP SimCell)

JIC (SCPH PIO)

• Organizations initiate “Fire Watch” policy and procedures

• Organizations notify regulatory agencies of disruption in service

59 1250 In the event of a “Do Not Use” notice, what is the safety of the community if there is a fire?

Media Local/OA Fire Department

• Ensure message delivered to JIC • Ensure fire department PIO is

active with JIC 60 KEY

1300

Laboratory tests confirm water systems flushed and water is safe to drink. “Do Not Use” notice has been lifted. Residents are notified by EAS and 3rd Press Release.

Designated regulatory agency for/local water authority (HPP SimCell)

All Participants • Demobilization of response • Return to normal operations • Development of Demobilization

and System recovery Incident Action Plan

• Assessment of water system disruption on organization /jurisdiction

• Initiation of After Action review/Improvement Planning process

61 1300 KEY

Event Closures SCPH DOC SimCell

All HPP Partners Track events and prompt decision making process about further events

62 1300 KEY

ENDEX: Shasta Medical and Health Exercise



MSEL (Expanded) 16 Shasta County FOR OFFICIAL USE ONLY

MSEL (EXPANDED) On the following pages are several examples of detailed MSEL injects, often referred to as implementer message forms. These are examples of injects drawn from the exercise for which the preceding MSEL Summary was written. In an actual MSEL Package, every line within the MSEL Summary would have a corresponding detailed MSEL inject. These would be distributed to controllers who have responsibility for delivering the respective injects.

Event # [#] Event Time: [Time] (Expected) [Time] (Actual)

Via: [Inject Method]

Objective(s): [Insert appropriate related objectives]

Who Delivers? [Controller] Recipient Player(s): [Recipient name(s)]

Event Description:

[Insert Description]

Inject:

[Insert Inject Detail]

Expected Action(s): Notes

[Insert Expected Actions]

Expected Outcome: Notes

[Insert Expected Outcome]



MSEL (Expanded) 17 Shasta County FOR OFFICIAL USE ONLY

Event # Event Time: (Expected) (Actual)

Via: Objective(s):

Who Delivers? Recipient Player(s):

Event Description:

Inject:

Expected Action(s): Notes

Expected Outcome: Notes

Notes:

Appendix A: Glossary A-1 Shasta County Operational Area

APPENDIX A: GLOSS ARY Term Definition

CAHF California Association of Health Facilities

Cal EMA California Emergency Management Agency. Lead agency for coordinating emergency activities related to fire and rescue, incident management, search and rescue, law enforcement, and public information.

CDPH California Department of Public Health. A State agency that works closely with health care professionals, county governments and health plans to provide a health care safety net for California’s low-income residents and persons with disabilities.

CHA California Hospital Association

CPCA California Primary Care Association

DOC Department Operations Center. An emergency operations center specifically set up by a single department or agency which focuses on internal agency incident management response.

EEG Exercise Evaluation Guide. These evaluation tools are the primary reference to ensure all jurisdictions/organizations evaluate exercises against the same measurable baseline.

EMSA Emergency Medical Services Authority. Responsible for prompt delivery of disaster medical resources to local governments in support of their disaster medical response.

EOC Emergency Operations Center. The physical location at which the coordination of information and resources to support incident management (on-scene operations) activities takes place.

EOM California Health and Medical Emergency Operations Manual

HCC Hospital Command Center. Site within the hospital or health care facility where


Term Definition

overall emergency response and support activities are coordinated

HICS Hospital Incident Command System

HSEEP Homeland Security Exercise and Evaluation Program

ICS Incident Command System. A standardized on-scene emergency management specifically designed to provide for the adoption of an integrated organizational structure that reflects the complexity and demands of single or multiple incidents, without being hindered by jurisdictional boundaries.

JIC Joint Information Center

JIS Joint Information System. Integrates incident information and public affairs into a cohesive organization designed to provide consistent, coordinated, accurate, accessible, timely, and complete information during crisis or incident operations.

LEMSA Local emergency medical services agency. The agency, department, or office having primary responsibility for administration of emergency medical services in a county.

LHD Local health department. The agency, department, or office having primary responsibility for administration of public health services in a county.

MHOAC/P Medical Health Operational Area Coordinator/Program. A functional designation within the operational area normally fulfilled by the county health officer and local emergency medical services agency administrator (or designee), responsible for the development of a medical and health disaster plan and coordination of situational information and mutual aid during emergencies.

NIMS National Incident Management System. Provides a systematic, proactive approach guiding government agencies at all levels, the private sector, and non-government organizations to work seamlessly to prevent, protect against, respond to, recover from and mitigate the effects of incidents, regardless of cause, size, location, or complexity, in order to reduce the loss of life or property and harm to the environment.

OA Operational area. An intermediate level of the State’s emergency organization,


Term Definition

consisting of a county and all other political subdivisions within the geographical boundaries of the county.

REOC Regional Emergency Operations Center. Provide centralized coordination of resources among operational areas within their respective regions, and between the operational area and the State government level.

RIMS Response Information Management System

SEMS Standardized Emergency Management System. A system required by California Government Code for managing response to multi-agency and multi-jurisdictional emergencies in California.

Documents

Master Scenario Events List (MSEL) Package