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LLIS Best Practice: Strategic National Stockpile Distribution Planning: Dispensing Site Layout and Patient Flow
"Local SNS [Strategic National Stockpile] planners should create diagrams for the physical layout and patient flow for each dispensing site. State planners may provide templates to local planners and dispensing site managers for determining their facility's layout and flow. The physical layout will map the key stations to be established at the site. The patient flow displays the sequence of stations the patients will visit."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice -- Strategic National Stockpile Distribution Planning: Using Staging Sites to Segment Dispensing Processes
"Local SNS [Strategic National Stockpile] planners may consider using segmented dispensing sites to control the flow of patients and vehicles. A segmented dispensing site involves splitting dispensing site functions into multiple and distinct physical locations. This Best Practice reviews the major considerations local planners will need to take into account when developing segmented dispensing sites."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: Strategic National Stockpile Distribution Planning: Dispensing to 'Head of Household'
"Local SNS [Strategic National Stockpile] planners should consider the possibility of introducing a head of household protocol during SNS distribution. Allowing the 'head of household' to pick up pharmaceuticals for members of an entire family can help reduce the total number of people present at dispensing sites. It also reduces the need for children and the elderly to go through dispensing site to receive pharmaceuticals."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: Radiological Dispersal Device Incident Response Planning: Overview
"Pre-incident planning and training can facilitate preparedness for, response to, and recovery from an RDD [Radiological Dispersal Device] incident. This Best Practice series supports jurisdictions' pre-planning processes by providing information on basic radiation concepts and RDD classification, use, and effectiveness. This document describes the major issues that emergency managers and responders may face after an RDD event. It discusses the essential elements for establishing a minimal RDD emergency response capability."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice -- Radiological Dispersal Device Incident Response Planning: Decontamination
"Mass screening and decontamination after an RDD [Radiological Dispersal Device] event is likely to be a time-consuming, resource-intensive process that could overwhelm many jurisdictions. Planners should establish standard operating procedures (SOP) that include large-scale monitoring and decontamination provisions after an RDD event. Public demand for screening and decontamination following an RDD event could exhaust local resources at the onset of emergency response operations. RDDs such as dirty bombs or other aerosolization systems could contaminate people at and around the primary incident site as well as along the path of the plume. Contaminated victims then could crosscontaminate other people, responders, and receivers. These people will require screening and possibly decontamination. In addition, many people outside the incident area may believe that they were contaminated and demand to be screened and decontaminated. Thus, public demand for screening and decontamination could become rapidly unmanageable and overwhelm emergency response organizations in many jurisdictions."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: Radiological Dispersal Device Incident Response Planning: Incident Site Medical Management
"Jurisdictions should plan for the onsite medical management of injured and/or contaminated victims following an RDD [Radiological Dispersal Device] incident. This Best Practice discusses medical management, monitoring issues, and procedures that planners should consider as they develop their RDD plans and standard operating procedures (SOP). This document reviews core concepts of onsite medical management of victims, medical consequences of an RDD event, medical management of victims with life-threatening injuries, and monitoring and record keeping issues."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: Radiological Dispersal Device Incident Response Planning: Public Information
"Assessing and communicating risks is likely to be especially difficult during incidents involving RDDs [Radiological Dispersal Device]. Many people do not understand radioactivity and its short- and long--term effects. Further, they may confuse an RDD incident with a nuclear detonation or an accident like the one that occurred at Chernobyl. Thus, they are likely to mistake even a small release of radioactive materials for a catastrophic event. This lack of critical knowledge of RDDs is likely to intensify the public's fear of radiation. Moreover, the media may deliver conflicting messages to the public after an RDD incident. This uncertainty also can greatly exacerbate the public's fears and concerns. It could also lead the public to doubt or even disregard official statements in favor of unfounded rumors after an RDD event."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: Incident Site Security: Perimeter Security Overview
"This Best Practice discusses the importance of perimeter security procedures during responses to terrorist incidents. These procedures serve as the basis for effective site security and efficient emergency response. Perimeter security is essential for the successful site security, site safety, resource accountability, and other elements of incident site management."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: Pre-Incident Site Planning: Staging, Tactical, and Evacuation Areas
"Review and identify staging, tactical, and evacuation areas of target hazard sites for preplans/target folders. The pre-planning team can improve response time by identifying staging, tactical, and evacuation areas before an incident occurs."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: Volunteer and Donations Management: Establishing Interagency Coordination
"Interagency coordination between federal, state, local, and voluntary agencies is essential for successful volunteer and donations management operations. There are many agencies and organizations involved in volunteer and donations management that must work together before, during, and after a disaster in order to effectively prepare for, respond to, and recover from a disaster."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: Incident Site Safety Planning: Emergency Incident Rehabilitation
"EIR [Emergency Incident Rehabilitation] is a systematic process that provides emergency responders with periods of rest and recovery at an incident site. It is necessary at any emergency operation where strenuous physical activity or exposure to heat or cold exist. Emergency response organizations should develop formal EIR procedures so on-site officials can implement and conduct EIR operations. EIR procedures should be clearly specified in an organization's standard operating procedures (SOP), supported by pre-arranged resources, staffed by qualified personnel, and internally promoted by emergency planners."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: Incident Site Safety Planning: Deployment
"Response organizations should make preparations to efficiently and effectively execute the on-site deployment of personnel, vehicles, and other emergency response resources. These preparations include recognizing common deployment problems, creating relevant standard operating procedures (SOPs), and conducting extensive officer/personnel training. Emergency response organizations must deploy personnel, vehicles, and other necessary resources at an incident site to conduct response and recovery operations. For many response organizations, incident site deployment is an everyday task. However, if performed incorrectly, deployment can lead to significant incident site safety problems. Many incident site 'maydays' result from mistakes made during the deployment phase. Response organizations can prevent on-site deployment errors through extensive pre-incident planning and training. This Best Practice discusses the importance of deployment preparation and provides information response organizations can use to improve their deployment practices. The Best Practice focuses on two areas of incident site deployment: vehicle deployment and personnel deployment."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: Emergency Management Programs for Healthcare Facilities: The Incident Management System
"Healthcare facilities should establish an IMS [Incident Management System] for their organization to use when directing emergency response and recovery operations. Many healthcare facilities are adopting variations of the Incident Command System (ICS) that are tailored for medical operations. ICS principles enable a healthcare facility to improve emergency operations through use of a logical management structure, defined responsibilities, clear reporting channels, and common language. This helps manage facility operations during an emergency, as well as integrate the facility's response with that of other local, regional, and national efforts."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: Volunteer and Donations Management: Phone Bank Operations
"Phone bank operations and information management tools are essential for coordinating and managing volunteers and donations. Volunteer and donations managers should develop plans for phone bank operations and data management to track offers of donated goods and services during an emergency. Volunteer and donations management personnel should include these plans and procedures in their state's donations management plan Phone bank operations coordinate all offers to donate goods and services after a disaster. The phone bank also serves as a coordinating body among the state emergency operations center, donations coordination center (DCC), volunteer reception center (VRC), warehouse operations, voluntary agencies, volunteers, donors, and those in need. Successful phone bank operations require maintaining a database of offers of goods and services, a needs list, and a resources list. There are a variety of ways to manage this information based on available resources."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: Emergency Management Programs for Healthcare Facilities: Emergency Operations Plan: Concept of Operations: Mobilization
"Mobilization activities prepare the healthcare facility to carry out its EOP [Emergency Operations Plan]. Each EOP section will conduct general mobilization actions regardless of the incident type. EOP sections may be further required to conduct other mobilization actions that enhance the facility's response capacity and capability to handle specific types of emergencies. These specific actions are detailed in the appendices to the EOP."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: Pre-Incident Site Planning: How to Store the Pre-Plan Information
"The pre-plan team must be able to store, access, and present pre-plan information in a logical and usable format. Jurisdictions should seek to integrate their terrorist incident preplan information electronically, using networked or stand-alone systems."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: Regional Emergency Planning for Healthcare Facilities: Initiating the Regional Planning Process
"This Best Practice examines three critical issues for conducting regional emergency planning among healthcare facilities: organizing the planning process, conducting a regional hazard vulnerability analysis (HVA), and using the Incident Management System (IMS). These issues provide the basis for developing more integrated regional healthcare facility emergency planning efforts. Regions may approach these topics and others differently due to their unique circumstances or conditions. This Best Practice discusses the processes necessary for initiating emergency planning among hospitals and healthcare facilities in a region."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: Mutual Aid Agreements: Backfill
"Maintaining normal levels of Emergency Medical Services (EMS), fire, and law enforcement service is difficult for jurisdictions experiencing a disaster that exhausts local resources and capabilities. Overtaxed response agencies can backfill their stations with neighboring mutual aid units to maintain normal levels of service. Backfill, also known as 'change of quarters' and 'move-ups,' occurs when an overtaxed jurisdiction requires units from neighboring jurisdictions to provide normal services to local residents. Backfill was crucial during the response to the September 11, 2001 attacks on the World Trade Center and the Pentagon. According to after-action reports, the terrorist attacks severely overtaxed the Arlington County Fire Department (ACFD) and the New York Fire Department (FDNY). In order to continue to provide normal levels of fire and EMS services, assets and personnel from surrounding jurisdictions provided backfill mutual aid to both Arlington County and New York City while ACFD and FDNY were engaged at the incident sites. This Best Practice discusses mutual aid support for maintaining normal levels of service."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: Mass Evacuation Reception Planning: Influx of Evacuees and Transportation Issues after a Nuclear Incident
"This Best Practice provides planners with information on the consequences of an unplanned influx of evacuees for jurisdictions adjacent to the nuclear incident area. This Best Practice also includes an overview of transportation networks' disruption and its consequences for receiving jurisdictions adjacent to an urban area after a nuclear incident."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice -- Incident Site Safety Planning: Personnel Accountability
"Personnel accountability enhances site safety by providing the Incident Management Team (IMT) with a system to track, account, and control the location, function, and welfare of all emergency personnel operating at an incident. Pre-incident personnel accountability planning enables response organizations to develop, implement, and enforce a personnel accountability system (PAS)."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: Emergency Management Programs for Healthcare Facilities: Program Organization
"This Best Practice reviews managerial roles and responsibilities for a healthcare facility's Emergency Management Program (EMP)."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: State and Local Government Continuity of Operations Planning: Orders of Succession
"Purpose - Suggests guidelines for developing orders of succession for key personnel within a government agency."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: Emergency Management Programs for Healthcare Facilities: Emergency Operations Plan: Concept of Operations: Activation
"This Best Practice describes what the activation section of a healthcare facility's concept of operations should include."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice -- Incident Site Security: Inner Perimeters
"Inner perimeter procedures delineate and maintain inner perimeters or 'control zones.' Procedures should include hazardous material (HazMat) detection, personal protective equipment (PPE) standard enforcement, decontamination of out-going personnel, and evidence preservation. Inner perimeter procedures are essential for ensuring the safety of emergency responders and the public, particularly in the context of a terrorist incident."
Lessons Learned Information Sharing (LLIS)
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LLIS Practice Note: Emergency Communications: Use of an Encrypted Radio Channel for Senior Regional Officials during the 2009 Presidential Inauguration
"The National Capital Region (NCR) established an encrypted radio channel for use by the
region's senior leaders, operations centers, and command posts during the 56th
Presidential Inaugural events. This secure channel provided a dedicated and reliable
method for these parties to coordinate activities and information throughout the
Inauguration."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: Pre-Incident Site Planning: Overview
"This document presents an overview of a collection of Best Practices that recommend preincident planning procedures and guidelines. Pre-incident planning involves the collection and storage of critical site data and characteristics about target hazard sites by emergency responders. Pre-incident plans (also called target folders) can improve the effectiveness of responses to terrorist and emergency incidents."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: State and Local Government Continuity of Operations Planning: Elements of a Continuity of Operations Plan
"COOP [continuity of operations] planning encompasses three types of plans that describe how the plan will be developed and carried out. Jurisdictions should begin by developing a strategic plan for achieving COOP goals. The basic COOP plan itself will include key elements such as the identification of essential functions, delegation of authorities, order of succession, protection of vital documents and systems, alternate operating locations, communications plans, and a plan for tests, training, and exercises. Finally, each agency must develop a response plan that details the initiation, implementation, and termination of the COOP plan."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: Mutual Aid Agreements: Developing Agreements
"This Best Practice provides guidance on developing written agreements, contracts, memoranda, and legislation that will guide aid during an emergency."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: Pre-Incident Site Planning: Pre-Planning Managers
"Pre-planning managers oversee and coordinate the collection, analysis, and dissemination of pre-planning information."
Lessons Learned Information Sharing (LLIS)
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LLIS Best Practice: Volunteer and Donations Management: Managing and Distributing Unsolicited Goods
"After an emergency, the public feels compelled to donate goods to help those affected by the incident. Emergency managers and public officials may educate the public on the need to assist those affected by disaster through cash donations; however, unsolicited goods will inevitably be donated. Emergency managers must create a plan to manage unsolicited goods during an emergency so that they do not hinder response and recovery operations."
Lessons Learned Information Sharing (LLIS)
