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LLIS Lesson Learned: Nursing Home Evacuation: Ensuring Adequate Transportation for an Evacuation
From Summary: "Nursing homes should consider having backup contracts with transportation services from, outside their local areas to evacuate patients during a large-scale emergency. Local, transportation services may not have sufficient personnel to honor standing evacuation, contracts."
Lessons Learned Information Sharing (LLIS)
2006-11-03?
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LLIS Lesson Learned: Biological Terrorism: Determining Priority When Testing Large Numbers of Samples During a Suspected Attack
"During a suspected biological terrorism incident, bioterrorism response laboratory (BTRL) staff should prioritize samples received to ensure that the most threatening or likely biological agent samples are tested first."
Lessons Learned Information Sharing (LLIS)
2004-10-01?
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LLIS Lesson Learned: Public Health Emergency Planning: Regional Planning for a Surge in Mental Health Cases
"Public health departments should consider developing a regional plan to support a
surge in mental health cases that may require hospitalization or admission to a
mental health facility during a pandemic influenza outbreak. This could include the
creation of a list that identifies all available in-patient psychiatric facilities and outpatient
mental health clinics in their area."
Lessons Learned Information Sharing (LLIS)
2008-07-03?
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LLIS Good Story: Hurricane Sandy: Atlantic City Uses 'Jitneys' to Transport Residents Amidst Hurricane Sandy
Taken from the Summary: "Atlantic City, New Jersey, relied on its local 'Jitney' minibuses to evacuate and provide essential resources to the most vulnerable residents prior to Hurricane Sandy making landfall. Since 1915, the jitneys have served as the city's main form of public transportation, and they proved critical during evacuation operations."
Lessons Learned Information Sharing (LLIS)
2013-01-22?
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LLIS Lesson Learned: Incident Site Management: Establishing Guidelines to Provide Victim Medical Information to Patient Distribution Coordinators
"Emergency response agencies should develop guidelines detailing the victim medical information that responders should communicate to personnel responsible for coordinating patient distribution. This can help ensure that personnel responsible for coordinating patient distribution among area hospitals prioritize transportation of victims effectively during incident response operations."
Lessons Learned Information Sharing (LLIS)
2010-11-05
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LLIS Lesson Learned: Critical Infrastructure Response Operations: Obtaining Damage Assessment Assistance from Trained Responders
"Utility companies should consider developing processes that enable them to obtain damage assessment assistance from trained municipal employees and emergency responders. This can expedite energy restoration and improve recovery operations after a large-scale event."
Lessons Learned Information Sharing (LLIS)
2010-07-09
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LLIS Lesson Learned: Interoperable Communications: Ensuring Familiarity with Radio Cache Policies and Procedures
"All regional Communications Coordinators (COMC) and Communications Unit Leaders (COML) should be familiar with radio cache request, activation, and deactivation policies and procedures. Potential incident commanders (IC) also should have awareness of radio cache availability. […] On September 14, 2006, the Kansas City Urban Area Security Initiative (UASI) Region conducted a 3-hour tactical interoperable communications plan (TICP) limited full-scale exercise. The purpose of the exercise was to validate the Kansas City UASI Region's TICP and to help participating agencies gain familiarity with the Plan's organizational structure and their communications equipment. The exercise scenario involved three separate terrorist incidents occurring within the Kansas City UASI Region. The first incident simulated an improvised explosive device detonating at a mall, while the other two incidents simulated the identification of two additional locations as potential targets for a terrorist attack. Exercise participants included 67 representatives from 28 local agencies, the Kansas Highway Patrol, the Department of Homeland Security, and the Federal Bureau of Investigation."
Lessons Learned Information Sharing (LLIS)
2007-08-17?
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LLIS Lesson Learned: Monitoring Participation in Demobilizations to Gather Operational Feedback
Taken from the Summary: "Command officials should ensure that emergency responders attend demobilization sessions after shift changes at large-scale incident sites. Demobilizations can give emergency responders the chance to voice their frustrations and provide operational feedback to command officials."
Lessons Learned Information Sharing (LLIS)
2004-04-19?
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LLIS Lesson Learned: Emergency Communications: Distributing Pagers to Emergency Responders for a Mass Casualty Incident
From Summary: "Cellular network congestion hampered the London Ambulance Service's (LAS) emergency, communications during response operations following the July 7, 2005, train bombings in, London. The LAS now is distributing pagers to incident commanders (IC) to use as a backup, system in case of cellular network congestion following mass casualty incidents (MCI)."
Lessons Learned Information Sharing (LLIS)
2006-11-03?
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LLIS Lesson Learned: Mass Casualty Incidents: Implementing a Standard Triage Process
"Incident Commanders should assign an adequate number of qualified personnel to
implement a standard triage process as soon as possible after a mass casualty incident
(MCI). The fire that destroyed the Station Club in West Warwick, Rhode Island on February 20,
2003 resulted in 100 deaths and over 200 injuries. Many victims required immediate
medical attention and transport to area hospitals from the incident site. Emergency medical
services (EMS) personnel began on-site triage operations minutes after the fire started.
They established the primary triage area at the Cowesett Inn, located across the street from
the Station Club."
Lessons Learned Information Sharing (LLIS)
2006-08-11?
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Leonard Davis Institute Issue Brief, Volume 17, Issue 3, November 2011
This Issue Brief summarizes State of Mississippi's data to assess characteristics that affect the process and outcomes of Emergency Medical Services care performance. Emergency Medical Services (EMS) networks respond to, stabilize, and transport patients experiencing acute medical symptoms or trauma. They play a pivotal role in saving lives and ensuring timely transport of patients in need of advanced medical care. EMS systems provide pre-hospital care for more than 18 million patients each year. The systems vary in their ownership, structure, and personnel, but their goal is the same: to get patients to definitive care as soon and as safely as possible. Transport services are provided by fire department agencies, private ambulance services, or hospital-based agencies. Response time (time from initial dispatch to arrival on the scene) and total pre-hospital time are recognized quality measures in EMS. For example, faster response times generally improve a patient's likelihood of surviving an out-of-hospital cardiac arrest. For trauma patients, the first hour of care (also known as the 'golden hour' from incident to hospital treatment) is usually considered critical. Despite general agreement on these process measures of EMS quality, little is known about the factors that affect quality. Do more experienced or skilled personnel provide higher-quality care? Are county-level characteristics, such as population density, racial composition, or income, associated with performance? Are there racial disparities in the process or outcomes of EMS?
Lessons Learned Information Sharing (LLIS)
2011-11
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LLIS Lesson Learned: Unified Command: Using Standardized Forms to Communicate Unified Command Staff Assignments
"Standardized incident command system forms should be used to communicate which personnel are assigned to command positions. This can help ensure that all response personnel are able to quickly identity and communicate with command personnel at the incident site. On September 14, 2006, the Kansas City Urban Area Security Initiative (UASI) Region conducted a 3-hour tactical interoperable communications plan (TICP) limited full-scale exercise. The purpose of the exercise was to validate the Kansas City UASI Region's TICP and to help participating agencies gain familiarity with the Plan's organizational structure and their communications equipment. The exercise scenario involved three separate terrorist incidents occurring within the Kansas City UASI Region. The first incident simulated an improvised explosive device detonating at a mall, while the other two incidents simulated the identification of two additional locations as potential targets for a terrorist attack. Exercise participants included 67 representatives from 28 local agencies, the Kansas Highway Patrol, the Department of Homeland Security, and the Federal Bureau of Investigation."
Lessons Learned Information Sharing (LLIS)
2007-08-17?
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LLIS Lesson Learned: School Emergency Planning: Identifying On-Campus Sheltering Facilities for Students from Other Schools
"School emergency plans should identify appropriate on-campus sheltering facilities for students who have evacuated from other schools. This can minimize confusion and ensure that incoming students receive adequate shelter upon arrival on campus."
Lessons Learned Information Sharing (LLIS)
2011-02-04
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LLIS Lesson Learned: Providing Massage Therapy On-Site During a Response Effort
"During the response to the September 11, 2001 attack on the Pentagon, the Director of the Arlington County Employee Assistance Program (EAP) arranged with the Incident Commander to have a credentialed massage therapist on-site. Because of the labor-intense work environment at the Pentagon, the EAP Director felt a massage therapist could help prevent injuries and alleviate the stress of emergency workers. The massage therapist gave seated massages to emergency responders during short on-site breaks, allowing the responders a chance to rest and relax before returning to work. Like any on-site service provider, massage therapists must be properly credentialed by the Incident Commander before gaining access to the incident site."
Lessons Learned Information Sharing (LLIS)
2004-04-19?
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LLIS Lesson Learned: Timing of Critical Incident Stress Debriefings for Emergency Responders After a Response Effort
"Critical Incident Stress Debriefings (CISD) should not be held during or immediately after a disaster response effort because emergency responders are not yet ready to process their experiences in an open forum. […] Many emergency responders and workers faced acute stress and anxiety after the 1995 Oklahoma City bombing. The Oklahoma City Fire Department (OCFD) provided CISD immediately following the response effort to help emergency workers deal with their emotional reactions to the event. OCFD officials realized later that the debriefings would have been more successful if they had waited longer after the response effort before initiating the debriefing process. Responders needed more time to process their experiences and emotions in order to benefit from the CISD. CISD should be held after the incident response effort is complete and responders have had a chance to process their reactions to the event. The timeframe for beginning debriefings can vary based on the nature of the incident and the length of the response. CISDs should be held anywhere from 24 hours to several weeks after the event. In the event of a largescale disaster such as the terrorist attacks on September 11, 2001, a CISD may not be held until many months after the event, when incident recovery is complete."
Lessons Learned Information Sharing (LLIS)
2004-04-19?
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LLIS Lesson Learned: Hospital Emergency Planning: Establishing Emergency Physician Teams
"Hospitals should consider establishing volunteer emergency teams of staff physicians that
can remain at the facility and work extended shifts during a crisis. Hospital officials can
initiate a screening process to identify physicians who might be prevented from working
under emergency conditions for extended periods."
Lessons Learned Information Sharing (LLIS)
2006-11-03?
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LLIS Lesson Learned: Mass Casualty Management: Minimizing Exposure of Emergency Personnel to Body Recovery Efforts
Taken from the Summary: "The exposure of on-scene emergency response personnel, including supervisors, to the recovery of remains during a mass casualty incident (MCI) should be minimized. Their assignments should be rotated to prevent prolonged exposure to these stressful conditions. All personnel involved with the recovery effort should be monitored for signs of stress and shock."
Lessons Learned Information Sharing (LLIS)
2006-06-16?
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LLIS Lesson Learned: Special Event Planning: Defining the Role of Volunteer Law Enforcement
"On June 16, 1995, the International Olympic Committee selected Salt Lake City, Utah to host the XIX Winter Olympic Games from February 8 to 24, 2002. Utah created the Utah Olympic Public Safety Command (UOPSC) in 1998 to plan and manage law enforcement operations for the Olympic Games. In 1999, the White House designated the Olympic Games a National Special Security Event due to its high-profile nature and the millions of expected attendees. As a result of this designation, several federal agencies, including the Federal Bureau of Investigation, joined the UOPSC to plan and manage law enforcement operations. The UOPSC's responsibility included managing the Law Enforcement Volunteer (LeVol) program that gave sworn United States law enforcement officers the opportunity to volunteer for security positions at the Olympic Games. UOPSC appointed Venue Commanders to manage the 632 law enforcement officers that participated in the LeVol Program.The UOPSC had given LeVols information about their responsibilities and assignments prior
to their arrival in Salt Lake City for the Olympic Games. The UOPSC did not communicate this information to Venue Commanders. For example, some LeVols said that they had been told by the UOPSC that they would not be required to work overnight shifts or work over 40 hours a week. However, several Venue Commanders assigned LeVols to work overnight shifts and scheduled them to work 10-12 hour shifts for six days a week. This caused multiple conflicts between Venue Commanders and LeVols. Security managers should have an explicit policy that defines volunteer law enforcement personnel's responsibilities and assignments during a special event."
Lessons Learned Information Sharing (LLIS)
2006-11-03?
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2007 HSEEP Policy and Guidance
"The Department of Homeland Security (DHS) is pleased to announce that the 2007 editions of the Homeland Security Exercise and Evaluation Program (HSEEP) Policy and Guidance Volumes I-III have been finalized and published. HSEEP is a capabilities and performance-based exercise program that provides a standardized policy, methodology, and terminology for the design, development, conduct, and evaluation of all exercises. The HSEEP volumes were initially developed in 2002; however, to increase the applicability and utilization of HSEEP among diverse entities, several revisions were made to the volumes over the past two years. Revisions include:[1] Incorporation of recent policies (e.g., National Incident Management System [NIMS], National Response Plan [NRP], National Preparedness Goal, Universal Task List [UTL], Target Capabilities List [TCL]); [2] Elimination of references to DHS-specific doctrinal or grant-related requirements, such as the need for terrorism-related scenarios; and [3] The order of Volumes II and III has been reversed to follow the natural progression of exercise design, development, conduct, evaluation, and improvement planning."
Lessons Learned Information Sharing (LLIS)
2007-03-16?
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LLIS Good Story: Hurricane Sandy: Power and Shower Relief Services Provided through Proctor & Gamble Partnership
From Summary: "During Hurricane Sandy recovery operations, Proctor & Gamble (P&G) partnered with the American Red Cross (ARC) to provide essential services to survivors in disaster areas. In addition to delivering personal care products, P&G set up a Mobile Relief Center and mobilized Tide Loads of Hope and Duracell Power Forward Fleet to deliver shower, laundry, and power services across the Northeast."
Lessons Learned Information Sharing (LLIS)
2013-01-25?
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LLIS Good Story: The Oregon Health & Science University Nursing Program's Development of the Jackson County, Oregon, Vulnerable Populations Shelter Plan
"In the fall of 2010, students enrolled in the Oregon Health & Science University (OHSU) nursing program developed the Vulnerable Populations Disaster Shelter Plan for Jackson County, Oregon. This effort was incorporated into two senior-level courses. The Jackson County Board of Commissioners reviewed the plan and approved it later in the year as an annex to the Jackson County Emergency Operations Plan (EOP)."
Lessons Learned Information Sharing (LLIS)
2011-09-16
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LLIS Topoff 3 Exercise Lesson Learned: Emergency Response Operations under a Unified Command: Bypassing Information Flow Process through State Emergency Operations Centers
"The National Incident Management System (NIMS) establishes the Incident Command System (ICS) as the federally recommended organizational structure for managing emergency responses. It allows an integrated organizational structure that can scale up or down to effectively meet the demands of an incident regardless of the complexity of the situation. When multiple organizations or jurisdictions have responsibility over aspects of the tactic al response, a UC may be formed to link organizations or municipalities together, to provide a forum for integrated decision making, and to enable a coordinated approach to incident response."
Lessons Learned Information Sharing (LLIS)
2009-01-02?
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LLIS Lesson Learned: Incident Management: Incorporating and Utilizing a Demobilization Plan
"Incident commanders should incorporate and utilize a demobilization plan for all state or federal reimbursable incidents. The demobilization process, although mundane in its appearance, is a crucial component of incident management."
Lessons Learned Information Sharing (LLIS)
2008-07-03?
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Lesson Learned: Incident Site Security: Developing and Maintaining an Identity Management System
"Public safety agencies should consider developing and maintaining an identification management system to control access at incident sites. This system should include common identification badges for all personnel."
Lessons Learned Information Sharing (LLIS)
2011-07-15
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LLIS Good Story: On-Site Academy and the West Coast Post-Trauma Retreat
"The On-Site Academy in Gardner, Massachusetts and the West Coast Post-Trauma Retreat (WCPR) in San Rafael, California are partner non-profit residential treatment programs for emergency responders who have experienced traumatic stress related to their profession. These treatment programs provide support to emergency responders and help them recover from traumatic incidents."
Lessons Learned Information Sharing (LLIS)
2005-03-11?
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LLIS Good Story: Fairfax County, Virginia, Citizen Corps Council's 'Ready... Pack... Go' Campaign
From the Background section: "In January 2005, the American Red Cross (ARC) released a survey stating that only 40 percent of Americans had assembled the basic supplies necessary to care for themselves, their families, and their neighbors during an emergency. The survey indicated that only one in ten Americans had developed a personal preparedness kit or a personal or family preparedness plan. According to the ARC, 82 percent of those surveyed understood the importance of preparedness but were unsure how to prepare for emergencies or disasters and where to go to obtain the information. Following the release of the ARC survey, the Fairfax County Citizen Corps Council recognized a need to address preparedness issues in its county. The Council sought to reach the county's large population through a sustained preparedness campaign. Pastor John Denninger, the Fairfax County Citizen Corps Council faith representative, suggested creating a campaign to encourage the members of the faith community to attain emergency preparedness kits."
Lessons Learned Information Sharing (LLIS)
2007-02-16?
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Points of Dispensing Training: Chickahominy, Virginia, Health District's Three-Dimensional Modeling
From the Description: "CHD [Chickahominy Health District] has used geographic information systems (GIS) to develop and refine emergency plans by creating easy-to-understand maps. CHD personnel routinely update these maps to include new information and data. CHD shares these maps with other agencies, localities, and stakeholders. These maps include static GIS maps of POD [point of dispensing] facilities to assist CHD with the mass dispensing of medication at PODs during public health emergencies."
Lessons Learned Information Sharing (LLIS)
2010-05-21?
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LLIS Lesson Learned: Special Needs Registries: Coordinating with Law Enforcement Organizations to Strengthen Support for Individuals with Disabilities and Functional Needs
"Jurisdictions can use their special needs registries to strengthen law enforcement personnel support for and response to individuals with disabilities or other functional needs during emergencies."
Lessons Learned Information Sharing (LLIS)
2011-02-18
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LLIS Lesson Learned: Emergency Operations Centers: Establishing Standard Operation Procedures for Coordinating Regional Activations and Deactivations
"Emergency managers should develop standard operating procedures (SOP) for coordinating and communicating emergency operations center (EOC) activations during a regional incident requiring multiple jurisdictions."
Lessons Learned Information Sharing (LLIS)
2009-12-11?
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LLIS Innovative Practice: Northwest Regional Aviation: Protecting the Puget Sound
"The Seattle Urban Area Security Initiative (UASI) established Northwest Regional Aviation (NWRA)--an aviation consortium that protects the Puget Sound area from terrorism and responds to large-scale disasters. The NWRA saved 12 survivors during the first three hours of the Snohomish County mudslide on March 22, 2014."
Lessons Learned Information Sharing (LLIS)
2014-09-30?
