Situation Manual. 270 Minutes. Time Allotted. Situation Manual Tabletop Exercise 1 Disaster Resistant Communities Group

Transcription

1 Situation Manual 270 Minutes Situation Manual Tabletop Exercise 1 Disaster Resistant Communities Group

2 Clinic Down Exercise Play Exercise Briefing During the exercise it will be important to remember and comply with the following statements: You should only use Internet Explore as your internet browser for today s exercise. The focus of this exercise is your Healthcare Center s (Clinic s) INITIAL RESPONSE to an active shooter incident. The exercise time line begins the day prior to the shooting then ends 12 hours after the shooting has occurred. It is important NOT to jump ahead in the exercise scenario. In other words don t focus on what might happen, focus on the Common Operating Picture that is presented during the exercise to make informed decisions. In any exercise a number of assumptions and artificialities may be necessary to complete play in the time allotted. During this exercise, the following apply: 1. The scenario is plausible, and events occur as they are presented. 2. There is no hidden agenda, nor any trick questions. Exercise Basics: 1. This exercise contains a total of 12 scenario and inject pages. 2. The exercise is self-paced and it should take approximately two hours to complete. However, based on the time spent on each scenario and inject the exercise may be completed in under two hours or it may take much longer than two hours to complete the exercise. 3. There is a scheduled 15 minute break approximately half way through the exercise. 4. All videos embedded within this exercise can be enlarged to FULL SCREEN by simply clicking on the full screen icon in the lower right hand corner of the video. 5. Thoroughly review all scenario information and injects as they are presented during the exercise. At the end of the exercise you will need to complete an evaluation (Hotwash) on how your team preformed during the exercise. The Hotwash will consist of your team providing comments on three areas in which it performed well (Strengths) and three areas your team will need to improve upon (Areas for Improvement) to enhance its preparedness, response and recovery capabilities. Found below are Hotwash examples: Strengths During the exercise our team consulted our disaster plans and procedures and found them to be complete. Areas for Improvement During the exercise our team consulted our disaster plans and procedures and found portions of the plans and procedures that need to be revised. Situation Manual Tabletop Exercise 2 Disaster Resistant Communities Group

3 After the exercise each registered participant who took part in the exercise will receive an to log into the ONX System to complete their Individual Hotwash to access their Certificate of Participation. If you need assistance anytime during the exercise please call the Help Desk at: Phone Number Account Number # 20 Minutes Situation Manual Tabletop Exercise 3 Disaster Resistant Communities Group

4 Clinic Down Primer No Image Prior to beginning your participation in the exercise please take the time to view the Preparing for and Responding to an Active Shooter in the Workplace video found below. CLICK ON VIDEO TO PLAY Just In Time Disaster Training Video Library Workplace Active Shooter Preparedness and Response 20 Minutes Situation Manual Tabletop Exercise 4 Disaster Resistant Communities Group

5 Clinic Down Scenario # 001 Image of Angry Employee Thursday 10:19 AM Your clinic has been under significant financial pressure over the last fiscal year. Maintaining staff morale has been challenging as your employer continues to struggle with the recent financial downturn. In response to these pressures, layoffs were announced late last week. Today, those employees who are being terminated are being notified by Human Resources. Many of these employees do not take the news well and one employee, Adam West, becomes belligerent upon hearing the news. He storms out of the Human Resources Department and begins to collect items from his desk. All the time, he is muttering under his breath about how he s being treated unfairly. He is heard shouting everyone s going to be sorry and I m going to make the boss pay as he leaves the building. 10 Minutes Situation Manual Tabletop Exercise 5 Disaster Resistant Communities Group

6 Clinic Down Inject # 002 Image of Notification While numerous employees are upset about the layoffs, no one expected the explosive outburst by Adam West as he left the building. Will clinic management notify outside agencies regarding the actions of Adam? Yes No If the above answer is yes. Identify who will be notified and how the notification will be made. If the above answer is no. Briefly explain why the threatening actions of Adam will not be reported to others. 15 Minutes Situation Manual Tabletop Exercise 6 Disaster Resistant Communities Group

7 Clinic Down Inject # 003 Image of Workplace Based on the fact that there is a potential threat to employees, visitors and / or clients will actions be taken to mitigate the possibility of Adam returning to the clinic and following through on his threat? If the above answer is yes. Briefly explain the actions that will be put in place to mitigate the current threat. Yes No (Example: Send a clinic-wide to all employees alerting them of the potential threat.) If the above answer is no. Briefly explain why no protective measures will be taken. 15 Minutes Situation Manual Tabletop Exercise 7 Disaster Resistant Communities Group

8 Clinic Down Scenario # 004 No Image Friday 10:42 AM After yesterday s layoffs, remaining employees have returned to work. Everyone is thankful to have survived the cuts and are concentrating on the upcoming weekend. Suddenly Adam charges through the front door. He is brandishing a handgun and shouts Where s the boss? I told you all I was going to make him pay! He begins to fire at employees, visitors and clients as he makes his way towards his former boss s office. CLICK ON VIDEO TO PLAY (Note: This video is a simulation of an active shooter event. It is comprised of videos from security cameras, mobile phone cameras and the camera of a college student producing a human interest story for her college's TV station.) Video Library General # 1 Video # 32 Active Shooter - Long 15 Minutes Situation Manual Tabletop Exercise 8 Disaster Resistant Communities Group

9 Clinic Down Inject # 005 Image of Panicked Employees Everyone in the building is shocked to hear gun shots echoing through the halls. Some people begin to take cover while others are unsure what to do. Describe in detail the immediate protective actions that need to be taken by employees, clients and visitors based upon the current circumstances. (Note: By immediate protective actions, describe what will need to happen in the first five minutes to ensure the safety of individuals.) (Note: For future reference you may want to access the Just In Time Disaster Training Library for additional information on the Active Shooter Response. These videos are too long to view during today s exercise. Active Shooter Response RUN HIDE FIGHT) OPTIONAL 25 Minutes Situation Manual Tabletop Exercise 9 Disaster Resistant Communities Group

10 Clinic Down Inject # 006 Image of Wounded Individuals As Adam continues shooting, multiple employees and by-standers are shot. Adam has been seen reloading his gun several times. Within two minutes of a call being made to 9-1-1, law enforcement officers begin to arrive on scene. Describe in detail how employees will interface with arriving law enforcement during the initial response to the shooting. Identify any resources such as floor plans, master keys, proximity badges, etc. that will be provided to law enforcement upon their arrival. 20 Minutes Situation Manual Tabletop Exercise 10 Disaster Resistant Communities Group

11 Clinic Down Inject # 007 Image of Workplace As law enforcement arrives, employees, clients, by-standers and visitors can be seen fleeing the building. Does your clinic have a procedure to conduct an accountability check of its employees after they have evacuated the building? If the above answer is yes. Briefly describe the employee accountability procedure and identify the individual(s) by title responsible for implementing the procedure. (Note: Access Occupational Safety & Health Administration (OSHA) guidelines for building Evacuation Planning.) Yes No (Note: For future reference you may want to access the Just In Time Disaster Training Library for additional information on Emergency Building Evacuation. These videos are too long to view during today s exercise. Emergency Building Evacuation) OPTIONAL (Example: Employees will use the rally points identified in our building s fire evacuation plan. / The Human Resources Director is responsible for ensuring that employees are accounted for.) If the above answer is no. Without an employee accountability procedure, briefly explain what the expected actions of employees, visitors and clients will be upon evacuating the building. 20 Minutes Situation Manual Tabletop Exercise 11 Disaster Resistant Communities Group

12 Clinic Down Inject # 008 Image of Law Enforcement Friday 11:03 AM As law enforcement initiates its tactical response they come across multiple individuals who have been wounded or killed by Adam. Law enforcement finds him barricaded alone in one of the examination rooms and begins to negotiate his surrender. While law enforcement negotiates with the shooter, management and employees will need to focus their efforts on a number of internal issues. Identify and describe the various internal issues that management and employees will have to deal with along with identifying the employee that will be responsible for taking action regarding the issue. (Note: Remember that it is 11:03AM and the shooting began approximately 20 minutes ago.) (Example: Issue: Notifying employees who are at off-site meetings about the shooting. / Responsibility: Department Supervisors.) 30 Minutes Situation Manual Tabletop Exercise 12 Disaster Resistant Communities Group

13 Clinic Down Inject # 009 Image of Command Structure As law enforcement continues to negotiate with Adam, will clinic management transition to an Incident Command System (ICS) or another pre-identified incident management structure to effectively manage the clinic s response to the shooting? CLICK ON VIDEO TO PLAY Yes No Just In Time Disaster Training Library Incident Command System for the Workplace If the above answer is yes. Identify the title of the individual that will be responsible for making this decision. Briefly describe the process for notifying and mobilizing the necessary management and employees that will be needed to establish an incident management system such as ICS. If the above answer is no. Briefly explain how clinic management will manage its response to this incident. 15 Minutes Situation Manual Tabletop Exercise 13 Disaster Resistant Communities Group

14 Clinic Down Scenario # 010 Image of Injured By-Standers Friday 12:37 PM After a standoff lasting almost two hours Adam fatally shoots himself. In the wake of the shooting rampage 9 employees and 3 visitors have been killed with another 10 individuals injured. (Note: If your clinic has a small number of employees, for exercise purposes assume that no more than 30% of your staff were killed or injured.) 10 Minutes Situation Manual Tabletop Exercise 14 Disaster Resistant Communities Group

15 Clinic Down Inject # 011 Image of Command Center The decision has been made to fully implement the clinic Emergency Operations Plan and establish an incident management system such as ICS. Identify the individuals that will fulfill the various incident management system positions and briefly describe the responsibility of each position identified. (Note: Access an example of ICS positions.) (Example: Position Public Information Officer: June Carter Marketing Director / Responsibility: Will serve as the point of contact for all media inquiries, prepare appropriate media advisories and press releases as well as monitor news outlets including social media.) 20 Minutes Situation Manual Tabletop Exercise 15 Disaster Resistant Communities Group

16 Clinic Down Inject # 012 Image of Incident Action Plan Friday 2:43PM Most of the management and employees assigned positions within the clinic incident management team have assembled at a safe and secure location. One of the first actions that will need to occur will be to develop a prioritized checklist known as an Incident Action Plan (IAP), focusing on the IMMEDIATE RESPONSE issues now confronting the clinic. Develop an IAP focusing on the actions to be taken over the next 12 hours. In preparing the IAP list the objectives; identify all resources that will be needed to accomplish each listed objective; and list the expected timeline to complete each identified objective. (Example: Objective: Assign a liaison to each of the agencies responding to the incident. / Required Resource: Assigned staff should have a working knowledge of the clinic EOP along with an understanding of the agency to which they are assigned. / Timeline: 1 Hour.) 30 Minutes Situation Manual Tabletop Exercise 16 Disaster Resistant Communities Group