INTRODUCTION
In any emergency involving more than limited traditi= onal emergency organization response (fire, law enforcement and EMS ambulance), = the likelihood of need for organizations involved in the provision of health and welfare services (hospitals, American Red Cross, Salvation Army, County Hea= lth Departments, County School Departments, WV Division of Health, WV Division = of Human Resources, industrial health personnel, and county medical societies)= is high. These organizations, wh= en such emergencies arise, will be involved in the ongoing provision of shelte= r, feeding, clothing, medical services, public health, and social services as necessary to persons impacted upon by Evacuate Protective Action and other emergency involving acute harm to human beings.
=
Information in other =
C/WLEPC
Emergency Response Plan components and in the Wayne County and Cabell County
Emergency Operations Plans will impact on this Special Services Plan and wh=
ere
appropriate, should be considered part of this Plan. Likewise, this Special Services Pl=
an,
where appropriate, should be used in conjunction with other C/WLEPC Emergen=
cy
Response Plan components and the Emergency Operations Plans of Cabell and W=
ayne
Counties.
=
PURPOSE
=
The purpose of this P=
lan is
to outline actions to be taken in response to a variety of emergencies
involving Evacuation Action and/or response to relevant emergencies involvi=
ng
acute harm to a large number of individuals.
=
Examples of possible =
emergencies
that could activate this Plan would be a hazardous material related emergen=
cy,
other technological emergency, man made emergencies, and weather emergencie=
s.
=
Special Services Plan
activation could concern persons at their workplace, at their residence, wh=
ile
they are shopping, attending a recreation or cultural event, attending scho=
ol,
traveling and so forth.
=
MISSION
=
The mission of the Special Services providers is the administration of Cabell County's and Wayne County's relevant special servi= ces resources during emergencies in order to provide for the medical care, publ= ic health, and welfare of the public involved in an emergency incident.
=
A. The respective County Commission has the overall responsibility for the health = and well being of the citizens of Cabell County and Wayne County.
B. &n=
bsp; Some
injured citizens involved in an emergency situation may not be transported
to hospitals by
qualified emergency medical personnel.
=
C. Emergency medical service needs are most critical within the first hour of the emerge= ncy.
D. &n=
bsp; Mutual
aid assistance from other jurisdictions may arrive after the first critical=
l5
to 30 minutes of an emergency. The impacted residence, facilities, or juris=
diction
are on their own initially.
=
E. = Many injuries, both minor and those relatively severe, may be initially selfR= 09;treated. This is due to a knowledge of= first‑aid or to a belief that the emergency medical service system is overburdened and not able to respond to the needs of those impacted upon by the emergency.
=
F. &n=
bsp; Public
Health problems may be readily apparent or may develop gradually depending =
on
the type of the emergency situation.
=
G. Feeding, shelter, and clothing requirements will depend upon the type, severity and<= span style=3D'mso-spacerun:yes'> = length of the emergency situation.
=
H. &n=
bsp; Social
Services will ordinarily be necessary only after major and/or long term
emergency situations, but, depending on the length and severity of the
emergency incident, may need to be provided prior to the final resolution of
the emergency incident.
=
HOSPITAL AND MEDIC=
AL
SERVICES
A. OPERATIONS
CONCEPTS =
=
= 1. &nbs= p; Cabell‑Huntington Hospital, Saint Mary's Hospital, Kings Daughters Hospital, Our Lady of Belf= onte Hospital, HCA-Riverpark Hospital, Huntington VA Medical Center and Putnam General Hospital supply medical services for the population of Cabell and W= ayne counties in this plan, in the event of an emergency incident. The Cabell Huntington Hospital and= St. Mary's Hospital act as the primary emergency receiving facilities with the other facilities serving as secondary resources for minor cases and as rece= iving sites for inpatients transferred from the primary hospitals serving Cabell = and Wayne Counties.
HOSPITAL AND MEDIC=
AL
SERVICES (Continued)
A. &nb=
sp; OPERATIONS
CONCEPTS (Continued)
=
2. = The hospital community will be responsible for keeping public officials informe= d of the health care situation, medical care workload and availability of health= and supporting resources on hand and required.
&= nbsp; 3. = The hospital community will be responsible for managing and directing available health manpower, facilities, supplies and equipment and for coordinating resupply activities.
=
&= nbsp; 4. = The hospital community will be responsible for designating primary and secondary hospitals and coordinating efforts among hospital providers in order to more efficiently organize work and allocate responsibilities to the most appropr= iate facilities.
=
&= nbsp; 5. = The hospital community, through a Hospital Emergency Coordinator, will = provide, as feasible, the necessary special equipment and supplies to the EMS personnel at the Triage/Treatment Area of the emergency situation beyond original normal supplies.
=
&nbs=
p; 6. =
The
hospital community, through a Hospital Emergency Coordinator, will be
responsible for determining and directing the most effective actions to pro=
vide
medical care and protect health.
=
&= nbsp; 7. = The hospital community, through a Hospital Emergency Coordinator, will be responsible for coordinating activities with governmental and non‑gov= ernmental community agencies (Emergency Medical Services, Health, American Red Cross = and so forth) involved in resolving the emergency.
=
&nbs=
p; 8. =
The
hospital community, through a Hospital Emergency Coordinator, will be
responsible for conveying to the appropriate Health and Public Information
Officers, information pertaining to health hazards, health protection,
treatment of health problems and health policies relative to the emergency.=
=
&= nbsp; 9. = The Hospital Emergency Coordinator will monitor the emergency situation as it develops and be prepared to assume resource coordinators of the hospital related aspects of the emergency situation at the relevant EOR when it is activated.
HOSPITAL AND MEDIC=
AL
SERVICES (Continued)
=
The Hospital and Medi=
cal Care
Division of the Special Services Operations will contain the Hospital Branch
and the Medical Branch, each directed by an appointed chief.
=
&= nbsp; 1. = Hospital Branch ‑ The Hospital Emergency Coordinator for the area hospitals in this plan will be responsible for passing on the initial notification to all area hospitals in the event of an emergency impacting on the hospitals, and= for
gathering and communicating information regard= ing each hospital's capabilities at the time of the emergency. All decisions regarding the resources of the hospital community will be handled collectively and channeled through the Hospital Emergency Coordinator, including the expansion of bed capacities, the distribution of patients, the transfer of patients among facilities, the sharing of supplemental supplies= and equipment, and any other material aid requirements.
=
&nbs=
p; 2 &=
nbsp; Medical
Branch ‑ The Cabell County Medical Society and the Wayne County Medic=
al
Society will designate Medical Coordinators to interface with the medical s=
taff
of each hospital and other potential sources of medical manpower (dental,
mental health) and will coordinate efforts with organizations of the Public
Health Services section below, as necessary.
=
C.&n=
bsp; =
;
EMERGENCY AMBULANCE SERVICE
=
The distribution of p=
atients
to area hospitals will be coordinated in conjunction with the regional EMS
system in collaboration with the designated Hospital Emergency Coordinator.=
=
D. &n=
bsp; NOTIFICATION
PROCEDURES
=
Outside agencies will=
notify
area hospitals of an actual or potential large casualty emergency through t=
he
regional EMS Med Command Center at Cabell‑Huntington Hospital.
=
If unable to use publ=
ic or
cellular telephones, the following option should be utilized:
1. =
3‑way=
radio
through Cabell County, EMS units, and Emergency Ambulances and
2. 3R=
09;way
radios through EMS units of the Volunteer Fire Departments in Wayne County.=
=
HOSPITAL AND MEDIC=
AL
SERVICES (Continued)
E. NOTIFICATION
INFORMATION
=
The person notifying the Med Command Center will pro= vide the following information:
1. = Nature and location of emergency,
=
2.
Approximate number of casualties,
= 3. &nbs= p; Type of injuries,
= 4. &nbs= p; Hazardous substances involvement,
=
5. &nbs=
p; Source
of emergency report, and
= 6. &nbs= p; Call back number.
=
F. =
TASKS
=
Major areas of responsibility for the hospital and m= edical services will include:
=
&= nbsp; 1. = Provision for emergency medical care, treatment, and hospitalization during an emerge= ncy.
&= nbsp; 2. = Assurance of immediate response of personnel in the community facilities to provide capability for handling all emergency duties, and,
&= nbsp; 3. = Provision of on‑scene medical personnel, equipment and supplies during an emerg= ency as requested by senior EMS field personnel and as available without compromising hospital operations.
=
G. SUPPLY
OF DATA
=
Data to be made avail=
able to
the Hospital Emergency Coordinator will be:
=
&nb= sp; 1. = Emergency Plans for all area hospitals,
&= nbsp; 2. = The number of units, telephone contact number, and communications procedures for the emergency for the emergency ambulance operations.
&nbs=
p; 3. =
Locations
of various potential Evacuation Reception Sites and their capacities,
HOSPITAL AND MEDIC=
AL
SERVICES (Continued)
G. SUPPLY
OF DATA (Continued)
&= nbsp; 4. = List of drug stores and supply houses for medical supplies and equipment availab= le,
&nbs=
p; 5. =
Directory
of members of the Cabell and Wayne Medical Societies, and
&= nbsp; 6. = List of other trained personnel in the medical services field in Cabell and Wayne counties.
=
H. HOSPITAL
TELEPHONE NUMBERS
=
=
Saint Mary's Hospital &nb=
sp; =
&nb=
sp; 304-526-12=
34
=
King's Daughters' Hospital &nbs=
p; &=
nbsp; &nbs=
p; 606-327-4000
=
Putnam General Hospital &=
nbsp; &nbs=
p; &=
nbsp; 304-757-1700
=
Our Lady of Belfonte Hospital &=
nbsp; &nbs=
p; 606-833-3333
=
Huntington VA Hospital &n=
bsp; =
; &n=
bsp; 304-429-6741
&nbs=
p; Riverpark
Hospital =
; &n=
bsp; =
; 304-52=
6-9111
PUBLIC HEALTH SERV=
ICES
=
A. OPERATIONS
CONCEPTS
=
1. &nbs=
p; The
Cabell County Health Department and the Wayne County Health =
Department are responsible for public health services in the area covered by this Plan and will provide these services during relevant emergencies as required, to the extent of their capabilities. State of West Virginia relevant agencies and the American Red Cross will be called upon f= or assistance as necessary.
=
2.
Public Health including environmental sanitation services during
emergencies will include as needed:
=
=
a. =
Re-establishing
public water and wastewater treatment, distribution and coll=
ection
systems where impacted by the emergency situation,
&nbs=
p; &=
nbsp; b. =
Providing
priority public health services of a care nature to those persons impacted =
by
the emergency situation as a complement to hospital services and emergency
medical services,
&= nbsp; &nbs= p; c. = Establishing and monitoring public health services, including environmental sanitation a= nd food preparation standards at Evacuation Reception Site(s),
PUBLIC HEALTH SERV=
ICES
(Continued)
A. OPERATIONS
CONCEPTS (Continued)
=
&= nbsp; d. = Monitoring food and drug supplies for potential contamination and locating uncontamina= ted supplies with the assistance of the WV Department of Agriculture,
=
=
e. =
Monitoring
potable water supply sources with the assistance of the WV Division of Heal=
th,
and
=
=
f. &=
nbsp; Providing
additional potable water with the assistance of the WV Division =
of Environmental Protection (location) and WV Office of Emergency
&nbs=
p; 3. =
If
the emergency can be handled without requiring the assistance of other governmental or non‑go=
vernmental
public health services, normal organizational, administrative, and control
procedures of the relevant county Health Department will prevail as applica=
ble
to the emergency.
=
&nbs=
p; 4 &=
nbsp; If
the emergency situation indicates the resources of the relevant local Health
Department will be overtaxed, the WV Division of Health will provide assist=
ance
upon request in keeping with applicable state policies and regulations.
=
&n= bsp; 5.<= span style=3D'mso-tab-count:1'> = If the WV Division of Health cannot provide the assistance needed in A. 4 abov= e, other county Health Departments will be requested to provide the needed services.
=
&n= bsp; 6.<= span style=3D'mso-tab-count:1'> = First Aid Services will be established at or as near as possible to Evacuation Reception Site(s) for the medical care needs of those persons evacuated from the incident area who do not require definite treatment at or transportatio= n to a hospital. This will be done= in conjunction with the American Red Cross.
=
&n= bsp; 7.<= span style=3D'mso-tab-count:1'> = Release of information concerning medical and health operations at the emergency Incident Site will be the responsibility of Emergency Operations Room Public Information Officer based upon information provided by the physician in cha= rge of medical treatment at the Triage/Treatment Area or the senior EMS Officer= , if no physician is in charge.
=
&n= bsp; 8.<= span style=3D'mso-tab-count:1'> = The relevant county Health Department will work with the area hospitals by providing supporting services and advice, especially in matters relating to food supplies and environmental sanitation where hospital facilities may be hampered in these areas due to the impact of the emergency.
=
PUBLIC HEALTH SERV=
ICES
(Continued)
A. OPERATIONS
CONCEPTS (Continued)
of the relevant area hospitals when needed, when need is caused by the impact of the emergency, to the extent possible.
=
&nbs=
p; l0. The
relevant county Health Director or designee will monitor the emergency
situation as it develops and be prepared to assume resource coordination of=
the
medical and public health aspects of the emergency situation at the relevant
EOR when it is activated. =
SOCIAL SERVICES
A. &n=
bsp; OPERATIONS
CONCEPTS =
&n= bsp; 1.<= span style=3D'mso-tab-count:1'> = The primary social services functions to be provided by the WV Division of Human Resources during emergencies will be:
a. = Emergency financial assistance during emergencies, or their impact of long duration during the recovery period,
b. = Assistance to children deprived of parental care,
c. = Assistance to aged and disabled individuals in need of shelter and care beyond that wh= ich can be provided at Evacuation Reception Sites, and
d. = Payments for basic needs and medical care, through the regular public assistance programs, arising from the long term impact of the emergency situation.
=
&n= bsp; 2.<= span style=3D'mso-tab-count:1'> = In emergency situations, services listed in A.l above will receive priority and all available relevant WV Division of Human Resources staff members will as= sist in carrying out these functions.
=
&n= bsp; 3.<= span style=3D'mso-tab-count:1'> = Release of information concerning governmental emergency social services operations relative to the emergency will be the responsibility of the WV Director of Human Resources or the delegated staff member responsible for public information concerning the emergency. Inquiries to the Emergency Operations Room Public Information Officer will be referred to the Director of Human Resources or the designated subordinate.
=
&n= bsp; 4.<= span style=3D'mso-tab-count:1'> = Relevant WV Division of Human Resources staff will be sent to the appropriate locati= ons relative to the emergency to initiate services for individuals impacted by = the emergency (Evacuation Reception Sites, area hospitals, etc.).
SOCIAL SERVICES
(Continued)
A. &n=
bsp; OPERATIONS
CONCEPTS (Continued)
=
&n= bsp; 5.<= span style=3D'mso-tab-count:1'> = The WV Division of Human Resources relevant local responsible staff member will assess the total emergency situation and establish priority services.
=
&n= bsp; 6.<= span style=3D'mso-tab-count:1'> = The WV Division of Human Resources relevant local responsible staff member will monitor the emergency situation as it develops and be prepared to assume co= ordination of the social services aspects of the emergency situation at the relevant E= OR when it is activated.
=
&n= bsp; 7.<= span style=3D'mso-tab-count:1'> = The WV Division of Human Resources relevant local responsible staff member will coordinate functions among the Federal, State and non‑governmental social governmental social services organizations involved in implementing emergency assistance.
B.&n=
bsp; =
;
ADMINISTRATION OF FUNDING FOR EMERGENCY SOCI=
AL
SERVICES
=
Based upon the situat=
ion,
funding of emergency social services will be requested by the relevant local
responsible staff member of the Director of the WV Division of Human Resour=
ces
as follows:
=
= ; 1. = Regular relevant General Assistance Program funds,
= ; 2. = Transfer of relevant monies (if available) from surplus,
&n= bsp; 3.<= span style=3D'mso-tab-count:1'> = Emergency monies from the relevant sources under the control of the WV Board of Human Resources,
= ; 4. = Supplemental appropriation from the appropriate County Government,
&n= bsp; 5.<= span style=3D'mso-tab-count:1'> = Supplemental appropriation from the relevant municipal government, if applicable, and
= ; 6. = Available assistance from non‑governmental social services organizations.
=
EMERGENCY MEDICAL =
SERVICES
A.&n=
bsp; =
;
OPERATIONS CONCEPTS
=
1. =
The
Cabell County Emergency Medical Service and Volunteer Fire Department
&nb= sp; EMS units of Wayne County have the responsibility for the provision of pre̴= 9;hospital emergency medical care and transportation to a hospital of those who may require such additional medical services in the event of an emergency.
=
&n= bsp; 2.<= span style=3D'mso-tab-count:1'> = In the event of any emergency incident which has the potential of a multi̴= 9;casualty situation or where it is in the best interest to have the presence of EMS personnel, the Cabell County Emergency Center and the Wayne County Emergency Communications Center will dispatch the appropriate EMS units and the EMS D= uty Supervisor to the primary Incident Site and/or the Staging Area when
=
requested by the Incident Commander. The EMS Duty Supervisor will asses=
s the
emergency situation and the needed EMS operations and organizational action=
.
=
&n= bsp; 3.<= span style=3D'mso-tab-count:1'> = During Emergency situations, the Incident Commander will establish when relevant, a Triage/Treatment Area under the direction of the Duty Supervisor or other senior EMS officer who will be the Sector Chief for the Triage/Treatment Ar= ea operations, unless a qualified physician fills the position.
=
&n= bsp; 4.<= span style=3D'mso-tab-count:1'> = Transportation of injured personnel to hospitals will be initiated at the Triage/ Treatment Area under an organized procedure at the adjacent EMS Transportation Area.<= span style=3D'mso-spacerun:yes'> EMS transportation will be the responsibility of the Sector Chief for EMS Transportation, a senior EMS off= icer appointed by the Incident Commander.
=
5. = Communications will be maintained between the Triage/Treatment Area, EMS Transportation Ar= ea and the EMS Regional Medical Command Center (Med Command) by telephone, cellular telephone, or, radio as available and logical. Such communications will also be established with the Incident Commander and the EOR EMS official.
6. = The rapid response of EMS personnel is most critical in a major emergency situation. The importance of effective assessment of the situation, potential case load, notification of other medical service organizations, and the efficient treatment of those injured is of paramount importance.
=
EMERGENCY MEDICAL =
SERVICES
(Continued)
A. &nb=
sp; OPERATIONS
CONCEPTS (Continued)
7. = Upon request of the Incident Commander for additional EMS units, the Emergency Coordinator and the EMS staff member at the EOR will arrange for additional= EMS personnel, vehicles, and equipment to be sent to the Staging Area and/or the Incident Site and/or the Triage/Treatment Area and/or the Transportation Ar= ea as necessary.
=
8. = The Emergency Coordinator and EMS staff member at the EOR will request immediate "move up" of EMS units (using off duty personnel and/or mutual aid assistance from other EMS organizations) to cover the areas which have been vacated by previously responding EMS units.
=
B. MED COMMAND SUPPORT
=
&n= bsp; 1.<= span style=3D'mso-tab-count:1'> = Cabell‑Huntington Hospital is charged with the responsibility of functioning as the medical control facility in the event of an emergency through its Medical Command Communications (Med Comman= d) operation. Med Command will n= otify other hospitals in the area of the potential of the emergency situation and will provide periodic updates to those hospitals regarding the emergency situation.
=
&n= bsp; 2.<= span style=3D'mso-tab-count:1'> = In the event of a multi‑casualty emergency incident, Med Command will be responsible for providing pre‑hospital medical direction to the paramedics at the emergency scene through the Sector Chief in charge of the Triage/Treatment Area including protocol procedures which would expedite advanced care to the casualties.
=
&n= bsp; 3.<= span style=3D'mso-tab-count:1'> = Med Command will direct the distribution of patients from the EMS Transportation Sector to area hospitals in this Plan based upon the severity of injuries, existing hospital case load, the availability of hospital beds, and so fort= h.
4. = Med Command will be responsible for helping the area hospitals in this Plan to implement their own Hospital (Disaster) Emergency Plans based upon available information.
=
=
A.&n=
bsp; =
;
OPERATIONS CONCEPTS
=
1. &n=
bsp; The
American Red Cross, the Salvation Army, the Cabell County Schools, and
the Wayne County Schools are responsible for the
activation and operation of the
Evacuation Reception Sites in Cabell and Wayne
counties, the area covered by
this Plan.
=
&n= bsp; 2.<= span style=3D'mso-tab-count:1'> = Ordinarily schools in Cabell and Wayne Counties will be used as Evacuation Reception Sites. Both Counties have con= tract agreement with their County School Systems to provide such sites.
=
&n= bsp; 3.<= span style=3D'mso-tab-count:1'> = Other public buildings (armories, recreation centers, etc.) may be utilized as Evacuation Reception Sites, if school buildings are not appropriate.
=
&n= bsp; 4.<= span style=3D'mso-tab-count:1'> = The Incident Commander, after deciding that there is a need for an Evacuate Protective Action, will request the Emergency Coordinator and School System staff member at the EOR arrange for= the appropriate school(s) to be opened to serve as Evacuation Reception Site(s)= .
=
&n= bsp; 5.<= span style=3D'mso-tab-count:1'> = If non‑public school facilities are chosen by the EOR Emergency Coordina= tor to serve as Evacuation Reception Site(s), he will contact the appropriate municipal, county or state officials to have the appropriate facilities readied as Evacuation Reception Site(s).
=
&n= bsp; 6.<= span style=3D'mso-tab-count:1'> = The EOR Emergency Coordinator will request the American Red Cross (ARC), in conjunction with the Salvation Army (SA), to operate the Evacuation Recepti= on Site(s).
=
&n= bsp; 7.<= span style=3D'mso-tab-count:1'> = The ARC and SA Disaster Coordinators will be responsible for activating the necessary personnel to operate the designated Evacuation Reception Site(s) = to provide shelter, feeding, clothing, and related services.
8. =
The
Incident Commander will appoint the appropriate senior ARC or SA official
9. The Sector Chief for an Evacuation Reception Site will be responsible for coordinating the ARC, SA, EMS, evacuation transportation (busses) law enforcement, public health, social services, and any other governmental or = non-
RECEPTION SITE SER=
VICES
(Continued)
A. &nb=
sp; OPERATIONS
CONCEPTS (Continued)
10. The A= RC Chapter Executive Director or his designee will monitor the emergency situa= tion as it develops and be prepared to assume resource coordination of the ARC a= nd SA aspects of the emergency situation at the relevant EOR when it is activa= ted.
NOTE: =
; “AR=
21; Please also=
refer
to Chapter VI, Evacuation Plan/Appendix “A”.
NOTE: =
; “BR=
21; Please also=
refer
to Appendix A of this Plan.
NOTE: =
; “CR=
21; For very la=
rge
scale/long term Reception Care Services please refer to the Mass
&nbs=
p; &=
nbsp; Care
Plan aspects of the Cabell County Emergency Operations Plan or the
&nbs=
p; &=
nbsp; Wayne
County Emergency Operations Plan as appropriate.
VI. MORTUARY SERVICES
A.&n=
bsp; =
;
OPERATIONS CONCEPTS
1. &= nbsp; In case of deaths related to an emergency incident, a temporary mortuary will = be established at an appropriate facility as close to the emergency area as possible. “Such facility shall be determined by the State Medical Examiner or his representative in conjunction with the chief law enforcement officer of the jurisdiction involved or his designee”. Remains will be transported there.
2. &= nbsp; Decontamination of remains shall be carried out as appropriate.
3. The State Medical Examiner or his representative will carry out the necessary examinations.
= ; 4. After the approval of the State Medical or his representative, the remains may be
=
=
released to next of kin and/or priv=
ate
funeral directors.
5. The Incident Commander will appoint a responsible Sector Chief to supervise the temporary mortuary. =
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SPECIAL SERVICES PLAN
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