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Emergency-Medical Health
Low
Low Risk of Terrorist Attacks
- Review and update emergency medical and health annexes and SOPs.
- Identify required equipment; identify resources available through augmentation.
- Refine and exercise pre-planned Protective Measures.
- Monitor potential threat elements and revise threat assessments.
- Regularly assess vulnerabilities of key assets/ infrastructure.
- Recommend and take mitigation and security measures at key assets/ infrastructure.
- Emergency medical personnel train to the terrorism /WMD awareness level and on the Homeland Security Advisory System.
- Institutionalize a process to assure that all facilities and regulated sectors are regularly assessed for vulnerabilities to terrorist attacks and all reasonable measures are taken to mitigate these vulnerabilities.
- Be alert for suspicious vehicles in the vicinity of your facility and for abandoned vehicles and packages.
- Review local protocols for incident command and unified command as needed.
- Develop procedures to improve daily information sharing with other local responders.
- Develop creative methods for emergency joint communications using existing equipment.
- Conduct time-efficient, inexpensive walk-through drills and tabletop exercises with all local responding agencies.
- Invite other local response organizations to observe or participate in full-scale agency exercises planned for the future.
- Conduct public health surveillance; report unusual outbreaks to 1-800-PA-HEALTH. regularly assess public health vulnerabilities.
- Submit data required for PEIRS reports to 911 center.
Guarded
General Risk of Terrorist Attacks
Take all actions from previous level, plus:
- Update required equipment; update resources available through augmentation.
- Selected emergency medical personnel train to the terrorism /WMD operations level.
- Establish alternate staging locations.
- Ensure emergency communication plan is updated and needed equipment is on hand/ purchased/etc.
- Check communications with designated emergency response or command locations, and with 911 or designated communications control centers..
- Review and update emergency response procedures.
- Provide the public with any information that would strengthen its ability to act appropriately.
- Be alert to suspicious activity and report it to proper authorities.
- Increase security checks of all vehicles assigned to your agency.
- At regular intervals inspect the interior and exterior of your facilities for suspicious activities and packages.
- Reduce or control the number of entrances to your facilities.
- Submit data required for PEIRS reports to the 911 center.
Elevated
Significant Risk of Terrorist Attacks
Take all actions from previous level, plus:
- Alert key personnel.
- Check readiness of all health and medical equipment, facilities, and supplies.
- Correct any deficiencies in equipment and/or facilities.
- Review assignments and recall list with all personnel.
- Coordinate emergency plans as appropriate with local emergency management officials.
- Review THREAT assessment; determine terrorist intentions and capabilities.
- Assess whether the precise characteristics of the threat require the further refinement of preplanned Protective Measures.
- Implement, as appropriate, contingency and emergency response plans.
- Check telephone and pager numbers and email addresses in your communications plan and update as necessary.
- Develop alternate routes for transit for emergency evacuation and practice them.
- Increase surveillance of critical locations.
- Increase security in and around EMS station.
- Consider moving vehicles, trash receptacles and other containers at least 50 feet from buildings.
- Increase health surveillance procedures.
- Review plans for the implementation of the SPS (formerly the NPS).
- Submit PEIRS report information to the 911 center.
High
High Risk of Terrorist AttacksTake all actions from previous level, plus:
- Alert personnel of possible emergency duty.
- Place off-duty personnel on stand-by.
- Alert auxiliary personnel.
- Restrict access to critical facilities/ infrastructure to essential personnel only.
- Coordinate security efforts with state and local health providers.
- Contact other key emergency response organizations to confirm their emergency response plan procedures.
- Establish liaison with all private and public health and medical facilities.
- Have emergency supplies on hand. shelters readied, and review procedures.
- Consider the need to request SPS assets; know the SPS supply sites.
- Ensure communications plan is understood/ practiced by all agency members.
- Review emergency plans to include continuity of operations and media materials.
- Determine need to restrict access to EMS agency property, stations, and other key facilities.
- Take additional precautions at public events and possibly consider alternate venues or even cancellation.
- Prepare to execute contingency procedures, such as moving to an alternate site or dispersing workforce.
- Exercise caution when traveling.
- Consider establishing a "buffer zone" around key facilities by limiting parking, moving trash receptacles, and increasing periodic checks.
- Maintain constant observation of apparatus and equipment kept outside of the station.
- Submit PEIRS Report information to the 911 center.
Severe
Severe Risk of Terrorist Attacks
Take all actions from previous level, plus:
- Recall and mobilize all EMS personnel.
- Notify hospitals to activate disaster plans and prepare to receive a specified number of victims based on the situation.
- Maintain 24 hour operations.
- Work with local community leaders, emergency management, government agencies, community organizations and utilities to meet immediate needs of the community.
- Assign emergency response personnel and pre-position and mobilize specially trained teams and resources.
- Be prepared to work with a smaller or dispersed work force.
- Increase or redirect personnel to address critical emergency needs.
- Request SPS assets, as appropriate.
- Adhere to any travel restrictions announced by local government authorities.
- Contact businesses and schools to determine status of work/school day.
- 100% identification check and escort of anyone entering the station.
- Ensure mental health counselors are available for EMTs.
- Listen to radio/TV for current information/ instructions.
- Document response activity in 911 CAD.
- Submit PEIRS Report information to 911 center.