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Emergencies: Philosophy to Practice

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Transcript of Emergencies: Philosophy to Practice

Philosophy to Practice
Emergencies:
How Do People Behave
in an Emergency?
They “freeze”
An “Illusion of Centrality” takes over
People do too little, too slowly – contrary to popular perception about panic. This can be reinforced in a crowd
Evolutionary equivalent of “playing dead”

Beverly Hills Supper
Club Disaster
May 28, 1977
167 killed
Even in an extreme disaster, basic tenants of civilization still apply: people are remarkably loyal to their social status
Guests “froze”
It was the staff that saved lives. What is most fascinating is that most staff had absolutely no emergency management training

What the Research Says:
In moments of crises, people tend to cluster in groups and maintain existing social hierarchies
Having only one person in a group who can manage their psychological and emotional response to an emergency can make a difference and save lives
In the Beverly Hills Supper Club fire: 60% of employees helped get people to safety in some way; only 17% of the guests did

Part II

Where Do Staff Report
When a Building is Evacuated?
During RA Duty Hours:
RA on Duty is responsible for getting the emergency bin from the FRONT DESK and taking it to just outside of the front entrance of the building
Outside of RA Duty Hours:
DA is responsible for bringing the emergency bin to just outside the front entrance of the building
Non-duty staff should report to just outside of the front entrance of the building
ALL staff who hear a fire alarm need to respond to the impacted building. This includes DA’s; CD’s; and RA’s from other buildings
There are LOTS of types of
emergencies:
Fire, medical emergencies, deaths, natural disasters, crime in progress, utility outages, bomb threats, social disturbances, missing persons…
Each emergency has its own unique variables
It’s not possible to create a “procedure” list for each type of emergency… But it is possible to create an intellectual rubric so we can make good choices
!

To simplify what could be many binders full of information and protocol:

In an emergency,
keep your H.E.A.D.!
H=
Help
E=
Evacuate
A=
Aid
D=
Distance

System for Organizing Our
Response to an Emergency
Who takes charge?
Who has the specific expertise necessary to handle a particular emergency?

Hierarchy of the Residence
Life IC Structure:
First Responding Res Life Staff member
Yes, this means YOU might be in charge of Res Life’s initial response during an actual emergency

First Responding Professional Staff Member

Highest Responding Res Life Authority

Ultimate Incident Commander
(TFD, UAPD, Ambulance Company, etc…. depends on the incident type)

Incident Command (IC)
Part I:
Reacting to Emergencies
Important Lessons for
Housing Programs :
Housing Staff (esp. live-in staff) must be trained to manage their psychological and emotional response to an emergency
DRILLS ARE IMPORTANT – research shows they “hard wire” emergency procedures into our brains
SYMBOLS are important

Where do
Residents Report?
Part III
Implementation
Perimeter
When a building is evacuated, staff should establish a PERIMETER
The purpose of a perimeter is to keep people
AWAY
from danger
The RA on Duty (or first responding RA if it is during non-duty hours) is responsible for organizing the initial response, including setting up a perimeter. Arriving staff should be given vests and assigned a role
Duty RA (or 1st responding RA) =
YELLOW
Vest
Staff assigned to perimeter =
BLUE
Vest
All other responding staff =
ORANGE
Vest
Perimeter
should be set up so that each staff member is in the line of sight of two other staff members assigned to perimeter
Hand Signals (during the day)
Lights (at night)
Staff members SHOULD NOT LEAVE THEIR POST unless instructed to do so by the Res Life IC or an emergency responder – EVEN IF THE BUILDING ALARM SILENCES

What Is Your Role in Emergency Management?
Hazard Mitigation:
Ensure residents are aware of potential hazards (i.e., “wet floor” sign after a floor has been mopped)
Make sure staff knows what to do in the event of an emergency

Education:
Programming to educate your residents on emergency preparedness

Coordination:
Knowing which resources to use, when
Helping to assist emergency responders with information gathering, crowd control, etc

When Calling 911:
Identify Yourself

Give Key Details of Situation

Establish a MEETING PLACE for responding officer to meet you

The DISPATCHER should be the one who ends the call

How to Describe a Subject:
1. Gender
2. Age
(Late Teens; 20s; middle aged; etc.)
3. Height
(relative to yours is easiest)
4. Race
5. Skin / Hair Color
(dark, tan, pale)
6. Weight
(Skinny, heavy, muscular, about 200 lbs., etc.)

Strategy:
TOP DOWN
(head to toe) Descriptions
• This includes anything you can remember – such as tattoos, scars, clothing, weapons, etc.

Fires
In the Movies
In Real Life
What Your Role
in a Fire is
Investigate “local alarms” (i.e., confined to one room or apartment)
Anytime you know of or suspect a fire, pull the fire alarm and evacuate. On your way out, you can knock on doors that you pass and tell residents to evacuate
YOU ARE NOT TO RE-ENTER A BUILDING ONCE YOU EXIT
Once you are safe, call 911 and CDOC unless you know someone else already has
Look for ways to assist – keep your
HEAD
Residence Life, UAPD, and TFD will respond

Crime
Crime in Progress:

Call 911, then notify CDOC

Reporter after the fact:

Use best judgement – call UAPD (520-621-8273) or CDOC first

Once UAPD or another investigating agency is involved, it is their case
DO NOT
interfere with the investigation. UAPD will send us reports as appropriate or will ask us for help when needed

Medical Emergencies
Call 911 first. Provide dispatcher name, location, and description of symptoms
Ask roommate or friends nearby for any known use of alcohol or drugs, and prescriptions the person may be on, etc. (If the person is conscious, ask them for this information)
Notify CDOC or have another RA or trusted resident notify CDOC
DO NOT MOVE THE VICTIM
unless instructed to do so by the dispatcher or the victim is in immediate danger
Remain with the victim until emergency personnel arrive, keeping them warm and alert if possible
Use your resources: ask nearby staff or residents to help hold open door and/or direct EMS to the location of the victim
Upon arrival of EMS,
it’s their scene
. Follow their instructions

Missing Person
If you get a report of a missing person, gather the following info:
Name, race, gender, age
Physical description (Tattoos? Hair style? Etc.)
Clothing description
Physical / mental disability if known
Prescription meds needed or taken if known
Other circumstances: Recent alcohol or drug use? Recent break up or death in the family?
Time and place the individual was last seen
Mobility of the missing person (Do they have a car on campus?, etc.)
Has this person disappeared before?

Contact CDOC or supervisor
CDOC or supervisor will take over from here
RA’s should
NOT
initiate contact with the resident’s parent

Psychological Situations
There are different levels of psychological emergencies- ranging from homesickness to attempted or completed suicide
RA’s can attempt to intervene in
LOW LEVEL
situations, such as common home sicknesses
You should still keep your supervisor or CDOC aware in these circumstances
You must
IMMEDIATELY
notify 911 and CDOC if there is any indication a student is a harm to themselves or others
If you become aware of a
SERIOUS
psychological situation (someone seriously depressed, suicidality, etc.) – contact CDOC or 911 (use your best judgement as to whom to call first)
If you hear a suicide threat, and if circumstance allow, try to determine:
Does the student have a specific plan?
Do they have the means to carry out the plan?
Are they under the influence of alcohol or drugs?
Any recent life events? (break up, death in family, etc.?)

Weapons
Context is important. For low level issues, you may be comfortable dealing with them yourself, but bring to the attention of your supervisor or CDOC (example: a resident is taking an archery class who stores a bow and arrow in their room)
Even in low level situations, do not handle anything yourself if you are not comfortable doing so.
Ask for help!
If you become aware of any person possessing a dangerous weapon such as a gun, and/or have reason to believe a person may use a weapon of any kind, contact 911 and then CDOC immediately. Do
NOT
attempted to deal with the situation yourself

Blood Borne Pathogens
Blood Borne Pathogens can be found in any bodily fluid or feces.
If possible, have the person clean up their own mess
If the cause of the incident is unknown, contain the area and contact RLC
Business Hours (M-F 7am-3:30pm): 520-621-6650
After Hours: 520-570-1236
For custodial issues that do
NOT
involve bodily fluids, call CDOC
PRIOR
to calling out

Maintenance Issues
For every maintenance issue, call CDOC
PRIOR
to calling out
Regular Business Hours (M-F 7am-3:30pm): 520-621-6650
After Hours: 520-570-1236

Sexual Assault
RA’s should call CDOC immediately
Depending on circumstances, it may be appropriate to call UAPD first
CDOC will report to the scene and call UAPD
If appropriate and if they aren’t already involved
CDOC and UAPD will ensure survivor’s immediate safety needs are attended to
Move to another room, etc.
CDOC and UAPD will refer survivor to resources

Bias Related Incident
Any act of discrimination is to be taken seriously and attended to immediately. We do
NOT
tolerate this in our communities
RA’s will call CDOC. CDOC will determine whether or not to call UAPD
Depending on severity, CDOC will respond to the scene.
If the incident involves vandalism, cover the vandalism until a photo is taken
Write a report and send pictures to building CD.
Hall CD, District AD, the Coordinator for Social Justice, and the AD for Behavioral Education will consult and develop a response

Unconscious Person
Make sure the scene is safe (Smoke? Electrical wires? Etc.)
Ask the person if they can hear you (“Are you OK?!”)
If no response, nudge feet or shoulders
If no response, call 911
then
CDOC
Meanwhile, check to see if person is breathing
Check for strength of pulse
Describe breathing, pulse, and situation to 911 operator
If others are around, task them to do something:
Call more staff for help
Hold doors open and direct EMS to the scene when they arrive

Death
Do
NOT
touch anything!
Call 911
then
CDOC
Limit access to the area as best as possible. Do not let
ANYONE
other than emergency personnel into the scene
When assistance arrive,
it’s their scene
. Assist as requested
CD will call an emergency meeting with RA staff
CAPS will send counseling support
Death rate among college students is low (about 1:10,000) but they do occur. Top three causes are accident, suicide, and medication condition
It is
OK
if you are not in an emotional state that allows you to handle this type of situation. There is
NO SHAME
in asking another staff member to take over
The Dean of Students is responsible for notification of next of kin
Nick’s Expectations:
We are here for each other
HELP
each other out, ask how each other are doing. Emergencies of every type can elicit a wide range of emotions
WHEN IN DOUBT,
call the CDOC (or MOD if you’re CDOC)
ASK
for help when you need it
FOLLOW UP
with impacted people (roommate; community; responding RA’s; etc.)
Quiz
1. You get a report that one of your residents, who is taking a cooking class at Campus Rec, stores a large butcher knife in her room. What is most likely the first step of your response?
a. Approach the resident and ask them not to store the knife in her room, and write an IR
b. Call 911
c. Call the CDOC
d. None of the above

2. You get a report from a resident that he thinks his former partner has a gun in his room and has threatened to use it. What is most likely the first step of your response?
a. Go to the resident's room and see if you can talk to him about this report
b. Call 911
c. Call the CDOC
d. None of the above

3. You respond to a resident that is threatening to harm himself. You see no evidence that the resident has the ability to carry through with her plan, but you are very concerned. What is likely your best option to manage this situation?
a. Call 911
b. Ask a returning RA to help
c. Call and consult the CDOC
d. None of the above

4. During a building evacuation for an actual fire, you get several reports of a resident who refused to evacuate and is currently still in his room. How do you deal with this situation?
a. As long as the suspected fire is in a different area / floor of the building than where the resident is located, re-enter the building and force the resident to leave
b. Send the resident’s friend or roommate back to talk the resident into leaving the building
c. Ask UAPD to retrieve the resident
d. None of the above

5. In an emergency, we keep our…
a.
HEART
b.
HEAD
c.
WILBUR
d.
WILMA

6. On rounds, you notice smoke pouring out of a resident’s apartment. Please tell us how each aspect of HEAD would work in this scenario, and in which order you would activate HEAD:
a. Help:
b. Evacuate:
c. Aid:
d. Distance:

7. Unfortunately, one of your residents has passed away. How would you activate HEAD in this scenario?
a. Help:
b. Evacuate:
c. Aid:
d. Distance:
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