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1 Disaster 101 Overview Disaster 101 Toolkit Background The Disaster 101 Toolkit was created as part of a CDC-sponsored research project at the University of Minnesota, the purpose of which was to develop, implement and evaluate the effectiveness of scenario-based disaster simulations and to teach disaster preparedness content and teamwork skills to interprofessional teams of health professions students. The Disaster 101 Experience The Disaster 101 experience consists of the following five components: (1) An online pre-workshop course that introduced participants to foundational concepts (2) Didactic component. Three hands-on learning sessions the day of the workshop, taught by local EMS professionals covering the following topics: 1. Scene assessment and safety 2. Mass casualty triage 3. Communicati ion with first responderss (3) Simulated disaster scenarios followed by debrief sessions facilitated by community experts in emergency preparedness and response. One or Two scenarios can be undertakenn depending on group size. (4) An opportunity to repeat the simulation(s s) after the debrief sessions (5) A group debrief session at the conclusionn of the workshop. Disaster 101 Workshop The Disaster 101 curriculum is flexible in the number of participantss and amount of time the workshop can accommodate. For example it could take 15 participants doing 3 hands-on learning sessions, and one simulated disaster scenario and debrieff about 3-4 hours to complete the workshop. Based on the researchers experience, an 8 hour workshop with 40 participants provides a good experience for participants as well as optimal resource utilization. Planning a workshop of this size would take approximately 3 months at a minimum. Workshop Example: 1 day-long workshop 9 am-4:30 pm (Participants on-linee course work prior to workshop) 2 Simulated Disaster Scenarios ( Building Collapse and Explosion) 40 Participants divided into 4 cohorts (min. 15 participants, max. 60 participants recommended) 30 s (15 for each disaster scenario) 8 Facilitators/Evaluators, 2 per cohort (2 is recommended, 1 per cohort would minimum) 8 Staff members This work is sponsored by University of Minnesota: Simulations, Exercises andd Effective Education Preparedness and Emergency Response Researchh Center (U-SEEEE PERRC).

2 Creating a Disaster 101 Workshop: Toolkit Contents To createe a Disaster 101 workshop, use the Disaster 101 toolkit. The toolkit includes: Information on recruiting and training standardized victims, evaluation/facilitation personnel, and students Instructions for creating realistic simulation scenarios Training tools (e.g., learning session outlines, lists of available online resources, and PowerPoint training presentations) Logistics support Handouts for student participants Evaluations tools And more Using the Toolkit The Toolkit Table of Contents lists the name and purpose of each document contained in the toolkit. In some circumstances, additional information about how to use a particular document is included within the document, in a text box on the top, highlighted in blue. Every document can be modified by the user. While it is important to maintainn the core elements of the workshop (i.e., realistic simulation, feedback and debrief sessions, and a didactic component), it is not essential to maintain the content or formatting of any particular document or tool. All documents are saved in a format that can be edited. Disaster 101 Video This 4 minute video gives a introduction to the look and feel of Disasterr 101 and describes materials that are available in this package. Access the video at: youtube.com/watch?v=ueiarydts0k This work is sponsored by University of Minnesota: Simulations, Exercises andd Effective Education Preparedness and Emergency Response Researchh Center (U-SEEEE PERRC).

3 Disaster 101 Toolkit Table of Contents Chapter 1: Logistics Sample Workshop Blueprint (Student Activities) Sample Student Schedule Sample Project Plan Roles and Responsibilities Sample Budget Outlines the potential timing of each component of the workshop and the student activities that could be accomplished within each timeframe. Outlines the workshop schedule for an individual participant. It is recommended to provide each student a customized workshop schedule. Lists tasks needed to accomplish planning and implementation of the workshop; includes suggested timeline. Outlines the roles that may be needed in order to successfully plan and implement the workshop. ` Describes potential expenses involved in conducting the workshop. Chapter 2: Simulation Development and Implementation Simulation Development Guide Provides instructions for how to create realistic simulations. Includes: proposed room layouts; photos of simulations; and a list of optional supplies. Simulation Guidelines for Staff and Evaluators Chapter 3: Management Management Guide Training Presentation Overview Template Profiles Event Day Briefing Moulage Guide Simulation Debrief Guide Outlines the expectations for when staff will intervene in and/or end a simulation. Provides an overview of how to recruit, train, and manage simulated victims. Orients simulated victims to the project. Includes: an overview of the project; details of the simulation scenarios; personal safety information; and information about how to convincingly simulate being the victim of a blast or building collapse. Also includes presenter notes. Used to record summary information about simulated victims moulage, placement in the simulations, and scripting. Assists each simulated victim in playing his or her assigned role. Includes: a description of each victim s background; scripting suggestions; and recommendations for how to react to potential events during the simulations. The profiles should be paired with the above template. Reminds simulated victims of important information on the day of the workshop. Assists users in understanding how to simulate (using make-up) the various injuries (e.g., cuts, scrapes, etc.) that simulated victims will have. Assists facilitators in conducting debrief sessions with simulated victims. Chapter 4: Facilitator and Evaluator Recruitment and Training Facilitator/Evaluator Recruitment Guide Facilitator/Evaluator Includes a list of potential recruitment sources and a sample invitation letter. Helps facilitators/evaluators understand and practice how to evaluate This work is sponsored by University of Minnesota: Simulations, Exercises and Effective Education Preparedness and Emergency Response Research Center (U-SEEE PERRC).

4 Disaster 101 Toolkit Contents Orientation Large Group Debrief Presentation participants' performance, provide effective feedback, and facilitate debriefing sessions among participants. Instructor notes are included. Aids in facilitation of a large-group debrief session. It is recommended to use the questions in this presentation to structure the large-group debrief at the end of the session; participants answers can be typed directly into the presentation. Reflective Debriefing Provides tips for facilitating debrief sessions. Guide Chapter 5: s Student Preparation Objectives 1: National Incident Management System (NIMS) Lists the learning objectives for the student prep documents (see below). It is recommended that the information included in these documents is provided to students prior to the in-person portion of the workshop. Describes free online resources that can be used to introduce students to NIMS and the Incident Command System (ICS). 2: Roles for Professionals in a Disaster Disaster Student Prep Document 3: Scene Assessment & Safety 4: Mass Casualty Triage 5-a: Challenge Game Explanation Outlines roles that different types of health professionals can take in planning for and responding to a disaster. Provides a link to and a transcript of instructional videos on scene assessment and safety. Provides information about the START triage method. Describes how to use the Challenge Game (see below). 5-b: Disaster 101 Challenge Game Chapter 6: Workshop Instructor Tools Workshop Orientation Hands-on Skills Workshop Outlines Game students can play on their own or in teams, designed to assess their understanding of concepts related to the student preparation objectives. Orients workshop participants to the workshop schedule and expectations. Outlines content which EMS professionals could include in their workshop presentations to meet learning objectives. Workshop topics are: Scene assessment & safety Mass casualty triage Role of EMS & communication with first responders Disaster 101: An Immersive Interprofessional Simulation Workshop 2

5 Disaster 101 Toolkit Contents Orientation to Immersive Simulation Orients workshop participants to mass casualty events and the kinds of skills that are needed to effectively respond to them. Also provides a pre-briefing to learning in an immersive simulation and guidelines for participating in a simulation of a mass casualty experience. Chapter 7: Participant Communications and Handouts Pre-Workshop Student Communication Simulation Instructions (two documents, one for each simulation; Building Collapse and Explosion) Organizing the Team. Roles for each Participant. Observer Role Instructions Characteristics of Crisis Leadership Guidelines for Safe Evacuation Chapter 8: Evaluation Skills Assessments Tools (two documents- one each for teamwork skills and for response skills) Pre- and Post-Workshop Confidence Assessment (two documents one each for before and after workshop) Workshop Evaluations (two documents one each for students and facilitator/evaluators) Includes: recommendations for information to include in messages to students and sample s. Provides participants information on the simulations and how to prepare for them. Describes the different roles participants can have within their assigned teams during the simulation. Instructs participants on how to effectively observe a simulation. (The observer role is optional.) Helps participants understand the key behaviors associated with crisis leadership. Provides participants with guidelines to avoid being injured while assisting a victim. For use by Evaluators. Provides framework to assess each team of participants response skills and communication and teamwork skills. Measures how confident participants are in their emergency response knowledge and skills before and after the workshop. Provides students and facilitators/evaluators an opportunity to evaluate their experiences participating in the workshop. Disaster 101: An Immersive Interprofessional Simulation Workshop 3