Bioterrorism Hospital Preparedness Program Hospital ... Preparedness Education and Training Guidance...
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Hospital Preparedness Education and Training Guidance
Minnesota Department of HealthOffice of Emergency Preparedness
Bioterrorism Hospital Preparedness Program
This guidance is a resource tool listing ofemergency preparedness core competen-cies. It was developed to ensure compe-tent, prepared healthcare personnel. Itspurpose is to assist the user in providingcompetency-based emergency prepared-ness training. The goal is to provide aframework to assist in planning for andfacilitate competency-based training inthe event of an all hazards incident inthe State of Minnesota.
The guidance supports hospital or healthcare facility needs byreferencing competency-based training for personnel. Thistraining will assist personnel to be competent in their person-al responsibilities at work and at home. This training guid-ance also creates a standardized foundation for healthcare pro-fessionals in the State of Minnesota to assist reciprocity ofstatewide support to one another.
We recommend that hospital and clinic administrators andkey planners become familiar with this guidance and adapt itto each facility and department, as applicable. The MinnesotaDepartment of Health (MDH) recognizes that emergency pre-paredness competency-based training is evolving and changesmay determine a need to refine the competencies, indicators,and guidance.
ScopeThis guidance serves as the first step in directing the user toassess training needs for the personnel of the facility, depart-ment or service area. It provides a list of core competencies,and further detailed, sub-competencies. Further, it definesawareness, knowledge, and proficient levels of competency-basedtraining and options for target personnel to receive training inorder to develop a training plan for personnel. Following thedevelopment of a training plan, the training resources and cur-ricula themselves can be found through links located on theMinnesota Department of Health website athttp://www.health.state.mn.us/oep/training/bhpp/index.html.The information provided in the guidance documents is alignedwith the training resources on the website.
BackgroundThe Education and Training Advisory Group was convenedin January 2005 to address the education and training needsof healthcare personnel statewide. The group was asked todevelop and initiate an Education and Training Plan to:ensure that competency-based emergency preparedness train-ing is provided to healthcare personnel across the state;increase and enhance the communication and coordinationof competency-based emergency preparedness education andtraining between the MDH and the healthcare personnelacross the state; and design/establish a system for trackingand reporting the number of healthcare personnel educatedand trained in competency-based emergency preparedness pro-grams annually.
The charge of the group was initiated from the BioterrorismHospital Preparedness Program as part of The NationalBioterrorism Hospital Preparedness Program, FY 2004Continuation Guidance. This program states that, Awardeeswill utilize competency-based education and training programsfor adult and pediatric pre-hospital, hospital and outpatienthealth care personnel responding to a terrorist incident.
This program also states that, Competency-based educationand training are a means by which the health care workforcecan both acquire the knowledge, skills and abilities required ina response and demonstrate the interaction of these elementsin a given context, either in drills, exercises or training evalua-tions. Competency-based education focuses on the applica-tion of knowledge into observable outcomes or behaviors andis characterized by greater workplace relevance.
It was with these charges that the group was convened and hasmoved forward to support the following guidance.
The Education and Training Advisory Group has rural andurban statewide representation from key partners including,but not limited to, the Minnesota Department of Health,Regional Hospital Resource Center Coordinators, hospitalsand clinics representatives, Infection Control Practitioners,State Board of Nursing, and academic institutions.
VisionIn support of competent, prepared healthcare personnel dur-ing an all hazards incident, a Learning Management System(LMS) is an integral component for tracking, training, andreporting staff emergency preparedness training. At this time,the Minnesota Department of Health is in the process of final-izing a contract for an LMS for the hospital, clinic and publichealthcare workforce to utilize to manage staff training.Currently, the MDH website will serve to access training, andthe tracking and reporting of staff training will be managedinternally at each facility. Once an LMS is in place, trainingwill be provided as you incorporate it into your education andtraining efforts.
Further, implementation and completion of training by identi-fied healthcare personnel who would be responding in anevent may be adapted by each facility.
The guidance documents and website - Overview The guidance document was designed to assistthe user in identifying personnel and applicabletraining toward emergency preparedness corecompetencies. You may opt to use the guidancedocuments as a reference and orientation tocompetencies in emergency preparedness and todetermine a plan for training personnel, or youmay start at the website -http://www.health.state.mn.us/oep/training/bhpp/index.html. The website contains therepository of competency-based trainingresources and curricula.
Using the guidance documentsThe guidance documents are to be used as a reference and toguide the development of a plan for training personnel. The guidance documents provide the following: list of the emergency preparedness competencies and sub-
competencies to ensure personnels ability to carry outtheir responsibilities;
definitions of awareness, knowledge, and proficient levelsof competency-based training;
levels of training anticipated for target personnel; and examples of target personnel to receive training
The Healthcare Personnel Emergency Preparedness(HPEP) Competencies outlines broad competencies, as wellas sub-competencies in emergency preparedness. However, thetraining plan can be developed and initiated beginning withthe broad competencies. Training and measurement can betailored or enhanced through stepwise implementation basedon the existing level of competency of the personnel in thefacility.
The Healthcare Personnel Emergency Preparedness(HPEP) Training Level Assignments provides a frame-work to begin to identify key personnel for emergency prepared-ness competency-based training and to guide the key person-nels anticipated level of training. The level of training willdepend on the trainees planned functional roles in a response.
Please note: A) The competencies listed on the HPEP Training Level Assignments
are an abbreviated version of the HPEP Competencies. The HPEPTraining Level Assignments list the broad competencies andsome of the sub-competencies from the complete list in the HPEPCompetencies. This abbreviated version, HPEP Training LevelAssignments, was written with the assumption and acknowledge-ment that a given training curriculum might include some, but notnecessarily all, sub-competencies. Refer to the HPEP Competenciesto determine sub-competencies included in a given training.
B) The dark shaded areas under the Target Personnel columns inthe HPEP Training Level Assignments indicate that the competen-cy does not apply to said personnel.
Assumptions:* References to special populations include, but are not limited to,
persons with complex medical issues, persons with disabilities, persons with language, hearing and sight issues, women who arepregnant or breast feeding, and multi-ethnic, multi-cultural, pediatric,and geriatric populations.
* All hazards events are complex and will have individual differences.
Using the websiteThe website provides the repository of competency-basedtraining resources and curricula. They are found throughlinks located on the Minnesota Department of Health websiteathttp://www.health.state.mn.us/oep/training/bhpp/index.html. The training resources on the website are listed by topicarea and the topic areas are directly related to the competen-cies in the guidance documents.
Each topic area links to specific curricula for trainings in thattopic area. The following information is provided for eachtraining curriculum: brief description; level of training; target personnel; training materials or the direct URL address to online
training; and emergency preparedness competencies addressed
To see more information about a specific trainingcurriculum, click on the specific curriculum. Thiswill link to the training source via its URL address,where you may enter to see more information on the training or to begin the training, if desired.
Mark Lappe Hennepin County Medical CenterRegional Hospital Resource Center Coordinator
Eric Weller Immanuel St. Josephs HospitalRegional Hospital Resource Center Coordinator
Cheryl Stephens Community Health Information CollaborativeRegional Hospital Resource Center Coordinator
Mickey Scullard St. Cloud MDH District OfficePublic Health Preparedness Consultant
Ralph Morris Bemidji MDH District OfficePublic Health Preparedness Consultant
Linda Mash Minnesota Nurses AssociationStaff Specialist, Education
Liz Mangold Minnesota Organization of Nurse Leaders Chippewa County-Montevideo Hospital
Laurel Anderson Minnesota Hospital AssociationDirector, Health Policy