STATE OF NEW JERSEY

EMERGENCY OPERATIONS PLAN

EMERGENCY SUPPORT FUNCTION #8

HEALTH & EMERGENCY MEDICAL ANNEX

 

 

 

i. PRIMARY AGENCY:

New Jersey Department of Health and Senior Services

ii. SUPPORT AGENCIES:

NJ Emergency Medical Services Council

NJ State First Aid Council

Medical Transport Association of NJ

MICU Program Administrators Association

National Disaster Medical System

NJ Trauma Center Council

The Burn Center at St. Barnabas

Emergency Nurses Association

NJ Department of Environmental Protection

NJ Department of Military & Veterans' Affairs

NJ Department of Human Services

NJ Office of Emergency Management

NJ Office of the Medical Examiner

 

I. INTRODUCTION

A. Purpose

The purpose of this New Jersey Emergency Support Function (NJESF) is to provide for the coordination and direction of State, county, municipal, private, non-profit and volunteer resources to support public health and medical needs preceding, during or following a major or catastrophic disaster.

B. Scope

1. Evaluates the health threat to emergency workers and the general public;

2. Provides overall coordination for State-wide Emergency Medical Services (EMS) response;

3. Implements, as required, the necessary controls to prioritize the allocation of resources to meet requests which temporarily exceed local assets;

4. Provides coordination for obtaining and distributing resources from the Federal level in support of local agencies.

5. Involves supplemental assistance to local governments in identifying and meeting the health and medical needs of victims of a major emergency or disaster. This support is categorized in the following functional areas:

a. Assessment of health and medical needs;

b. Health surveillance;

c. Health care personnel;

d. Health/medical equipment and supplies;

e. Patient evacuation;

f. In-hospital care;

g. Food/drug/medical device safety;

h. Worker health safety;

i. Biological/radiological hazards;

j. Mental Health;

k. Vector control;

l. Potable water/wastewater disposal and solid waste disposal;

m. Victim identification/mortuary services.

 

II. POLICIES

A. NJESF #8 is implemented upon the activation of the NJ Emergency Operations Plan or upon the appropriate county-level request for assistance.

B. This annex fully supports and implements the Federal Response Plan, the State of New Jersey Emergency Operations Plan, Public Law 93-288, as amended, and the State of New Jersey Emergency Management Act. This annex provides for the coordination of Public Health and EMS support to county and municipal governments, private and volunteer organizations in the execution of their emergency operations plans.

C. All EMS and public health resources are coordinated through the State EOC when the Health & Emergency Medical Annex is activated.

D. In accordance with assignment of responsibilities in NJESF #8, and further tasking by the primary agency, each support organization participating under NJESF #8 contributes to the overall response but retains full control over its own resources and personnel.

E. NJESF #8 does not release medical information on individual patients to the general public to ensure patient confidentiality protection as required by state law.

F. Appropriate information on casualties/patients is provided to the American Red Cross (ARC) for inclusion in the Disaster Welfare Information (DWI) System for access by the public.

G. Requests for recurring reports of specific types of medical and public health information are submitted to NJESF #8 as soon as information requirements are identified to enable development and implementation of procedures for recurring Situation Reports (SITREP's).

H. The Joint Information Center (JIC), as defined in NJESF #13, is authorized to release at the discretion of Director, State Coordinating Officer (SCO) or State Emergency Public Information Officer general medical and public health information to the public.

I. All municipal, county, private and volunteer organizations participating in response operations report public health and medical requirements to their next higher reporting authority.

 

  1. SITUATION
  2. A. Disaster Condition

    1. This annex is to be implemented when local resources, including normal mutual aid, have been overwhelmed by the size of a Mass Casualty Incident (MCI) or a Public Health threat.

    2. The sudden onset of a large number of victims would stress the county's medical system necessitating time-critical assistance from the State government. A disaster would also pose certain public health threats, including problems relating to food, vectors, water, wastewater, solid waste, and mental health effects.

    3. Hospitals, nursing homes, pharmacies and other medical/health care facilities may be severely damaged or destroyed during a catastrophic or major disaster. Those facilities which service the disaster event may be rendered unusable or only partially usable because of a lack of utilities (electricity, water, sewer, gas, telephone, etc.). Medical and health care facilities which remain in operation and have the necessary utilities and staff are likely to be overwhelmed by the "walking wounded" and seriously injured victims who are transported there in the immediate aftermath of the event. Medical personnel, supplies (including pharmaceuticals) and equipment are also likely to be in short supply. Disruptions in local communications and transportation systems could prevent timely resupply.

    4. A major emergency resulting from an explosion, toxic gas release or terrorist deployment of Weapons of Mass Destruction (WMD) could occur but might not damage the local medical system. However, such an event could produce a large concentration of injuries that could overwhelm the local or regional medical system.

    B. Planning Assumptions

    1. NJESF #8 is based on a worst case scenario.

    2. The nature and extent of a disaster requires a pre-planned, immediate and automatic response from the entire NJESF #8 organization. This response will be based upon agencies following their SOPs and expanding upon the established procedures and response networks in place and used on a daily basis. Implementation of procedures not normally followed, or use of personnel untrained and inexperienced in field EMS policies and procedures is to be avoided.

    3. Standard communications equipment and practices may not be operable in the disaster.

    4. Resources within the affected areas are inadequate to clear casualties or treat them in local hospitals.

    5. Additional resources are required throughout the disaster area.

    6. Operational necessity requires air transport of patients from disaster scene.

    7. Damage to infrastructure and industrial facilities result in toxic environmental and public health hazards.

    8. Disaster conditions produce a need for mental health crisis counseling.

    9. Disruption of the infrastructure increases the potential for disease and injury.

    10. The Disaster Welfare Information (DWI) is capable of responding to one million disaster welfare inquiries, from around the world, within 30 days of a disaster's onset.

    11. Many of the more seriously injured are transported to hospitals outside the disaster area, some of them hundreds of miles away through the National Disaster Medical System (NDMS).

  3. CONCEPT OF OPERATIONS

A. General

1. New Jersey's EMS needs are served by a mix of volunteer and paid EMS organizations. EMS functions are carried out by local EMS organizations using area hospital emergency departments (ED) for treatment of the sick and injured. Local units are supported by those from surrounding areas and advanced life support units from their local MICU hospital and then by mutual aid assigned by N.J. State First Aid Council (NJSFAC) District Mobilization Coordinators, County Office of Emergency Management EMS Coordinators, ALS dispatch and appropriate County Communications Centers according to local Standard Operating Procedures. In areas not affiliated with NJSFAC, mutual aid is requested and assigned in accordance with municipal or county EOP's.

University of Medicine and Dentistry of New Jersey (UMDNJ) -University Hospital EMS Newark and Camden , Jersey City Medical Center EMS and Robert Wood Johnson University Medical Center EMS all maintain Special Operations Groups, comprised of EMS personnel, which can respond to Mass Casualty Incidents.

There are Disaster Medical Assistance Teams (DMAT) that can be deployed through NDMS. These teams are made up of volunteers from the EMS and medical community and are available to augment medical health care services in a disaster. New Jersey DMAT can be used as a resource in non declared events as that team will not be activated for federally declared disasters in New Jersey.

The Level 1 Trauma Center at University Hospital, Newark maintains a "Trauma Go Team" of trauma physicians and nurses trained to respond to incidents where lifesaving surgical intervention or advanced trauma expertise is required. The "Go Team" also works with the medical component of NJ Urban Search and Rescue task Force 1.

St. Barnabas Health Care System maintains a staff of burn nurses and paramedics trained in Advanced Burn Life Support as well as a dedicated Burn Transport System. These trained personnel and their equipment are available to respond to any incident involving large numbers of burn casualties.

A Memorandum of Understanding (MOU) is in place between UMDNJ - University Hospital EMS and the Fire Department of the City of New York (FDNY) EMS, for mutual aid coordination in disaster conditions.

A copy of the MOU is available in the State Emergency Operations Center (EOC).

Public Health operations are carried out by municipal or county personnel with mutual aid from neighboring communities, in accordance with local and county Emergency Operating Plans.

2. EMS mutual aid units utilize appropriate hospital facilities in an ever widening circle to prevent overloading those hospitals closest to the disaster scene. Hospital routing is coordinated by the EMS Branch Director at the incident command post using information obtained by the local dispatch center. If a situation requires EMS resources exceeding those available in the affected District, the State, Regional and appropriate NJSFAC Mobilization Coordinators are notified. The Regional Representative, NJDHSS OEMS, and appropriate County OEM EMS Coordinators are also notified. These individuals coordinate additional EMS units and resources.

3. In the event the State EOC is activated, the NJOEM EMS/BLS Coordinator and the Director, Office of Emergency Medical Services (OEMS) report there to coordinate BLS, and ALS respectively. New Jersey Department of Health and Senior Services (NJDHSS) Emergency Coordinator coordinates medical personnel, supplies, pharmaceuticals and information requests forwarded to the State EOC. When resources within New Jersey are depleted, assistance is requested through the U.S. Public Health Service (USPHS) in the State Emergency Operations Center or Disaster Field Office (DFO), when opened.

4 Local and County EMS and Public Health Coordinators receive reports and requests from the EMS Branch Director at the scene. EMS and Public Health resources are dispatched to the affected area as needed without stripping any particular area of the state, of EMS coverage.

5. All acute care hospitals in New Jersey have disaster plans designed to enable them to expand to accept additional patients. Patients may also be transported to distant hospitals through the facilities of the NDMS Federal Coordinating Centers, at the Veterans Affairs (VA) NJ Health Care System, Lyons (North and Central Regions).

6. Direction and control is provided by the local EMS Incident Commander. Coordination is provided by the County EMS/District Mobilization Coordinator or EMS Coordinator at the State EOC.

7. Health and medical information is exchanged through the local, county and State EOC's and liaison occurs at these facilities. The NJDHSS and the local health departments provide for health surveillance in the affected area.

8. NJESF #8 coordinates with NJESF #9 (Law Enforcement) and NJESF #4 (Firefighting) for disaster scene activities and NJESF #6 (Mass Care) to provide EMS coverage at congregate care shelters. They also coordinate with the NJESF #1 (Transportation) to obtain buses or other appropriate vehicles to transport ambulatory persons with minor injuries to medical care facilities.

9. Assigning of medical staff to Casualty Collection Points (CCPs) is a local and county responsibility and is done by the EMS Branch Director.

10. The county Medical Examiners handle identification of multiple fatalities assisted by the State Medical Examiner's Office.

11. Emergency worker health and safety is overseen by the Incident Safety Officer

12. The level of radiation exposure is determined by county and State radiological teams. In the event of a chemical incident, monitoring will be handled by local Hazardous Materials Teams, County Health Departments, NJDEP Emergency Response Specialists or members of the USEPA Emergency Response Team. Treatment of radiologically or chemically contaminated victims is provided at the scene by HazMat trained EMS or HazMat team personnel and at acute care hospitals after decontamination takes place.

B. Organization

1. New Jersey's EMS needs are served by a mix of volunteer and paid organizations configured in a two tier system of Basic Life Support (BLS) and Advanced Life Support(ALS) functions. Advanced Life Support services are staffed by Mobile Intensive Care Paramedics (MICP) or Mobile Intensive Care Nurses (MICN) and operate through a system of on-line medical command with a base station physician, limited standing orders and radio failure protocols.

2. There is also in place the JEMSTAR Helicopter Response Program. It is operated by the New Jersey State Police in cooperation with the N.J. Department of Health and Senior Services, Office of Emergency Medical Services (OEMS), Virtua Hospital System, and the Level 1 Trauma Centers at University Hospital in Newark and Cooper Medical Center in Camden. These units are airborne MICU's staffed by State Police pilots and specially trained flight nurses and flight paramedics. They presently operate from the Virtua Hospital facility in Voorhees Township, N.J. which is called "SOUTHSTAR" and University Hospital, Newark, which is called "NORTHSTAR". Mutual aid is provided on a regular basis by hospital based programs in Pennsylvania, Delaware and New York as well as by the US Coast Guard, New York City Police Department (NYPD) aviation unit and if required, the Maryland State Police. The NJ Army national Guard has in service an Air Ambulance Detachment with six helicopters. All EMS helicopter operations in New Jersey are coordinated by two EMS RCCs, Regional Emergency Medical Communications System(REMCS) in Northern new Jersey and the Gloucester County Communications Center (G1) in Southern New Jersey.

3. Local health services are provided by a municipal, county or regional health agency. Each municipality and county appoints a Public Health Coordinator who coordinates a response to the threat of, or during an actual emergency. Information and resource requests emanate from the most local level and are forwarded to NJESF #8 in the State EOC/DFO through the county.

4. The NJDHSS is represented in the State EOC by the Department Emergency Coordinator. The Emergency Medical Service Group is represented in the NJDHSS Command Center or the State EOC by the NJ EMS BLS Mobilization Coordinator and the Director, NJDHSS, OEMS, or their designated representatives.

5. All requests for resources in excess of local capacity are directed through the County EOC's to NJDHSS or EMS Coordinator in the State EOC. These coordinators prioritize and coordinate the requests.

C. Notification Procedures

1. Initial notification of a disaster or potential disaster is made to the State Office of Emergency Management by telephone (609)-882-2000 (24 hour coverage)

2. The Deputy State Director determines State Emergency Operating Center activation, the notifications to be implemented and the level of EOC staffing. The Deputy State Director (or alternate) notifies the Governor's representative and the Attorney General's on-call Deputy of the emergency event. The State Office of Emergency Management notifies the appropriate Emergency Coordinator (or alternate) of the supporting agencies by telephone call. The Emergency Coordinator then notifies the appropriate personnel within their agency.

3. Each agency or organization with responsibilities under NJESF #8 ensures they have a primary and alternate notification system.

D. Response Actions

1. Immediate Actions

a. When a determination is made that NJESF #8 needs to be activated, the State Office of Emergency Management notifies government, volunteer and private organizations. Specifically, the NJDHSS Emergency Coordinator, NJ State EMS BLS Mobilization Coordinator and Director, NJDHSS are notified.

b. Response agencies ensure that necessary emergency operating facilities, resources and reporting systems are established.

c. Each response agency establishes communications with the next higher reporting agency and provides an initial situation report.

d. The EMS Branch Director prepares forecasts for anticipated additional medical supply needs. The local health department and NJDHSS, in conjunction with the affected hospitals, will coordinate additional medical supplies, as needed.

e. The local MICU/ALS communications center or county communications center will notify hospitals in expected impact area are notified and plans are finalized for possible transfer of patients to outlying hospitals or alternate health care facilities.

f. The local MICU/ALS communications center or county communications center will notify designated level 1 and Level 2 Trauma Centers, Burn Treatment Facilities and Aeromedical Dispatch Centers in New Jersey and adjacent states if necessary.

g. The EMS Branch Director will direct the local MICU/ALS communications center or county communications center to alert mutual aid EMS units and advise them of the situation.

h. The EMS Branch Director will establish liaison with NJESF #1 (Transportation) for availability of resources for possible movement of large numbers of injured persons or medical supplies.

i. The local MICU/ALS communications center or county communications center will place Critical Incident Stress Management Teams (CISM) teams on alert.

j. The EMS Branch Director provides support to all other NJESF's on an as needed basis.

k. The Deputy State Director advises Area Emergency Managers and the National Disaster Medical System of situation if the number of casualties is expected to exceed State hospital capabilities.

l. The NJDHSS will request DMAT through USPHS, if necessary.

m. The "Met-Tag System" is the official triage tag for use during MCIs within the State of New jersey.

 

2. Ongoing Actions

a. The State Mobilization Coordinators or NJOEMS Director, through the State EOC when activated, coordinates with the counties to facilitate response activities and the establishment of staging areas for medical and EMS resources.

b. Response agencies maintain continuous surveillance over the availability of resources and report shortages to the State EOC through Regional Communications Centers or county EOC's.

c. As congregate care shelters are established, provide personnel for monitoring sanitary conditions and conduct disease surveillance inspections. The ARC will coordinate and provide medical care services at the shelters.

d. Collect, collate and analyze information related to the incident and provide specialized information concerning the effects on food and water supplies and to emergency workers and the public. Establish liaison with NJESF #13 (Public Information) for release of health announcements.

e. The NJDHSS will coordinate with the local health department to assess the satisfaction of vital medical resource shortfalls such as vaccines and personnel through the Emergency Response Team in the State EOC or DFO. The National Disaster Medical System can be activated for medical supplies, personnel and transport of stabilized victims to hospitals outside the disaster area. Deployment of New Jersey National Guard air assets and medical personnel would be coordinated with NJDMVA.

f. Administrative support for individuals assisting NJESF #8 is provided by their parent agency.

g. After action reports are submitted by local and county OEM EMS Coordinators to the NJSP Regional Coordinators who then forward them to the State EOC.

 

V. RESPONSIBILITIES

A. Primary Agency: New Jersey Department of Health and Senior Services

1. Annually review the Plan, including other annexes, submit comments as appropriate and revise this annex as necessary.

2. Develop additional plans, SOP's or guidance in sufficient procedural detail to insure successful response and recovery during a disaster.

3. Designate representatives for the State EOC.

4. Participate in training and exercises at the Federal and State level.

5. Ensure personnel are properly trained to implement this plan.

6. Maintain current internal personnel notification/recall rosters and implementation procedures as an integral part of NJESF #8 SOP's.

7. Develop emergency standards and guidelines, and provide technical assistance to State agencies, regions, counties, and municipalities on general health and sanitation problems. Furnish the public with emergency information relevant to these problems.

8. Coordinate statewide health and sanitation operations including the monitoring of health situation reports from county, regional and municipal health officials.

9. Provide clinical and environmental laboratory support as needed.

10. Initiate request for assistance from federal and private health agencies and establish liaison with federal, state and private health agencies. Coordinate support of NJESF's through the State Coordinating Officer (SCO).

11. Coordinate the acquisition of medical, health and EMS personnel, equipment and supplies.

12. Provide information on damage to health care and medical facilities. Oversee evacuation of hospitals and health care facilities. Provide situation reports on vital statistics, casualties and health problems. Monitor for epidemics and provide immunization activities.

13. Identify health and EMS resource requirements and provide for the prioritizing or allocation of available supporting resources, if required.

14. Serve as the focal point for guidance and assistance to other State agencies, counties, municipalities, private and volunteer organizations in all matters pertaining to health and emergency medical services.

15. Publish After Action Reports (AAR's).

16. Ensure the following lists and documents are maintained and available when needed:

a. Aeromedical/Trauma Centers

b. Advanced Life Support (ALS) Providers

c. Mobile Intensive Care Unit (MICU) Trauma and Triage Protocols

d. ALS MICU Dispatch Protocols

e. County Emergency Medical Coordinators

f. Licensed Ambulance and Mobile Assistance Vehicle providers

g. New Jersey Acute Care Facilities

h. New Jersey First Aid Council Directory

17. Ensure, in concert with NJOEM, that this annex is coordinated with the following plans. Copies are available on the EOC:

a. NJSFAC Mobilization Plan

b. Port Authority of NY and NJ Newark Airport Disaster Plan

c. NDMS Plans, VA NJ Health Care System, VA Medical Center Philadelphia, PA.

B. Support Agencies

1. Annually review the plan and provide comments to the primary agency relating to this annex and associated SOP's and guidance.

2. Participate in Federal and State exercises.

3. Provide the primary agency with points of contact at the State level for coordination of planning and response.

4. Provide representatives as required to the State EOC.

C. Support Agencies, Specific:

1. State Medical Examiner:

a. Develop and maintain emergency procedures for multiple fatality incidents.

b. Supervise identification of multiple fatalities.

2. Department of Environmental Protection:

a. Identify and monitor radiological hazards in the disaster area.

b. Identify and monitor chemical hazards in the disaster area.

3. Department of Human Services:

Activate the State Mental Health Emergency Response Plan.

4. Department of Military and Veterans' Affairs:

Provide air ambulances, medical personnel, equipment and supplies.

5. Medical Transport Association of New Jersey:

Provide a list of available private EMS resources and a representative to report to the State EOC or DFO, if requested.

6. New Jersey State First Aid Council:

a. In association with the New Jersey Office of Emergency Management appoint an Emergency Medical Service Basic Life Support Coordinator.

b. Provide for the Statewide mobilization of Basic Life Support units through District and Regional Mobilization Coordinators.

7. New Jersey Office of Emergency Management:

a. In concert with the New Jersey First Aid Council, appoint a Emergency Medical Service Basic Life Support Coordinator.

b. Ensure, in concert with New Jersey Department of Health, that this annex is coordinated with the following plans:

(1) NJSFAC Mobilization Plan

(2) Port Authority of NY and NJ Newark Airport Disaster Plan

(3) NDMS Mobilization Plan (DVA)

 

VI. RESOURCE REQUIREMENTS

A. Supplies and equipment to support EMS operations are obtained from local sources whenever possible. In large scale incidents, supplies are made available through Federal agencies.

Plans should be made locally to obtain equipment from suppliers during off hours in emergency situations. Hospitals may be able to provide limited quantities of supplies in emergency situations.

B. As part of their disaster planning, hospitals must make space to receive victims of a mass casualty incident. Patients would be transferred to other facilities where beds are available.

Among hospitals capable of rapid expansion are the military hospitals at Fort Dix (Walson) and Fort Monmouth (Paterson), VA Hospitals in East Orange and Lyons and some hospitals in the urban areas of Northern New Jersey. The number and location of available beds changes daily. Advanced Life Support communications centers provide an important service by monitoring the bed status of hospitals in their service areas. This information is provided to the Emergency Medical Service Branch Director to ensure optimum patient distribution. In the event of a Mass Casualty Incident, NDMS, through the FCCs in Lyons and Philadelphia, will have the lead role in locating beds at out of state facilities for excess patient load and the interstate transport of those patients. This responsibility will include beds in specialty areas such as burns, neurological, pediatric ICU, etc.

In extreme emergencies, where hospitals cannot expand to meet needs and transfer to outlying facilities is impractical, space in large public buildings is made available. Priorities would be New Jersey Army National Guard (NJARNG) Armories with Medical Units assigned and large public buildings such as fire halls or first aid squad buildings. These facilities will be manned by Red Cross, DMAT, National Guard personnel and personnel from appropriate public and private health care agencies, with the assistance of NJDHSS and the various professional boards.

C. Aero Regional Evacuation Points (AREP's) in New Jersey include Newark Airport, McGuire AFB, Lakehurst Naval Air and Engineering Facility, Mercer County Airport, Morristown Airport, Atlantic City International Airport, Millville Airport and Cape May County Airport.

D. Health/Medical personnel can be augmented through inter-county EMS mutual aid, American Red Cross resources, NJ National Guard personnel, interstate EMS mutual aid and National Disaster Medical System personnel, including NJ-1 Disaster Medical Assistance Team (NJ DMAT-1).

 

VII. AUTHORITIES AND REFERENCES

A. Emergency Management Act, N.J.S.A. App. A:9-33 et seq.

B. New Jersey Public Law 1970, Chapter 33 (N.J.S.A. 13:1D-1)

C. New Jersey Public Law 1975, Chapter 232 (N.J.S.A. 13:1D-29)

D. US Public Law 93-288, The Disaster Relief Act of 1974

E. New Jersey Public Law 1947 (N.J.S.A. 26A-1 et seq.)

F. New Jersey Administrative Code, Title 8--Chapter 51 (N.J.A.C. 8:51)

VIII. ACRONYMS/ABBREVIATIONS/DEFINITIONS

AAR After Action Report

ALS Advanced Life Support

ARC American National Red Cross

ARNG Army National Guard

AREP Aero Regional Evacuation Point

BLS Basic Life Support

CCP Casualty Collection Point

CISM Critical Incident Stress Management

District Group of First Aid Squads in a particular geographic area

DFO Disaster Field Office

DVA Department of Veterans Affairs (Federal)

DWI Disaster Welfare Information System (ARC)

ED Emergency Department

EMS Emergency Medical Service

EMSBD Emergency Medical Service Branch Director

EMSSD Emergency Medical Service Sector Director

EOC Emergency Operating Center

EOP Emergency Operations Plan

ERT Emergency Response Team

FEMA Federal Emergency Management Agency

JEMSTAR New Jersey Aeromedical Evacuation System

JIC Joint Information Center

MCI Multiple Casualty Incident

MICN Mobile Intensive Care Nurse

MICP Mobile Intensive Care Paramedic

MICU Mobile Intensive Care Unit

MOU Memorandum of Understanding

NDMS National Disaster Medical System

NJDMVA New Jersey Department of Military and Veterans' Affairs

NJDEP New Jersey Department of Environmental Protection

NJDHSS New Jersey Department of Health and Senior Services

NJESF New Jersey Emergency Support Function

NJOEM New Jersey Office of Emergency Management

NJOEMS New Jersey Office of Emergency Medical Services

NJSFAC New Jersey First Aid Council

NORTHSTAR North Area Medevac Helicopter

PEOSH Public Employee Occupational Safety and Health

RCC Regional Communications Centers

SOP Standard Operating Procedure

SOUTHSTAR South Area Medevac Helicopter

USEPA United States Environmental Protection Agency

USPHS United States Public Health Service

STATE OF NEW JERSEY

EMERGENCY OPERATIONS PLAN

EMERGENCY SUPPORT FUNCTION #8

HEALTH & EMERGENCY MEDICAL ANNEX

Table of Contents Page

Primary Agency NJESF #8 - 1

Support Agencies NJESF #8 - 1

Introduction NJESF #8 - 1

Purpose NJESF #8 - 1

Scope NJESF #8 - 1

Policies NJESF #8 - 2

Situation NJESF #8 - 3

Disaster Condition NJESF #8 - 3

Planning Assumptions NJESF #8 - 4

Concept of Operations NJESF #8 - 5

General NJESF #8 - 5

Organization NJESF #8 - 7

Notification Procedures NJESF #8 - 8

Response Actions NJESF #8 - 8

Immediate Actions NJESF #8 - 8

Ongoing Actions NJESF #8 - 10

Responsibilities NJESF #8 - 10

Primary Agency NJESF #8 - 10

Support Agencies NJESF #8 - 12

Support Agencies, Specific NJESF #8 - 12

Resource Requirements NJESF #8 - 13

Authorities and References NJESF #8 - 14

Acronyms/Abbreviations/Definitions NJESF #8 - 15