CASE EXERCISE OVERVIEW                                                                                 

Title: Pandemic and Avian Flu Exercise and Simulation
Author: Mary L. Johansen, MA, RN
Author Contact Info : Nursing Center for Bioterrorism & Emerging Infectious Disease Preparedness, Rutgers College of Nursing, 180 University Ave, Newark NJ 07102-1897; (973) 353-5293 x616;
Date: January 2007
Target Audience: Nurse
Time Required: 4 hours
Format: Tabletop
Copyrighted Original Case: NO
Link To Copyright Statement:
Publisher/Source: SUNY-Albany Center for Public Health Preparedness
Attribution: SUNY-Albany Center for Public Health Preparedness

  • Biological

  • Disease outbreak: pandemic flu

  • Recognize and assess the level of threat in the immediate environment.
  • Institute action to contain and mitigate the threat.
  • Meet acute patient care needs in the event of a BCRNE or other traumatic event.
  • Describe the chain of command in an emergency situation.
  • Know the limits of his/her authority and ability and refer to appropriate specialists when necessary.
  • Undertake his/her functional role in a community or other local coordinated response plan.
  • Communicate with appropriate government authorities (including public health, legal, law enforcement, etc.) to report events and execute the directed response as part of a coordinated preparedness and response plan.
  • Participate in multi-disciplinary simulations and drills at the local/community level.
  • Identify and manage the expected stress/anxiety associated with emergency events, making referrals for mental health services if needed.

  • Describe the possible routes of exposure (inhalation, gastrointestinal, dermal, etc) for CBRNE agents.
  • Describe one's professional roles, functions and responsibilities in CBRNE and other public health situations (i.e. one's personal role in this system/NIMS/NRP).
  • Define the Incident Command System (ICS) and National Incident Management System (NIMS), National Response Plan (NRP) and describe their general structure and components. (ICS 100 or equivalent)
  • Describe the modes of transmission for various related disease agents.
  • Explain the roles and responsibilities of local, state and federal public health planning and response agencies (e.g.: state health and homeland security departments, CDC, NIH, FEMA, etc).
  • Define medical triage and discuss situations where its use is appropriate.
  • Describe one's role in the local, community and statewide public health emergency response system.
  • Provide for patient public health follow-up care after a potential/actual emergency.
  • Describe the signs and symptoms of individual cases and the characteristics of epidemics that can help one distinguish between a potential bioterrorism attack and natural disease phenomena (i.e. signs/symptoms, number of case, temporality, etc).
  • Describe one's role in the pre-event planning process (Planning, Intervention, Recovery, and Evaluation).
  • Describe the patho-physiology, diagnosis, evaluation and intervention(s) for CBRNE agents that require immediate action/intervention.
  • Apply appropriate follow-up procedures for the management of patients undergoing quarantine/isolation and in caring for special needs populations.
  • Demonstrate proficiency in activities that can lessen the impact of a CBRNE emergency (i.e. vaccination, prophylaxis and public education/outreach).
  • Recognize and work to resolve conflicting priorities in emergency/epidemic situations and advocate for the primacy of public health in such cases.

  • NIMS: Accountability
  • NIMS: Flexibility/Adaptability
  • NIMS: Interoperability/Compatibility
  • NIMS: Scalability
  • NIMS: Standardization
  • NIMS: Unification
  • ICS: Command & Management
  • ICS: Facility Management
  • ICS: Incident Action Planning
  • ICS: Information & Communications Management
  • ICS: Multi-Agency Coordination
  • ICS: Resource Management
  • NRP: Collaboration with NGOs & Private Industry
  • NRP: Incident Management at Lowest Possible Level
  • NRP: Preparation
  • NRP: Prevention
  • NRP: Response

  • CBRNE Detection
  • Citizen Evacuation and Shelter-In-Place
  • Community Preparedness and Participation
  • Fatality Management
  • Isolation and Quarantine
  • Medical Surge
  • Onsite Incident Management
  • Planning