6741 Ch 9 PowerPoint

1. Occupational Safety and Health
for Emergency Services
Fourth Edition
Chapter 9 — Postincident Safety Management

2. Objectives
At the conclusion of this chapter you will be able to:
‣ List the safety and health considerations of
incident termination.
‣ Describe the demobilization process.
‣ Compare the concepts of first in/last out with first
in/first out.

3. ‣ Explain the need for and the process used for
postincident analysis.
‣ List the components of a postincident analysis.
‣ Describe the advantages of a critical incident
stress management program.
‣ List the key components of a critical incident
stress management program.
Objectives

4. Introduction
‣ Postincident safety and health considerations can be
easily overlooked
‣ Should be integrated into the total safety and health
program
‣ Safety officer and supervisors should ensure safety
during this phase

5. Incident Termination
‣ Comprised of three stages
‣ Demobilization
‣ Returning to the station
‣ Postincident analysis
Courtesy of Bob Markford, EMS Safety Chief, Palm Harbor Fire Rescue.

6. Demobilization (1 of 2)
‣ Decision to return to the station
‣ Personnel
‣ Equipment
‣ Apparatus
‣ Careful planning and coordination
‣ Safety and health issues
‣ Sequence in which crews are released
‣ First-in/last-out vs. first-in/first-out
‣ Rapid intervention team is no longer needed

7. Demobilization (2 of 2)
‣ Incident commander should consult with the on-scene
safety officer and rehabilitation officer
‣ Additional safety concerns
‣ Critical incident stress
‣ Infectious diseases
‣ Personal decontamination
‣ Reloading equipment

8. Returning to the Station
‣ Vehicle operators must be alert enough to drive
‣ Back at the station
‣ Apparatus is made ready for the next emergency
‣ Supplies are replaced
‣ Equipment is cleaned
‣ Crews are assessed for any injuries or illnesses

9. Postincident Analysis (1 of 2)
‣ Critical review or critique
‣ Step-by-step look at what
happened
‣ What went right
‣ What went wrong
‣ PIA consists of two steps
‣ Informal discussion of events
‣ Formal PIA
‣ Videotape or record PIA
Courtesy of James Angle.

10. Postincident Analysis (2 of 2)
‣ Anyone can speak and discuss concerns
‣ Safety and health issues
‣ What did and did not work
‣ Focus on
‣ Resources
‣ Procedures
‣ Equipment
‣ Operational effectiveness

11. Critical Incident Stress Management (1 of 3)
‣ Stress level that is too high
‣ Negative reactions
‣ Physical illness
‣ Job burnout
‣ Lack of productivity
‣ Emotional events or the
cumulative effects of
smaller events
© Matt Bush/Hattiesburg American/AP Images

12. Critical Incident Stress Management (2 of 3)
‣ Critical incidents
‣ Traumatic death or severe injury to a coworker
‣ Suicide of a coworker
‣ Traumatic death or serious injury to children
‣ Mass-casualty events
‣ Prolonged events
‣ Death or injury to a person caused by the emergency
responder
‣ Events involving a great deal of media attention
‣ Personally significant events

13. Critical Incident Stress Management (3 of 3)
‣ Programs designed to reduce
the effects of critical stress
‣ Two different phases of CISM
‣ Peer defusing
‣ Formal debriefing
‣ A necessary component of
safety and health programs