Introduction to Tabletop Exercises: Case investigation and outbreak response resources



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Introduction to Tabletop Exercises: Case investigation and outbreak response resources Rachel Wilfert, MD, MPH, CPH Manager, Training & Technical Assistance NC Institute for Public Health

Learning Objectives Describe training programs at NC Institute for Public Health List resources for building skills in case investigation and outbreak response Choose specific programs to meet targeted individual and/or agency workforce development needs

A bit of background.. North Carolina Institute for Public Health Service and outreach arm of the UNC Gillings School of Global Public Health Provides training, technical assistance, practice-based research Serves multiple areas of public health practice in NC and beyond

NCIPH Training Programs Short just-in-time trainings through graduate-level certificates One-time offerings through long-standing initiatives Face-to-face, distance, and blended programs Instructor-led, self-guided

Face-to-Face Programs Introduction to Public Health Nursing Management and Supervision for Public Health Professionals NC Boards of Health Training Regional trainings for child health nurses School Nurse Conference Occupational safety and health courses

Blended Learning Programs Physical Assessment of Adults STD Nurse Clinician Training Child Health Training Program Online course work + face-to-face skillbuilding session + practicum (Communicable Disease Nurse Course)

Online Courses Pediatric Nutrition Course Maternal Nutrition and Wellness Breastfeeding Supplies Competency OTHER TRAINING TOOLS NCIPH Training Website Training packages & toolkits

Training Packages Train-the-trainer tools Each program has: Slide presentations with detailed speaker s notes Guided discussion questions and/or activities Facilitator s guide Evaluation instruments including pre-/posttests and post-training evaluations

I is for Investigation Designed to introduce the concepts of an outbreak investigation 7-part series Guidebook + CD-ROM Also online as self-paced modules

I is for Investigation 7 sessions, each 35-50 minutes Recognizing an Outbreak Study Design Designing Questionnaires Interviewing Techniques Analyzing Data Writing an Outbreak Report Risk and Crisis Communication

I is for Investigation Each session contains: Session Overview Pre-test PowerPoint Slides Optional Discussion Guide Handouts Post-test Answer Key Session Evaluation

P is for Practice Case study-based training series to practice basic epidemiology skills 6 different outbreaks Guidebook + CD-ROM

P is for Practice Case studies are designed as group activities Facilitator s version with suggested responses + participant version Each case study is ~ 90 minutes

P is for Practice Respiratory disease outbreak in an evacuation center following a hurricane Mercury poisoning from a cosmetic cream Hepatitis B outbreak in a nursing home Influenza A, H2N2 outbreak in a laboratory Pandemic influenza outbreak in a school setting P. aeruginosa outbreak in a healthcare setting

ICS in Action: Using the Incident Command System in Public Health Outbreak Investigations Designed to help integrate use of ICS into investigation of a disease outbreak Intended as a public health supplement to required FEMA ICS courses Suggested prerequisites: ICS 100, 200, 700, 300

ICS in Action Video program (DVD) + Workbook Didactic material plus activities 2 ½ hour program Uses interview footage with NC public health professionals Co-authored by PHRST 6

ICS in Action Module 1 - provides a review of core ICS concepts plus an example of ICS as it was used by local health departments during an outbreak of gastrointestinal illness. Module 2 - case study scenario using ICS during a hypothetical disease outbreak investigation (GI illness on college campus)

NC Epi Teams Training Curriculum 2 introductory modules Introduction to Epi Teams Team-building exercise 6 case studies Based on actual outbreaks Built around applied epi competencies (AECs) Posted online for download

NC Epi Teams Training Curriculum Case studies are designed for Epi Teams to complete as a group Facilitator s version with suggested responses + participant version Each case study is ~ 90 minutes Some prerequisites recommended for staff with no prior outbreak investigation experience

NC Epi Teams Training Curriculum Gastrointestinal illness on a college campus Measles in a recent immigrant Outbreak at a hotel convention Storm-related water contamination Hepatitis A cluster with unknown source Elemental mercury spill

In Closing: Many free outbreak investigation resources available from NCIPH Facilitation assistance available for Epi Team trainings (+ others) through NCIPH- NC AHEC collaboration Contact NCIPH or your local AHEC Some programs come with CE credit (nursing contact hours and/or REHS credit)

Accessing Resources Copies at UNC exhibit table or sign up to have programs mailed Go to http://sph.unc.edu/nciph/training/ Click on Training Packages Download or request a copy Email nciph@unc.edu

Questions?

Contact Information: Rachel A. Wilfert, MD, MPH, CPH Manager, Training and Technical Assistance NC Institute for Public Health Gillings School of Global Public Health 919-966-4085 rachel.wilfert@unc.edu sph.unc.edu/nciph