Mandatory emergency response training for clinicians in New York State: Can a policy case be made?

2006 ◽  
Vol 4 (6) ◽  
pp. 25
Author(s):  
Steven H. Silber, DO, ScM ◽  
Kristine M. Gebbie, DrPH, RN ◽  
Theodore J. Gaeta, DO, MPH
Keyword(s):  
New York ◽  
Emergency Response ◽  
Emergency Preparedness ◽  
New York State ◽  
Policy Implications ◽  
York State ◽  
Mandatory Training ◽  
Creative Solutions ◽  
Competency Based ◽  
And Training

There is no mandatory training for individual physicians with respect to overall emergency preparedness in New York State. This paper explores the policy implications of linking licensure and registration to mandatory competency-based educational programs on emergency preparedness response structure and high-risk biological agents. In this article, we explore the implications of mandatory registration and training with a single emergency response facility or agency, and we propose creative solutions that may make such a policy palatable to all stakeholders.

Experiences of HIV/STD Providers in New York State During Hurricane Sandy: Strengths, Challenges, and Recommendations

2020 ◽  
pp. 1-6
Author(s):  
Kristen Vacca ◽  
Asante Shipp-Hilts ◽  
Stephanie Mack ◽  
Yunshu Li ◽  
Millicent Eidson ◽  
...  
Keyword(s):  
New York ◽  
Key Words ◽  
Natural Disaster ◽  
Emergency Preparedness ◽  
New York State ◽  
Hurricane Sandy ◽  
Lessons Learned ◽  
Federal State ◽  
York State ◽  
State And Local

ABSTRACT Objectives: The aim of this study was to assess strengths and challenges experienced by HIV/STD providers in providing care during the response to Hurricane Sandy (Sandy) in New York State, and their recommendations for future preparedness. Methods: A mixed methods approach, including a focus group (n = 3), interviews (n = 3), and survey (n = 31) of HIV/STD providers, was used. Key words identified by means of open coding methodology from collected data were organized into strengths, challenges, and recommendations and then grouped into federal and study-associated preparedness capabilities. Results: Key words were organized into 81 strengths (38.8%), 73 challenges (34.9%), and 55 recommendations (26.3%). Services most interrupted during Sandy were related to HIV/STD outreach and education. While providers reported challenges with external agency communication, the ability to still connect clients to needed resources was reported as a strength. Strengthening partnerships with federal, state, and local agencies was among the major recommendations made by these providers. Conclusions: This study presents unique information about challenges experienced by HIV/STD providers in providing services during a natural disaster and the use of national public health emergency preparedness capabilities to address and overcome those challenges. Lessons learned and recommendations regarding inter-agency communications emerged as an important priority during a natural disaster to minimize or reduce service interruption.

scholarly journals Availability and Utilization of Automated External Defibrillators in New York State Schools

2021 ◽  
Vol 9 ◽  
Author(s):  
Milla Arabadjian ◽  
Stephanie Serrato ◽  
Mark V. Sherrid
Keyword(s):  
New York ◽  
Demographic Data ◽  
New York State ◽  
Policy Implications ◽  
Cross Sectional ◽  
Term Survival ◽  
Long Term Survival ◽  
Automated External Defibrillators ◽  
York State

Background: Use of automated external defibrillators (AEDs) in out-of-hospital cardiac arrests (OHCAs) improve survival. Professional health organizations recommend that AEDs be available in crowded places, including schools but currently only 18 US states require them. Sudden cardiac arrest (SCA) research in the school-age population has largely focused on school sub-groups, leaving out the majority of US students and adults working in schools. New York State (NYS) has one of the largest student populations in the US. Our objective was to gain epidemiologic data on SCA across a variety of school levels and examine the availability and utilization of AEDs in a state that requires them.Methods: This was an observational, cross-sectional study utilizing an electronic survey. We included NYS school nurses and collected electronic surveys in January-March, 2018. We analyzed demographic data of school characteristics, SCA occurrences and AED use and availability.Results: Of 876 respondents (36.1% response rate), 71 (8.2%) reported SCAs, with 41 occurring in adults. AEDs were deployed in 59 of 71 (84.3%) events, 40 individuals had long-term survival. Most SCAs occurred in middle-schools. School size or number of AEDs/school had no bearing on short-term or long-term survival. AEDs were widely available in private schools, though this was not required by state law.Conclusions: Our data suggest a need for more comprehensive examination of SCA in US schools. Research comparing the availability and utilization of school AEDs between states that do and do not require them is needed and may have important clinical and policy implications for SCA emergency preparedness in US schools.

Abstract 148: Installation and Deployment of Automated External Defibrillators in New York State Schools

Circulation ◽  
2019 ◽  
Vol 140 (Suppl_2) ◽  
Author(s):  
Milla Arabadjian ◽  
Alexandra Stepanovic ◽  
Mark Sherrid
Keyword(s):  
New York ◽  
Public Schools ◽  
Private Schools ◽  
Comprehensive Evaluation ◽  
New York State ◽  
School Nurses ◽  
Policy Implications ◽  
Term Survival ◽  
Automated External Defibrillators ◽  
York State

Introduction: AHA recommends that automated external defibrillators (AEDs) be made available in public areas with high likelihood of a sudden cardiac arrest (SCA). Only 18 US states have regulations requiring AEDs in schools and the legislation varies. There is no comprehensive evaluation of the epidemiology of sudden death in schools. School nurses are often the only healthcare providers within a school. New York State (NYS) enrolls almost 3.5 million students with New York City (NYC) being the largest school system in the US; legislation requires AEDs in all public but not in private schools. Purpose: Our aims were threefold: to gain epidemiologic data on SCAs in NYS schools, to evaluate the availability and utilization of AEDs, and to identify factors affecting deployment of AEDs. Methods: Electronic surveys were sent to school nurse members of the NYS Association of School Nurses and NYC school nurses. We also conducted structured interviews with a representative sample of NYS school nurses. Results: Nurses representing 750 public schools and 116 private schools responded, a response rate of 36.4%. There were 71 SCA events, with majority affecting adults on school grounds 41 (58%). AEDs were deployed in 59 (73%). Short term survival occurred in 50 (69%) with 40 (56%) returning to regular activity. While not required to have AEDs available, most private schools had them 69(60%). There were 21 (30%) SCA events in private schools with 8 (11%) occurring in private schools with no AEDs. Of these, 6 (75%) had a negative outcome. Interviews revealed that staff attitude, fear, and training adequacy were factors influencing AED utilization. Conclusions: AEDs in schools improve survival outcomes. There has been no comprehensive evaluation of SCA events in US schools and no uniformity in AED legislation among states. While focus is on students, NYS data suggests that attention should also encompass adult SCAs in schools. Comparisons of AED utilization and SCA outcomes in states with and without AED legislation will be of interest, and may have health policy implications.

scholarly journals New York State Emergency Preparedness and Response to Influenza Pandemics 1918–2018

2019 ◽  
Vol 4 (4) ◽  
pp. 132
Author(s):  
Kay L. Escuyer ◽  
Meghan E. Fuschino ◽  
Kirsten St. George
Keyword(s):  
New York ◽  
Emergency Preparedness ◽  
Influenza Pandemic ◽  
New York State ◽  
Detection Methods ◽  
Global Public Health ◽  
York State ◽  
Public Health Agencies ◽  
Influenza Pandemics ◽  
Key Aspects

Emergency health preparedness and response efforts are a necessity in order to safeguard the public against major events, such as influenza pandemics. Since posting warnings of the epidemic influenza in 1918, to the mass media communications available a century later, state, national and global public health agencies have developed sophisticated networks, tools, detection methods, and preparedness plans. These progressive measures guide health departments and clinical providers, track patient specimens and test reports, monitor the spread of disease, and evaluate the most threatening influenza strains by means of risk assessment, to be able to respond readily to a pandemic. Surge drills and staff training were key aspects for New York State preparedness and response to the 2009 influenza pandemic, and the re-evaluation of preparedness plans is recommended to ensure readiness to address the emergence and spread of a future novel virulent influenza strain.

Some Policy Implications of the New York State Civil Commitment Program

1988 ◽  
Vol 18 (4) ◽  
pp. 561-574 ◽  
Author(s):  
Charles Winick
Keyword(s):  
New York ◽  
Length Of Stay ◽  
New York State ◽  
Civil Commitment ◽  
Policy Implications ◽  
York State ◽  
State Program ◽  
Formal Evaluation

Some lessons can be learned from an analysis of the experience of New York State's civil commitment program, which was operating from 1966 through 1979, and was the largest and most expensive in the country. Judges need to be carefully selected and trained and assigned to relevant cases: staff must be selected in terms of specific criteria and trained and supervised, clients have to be assigned to particular facilities in accordance with their needs; referral procedures ought to be established in advance of operations; the civil commitment must differ from a court sending someone to a facility; networks with other programs have to be articulated; formal and reliable procedures for absconding clients are necessary; length of stay has to be critically examined; and formal evaluation is a necessity. The New York State program suffered because of problems in all of these areas.

Comparison of Disaster Preparedness Between Urban and Rural Community Hospitals in New York State

2018 ◽  
Vol 13 (03) ◽  
pp. 424-428 ◽  
Author(s):  
Dan J. Vick ◽  
Asa B. Wilson ◽  
Michael Fisher ◽  
Carrie Roseamelia
Keyword(s):  
New York ◽  
Rural Community ◽  
Disaster Preparedness ◽  
New York State ◽  
Education And Training ◽  
Community Hospitals ◽  
Disaster Plan ◽  
Surge Capacity ◽  
York State ◽  
And Training

ABSTRACTObjectiveThe intent of this study was to determine whether there are differences in disaster preparedness between urban and rural community hospitals across New York State.MethodsDescriptive and analytical cross-sectional survey study of 207 community hospitals; thirty-five questions evaluated 6 disaster preparedness elements: disaster plan development, on-site surge capacity, available materials and resources, disaster education and training, disaster preparedness funding levels, and perception of disaster preparedness.ResultsCompleted surveys were received from 48 urban hospitals and 32 rural hospitals.There were differences in disaster preparedness between urban and rural hospitals with respect to disaster plan development, on-site surge capacity, available materials and resources, disaster education and training, and perception of disaster preparedness. No difference was identified between these hospitals with respect to disaster preparedness funding levels.ConclusionsThe results of this study provide an assessment of the current state of disaster preparedness in urban and rural community hospitals in New York. Differences in preparedness between the two settings may reflect differing priorities with respect to perceived threats, as well as opportunities for improvement that may require additional advocacy and legislation. (Disaster Med Public Health Preparedness. 2019;13:424-428)

Survey of New York Veterinarians to Assess Needs for Public Health Preparedness Training

2010 ◽  
Vol 4 (4) ◽  
pp. 300-305
Author(s):  
June Beckman-Moore ◽  
Millicent Eidson ◽  
Lindsay Ruland
Keyword(s):  
Public Health ◽  
New York ◽  
Emergency Preparedness ◽  
New York State ◽  
Disease Outbreaks ◽  
Health Department ◽  
Local Health ◽  
Public Health Preparedness ◽  
York State ◽  
State And Local

ABSTRACTObjective: Because most bioterrorist disease agents are zoonotic, veterinarians are important partners in preparedness. New York State is a prime port of entry and has a network of health and emergency management agencies for response. However, knowledge and participation by veterinarians has not yet been assessed.Methods: A 25-question survey was mailed out to approximately half (1832) of the veterinarians licensed in New York State. Participants were asked about past emergency preparedness training, likelihood of participating in future training, preferred training topics, and their relationship with their local health department (LHD).Results: Completed questionnaires were received from 529 veterinarians (29%). Most (83%) reported that they were likely to participate in emergency preparedness training, but in the past 2 years, only 14% received training in zoonotic disease outbreaks and 12% in emergency preparedness. Only 21% reported having a relationship with their LHD, but 48% were interested in having one. Lack of time was the biggest obstacle to involvement with the LHD (40%). Most (69%) of those responding to the survey said they would participate in training once per year or more often.Conclusions: Inducements, such as earning continuing education credits, or the development of active networks of preparedness organizations, state and local health departments, and veterinary schools are needed to deliver emergency preparedness training and information efficiently to veterinarians.(Disaster Med Public Health Preparedness. 2010;4:300-305)

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