School-Based Emergency Preparedness: A National Analysis and Recommended Protocol

School-Based Emergency Preparedness
A National Analysis and Recommended Protocol
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Despite important advances in our country's ability to respond effectively to public health emergencies, there continues to be inadequate development of pediatric protocols that could be implemented by the local, State, and Federal agencies charged with preparation and consequence management. Children differ from adults in many ways that are of great importance in building public health emergency response plans. This publication describes to readers a practical approach to creating a school-based all-hazards emergency response plan from the national literature in combination with "lessons learned" in the field.

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Investigators: Sarita Chung, M.D., Janice Danielson, M.Ed., Michael Shannon, M.D.

Contents
* Part I: Creation of a School-Based, All-Hazards Emergency Response Plan: Overview, Background, and Recommendations
Executive Summary
Introduction
Recommendations
Conclusions
Resources

** Part II: The Brookline Schools Project: A Roadmap to Creating a Comprehensive School Emergency Response Plan
Brookline School System Characteristics
National Review of School Emergency Response Plans
Introduction of the Project to Town Stakeholders
Information Gathering, Findings
Unresolved Challenges in the Brookline Emergency Response Plan
Recommendations and Feedback
Tabletop Exercises
Education and Training of School Nurses
Creation of an Emergency Response Manual and Handbook
Creation of a Final Report to the Brookline Public Schools
Conclusion

*** Appendixes
Appendix A: Table—National Analysis of School Emergency Response Plans
Appendix B: Needs Assessment Survey Forms
Appendix C: Principal Interview Questions
Appendix D: Extended Day/After-School Programs Director Interview Questions
Appendix E: Tabletop Exercise Resources
Appendix F: Annual School Emergency Preparedness Summary Form

Copyright Information and Disclaimer
School-Based Emergency Preparedness: A National Analysis and Recommended Protocol was produced under a U.S. Department of Health and Human Services' Agency for Healthcare Research and Quality (AHRQ) contract (Contract No. 290-00-0020).

The authors of this report are responsible for its content. No statement in the report should be construed as an official position of the U.S. Department of Health and Human Services or the Agency for Healthcare Research and Quality.

This document is in the public domain and may be used and reprinted without permission except those copyrighted materials noted for which further reproduction is prohibited without specific permission of copyright holders.

Acknowledgements
This project would not have been possible without the support of the Brookline School Committee, Superintendent William H. Lupini, the teachers, custodians, and nurses of the school district.

Janice Danielson, MEd
Michael Shannon, MD
The Center for Biopreparedness
Children's Hospital Boston

AHRQ Publication No. 09-0013
Current as of January 2009
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Internet Citation: Chung S, Danielson J, Shannon M. School-Based Emergency Preparedness: A National Analysis and Recommended Protocol. AHRQ Publication No. 09-0013, January 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/prep/schoolprep/

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School-Based Emergency Preparedness: A National Analysis and Recommended Protocol