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Healthcare Facility Training Matrix for
Sheltering, Relocation, and Evacuation
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Purpose of Training Matrix

Guidance of three groups of job
positions, cross referenced with subcompetencies

Level of training by position
 Description
of sub-competencies
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Considerations for Staffing Groups
and Mission Critical Positions
 Target
Personnel
 Individual
or groups identified by job
responsibility for specified level of training
 Match position with needs of mission
 Each
facility may adapt as necessary to fit
their organization needs
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Considerations for Staffing Groups
and Mission Critical Positions
 Administration
 Emergency
 Medical
 Human
Preparedness Team
Care (include EMS)
Services
 Ancillary
– pharmacy, radiology, lab
 Environmental/Facilities
 Business
Office
Management
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Three Groups & Levels
 All
Staff – Awareness
 Self study packet
 Operations
– Knowledge
 charge nurses, supervisors, managers
and director
 Command
staff – Proficiency
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Levels/Depth of Training
 Awareness
– a basic level of mastery of
competency, able to identify the concept or
skill, but relatively limited ability to
perform skills without direction & guidance
 Knowledge
– intermediate level of mastery
of competency, able to apply and describe
the skills
 Proficiency
– advanced level of mastery of
the competencies, in which individuals are
able to synthesize, critiques or teach skill
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Recommended Time Commitment
 Awareness
– self study material, annual
update of key concepts
 Shelter In Place, Relocation, Evacuation
 Knowledge
 Curriculum
presentation - 30 minutes
 Orientation to unit resources
 Scheduled drills or exercise
 Command
– presentation 60 min, drill or
exercise 60 minutes with debrief
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Determination of Mission and
Staff Response
Use
the Plan and Decision Tree
 Unit
Level Decisions
 Command Level Decisions
 Both use the following
 Urgent / emergent
 Shelter in Place
 Relocation
 Partial or full evacuation
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Sheltering, Relocation, and Evacuation Decision Tree
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Review Matrix
Questions and Answers
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Summary
Healthcare
organization matches job
positions with appropriate level of
competencies
Train
staff to appropriate level of
competence and sub-competencies
Drill
and exercise competencies at all
levels of organization