Glossary

Word Definition
Acceptance ‘the final option’   requiring a conscious decision to do nothing and that the consequences must   be dealt with “If” the event occurs
Action/Guidance Card Ground Ambulance   Disaster/MCI Plan process tools that act as reminders to individuals of   actions they should consider during disasters.
Aim Outlines the direction   and process to meet the end goal of the plan.
All-Hazards Approach A process that ensures   that disaster planning achieves its aims by collecting information on the   full range of threats opposed to a single threat so subsequent risk   management decisions can be made efficiently and appropriately.
Ambulance Supervisor The senior paramedic in   charge of an ambulance battalion or other group within the Emergency Health   Services organization.
Antibiotics Medicines used to treat   some bacterial infections.  It is not   effective against viral infections.    Examples are penicillin and tetracycline.
Anti-viral Any of a number of herbs,   drugs, or agents capable of destroying viruses or inhibiting their growth or   multiplication until the body is capable of destroying the virus itself.
Assumption Statements of facts,   ideas, concepts and thoughts the MUST be considered as either being in place,   not in place, inclusive to the plan/exclusive to the plan or are unknown.
Command The act of directing,   ordering and/or controlling resources by virtue of explicit legal, agency or   delegated authority.
Command & Control Principles adopted by an   agency acting with full authority to direct its own resources (both human and   equipment resources).
Communications Plan A plan that specifically outlines   your Facility/Agency’s internal and external communications processes.  This includes internal fan-outs,   notifications, alerts, communiqués, information sharing, etc.  External communications consists of   managing the media by a designated spokesperson for your organization.
Competent Authority A representative of an   agency or organization who is empowered to provide guidance and direction and   make decisions within a specific, well defined scope.
Consequence Management Managing the actual or   perceived event by activating the plan and utilizing existing resources.
Coordination The process of   systematically analyzing a situation and informing the appropriate authority   of viable alternatives to meet specific objectives.  The coordination process (which can be   either intra or inter-agency) does not involve command actions.  However, personnel responsible for   coordination may perform command functions within limits as established by   specific agency delegations, procedures and/or legal authorities.
Cordon An official, (legal),   line surrounding a specific area.
Crisis A situation or condition   that has a high probability of leading to an emergency if left unaddressed.
Disaster(s) When a hazard impact on a   Facility/Agency exceeds its normal coping resources.
Eliminate Removes the risk by   preventing the interaction between the extreme event and the Facility/Agency.
Emergency An abnormal event or   threat or an event of a severity and magnitude that it may result in deaths,   injuries, property damage, environmental damage and/or disruption of   medical/health service operations.  An   emergency may also require a coordinated response beyond the routine   procedures, resources and/or authority of Department of Health Officials and   its employees, Emergency Health Services, and regional/municipal health care   facilities.
Emergency Assistance Centre The location where   emergency services are provided and/or arranged for people affected by the   emergency.
Emergency Management The continuous process of   managing hazards and their impacts on your Facility/Agency.  The process involves continuous review of   risk, hazard, vulnerability assessments, mitigation, preparedness, planning,   response, and recovery.
Emergency Measures Network All persons and   organizations who might reasonably be expected to be involved in emergency   operations.  Involvement may include,   but is not limited to, exchange of information; coordination of policies,   plans and procedures; and participation in training and exercise programs.
Emergency Planner Designated individuals in   your Facility/Agency with the responsibility, authority, and accountability   to manage your emergency plan.
Emergency Site The actual site of the   emergency/disaster. The area where action and/or control is required to   mitigate the threat or impact of a hazard.    The emergency site is completely enclosed by the inner perimeter.
Emergency Site Management System An organized system to   manage an emergency/disaster response and operations.
Emergency Support Unit Includes all responders   outside the outer perimeter.  The   responders in this unit are independently directed and controlled by their   Section/Agency Emergency Centre.  The   Section/Agency Emergency Centre reports to the Operations Group.
Exercises Scheduled events that   provide a realistic setting for practicing emergency response and evaluating   emergency plans, procedures, checklists and resources.
Family Support Centre The location where family   members of persons affected by the emergency are gathered and obtain   information about the emergency situation and/or the response.
Freelancing Any non-medical act by a   responder that is done without prior knowledge or approval within the command   structure.  Freelancing has several   negative ramifications such as: increases the risk of injury to the   responder; cause duplication of tasks being performed; creates site chaos;   etc.  An example of freelancing would a   crew responding to the scene without the permission of knowledge of the   Communications Officer.
Full Emergency The highest level of activation   of the emergency measures organization.    It is declared when an abnormal even or threat of an event of a   severity and magnitude that it may result in deaths, injuries, property   damage, environmental damage and/or disruption of normal operations.  It will also require a coordinated response   beyond the routine procedures, resources and/or authority of Department of   Health officials and its employers.    The Emergency Health Services, and regional/municipal health care   facilities.  For the Nova Scotia Department   of Health a Full Emergency would be a Level 2 or 1 Emergency.
Gap Analysis Identification of what   plan components are missing and those requiring change to get the plan’s   future status.
Goals A defined aim towards   which to strive, and the actions taken to achieve it.
Guideline Emergency Health Services   Nova Scotia’s preference or recommendation regarding the appropriate steps or   action to be taken in a given situation.    Guidelines may be either clinical or operational/administrative in nature.  It is expected that those who deviate from   EHSNS’s preferred/recommended steps or actions are able, if requested, to   justify their reason for doing so, to the satisfaction of the Executive   Director or his/her designate.
Hazards The result of an interaction   between human activities and the natural and technological process that can   generate extreme events.
Hazardous Materials Substances, which if   accidentally released, may result in serious harm to life, property and the   environment.  These substances are   listed in the Transportation of Dangerous Goods Schedule XII and the Major   Industrial Accident Council of Canada List of Hazardous Substances.
Health Care Facility Includes hospitals,   nursing homes, medical centres and clinics.
Higher Ranking Paramedic A paramedic whose   authority supercedes another within the ambulance organization.
Impact The result when a hazard   meets your Facility/Agency head on, producing negative consequences for your   organization.
Incident A occurrence or event,   either natural or technologically caused, that requires action by emergency   service personnel to prevent or minimize injuries, loss of life, or damage to   property or natural resources.
Indicators A measurement tool that   acts as a specific benchmark used to guide, monitor, and evaluate an event or   process for continuous quality improvement.
Influenza A viral infection of the   respiratory tract characterized by headaches, muscle aches, fever, weakness,   and cough; commonly called the “flu”.
Infrastructure The critical structural   support components that Facilities/Agencies depend upon for uninterrupted   operations and service delivery.
Liaison Officer A person assigned to the   Emergency Operations Centre (EOC), to be in charge of information brokerage   for specific organizations as well as liaising with other supporting agencies   at the emergency site.
Local Standby The first level of   activation of the emergence measures organization.  It is declared when an abnormal situation   has minimal consequences and emergency services are in control of the   situation and do not require additional resources and/or authority.
Media Centre Location where all media   announcements are made and media conferences and interviews are held.  A location set aside specifically for   speedy gathering and transmission of information to the media.  All exposure of the emergency/disaster   response and support efforts including the EOC should be coordinated by the   Public Information Officer (PIO) through the Media Centre.
Medical Commander The officer in charge of   all pre-hospital resources and operations at a mass casualty incident.  This officer has full authority to manage   the situation and is responsible for all aspects of paramedic operations at   the incident scene, including, but not limited to, coordination with other   public safety officials present at the scene.
Medical Protocol Defines the acceptable   management of specific conditions that may be encountered by Emergency Health   Services providers.  They outline the   steps to be taken in the evaluation and treatment of a specific patient   condition.  Medical protocols establish   the standard of care for patients and are the standard with equipment by   which EHSNS conducts quality assurance.
Mitigation Strategies that reduce or   eliminate the risk of a hazard(s) so that the Facility/Agency is not so   vulnerable and will be better able to cope with the extreme event.
Morbidity The indication and   presence of illness within a population.
Mortality The death rate related to   a specific event/disease.
Non-Structural Mitigation Strategies that use   social and behavioral concepts to manage the activities that make the   Facility/Agency vulnerable to reduce or eliminate the risk of hazards.  I.E.    Safe sex education for decreasing the spread of AIDS.
Non-Traditional Delivery or provision of   services that is not the norm.
Outcomes The deliverables or end   results of a process.
Pandemic Planning Assumptions Descriptions of the types   and scales of consequences for which organizations should be prepared to   respond.
Perimeters The Emergency Site   Manager establishes two perimeters at the emergency site.  The inner perimeter contains the emergency   site and any hazards associated with it, such as fuel or chemical spills.  Only emergency site responders who are   mitigating the hazards, assisting the casualties or conducting recovery   operations are permitted inside the inner perimeter.  The outer perimeter completely contains the   inner perimeter as well as the administrative area that is required to direct   and support the operation inside the inner perimeter.  The following will be found between the   inner and outer perimeters: the Command Post(s); access control points; and   personnel and equipment that will be required inside the inner perimeter.  The Emergency Site manager directs all   operations within both perimeters.
Planning Framework A specific roadmap that   details the exact planning process used outlining all of the critical   pathways and components within the process.
Policy Emergency Health Services   Nova Scotia’s official position on issues related to the provision of   Emergency Health Services.  Policy is   determined and formulated by Emergency Health Services with input from   appropriate stakeholders.  Policy set   by EHSNS will be followed by all EHSNS employees and applicable contractors   and is in effect, the law of the system.
Potential Hazard Exists when there is a   valid probability or likelihood for injury.
Priority Black (METTAG) Casualties who are dead   or unsalvageable.
Priority Green (METTAG) Persons who require first   aid treatment only.
Priority Red (METTAG) A casualty with life   threatening injuries requiring immediate transport to a health care facility.
Priority Yellow (METTAG) A casualty with serious   injuries but for whom transport can be delayed until after Code Reds.
Procedure Dictates the steps that   are to be followed in completing a procedure or required process as indicated   by a policy.  A Standard Operating   Procedure is considered the same as a procedure, however, EHSNS will not use   the term SOP to describe a procedure.
Reasonable and Prudent The quality of actions   taken or decisions made that respond to the demands of an incident or move   towards the resolution of a problem without placing personnel or equipment at   unacceptable risk.
Recovery The process of restoring   and rebuilding the community, and supporting groups particularly affected, in   the aftermath of an emergency.
Reduction Decreases the likelihood   that the interaction will result in damage.
Regional Hospitals The primary care hospital   within a Health Care region.
Reliable Source An individual, agency or   organization which is accountable and responsible for providing accurate,   verifiable information including but not limited to support staff,   paramedics, police and fire.
Resources All immediate and   supportive assistance (vehicles, equipment, personnel, etc.) available to   help mitigate the incident.
Responders Are persons responsible   for actions during an emergency (including those at the emergency site, in   the emergency support unit and in the EOC Group).  Actions are generally intended to reduce   risk, minimize losses and damage, and relieve suffering.  Responders include, but are not limited to:   fire fighters; police; paramedics; personnel from various government   departments and agencies; the private sector; community organizations and   volunteers.
Response The reaction to an   adverse event by using consequences management principles.
Risk The likelihood of the   identified hazard happening and the understanding of the consequences if the   extreme event occurs and is the product of probability/chance and   vulnerability.
Scope Defines the boundaries of   the plan stating specific inclusions/exclusions and any constraints that may   limit the plan’s effectiveness.  It   also clearly identifies what responsibilities and capacities that the   Facility/Agency is responsible for and identifies the areas that other   partnering agencies are responsible for.
Site Control Officers The senior supervisors of   each group responding to an emergency within the outer perimeter.  They are responsible for coordinating their   activities with and receiving direction from the Emergency Site Manager.  They are responsible for providing   instruction, supervision and appropriate and adequate equipment for their   responders.
Span of Control A supervisory ratio of   from three to seven individuals (or functions) with the optimum being five.
Staging Area When equipment arrives   and is not immediately required within the inner perimeter, it should be   directed to a pre-designated area where they shall await deployment.  This is a controlled secure area and is   managed by the STAGING AREA MANAGER who is responsible for the proper parking   and availability of the staged resources within the area.
State of Emergency A state of emergency   declared by a designated authority giving special powers to do everything   necessary to protect the health and safety of persons and the protection of   property and the environment.
Strategic Approach The high level approach   of accountability for initiating and supporting the planning process within   your Facility/Agency.
Strategies Ideas, methods and   processes that have been identified, researched and implemented to address   specific areas of concern.
Structural Mitigation Refers to those   strategies that use physical developments to reduce or limit the risk of   hazards.  I.E. sand bags, dams, and   flood-ways for flood areas.
Surveillance A process to track,   record, and report the outbreaks of reportable diseases.
Transfer Shifts the responsibility   for dealing with the negative effect by delegating that responsibility to   others (insurance).
Treatment Area An area at the emergency   scene designated by responders for conducting patient care.
Triage The process of sorting   and allocating treatment or transport of patients according to a system of   priorities designed to maximize the numbers of survivors at an MCI or   Disaster.
Triage Site An area at the emergency   scene designated by responders for conducting triage.
Trigger Points Key indicators that occur   in an event that would require activation of your Emergency Plan.
Unified Command An on-site command   structure consisting of all agencies involved in the disaster.  It determines the overall goals and   objectives for some incidents and selects a strategy to achieve the objectives.  Unified Command does not result in a loss   of control over individual agency resources, rather it ensures all agencies   are working towards the same goals occasionally sharing these resources to   accomplish shared objectives.
Vaccine A preparation, often made   of weakened viruses of a disease, used to inoculate a person in order to   protect him or her from that disease by causing the formation of antibodies   against it.
Vulnerability The susceptibility of the   population to the nature of the event.