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Standard of Care, Torts, and Immunity

 

The following information is provided for guidance and should not be used as a legal guide. Please consult a qualified attorney for legal assistance, if needed.

Use this information to understand that individual staff, board members, and your agency may be at risk if you do not understand where liability issues may arise. During a disaster event, everyone is under stress. Staff come in to serve but are worried about their family. People tend to work extended hours to help. All these factors add to the increased risk of making mistakes or making bad judgment calls. Through training, clear role assignments, and pre-planning with local Emergency Management and others, you can work to protect your agency and staff.

Whether or not your agency is a part of local government will impact whether some of the following information applies to you. However, pre-disaster planning with Emergency Management, local government, and others should adequately protect your agency from most forms of liability.

Federal and state government also have responded to the need for protections for volunteer responders during an emergency situation.

 

 

What is "Standard of Care"?

Standard of Care "is the minimum accepted care based on sources such as state laws and judicial decisions, administrative orders, local protocols and locally accepted guidelines published by emergency care organizations and societies, and what has been found to be acceptable in the past (precedent). This Standard of Care allows you to be judged based on what is expected of someone with your training and experience acting in the same or a similar situation. Training and continuing education are your best ways to ensure that you will be able to provide the Standard of Care required by your state." Each state or locality has its own Standard of Care.

The concept of Standard of Care causes frustration to many emergency planners and responders. That is because the Standard of Care is not static. The Standard of Care that was in place a few years ago, is most likely out of date. Unless procedures and policies are updated to reflect the current Standard of Care, liability could be incurred.

 

The Standard of Care involves many factors and questions:

Cost/Benefit Analysis

Court Decisions

Federal Documents

 

 

Columns on BuildingYou must work to keep current with the ever changing Standard of Care for your community. Your local attorney can help you define what standards you must meet to reduce your liability.

Many local emergency planning committees have seen the need and have begun to use the services of legal counsels in the planning process and to address their legal concerns.

As an aging services provider, if you are part of a collaborative local disaster planning effort, any counsel used by emergency management would probably cover actions assigned to your agency through the planning process. But, do check.

Regular contact with legal counsel will offer the best results and will keep you up-to-date on Standard of Care measurements. The liability issues faced in today's society are complex and varied. However, these concerns must be addressed. Ignoring the problem will not make it go away.

If you have not already, contact your local Emergency Management and ask to work with them on local disaster response. If you have already done community planning including Emergency Management, revisit your disaster response plan periodically and make sure that your staff and agency are covered for liability should they need to implement the steps in the plan.

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What are Torts and How are They Relevant?

A tort is defined as "an action that harms another person, business, or group". It occurs when a person or group of people act, or fail to act, without right, and thus, harm another directly or indirectly. A tort is covered by civil law rather than criminal law.

 

There are five basic forms of tort liability. They are:

  1. Civil Rights Liability which is incurred when a person's constitutional rights are violated.

  2. Intentional Liability which is incurred when there is a known violation of the law or other regulation.

  3. Negligent Liability which is incurred when a person fails to act in a manner that a reasonable and prudent person would have acted under similar circumstances.

  4. Strict Liability which arises when a law is violated.

  5. Warrant Liability which is incurred when a promised service level is not delivered.

 

These areas of liability are present every day for staff as they provide services and assistance. Under the stress of a disaster event, they may be even more of an issue if staff members have not had proper training and if they do not have a clear understanding of how they are expected to help. Both individual staff members and the agency itself could be sued.

 

There are four key elements that must be present in order to prove that negligence and liability exist. These include:

  1. A breach of that duty, which can be either an action or an omission.
  2. A connection between the failure and the resulting harm.
  3. A duty or standard to act or perform.
  4. An actual loss or harm to the parties involved.

 

Breach

Connection

Duty

Harm

Gavel

*courtesy NC Courts

All four elements must be present to win a case. If one is missing, negligence and liability cannot be proved.

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Government or Sovereign Immunity

Some people believe that governments and their employees are still immune from liability concerns. This concept, called government or sovereign immunity, has been steadily eroded by the courts and legislative action since the 1960s. For example, in 1960, there were only five states in the Union that allowed themselves to be sued. Today every state in the nation and their municipal sub-units are subject to various forms of liability.

 

There are four basic types of immunity that remain, although their use is limited. They are:

 

While officials and their actions may be covered by immunity, they may have to prove in court that their actions were covered by the immunity provisions claimed.

 

Liability may arise in a variety of areas.

Attractive Nuisance Inverse Condemnation Negligence Planning Risk Analysis Threat Identification Training Vicarious Liability

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What Does it all Mean?

The bottom line is that pre-planning is a must.  First protect yourself with general Policies and Procedures. Next, be sure to have adequate agency insurance. Provide training for staff and board members. Have a pre-established disaster response plan developed with local Emergency Management, local county government and other appropriate agencies. Be specific about responsibilities and identify staff who will be responsible. Then, provide training for staff to ensure each person knows what is expected of them. And finally, revisit your plan periodically to ensure that is it up-to-date and has changed with local understandings and precedents. This may or may not include review by legal counsel.

This information is not presented to frighten or worry you. It is provided to give you a general idea that both staff and your agency may be held responsible for their actions in the aftermath of a disaster. When emotions are running high and people are exhausted and concerned about their own families - that is not the time to have to be thinking about what needs to be done and how to do it.

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Communicating in a Crisis

Both before and after a disaster event, your agency may have the need to communicate with the public.  It is important that you understand how to do this clearly and succinctly and the motivations of the various types of media.

"Communicating in a Crisis: Risk Communications Guidelines for Public Officials" can give you tips and an understanding of what to expect.  " It describes basic skills and techniques for clear, effective crisis communications and information dissemination, and provides some of the tools of the trade for media relations. It can help you prepare for meeting the important responsibility of communicating with the public both directly and successfully during a crisis. "  It was developed by the US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services.

 

 

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