Fairfax Medical Reserve Corps Leadership Training MRC 201

Fairfax Medical Reserve Corps Leadership Training MRC 201 Fairfax Medical Reserve Corps

MRC 201 Leadership Overview Dispensing Process Dispensing Site Management Fairfax Medical Reserve Corps 2

Public Health Emergency Response Outbreak situations – Bioterrorism – Naturally-occurring disease Response – Vaccination – Antibiotics – Other medication Strategy – Targeted prophylaxis – Mass prophylaxis Fairfax Medical Reserve Corps 3

Worst Case Scenario: Smallpox Mass Vaccination Goal – Vaccinate 1. 2 million persons within five days Team of 232 per shift per site – 1, 080 per hour – 12, 960 per 12 hour shift – 25, 920 per day 1, 244, 160 in four days Fairfax Medical Reserve Corps 4

The Challenge Make Things Flow - Expedite! – Quick adjustments to address bottlenecks – Instill the “expedite” mantra in your volunteers Fairfax Medical Reserve Corps 5

Dispensing Sites 24 Fairfax County high schools & GMU Designated sites for: – Hearing impaired – Served by Fairfax Connector Fairfax Medical Reserve Corps 6

Dispensing Organization Coordination Incident Coordinator Deputy Incident Coordinator Support Operations People Movers Medical Operations Uncomplicated Dispensing Logistics Special Operations Volunteer Coordinator Special Cases Support Fairfax Medical Reserve Corps 7

Dispensing Site Volunteer Staffing (3/21/06) Site Element Volunteers Jobs Command Staff 4 3 Section Chiefs 2 2 Logistics 14 TBD Support Operations 82 18 Medical Operations 76 19 Special Operations 66 17 Total per shift 244 59+ Total volunteers 12, 200 - 20% Attrition 14, 640 - Fairfax Medical Reserve Corps 8

Dispensing Site Mission Dispense medication within a specified timeframe to a defined population to prevent the occurrence of a disease of concern. Fairfax Medical Reserve Corps 9

Command Mission Direct the dispensing site in accord with direction from the Health Department Operations Center through a Unified Command with school and police partners. Fairfax Medical Reserve Corps 10

Command n tio a n i ord Co Fairfax Medical Reserve Corps 11

Operations Mission #1 Operations Support – Expedite clients through various units so they arrive at dispensing prepared to receive vaccination or medication. Fairfax Medical Reserve Corps 12

Pick-up Fairfax Medical Reserve Corps 13

Intake Fairfax Medical Reserve Corps 14

Education & Registration Fairfax Medical Reserve Corps 15

Flow Control Fairfax Medical Reserve Corps 16

Screening Fairfax Medical Reserve Corps 17

Data Entry Fairfax Medical Reserve Corps 18

Operations Mission #2 Medical Operations – Receive, educate, screen and dispense to uncomplicated clients. Fairfax Medical Reserve Corps 19

Dispensing Site Flow Intake Unit Education and Registration Unit Screening Unit Vaccination/ Medication Dispensing Unit Post-vaccination/ Dispensing Holding Unit Fairfax Medical Reserve Corps 20

Dispensing Fairfax Medical Reserve Corps 21

Dispensing Fairfax Medical Reserve Corps 22

Dispensing Fairfax Medical Reserve Corps 23

Operations Mission #3 Special Operations – Address non-routine needs of the dispensing site – Contacts to disease of concern, special needs, non-English speakers, and anxious Fairfax Medical Reserve Corps 24

Special Ops Contact Unit Staff or volunteers with public health and epidemiology expertise register and educate contacts to ill persons: – Surveillance/tracking of symptoms – Education on symptoms to watch for, travel restrictions, reporting requirements Fairfax Medical Reserve Corps 25

Special Ops Special Needs Unit Provides education, vaccination and/or medication to individuals with: – Vision or hearing needs – Physical disabilities – Other disabilities Many arrive by special bus at a dedicated entrance…other are identified at intake Education, registration, screening and dispensing in one area of the site Access to Tele-Interpreter Fairfax Medical Reserve Corps 26

Special Ops Behavioral Health Unit Provides counseling for individuals experiencing anxiety and other stress reactions Professional Mental Health/Substance Abuse Practitioners and greeters roam the dispensing site Fairfax County Mobile Crisis Unit available Fairfax Medical Reserve Corps 27

Interpreter Unit Fairfax Medical Reserve Corps 28

Command n tio a n i ord Co Fairfax Medical Reserve Corps 29

Incident Management Team Partners: Schools & Police Fairfax Medical Reserve Corps 30

Dispensing Site Incident Management Partners (Unified Command) Fairfax County Public Schools and GMU: – – – Facility Custodial Information technology Audio-visual Food Equipment and supplies Police agency (Fairfax County, sheriff, city police, town police, campus police) – Security – Traffic management Fairfax Medical Reserve Corps 31

Incident Management Interfaces Fairfax Medical Reserve Corps 32

Incident Command Structure Fairfax Medical Reserve Corps 33

NIMS ICS National Incident Management System Adopted by Homeland Security Presidential Directive (HSPD-5) March 1, 2004 Adoption by state and local governments required to receive federal funds Fairfax Medical Reserve Corps 34

COMMAND FUNCTIONS Operations Planning Command Logistics Admin/ Finance Fairfax Medical Reserve Corps 35

NIMS ICS Principles Pre-defined roles and responsibilities Clear and uniform chain of command Scalable/modular to meet the scope and complexity of the emergency Flexible to respond to changing conditions Common terminology Incident Action Plan Fairfax Medical Reserve Corps 36

Incident Action Plan containing general objectives reflecting the overall strategy for managing an incident. It identifies operational resources and assignments as well as provides direction and important information for the operational period. Fairfax Medical Reserve Corps 37

Incident Action Plan ICS 202 – Incident Objectives ICS 203 – Organizational Assignments ICS 205 – Radio Communications Plan ICS 205 a – Communications List ICS 206 – Medical Plan ICS 207 – Incident Organization Chart ICS 213 – General Message ICS 214 – Unit Log ICS 230 – Daily Meeting Schedule Simplified Floor and Site Plan Fairfax Medical Reserve Corps 38

External Communications E-mail – HDAOC@fairfaxcounty. gov – (Highschoolname)MRC@fcps. edu Land-line and cellular telephone – Telephone and fax numbers for Incident Command Post and the Health Department Operations Center Fairfax Medical Reserve Corps 39

External Communications Fairfax County Public Safety/Service radio system – 800 MHz trunked system – 1 radio per dispensing site – Communication between dispensing site command the Health Department Operations Center Fairfax Medical Reserve Corps 40

Site Communications Fairfax County Public School two-way portable radios – Up to 23 radios per site – Radio designators – Call direct or through Incident Command Post – ~10 Channels Land-line telephones (site-dependent) Public address system Face-to-face/Runners Fairfax Medical Reserve Corps 41

Medical Emergencies Fairfax Medical Reserve Corps 42

Floor Plan Fairfax Medical Reserve Corps 43

Site Plan Fairfax Medical Reserve Corps 44

Job Action Sheets Fairfax Medical Reserve Corps 45

Each Volunteer has a Job Action Sheet Branch Mission Unit Role Job Number “Your Job” Assigned area Equipment Supervisor Qualifications Fairfax Medical Reserve Corps 46

Volunteer Identification Different color vests with title: – Incident Coordinator & Section Chiefs– Blue – Branch Director – Red – Unit Leader – Yellow – Flow Control – Orange – Volunteers – Green Fairfax Medical Reserve Corps 47

Volunteer ID Card FAIRFAX MRC VOLUNTEER Donald Dude Incident Coordinator FAIRFAX CO. HEALTH DEPARTMENT Fairfax Medical Reserve Corps 48

Logistical Support Fairfax Medical Reserve Corps 49

MRC Logistics Section Critical pre-positioned documents – Mobilization Manual, floor plan, form and educational material masters, etc. Pre-positioned equipment and supplies – Vaccination, incident command, flow control Strategic National Stockpile – Medications School system equipment and supplies – IT, AV, furniture, office supplies, etc. Re-supply through the Health Department Ops Center – Medication, medical supplies not provided by SNS, office supplies Fairfax Medical Reserve Corps 50

Incident Coordinator Understand the overall dispensing site process Have in depth knowledge of overall mission Team with the school system and police department to manage overall operations through a unified command Coordinate with key people, officials and agencies Physically occupy the Incident Command Post Receive assignments from the Fairfax County Health Director/Agency Operations Center Fairfax Medical Reserve Corps 51

Incident Coordinator Be familiar with the Job Action Sheets for each of the volunteer Branch Directors and Unit Leaders Manage overall site operations in accordance with the current Incident Action Plan Address assembled dispensing site staff prior to the beginning of your shift and as needed thereafter Manages resources overall Directs the Incident Action Planning process Fairfax Medical Reserve Corps 52

Branch Director Have in depth knowledge of your Branch’s mission Be familiar with the Job Action Sheets for each of the volunteers who report to you Coordinate with other Branches Use the Incident Action Plan Communicate according to the communication plan Fairfax Medical Reserve Corps 53

Unit Leader Have in depth knowledge of your Unit’s mission Be familiar with your Unit’s Job Action Sheets Use the Incident Action Plan Communicate according to the communication plan Fairfax Medical Reserve Corps 54

Media At schools designated as “media schools” – IC will coordinate with the Public Information Officer and contribute information for release to the media in coordination with the Agency Operations Center At non-designated schools – IC refers media to the Agency Operations Center Information Desk Fairfax Medical Reserve Corps 55

Fairfax MRC Alerting System/Database Custom application nearing completion Please keep your Fairfax MRC Alert Network account updated – Email or cell phone – User profile information www. fairfaxmrc. org Fairfax Medical Reserve Corps 56

Next Steps Hands-on training at Lee High School, Springfield, VA – Floor plan and site plan – Incident Action Plan – Job Action Sheets – Two-way radios Fairfax Medical Reserve Corps 57

Next Steps As of March 20, 2006… – 3, 413 volunteers Recruit you a friend to join Fairfax MRC… – www. fairfaxmrc. org – 703 -246 -2433 Fairfax Medical Reserve Corps 58