S359 Medical Unit Leader UNIT 3 Organize and

S-359 Medical Unit Leader UNIT 3 Organize and Supervise the Unit 1

Unit 3 Objectives t t t Identify five important considerations when organizing the medical unit. List four tasks required of the MEDL in managing medical unit personnel. Given a scenario, prepare an effective Medical Plan, ICS-206. 2

Organizing the Unit t Consider the following when determining location for: u Base u. Near crew sleeping area u. Close to communications unit u. Near path to shower unit u. Quiet and shade u. Adequate drainage u. Away from dusty roads u. Well marked/signed 3

Location for Base - Tent 4

Location for Base - Tent 5

Location for Base - Truck 6

Location for Base - Structure 7

Location for Base - Shade 8

Good Location Gone Bad After the Rains direction of flood water 9

Organizing the Unit, Cont. t Consider the following when determining location for: u Remote camps u. Access to helispot u. Shade u. Terrain 10

Location for Remote Camp 11

Organizing the Unit, Cont. t Area for private examinations/ consultation u Separated t from main medical unit Area for patient rest/quarantine u Separate from main medical unit 12

Private Exam Area 13

Rest/Quarantine Area 14

Organizing the Unit, Cont. t t Organize treatment areas. Organize equipment and supplies in a user friendly manner. u Shelving (boxes, wood, kit boxes, cardboard) u Most common items near front u Organize like remedies and supplies from head to toe. 15

Good Organization of Treatment Area head to toe shelving 16

Good Organization of Treatment Area 17

Bad Organization of Treatment Area 18

Organizing the Unit, Cont. t Spaces for documentation, record keeping, and communications u Medical Unit Leader u Compensation for injury specialist t Close access to handwashing and bathrooms u Ask for both if possible. 19

Organizing the Unit, Cont. t t t Adequate trash containers at appropriate locations Arrange eating area for medical unit personnel if unable to leave unit. Security u Inventory control u Someone from the medical unit staff may need to sleep in unit. 20

Brief and Keep Medical Unit Personnel Informed t Situations requiring briefing: u Operational period change u Replacement personnel u Team transition u Incident situation changes 21

Brief and Keep Medical Unit Personnel Informed, Cont. t Briefing topics may include: u IAP. u Operational period accomplishments/ trends. u Procedural changes. u Changes affecting medical unit. u Review of proper PPE and shelter deployment procedures. 22

Establish Time Frames and Schedules t t Medical unit personnel assignments may not coincide with the incident operational periods. Assignments should be staggered to meet the high demand periods. 23

Assign and Monitor Work Assignments t Making assignments u Bases and remote camps u. Gender u Line and skill mix (incident area) u. Coordinate assignment, placement and communications with line personnel. u Transporting; e. g. , EMT staged at helibase, personnel to accompany shuttle 24

Assign and Monitor Work Assignments, Cont. t Monitoring assignments u Quality of patient care u Completeness of documentation u Following proper procedures u. Established medical procedures u. Chain of command u. Ordering procedures 25

Review and Approve Time t Crew Time Reports u Authorize hazard pay for medical personnel assigned to the line. u Approve individually or as a unit. u Submit at the end of each operational period. 26

Review and Approve Time, Cont. t Emergency Equipment Shift Tickets u Ambulance (rental agreements typically include operators/paramedics) u Other specialized equipment 27

Emergency Equipment Shift Ticket 28

Equipment t Prior to use, make sure equipment is: u Under agreement u Inspected u Checked in with time 29

Promote Team Work t t t Encourage communication. Hold staff and safety meetings. Provide positive reinforcement and constructive feedback. 30

Provide Direction and Discipline t t t Ensure that all trainees have tied-in with the training specialist assigned to the incident as early as possible. Deal with problem situations immediately. Adjust assignments as needed. 31

Provide Direction and Discipline, Cont. t t Discuss problems one-on-one. Involve human resource specialist for problems within medical unit as necessary. 32

Managing Contract Personnel t Ensure improper actions involving contract personnel are resolved or reported. 33

Prepare and Update Medical Plan t Block 1 - “Incident Name” t Block 2 - “Date Prepared” t Block 3 - “Time Prepared” t Block 4 - “Operational Period” u Depending on the incident situation this block may show that the plan is in effect for one or multiple operational periods. 34

Prepare and Update Medical Plan, Cont. t Block 5 - “Incident Medical Aid Stations” u Name & location u. Base u. Remote camps u. Names and locations of medical personnel on line, staged at a helibase, with an ambulance, etc. 35

Prepare and Update Medical Plan, Cont. t Block 5 - “Incident Medical Aid Stations” u Skill levels u. Indicate paramedics at appropriate aid stations. u. Show other skill levels of personnel at identified aid stations. 36

Prepare and Update Medical Plan, Cont. t Block 6 - “Transportation” u “A. Ambulance Services” u. Name, address, emergency contact number u. Skill levels u “B. Incident Ambulances” u. Name and location u. Skill levels 37

Prepare and Update Medical Plan, Cont. t Block 7 - “Hospitals” u Name and address u. Hospital u. Trauma center u. Burn center u. Clinic u Travel u. Air time & Ground 38

Prepare and Update Medical Plan, Cont. t Block 7 - “Hospitals” u Phone u Helipad u. Acquire latitude/longitude for reference. u. Capabilities of helipad u Burn center 39

Prepare and Update Medical Plan, Cont. t Block 8 - “Medical Emergency Procedures” u Notifying MEDL u. Nature of injury/illness u. Number of injured/ill u. Location of patient(s) u. Treatment being administered u. Medical personnel at scene/needed u. Medical supplies and equipment at scene/needed 40

Prepare and Update Medical Plan, Cont. t Block 8 - “Medical Emergency Procedures” u Emergency communications u. Declare medical emergency. u. Clear frequency (command net). u. Re-establish normal communications when appropriate. 41

Prepare and Update Medical Plan, Cont. t Block 8 - “Medical Emergency Procedures” u Evacuation u. Appropriate transportation will be coordinated with operations section and air operations branch. u Considerations u. Remember to establish and communicate procedures for handling medical emergencies on the entire incident. 42

Prepare and Update Medical Plan, Cont. t Block 9 - “Prepared By” t Block 10 - “Reviewed By” t Provide completed form to the planning section for inclusion in the IAP. 43

Unit 3 Objectives t t t Identify five important considerations when organizing the medical unit. List four tasks required of the MEDL in managing medical unit personnel. Given a scenario, prepare an effective Medical Plan, ICS-206. 44