Medical Reserve Corps Core Competencies Training MRC 101 Introduction and Orientation to the Medical Reserve Corps Show video “ Introduction to MRC” Western Mass Medical Reserve Corps www.wmmrc.org

Western Mass Medical Reserve Corps www.wmmrc.org Welcome The MRC Experience …will give you an opportunity to work with and train with a group of people, who like yourself, want to be part of the solution when disasters or public health emergencies happen.     What is the MRC Western Mass Medical Reserve Corps www.wmmrc.org

Western Mass Medical Reserve Corps www.wmmrc.org We’re Everywhere It’s a national organization Part of the Surgeon Generals Office In Hampshire County units at UMass, Nonotuck, Amherst and South Hadley Western Mass is also organized with units in Hampden, Franklin and Berkshire Units throughout Massachusetts See the website at www.wmmrc.org 970 units and >200,000 volunteers in 2012 Western Mass Medical Reserve Corps www.wmmrc.org

Western Mass Medical Reserve Corps www.wmmrc.org Volunteers Who people of all ages, from all walks of life Non-medical and medical What your role depends on your physical ability, training, expertise and interests How all service is voluntary Who People from all walks, varied skills Medical Nurses, Pharmacists Physicians Dentists Veterinarians Mental Health Specialits Non Medical Drivers Interpreters Data specialist Young and retired (with or without current license) Requirement ICS 100/ NIMS 700 Introduction to MRC Western Mass Medical Reserve Corps www.wmmrc.org

Western Mass Medical Reserve Corps www.wmmrc.org Freedom Corps Western Mass Medical Reserve Corps www.wmmrc.org

Western Mass Medical Reserve Corps www.wmmrc.org Community Partners public safety public health hospitals MAResponds.org (volunteer registration system) volunteer partners (CERT, American Red Cross, Faith-Based organizations) Community based organizations Emergency Medical Services (EMS) Medical stabilization and transport Police Civil Order and Criminal Acts, including terrorism Fire Fires, Spills and Explosions Board of Health – Infectious diseases, food, water, housing, Public Health VNA or Public Health Nurse Infectious Diseases, Home Care DPW Provide support and equipment Partners Other Town or City Employees Provide support  HAZMAT and DEP Rapid Response Teams  Hospitals  Citizen Corps CERT Community Emergency Response Teams MRC Team Leaders Medical Reserve Corps Fire Corps and VIPS Volunteers in Police Service Search and Rescue, etc. Volunteer Organizations like American Red Cross (ARC) and others. Community Partners like Schools - Churches - Businesses – Individuals Western Mass Medical Reserve Corps www.wmmrc.org

Western Mass Medical Reserve Corps www.wmmrc.org MAResponds a statewide secure database of pre-credentialed health care professionals who are interested in volunteering during a public health emergency MRC members (medical and non-medical) are encouraged to register at www.maresponds.org Western Mass Medical Reserve Corps www.wmmrc.org

Organizational Structure Western Mass Medical Reserve Corps www.wmmrc.org

Western Mass Medical Reserve Corps www.wmmrc.org Mission To build healthy and resilient communities Vision Individuals and communities committed and totally ready to manage all-hazards events Purpose:The mission of the Medical Reserve Corps in Western Massachusetts is to improve the Promote Public Health and safety across the region in 3 key areas; Public Health Emergencies: disease outbreak, chemical release Mass Casualty Incidents: threats to large numbers of people: storms, floods etc Community Service Activities: health fairs, training, eg flu care at home Western Mass Medical Reserve Corps www.wmmrc.org

Western Mass Medical Reserve Corps www.wmmrc.org Our Strengths Volunteers are: pre-identified have verified credentials trained Professional licenses and certificate verification CORI/SORI background checks Western Mass Medical Reserve Corps www.wmmrc.org

Principles of Operation treat all with respect - honor all volunteers communicate clearly - ensure volunteer safety work within the scope of credentials, training and comfort level deployment is voluntary honor our Code of Conduct and Confidentiality Agreements Volunteers must sign a Code of Conduct and Confidentiality Agreement Dismissal for violation of Code or Confidentiality Western Mass Medical Reserve Corps www.wmmrc.org

Volunteer Involvement Tier 2 Active Participates in training, exercises & events Tier 1 Basic Emergency only Tier 3 Leadership Western Mass Medical Reserve Corps www.wmmrc.org

Western Mass Medical Reserve Corps www.wmmrc.org Systems Communication email, phone and website www.wmmrc.org Training announced via email and website calendar convenient locations throughout each county in person and through the internet; no cost Participation deployment and response; exercises community outreach Western Mass Medical Reserve Corps www.wmmrc.org

Training Opportunities Types of Training Required: MRC 101, Incident Command (ICS), Psychological First Aid Optional: CPR, Emergency Dispensing Sites, community or regional shelters, pandemic flu and more “Just-in-Time” Exercises; Workshops; Conferences Required MRC 101 ICS Behavioral Health/Disaster First Aid Optional Other optional training eg CPR, EDS, PPE, Family Preparedness, Shelter Volunteer; Bioterrorism; Category A agents Western Mass Medical Reserve Corps www.wmmrc.org

Volunteer Expectations complete all required training; sign a confidentiality agreement; sign the MRC Code of Conduct volunteers may be terminated according to disciplinary procedures outlined in the policy manual for: dishonesty breach of confidentiality unsafe work habits violation of the Code of Conduct substance use Western Mass Medical Reserve Corps www.wmmrc.org

Core Competency 1 Protect Yourself and Your Family Know how to protect your health, safety, and overall well-being and that of: your family the MRC team the community Western Mass Medical Reserve Corps www.wmmrc.org

Western Mass Medical Reserve Corps www.wmmrc.org Protect Yourself learn about and use standard personal precautions ask for training about how to use personal protective equipment (PPE) Have a PPE kit to show Take care of yourself first Ask for appropriate Personal Protection Equipment (PPE) training Just in time at an event Take a PPE course through the MRC Know the proper way to put on and take off masks, gloves and goggles Handout on Universal precautions Western Mass Medical Reserve Corps www.wmmrc.org

Practice the Life Safety Code FIRST …protect yourself THEN …others THEN …control the incident THEN… save property and the environment Western Mass Medical Reserve Corps www.wmmrc.org

Practice Healthy Habits Your best protection is a strong immune system, so… eat well, get plenty of rest and exercise follow good hand washing and cough etiquette practices Remember what your mother said Eat well Get plenty of sleep Exercise Western Mass Medical Reserve Corps www.wmmrc.org

Core Competency 2 Ensure Family Preparedness have a family preparedness plan know about school plans workplace plans local plans Can’t help others if you aren’t ready yourself. You and Your Family Come First Family Emergency Plans Caring Networks of friends and family Learn about local emergency plans Show 72-hr kit video…12 minutes Distribute Family Plan sheet Western Mass Medical Reserve Corps www.wmmrc.org

Western Mass Medical Reserve Corps www.wmmrc.org Make a 72-hr Plan Resources (click for video) www.wmmrc.org www.ready.gov Hand out check list Show 72 hour kit Talk about strategies for getting long-term supplies Emergency Supplies to last 3 to 12 weeks Water. Every week add some canned goods and paper products to your pantry or box under your bed. Rotate your supplies as needed. Western Mass Medical Reserve Corps www.wmmrc.org

Core Competency 3 Know the Incident Command System (ICS) standardized system used by all responders clear management structure with unity of command i.e.. one leader; defined roles and responsibilities uses span of control of 5-7 people; expands and contracts as needed uses common terminology (positions, procedures and equipment) Describe the chain of command, MRC integration, and its application to a given incident. Western Mass Medical Reserve Corps www.wmmrc.org

Incident Command Pyramid Commander Operations Planning Logistics Finance/ Administration Public Information Officer Safety Officer Liaison Officer Western Mass Medical Reserve Corps www.wmmrc.org

Core Competency 4 Know the MRC Emergency Role Support Function (ESF-8) support public health and public safety responders MRC volunteers are not first responders follow established protocols and job descriptions Western Mass Medical Reserve Corps www.wmmrc.org

MRC Provide Support During Four Stages of an Emergency Mitigation: Reduce the effects of an emergency by reducing the number of people and places that will be affected Example - raising bridges so that they don’t flood. Social distancing measure when the flu first appears MRC Units and members should be community advocates for mitigation work. Planning: Strategic and operational plans Examples of some types of plans Communication plans Risk Communication plans….to work with the public EDS plan Pandemic Flu Plan Continuity of Operations Plans ISCU Plans MRC units should be advocates and partners in the planning for All Hazards Response: Emergency Operations Center (EOC) Control the Incident – MRC Roles Provide a community reservoir of trained, credentialed volunteers Staff Emergency Dispensing Sites (EDS) Staff Influenza Specialty Care Units (ISCU) Support Local Board of Health (LBOH) Support Sheltering Efforts including Medical and Animal Care Units Recovery: Bring things back to normal Western Mass Medical Reserve Corps www.wmmrc.org

Core Competency 5 Learn Communication Protocols MRC volunteers are trained to utilize ICS: do not talk to the media - refer media to your supervisor or the Public Information Officer (PIO) know how to use communication equipment understand communication protocols; maintain confidentiality always be open, direct and tactful In the ICS structure the Public Information officer authorizes people to speak to the press. Learn radio and other communication protocols before using communication equipment. Take time to communicate calmly, clearly and completely with your team leader and others Know the HIPPA laws and protect the medical privacy of others Distribute Confidentiality Agreement Western Mass Medical Reserve Corps www.wmmrc.org

Communication in Emergencies usual methods may not work communicate: slowly, clearly, loudly repeat the message use multiple communication channels Western Mass Medical Reserve Corps www.wmmrc.org

Core Competency 6 Mental/Behavioral Health Stress is a person’s normal reaction to an abnormal situation. All emergencies or disaster provoke stressful situations and responses You come first! First Things First = Protect yourself… take breaks ~ eat well ~ exercise ~ beware of your stress level ~ do not self-medicate Critical Incident Stress happens to responders as well as victims. Stress is normal.. Exercise, take care of yourself, take breaks, eat right, Stress can often lead to substance abuse (food, alcohol, drugs, cigarettes, etc.). Don’t use “a little something to take the edge off.” Western Mass Medical Reserve Corps www.wmmrc.org

Behavioral Health/ First Aid be calm and compassionate it’s the little things… don’t presume to know acknowledge problems provide constructive action ideas be aware that we all react differently to a crisis learn about and respect cultural diversity . – Take additional trainings Giving someone a drink of water can be important and just what they need. Never tell a victim that you know just how they feel. Acknowledge their problems and when possible, give them something constructive to do. Be aware that in a serious crisis, all affected people take in, process, and act on information differently. It is normal to see behavioral extremes and have difficulty communicating Western Mass Medical Reserve Corps www.wmmrc.org

Core Competency 7 - Volunteer Deployment Know your unit’s notification system Phone? Email? MAResponds.org Health and Homeland Alert Network (HHAN)? update your contact information regularly Activation procedures Volunteers requested by State, Board of Health, Emergency Management Director, or Hospitals Volunteers contacted by phone, email, HHAN (Health and Homeland Alert Network) Keep your contact info up-to-date: when it changes or with periodic requested update Check the website www.wmmrc.org Western Mass Medical Reserve Corps www.wmmrc.org

Western Mass Medical Reserve Corps www.wmmrc.org Activation Only unit coordinators will request volunteers never self-deploy follow activation instructions always ask about security carry photo ID and your badge bring basic supplies always sign in and sign out NEVER self-deploy Follow activation instructions Report when and where instructed.. Ask about getting through security and parking Carry proper photo I.D., including a current MRC Badge if available Bring along some basic supplies like a change of clothing, food and water, your medications - just in case supplies are limited. Western Mass Medical Reserve Corps www.wmmrc.org

Core Competency 8 Personal Limitation Awareness If you are unsure about your job limits, ask! Work within limits of: professional license; personal ability training; job description Incident Command Structure Know your physical and emotional limits. If you collapse, you become part of the problem instead of the solution. Know your training limits – you must stay within the scope of your training and skills. Just-in-time (on the job) training will be used for many critical tasks during an emergency. As long as you stay within the scope of your training and skills, you are better able to protect yourself and others. Remember, you are responsible for protecting yourself first and then others. Western Mass Medical Reserve Corps www.wmmrc.org

Liability Protections Liability protection is varied and coverage depends on working within: your job description your credentials the situation; community protections Federal Volunteer Protection Act and State Good Samaritan laws apply Refer to Policy and Procedure Manual Page 16 Western Mass Medical Reserve Corps www.wmmrc.org

Western Mass Medical Reserve Corps www.wmmrc.org Website Resources www.wmmrc.org www.maresponds.org www.medicalreservecorps.gov www.ready.gov www.mass.gov/dph www.cdc.gov Western Mass Medical Reserve Corps www.wmmrc.org

Contacts: www.wmmrc.org Western Mass MRC Point of Contact/Liaison Kathleen Conley Norbut 413-454-5163; kcnorbut@yahoo.com MRC County Coordinators Berkshire: Corrine McKeown 413-539-4115 Franklin: Tracy Rogers 413-774-3167 Hampden: Kathleen Conley Norbut 413-454-5163 Hampshire: Michael Nelson 413-522-0712 Western Mass Medical Reserve Corps www.wmmrc.org

Now, we get to practice what we preach! Consider yourself MRC 101 Core Competent! Now, we get to practice what we preach! 15 Minute break….following by Incident Command System 100/National Incident Management System 700 Western Mass Medical Reserve Corps www.wmmrc.org

Pre-Quiz: The Chain of Command Who is in charge of the entire incident? Who is the only person who can over-rule the IC? Who manages the media? Who coordinates with other agencies? Who is ultimately responsible for everything that happens in a community? Incident Commander Safety Officer Public Information Officer Liaison Officer The Chief Elected Official Western Mass Medical Reserve Corps www.wmmrc.org

Pre-Quiz: The Chain of Command Who manages the “boots on the ground” response? Who are the “brains Who are the “hunter-gatherers”? Who counts the “beans” so the town can get reimbursed? Operations Section Chief Planning Section gathers intelligence and thinks ahead Logistics Section gets the stuff and people Finance and Administration Western Mass Medical Reserve Corps www.wmmrc.org