1. Fairfax Medical Reserve Corps Leadership Training MRC 201

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

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

4. 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

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

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

7. Dispensing Organization
Coordination
People Movers
Special Cases
Support
Uncomplicated Dispensing
Fairfax Medical Reserve Corps

8. Dispensing Site Volunteer Staffing (3/21/06)
Site Element
Volunteers
Jobs
Command Staff 4 3
Section Chiefs 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

9. 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

10. Fairfax Medical Reserve Corps
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

11. Fairfax Medical Reserve Corps
Command
Coordination
Fairfax Medical Reserve Corps

12. Fairfax Medical Reserve Corps
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

13. Fairfax Medical Reserve Corps
Pick-up
Fairfax Medical Reserve Corps

14. Fairfax Medical Reserve Corps
Intake
Fairfax Medical Reserve Corps

15. Education & Registration
Fairfax Medical Reserve Corps

16. Fairfax Medical Reserve Corps
Flow Control
Fairfax Medical Reserve Corps

17. Fairfax Medical Reserve Corps
Screening
Fairfax Medical Reserve Corps

18. Fairfax Medical Reserve Corps
Data Entry
Fairfax Medical Reserve Corps

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

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

21. Fairfax Medical Reserve Corps
Dispensing
Fairfax Medical Reserve Corps

22. Fairfax Medical Reserve Corps
Dispensing
Fairfax Medical Reserve Corps

23. Fairfax Medical Reserve Corps
Dispensing
Fairfax Medical Reserve Corps

24. Fairfax Medical Reserve Corps
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

25. 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

26. 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

27. 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

28. Fairfax Medical Reserve Corps
Interpreter Unit
Fairfax Medical Reserve Corps

29. Fairfax Medical Reserve Corps
Command
Coordination
Fairfax Medical Reserve Corps

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

31. 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

32. Incident Management Interfaces
Fairfax Medical Reserve Corps

33. Incident Command Structure
Fairfax Medical Reserve Corps

34. Fairfax Medical Reserve Corps
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

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

36. Fairfax Medical Reserve Corps
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

37. Fairfax Medical Reserve Corps
Incident Action Plan
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

38. Fairfax Medical Reserve Corps
Incident Action Plan
ICS 202 – Incident Objectives
ICS 203 – Organizational Assignments
ICS 205 – Radio Communications Plan
ICS 205a – 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

39. External Communications
Land-line and cellular telephone
Telephone and fax numbers for Incident Command Post and the Health Department Operations Center
Fairfax Medical Reserve Corps

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

41. Fairfax Medical Reserve Corps
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

42. Fairfax Medical Reserve Corps
Medical Emergencies
Fairfax Medical Reserve Corps

43. Fairfax Medical Reserve Corps
Floor Plan
Fairfax Medical Reserve Corps

44. Fairfax Medical Reserve Corps
Site Plan
Fairfax Medical Reserve Corps

45. Fairfax Medical Reserve Corps
Job Action Sheets
Fairfax Medical Reserve Corps

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

47. 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

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

49. Fairfax Medical Reserve Corps
Logistical Support
Fairfax Medical Reserve Corps

50. Fairfax Medical Reserve Corps
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

51. Fairfax Medical Reserve Corps
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

52. Fairfax Medical Reserve Corps
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

53. Fairfax Medical Reserve Corps
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

54. Fairfax Medical Reserve Corps
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

55. Fairfax Medical Reserve Corps
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

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

57. Fairfax Medical Reserve Corps
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

58. Fairfax Medical Reserve Corps
Next Steps
As of March 20, 2006…
3,413 volunteers
Recruit you a friend to join Fairfax MRC…
Fairfax Medical Reserve Corps