1. MA Medical Reserve Corps Incident Command

2. MA Medical Reserve Corps
MRC ICS
Overview
Dispensing Process
Dispensing Site Management
MA Medical Reserve Corps

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

4. Worst Case Scenario: Smallpox Mass Vaccination
Goal – Vaccinate your population in 48 hours
64 volunteer for 10,000 population
Throughput per hour
MA Medical Reserve Corps

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

6. Dispensing Organization
Coordination
People Movers
Special Cases
Support
Uncomplicated Dispensing
MA Medical Reserve Corps

7. Dispensing Site Volunteer Staffing
Site Element
Volunteers
Team
Greeters 8
Registration
Registration Team 12
Screening
Medical
Dispensing
Observation 4
Discharge 6
Behavioral Health 10
Total volunteers
64 per 10,000
Output
208 per hour
MA 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.
MA Medical Reserve Corps

9. MA 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.
MA Medical Reserve Corps

10. MA Medical Reserve Corps
Command
Coordination
MA Medical Reserve Corps

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

12. MA Medical Reserve Corps
Pick-up
MA Medical Reserve Corps

13. MA Medical Reserve Corps
Intake
MA Medical Reserve Corps

14. Education & Registration
MA Medical Reserve Corps

15. MA Medical Reserve Corps
Flow Control
MA Medical Reserve Corps

16. MA Medical Reserve Corps
Screening
MA Medical Reserve Corps

17. MA Medical Reserve Corps
Data Entry
MA Medical Reserve Corps

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

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

20. MA Medical Reserve Corps
Dispensing
MA Medical Reserve Corps

21. MA Medical Reserve Corps
Dispensing
MA Medical Reserve Corps

22. MA Medical Reserve Corps
Dispensing
MA Medical Reserve Corps

23. MA 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
MA 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
MA 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
MA 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
MA County Mobile Crisis Unit available
MA Medical Reserve Corps

27. MA Medical Reserve Corps
Interpreter Unit
MA Medical Reserve Corps

28. Command
Coordination
Medical Reserve Corps

29. Incident Management Team Partners: Schools & Police
MA Medical Reserve Corps

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

31. Incident Management Interfaces
MA Medical Reserve Corps

32. Incident Command Structure
MA Medical Reserve Corps

33. MA 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
MA Medical Reserve Corps

34. MA Medical Reserve Corps
COMMAND FUNCTIONS
Operations
Planning
Command
Logistics
Admin/
Finance
MA Medical Reserve Corps

35. MA 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
MA Medical Reserve Corps

36. MA 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.
MA Medical Reserve Corps

37. MA 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
MA Medical Reserve Corps

38. External Communications
MA 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
MA Medical Reserve Corps

39. MA Medical Reserve Corps
Site Communications
MA 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
MA Medical Reserve Corps

40. MA Medical Reserve Corps
Medical Emergencies
MA Medical Reserve Corps

41. MA Medical Reserve Corps
Floor Plan
MA Medical Reserve Corps

42. MA Medical Reserve Corps
Site Plan
MA Medical Reserve Corps

43. MA Medical Reserve Corps
Job Action Sheets
MA Medical Reserve Corps

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

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

46. MA Medical Reserve Corps
Volunteer ID Card
MA MRC
HEALTH DEPARTMENT
Donald Dude
Incident Coordinator
VOLUNTEER
MA Medical Reserve Corps

47. MA Medical Reserve Corps
Logistical Support
MA Medical Reserve Corps

48. MA 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
MA Medical Reserve Corps

49. MA 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 MA County Health Director/Agency Operations Center
MA Medical Reserve Corps

50. MA 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
MA Medical Reserve Corps

51. MA 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
MA Medical Reserve Corps

52. MA 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
MA Medical Reserve Corps

53. MA 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
MA Medical Reserve Corps

54. MA Medical Reserve Corps
MA Responds Database
Custom application nearing completion
Please keep your MA Responds account updated
or cell phone
User profile information
MA Medical Reserve Corps