1. Just In Time Training Flu Clinics 2009/2010 Region 1 Medical Reserve Corps of Western Massachusetts

2. Welcome Has everyone signed in? Please remember to sign out when done Has everyone signed in? Please remember to sign out when done Note the emergency exits Note the emergency exits Please place all phones on mute Please place all phones on mute Identification-badging protocols Identification-badging protocols Please do not talk to the press without permission Please do not talk to the press without permission Location of break areas and restrooms Location of break areas and restrooms

3. Our Goal To build healthy, resilient, prepared communities Preventing the spread of H1N1 flu Preventing the spread of H1N1 flu Safely vaccinating as many people as we can Safely vaccinating as many people as we can Educating ourselves and the public about flu prevention and care Educating ourselves and the public about flu prevention and care Supporting the MRC and Public Health Supporting the MRC and Public Health

4. Public Health MDPH – LBOH MDPH – LBOH Professional and volunteer staff Professional and volunteer staff Regional coalitions Regional coalitions Fiscal limitations Fiscal limitationsMRC Citizens Corps Citizens Corps Unit coordinators and volunteers Unit coordinators and volunteers Community focused Community focused Fiscal limitations Fiscal limitations Local Preparedness All Response is Local

5. Medical Reserve Corps (MRC) of Western Massachusetts 101 cities and towns 101 cities and towns Four counties Four counties Rural, suburban, urban centers Rural, suburban, urban centers Volunteer LBOH Volunteer LBOH Socio-economic disparities Socio-economic disparities Diverse populations, languages and cultures Diverse populations, languages and cultures 17 Medical Reserve Corps Units 17 Medical Reserve Corps Units

6. Partners EOPSS - Executive Office of Public Safety and Security EOPSS - Executive Office of Public Safety and Security MEMA – Massachusetts Emergency Management Agency MEMA – Massachusetts Emergency Management Agency WRHSAC – Western Region Homeland Security Advisory Council WRHSAC – Western Region Homeland Security Advisory Council EMDs – Emergency Management Directors EMDs – Emergency Management Directors REPC – Regional Emergency Planning Committee REPC – Regional Emergency Planning Committee LEPC – Local Emergency Planning Committee LEPC – Local Emergency Planning Committee CERT Community Emergency Response Teams CERT Community Emergency Response Teams MSAR - Massachusetts System of Advanced Registration MSAR - Massachusetts System of Advanced Registration Mass 2-1-1 Mass 2-1-1 Community Based Organizations Community Based Organizations –American Red Cross –Faith Based groups –Salvation Army

7. Flu Basics Seasonal Flu and H1N1 Flu  What is the flu?  How does it spread?  When does it occur?  Symptoms  Prevention

8. Flu Basics H1N1  What is H1N1?  Symptoms  Vaccine priority groups  High risks groups

9. 9 What is flu? A disease of the body’s breathing system, including the nose, mouth, windpipe and lungs, caused by a virus.

10. 10 Spread of H1N1 Flu  Person to person through coughing, sneezing, i.e. wet sprays, saliva and mucus  Touching doorknobs, tables, toys, shaking hands, etc. and then touching our eyes, nose or mouth.

11. 11 H1N1 Flu Symptoms Sudden fever Sudden fever Dry cough Dry cough Sore throat Sore throat Headache, body aches Headache, body aches Fatigue Fatigue Diarrhea, vomiting, and shortness of breath possible Diarrhea, vomiting, and shortness of breath possible

12. 12 Flu Prevention Vaccination Vaccination Hand washing Hand washing Cough etiquette Cough etiquette “Social distancing” “Social distancing”

13. Vaccine Distribution Health care providers Health care providers Hospitals Hospitals Private or closed clinics Private or closed clinics School-based clinics School-based clinics Public clinics Public clinics

14. 14 Initial Priority Groups Pregnant women Pregnant women Children 6 months - 18 yrs Children 6 months - 18 yrs Household contacts of infants < 6 months Household contacts of infants < 6 months Healthcare and emergency services personnel Healthcare and emergency services personnel 25 - 64 yrs at high risk of complications from flu 25 - 64 yrs at high risk of complications from flu

15. 15 Second/Third Tier Priority Groups 19 - 64 yrs at high risk of complications from flu 19 - 64 yrs at high risk of complications from flu –Lung, heart, kidney, blood, metabolic, neurological conditions Eg asthma, diabetes Eg asthma, diabetes –Immuno-suppressed After these groups vaccinate everyone < 65 After these groups vaccinate everyone < 65

16. Clinic Jobs Greeters Greeters Registration Registration Flow maintenance Flow maintenance Screeners Screeners Vaccinators Vaccinators Logistics Logistics Behavioral health Behavioral health Record keeping Record keeping Security Security

17. MRC Core Competencies  Protect yourself and others  Have a personal emergency plan  Incident Command System  Communication protocols  Behavioral health--Psychological first-aid  Volunteer deployment  Personal limitation awareness

18. Personal and Family Protection Personal emergency plans and Go Kit Personal emergency plans and Go Kit Workforce protection protocols – proper training, equipment and procedures Workforce protection protocols – proper training, equipment and procedures Personal protective equipment (PPE) Personal protective equipment (PPE) Healthy habits Healthy habits Life safety protocols – protect yourself first, then other responders, victims, infrastructure and then the environment Life safety protocols – protect yourself first, then other responders, victims, infrastructure and then the environment

19. Incident Command System (ICS) Incident Commander OperationsPlanningLogistics Finance/ Administration Public Information Officer Safety Officer Liaison Officer

21. Activation Protocols Follow unit activation protocols Follow unit activation protocols Never self deploy Never self deploy MRC units activate after a request from a Local Board of Health, Emergency Management Director, hospital or other person in authority MRC units activate after a request from a Local Board of Health, Emergency Management Director, hospital or other person in authority

22. Reporting Protocols Report as directed Report as directed Bring personal comfort supplies Bring personal comfort supplies Sign in and out Sign in and out Obtain Job Action Sheet (JAS) Obtain Job Action Sheet (JAS) Take responsibility for yourself first Take responsibility for yourself first Follow the chain of command-- know your supervisor Follow the chain of command-- know your supervisor Do not talk to the press unless authorized Do not talk to the press unless authorized

23. Stress Management happens to responders as well as victims Stress is a normal reaction to an abnormal situation…it happens to responders as well as victims You come first! Protect yourself… take breaks eat well exercise beware of your stress level do not self-medicate

24. Psychological First Aid Behavioral Health Be calm, considerate 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

25. Next Steps Assignments and Job Action Sheets Assignments and Job Action Sheets Current operational period – shift beginning/end Current operational period – shift beginning/end Sign-in and out procedures Sign-in and out procedures Incident Commander Incident Commander Check in with your Team Leader/Supervisor Check in with your Team Leader/Supervisor Respect your personal limitations Respect your personal limitations

26. Courtesy Counts! Responding to conflict and stressful times requires extra patience, courtesy and kindness Responding to conflict and stressful times requires extra patience, courtesy and kindness If you are faced with a difficult situation consult your supervisor If you are faced with a difficult situation consult your supervisor Respect the privacy of everyone at a clinic and don't discuss personal information unless authorized Respect the privacy of everyone at a clinic and don't discuss personal information unless authorized

27. Resources Mass 211 – dial 211 or 877-211-6277 www.mass211.org Mass 211 – dial 211 or 877-211-6277 www.mass211.org www.mass211.org Massachusetts Department of Public Health: www.mass.gov/flu Massachusetts Department of Public Health: www.mass.gov/flu www.mass.gov/flu Centers for Disease Control and Prevention: http://www.cdc.gov/h1n1flu/ Centers for Disease Control and Prevention: http://www.cdc.gov/h1n1flu/ http://www.cdc.gov/h1n1flu/ U.S. Department of Health & Human Services: http://www.flu.gov/ U.S. Department of Health & Human Services: http://www.flu.gov/http://www.flu.gov/ Medical Reserve Corps: www.wmmrc.org Medical Reserve Corps: www.wmmrc.orgwww.wmmrc.org