Welcome  to  the  Online  TMRC  Orientation.    Taking  this  course  is  an  important  and  required  part  of  your  TMRC  membership.    As  you  look  at  each  slide  in  this  presentation,  be  sure  to  also  read  below  the  slide  for  additional  information.

This  presentation  should  take  about  60  minutes  to  complete.

In  person  trainings  are  also  offered  at  different  times  and  in  different  locations  in  our  region.    

Please  be  sure  to  complete  the  post-‐training  quiz.

The  TMRC  has  been  involved  in  local  response  efforts  and  we  are  always  looking  for  more  volunteers  who  are  willing  to  serve  their  communities  health  needs  during  a  disaster.    The  following  slides  show  some  local  emergencies   that  have  impacted  our  region.

When  events  like  these  happen  we  take  stock,  assess  the  damage,  look  at  who  was  impacted  and  find  out  that  disasters  are  not  selective.

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H1N1  represents  our  largest  TMRC  response  to  date.    As  a  region,  we  provided  over  6,000  hours  of  volunteer  time.    Over  500  volunteers  were  involved  in  running  local   influenza  clinics,  assisting  with  logistical   support  of  clinics  and  response  efforts,  and  helping  in  a  variety  of  other  ways  during  this  public  health  response.

TMRC  is  part  of  a  national  network  of  local  groups  of  volunteers  committed  to  improving  the  public  health,  emergency  response,  and  resiliency  of  their  communities.  The  MRC  mission  is  supported  by  the  Division  of  the  Civilian  Volunteer  Medical  Reserve  Corps  (DCVMRC)  which  serves  as  the  national  program  office  for  MRC.  DCVMRC  is    housed  within  the  Office  of  Emergency  Management's  (OEM)  Partner  Readiness  and  Emergency  Programs  (PREP)  Division,  Assistant  Secretary  for  Preparedness  and  Response  (ASPR),  U.S.  Department  of  Health  and  Human  Services  (HHS).  

After  taking  this  course,  we  hope  that  you  will  have  an  understanding  of  the  history,  mission,  purpose,  and  role  of  the  MRC  during  an  emergency.

We  will  also  review  the  application  process,  volunteer  competencies,  and  the  volunteer  notification  and  activation  process.

The  need  for  the  Medical  Reserve  Corps  became  apparent  after  the  9/11  terrorist  attacks,  when  thousands  of  medical  and  public  health  professionals,  eager  to  help,  found  that  there  was  no  organized  approach  in  place   to  channel  their  efforts.  All  of  those  people  standing  around  in  the  photo  are  physicians,  EMT’s,  nurses  and  others  who  wished  to  help.    Their  skills  were  never  put  to  use  because  there  was  no  process  in  place   to  identify,  manage,  or  credential   those  who  arrived  to  help.    

It  became  clear  we  needed  a  process  to  validate  identity,  credential,  train  and  organize  volunteers  in  case  of  an  emergency.  That  is  why  the  Tristate  Medical  Reserve  Corps  is  here  today.  

After  9/11  the  President,  in  his  State  of  the  Union  Address,  called  for  volunteers  to  act  and  serve  their  community.

In  2002,  President  George  W.  Bush  established  the  USA  Freedom  Corps.    The  mission  of  the  USA  Freedom  Corps  was  to  enlist  Americans  in  service   to  their   country  at  the  national,  state,  and  community  level  at  home  or  abroad.    Today,  USA  Freedom  Corps  is  no  longer  in  existence  but  its  programs  live  on  under  different  organizations.  It  is  expected  by  both  the  federal  and  state  levels  of  government  that  local  health  jurisdictions  build  a  network  of  volunteers  to  assist  during  emergencies.  

Citizen  Corps’  mission  is  to  harness  the  power  of  every  individual  through  education,  training,  and  volunteer  service  to  make  communities  safer,  stronger  and  better  prepared  to  respond  to  the  threats  of  terrorism,  public  health  issues,  and  disasters  of  all  kinds.  Citizen  Corps  is  coordinated  at  the  national  level  by  the  Federal  Emergency  Management  Agency  (FEMA).  Citizen  Corps’  six  federally  sponsored  partner  programs  help  build  capacity  for  first  responders  through  the  use  of  volunteers.  CERT:  The  Community  Emergency  Response  Team  (CERT)  Program  educates  people  about  disaster  preparedness  for  hazards  that  may  impact  their  area  and  trains  them  in  basic  disaster  response  skills,  such  as  fire  safety,  light  search  and  rescue,  team  organization,  and  disaster  medical  operations.Fire  Corps:  Fire  Corps  promotes  the  use  of  citizen  advocates  (volunteers)  to  support  and  augment  the  capacity  of  resource-‐constrained  fire  and  emergency  service  departments  at  all  levels:  volunteer,  combination,  and  career.  Citizen  advocates  can  assist  local  fire  departments  in  a  range  of  activities  including  fire  safety  outreach,  youth  programs,  and  administrative  support.  VIPS:  Volunteers  in  Police  Service  (VIPS)  works  to  enhance  the  capacity  of  state  and  local  law  enforcement  to  utilize  volunteers.National  Neighborhood  Watch  Program:  The  National  Neighborhood  Watch  Program  (formerly USAonWatch),  housed  within  the  National  Sheriffs’  Association,  has  worked  to  unite  law  enforcement  agencies,  private  organizations,  and  individual  citizens  in  a  nation-‐wide  effort  to  reduce  crime  and  improve  local  communities.  In  the  aftermath  of  September  11,  2001,  Neighborhood  Watch  programs  have  expanded  beyond  their  traditional  crime  prevention  role  to  help  neighborhoods  focus  on  disaster  preparedness,  emergency  response  and  terrorism  awarenessCorp  for  National  &  Community  Service:  DHS  also  works  closely  with  the  Corporation  for  National  and  Community  Service  (CNCS)  to  promote  volunteer  service  activities  that  support  homeland  security  and  community  safety.  CNCS  is  a  federal  agency  that  operates  nationwide  service  programs  such  as  AmeriCorps,  Senior  Corps,  and  Learn  and  Serve  America.MRC:  The  Medical  Reserve  Corps  (MRC)  Program  strengthens  communities  by  helping  medical,  public  health  and  other  volunteers  offer  their  expertise  throughout  the  year  as  well  as  during  local  emergencies  and  other  times  of  community  need.  MRC  volunteers  work  in  coordination  with  existing  local  emergency  response  programs  and  also  supplement  existing  community  public  health  initiatives,  such  as  outreach  and  prevention,  immunization  programs,  blood  drives,  case  management,  care  planning,  and  other  efforts.

In  addition  to  the  MRC,  the  following  groups  are  also  organized  under  the  Citizen’s  Corps  in  the  State  of  Ohio.    Though  it  is  organized  under  Citizen’s  Corps,  the  MRC  program  is  a  self  contained  and  managed  group.    Some  states  may  also  include  other  groups,  such  as  animal  response  teams.

TAP:  The  Terrorism  Awareness  &  Prevention  (TAP)  program  provides  citizens  with  critical   information  on  terrorists  and  terrorist  threats,  and  identifies  ways  Ohioans  can  actively  participate   in  building  safer  communities.  TAP  is  a  State  of  Ohio  Security  Task  Force  homeland  security  and  crime  prevention  initiative.  

The  MRC  units  in  Kentucky  and  Indiana  are  also  organized  as  a  part  of  the  Citizens  Corps  system.  The  NKRCCC  is  committed  to  supporting  existing  Citizen  Corps  Programs  in  Northern  Kentucky,  the  encouragement  of  the  development  of  Citizen  Corps  programs  throughout  the  region,  and  providing  a  network  of  Citizen  Corps  program  members  to  discuss  issues  and  concerns.  The  Council  oversees  five  programs,  including  Community  Emergency  Response  Teams  (CERT),  Neighborhood  Watch  (NW),  Medical  Reserve  Corps  (MRC),  Fire  Corps,  and  Volunteers  In  Police  Service  (VIPS).  

The  Indiana  Department  of  Homeland  Security  (IDHS)  has  identified  Citizen  Corps  as  a  benefit  to  the  State  of  Indiana,  its  communities,  and  the  well-‐being  of  all  Hoosiers.  As  the  State  of  Indiana's  central  coordinating  office  for  the  service  and  volunteer  sectors  across  the  State,  IDHS  was  chosen  as  the  State  of  Indiana's  Point  of  Contact  for  Citizen  Corps  efforts.  Its  programs  are  as  listed  above.  

The  TMRC  is  divided  into  3  state  based  chapters,  and  jurisdiction  based  units.    For  example,  the  Northern  Kentucky  Health  Department  covers  a  four  county  area,  but  is  organized  under  a  single  MRC  unit.    Each  of  the  units  coordinate  their  efforts  through  the  Tristate  Medical  Reserve  Corps.

All  attempts  will  be  made  to  have  TMRC  volunteers  deploy  to  their  closest  home  assignment.  

However,  when  there  is  a  state  or  national  emergency,  those  volunteers  who  are  willing  may  be  called  upon  to  respond  to  another  part  of  the  state  or  somewhere  within  the  United  States.  A  good  example  is  Hurricane  Katrina.  Local  units  were  overwhelmed  and  needed  assistance.  Several  chapters  of  the  MRC  responded  throughout  the  country.

The  TMRC  includes  representatives  from  3  states,  Ohio,  Kentucky,  and  Indiana,  and  includes  a  20  county  region.

The  TMRC  region  is  one  of  the  most  unique  in  the  United  States.When  the  National  MRC  office  was  approached  to  have  this  alliance  

between  the  three  states  formed  into  a  chapter,  it  was  said  it  could  not  be  done.    We  now  operate  as  one  of  the  strongest  MRC  coalitions  in  the  Midwest.

It  could  be  simply  stated  that  our  mission  is  to  provide  emergency  staffing  support  to  our  communities  during  public  health  and  medical  emergencies.

This  is  a  list  of  some  typical  disasters  and/or  threats  that  our  region  has  encountered  in  the  past,  or  has  the  potential  to  be  impacted  by.  Natural  disasters  such  as  flood,   tornado  and  windstorm  affect  thousands   of  people  every  year. You  should   know  what  your  risks  are  and  prepare  to  protect  yourself,  your  family  and  community.  Technological  &  Accidental  Hazards  include  technological  hazards  such  as  nuclear  power  plant  failures  and  hazardous  materials  incidents.  Usually,  little  or  no  warning  precedes  these  disasters.  Unfortunately,  the  number  of  potential  accidental  disasters  is  escalating  due  to  the  increased  number  of  new  substances  and  the  opportunities  for  human  error  while  using  these  materials.Terrorism:  Throughout  human  history,  there  have  been  many  threats  to  the  security  of  nations.  These  threats  have  brought  about  large-‐scale  losses  of  life,  the  destruction  of  property,  widespread  illness   and  injury,   the  displacement  of  large  numbers  of  people  and  devastating  economic  loss.  Recent  technological  advances  and  ongoing  political  unrest  are  components  of  the  increased  risk  to  national  security.Public  Health  Emergencies:  Outbreaks  and  incidents  of  diseases  that  easily  spread  from  person  to  person  are  always  a  concern  and  are  difficult  to  anticipate.  Current  diseases  of  concern  are  diseases  like  Ebola,  Enterovirus,  Chickungunya and  MERS.  

We  are  an  equal  opportunity  volunteering  agency  who  does  not  disqualify  based  on  race,  gender,  religion,  etc.  We  are  looking  for  those  with  strong  convictions  who  seek  to  help  their  communities  during  an  emergency.  Anyone  can  volunteer!

Some  volunteer  responses  may  require  volunteers  who  possess  the  physical  ability  to  stand  for  long  periods,  lift  heavy  objects,  or  perform  other  demanding  physical  labor.      Other  MRC  responses  may  only  require  that  a  volunteer  be  able  to  operate  a  telephone;  or  special  medical  skills  and  licensure   is  required.  As  volunteers  are  activated,  we  will  include  this  type  of  information.

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The  TMRC  goal  is  to  have  a  functional  group  of  volunteers  who  are  knowledgeable,  willing,  and  dedicated  to  the  cause  of  public  health  and  medical  preparedness.

During  any  major  emergency,  first  responders  (police,  fire,  EMS  etc)  will  be  taxed  and  will  need  assistance.  That  assistance  could  come  from  the  TMRC  in  an  organized  professional  response.  

By  no  means  do  we  handle  emergencies  alone.    These  are  our  partners  who  we  support  during  emergencies.    Some  of  these  groups  work  directly  in  the  incident  area,  while  others  work  behind  the  scenes  in  support  roles.

Many  of  these  roles  have  been  filled  by  the  TMRC  in  actual  responses.    Others  have  been  identified  as  areas  where  the  TMRC  is  being  counted  on  to  help.

One  of  the  key  missions  of  the  TMRC  is  to  support  public  health’s  efforts  to  operate  Points  of  Dispensing  (PODs)  in  the  event  that  medicine  needs  to  be  provided  to  large  numbers  of  the  public  in  a  short  amount  of  time;  essentially  to  medicate  as  many  people  as  possible  within  a  specific  time  frame.  POD  locations  within  the  local  community  are  a  means  to  distribute  medicine,  vaccines,  or  other  supplies  to  an  affected  population.  

POD  locations  often  need  to  meet  specific  criteria   in  order  to  be  used  in  a  response.    

During  the  H1N1  response,  the  Northern  Kentucky  MRC  (NKMRC)  respond  to  assist  in  a  large  scale  vaccination  clinic.    

Number  of  individual  NKMRC  volunteers  involved  in  the  response  efforts74

Positions  filled  by  NKMRC  volunteers  (working  from  1  to  13  clinics  each)143

Total  hours  volunteered  at  clinics 858Number  of  clinics  utilizing  volunteers 19

While  working  at  a  POD,  volunteers  may  be  asked  to  perform  the  following  duties:•Set-‐up  and  tear  down•Greeters/Registration•Assisting  fellow  community  members  with  filling  out  forms•Medical  Screening/Consultation    *  ONLY  IF  MEDICALLY  LICENSED*•Dispensing  medication    *ONLY  IF  MEDICALLY  LICENSED*•Form  collection  •Runners  However,  it  must  be  stated  that  during  a  “declared”  public  health  emergency,  PODs  may  distribute  medication  to  the  affected  population  using  a  “non-‐medical”  model  in  order  to  expedite  dispensing  of  medication.  

As  an  example,  this  slide  shows  a  potential  layout  of  a  POD.Each  local  health  department  must  have  diagrams  like  this  of  each  of  their  PODs  and  do  exercises   to  test  their  plan.  

The  Southwest  Ohio  Public  Health  Region  has  utilized  federal  grant  funds  to  purchase  a  210  bed  Alternative  Care  Center  (ACC).    This  resource  is  a  tent  hospital  that  is  designed  to  provide  assistance  to  hospitals  during  times  of  medical   surge.    Medical  surge  occurs  when  local  hospitals  do  not  have  enough  room  to  care  for  patients,  and  other  ways  to  house  and  care  for  patients  is  needed.    The  ACC  is  limited  in  the  level  of  care  it  is  able  to  provide,  and  would  likely  only  provide  care  to  minor  injuries  and/or  “walking  wounded”,  leaving  the  hospital  to  care  for  the  seriously  injured.  

The  ACC  comes  with  heating  and  air  conditioning,  emergency  hospital  beds,  lighting,  an  electrical   system,  hand  washing  stations,  and  many  other  resources  needed  in  operating  a  hospital.    

This  is  what  the  a  full  ACC  deployment  would  look  like.    It  is  quite  possible  that  a  request  could  come  in  for  only  a  wing  due  to  specific  reasons  (need  to  evacuate  only  the  ICU  of  15  people  – would  not  need  the  whole  210  bed  facility).  This  asset  is  available  to  each  hospital  in  the  region  upon  request.  

The ACC requires no tools or ladders to be set up. It is easy to assemble, and could potentially be set up and operating in about 6-8 hours. For this reason, it is not ideal for use in a small scale mass casualty incident like a bus accident. Instead, it would be ideal for a large disease outbreak or other scenario where patients are expected to arrive over a long period of time in a way that would stress the capabilities of the hospitals in the region.

Staffing  for  the  ACC  would  come  from  a  variety  of  sources.

The  TMRC  is  working  with  the  Red  Cross  to  provide  assistance  in  addressing  the  functional  needs  of  people  in  shelters.    FNSS  is  defined  as  services  that  enable   individuals  to  maintain  their  independence  in  a  general  population  shelter.  FNSS  includes:  • Reasonable  modification  to  policies,  practices,  and  procedures• Durable  Medical  Equipment  (DME)• Consumable  Medical  Supplies  (CMS)• Personal  Assistance  Services  (PAS)• Other  goods  and  services  as  needed.  

ADA  states-‐sheltering  persons  with  disabilities   in  the  most  integrated  

setting  appropriate  to  the  needs  of  the  person  is  best,  which  in  most  cases  is  the  same  setting  people  without  disabilities  enjoy.  

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When  Hurricane   Ike  hit  the  region  with  severe  winds,  the  TMRC  set  up  and  operated  a  functional  needs  shelter.  It  is  now  required  that  populations  with  functional  needs  must  be  accommodated  in  a  general  population  shelter  and  not  placed  in  an  alternate  setting  purely  based  on  their  disability.  

The  National  Response  Framework (NRF)  utilizes  the  National  Disaster  Medical  System  (NDMS),  under  Emergency  Support  Function  #8  (ESF  #8),  Health  and  Medical  Services,  to  support  Federal  agencies  in  the  management  and  coordination  of  the  Federal  medical  response  to  major  emergencies  and  federally  declared  disasters  such  as  natural  disasters,  major  transportation  accidents,  technological  disasters,  and  acts  of  terrorism  including  weapons  of  mass  destruction  events.  

The  TMRC  has  also  worked  in  the  past  to  provide  additional  phone  operators  for  Emergency  Operations  Centers.

The  MRC  Handbook  provides  detailed  information  about  many  areas  covered  in  this  presentation.

The  handbook  also  addresses  confidentiality  issues  that  a  volunteer  may  face.

All  volunteers  are  expected   to  behave  according  to  a  specific  code  of  conduct.

Volunteers  can  be  dismissed  from  MRC  if  engaging  in  conduct  in  violation  of  the  standards  set  in  the  handbook.  The  most  common  of  which  are  listed  above.

TMRC  ID  Cards  in  Ohio  are  color  coded  based  on  general  volunteer  category.    This  allows  us  to  verify  medical  qualifications  more  quickly.

There  are  instructions  on  the  back  of  the  card  to  return  it,  if  found,  to  The  Health  Collaborative  in  case  your  card  is  lost.    It  is  recommended  that  you  carry  your  TMRC  ID  with  you  at  all  times.  However,  having  a  TMRC  ID  does  not  mean  that  you  can  self  deploy  to  a  scene.  Please  wait  for  instructions  from  your  unit  leader  prior  to  staging  or  arriving  at  an  incident  scene.  

This  is  an  example  of  a  NKMRC  ID  Card.  

This  on  line   training  module  satisfies  the  requirement  to  take  an  introduction  course  as  long  as  you  complete  the  post-‐evaluation  survey/test.  In  Ohio,  you  are  required  to  engage  in  training  at  least  every  3  years  in  order  to  retain  liability  coverage  during  an  emergency  response.  See  Volunteer  Handbook  for  more  information.  

Core  Competencies  have  been  identified  for  all  MRC  volunteers.    These  are  areas  that  each  volunteer  should  understand  and  have  addressed  personally  as  a  part  of  joining  the  MRC.  The  National  MRC  Network,  along  with  the  National  Association  of  City  and  County  Health  Officials  (NACCHO)  and  the  National  Center  for  Disaster  Medicine  and  Public  Health  (NCDMPH)  have  recently  developed  a  core  set  of  competencies  for  MRC  volunteers  that  align  with  the  competencies  for  Disaster  Medicine  and  Public  Health.  

The  Competencies  for  Disaster  medicine  and  Public  Health,  commonly  referred  to  as  DMPH  Competencies,  were  developed  by  the  National  Center  for  Disaster  Medicine  and  Public  Health  in  2012.  Defined  specifically   for  disaster  and  public  health  preparedness,  response,  and  management.  Widely  understood  to  be  the  knowledge  needed  for  a  health  care  professional  and/or  first  responder  to  perform  a  task  in  a  safe  and  consistent  manner.

From  2007  to  now,  the  competencies  have  gone  through  an  evolutionary  process  to  get  to  where  they  are  to  date.  Starting  relatively  from  scratch,  the  MRC  Volunteer  Core  Competencies  were  originally  developed  in  2007  in  partnership  with  the  DCVMRC,  NACCHO,  CDC,  and  an  Advisory  Group  of  MRC  Unit  Leaders  from  across  the  country.  

The  purpose  of  the  2007  MRC  Core  Competencies  was  to  establish  a  core  source  and  standard  set  of  activities  that  each  MRC  member  would  be  able  to  perform.  This  competency  set  was  the  first  of  its  kind  for  the  MRC  and  laid  the  groundwork  for  future  training  and  development  activities  for  the  MRC  Program.  

Fast  forward  to  2013  when  the  revision  process  began…  NACCHO  considered  the  changes  that  have  occurred  within  the  network  in  regards  to  its  growth,  and  added  value  to  the  communities  being  served  we  took  many  of  the  lessons  learned  from  the  development  of  the  2007  set  to  help  inform  the  process  for  the  MRC  Core  Competency  Revision.    Ethics  and  law  in  disaster  preparedness  and  response  is  new  to  the  competencies  as  well  as  competencies  surrounding  disaster  recovery.  

Hierarchical  Framework  modeled  after  the  framework  developed  by  the  National  Center,  to  illustrate  how  the  Competencies  for  Disaster  Medicine  interconnects  with  the  MRC  and  training.

The  base  of  this  framework  represents  the  Competencies  for  Disaster  Medicine  and  Public  Health.  The  DMPH  Competencies  serve  as  the  foundational  competency  set  for  MRC  volunteers  and  represent  a  baseline  level  of  knowledge  and  skills  that  all  MRC  volunteers  should  have,  regardless  of  their  role  within  the  MRC  unit.  

Next  we  have  MRC  Performance  Qualifications.  MRC  Performance  Qualifications  break  down  the  Competencies  for  Disaster  Medicine  and  Public  health  into  MRC  specific  measurable  actions  a  volunteer  should  be  able  to  perform  in  order  to  be  considered  competent  in  an  area.  In  essence,   these  performance  qualifications  were  a  way  of  helping  MRC  volunteers  make  sense  of  how  the  competencies  apply  to  them.

Role  Specific,  Skill  Based  Training  describes  specialized  advanced  training  for  MRC  volunteers.  These  can  include  unit  specific  competencies  or  skill  requirements,  as  a  unit  sees  fit.  

Related  core  competencies  have  been  grouped  into  four  MRC  Learning  Paths.  The  nomenclature  for  the  MRC  specific  learning  paths  are  modeled  behind  a  volunteer’s  motivation  to  join  the  MRC.    

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As  a  volunteer  who  wants  to  serve  others,  it  is  vitally  important  that  you  must  protect  yourself  and  your  family  first.    Performance  qualifications  for  this  competency  includes  completing  a  personal  and  family  disaster  preparedness  plan.  

Be  InformedMake  a  PlanBuild  a  Kit

Understand  what  you  are  good  at,  and  what  you  are  not.  Share  your  skills  and  competencies  on  your  volunteer  database  profile  as  well  as  with  response  leadership  upon  activation.  Each  incident  will  require  different  skills  such  as  POD  operations  or  ACC  deployment  and  staffing.  

Performance  qualifications  for  this  competency  include:  • Follow  procedures  to  successfully  activate,  report  and  demobilize• Follow  policies  and  procedures  related   to  professional  and  ethical  representation  of  the  MRC.  

• Describe   the  chain  of  command  during  MRC  activities.  

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Situational  Awareness  refers  to  the  ability  to  stay  informed  and  perceive  threats  as  pertains  to  your  situation  or  location.  Corresponding  training  may  include  hazard-‐specific  awareness  courses  such  as  chemical  disasters,  haz  mat  responses,  or  infectious  diseases.  Performance  qualifications  for  this  competency  include  the  ability  to  describe  how  MRC  serves  the  community.  

Virtually  every  day,  crisis  and  emergency  risk  communication  is  needed  somewhere  in  public  health.  Whenever  a  crisis  occurs,  communicators  must  to  be  ready  to  provide  information  to  help  people  make  the  best  possible  decisions  for  their  health  and  well-‐being.  This  must  be  done  in  rapid  timeframes  and  without  knowing  everything  about  the  crisis.  Yet  often  the  types  of  disasters  that  public  health  must  address  can  be  anticipated.  Requests  for  media  interviews  should  be  referred  to  public  information  professionals.  

Performance  qualifications  for  this  competency  include  describing  the  member’s  communication  responsibilities  and  procedures.  

Performance  qualifications  for  this  competency  include  demonstrating  safe  behaviors  during  MRC  activities.  Training  appropriate  for  this  competency  may  include  courses  on  personal  protective  equipment  (PPE),  health  and  safety  in  disaster  response,  hazard-‐specific  worker  safety  courses,  etc.  

Performance  qualifications  for  this  competency  include  describing  how  MRC  serves  the  community  in  all  aspects  of  a  medical   surge  event  or  incident.  Medical  surge  describes  the  ability  to  provide  adequate  medical  evaluation  and  care  during  events  that  exceed  the  limits  of  the  normal  medical  infrastructure  of  an  affected  community  such  as  an  infectious  disease  outbreak,  mass  casualty  incident,  or  natural  disaster  resulting  in  limited  or  decreased  community  healthcare  delivery.  Recommended  trainings  may  include  courses  on  surge  capacity,  logistics,  and  mass  dispensing.    

Performance  qualifications  for  this  competency  for  health  and  mental  health  professionals  include:  • Identify  the  impact  of  an  event  on  the  behavioral  health  of  the  MRC  

member  and  their   family,  team,  and  community.  • Describe  how  MRC  serves  the  community.  • Demonstrate  cultural  humility  during  MRC  activities.  

Recommended  training  includes  courses  on  disaster  mental  health  including  Psychological  First  Aid  and  disaster  triage  during  epidemics/pandemics.  

Performance  qualifications  for  this  competency  include:  • Demonstrate  cultural  humility  during  MRC  activities• Describe  how  MRC  serves  the  community• Identify  the  role  of  public  health  in  the  community.  

Recommended  training  includes  programs  focused  around  assisting  people  with  functional  needs  during  and  after  disaster  including  children  and  those  with  sensory  or  mental  impairment,    and/or  challenges  with  mobility.  

Performance  qualifications  for  this  competency  include  following  policies  and  procedures  related  to  professional  and  ethical  representation  of  the  MRC.

Recommended  training  may  include  topics  surrounding  ethics  in  delivery  of  care  during  disaster  response.    

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Performance  qualifications  related  to  this  competency  include:  • Demonstrate  safe  behaviors  during  MRC  activities• Follow  policies  and  procedures  related   to  professional  and  ethical  representation  of  the  MRC.  

• Demonstrate  cultural  humility  during  MRC  activities.  

Recommended  training  includes  public  health  law  and  how  it  relates  to  disaster  response.  

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Performance  qualifications  for  this  competency  include:• Identify  the  impact  of  an  event  on  the  behavioral  health  of  the  MRC  member,  their  family,  team  and  community.  

• Demonstrate  cultural  humility  during  MRC  activities.  

Recommended  training  includes  courses  about  disaster  recovery  and  community  resiliency.  

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The  purpose  of  the  NIMS  is  to  provide  a  common  approach  for  managing  incidents.  Incidents  typically  begin  and  end  locally,  and  they  are  managed  daily  at  the  lowest  possible  geographical,  organizational,  and  jurisdictional  level.  By  using  NIMS,  communities  are  part  of  a  comprehensive  national  approach  that  improves  the  effectiveness  of  emergency  management  and  response  personnel  across  the  full  spectrum  of  potential  threats  and  hazards  (including  natural  hazards,  terrorist  activities,  and  other  human-‐caused  disasters)  regardless  of  size  or  complexity.

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ICS,  as  part  of  NIMS,  is  a  management  tool  for  emergency  response  operations.  The  Incident  Command  System  (ICS)  is  a  management  system  designed  to  enable  effective  and  efficient  domestic  incident  management  by  integrating  a  combination  of  facilities,  equipment,  personnel,  procedures,  and  communications  operating  within  a  common  organizational  structure.  Each  ICS  position  is  given  specific  duties,  reports  to  a  single   supervisor,  and  operates  under  the  other  rules  of  the  ICS  system.

The  Incident  Command  System  (ICS)  is  a  management  system  designed  to  enable  effective  and  efficient  domestic  incident  management  by  integrating  a  combination  of  facilities,  equipment,  personnel,  procedures,  and  communications  operating  within  a  common  organizational  structure.

ICS  can  be  very  complex,  or  very  simple.    This  slide  shows  how  a  POD  operation  might  be  organized.

Ohio  requires  its  volunteers  to  attend  at  least  one  emergency  preparedness  related    training  every  three  years  in  order  to  retain  liability  coverage.    The  TMRC  offers  an  annual  disaster  volunteer  summit  every  spring  as  an  opportunity  to  participate  in  disaster  training  and  meet  other  like-‐minded  volunteers  from  many  disaster  response  organizations.  

Many  course  have  continuing  education  credit  available.  A  TRMC  training  matrix  course  document  is  available  on  our  TMRC  website  listing  recommended  courses  available  on  MRC  TRAIN  pertaining  to  the  core  competencies  as  well  as  instructions  on  how  to  register  for  a  course.  

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Volunteer  operations  have  many  components,  many  of  which  require  some  specific  actions  from  our  volunteers.    The  following  slides  review  these  actions  for  a  volunteer.

This  is  the  Alfred  P.  Murrah  Federal  Building  in  Oklahoma  City.

Rebecca  Anderson,  37,  a  nurse  went  to  the  scene  to  help.  She  bypassed  the  fire  authorities  and  entered  the  structure.  She  was  killed  trying  to  rescue  injured  victims.

Our  goal  is  a  safe  and  organized  response  to  an  emergency.  A  staging  area  is  a  place  designated  for  personnel  and  resources  to  gather  and  wait  for  an  assignment.  This  starts  the  accountability  of  personnel  and  resources.

Activation  may  occur  through  a  variety  of  methods.    Usually,  we  will  use  the  state  provided  alert   systems  to  notify  volunteers  of  an  activation.    Please  ensure  emails   received  from  the  volunteer  database  are  cleared   to  be  received   into  your  inbox  and  not  considered  “junk”  mail.  Other  tools  are  available  for  automated  call  out,  and  could  be  used  if  the  state  provided  system  is  unavailable.    We  will  always  combine  an  email  notification  in  addition  to  a  phone  call  when  a  true  activation  is  under  way.

We  also  may  utilize   the  volunteer  database  to  send  out  mass  emails   to  notify  you  of  trainings,  exercises,  other  MRC  activities  or  events,  and  announcements.  A  regional  test  of  the  callout  system  is  conducted  annually.  Volunteers  will  be  notified  via  phone  and  email  during  the  test  and  should  respond  appropriately.  

To  accept  an  assignment,  follow  the  directions  provided  in  the  alert  notification.    The  automated  message  might  ask  you  to  call  a  phone  number  or  fill  out  an  online  survey.

Once  accepted  for  a  response,  you  will  be  notified  and  provided  with  additional  response  information.  Bring  your  MRC  photo  ID  or  other  government  issued  photo  ID  along  with  your  license/certification  information,  if  applicable  and  any  other  supplies  or  equipment  you  may  need  during  your  assignment.  It  is  recommended  to  have  a  volunteer  “go”  bag  ready  at  all  times  for  just  such  an  occasion.  See  our  website  for  more  information  regarding  recommended  disaster  volunteer  supplies.  

Do  NOT  leave  a  response  area  without  signing  out.    All  volunteers  donated  hours  are  recorded  and  tracked.  

After  a  response,  you  may  be  offered  the  opportunity  to  provide  feedback  about  your  experience.    This  might  include  sharing  thoughts  on  how  to  improve  the  response,  identifying  things  that  went  well,  or  what  went  wrong,  etc.

The  partnership  between  ARC  and  MRC  will  better  prepare  and  protect  our  communities  to  recover  from  disaster.  Since  2009,  both  organizations  at  the  national  level  have  agreed  to  work  together  for  their  common  goals.  

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In  addition  to  the  above,  TMRC  volunteers  residing  in  Ohio  will  receive  liability  protection  under  Ohio  Revised  Code  when  registering  in  Ohio  Responds.  

To  stay  connected  to  the  TMRC,  visit  the  links  above  and  join  our  Facebook  Page.

Keep  your  online  profile  information  up  to  date  in  order  to  stay  connected.    A  majority  of  our  material   is  sent  out  via  email.

Contact  your  local   coordinator  with  any  questions.    We  would  welcome  the  opportunity  to  talk  to  you.    Thank  you  for  your  time!