• Personnel Assets – 50 – personnel DMAT– US PHS Behavioral Health Team– American Red Cross– Medical Response Corp

• NY City School Nurses

– Americorp Volunteers– Elmhurst Hospital personnel – FEMA

• DMAT Staffing– Doctors = 6 Nurses = 8– Mid-levels = 1– Pharmacy = 3– Paramedics = 6– EMT’s = 2– Clergy / Behavioral Health = 2– Safety & Security = 2– Logistics & Communications = 4– Administrative staff = 2

• US PHS Behavioral Team– Evaluated and treated evacuees with

behavioral health issues. • Acute and chronic

– Rounded through the population heading off issues and identifying evacuees needing care.

– Encouraged evacuees to begin returning to normalcy and lead activities towards that goal.

• American Red Cross– Assisted with daily living needs of evacuees.

• Feeding• Dressing • Medications • Personal Hygiene • Sorting and handing out donations

• MRC and NY School Nurses– Staffed a 24/7 Triage, First Aid, and

Medication Storage and Administration Station with one MN-1 DMAT medic and / or nurse with acute care supplies and equipment in main shelter area.

– Non-medical MRC helped with the donations and assisted with daily living needs of the evacuees.

• Americorp Volunteers– Helped with food distribution– Assisted with moving evacuees and

belongings – Assisted the US PHS team with providing

activities for the children • Games• Movies• Arts and crafts

• Elmhurst Hospital personnel – Local hospital provided providers and nursing

staff to care for those in the medical shelter• Had limited acute care equipment• Hospital was overwhelmed and drew back the staff

with the exception of one provider who continued to care for patients belonging to their healthcare system

• Donations – Evacuees left their home, in some cases,

without much more than what they were wearing.

– MRC volunteers listed items on their Facebook page requesting items for the evacuees.

– The amount of donations became a problem in itself.

• Donations – In some cases, we got 100 times what was

needed.– In some cases, the items donated were not

appropriate or needed to begin with. – Due to ICS not being followed, the shelter

leadership was unaware of the request and therefore, unprepared for the arrival of truckloads of donations.

• Donations – The large amount of donations created a fire

hazard and it became a health hazard – bed bugs.

– Once the requests were made, there was no way to stop there arrival.

– Too many volunteer hours were spent on sorting, storing, and redistribution of the large amount of donations.

• Donations – Theft, fights and hording – EBay

• A structured way of requesting, accepting and managing donations at the shelter or off site needs to be in place.The shelter management needs to be involved in deciding what items are needed.

• Team Leaders• CMO• Emergency Medicine

Providers• Emergency Medicine

Mid-level Providers • Emergency Medicine

or ICU Nurses

• Paramedics• Behavioral Health

Personnel • Pharmacists• Pharmacy

Technicians • X-ray Technicians• Respiratory

Technicians• Lab Technicians

MMT - Metro

• Missions–Hospital Augmentation–Staffing a fixed Structure –Staffing the Mobile Medical Unit (MMU)–Staffing a non-fixed Structure like the

Western Shelters –Staffing a combination of structures and

sites

• Service Provided – Housing and caring for:

• Medical Home Patients• Nursing Home Level Patients

– some may be chronic ventilator dependent

• Med Surg Level Patients• ICU Level Patients

– Urgent Care Services– Acute and Emergent Services – Caring for the Extended Patient