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Preparing Response Teams for Deployment

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Title: Preparing Response Teams for Deployment


1
Preparing Response Teams for Deployment
  • A Presentation for the
  • National Disaster Medical System Conference
  • April, 2006
  • By Jim Acosta, Deputy Team Leader
  • Disaster Medical Assistance Team CA-11

2
Greetings From SacramentoHome of DMAT
CA-11Andthe Governator
3
Hes a Hell of a Guy,
  • Unit Commander, 2004-2005
  • Now Deputy Unit Commander
  • 21 Years in Public Safety
  • 1995 Police Officer of the Year

and He Does a Hell of a Job
4
Whos Here?
  • NDMS teams?
  • Military?
  • Red Cross?
  • HHS/CDC/PHS?
  • State/local?
  • NGOs
  • Everybody else?
  • Welcome!

5
Objectives Overview
  • Why Disaster Response is Different from
    non-Disaster Responses
  • Identify Important Elements of Individual
    Preparedness
  • Various Approaches to Team Readiness

6
Different, and Yet Similar
7
Nature of Medical Disaster Response
  • Ad-hoc Group
  • Deploy to Another Location
  • Stressful Conditions
  • Need to Perform Well Together
  • Accomplish Assigned Mission

8
Phases of a Disaster Deployment
9
Pre-Deployment
  • Ongoing Team Training and Maintenance
  • Deployment/Callout Plans and Mechanism
  • Keep Your People Interested-Communicate!
  • Challenge Your People

10
Team Assembly
  • One of the Most Difficult Phases
  • Skills and Personalities
  • Dont Waste the Down Time

11
Team Movement
  • Convoy Driving with/without Communications
  • Use Distinctive Markings
  • Pre-select Fallback Assembly Points
  • Work Convoy Practice into Drills

12
Staging
  • A Necessary Evil
  • Short-term
  • Long-term
  • Brief, Focused Training
  • Frequent Briefings

13
Field Assignment
  • Buddy System
  • Accountability
  • Communications
  • Re-supply

14
Field Operations
  • Old Missions, New Challenges

15
Alternate Assignments
16
Demobilization
  • Complex Process
  • Administrative
  • Physical
  • Mental

17
Rotation of Personnel
  • Lingering Disaster Strains Resources
  • Individual Deployments risk
  • Less Institutional Support
  • Disaster Fatigue
  • Less Employer Support
  • Team Leadership Needs to Provide
    Additional Support to These Members

18
Rehab
  • Body, Mind, Soul
  • Ongoing Process
  • Post-Deployment
  • CISM?

19
Objective 1
  • Explain Why Disaster Response is Different from
    Typical Pre-hospital Responses.

20
Local Infrastructure Overwhelmed
  • Collapse of Normal 911 Response System

21
Mission is Unpredictable
  • May Not Match Pre-Conceived Notions
  • May Be Beyond Your Peoples Experience
  • May Not Be Fulfilling Enough

22
Length of Mission is Variable
  • Longer or Shorter Than Expected
  • Personal Issues May Intrude from Home

23
Objective 2
  • Identify Some Important Individual Preparedness
    Requirements.

24
Personal Preparation, Training, Equipment
  • No Substitute
  • No Excuse
  • Leadership
  • Verify

25
Specific Disaster-related Knowledge
  • NIMS
  • Command Structure-Team and Overhead
  • Team Equipment-Tents, Litters, Cache
  • How Victims Can Get Assistance

26
Technical Competence
  • Medical Specialty
  • Logistical
  • Response Equipment
  • Communications

27
Interpersonal Skills
  • Conflict Resolution
  • Self-Reliance
  • Personal Initiative
  • Customer Service

28
Mental Flexibility
  • Patience
  • Mission Ownership
  • Take Care of Each Other
  • Know When to Seek Help

29
Preconceptions
  • Everyone Has Expectations of What They Will Be
    Doing at the Disaster Site
  • Reality is Often Very Different
  • Conflict Can Cause Problems

30
Use PreconceptionsTo Your Advantage
  • Group Discussion Prior to Travel
  • Visualization
  • Leadership Must Set The Example

31
Objective 3
  • Describe Various Approaches to Team Readiness.

32
Team Agility
  • The Quality of Moving Quickly With Nimbleness
  • Maximize Critical Skills Across Many Members
  • Encourage Cross Training and Expertise
  • Be Invaluable.

33
Personnel Readiness
  • Personal Gear
  • Position-Specific Competencies
  • Austere Environment

34
Challenge for Team Leadership
  • Harness/Use Good Qualities/Efforts
  • Control/Minimize Negative Behaviors/ Interactions
  • Mid-level Supervision needs your Guidance to be
    Successful

35
Positive/Negative Attributes
  • Best Assessed in Advance
  • Stress Reveals Underlying Quirks
  • Address Individual Problems Before They Become a
    Management or Morale Problem
  • In Extreme Cases, SEND THEM HOME

36
Humor/Stress Reduction
  • Members look to leaders to set the tone
  • Blow off some steam!

37
Addressing Monotony
  • Versatile Game Items-Cards, Inflatable Ball
  • Movies/Music for Off-Duty Personnel
  • Shopping/ Procurement Trips

38
Establish Routines
  • Regular Briefings
  • Shift/Duty Rotations
  • Assign Chores
  • Anything to Establish Patterns

39
Team Equipment
40
Confident Use of Equipment
  • BoO Equipment-Tents, Showers, Latrines
  • Medical Devices-Ventilator, O2 Manifold, Lifepaks
  • Communications-Radios, Satellite Phone, Fax

41
Equipment-related Problems
  • Not Having the Right Equipment
  • Not Knowing How to Use Equipment
  • Not Having a Power Source
  • Not Knowing How to Get What You Need

42
Have Your Experts Make Job Aids
  • Simple
  • Essential Tasks
  • Essential Info
  • Not a Substitute for Training

43
Fault Tree Analysis
  • ID points of catastrophic failure
  • Mitigate minor issues (PM, Spares)
  • The 1.25 Tees
  • Create Failure Drills

44
Shuttle Challenger Fault Tree
45
Aviation
  • Safety-Working Around Aircraft, Winch Lines
  • Landing Zones
  • Communications with Flight Crews

46
Audience Discussion
47
A Parting Thought
  • But who are ye, in rags and rotten shoes,
  • You dirty-bearded, blocking up the way?
  • We are the Pilgrims, master
  • we shall go always a little further
  • it may be beyond that last blue mountain
  • barred with snow, Across that angry
  • or that glimmering sea
  • The Golden Journey to Samarkand, James Elroy
    Flecker
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