CALIFORNIA AMBULANCE STRIKE TEAM DISPATCH

Transcription

1 CALIFORNIA AMBULANCE STRIKE TEAM DISPATCH STUDENT MANUAL Submitted to The California EMS Authority August 31, 2006 Under UC Davis Agreement by Global Vision Consortium, Inc. Lincoln City, Oregon - (541) Sacramento, California - (916) Project Subcontractors: Douglas E Buchanan Modesto, California (209) NOTE: This Student Manual is intended to be used as an instructional supplement to the California AST Dispatch System Manual. Additional supplemental materials include: The AST Dispatch Instructor Guide and the AST Dispatch System PowerPoint presentations.

2 California Ambulance Strike Team Dispatch Training Course Outline Course Objectives To provide participants with the knowledge to: 1. Effectively respond to Ambulance Strike Team (AST) requests using SEMS and NIMS standards. 2. Understand the California Medical/Health Mutual-Aid System. 3. Receive and process AST requests and deployments. 4. Understand the communications equipment and protocols of the units within an AST. 5. Maintain current lists of AST resources, and 6. Apply their knowledge through demonstration. Course Content (Each unit includes a lesson plan, PowerPoint slide presentation and presentation overview for the instructor.) Unit 1: SEMS/NIMS Introductory Course Unit 2: California Medical/Health Mutual Aid System Unit 3: California Disaster Medical Network Unit 4: Receiving a Resource Request Unit 5: Resource Tracking Unit 6: Local, Regional, and State Notifications Unit 7: Maintenance of AST Resource Lists Final Examination and Group Exercise with position role-play Total time:.5 hours.5 hours.5 hours.5 hours.5 hours.5 hours.5 hours.5 hours 4.0 hours

3 SEMS / NIMS SEMS Standardized Emergency Management System 2 N.I.M.S. The National Incident Management System (NIMS) NIMS represents a core set of doctrine, concepts, principles, terminology, and organizational processes to enable effective, efficient, and collaborative incident management at all levels. It is not an operational incident management or resource allocation plan. 3 1

4 S.E.M.S. Standardized Emergency Management System (SEMS) is based upon a proven system which provides: Organization Guidance Training at each level of the emergency response 4 Basis for SEMS Response to the 1991 Oakland Hills Fire SB 1841 (Petris) effective 1/1/93 Section 8601 of the Government Code SEMS Regulations, effective Sept Elements of SEMS Incident Command System Mutual Aid System Multi/Inter-Agency Coordination Operational Areas 6 2

5 Who Uses SEMS State agencies must use SEMS when responding to emergencies involving multiple jurisdictions or multiple agencies Local Governments (cities, counties, fire districts, etc.) must use SEMS to be eligible for state funding of response related personnel costs 7 5 Levels of Response SEMS Organizational Levels State Region Operational Area Local Government Field 8 Field Response Level The level where emergency response personnel and resources carry out tactical decisions and activities in direct response to an incident or threat. 9 3

6 Local Government Level Cities, Counties, & Special Districts Local Governments manage and coordinate the overall emergency response and recovery within their jurisdictions. 10 Operational Area Level Intermediate level which includes the county and all political subdivisions Coordinates among local governments within the Operational Area Serves as the coordination and communication link between local governments and the region 11 Regional Level Coordinates among operational areas within the region Coordinates between operational areas and the state Coordinates overall state agency support for emergency response activities within the region 12 4

7 State Level Manages state resources in response to needs of other levels Coordinates mutual aid program Serves as coordination and communication with federal disaster response system 13 Major Components of SEMS & NIMS Incident Command System Multi-agency Coordination Systems Public Information Systems 14 ICS Functions Command/ Management Operations Planning/ Intelligence Logistics Finance/ Administration 15 5

8 ICS Functions Command/ Management Operations Planning/ Intelligence Logistics Finance/ Administration Law Branch Fire Branch Medical/Health Branch 16 Other Features of ICS Common Terminology: plain text Organizational Flexibility- Modular Management by Objectives Action Planning Unity/Hierarchy of Command Span of Control Personnel Accountability Resource Management 17 Major Components of SEMS & NIMS Incident Command System Multi-agency/Inter-agency Coordination A process to ensure coordination among agencies and disciplines at all levels Public Information Systems 18 6

9 Multi-Agency Coordination Multi-agency or interagency coordination means the participation of agencies and disciplines involved at any level of the organization working together in a coordinated effort to facilitate decisions for overall emergency response activities, including the sharing of critical resources and the prioritization of incidents. 19 Multi-Agency Coordination Coordinates decision-making between agencies/disciplines Facilitates priority-setting 20 Multi-Agency Coordination Field: Incident Command Post (ICP) Local Government: Emergency Operations Center (EOC) - Departmental Operations Centers (DOC) Operational Area: Emergency Operations Center (EOC) Region: Regional EOC (REOC) State: Joint Emergency Operations Center (JEOC) State Operations Center (SOC) 21 7

10 Major Components of SEMS & NIMS Incident Command System Multi-agency/Inter-agency Coordination Public Information Systems 22 Public Information Systems The Public Information Officer (PIO) represents and advises the Incident Command on all public information matters relating to the management of the incident. 23 Public Information Systems The Joint Information Center (JIC) provides a location for organizations participating in the management of an incident to work together to ensure that timely, accurate, easy-to-understand, and consistent information is disseminated to the public. 24 8

11 Summary Both SEMS and NIMS provide a basis for a standardized and coordinated response to emergency events. All information should be coordinated through key centralized points at each level of the emergency management system. 25 9

12 California Medical/Health Mutual Aid System 8/28/ Mutual Aid Master Mutual Aid Agreement (1950) Between cities, counties, special districts and the state Voluntary provision of services and resources Multiple mutual aid systems are essential links Fire Law Medical and Health 8/28/ OES Administrative and Mutual Aid Regions 8/28/ Unit 2 Intro to MutiCasulty ICS 1

13 Mutual Aid Process: State of California STATE OES Unaffected Regions STATE AGENCIES STATE OES REGION OP AREA OP AREAS Unaffected Local Cities Local Cities RESOURCES RESOURCES RESOURCES AFFECTED CITIES RESOURCES RESOURCES RESOURCES RESOURCES RESOURCES 8/28/ Mutual Aid Systems Governor s Governor's Office of Emergency Services State Department of Of Health Services State EMS Authority Regional Coordinator Fire Law Regional Disaster Medical/Health Coordinator Operational Area Coordinator Fire Law Medical/Health Operational Area Coordinator 8/28/ RDMHC The Regional Disaster Medical/Health Coordinator is a volunteer nominated by the medical/health professionals within an OES Region and appointed by the Directors of the California EMS Authority (EMSA) and the California Department of Health Services (DHS). 8/28/ Unit 2 Intro to MutiCasulty ICS 2

14 RDMHC Responsibilities: supporting the mutual aid requests of the MHOAC for disaster response within the region and providing mutual aid support to other areas of the state in support of the state medical response system, and serves as an information source to the state medical and health response system. 8/28/ RDMHS The Regional Disaster Medical/Health Specialist is a staff person in a LEMSA where that agency has agreed to manage the regional medical and health mutual aid and emergency response system for the OES Mutual Aid Region. 8/28/ RDMHS Responsibilities: to manage and improve the region medical and health mutual aid and mutual cooperation systems; coordinate medical and health resources; support development of the Operational Area Medical and Health Disaster Response System; and, support the State medical and health response system through the development of information and emergency management systems 8/28/ Unit 2 Intro to MutiCasulty ICS 3

15 MHOAC The Medical/Health Operational Area Coordinator is an individual designated by a County Health Officer and EMS Agency Administrator who is responsible, in the event of a disaster or major incident where mutual aid is requested, for obtaining and coordinating services and allocation of medical and health resources within the Operational Area (county). 8/28/ /28/ JEOC The Joint Emergency Operations Centers (JEOC) is a facility staffed jointly by the State Department of Health Services and State EMS Authority during a state of emergency to support and coordinate medical and health resource requests in California. 8/28/ Unit 2 Intro to MutiCasulty ICS 4

16 8/28/ Summary The RDMHC/RDMHS is responsible for coordination of medical/health resource requests within the Mutual-Aid Region. The MHOAC is responsible for medical/health resource requests within each Op Area. 8/28/ Unit 2 Intro to MutiCasulty ICS 5

17 California Disaster Medical Network (CDMN) A Project Sponsored by the California EMS Authority August CDMN The CDMN is an internet-based application, powered by E Team, for the management of emergency medical response activities. E Team is the underlying application of the California Governor s Office of Emergency Services Response Information Management System (RIMS) 2 CDMN Applications CDMN can currently be used for: Incident/Event Notification Resource Status hospital beds medical transport units Resource Ordering Document Sharing Personnel Directory 3 1

18 CDMN Applications In the future, the CDMN may be used for: Position Assignments Geo-mapping Web Links Reports/Logs 4 Go to: 5 Select Operations (for real events) or Training 6 2

19 CDMN Login CDMN Usernames & Passwords have been provided to staff at CDHS, EMSA, RDMHSs, and LEMSAs. Each LEMSA has been assigned 3 usernames/passwords + 3 usernames/passwords per Medical Operational Area 7 Passwords are Case Sensitive 8 CDMN When you complete the personal profile, this provides contact information to other CDMN users. You will be asked to update this information each time you login to the system. If the information is all correct, simply click the Submit button. 9 3

20 Clicking Select provides a drop-down list of choices 10 Always select CA EMS as the Organization / Location 11 Enabling your Pager or Mobile Device will allow you to receive real-time notifications from CDMN events. 12 4

21 CDMN - Pre-defined Duty List Duty List can be pre-defined by position (e.g. RDMHS, LEMSA, MHOAC, EMSA, Regional Dispatch, etc) This is designed to assist personnel with standard responsibilities assigned to the position. 13 Duty Lists can be predefined for various positions 14 CDMN Quick Incidents These can be created to quickly notify the appropriate groups or individuals of an event 15 5

22 Clicking Quick Incident will open a new window in your browser. 16 Select an Incident Type or add a new type of incident. 17 Enter Incident Status, Prognosis, and Lead Agency. Prognosis: Red = Worsening Yellow = Stable Green = Improving Grey = Unknown 18 6

23 Enter Initial Situation Summary 19 Select the Notification tab in order to notify the appropriate personnel of the incident. 20 Be sure to click Yes if you want others to be notified of the incident. You can choose Individuals, Groups, or enter other addresses for notifying others of the incident. 21 7

24 Once your notification message and recipients is complete, click Submit. 22 CDMN Hospital Bed Availability shows information on inpatient and ED capacity This information is populated automatically from the local hospital interoperability systems (e.g. ReddiNet, EMSystem, DataTech 911) 23 EMS Hospital by Op Area: will display the latest information entered by the local hospital interoperability systems throughout the state. 24 8

25 Data is automatically totaled by Operational Area, by Region, and Statewide. 25 CDMN Real-time Assessment of available Medical Transport resources 26 CDMN EMS Transport by Op Area 27 9

26 By State, Region and Op Area 28 CDMN Select New Report to Enter Data by Provider 29 Fields for Total Units Available + Capacity 30 10

27 Total Available in 24 Hours includes those available in 3 hours 31 CDMN Once the data has been added for a Provider, the provider information won t have to be added again in the future simply update the numbers of available resources. Medical Transport Resource assessments should include the necessary staff to deploy the resource. 32 CDMN Select Resource Request to enter New Request 33 11

28 CDMN Select Resources by Priority to view existing Resource Requests 34 CDMN Entering a New Resource Request Resource Requests may be submitted by an Operational Area (LEMSA, MHOAC), an RDMHC/S (on behalf of an Operational Area), or by EMSA (for outof-state requests) 35 Choose level of the Threat; This gives the Mission its Priority. (Click the link for explanations of each.) 36 12

29 Status: This is the current status of the resource. This field is now color-coded look closely. Requestors: Choose Red-Action Required (this lets the RDMHC/S & State EMSA know to go in and approve) Only the Responding RDMHC/S or EMSA will make updates to this field. As the mission progresses, the Status will be updated accordiningly. 37 CDMN Creates a Request Number automatically. The local Order Number can be entered as a Supplemental Number 38 Choose Requesting Organization (Operational Area) from list (new window will open) Enter Contact info for the Requesting Agency 39 13

30 If this Resource Request is related to an Existing Event or Incident Choose it from the list. (a new window will open) If not, it can always be related at a later time Choose Requesting Organization from list (new window will open) Enter Contact info for the Requesting Agency 40 Resource Type/Kind: Select resource Type/Kind from list or Add a Resource Type? Quantity: Enter number of resources needed (and Unit Measure, e.g. Each ) When Needed: Reasonable Date when the resource is needed. Mission: What needs to be accomplished? 41 Resource must come with: This field is optional. If certain elements are vital for mission success, use the check box to indicate selection. Otherwise leave blank

31 Where the Resource should be delivered very important! 43 The Resource can be Geo-Located or Mapped shown on a Map Remember to Include Onscene Contact info: 44 Any notes or Special Instructions for the Mission can go here. **It s not a required field, just there for your convenience

32 REQUESTORS STOP HERE! You are done making entries in this form. Please click the Submit button. (Remember, make a quick heads-up phone call to the next in the chain of command; LEMSA/MHOAC call RDMHC/S, RDMHC/S call EMSA Duty Officer) RESPONDERS PLS. CONTINUE DOWN THE FORM 46 The Request can be forwarded to an Individual or a Position. This can then be forwarded again to the next SEMS level (e.g. Affected Op Area to RDMHS to EMSA to unaffected RDMHS). Organization is always CA EMS 47 When Filling the request, enter the name of the Agency responding to the request OR the Vendor responding to the request. If more than one Vendor or Agency is necessary to fill the request, the Request must be Split

33 To Split the Request into multiple Orders, you must first have Submitted the Request. 49 To Split a Request, you must first choose the Original Request. Select Resources by Priority 50 Next, Select the Resource Order

34 Next, Select Split or Duplicate 52 You must assign a Priority Status and Quantity before Submitting 53 Vendor may be selected from a list or manually entered as text 54 18

35 Summary allows space for additional notes (e.g. Individual Units assigned to a Strike Team, Strike Team Leader name, AST Designator, etc.) 55 Estimated Cost of Resource. 56 Leave Distribution Field BLANK!!! LEAVE BLANK SO EVERYONE CAN SEE! IF ENTERED, ONLY that Individual or Group can SEE the report! 57 19

36 The Distribution Field might be used when staff requires Authorization to fill a request (e.g. Regional Dispatch lists the RDMHS here, then the RDMHS must REMOVE the Distribution information before others may view. IF ENTERED, ONLY that Individual or Group can SEE the report! 58 NOTIFICATION: PLEASE USE ONLY IF REQUESTED BY AN INDIVIDUAL OR GROUP (e.g. Requesting Agency). 59 There are no Data Sharing Agreements in place at this time Please leave this field blank

37 Overlays & Attachments: Can only be created/added in READ mode - once the document has been submitted for the first time. Notice the Create & Add buttons in Read Mode 61 Submit Resource Request. You can go in and update the Request, Status, Notes etc at anytime. Once submitted, this should be followed with a phone call to the next level in SEMS (i.e. EMSA to RDMHS, RDMHS to MHOAC, etc.) 62 CDMN Share Documents 63 21

38 Summary CDMN can be used for a variety of incident management activities, including: Resource Requests AST Deployments Rapid Assessment of Medical Transport and Hospital Resources throughout the Region & State Developed by Doug Buchanan Global Vision Consortium August

39 Receiving Resource Requests 1 Ambulance Mutual Aid Request Categories IMMEDIATE: Units receiving, and able to comply with, an Immediate AST request will depart within 60 minutes of receiving the request. Units will normally respond initially to an identified rendezvous point with other units of an AST prior to moving to the assigned reporting location. PLANNED: Units receiving, and able to comply with, a Planned AST request will depart up to 24 hours or more after receiving the request. Units will normally respond initially to a given rendezvous point with other units of an AST prior to moving to the assigned reporting location. 2 Ambulance Resource Typing* Type I, Advanced Life Support (ALS) Haz Mat, Type II, ALS Non-Haz Mat, Type III Basic Life Support (BLS) Haz Mat, Type IV BLS Non-Haz Mat, and Other strike teams consisting of five (5) units, one ambulance strike team leader, and one assistant strike team leader. *(U.S. Department of Homeland Security, FEMA 508-3, May 2005) 3 1

40 Ambulance Resource Typing 4 Ambulance Resource Typing 5 Order/Request Number Units must have an Order/Request Number in order to be considered an official mutual aid response. Order/Request Numbers should be written on the ambulances themselves and maintained by the crews. 6 2

41 Order/Request Number An Order Number consists of an agency designator preceded by an M and followed by a four-digit number, e.g. MXSJ The agency designator, in this case XSJ identifies the Operational Area making the request. Op Area identifiers can be found in the FIRESCOPE Field Operations Guide (FOG) appendix. The M indicates that the request is through the California Medical/Health Mutual Aid System. 7 Order/Request Number The four digits are a sequential set used by the requesting agency to designate a specific incident. Agencies usually begin counting their incidents on January 1st with Ambulance Strike Teams Designators The Ambulance Strike Team Designator will consist of the Operational Area Designator from which the strike team leader is drawn and a four digit number beginning with the OES Region number, e.g. XSJ4000. (The number four indicates that the ambulance strike team is from OES Mutual Aid Region IV). Each ambulance strike team organized for a specific incident will be assigned a sequential number, e.g. XSJ4000, SAC4001, etc. 9 3

42 Ambulance Strike Teams Designators In addition, each AST may be given a descriptive designation for ease in identification. Examples would include AST Sutter, AST Delta etc. The full designation would then be AST Delta - XSJ Receiving a Resource Request 11 Receiving a Resource Request The Resource Request/Deployment Form provides: an organized procedure for processing a Resource Request Provides an outline for the Regional Dispatch Center and the RDMHC/S Provides a log for documenting activities 12 4

43 Receiving a Resource Request PRE-DESIGNATED AST DEPLOYMENT FORM REGIONAL DISPATCH CENTER RDMHC/S Time: RECEIVE REQUEST (CDMN Resource Request Form) Time: RESOURCE TRACKING (CAD or MACS 420 Form) Name: Time: CONTACT RDMHC/S Contact #: (RDMHC/S Notification Directory) Other: Time: CONTACT REGIONAL FIRE DISPATCH Time: CONTACT MHOACs (Verify no resource request duplication) (MHOAC Notification / Authorization) Time: CONTACT PRE-DESIGNATED AST LEAD Time: NOTIFY RMTC (Pre-designated AST Directory) (RMTC Notification Directory) 13 Receiving a Resource Request PRE-DESIGNATED AST DEPLOYMENT FORM REGIONAL DISPATCH CENTER RDMHC/S Time: RECEIVE REQUEST (CDMN Resource Request Form) Time: RESOURCE TRACKING (CAD or MACS 420 Form) Name: Time: CONTACT RDMHC/S Contact #: (RDMHC/S Notification Directory) Other: RECEIVE REQUEST Time: CONTACT REGIONAL FIRE DISPATCH Enter Time: Resource CONTACT Request MHOACs in the (Verify no resource request duplication) (MHOAC Notification / Authorization) CDMN (if not already entered). Time: Document time NOTIFY request RMTC was Time: CONTACT PRE-DESIGNATED AST LEAD (Pre-designated AST Directory) (RMTC Notification Directory) received. 14 Receiving a Resource Request PRE-DESIGNATED AST DEPLOYMENT FORM REGIONAL DISPATCH CENTER RDMHC/S Time: RECEIVE REQUEST (CDMN Resource Request Form) Time: RESOURCE TRACKING (CAD or MACS 420 Form) Name: Time: CONTACT RDMHC/S Contact #: (RDMHC/S Notification Directory) Other: RESOURCE TRACKING Time: CONTACT REGIONAL FIRE DISPATCH Time: CONTACT MHOACs Enter Resource (MHOAC Notification Tracking / Authorization) (Verify no resource request duplication) information into CAD or begin Time: NOTIFY RMTC Time: CONTACT PRE-DESIGNATED AST LEAD MACS 420 Resource (RMTC Notification Directory) Tracking (Pre-designated AST Directory) Form. 15 5

44 Receiving a Resource Request CONTACT RDMHC/S Make contact with the RDMHC/S on-call, PRE-DESIGNATED AST DEPLOYMENT FORM using the RDMHC/S Notification REGIONAL DISPATCH CENTER Directory. Obtain call-back RDMHC/Sinformation. Time: RECEIVE REQUEST (CDMN Resource Request Form) Time: RESOURCE TRACKING (CAD or MACS 420 Form) Name: Time: CONTACT RDMHC/S Contact #: (RDMHC/S Notification Directory) Other: Time: CONTACT REGIONAL FIRE DISPATCH Time: CONTACT MHOACs (Verify no resource request duplication) (MHOAC Notification / Authorization) Time: CONTACT PRE-DESIGNATED AST LEAD Time: NOTIFY RMTC (Pre-designated AST Directory) (RMTC Notification Directory) 16 Receiving a Resource Request CONTACT FIRE DISPATCH CONTACT MHOACs Regional Medical Dispatch The RDMHC/S (or designee) Center should always make will contact MHOACs within contact with the Regional the region to notify them of Fire Dispatch Center PRE-DESIGNATED to AST DEPLOYMENT the request FORM and receive verify this resource request authorization for REGIONAL DISPATCH CENTER RDMHC/S is not being duplicated in deployment of local the Time: Fire Mutual RECEIVE Aid REQUEST System. resources. (CDMN Resource Request Form) Time: RESOURCE TRACKING (CAD or MACS 420 Form) Name: Time: CONTACT RDMHC/S Contact #: (RDMHC/S Notification Directory) Other: Time: CONTACT REGIONAL FIRE DISPATCH Time: CONTACT MHOACs (Verify no resource request duplication) (MHOAC Notification / Authorization) Time: CONTACT PRE-DESIGNATED AST LEAD Time: NOTIFY RMTC (Pre-designated AST Directory) (RMTC Notification Directory) 17 Receiving a Resource Request CONTACT PRE-DESIGNATED NOTIFY RMTC AST LEAD The RDMHC/S (or designee) According to the agreed will notify the Regional upon AST rotation schedule, Medical Transport contact the AST PRE-DESIGNATED Lead AST DEPLOYMENT Coordinator FORM to assist with Agency to verify availability AST tracking and support REGIONAL DISPATCH CENTER RDMHC/S and put the AST on alert. activities as necessary. Time: RECEIVE REQUEST Time: (CDMN Resource Request Form) RESOURCE TRACKING (CAD or MACS 420 Form) Name: Time: CONTACT RDMHC/S Contact #: (RDMHC/S Notification Directory) Other: Time: CONTACT REGIONAL FIRE DISPATCH Time: CONTACT MHOACs (Verify no resource request duplication) (MHOAC Notification / Authorization) Time: CONTACT PRE-DESIGNATED AST LEAD Time: NOTIFY RMTC (Pre-designated AST Directory) (RMTC Notification Directory) 18 6

45 Receiving a Resource Request PRE-DESIGNATED AST AVAILABLE? If not, Begin AST Formation process. If so, re-contact RDMHC/S to obtain authorization to deploy. AUTHORIZE AST DEPLOYMENT After making contact with the MHOACs of the participating counties, RDMHC/S will authorize deployment. AST PRE-DESIGNATED AVAILABLE? AUTHORIZE AST/MTF DEPLOYMENT AST/MTF Leader: NO YES AST/MTF Designator: Rendezvous Point: FORM AST CONTACT RDMHC/S Travel Frequency: (AST Assess Form) (Obtain Authorization) Cell/Sat Call-back Number: Time: DEPLOY AST Time: NOTIFY MHOACs (Provide Authorization Information) (MHOAC Notification Directory) Time: UPDATE CAD/CDMN Time: NOTIFY EMSA DUTY OFFICER (Update Resource Tracking Info) (EMSA Notification Directory) 19 Receiving a Resource Request DEPLOY AST Once authorization has been received from the RDMHC/S, recontact the AST Lead and provide deployment information. Obtain cell or satellite phone call-back number. Confirm ETD/ETA. NOTIFY MHOACs Once resources are deployed, the RDMHC/S will notify the MHOACs of the participating counties of the deployment. AST PRE-DESIGNATED AVAILABLE? AUTHORIZE AST/MTF DEPLOYMENT AST/MTF Leader: NO YES AST/MTF Designator: Rendezvous Point: FORM AST CONTACT RDMHC/S Travel Frequency: (AST Assess Form) (Obtain Authorization) Cell/Sat Call-back Number: Time: DEPLOY AST Time: NOTIFY MHOACs (Provide Authorization Information) (MHOAC Notification Directory) Time: UPDATE CAD/CDMN Time: NOTIFY EMSA DUTY OFFICER (Update Resource Tracking Info) (EMSA Notification Directory) 20 Receiving a Resource Request UPDATE CAD/CDMN Dispatch will keep the local dispatch system and CDMN updated as resources move (enroute, on scene, released, etc.) NOTIFY EMSA DUTY OFFICER The RDMHC/S (or designee) will notify the EMSA Duty Officer of AST Deployment. AST PRE-DESIGNATED AVAILABLE? AUTHORIZE AST/MTF DEPLOYMENT AST/MTF Leader: NO YES AST/MTF Designator: Rendezvous Point: FORM AST CONTACT RDMHC/S Travel Frequency: (AST Assess Form) (Obtain Authorization) Cell/Sat Call-back Number: Time: DEPLOY AST Time: NOTIFY MHOACs (Provide Authorization Information) (MHOAC Notification Directory) Time: UPDATE CAD/CDMN Time: NOTIFY EMSA DUTY OFFICER (Update Resource Tracking Info) (EMSA Notification Directory) 21 7

46 Forming an AST If no pre-designated ASTs are available, the RDMHC/S must begin the necessary steps of assessing regional ambulance resources to form and AST. 22 Forming an AST AST/MTF ASSESSMENT / FORMATION Time: CONTACT RDMHC/S Time: CONTACT MHOACs (RDMHC/S Notification Directory) (Request CDMN Update) Time: IDENTIFY AST/MTF LEADER Time: ASSESS RESOURCE AVAILABILITY (AST/MTF Leader Directory) (CDMN Medical Transportation Data) Time: CONTACT RDMHC/S AUTHORIZE AST/MTF DEPLOYMENT (Obtain Deployment Authorization) AST/MTF Leader: AST/MTF Designator: Time: DEPLOY AST Rendezvous Point: CONTACT (Provide Authorization RDMHC/S Information) Travel Frequency: CONTACT MHOACs Cell/Sat Call-back Number: Time: When dispatch UPDATE notes CAD/CDMN there The RDMHC/S (or designee) (Update Resource Tracking Info) are no pre-designated ASTs, Time: NOTIFY MHOACs requests an assessment of the RDMHC/S must be (MHOAC Notification Directory) available AST resources notified to begin assessing Time: through NOTIFY EMSA the DUTY MHOACs. OFFICER (EMSA Notification Directory) for available resources within the region. 23 Forming an AST AST/MTF ASSESSMENT / FORMATION Time: CONTACT RDMHC/S Time: CONTACT MHOACs (RDMHC/S Notification Directory) (Request CDMN Update) Time: IDENTIFY AST/MTF LEADER Time: ASSESS RESOURCE AVAILABILITY (AST/MTF Leader Directory) (CDMN Medical Transportation Data) Time: CONTACT RDMHC/S AUTHORIZE AST/MTF DEPLOYMENT (Obtain Deployment Authorization) AST/MTF Leader: AST/MTF Designator: Time: DEPLOY AST Rendezvous Point: IDENTIFY (Provide AST/MTF Authorization Information) LEADER Travel Frequency: ASSESS RESOURCE Cell/Sat Call-back AVAILABILITY Number: Dispatch Time: will UPDATE begin CAD/CDMN to contact (Update Resource Tracking Info) AST Leaders to assess Time: NOTIFY MHOACs Based upon data entered by availability, according to the (MHOAC Notification Directory) the MHOACs into the CDMN, regional rotation schedule. Time: the RDMHC/S NOTIFY EMSA DUTY identifies OFFICER (EMSA Notification Directory) available ambulance resources for AST deployment. 24 8

47 Forming an AST AST/MTF ASSESSMENT / FORMATION Time: CONTACT RDMHC/S Time: CONTACT MHOACs (RDMHC/S Notification Directory) (Request CDMN Update) Time: IDENTIFY AST/MTF LEADER Time: ASSESS RESOURCE AVAILABILITY (AST/MTF Leader Directory) (CDMN Medical Transportation Data) Time: CONTACT RDMHC/S AUTHORIZE AST/MTF DEPLOYMENT (Obtain Deployment Authorization) AST/MTF Leader: AST/MTF Designator: Time: DEPLOY AST Rendezvous Point: (Provide Authorization Information) Travel Frequency: Cell/Sat Call-back Number: Time: UPDATE CAD/CDMN Time: NOTIFY MHOACs (Update Resource Tracking Info) CONTACT RDMHC/S AUTHORIZE DEPLOYMENT (MHOAC Notification Directory) Once the RDMHC/S has identified Time: available NOTIFY EMSA DUTY AST OFFICER (EMSA Notification Directory) resources, authorization will be provided to the Regional Dispatch Center to begin deployment. 25 Forming an AST DEPLOY AST NOTIFY MHOACs Dispatch will re-contact the AST Once the resources have been Leader and provide AST/MTF deployment ASSESSMENT identified / FORMATIONfor deployment, the information. Obtain cell or RDMHC/S will contact the satellite Time: phone CONTACT call-back RDMHC/S number. Time: CONTACT MHOACs MHOACs of the participating (RDMHC/S Notification Directory) Confirm ETD/ETA. (Request CDMN Update) counties and provide Time: IDENTIFY AST/MTF LEADER Time: ASSESS RESOURCE AVAILABILITY Deployment Information (AST/MTF Leader Directory) (CDMN Medical Transportation Data) Time: CONTACT RDMHC/S AUTHORIZE AST/MTF DEPLOYMENT (Obtain Deployment Authorization) AST/MTF Leader: AST/MTF Designator: Time: DEPLOY AST Rendezvous Point: (Provide Authorization Information) Travel Frequency: Cell/Sat Call-back Number: Time: UPDATE CAD/CDMN (Update Resource Tracking Info) Time: NOTIFY MHOACs (MHOAC Notification Directory) Time: NOTIFY EMSA DUTY OFFICER (EMSA Notification Directory) 26 Forming an AST UPDATE CAD/CDMN Dispatch will keep the local NOTIFY EMSA DUTY dispatch system AST/MTF and CDMN ASSESSMENT / FORMATION OFFICER updated as resources move The RDMHC/S (or designee) Time: CONTACT RDMHC/S (enroute, on scene, released, (RDMHC/S Notification Directory) Time: CONTACT MHOACs will notify (Request the CDMN EMSA Update) Duty etc.) Officer of AST Deployment. Time: IDENTIFY AST/MTF LEADER Time: ASSESS RESOURCE AVAILABILITY (AST/MTF Leader Directory) (CDMN Medical Transportation Data) Time: CONTACT RDMHC/S AUTHORIZE AST/MTF DEPLOYMENT (Obtain Deployment Authorization) AST/MTF Leader: AST/MTF Designator: Time: DEPLOY AST Rendezvous Point: (Provide Authorization Information) Travel Frequency: Cell/Sat Call-back Number: Time: UPDATE CAD/CDMN (Update Resource Tracking Info) Time: NOTIFY MHOACs (MHOAC Notification Directory) Time: NOTIFY EMSA DUTY OFFICER (EMSA Notification Directory) 27 9

48 Summary Use the CDMN and CAD (or MACS 420) to track Resource Requests and Deployment Use the AST Deployment / Assessment Forms to document tasks When pre-designated ASTs are unavailable, the RDMHC/S will work with MHOACs to identify additional resources 28 10

49 Resource Tracking Form MACS 420 Resource Tracking Form MACS 420 Resource Tracking Form MACS 420 1

50 Resource Tracking Form MACS 420 Resource Tracking Form MACS 420 Resource Tracking Form MACS 420 2

51 Resource Tracking Form MACS 420 Resource Tracking Form MACS 420 Summary Use MACS 420 to Track Resources Use the Regional AST Deployment /Assessment Forms to document tasks 3

52 Local, Regional, and State Notifications 1 RDMHC/S The Regional Disaster Medical Health Coordinator (RDMHC) is a volunteer nominated by the medical/health professionals within an OES Region and appointed by the Directors of the California EMS Authority (EMSA) and the California Department of Health Services (DHS). 2 RDMHS The Regional Disaster Medical Health Specialist is a staff person in a LEMSA where that agency has agreed to manage the regional medical and health mutual aid and emergency response system for the OES Mutual Aid Region. 3 1

53 RDMHC/S Responsibilities of the RDMHC/S include supporting the mutual aid requests of the MHOAC for disaster response within the region and providing mutual aid support to other areas of the state in support of the state medical response system. The RDMHC/S also serves as an information source to the state medical and health response system. 4 NOTIFY RDMHC/RDMHS Contact the RDMHC/S to notify them of an AST request. If no response within 5 minutes, recontact the RDMHC/S. If no response after 10 minutes, contact the alternates in order listed on the RDMHC/S Directory. 5 RMTC The Regional Medical Transportation Coordinator (RMTC) is a volunteer position, appointed to assist the RDMHC/S with the development and management of the AST/MTF project within the OES Mutual Aid Region. The RMTC may be activated by the RDMHC/S to assist with resource coordination, tracking, and support. 6 2

54 NOTIFY REGIONAL FIRE DISPATCH AGENCY Contact the 24-hour designated dispatch center for the OES Regional Fire Coordinator and notify them of the AST/MTF request. Confirm that the AST/MTF order request is not being duplicated. 7 Prior to Activating the AST Leader When making contact with the AST Lead agency or AST Leader, ensure you obtain the following information: Determine the rendezvous point for the AST units Assignment of a travel frequency Call back number (cell or satellite) 8 Determining the Rendezvous Point A listing of pre-determined Rendezvous Points should be maintained in the Regional Dispatch Center System Manual. The listing of Rendezvous Points should be periodically reviewed and updated by the RDMHC/S and RMTC. During activation of the AST Leader, a Rendezvous Point is selected. 9 3

55 Assigning a Travel Frequency In order for the AST units to maintain communications during travel, a radio frequency must be assigned by the Regional AST Dispatch Center. The State EMS Authority holds licenses for statewide communications on UHF Med-net Channels 9 & Assigning a Travel Frequency The Regional Ambulance Dispatch Center shall assign a Travel Frequency for each AST. The Travel Frequency will be either UHF Med-9 (narrowband) or UHF Med-10 (narrowband). If multiple ASTs are being deployed simultaneously, they shall be assigned Med-9 or Med-10 alternately. 11 Assigning a Travel Frequency Since various local EMS systems use Med-9 and Med-10, all radio communications during travel must be limited to non-repeated low-watt portable radios. The RDMHC/S (or designee) shall notify the EMS Duty Officer of the Travel Frequency Assignment. 12 4

56 Disaster Assistance Support Units DASUs 13 DASU 25 state-owned Disaster Ambulance Support Units (DASUs) have been strategically located throughout the state. These vehicles are designed to provide 3-4 days of medical supplies and rations for the AST. 14 DASU The DASU is also outfitted with the AST Communications Cache. Contents of Cache includes: UHF mobile radio (50 watt) preprogrammed with the EMS Statewide Frequencies (MedNet Frequencies) VHF mobile radio (50 watt) with EMS Statewide Frequencies (H.E.A.R. and CALCORD) 800 MHz mobile radio (50 watt) preprogrammed with EMS Statewide Frequencies Seven* UHF handheld radios preprogrammed with the EMS Statewide Frequencies (MedNet Frequencies) 15 5

57 DASU Contents of Cache: Seven* VHF handheld radios preprogrammed with the EMS Statewide Frequencies (H.E.A.R. and CALCORD) Seven* 800 MHz handheld radios preprogrammed with the EMS Statewide Frequencies Seven* Cellular Phones Seven* Satellite Phones Mobile repeater EMS Statewide Communications Directory * A cache of seven communications devices will allow for assignment of one device to each unit with the AST, one to the AST Leader, and one back-up. 16 ACTIVATE AST Leader Once authorization for deployment is received from the RDMHC/S, make contact with the AST Lead Agency or AST Leader, and : 1) determine the rendezvous point for the AST units 2) provide the AST designator 3) assign a travel frequency 4) obtain cell or satellite phone call-back number 5) confirm the AST leader has the dispatch center contact information 17 ACTIVATE AST Leader Trainee Make contact with one or more AST Leader Trainees using the Regional AST Leader Schedule AST Leader Trainees are required to complete the AST Leader Trainee Task Book before receiving certification. In order to complete the Task Book, they are deployed as an Assistant AST Leader 18 6

58 ACTIVATE the AST Units 19 ACTIVATE AST The AST Leader Agency or the MHOACs will provide deployment information to the AST units, including: 1) contact information for the AST Leader 2) the travel frequency 3) AST Designator 4) Date/time to meet at Rendezvous Point 5) Order/Request Number. 20 NOTIFY EMSA DUTY OFFICER The RDMHC/S (or designee will notify the EMSA Duty Officer of AST deployment, including: 1) AST Designator, 2) AST Leader Assignment, 3) Order/Request Number, 4) Travel Frequency. 21 7

59 MHOAC The Medical Health Operational Area Coordinator is an individual appointed by a County Health Officer and EMS Agency Administrator who is responsible, in the event of a disaster or major incident where mutual aid is requested, for obtaining and coordinating services and allocation of medical and health resources within the Operational Area (county). 22 NOTIFY MHOACs In response to any AST request, the RDMHC/S (or designee) will contact the MHOACs to request AST resources. The RDMHC/S will also notify MHOACs from the counties of the units assigned to the AST to provide AST deployment information. 23 Summary Timely notification to all parties responsible for elements of the medical/health mutual aid system is essential, including: RDMHC/S MHOACs RMTC Regional Fire Dispatch AST Leaders AST Units EMSA Duty Officer 24 8

60 Maintenance of AST/MTF Resource Lists 1 Regional AST Leader List The California EMS Authority shall periodically provide the Regional Medical Dispatch Center with an updated listing of all personnel within the OES Mutual Aid Region who have successfully completed an AST Leader Course In cooperation with the RDMHC/S and RMTC, the Regional Dispatch Center shall periodically, but no less than annually, verify that each AST Leader candidate is employed and in good standing with a Medical Transportation Provider within the OES Mutual Aid Region. 2 Regional AST Leader List The RDMHC/S and RMTC shall periodically, but no less than annually, assign a status to the AST Leader candidates. Statuses shall include: Certified (completed task book on file at EMSA) Trainee (task book in progress less than 3 years) Ineligible (not currently sponsored by Medical Transport provider within the OES Mutual Aid region or failed to complete Task Book within 3 years) 3 1

61 Regional AST Leader List The RDMHC/S and RMTC shall periodically, but no less than annually, establish an AST Leader Deployment Schedule. All AST Leader deployments shall be noted on the AST Leader Deployment Schedule in order to maintain equitable rotation of personnel. 4 AST/MTF Provider Agencies The California EMS Authority shall periodically, but not less than annually, provide the RDMHC/S with an updated California Standard Ambulance and EMS Personnel Fee Schedule. In cooperation with the RDMHC/S and RMTC, the Regional Medical Dispatch Center shall periodically, but no less than annually, verify that all pre-designated ASTs within the OES Mutual Aid Region have current Agreements on file with the Local EMS Agency or state EMSA. 5 AST/MTF Provider Agencies The RDMHC/S and RMTC shall periodically, but no less than annually, evaluate and update as necessary, the listing of predesignated ASTs within the OES Mutual Aid Region. 6 2

62 AST/MTF Provider Agencies The Regional Medical Dispatch Center shall periodically, but no less than annually, verify with the RDMHC/S that the RDMHC/S Notification Directory is current. 7 Summary The Regional AST/MTF Dispatch Center shall at least annually, ensure that the AST/MTF Resource Listings are up-to-date, including: AST Leader Candidates (with Statuses) Pre-designated ASTs RDMHC/S Notification Directory 8 3