department of health and human services liisa jackson ma region 4a medical reserve coordinator
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Department ofHealth and Human Services
Liisa Jackson MA Region 4A Medical Reserve Coordinator
MRC Sheltering 101Shelter Operations
Training ObjectivesReview the importance of a clear
sheltering plan.Understand the importance of adjusting
the plan to meet local needs during a disaster
Recognize and Challenge global rules that may not work in “real life”.
MRC Sheltering 101What Katrina taught us
Sheltering Rules –challenged and changedBetter serve the needs of the population Worst case scenario exceededDisaster broke all the rulesSome plans and procedures inadequate Regional and state plans and procedures
inconsistent with local
MRC Sheltering 101What Katrina taught us
Headlines you did not see !!1.2 million people were saved by having a planFEMA assets 48-hours before Katrina landfallMillions opened their cities, homes, hearts and
checkbooks to meet human needs62,000 rescued from rooftops/overpasses in 4
days1million residents evacuated in 2 days
MRC Sheltering 101Shelter Selection Criteria
Above 100 Year Flood PlainAir-ConditionedBack-up Power SupplyAdequate Restroom FacilitiesAdequate Area for Feeding Sheltered
PopulationLocated on Public Transportation Route
MRC Sheltering 101Shelter Selection Criteria
Know your saturation pointBricks and mortar Ability to support food/clothing/shelterPublic Safety capabilities Health Care community Regional Support Long term
– Infrastructure assimilation capabilities• Schools; Rental Property; Jobs
MRC Sheltering 101Shelter Support
• Transportation Population without their own transportation Identifying and transporting clients to the shelter Supported by Department of Social Services
• Food Local restaurant donations Contracted Vendors (3meals/24 hours/ 7 days) Committed volunteers [school cafeteria staff]
• Sleeping Supplies• Medical Supplies• Pets – yes or no???
MRC Sheltering 101Shelter Partners
Multi-Agency Coordination ARCMedical Reserve CorpsCity and Town Health DepartmentsFire DepartmentsLaw Enforcement AgenciesNon-Profits OrganizationsFaith-Based CommunityHealthcare Community
MRC Sheltering 101Partners – who does what well
American Red CrossShelter Operations
Volunteers local/nationalCommoditiesLaundry
Mass FeedingLocal restaurant donationsContracted Vendors (3meals/24 hours/ 7 days)Committed volunteers
MRC Sheltering 101Partners – who does what well
Salvation Army
Food services and pastoral counselingHas managed staff Individual support
Non-medical special needsSubstance abusersMental Health Issues
MRC Sheltering 101Partners – who does what well
Faith Based ShelterHuman Resources
Built in command structureNurses, clerical staff, food service volunteers. Social WorkersManagers
Spiritual Needs
MRC Sheltering 101Partners – who does what well
Fire Department / EMSTriage/Treatment/Transport Mass DecontaminationEMS ResponseDaily ShowersOff Duty Volunteers
Law EnforcementNational GuardShelter Security
• Local Police Department inside• Local Police outside shelter
MRC Sheltering 101Partners – who does what well
Healthcare Organizations Shelter Support
Mental/PhysicalIn House Clinics
Hospital SurgePharmaceutical Support
MRC Sheltering 101Who are the residents???
General Population Shelters • No disabilities [physical, emotional, mental]
◘ Supported by ARC◘ Medical Reserve Corps
Support ARC Shelters by providing medical care Operate Smaller Self Sustaining Shelters under
local Health Departments
MRC Sheltering 101Who are the residents???
Special Needs Shelters Individuals requiring constant medical
attention/careShelter Population includes
• Patients Their immediate family Caregivers
Supported by:• State Department of Public Health and Hospitals• Local Boards of Health
MRC Sheltering 101Sheltering & ICS
P u b lic Info rm a tionO ffic e r
S a fe tyO ffic e r
L ia isonO ffic e r
O p e ra tio ns P la n n ing L o g is tics F in an c e/A d m in is tra tion
In c id e ntC o m m a n d er
Key Concepts of ICSChain of Command
A series of management positions in order of authoritySpan of Control
Number of people who directly report to someone limited to 3-7 (optimally 5)Scalability
Ability to expand and contract depending on incident size and complexityFlexibility
Can be used in a wide variety of circumstances
MRC Sheltering 101Sheltering & ICS
MRC Sheltering 101Job Action Sheets
What is the general responsibility of this station? Who do you turn to when you have a problem? What supplies do you need for this station? What do you do during Activation stage? What are some typical actions/jobs during
Operation stage? What do you do during change of
shift/Deactivation?
MRC Sheltering 101Mini-Scenarios
MRC Sheltering 101Things to think about
Registration
• How to identify residents
• How to identify families
• When to hand out rules/regulations
• How to track residents who leave/return the shelter
• Who is going to monitor residents taking care of pets
MRC Sheltering 101Things to think about
Dormitory• Set-up [single men, single women, families, elderly,
medical, special needs]
• Schedules – activities, meals, lights out, showers
• Posting of rules [no smoking, weapons, drinking; care of pets, responsibility for personal items]
MRC Sheltering 101Things to think about
Medical
• How will you handle behavioral problems
• Where will “ill” residents be cared for [sleep]
• How will these patients get their meals
• Do you need to identify residents with allergies [wristband]
MRC Sheltering 101Things to think about
Food• Cooking staff [school cafeteria staff?]
• Residents with food allergies [personal responsibility]
• Meal hours
• What about snacks [what, when, where]
• What about special diets
MRC Sheltering 101Things to think about
Section Chiefs• Shelter Manager
• Medical Director
• Staffing Coordinator
• Clinical Unit Supervisor
• Clerical Unit Leader
• Dormitory Leader
• Food Services Leader
MRC Sheltering 101Things to think about
Other areas• How will MRC volunteers be identified• How will resident helpers be identified• Volunteer rest periods
Memorandums of understanding• Food, transportation, pets, security, sleeping supplies• Get them NOW• Get to know all of the possible partners
MRC Sheltering 101What to do NOW
Plan for the future• Notification
– Need for sheltering– How will it be accomplished– Where to go / hours of operation– How to get transportation
• Volunteers – notification, scheduling
Educate your residents• Let them know the rules/limitations in advance
– No pets, provide own food, care for own pet• Responsible for monitoring own food allergies• Responsible for own personal items• Shelter rules – No smoking, drugs, weapons, alcohol
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