DISASTER MEDICAL

STANDARDS PROJECT

EOC / DOC

MEDICAL / HEALTH

POSITIONS

DRAFT - FOR DISCUSSION ONLY

March April 2002

TABLE OF CONTENTS

Table of Contents.............................................................................................................. 2i

Introduction...................................................................................................................... 31

EOC/DOC Position Chart.................................................................................................. 2

Position Descriptions

EOC Medical/Health Branch Director............................................................................ 3

DOC Director............................................................................................................... 6

DOC Operations Section Chief.................................................................................... 10

DOC Planning Section Chief....................................................................................................... 13

DOC Logistics Section Chief...................................................................................................... 16

DOC Finance Section Chief........................................................................................................ 20

INTRODUCTION

This document includes information related to the way in which the Operational Area (OA) Medical/Health Branch Director and the Management and General staff of a Medical/Health Department Operations Center might relate (organizational chart) and examples of job checklists for those positions.

This information is presented to assist local EMS agencies to achieve their role in disaster planning, response, and recovery/mitigation. The information is compliant with SEMS structure requirements and is meant to provide guidance for the development of OA customized job sheets.

This information should be used in combination with the Disaster Medical Standards and Guidelines and the material that accompanies that document to assist in the development of a workable and comprehensive Operational Area Medical and Health Disaster Plan.

EOC Medical/Health Branch Director
ASSIGNMENT: EOC
REPORT TO: Chief, EOC Operations Section			SUPERVISE / COORDINATE: § Environmental Management Group Leader § Emergency Medical Services Group Leader § Public Health Group Leader § Mental Health Group Leader § Medical/Health DOC Director (if DOC activated)
JOB DESCRIPTION: Organize and direct activities relating to the Medical/Health operations. Carry out directives of the EOC Director.; coordinate and supervise the medical health resources within the operational area. Serve as Medical/Health Operational Area Coordinator (M/H OAC) coordinating and supervising the medical health resources within the operational area.is likely to be the individual filling this position.
RESPONSIBILITIES:		· Assess and Ddirect the medical and health response of the Operational Area · Advise the Operations Section Chief on matters related to meeting the medical and health needs of the Operational Area · Determine level of activation of the Medical/Health Department Operations Center (DOC) · Monitor the status of medical and health resources and community needs · Determine whether to request additional medical and health resources from within the County or externally through the Regional Disaster Medical/Health Coordinationor system. · Determine the need to: § Evacuate casualties outside the affected area. § Establish field treatment sites. § Establish decontamination sites. § Establish Medically Fragile Evacuation Centers.
Immediate Actions
q	Receive Appointment Receive appointment from EOC Director or Operations Section Chief. Obtain packet containing Job Action Sheets and forms for Medical/Health Branch positions.
q	Review Job Sheet Read this entire Job Action Sheet and review organizational chart.
q	Obtain Briefing Obtain briefing from the EOC Director or Operations Section Chief. Note schedule for future briefings.
q	Establish EOC Post Establish a post in the operational area EOC as the Medical/Health Branch Director. Clearly mark your post and identify yourself (e.g., name badge).
q	Appoint Group Leaders Appoint Group Leaders as needed to obtain information, provide liaison and serve as a source of technical advice on various medical and health components. Likely configuration would include Group Leaders for medical, public health, and environmental health.
q	DOC Activation Determine degree of activation of the Medical/Health DOC. Obtain initial status reports from DOC (if activated).
q	Initial Assessment Perform an initial assessment of the medical/health needs and resources of the Operational Area. Complete RIMS Medical/Health Status Report Form.
q	Develop Initial Action Plan Brief all Medical/Health Group Leaders on current situation and develop the Branch’s initial Action Plan (for the 1^st 12-hour period). Designate time for next briefing.
q	Contacts Review emergency organizational charts to determine appropriate contacts and message routing. Ensure communications link with DOC (if activated). Coordinate with EOC Logistics and Finance Sections regarding the process of obtaining needed supplies and services for the operation of the Medical/Health Branch.
q	Relay Status Report Contact state Medical/Health Officials at the EMS Authority and Department of Health Services and the RDMHC. Provide a brief overview of the event and forward RIMS Medical/Health Situation Report to state officials and the RDMHC through the operational area EOC Planning Section.
q	Resource Needs Coordinate requests for medical/health resources from outside the operational area with the RDMHC.
q	Public Information Coordinate with the EOC Public Information Officer to issue periodic public health & safety information.
q	Document Assure that all communications and times are documented, as well as all actions and decisions.
INTERMEDIATE AND ONGOING ACTIONS
q	Briefings/Updates Conduct/receive periodic briefings and updates with Group Leaders and Section Chief.
q	Update Action Plan Develop the Medical/Health Action Plan for the upcoming operational period. Distribute to Group Leaders and Section Chief.
q	Communicate Up Brief the Section Chief or EOC Director routinely.
q	Staff/Supply Ensure that each of the Group Supervisors has adequate staff for next two operational periods (12-hours shifts) and adequate supplies. Relief should arrive 30 minutes in advance to allow for briefing prior to shift change.
q	Resource Needs Assess and respond to requests from DOC and other Branches for Medical/Health resources. Coordinate resource acquisition from outside Operational Area through RDMHC.
q	Respond to Problems Respond to requests and complaints from incident personnel regarding inter-organization problems.
EXTENDED ACTIONS
q	Document Assure that a system for logging and organizing all documentation is established.
q	Long-Term Staffing Ensure that adequate staffing is available for the projected duration of the incident. Observe all staff for signs of stress. Report concerns to the Operations Chief. Provide staff with rest periods and relief.
Recovery PERIOD ACTIONS
q	Disaster Recovery Ensure that information for public health and safety is disseminated during disaster recovery stage. Notify public of: · Safe drinking water sources or requirements · Procedures for safe reoccupancy of damaged homes and buildings (e.g., structural integrity, gas leaks, need for protective clothing and equipment) · Requirements for handling and disposal of foodstuffs, refuse, clothing, hazardous materials
q	Documentation Ensure appropriate documentation of Medical/Health response actions and expenses is gathered and submitted to the EOC Director.
q	After-Action Report Contribute to EOC After-Action Report and participate in post-event debriefings.

Departmental Operation Center Director
ASSIGNMENT: Medical/Health DOC
REPORT TO: EOC Medical/Health Operational Area Coordinator			SUPERVISE / COORDINATE: · Management Staff o¨ Safety Officer* o¨ Public Information Officer* o¨ Liaison Officer* · General Staff ¨ Operations Section Chief ·¨ Planning Section Chief ** ·¨ Logistics Section Chief ** ·¨ Finance Section Chief** * Command Staff **General Staff
JOB DESCRIPTION: Organize, direct and manage the response of the Medical/Health DOC. Maintain contact with and carry out directives of the M/H OAC. Ensure sufficient resources to accomplish the assigned tasks of the DOC.
RESPONSIBILITIES:		· Serve as the DOC Director for the Medical/Health DOC. · Make executive decisions based on guidance in the Operational Area and Medical/Health Disaster Plans. · Develop and issue rules, regulations, proclamations and orders. · Establish the appropriate level of organization, and continuously monitor the effectiveness of that organization. Make changes as required. · Be prepared to form additional units or sections as dictated by the situation. · Exercise overall management responsibility for the coordination of the response efforts. · In conjunction with the General Staff, set priorities for response efforts, and ensure that all agency actions are accomplished within the priorities established. · Ensure that multi-division or inter-agency coordination is accomplished effectively within the DOC.
Immediate Actions
q	Receive Appointment Receive appointment from the M/H OAC. Obtain packet containing Job Action Sheets and forms for Departmental Operation Center positions. Oversee the set-up of the DOC.
q	Review Job Sheet Read this entire Job Action Sheet and review organizational chart.
q	Obtain Briefing Obtain briefing from the M/H OAC. Note schedule for future briefings.
q	DOC Activation Determine degree of activation of DOC. Advise M/H OAC at EOC of status of activation of DOC. Obtain initial status reports from EOC (if activated).
q	Appoint section Chiefs Determine the appropriate level of activation based on situation as known. Appoint Chiefs for Operations, Planning, Logistics, and Finance Sections.
q	Appoint Management Section Staff Appoint Information Officer, Safety Officer, Scribe and other staff as appropriate
q