Disaster Medical System

Initial Activation/Notification

 

 

Function 1: Development and Maintenance of Medical and Health Disaster Plans, Policies, and Procedures for the Operational Area

 

Element 1.2: Emergency/Departmental Operations Center Procedures

Guideline 1.2.1: Response Activation

 

Function 2: Assessment of Immediate Medical Needs

 

Element 2.1: Notification of key positions and activation of the disaster medical and health system

Guideline 2.1.1: Notification

Guideline 2.1.2: Activation

 

 


DISASTER MEDICAL SYSTEM INITIAL ACTIVATION/NOTIFICATION

 

I.          Purpose

 

The purpose of this policy is to describe a process for the initial notification and activation of the local Disaster Medical Services system.

 

II.        Authority

 

A.                 Division 2.5, Health and Safety Code, Section 1797.150-152

 

B.                 Government Code 8607 requires that the Medical Health Operational Area Coordinator (OAC) represent the county and all political subdivisions (e.g. cities, districts) when processing medical and health mutual-aid requests to and from the operational area.  The Medical Health OAC is part of the statewide medical/health mutual aid system of California. 

 

III.       Definitions

 

A.                 Answering Point means the dispatch agency or facility designated to receive communications intended for the Medical/Health OAC, 24 hours/day, 7 days/week.

 

            B.         Departmental Operations Center (DOC) means the center for coordinating discipline-specific activities outside the city or county Emergency Operations Center (e.g. Medical/Health DOC).

 

            C.        Medical/Health Operational Area Coordinator (MHOAC, M/H OAC, or Medical/Health OAC) means the individual responsible for the coordination of medical and health resources and activities within the operational area.

 

            D.        Operational Area means the county and all political subdivisions within the county.

 

F.                  Regional Disaster Medical Health Coordinator (RDMHC) means the individual responsible for coordinating medical and health resource requests between state agencies and the operational area coordinators.

 

G.                 Mutual aid requests are understood to be for non-reimbursed, voluntary resources unless otherwise indicated.

 

IV.       Policy

 

A.                 Requests for resources, status reports, and other vital exchanges of information between local medical and health providers and services outside of the Operational Area shall be processed by the Medical/Health OAC.  Medical and Health providers include the following:

 

1.                  Ambulance provider agencies (both public and private)

2.                  Public Health Department(s)

3.                  Acute care hospitals

4.                  Environmental health agencies

5.                  Convalescent Hospitals

6.                  Medical clinics

7.                  Extended care facilities

8.                  Other health related agencies

 

B.         The Medical/Health OAC can be reached 24-hours a day, seven days a week through the Answering Point.

 

C.        The Medical/Health OAC shall be notified of the occurrence of any of the following:

 

1.         Mutual-aid resources have been requested from outside the county (beyond normal response areas); 

2.                  Local resources are depleted or are anticipated to be soon depleted; or

3.                  Coordination of resources between multiple jurisdictions is needed.

 

V.        Procedure

 

A.                 The Answering Point receives a request.  Requests for additional resources may be initiated by local medical/health providers, Incident Commanders, Operational Area Coordinators of other disciplines (e.g. Fire, Law), the OES Coordinator, EOC Directors, or the Regional Disaster Medical/Health Coordinator. 

 

B.                 Available resources are assessed.  The status of local resources (i.e. numbers of available resources) within the operational area is assessed by the 24-hour contact point before requesting outside resources or filling a resource request.

 

C.                 Mutual aid is requested or provided.  A predetermined number (established in the Medical/Health Disaster Plan) of resources may be requested from outside the operational area or supplied to fill a request from outside the operational area before notifying the Medical Health OAC

 

D.                 Notify the Medical/Health OAC of resource status, requests and actions taken.

 

E.                  Create and maintain records of the activation/notification. 


 

VI.              Related Items

 

A.                 The following forms or records should be established as part of the Medical/Health Disaster plan and will be needed to operate according to this policy.

 

1.                  Medical/Health OAC contact list, minimally three persons deep

2.                  Tool for 24-hour Answering Point that specifies resource status evaluation

3.                  Defined method for documenting mutual aid request particulars