Download iii. national medical response team/weapons of mass

DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
A. TEAM DESCRIPTION.............................................................................................................................................. 1
B. ORGANIZATIONAL STRUCTURE...................................................................................................................... 2
C. POSITION REQUIREMENTS AND DESCRIPTIONS...................................................................................... 4
1. Introduction..........................................................................................................................................................4
2. Important Terms...................................................................................................................................................5
3. General Requirements.........................................................................................................................................7
4. Training Requirements......................................................................................................................................10
D. POSITION DESCRIPTIONS .................................................................................................................................. 15
1. Command Staff ...................................................................................................................................................15
2. Operations...........................................................................................................................................................22
3. Logistics...............................................................................................................................................................42
4. Administrative/Planning...................................................................................................................................50
E. OPERATIONAL CHECKLISTS............................................................................................................................ 54
1. Command Staff ...................................................................................................................................................57
2. Operations...........................................................................................................................................................67
3. Logistics...............................................................................................................................................................85
4. Administrative/Planning...................................................................................................................................93
F. TEAM EQUIPMENT AND INVENTORY ......................................................................................................... 98
1. Equipment Packaging .......................................................................................................................................99
2. Equipment Maintenance................................................................................................................................ 101
3. Equipment Storage......................................................................................................................................... 101
4. Personal Equipment....................................................................................................................................... 102
5. Medical Supplies for Team Use.................................................................................................................... 104
6. NMRT/WMD Inventory List.......................................................................................................................... 104
III-1
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
Figure 3-1
Typical NMRT/WMD Organizational Structure 3
Figure 3-2
NMRT/WMD Position Requirements 11
C.
POSITION REQUIREMENTS AND DESCRIPTIONS
12
Figure 3-3
Equipment Packaging
100
III-2
May 1999
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
A.
TEAM DESCRIPTION
The NDMS is charged with providing medical care personnel to assist State and local
health officials in providing for ill or injured victims at the site of major disasters or
emergencies. The National Medical Response Team/Weapons of Mass Destruction
(NMRT/WMD) was developed by HHS to deploy and provide medical and
decontamination (decon) services and/or assist Federal agencies in Hazardous
Materials (HazMat) environments. Requests for NMRT/WMDs come from Federal,
State, or local officials to the NDMS Duty Officer who will process the request through
OEP and/or the OEP Emergency Operations Center (OEP/EOC) and obtain final
approval from the ASH. The NMRT/WMD can be requested for planned events with a
credible threat, after a NBC event has occurred, or when the Federal Bureau of
Investigation (FBI) determines a credible threat exists. It can also be requested by State
or local jurisdictions to assist with technological accidents.
The NMRT/WMD is equipped and trained to perform the following specific functions:
n
Provide mass or standard decon;
n
Collect samples for laboratory analysis;
n
Provide medical care to contaminated victims;
n
Provide technical assistance to local EMS;
n
Assist in triage and medical care of NBC events before and after decon;
n
Provide technical assistance, decon, and medical care at a medical facility;
n
Provide medical care to Federal responders on site; and
n
Provide conventional medical care to victims of a non-NBC event.
Teams mobilize with two 15-passenger vans and two Crew Cab trucks towing utility
trailers. These vehicles can be loaded on various size military aircraft, ranging from a C131 to a C-5A airframe. Upon arrival on the incident site, the NMRT/WMD Team Leader
will report to the MST and determine what information is available. This includes the
agent(s) involved, approximate number of victims, real time of incident, containment
status of the agent(s) product runoff, and scope of the injuries. Team equipment will be
unloaded and stations set up to handle the decon process and medical care.
III-1
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
A.
TEAM DESCRIPTION
Operationally, the mass casualty decontamination (decon) site is separated into three
zones: Decon, Medical, and Support. Personnel decon procedures are divided into
ambulatory and non-ambulatory victims. Contaminated ambulatory victims are
decontaminated through a series of showers and monitored for residual contamination.
From there they pass into the Medical Zone, and are triaged and treated by Team
Medical personnel and eventually pass through to a clean area to be handed off to a
DMAT or local EMS and transported or released. The Team has the capability to
decontaminate approximately 120 ambulatory people per hour. Non-ambulatory victims
are placed in a holding area and monitored to ensure they remain stable. They are
processed through the decon station where any necessary critical medical interventions
are performed. After full decon, patients are further triaged and treated by Team
personnel in the Medical Zone. They are then handed off to a DMAT or local EMS in the
clean area for treatment and transport to an appropriate medical facility. The Team can
decontaminate approximately 20 non-ambulatory people per hour.
B.
ORGANIZATIONAL STRUCTURE
NMRT/WMDs are organized into a command structure of a Team Leader, a Command
Staff comprised of the Safety and Liaison Officers, and a General Staff of the
Operations, Logistics, and Administration/Planning Section Chiefs. Other specialists
make up the remainder of the Team which includes: medical personnel, HazMat
technicians, and logisticians. A standard NMRT/WMD response consist of 36 personnel
in 25 positions, although the number of positions and personnel can be modified to
meet the needs of the disaster. Once on-site the NMRT/WMD will report to and receive
its assignment from the MST.
III-2
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
B.
ORGANIZATIONAL STRUCTURE
MST Division
Supervisor
NMRT/WMD
Team Leader
(1)
Safety Officer
(1)
Liaison Officer
(1)
Operations
Section Chief
(1)
Medical
Group Supervisor
(1)
Non-Ambulatory Decon
Group Supervisor
(1)
Logistics
Section Chief
(1)
Ambulatory Decon
Group Supervisor
(1)
Rapid Response
Group Supervisor
(1)
Nurse
(1)
Non-Ambulartory
Decon Specialist
(4)
Ambulatory
Triage Specialist
(1)
Entry Safety
Specialist
(1)
Medical Triage
Specialist
(1)
Non-Ambulatory
Monitoring Specialist
(1)
Ambulatory
Monitoring Specialist
(1)
Rapid Response
Specialist
(4)
Facilities
Unit Leader
(1)
Equipment Cache
Manager
(2)
Communication
Specialist
(1)
ALS
Specialist
(3)
BLS
Specialist
(3)
Figure 3-1
Typical NMRT/WMD Organizational Structure
III-3
Administrative/Planning
Section Chief
(1)
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
C.
POSITION REQUIREMENTS AND DESCRIPTIONS
1.
Introduction
The NMRT/WMD Team Position Descriptions provide a formal method to
document the basic duties and requirements of each position during a mission.
NMRT/WMD Teams are staffed and operated in a manner that meets the
functional requirements described in this document. The position requirements
outlined in this manual are based upon the Team meeting a 4-6 hour window
from the time of alert until the time of deployment from the Point of Departure
(POD).
Requirements, duties, and responsibilities have been identified for all Team
positions. These requirements are subdivided into General Requirements and
Training requirements. A General Requirements Section precedes the Position
Descriptions. The General Requirements contain items that are common to all
positions on the Team and therefore, do not have to be repeated in each position
description. The Position Descriptions are written in the KSA format. This is an
effective method of describing the requirements necessary for personnel to fulfill
the objectives of that particular position. Training requirements for each position
are also listed to document how the knowledge requirements can be obtained.
The criteria for what defines KSAs in this document is listed in Unit III-C-2 Important Terms.
General requirements may take years for some individuals to meet. Similar
courses taken by the individual that meet the course objectives of those listed in
this Unit may be substituted with the approval of the NMRT/WMD Team Leader
and OEP.
Requirements may be waived by OEP on a case-by-case basis when an
individual has demonstrated competence in the understanding of the position or
functional area, and if the employee completes applicable course work as new
courses become available.
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
C.
POSITION REQUIREMENTS AND DESCRIPTIONS
2.
Important Terms
The following is a description of various terms and definitions that are used in the
position descriptions.
a.
General
Certification – A written process that is used to confirm that an individual is
qualified to perform in a specified position(s).
Experience - Satisfactory performance evaluations from previous assignments in
the position or function being considered.
Qualified individual - A person who has been certified as having met all training,
experience, and fitness requirements for the position.
b.
Physical Fitness
Arduous physical fitness requirement - The duties of the position require primary
field work performed by individuals with above average endurance and physical
conditioning. Occasional demands for extraordinarily strenuous activities over
extended periods of time. Activities include long periods of standing, walking,
climbing, twisting, bending and moderate lifting with the work pace set by the
disaster situation. Long hours of work may be necessary.
Moderate physical fitness requirement - The duties require occasional field work
performed by individuals with average endurance and physical conditioning.
Individuals usually set their own pace. Disasters occasionally demand
moderately strenuous activity over long periods of time. Activities include
standing for long periods, walking, stooping, and moderate lifting. Long hours of
work may be necessary.
III-5
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
C.
POSITION REQUIREMENTS AND DESCRIPTIONS
b.
Physical Fitness (Continued)
Light physical fitness - The duties mainly involve office type work with occasional
field activity characterized by light physical exertion requiring individuals to be in
basic good health. Individuals almost always govern the extent and pace of their
physical activity. The activities may include climbing (such as stairs), standing,
operating a vehicle, some bending, stooping, or light lifting. Long hours of work
may be necessary.
c.
Knowledge, Skills and Abilities
Knowledge – Refers to an organized body of information, usually of a factual or
procedural nature which if applied, makes adequate performance on the job
possible. There are three broad levels of knowledge that are used throughout the
position descriptions.
Working knowledge of - Individuals comprise an awareness of the subject
matter to a level of understanding a majority of terms and definitions
associated with the subject. Can generally define the subject but has had
little or no formal training or experience.
Extensive knowledge of - Individuals have a wide or considerable extent of
knowledge of the subject matter. Has received some formal training and
some work related experience in the subject matter.
Comprehensive knowledge of - Individuals have had a wide range of
experience in the subject matter to a level to be considered a subject
matter expert.
III-6
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
C.
POSITION REQUIREMENTS AND DESCRIPTIONS
c.
Knowledge, Skills and Abilities (Continued)
Skill - Refers to the proficient manual, verbal or mental manipulation of data or
things. Skill can be readily measured by a performance test where quantity and
quality of performance are tested, usually within an established time limit.
Examples of proficient manipulation of things are skill in typing or in operating a
vehicle. Examples of proficient manipulation of data are skill in keeping track of
multiple resources, times and locations, events or activities, priorities, and
deadlines in the disaster environment.
Ability - Refers to the power to perform an observable activity at the present time.
Ability is evidenced through activities and behaviors that are similar to those
required to perform on the job, (i.e., ability to plan and organize work), and
participate in singular tasks to create a group solution, recommendation or plan.
3.
General Requirements
The following are general requirements that all NMRT/WMD members should
meet in order to comply with mobilization standards and performance
requirements.
Must be at least 18 years of age.
Must be a citizen of the U.S.
Must have a valid U.S. passport.
Must maintain a current and unrestricted license, certification, or
registration where required by the Team position.
Must be Available to report to a pre-designated Assembly Point or POD
within 4-6 hours for an assignment of up to 3-days.
Must be individually self sufficient for at least 24-hours (i.e., food and
water).
Must maintain current inoculations for diphtheria/tetanus (or tetanus only if
there is a contra-indication to diphtheria), Hepatitis A and B,
measles/mumps/rubella (if born after 1957), polio and a negative TB test.
Yearly flu vaccine is also recommended.
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
C.
POSITION REQUIREMENTS AND DESCRIPTIONS
3.
General Requirements (Continued)
Must be physically fit to handle the rigors of HazMat/disaster event
environments. There can be no physical or mental handicaps, limitations
or conditions that would preclude the safe performance of essential job
duties.
Must complete an annual health examination and successfully pass an
annual Occupational Safety and Health Administration (OSHA) health
surveillance examination.
Must maintain a personal physical fitness program.
Must maintain a group pager.
Must have written prior approval from employer to participate on an
NMRT/WMD and attend specialty training.
Must meet all individual Team qualifications for the appropriate position.
Must adhere to the NDMS Disaster Team Code of Conduct. See Appendix
C - NDMS Disaster Team Code of Conduct for more information.
a.
Knowledge
Must have working knowledge of communications and office automation
systems (portable radios, pagers, cellular telephones, computers) and
electronic transfer of information.
Must have working knowledge of ICS.
Must have comprehensive knowledge of NMRT/WMD standard operating
procedures commensurate with the position.
Must have extensive knowledge of DoD and NBC protocols as adapted by
OEP for civilian response.
Must understand and adhere to safe working practices and procedures as
required in the HazMat event environment.
Must have working knowledge of the HHS Health and Medical Response
System, its organizational structure, operating procedures, terminology
and communicating protocols, and reporting requirements.
Must be aware of the signs, symptoms, and corrective measures for
Extended Incident Stress Syndrome (EISS).
Must have working knowledge of computer applications including word
processing and database programs as appropriate for the position.
III-8
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
C.
POSITION REQUIREMENTS AND DESCRIPTIONS
b.
Skills
Must have an ability to maintain accurate and thorough records and
documentation.
Must be able to communicate effectively both orally and in writing.
c.
Abilities
§
Must possess strong skills in interpersonal relations and the ability to
interact closely with diverse disciplines during stressful situations.
Must be capable of managing specialized equipment and support
resources during a medical/HazMat incident.
Must be capable of improvising and functioning for long hours under
adverse working conditions.
Must be flexible to improvise, share information, resolve conflicts, and
solve problems.
Must be capable of following complex written and oral orders.
Must be capable of working in hazardous and stressful situations including
extreme weather environments.
Must be able to manage specialized equipment and support resources
during a disaster situation.
Must have the ability to effectively organize and plan during crisis
situations.
Must have the ability to maintain and perform minor equipment repairs in
the field.
§
§
§
§
§
§
§
d.
Training
§
§
Must complete NMRT/WMD Orientation Training.
Must complete the Department of Transportation (DOT) Emergency
Medical Technician-Basic (EMT-B) level (120-hour course).
Must complete OSHA HazMat First Responder Operations Level training.
Must complete 50 hours of training annually in industrial HazMat, mass
decon, and NBC subject matter.
§
§
III-9
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
C.
POSITION REQUIREMENTS AND DESCRIPTIONS
4.
Training Requirements
Qualification for a position on a NMRT/WMD depends upon training, experience,
and demonstrated ability. Team management must develop and implement
training programs for individual members, as well as Team functions and full
Team exercises. Training activities for the Team should provide the professional
and technical skills needed to provide decon and medical care under adverse
working conditions at a HazMat incident site. This entails regular HazMat
training, including specialized Team training, such as industrial HazMat drills,
mass decon drills, and NBC training. Additional training requirements for each
position may be imposed by individual Teams. Members must be given a basic
orientation to NDMS and NMRT/WMD concepts and be familiar with the duties
and responsibilities of other health and medical components in HazMat
operations. All members of a NMRT/WMD must also be credentialed through
NDMS prior to being placed on a Team. OEP maintains a master database of all
personnel rostered on each NMRT/WMD. When approved by the NMRT/WMD
Team Leader for a specific NMRT/WMD position, the individual must meet all
prerequisites for the position.
All personnel are minimally trained at the OSHA HazMat First Responder
Operations Level and EMT-B with specialized NBC medical training. Team
members must undergo regular HazMat training, including specialized training
from their Team. Training includes industrial HazMat drills, mass decon drills,
and NBC training. All personnel are cross-trained in at least 2 positions. Other
Team personnel requirements consist of an annual physical examination, OSHA
health surveillance examination, and participation in a required personal physical
fitness program.
The following are the minimum training requirements for the positions listed for a
NMRT/WMD:
III-10
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
POSITION REQUIREMENTS AND DESCRIPTIONS
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
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X
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Figure 3-2
X
X
X
X
X
X
X
X
X
X
NMRT/WMD Position Requirements
III-11
X
Large Incident Management
Training
OSHA First Responder
Operations Level
X
OSHA HazMat Incident
Commander
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Administration/Planning
Section Functional Training
NMRT/WMD Orientation
X
X
X
X
X
X
X
X
X
X
ICS Safety Officer
X
X
X
X
OSHA HazMat Technician
Level
Team Leader
Safety Officer
Liaison Officer
Operations Section Chief
Medical Group Supervisor
Nurse
Medical Triage Specialist
ALS Specialist
BLS Specialist
Non-Ambulatory Decon
Group Supervisor
Non-Ambulatory Decon
Specialist
Non-Ambulatory Monitoring
Specialist
Ambulatory Decon Group
Supervisor
Ambulatory Triage Specialist
Ambulatory Monitoring
Specialist
Rapid Response Group
Supervisor
Entry Safety Specialist
Rapid Response Specialist
Logistics Section Chief
Facilities Unit Leader
Equipment Cache Manager
Communications Specialist
Administrative/Planning
Section Chief
Advanced ICS
POSITION
Intermediate ICS
Basic ICS
COURSE
Logistics Section Functional
Training
Training Requirements (Continued)
Operations Section
Functional Training
4.
Command & General Staff
Functional Training
C.
X
X
X
X
X
X
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
C.
POSITION REQUIREMENTS AND DESCRIPTIONS
4.
Training Requirements (Continued)
§
OSHA HazMat First Responder Operations Level
Knowledge and competencies as specified in OSHA 29 Code of
Federal Regulations (CFR) 1910.120.
§
OSHA HazMat Technician Level
Knowledge and competencies as specified in OSHA 29 CFR
1910.120.
§
OSHA HazMat On-Scene Incident Commander
Knowledge and competencies as specified in OSHA 29 CFR 1910.120
level 5.
§
Basic ICS training includes:
Principles and features of ICS;
Organizational overview;
Incident resources; and
Common responsibilities.
§
Intermediate ICS training includes:
Organization and staffing;
Organizing for incidents;
Incident resource management;
Air operations (optional); and
Incident event planning.
§
Advanced ICS training includes:
Command and General staff;
Unified Command; and
Major incident planning.
III-12
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
C.
POSITION REQUIREMENTS AND DESCRIPTIONS
4.
Training Requirements (Continued)
NMRT/WMD Orientation training includes:
Overview of roles and responsibilities of OEP;
Overview of the FRP and HHS Health and Medical Response System
operations;
Overview of other NDMS teams and other disaster response
organizations;
Overview of EISS;
Team organization, position descriptions, and operational checklists;
Overview of the terminology, functions, operations, strategy, and safety
aspects of the NMRT/WMD;
Basic terminology and use of NMRT/WMD equipment cache items
Personnel requirements;
Overview of military functions, structure, and chain of command; and
Methods of support for disaster victims.
§
NMRT/WMD Functional Training includes:
Command and General Staff:
OEP concept of operations;
HHS Health and Medical Response System and other disaster
response organizations;
NMRT/WMD and MST interaction;
Action Planning;
General staff functions;
Hazards and safety aspects of disaster environments;
Comprehensive NMRT/WMD operations;
Methods of support for disaster victims; and
Basic and advanced personnel management.
Operations Section:
Specialized Operations Section position training;
Disaster site operations; and
Basic supervision.
III-13
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
C.
POSITION REQUIREMENTS AND DESCRIPTIONS
4.
Training Requirements (Continued)
Logistics Section:
Disaster supply operations;
Inventory and tracking protocols;
Military and civilian air cargo regulations and certifications;
Packaging, storing, and shipping HazMat;
NMRT/WMD equipment terminology;
Equipment tracking, databases, and documentation;
Cache acquisition;
Facilities management;
AFJAM certification;
Communications theory;
NMRT/WMD communications equipment;
Frequency use and management;
Communications operations and procedures;
Radio protocols; and
Basic supervision.
Administrative/Planning Section:
Action Planning;
Resource status;
Situation status;
Documentation;
Personal and equipment timekeeping;
Financial accounting procedures;
NDMS personnel policies;
Record keeping; and
Basic supervision.
Practical Team Exercises
Large Incident Management training:
General strategies and tactics;
Establishing overall objectives;
Managing incidents through ICS;
Safety aspects;
Personnel accountability; and
Command Post activities.
III-14
May 1999
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
C.
POSITION REQUIREMENTS AND DESCRIPTIONS
4.
Training Requirements (Continued)
ICS Safety Officer training:
Safety Officer effectiveness;
Analysis techniques;
Safety messages, briefings, and reports; and
High hazard operations.
D.
POSITION DESCRIPTIONS
1.
Command Staff
Position descriptions have been developed for the following Command Staff
positions on a NMRT/WMD:
§
Team Leader;
§
Safety Officer; and
§
Liaison Officer.
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD LEADER
POSITION DESCRIPTION
Functional Description
The NMRT/WMD Team Leader is responsible for managing and supervising all aspects
of a mission, from the time of activation through the return to the home jurisdiction
including all resources (i.e., personnel and equipment). The Team Leader reports
directly to the MST Division Supervisor.
Description of Duties
n
Manages and ensures proper and timely completion of the overall Team
functions of decon and medical;
n
Ensures all deployed NMRT/WMD personnel are properly credentialed by NDMS
and complete all NDMS deployment administrative requirements;
n
Resolves any medical deployability issues of individual Team members;
n
Supervises subordinates;
n
Evaluates and provides to Federal and local governing agencies information
concerning NBC activities as requested;
n
Advises local public health agencies and emergency services when requested
NBC activities as requested;
n
Ensures that supplies and support necessary to accomplish assignments and
activities are available;
n
Interacts with the MST for the coordination of Team activities and support
requirements;
n
Attends briefings with the MST and ensues all Team personnel are kept informed
of mission objectives and status changes;
n
Assures that regular Situation Reports (SITREPs) are forwarded to the MST;
n
Ensures the completion of all required reports and maintenance of records;
n
Ensures appropriate Personal Protective Equipment (PPE) is utilized by all
members;
n
Ensures EISS management activities for Team members are addressed;
n
Participates in the deployment After Action Review (AAR); and
n
Prepares performance evaluations for assigned personnel.
III-16
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD LEADER
POSITION DESCRIPTION (CONTINUED)
Knowledge
n
Formal training in managing large-scale disasters or events;
n
Working knowledge of computer applications including word processing and
database programs as appropriate for the position;
n
Extensive knowledge of the terminology and capabilities of the major items in the
equipment cache;
n
Extensive knowledge of disaster response organizations with HHS agreements;
n
Extensive knowledge of other disaster response organizations, (i.e., American
Red Cross (ARC), Non Governmental Organizations (NGOs), etc.);
n
Extensive knowledge of the hazards associated with various NBC emergencies;
n
Comprehensive knowledge of the functional and overall role of the action
planning process;
n
Comprehensive knowledge of OEP and MST standard operating procedures;
n
Comprehensive knowledge of ICS; and
n
Comprehensive knowledge of supervisory and personnel management skills.
Skills
Five years of related experience in emergency incident management; and
Manage subordinates in a stressful work environment.
Abilities
n
Capable of effectively coordinating and directing Team interaction during mission
assignment;
n
Possess good interagency coordination skills, work well with technical experts,
local officials, and other organizations; and
n
Meet the moderate physical fitness requirement.
Training Requirements
n
Complete Advanced ICS training;
n
Complete Large Incident Management training, or equivalent;
n
Complete Command and General Staff functional training; and
n
Complete OSHA HazMat On-Scene Incident Commander training.
III-17
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD SAFETY OFFICER
POSITION DESCRIPTION
Functional Description
The Safety Officer is responsible for the anticipation, identification, and assessment of
hazardous and unsafe conditions. This includes developing measures to reduce risks in
order to enhance personnel safety and accountability. The Safety Officer reports directly
to the NMRT/WMD Team Leader.
Description of Duties
n
Oversees all health and safety aspects of the NMRT/WMD response personnel
while on a mission. This includes the personal safety of members while at the
Assembly Point and/or home base, in vehicles or aircraft used during transit, at
layover sites, the Point of Arrival/Mobilization Center (POA/MOB Center), the
Base of Operations (BoO), and the Area of Operations, as well as the safety of
patients treated by the Team;
n
Ensures that optimal safety and injury prevention is being practiced at all times
where appropriate, including: proper respiratory protection use, proper HazMat
PPE, Universal Precautions during medical care, safe operation of motor
vehicles, and other considerations;
n
Ensures medical surveillance of Team members;
n
Focuses on unsafe conditions and practices and ensures solutions are
developed to correct problems;
n
Investigates, completes, and forwards all reports in regard to Team personnel
injuries and illnesses to the MST Safety Officer after review by the NMRT/WMD
Team Leader;
n
Prevents various types of illnesses among Team members by ensuring adequate
isolation from contaminated areas, proper personal hygiene (i.e., hand washing;
stations, etc.), monitoring stress levels, ensuring adequate food and hydration is
available, etc.;
n
Intervenes immediately in unsafe activities to prevent the loss of life and/or
injuries;
n
Develops plans for physical security and safety of the Team members and
ensures it is included in the NMRT/WMD Safety Plan for implementation;
n
Ensures environmental sanitation activities are satisfactory and sanitation
standards are enforced; and
n
Monitors HazMat operations for compliance of all applicable standards and laws.
III-18
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD SAFETY OFFICER
POSITION DESCRIPTION (CONTINUED)
Knowledge
n
Extensive knowledge of disaster response organizations with HHS agreements;
n
Extensive knowledge of other disaster response organizations, (i.e., ARC, NGOs,
etc.);
n
Extensive knowledge of public health and industrial hygiene considerations;
n
Extensive knowledge of field sanitation procedures;
n
Extensive knowledge of the applicable OSHA standards;
n
Extensive knowledge of the principles of risk management;
n
Extensive knowledge of the hazards associated with various disaster
environments;
n
Comprehensive knowledge of ICS; and
n
Comprehensive knowledge of the functional and overall role of the action
planning process.
Skill
n
Five years of related experience in emergency HazMat incident safety
operations; and
n
Analyzing information and developing written reports and oral briefings.
Abilities
n
Possess good interagency coordination skills, work well with technical experts,
local officials, and other organizations; and
n
Meet the arduous physical fitness requirement.
Training Requirements
n
Complete Advanced ICS training;
n
Complete ICS Safety Officer training;
n
Complete Command and General Staff functional training; and
n
Complete OSHA HazMat Technician Level training.
III-19
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD LIAISON OFFICER
POSITION DESCRIPTION
Functional Description
The Liaison Officer provides coordination between the NMRT/WMD and local fire, EMS,
and public safety officials for the purpose of coordinating operations and obtaining
necessary resources from the local community. The Liaison Officer reports directly to
the NMRT/WMD Team Leader.
Description of Duties
n
Establishes and maintains contact with local emergency response personnel;
n
Ensures the coordination of Team strategic objectives with the local emergency
response personnel;
n
Obtains resources to establish a water supply for the decon function;
n
Ensures the availability of other HHS response Teams and/or local EMS
resources for disposition of treated/decontaminated victims; and
n
Ensures the availability of resources to treat/evacuate an injured Team member.
Knowledge
n
Extensive knowledge of the terminology and capabilities of the major items in the
equipment cache;
n
Extensive knowledge of the hazards associated with various NBC emergencies;
n
Extensive knowledge of the operations and procedures of various public safety
organizations;
n
Extensive knowledge of disaster response organizations with HHS agreements;
n
Extensive knowledge of other disaster response organizations, (i.e., ARC, NGOs,
etc.);
n
Comprehensive knowledge of the functional and overall role of the action
planning process; and
n
Comprehensive knowledge of ICS.
Skills
n
Five years of related experience in emergency HazMat incident management;
and
n
Competent in working with local public safety officials under emergency
conditions.
III-20
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD LIAISON OFFICER
POSITION DESCRIPTION (CONTINUED)
Abilities
n
Possess good interagency coordination skills, work well with technical experts,
local officials, and other organizations; and
n
Meet the moderate physical fitness requirement.
Training Requirements
n
Complete Advanced ICS training; and
n
Complete Command and General Staff functional training.
III-21
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
D.
POSITION DESCRIPTIONS
2.
Operations
Position Descriptions have been developed for the following positions:
§
Operations Section Chief;
§
Medical Group Supervisor;
§
Nurse;
§
Medical Triage Specialist;
§
Advanced Life Support (ALS) Specialist;
§
Basic Life Support (BLS) Specialist;
§
Non-Ambulatory Decon Group Supervisor;
§
Non-Ambulatory Decon Specialist;
§
Non-Ambulatory Monitoring Specialist;
§
Ambulatory Decon Group Supervisor;
§
Ambulatory Triage Specialist;
§
Ambulatory Monitoring Specialist;
§
Rapid Response Group Supervisor;
§
Entry Safety Specialist; and
§
Rapid Response Specialist.
III-22
May 1999
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD OPERATIONS SECTION CHIEF
POSITION DESCRIPTION
Functional Description
The Operations Section Chief manages the full range of HazMat/medical care activities,
including prompt decon and health care provided to injured and/or contaminated victims
of a HazMat disaster and the proper patient hand-off to follow up medical care. The
Operations Section Chief reports directly to the NMRT/WMD Team Leader.
Description of Duties
n
Manages the activities of the Section;
n
Supervises subordinates;
n
Determines the Section's staffing and logistical needs and requests additional
resources as necessary;
n
Provides necessary direction to ensure contaminated victims are decontaminated
and receive medical care as rapidly as possible;
n
Ensures proper PPE is worn by all personnel to protect against agent
contamination and communicable diseases;
n
Receives briefings and SITREPs and ensures that all Operations Section
personnel are kept informed of mission objectives and status changes;
n
Provides operational objectives to the NMRT/WMD Team Leader;
n
Coordinates operational actions with MST NMRT/WMD Division Supervisor;
n
Identifies deficiencies and implements corrective action as needed within the
Section;
n
Provides situation updates to the NMRT/WMD Team Leader and maintains
records and reports of Operations Section activity; and
n
Prepares performance evaluations for assigned personnel.
Knowledge
n
Extensive knowledge of disaster response organizations with HHS agreements;
n
Extensive knowledge of other disaster response organizations, (i.e., ARC, NGOs,
etc.);
n
Extensive knowledge of the hazards associated with various disaster
environments;
n
Comprehensive knowledge of ICS;
n
Comprehensive knowledge of HazMat Command Level ICS;
n
Comprehensive knowledge of the functional and overall role of the action
planning process;
n
Comprehensive knowledge of OEP and MST standard operating procedures;
and
n
Comprehensive knowledge of personnel management and supervision.
III-23
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD OPERATIONS SECTION CHIEF
POSITION DESCRIPTION (CONTINUED)
Skills
n
Five years of related experience in emergency HazMat incident management;
n
Capable of searching written and computer databases for chemical information;
and
n
Manage subordinates in stressful work environments.
Abilities
n
Possess good interagency coordination skills, work well with technical experts,
local officials, and other organizations;
n
Capable of effectively coordinating and directing Team interaction during mission
assignment; and
n
Meet the moderate physical fitness requirement.
Training Requirements
n
Complete Advanced ICS training;
n
Complete Command and General Staff functional training;
n
Complete Operations Section functional training;
n
Complete OSHA HazMat Technician Level training; and
n
Complete OSHA HazMat On-Scene Incident Commander training.
III-24
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD MEDICAL GROUP SUPERVISOR
POSITION DESCRIPTION
Functional Description
The Medical Group Supervisor is responsible for supervising all medical care provided
by the Team and directly providing medical care to critically injured victims in the
Medical Zone. The Medical Group Supervisor reports directly to the Operations Section
Chief.
Description of Duties
n
Makes recommendations to the NMRT/WMD Team Leader concerning Team
member's fitness for deployment and fitness for duty while on deployment based
on medical screening at the time of activation;
n
Supervises subordinates;
n
Evaluates and advises local public health agencies on medical issues when
requested by the NMRT/WMD Team Leader;
n
Works collaboratively with medical personnel in the identification and
management of contaminated patients;
n
Ensures Universal Precautions for all Team members against exposure to
communicable disease;
n
Provides direct medical care to Team members and victims as appropriate;
n
Examines and treats wounds and illnesses due to the effects of an NBC event;
n
Performs diagnostic tests;
n
Provides medical advice to NMRT/WMD or local EMS personnel, as necessary;
and
n
Prepares performance evaluations for assigned personnel.
Knowledge
n
Doctor of Medicine degree;
n
Valid and unrestricted State licensure to practice medicine;
n
Board-Eligible (BE) or Board-Certified (BC) and actively practicing clinical
emergency medicine;
n
Advanced Trauma Life Support (ATLS) certification;
n
Advanced Cardiac Life Support (ACLS) certification;
n
Extensive knowledge of ICS;
n
Extensive knowledge of personnel management and supervision;
n
Extensive knowledge of methods of support of disaster victims;
n
Extensive knowledge of Universal Precautions; and
n
Comprehensive knowledge of acute/critical medical management of chemical
and biological casualties.
III-25
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD MEDICAL GROUP SUPERVISOR
POSITION DESCRIPTION (CONTINUED)
Skills
n
Manage subordinates in stressful work environments; and
n
Significant current experience in the practice of pre-hospital care in an austere
environment.
Abilities
n
Possess good interagency coordination skills; work well with technical experts,
local officials, and other organizations; and
n
Meet the moderate physical fitness requirement.
Training Requirements
n
Complete Intermediate ICS training; and
n
Complete Operations Section functional training.
III-26
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD NURSE
POSITION DESCRIPTION
Functional Description
The Nurse is responsible for assisting the medical care of decontaminated victims in the
Medical Zone. The Nurse reports directly to the Medical Group Supervisor.
Description of Duties
n
Assesses nursing needs to provide safe and efficient nursing care;
n
Records vital signs of all Team members at regular intervals;
n
Works collaboratively with medical personnel in the identification and
management of contaminated patients;
n
Performs triage of patients on entry to medical services;
n
Assesses injuries and illnesses; performs resuscitation, inserts intravenous lines,
and inserts esophageal airways; treats shock victims;
n
Provides medical services to Team members under physician control;
n
Examines and treats wounds and illnesses due to the effects of a NBC event;
n
Performs diagnostic tests;
n
Maintains complete and current clinical and nursing records;
n
Ensures sufficient NMRT/WMD drug supply levels in conjunction with the
Logistics Section Chief;
n
Maintains medical records for all deployed Team members;
n
Assists in providing medical advice to NMRT/WMD or local EMS personnel;
n
Assists in non-ambulatory decon litter positions;
n
Assists with post decon ambulatory patient monitoring if workload indicates;
n
Performs environmental monitoring and sample collection in Decon Zone postincident;
n
Oversees disposition of contaminated materials in decon line post-incident; and
n
Performs all BLS and HazMat technician duties as outlined.
Knowledge
n
Bachelor's of Nursing degree;
n
Valid and unrestricted State licensure to practice nursing;
n
Working knowledge of Universal Precautions;
n
Working knowledge of supervisory practices; and
n
Extensive knowledge of ICS.
III-27
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD NURSE
POSITION DESCRIPTION (CONTINUED)
Skills
n
n
n
n
Significant current experience as a nursing supervisory in a clinical setting;
Capable of searching written and computer databases for chemical information;
Manage subordinates in stressful work environments; and
Experience in preventive medicine.
Abilities
n
Possess good interagency coordination skills; work well with technical experts,
local officials, and other organizations; and
n
Meet the moderate physical fitness requirement.
Training Requirements
n
Complete Intermediate ICS training; and
n
Complete Operations Section functional training.
III-28
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD MEDICAL TRIAGE SPECIALIST
POSITION DESCRIPTION
Functional Description
The Medical Triage Specialist is responsible for triaging patients as they complete the
decon process and enter the Medical Zone and assigning patients to the appropriate
level of medical treatment. The Medical Triage Specialist reports directly to the Medical
Group Supervisor.
Description of Duties
n
Prioritizes patients for medical care on entry to Medical Zone;
n
Assesses injuries and illnesses; performs resuscitation, inserts intravenous lines,
and inserts esophageal airways; treats shock victims; and
n
Provides medical services to Team members under physician control.
Knowledge
n
State and/or National Registry certification at the Emergency Medical Technician
- Paramedic (EMT-P) level or to practice nursing; and
n
Working knowledge of Universal Precautions.
Skill
n
Recent clinical competency and experience in providing pre-hospital care at the
appropriate level on a regular basis.
Ability
n
Meet the moderate physical fitness requirement.
Training Requirements
n
Complete Basic ICS training; and
n
Complete Operations Section functional training.
III-29
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD ALS SPECIALIST
POSITION DESCRIPTION
Functional Description
The ALS Specialist is responsible for assisting the Medical Group Supervisor in
providing ALS level medical care to patients as they complete the decon process and
enter the Medical Zone. The ALS Specialist reports directly to the Medical Group
Supervisor.
Description of Duties
n
Works collaboratively with medical personnel in the management of
decontaminated patients;
n
Assesses injuries and illnesses; performs resuscitation, inserts intravenous lines,
and inserts esophageal airways; treats shock victims;
n
Provides medical services to Team members under physician control;
n
Examines and treats wounds and illnesses due to the effects of an NBC event;
n
Performs diagnostic tests;
n
Maintains complete and current clinical and nursing records;
n
Assists in providing medical advice in Medical Zone to local EMS staff; and
n
Provides other medical functions as directed.
Knowledge
n
State and/or National Registry certification at the EMT-P level; and
n
Working knowledge of Universal Precautions.
Skills
n
Recent clinical competency and experience in providing pre-hospital care at the
appropriate level on a regular basis; and
n
Capable of searching written and computer databases for chemical information.
Ability
n
Meet the moderate physical fitness requirement.
Training Requirements
n
Complete Basic ICS training; and
n
Complete Operations Section functional training.
III-30
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD BLS SPECIALIST
POSITION DESCRIPTION
Functional Description
The BLS Specialist is responsible for assisting the Medical Group Supervisor in
providing BLS level medical care to patients as they complete the decon process and
enter the Medical Zone. The BLS Specialist reports directly to the Medical Group
Supervisor.
Description of Duties
n
Works collaboratively with medical personnel in the management of
decontaminated patients;
n
Assesses injuries and illnesses; performs resuscitation, inserts esophageal
airways; treats shock victims;
n
Provides medical services to Team members under physician control;
n
Examines and treats wounds and illnesses due to the effects of a NBC event;
n
Performs diagnostic tests;
n
Maintains complete and current clinical and nursing records; and
n
Provides other medical functions as directed.
Knowledge
n
State and/or National Registry certification at the EMT-B level; and
n
Working knowledge of Universal Precautions.
Skills
n
Recent clinical competency and experience in providing pre-hospital care at the
appropriate level on a regular basis; and
n
Capable of searching written and computer databases for chemical information.
Ability
n
Meet the moderate physical fitness requirement.
Training Requirements
n
Complete Basic ICS training; and
n
Complete Operations Section functional training.
III-31
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD NON-AMBULATORY DECON GROUP SUPERVISOR
POSITION DESCRIPTION
Functional Description
The Non-Ambulatory Group Supervisor oversees the decon of non-ambulatory patients
prior to their transport to the Medical Zone and performs BLS and ALS procedures as
necessary. The Non-Ambulatory Group Supervisor reports directly to the Operations
Section Chief.
Description of Duties
n
Supervises subordinates;
n
Assists in the setup of the Decon Zone;
n
Performs BLS and ALS procedures on non-ambulatory patients in the Decon
Zone as indicated;
n
Supervises activities for non-ambulatory patients in the Decon Zone;
n
Transports non-ambulatory patients on litters to medical care; and
n
Prepares performance evaluations for assigned personnel.
Knowledge
n
State and/or National Registry certification at the EMT-P level;
n
Extensive knowledge of ICS; and
n
Extensive knowledge of personnel management and supervision.
Skill
n
Current practical experience in HazMat emergencies; and
n
Manage subordinates in a stressful work environment.
Ability
n
Meet the moderate physical fitness requirement.
Training Requirements
n
Complete Intermediate ICS training; and
n
Complete Operations Section functional training.
III-32
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD NON-AMBULATORY DECON SPECIALIST
POSITION DESCRIPTION
Functional Description
The Non-Ambulatory Decon Specialist performs decon and ALS and BLS procedures
as appropriate on non-ambulatory patients prior to their transport to the Medical Zone.
The Non-Ambulatory Decon Specialist reports directly to the Non-Ambulatory Group
Supervisor.
Description of Duties
n
Unloads the HazMat decon equipment from vehicle;
n
Sets-up the non-ambulatory side of the Decon Zone;
n
Receives patients from the non-ambulatory staging area;
n
Transports non-ambulatory patients on litters as necessary;
n
Provides decon to patients in the zone; and
n
Performs BLS and ALS procedures on patients in Decon Zone as necessary.
Knowledge
n
State and/or National Registry certification at the EMT-P or EMT-B level; and
n
Comprehensive knowledge of HazMat operations.
Skill
n
Current practical experience in HazMat emergencies; and
n
Recent clinical competency and experience in providing pre-hospital care at the
appropriate level on a regular basis.
Ability
n
Meet the arduous physical fitness requirement.
Training Requirements
n
Complete Basic ICS training;
n
Complete Operations Section functional training; and
n
Complete OSHA HazMat Technician Level training.
III-33
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD NON-AMBULATORY MONITORING SPECIALIST
POSITION DESCRIPTION
Functional Description
The Non-Ambulatory Monitoring Specialist monitors decontaminated patients as they
exit the non-ambulatory decon process to ensure all contaminates have been removed
prior to entering the Medical Zone. The Ambulatory Monitoring Specialist reports directly
to the Non-Ambulatory Group Supervisor.
Description of Duties
n
Unloads the HazMat decon equipment from vehicle;
n
Sets-up the non-ambulatory side of the Decon Zone;
n
Monitors patients for remaining contaminants using appropriate monitoring
devices;
n
Returns victim to decon process if residual contamination is detected; and
n
Performs ALS or BLS medical care as appropriate.
Knowledge
n
State and/or National Registry certification at the EMT- P or EMT-B level.
Skill
n
Current practical experience in HazMat emergencies.
Ability
n
Meet the arduous physical fitness requirement.
Training Requirements
n
Complete Basic ICS training; and
n
Complete Operations Section functional training.
III-34
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD AMBULATORY DECON GROUP SUPERVISOR
POSITION DESCRIPTION
Functional Description
The Non-Ambulatory Group Supervisor provides assistance and direction as needed to
contaminated personnel as they process through ambulatory decon prior to entry to the
Medical Zone. The Ambulatory Decon Group Supervisor reports directly to the
Operations Section Chief.
Description of Duties
n
Supervises activities for ambulatory patients in the Decon Zone;
n
Supervises subordinates;
n
Unloads the HazMat decon equipment from vehicle;
n
Sets up shower tent with water supply;
n
Sets-up the ambulatory side of Decon Zone;
n
Receives patients from ambulatory staging area;
n
Provides instructions on decon process to ambulatory patients as they arrive
from ambulatory staging;
n
Maintains proper patient flow through Decon Zone;
n
Performs BLS and ALS procedures on ambulatory patients in Decon Zone as
necessary;
n
Requests assistance for patients requiring medical assistance during decon
process, as necessary;
n
Directs ambulatory patients to medical care locations;
n
Obtains additional supplies for decon process from Logistics Section as
necessary; and
n
Prepares performance evaluations for assigned personnel.
Knowledge
n
State and/or National Registry certification at the EMT-P or EMT-B level;
n
Extensive knowledge of ICS;
n
Extensive knowledge of personnel management and supervision; and
n
Comprehensive knowledge of HazMat operations.
Skill
n
Current practical experience in HazMat emergencies; and
n
Manage subordinates in a stressful work environment.
III-35
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD AMBULATORY DECON GROUP SUPERVISOR
POSITION DESCRIPTION (CONTINUED)
Abilities
n
Communicate effectively in a calm, commanding fashion with mass victims; and
n
Meet the arduous physical fitness requirement.
Training Requirements
n
Complete Intermediate ICS training;
n
Complete Operations Section functional training; and
n
Complete OSHA HazMat Technician Level training.
III-36
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
AMBULATORY TRIAGE SPECIALIST
POSITION DESCRIPTION
Functional Description
The Ambulatory Triage Specialist is responsible for prioritizing patients as they exit the
ambulatory decon process and assigning the patient to the appropriate level of medical
treatment. The Ambulatory Triage Specialist reports directly to the Ambulatory Decon
Group Supervisor.
Description of Duties
n
Performs triage of patients on exit from ambulatory decon process;
n
Directs patients to appropriate care area; and
n
Provides medical services to Team members under physician control.
Knowledge
n
State and/or National Registry certification at the EMT-P or EMT-B level.
Skills
n
Recent clinical competency and experience in providing pre-hospital care at the
appropriate level on a regular basis; and
n
Practical experience in HazMat operations/medical care on a regular basis.
Ability
n
Meet the moderate physical fitness requirement.
Training Requirements
n
Complete Basic ICS training; and
n
Complete Operations Section functional training.
III-37
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD AMBULATORY MONITORING SPECIALIST
POSITION DESCRIPTION
Functional Description
The Ambulatory Monitoring Specialist monitors decontaminated patients as they exit the
ambulatory decon process to ensure all contaminates have been removed prior to
entering the Medical Zone. The Ambulatory Monitoring Specialist reports directly to the
Ambulatory Decon Group Supervisor.
Description of Duties
n
Unloads the HazMat decon equipment from vehicle;
n
Sets-up the ambulatory side of the Decon Zone;
n
Provides assistance to patients as necessary during the decon process;
n
Monitors patients for remaining contaminants using appropriate monitoring
devices;
n
Returns victims to the decon process if residual contamination is detected; and
n
Performs ALS or BLS services as necessary.
Knowledge
n
State and/or National Registry certification at the EMT-P or EMT-B level.
Skill
n
Practical experience in HazMat emergencies on a regular basis.
Ability
n
Must be able to meet the arduous physical fitness requirement.
Training Requirements
n
Complete Basic ICS training; and
n
Complete Operations Section functional training.
III-38
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD RAPID RESPONSE GROUP SUPERVISOR
POSITION DESCRIPTION
Functional Description
The Rapid Response Group Supervisor oversees the Team HazMat operations of the
incident, including receiving patients from the extraction team. The Rapid Response
Group Supervisor reports directly to the Operations Section Chief.
Description of Duties
n
In conjunction with the Operations Section Chief and the local Incident
Commander, determines operational zones for Team setup and operations;
n
Manages HazMat suit operations;
n
Supervises subordinates;
n
Assists local responders with product identification and decon methods as
requested;
n
Develops and implements strategy for receiving contaminated victims from the
extraction zone;
n
Assigns personnel to HazMat functions;
n
Takes appropriate action when Rapid Response Specialists go over allotted time
or run out of air while in contaminated areas;
n
Sends triage teams in the Hot Zone in appropriate PPE, if necessary; and
n
Prepares performance evaluations for assigned personnel.
Knowledge
n
State and/or National Registry certification at the EMT-P or EMT-B level;
n
Extensive knowledge of ICS;
n
Extensive knowledge of personnel management and supervision; and
n
Comprehensive knowledge of HazMat operations.
Skills
n
Three years of emergency HazMat incident management experience;
n
Capable of searching written and computer databases for chemical information;
n
Manage subordinates in a stressful work environment.
Abilities
n
Possess good interagency coordination skills; work well with technical experts,
local officials, and other organizations; and
n
Meet the arduous physical fitness requirement.
Training Requirements
n
Complete Intermediate ICS training;
n
Complete Operations Section functional training; and
n
Complete OSHA HazMat Technician Level training.
III-39
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD ENTRY SAFETY SPECIALIST
POSITION DESCRIPTION
Functional Description
The Entry Safety Specialist oversees the safety of all Rapid Response Specialists
entering contaminated areas. The Entry Safety Specialist monitors the vital signs and
tracks suit time and movements of the Rapid Response Specialists while dressed in
appropriate PPE. The Entry Safety Specialist reports directly to the Rapid Response
Group Supervisor.
Description of Duties
n
Ensures that vital signs of all Level A personnel are recorded prior to and at the
completion of a suit entry;
n
Maintains database of physical conditions of Rapid Response Specialists;
n
Recommends to rapid Response Group Supervisor for go/no-go of Rapid
Response Specialists based on vital signs;
n
Oversees and inspects PPE of Rapid Response Specialists prior to dressing,
ensuring safety aspects;
n
Tracks and logs entry and time-on-air for Rapid Response Specialists in
contaminated areas. Advises Safety Officer and Rapid Response Group
Supervisor;
n
Notifies Rapid Response Group Supervisor and Safety Officer when Rapid
Response Specialists go over allotted time or run out of air;
n
Monitors condition and vital signs of personnel at completion of decon duties;
and
n
Provides status reports to the Rapid Response Group Supervisor.
Knowledge
n
Comprehensive knowledge of HazMat operations; and
Skill
n
Practical experience in HazMat emergencies on a regular basis; and
n
Capable of searching written and computer databases for chemical information.
Abilities
n
Possess good interagency coordination skills, work well with technical experts,
local officials, and other organizations; and
n
Meet the arduous physical fitness requirement.
Training Requirements
n
Complete Intermediate IC S training;
n
ICS Safety Officer training;
n
Complete Operations Section functional training; and
n
Complete OSHA HazMat Technician Level training.
III-40
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD RAPID RESPONSE SPECIALIST
POSITION DESCRIPTION
Functional Description
The Rapid Response Specialist enters the contaminated area for the purpose of
removing downed emergency response personnel and triaging ambulatory victims. The
Rapid Response Specialist may also perform quick assessments on non-ambulatory
patients and assist them to the non-ambulatory decon or holding area or provide field
chemical monitoring and environmental sampling in the contaminated area. The Rapid
Response Specialist reports directly to the Rapid Response Group Supervisor.
Description of Duties
n
Performs all ALS, BLS, and HazMat technician duties as required;
n
Observes and provides indicated critical interventions to non-ambulatory patients
in decon holding area;
n
Assists in movement of non-ambulatory patients from decon holding area to
decon station; and
n
Moves non-ambulatory patients on litters as necessary.
Knowledge
n
State and/or National Registry certification at the EMT-P or EMT-B level; and
n
Comprehensive knowledge of HazMat operations.
Skill
n
Practical experience in HazMat emergencies.
Abilities
n
Manage specialized equipment and support resources during an NBC situation;
and
n
Meet the arduous physical fitness requirement.
Training Requirements
n
Complete Intermediate ICS training;
n
Complete Operations Section functional training; and
n
Complete OSHA HazMat Technician Level training.
III-41
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
D.
POSITION DESCRIPTIONS
3.
Logistics
Position descriptions have been developed for the following positions on the
NMRT/WMD:
§
Logistics Section Chief;
§
Facilities Unit Leader;
§
Equipment Cache Manager; and
§
Communications Specialist.
III-42
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD LOGISTICS SECTION CHIEF
POSITION DESCRIPTION
Functional Description
The Logistics Section Chief plans, sets-up, directs, controls, and manages all
equipment and supply operations for the NMRT/WMD following activation, during
deployment, and return. The Logistics Section Chief reports directly to the NMRT/WMD
Team Leader.
Description of Duties
n
Manages the activities of the Section;
n
Implements and manages an efficient supply management program to fill the
immediate needs of the NMRT/WMD en-route to and at the site of an incident;
n
Supervises subordinates;
n
During mobilization, supervises transport of vehicles and equipment cache;
n
Determines Section's and logistical needs and requests additional resources as
necessary;
n
Assists with unloading and setting up of the equipment cache;
n
Provides requested supplies to Decon Zone;
n
Maintains Team oral re-hydration fluids;
n
Refills Self-Contained Breathing Apparatus (SCBA) bottles as necessary;
n
Reviews and analyzes requests for NMRT/WMD supplies and equipment;
n
Identifies the appropriate source of supply and carries out the acquisition process
in consultation with the Administrative/Planning Section Chief and the MST;
n
Identifies deficiencies and implements corrective actions as needed within the
Logistics Section;
n
Investigates and submits documentation and reports on lost or destroyed
property to the Administrative/Planning Section Chief for the purpose of
accountability and replacement;
n
Maintains the level of supplies and equipment necessary to accomplish the Team
mission at all times during the deployment;
n
Implements and maintains an up-to-date computerized logistical tracking system
to maintain an accountability of supplies and equipment expended and
distributed from the cache;
n
Coordinates air transportation of NMRT/WMD vehicles and equipment cache
with military transport officials;
n
Receives briefings and SITREPs and ensures all Logistics Section personnel are
kept informed of mission objectives and status changes;
n
Provides situation updates to the NMRT/WMD Team Leader and maintains
records and reports of Logistics Section activity; and
n
Prepares performance evaluations for assigned personnel.
III-43
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD LOGISTICS SECTION CHIEF
POSITION DESCRIPTION (CONTINUED)
Knowledge
n
Extensive knowledge of disaster response organizations with HHS agreements;
n
Extensive knowledge of other disaster response organizations, (i.e., ARC, NGOs,
etc.0;
n
Extensive knowledge of the hazards associated with various disaster
environments;
n
Extensive knowledge of Federal financial policies, practices, and procedures,
including acquisition practices;
n
Comprehensive knowledge of personnel management and supervision;
n
Comprehensive knowledge of ICS;
n
Comprehensive knowledge of the functional and overall role of the action
planning process;
n
Comprehensive knowledge of the terminology and capabilities of all items in the
equipment cache;
n
Comprehensive knowledge of OEP and MST standard operating procedures;
n
Comprehensive knowledge of equipment inventory and tracking procedures;
n
Comprehensive knowledge of the NMRT/WMD equipment cache, military and
civilian air cargo regulations, equipment fuel requirements, and the
environmental limitations of sensitive equipment and supplies; and
n
Comprehensive knowledge of the duties of a Shipper of Dangerous Goods as
directed in the CFR 49, AFJAM 24-204 International Air Transport Association
(IATA).
Skills
n
Five years experience in HazMat/medical logistics; and
n
Manage subordinates in stressful work environments.
Abilities
n
Possess good interagency coordination skills; work well with technical experts,
local officials, and other organizations;
n
Effect repair of various types of equipment while in the field setting;
n
Capable of effectively coordinating and directing Team interaction during mission
assignment; and
n
Meet the arduous physical fitness requirement.
Training Requirements
n
Complete Advanced ICS training;
n
Complete Command and General Staff functional training; and
n
Complete Logistics Section functional training.
III-44
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD FACILITIES UNIT LEADER
POSITION DESCRIPTION
Functional Description
The Facilities Unit Leader assists the Logistics Section Chief in the transportation,
setup, operation, and accountability of Team shelters and equipment. The Facilities Unit
Leader is also responsible for obtaining water resources on-site for use in the decon
process. The Facilities Unit Leader reports directly to the Logistics Section Chief.
Description of Duties
n
Assists in obtaining necessary supplies for continued operations;
n
Supervises subordinates;
n
Assists with loading and unloading of NMRT/WMD equipment cache according to
load plan;
n
Sets up decon shelters and equipment as necessary for Team operations;
n
Sets-up water supply to ambulatory and non-ambulatory decon areas;
n
Assures that equipment and supplies are safely secured and maintained in an
acceptable state of readiness for immediate distribution and use;
n
Assists with inventory and maintenance of Team equipment and supplies;
n
Drives vehicles to support the deployment as necessary; and
n
Prepares performance evaluations for assigned personnel.
Knowledge
n
n
n
n
n
Working knowledge of supervisory practices;
Comprehensive knowledge of the terminology and capabilities of all items in the
NMRT/WMD equipment cache;
Comprehensive knowledge of equipment inventory and tracking procedures;
Comprehensive knowledge of the NMRT/WMD equipment cache, military and
civilian air cargo regulations, equipment fuel requirements, and the
environmental limitations of sensitive equipment and supplies; and
Comprehensive knowledge of the duties of a Shipper of Dangerous Goods as
directed in the CFR 49, AFJAM 24-204 IATA.
Skills
n
Five years experience in HazMat/medical logistics; and
n
Manage subordinates in stressful work environments.
III-45
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD FACILITIES UNIT LEADER
POSITION DESCRIPTION (CONTINUED)
Abilities
n
Possess good interagency coordination skills; work well with technical experts,
local officials, and other organizations;
n
Effect repair of various types of equipment while in the field setting; and
n
Meet the arduous physical fitness requirement.
Training Requirements
n
Complete Basic ICS training; and
n
Complete Logistics Section functional training.
III-46
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD EQUIPMENT CACHE MANAGER
POSITION DESCRIPTION
Functional Description
The Equipment Cache Manager is responsible for the rapid loading, transportation,
unloading, and setup of the NMRT/WMD equipment cache at the Area of Operations.
The Equipment Cache Manager reports directly to the Logistics Section Chief.
Description of Duties
Loads, unloads, the equipment cache according to load plan;
Assists the Facilities Unit Leader in the set up of the equipment cache;
Sets up equipment as necessary for Team operations or BoO;
Distributes equipment according to operational plans;
Maintains inventory list of available supplies and equipment;
Drives vehicles to support the deployment as necessary; and
n
Assists the Facilities Unit Leader in the functions of the Logistics Section.
Knowledge
n
Working knowledge of computer applications including word processing and
database programs as appropriate for the position;
n
Comprehensive knowledge of the terminology and capabilities of all items in the
equipment cache;
n
Comprehensive knowledge of equipment inventory and tracking procedures;
n
Comprehensive knowledge of the NMRT/WMD equipment cache, military and
civilian air cargo regulations, equipment fuel requirements, and the
environmental limitations of sensitive equipment and supplies; and
n
Comprehensive knowledge of the duties of a Shipper of Dangerous Goods as
directed in the CFR 49, AFJAM 24-204 IATA.
Skill
n
Five years experience in HazMat/medical logistics.
Abilities
n
Possess good interagency coordination skills; work well with technical experts,
local officials, and other organizations;
n
Effect repair of various types of equipment while in the field setting; and
n
Meet the arduous physical fitness requirement.
Training Requirements
n
Complete Basic ICS training; and
n
Complete Logistics Section functional training.
III-47
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD COMMUNICATION SPECIALIST
POSITION DESCRIPTION
Functional Description
The Communications Unit Leader is responsible for the setup and management of the
communications system for the NMRT/WMD during incident operations and develops
the Team Communications Plan. The Communications Unit Leader reports directly to
the Logistics Section Chief.
Description of Duties
n
Oversees the communications function;
n
Assesses overall communications needs and develops the NMRT/WMD
Communications Plan in conjunction with the MST Communications Unit Leader;
n
Obtains radio frequencies, sets up, operates, and maintains the NMRT/WMD
communications system during incident operations;
n
Coordinates communications with appropriate entities, such as MST, local EMS,
local HazMat team, etc., through the MST;
n
Ensures accountability, maintenance, and minor repairs of all issued
communications equipment;
n
Establishes and posts contact information for incident operations (i.e., MST
telephone numbers, pagers, radio designations, etc.); and
n
Monitors all NMRT/WMD communications and maintains logs of incoming and
outgoing messages.
Knowledge
n
Possess one of the following:
§
General radio telephone operator's license or industry certification
equivalent;
§
Amateur radio license technician class or higher; and
§
Military experience equivalent.
n
Extensive knowledge of current automation and telecommunications theory,
principles, concepts, practices, procedures, standards and operational
requirements;
n
Extensive knowledge of communications equipment and related applications
programs, automated control and network management systems, transmission
media, and the relationship among component parts of telecommunications
systems;
n
Extensive knowledge of incident communications planning and frequency
management;
n
Extensive knowledge of amateur radio skills and operations, land mobile radio,
telephone and satellite systems;
III-48
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD COMMUNICATION SPECIALIST
POSITION DESCRIPTION (CONTINUED)
Knowledge (Continued)
n
Extensive knowledge of radio protocols and operational discipline;
n
Comprehensive knowledge of the parameters of NMRT/WMD communications
equipment including:
§
Equipment and related applications programs;
§
Installation;
§
Operation;
§
Power requirements;
§
Frequency programming; and
§
Field troubleshooting.
n
Comprehensive knowledge of basic electronics theory, concepts, and principles.
Skills
n
n
n
n
n
Apply and utilize specialized communications methods and analytical techniques;
Conduct and assess radio traffic analysis;
Manage a radio frequency spectrum;
Acquire and provide data transmission; and
Program communications equipment.
Abilities
n
Identify and direct or coordinate the actions required to provide needed services
on the disaster site;
n
Anticipate and plan for Team communications needs;
n
Instruct Team members in the correct use of communications equipment while
working in a disaster environment;
n
Work at heights to place antennas, repeaters, etc.;
n
Possess good interagency coordination skills, work well with technical experts,
local officials, and other organizations; and
n
Meet the arduous physical fitness requirement.
Training Requirements
n
Complete Basic ICS training; and
n
Complete Logistics Section functional training.
III-49
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
D.
POSITION DESCRIPTIONS
4.
Administrative/Planning
A position description has been developed for the following positions on the
NMRT/WMD:
§
Administrative/Planning Section Chief.
III-50
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD ADMINISTRAT IVE/PLANNING SECTION CHIEF
POSITION DESCRIPTION
Functional Description
The Administrative/Planning Section Chief provides all administrative, financial, and
planning functions for the operation of the Team while on a deployment. The
Administrative/Planning Section Chief reports directly to the NMRT/WMD Team Leader.
Description of Duties
n
Manages the activities of the section.
n
In conjunction with the MST, coordinates and manages the Team planning
process;
n
Collects, assimilates, analyzes, and processes information needed for making
effective decisions to update and/or change action planning;
n
Completes the functional action plan form for the NMRT/WMD overall planning
process;
n
Determines Section’s logistical and staffing needs and requests additional
resources as necessary;
n
Facilitates and/or participates in planning meetings and briefings as requested by
the NMRT/WMD Team Leader;
n
Maintains a document control system that facilitates ease of transition from active
disaster files to archived files;
n
Participates in planning and executing all Team movement from activation to
return to home base;
n
Controls all medical information releases after approval of NMRT/WMD Team
Leader;
n
Handles all deployment and billeting arrangements in conjunction with the MST;
n
Maintains personnel data on deployed Team members;
n
Provides procurement oversight and coordination with the Logistics Section Chief
in obtaining needed external logistic support;
n
Coordinates the development of the AAR process;
n
Develops and implements the NMRT/WMD Demobilization Plan in conjunction
with the MST Demobilization Plan;
n
In conjunction with the MST, reviews and advises staff on procurement requests
received from the Logistics Section;
n
Ensures that organizational and operational charts and maps are posted and
distributed as needed;
n
Maintains and collects Team records and reports for forwarding to appropriate
locations;
III-51
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD ADMINISTRAT IVE/PLANNING SECTION CHIEF
POSITION DESCRIPTION (CONTINUED)
Description of Duties (Continued)
n
Develops cumulative resource requirements for mission based on input from
Section Chiefs;
n
Advises and assists the NMRT/WMD Team Leader in evaluating the situation
and setting tactical goals and objectives for inclusion in the MST Action Plan;
n
Documents by written, visual, and audio means, the activities of the NMRT/WMD
for the purposes of on-site and post-incident analysis and historic documentation;
n
Ensures that disaster mobilization and transportation plans for the Team are
prepared and up-to-date;
n
Maintains all deployment administrative records, travel manifests, time cards,
and expense records while on a mission;
n
Ensures that the Team organization and operations conform to NDMS
guidelines;
n
Identifies deficiencies and implements corrective actions as needed within the
Section;
n
Provides situation updates to the NMRT/WMD Team Leader and maintains
records and reports of Administrative/Planning Section activity; and
n
Receives briefings and SITREPs and ensures that all Administrative/Planning
Section personnel are kept informed of mission objectives and status changes.
Knowledge
n
Extensive knowledge of disaster response organizations with HHS agreements;
n
Extensive knowledge of other disaster response organizations, (i.e., ARC, NGOs,
etc.);
n
Extensive knowledge of the hazards associated with various disaster
environments;
n
Extensive knowledge of business management, bookkeeping, etc.;
n
Comprehensive knowledge of NDMS financial accounting systems;
n
Comprehensive knowledge of ICS;
n
Comprehensive knowledge of the functional and overall role of the action
planning process;
n
Comprehensive knowledge of OEP and MST standard operating procedures;
and
n
Comprehensive knowledge of NDMS personnel policies.
III-52
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD ADMINISTRAT IVE/PLANNING SECTION CHIEF
POSITION DESCRIPTION (CONTINUED)
Skills
n
Ability in technical writing, HHS terminology, data collection, documentation
procedures, and information analysis of emergency/disaster operations; and
n
Ability in the operation and use of various visual media equipment.
Abilities
n
Proficient with information systems to include, but not limited to, computers,
application software (i.e., word processing, spreadsheet, presentation, and
database software), and computer peripherals;
n
Analyze complex and technical information and synthesize into simple user
friendly charts, graphs, and reports;
n
Possess good interagency coordination skills, work well with technical experts,
local officials, and other organizations;
n
Implement, maintain, and operate a financial tracking system to monitor Team
expenses during deployments;
n
Capable of effectively coordinating and directing Team interaction during mission
assignment; and
n
Meet the light physical fitness requirement.
Training Requirements
n
Complete Advanced ICS training;
n
Complete Command and General Staff functional training; and
n
Complete Administrative/Planning Section functional training.
III-53
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
E.
OPERATIONAL CHECKLISTS
The following checklists represent general operating procedures for members of a
NMRT/WMD while on mission assignment. The General Operational Checklists contain
common actions that must be accomplished at each stage of the deployment by all
positions. Some positions in the Operational Checklists section have no items in the Upon
Activation stage because there are no additional items outside of those listed in the
General Operational Checklist. The NMRT/WMD Team Leader may require additional
actions of Team members depending on the nature and magnitude of the assignment.
The list is intended to be a general summary of actions. It should be understood that:
n
Some required actions may not be listed, but must be identified and assumed by
this position;
n
Some actions may be the primary responsibility of another Team position, but
may require assistance and coordination from this position; and
n
The actions are listed in a general chronological order, but may necessitate
deviation to meet incident needs.
III-54
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
GENERAL OPERATIONAL CHECKLIST
The following are general items that pertain to all Team members:
Upon Activation
[ ]
Receive notification of selection and assignment from Team management;
[ ]
Establish communications with the appropriate supervisor;
[ ]
Monitor mission-related information from local sources such as internet, radio,
and television;
[ ]
Review the personal equipment checklist. Assess your personal gear readiness
for the specific disaster area climate. Make necessary changes;
[ ]
Ensure that you have personal daypack, earplugs, and warm clothes for flight, if
required;
[ ]
Report to the assigned Assembly Point at the prescribed time;
[ ]
Complete check-in procedures to include medical screening;
[ ]
Receive the Federal Oath of Office and complete Appointment Affidavits —
Standard Form 61 or OF 306;
[ ]
Ensure that you receive any appropriate issue of gear (i.e., radio, functional vest,
etc.) pertinent to the position;
[ ]
Participate in Team briefings and meetings as requested;
[ ]
Ensure that electronic equipment is turned off prior to boarding aircraft;
[ ]
Review the NMRT/WMD Field Operations Guide (FOG) for information pertinent
to your position description, operational checklist, operational procedures, and
safety procedures;
[ ]
Review disaster related information as it becomes available;
[ ]
Take advantage of available travel time for rest prior to arrival; and
[ ]
Carry out assignments as directed.
On-site Operations
[ ]
Participate in the Team daily briefings and meetings as requested;
[ ]
Ensure your physical readiness through proper nutrition, water intake, rest, and
stress control techniques;
[ ]
Ensure use of all safety practices and procedures. Report safety shortfalls to
your supervisor immediately;
[ ]
Ensure proper equipment needs are met and equipment is operational prior to
each work period;
[ ]
Report any signs/symptoms of EISS, injury, fatigue, or illness in
yourself/coworkers to your immediate supervisor;
[ ]
Brief your shift replacement fully on all ongoing operations when relieved at work
cycle rotations;
[ ]
Prepare and maintain records and reports, including Unit Logs, as appropriate;
and
[ ]
Carry out assignments as directed.
III-55
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
GENERAL OPERATIONAL CHECKLIST (CONTINUED)
Deactivation
[ ]
Participate in the Team daily briefings and meetings as requested;
[ ]
Prepare personal belongings for demobilization;
[ ]
Return all assigned equipment to appropriate location;
[ ]
Participate in Team AAR activities and EISS management;
[ ]
Submit comments to your supervisor for discussion at the AAR and possible
inclusion in the After Action Report. Comments submitted should include a
review of pertinent position descriptions, operational checklists, and procedures
for recommended changes. They should also include but not be limited to noting
Section accomplishments and issues; and
[ ]
Carry out assignments as directed.
III-56
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
E.
OPERATIONAL CHECKLISTS
1.
Command Staff
Mission operational checklists have been developed for the following positions on
the NMRT/WMD:
§
NMRT/WMD Team Leader;
§
Safety Officer; and
§
Liaison Officer.
III-57
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD TEAM LEADER
OPERATIONAL CHECKLIS T
Upon Activation
[ ]
Upon receipt of advisory or alert, confirm the notification and obtain instructions
from OEP. Obtain 24-hour contact numbers;
[ ]
Collect as much data as can be obtained about the type, location, and timeframe
of the mission from OEP/EOC;
[ ]
Review the Team's mobilization guidelines and coordinate activities of the Team:
§
Assess Team readiness; and
§
Advise OEP/EOC of the ability to accept the mission or that the Team is
accepting a State or local mission.
[ ]
Request Administrative/Planning Section begin obtaining information on site
conditions, prevailing environmental issues, and necessary resource
requirements from OEP/EOC, as available;
[ ]
Determine the specific personal gear required for disaster area climate and
location;
[ ]
Brief Command and General Staff positions (i.e., Safety and Liaison Officers and
Section Chiefs) on:
§
Current situation status;
§
Schedule of events if activation occurs;
§
Mobilization timetable, if activation occurs;
§
Team selection; and
§
Appropriate personal gear and equipment required for the specific disaster
area climate and location.
[ ]
Receive written activation notice from OEP/EOC;
[ ]
Select Team personnel;
[ ]
Advise State and local officials if appropriate;
[ ]
Assemble Team personnel at the Assembly Point, if appropriate;
[ ]
Ensure all deploying personnel have received the Federal Oath of Office and
competed the Appointment Affidavits — Standard Form 61 or OF 306;
[ ]
Coordinate with Logistics Section Chief for all transportation needs during the
mission;
[ ]
Ensure that assigned Section Chiefs are adequately briefed on and understand
the following:
§
Individual, Section, and Team performance expectations; and
§
Methods for establishing and changing Team priorities.
[ ]
Resolve any issues with Team personnel deploying with medical concerns;
[ ]
Ensure family support mechanisms are in place and activated for deployed Team
members;
[ ]
Ensure all personnel review applicable phases of the NMRT/WMD Operational
Checklists;
III-58
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD LEADER
OPERATIONAL CHECKLIS T (CONTINUED)
Upon Activation (Continued)
[ ]
Discuss and coordinate anticipated logistical requirements (i.e., transportation,
etc.) with the Section Chiefs prior to arrival at the Mob. Center;
[ ]
If necessary, deploy an advance Team with the MST to assess an appropriate
site for locating NMRT/WMD facilities; and
[ ]
Maintain ongoing communications with OEP/EOC until the MST is on-site and
operational.
On-site Operations
[ ]
Contact MST and/or local Incident Commander and receive an initial briefing to
include:
§
Incident SITREP including agent, estimated size of agent envelope, and
potential number of victims;
§
Team point of contact;
§
Chain of command, type of local ICS in use, and location of command
post;
§
Team objectives and assignment;
§
Operational work periods;
§
Team support layout and requirements (i.e., Area of Operations and
NMRT/WMD BoO);
§
Communications procedures;
§
Team member medical treatment resources and evacuation procedures;
§
Procedures for requesting supplies and equipment; and
§
Local and site hazards and personal safety precautions.
[ ]
Ensure an initial full Team briefing to all personnel is conducted to include:
§
Team organizational structure;
§
Chain of command;
§
Latest event information;
§
Environmental conditions;
§
Media issues and procedures;
§
Safety and health issues;
§
Communications procedures;
§
Operational work periods;
§
Team support layout and requirements (NMRT/WMD BoO);
§
Reporting requirements for SITREPs;
§
Team medical treatment and evacuation procedures;
§
Process for requesting supplies and equipment;
§
Local and site hazards and personal safety precautions;
§
Other information provided by the Section Chiefs or Team Specialists; and
§
NDMS Disaster Team Code of Conduct.
III-59
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD TEAM LEADER
OPERATIONAL CHECKLIS T (CONTINUED)
On-site Operations (Continued)
[ ]
Identify local and MST reporting requirements:
§
To whom;
§
Type of information to be reported;
§
Reporting schedule; and
§
Means of reporting.
[ ]
Identify Team support requirements and resupply process with the MST:
§
Provisions (i.e. food, water, lodging, etc.);
§
Support personnel;
§
Local medical assistance, and
§
Transportation requirements.
[ ]
Ensure Section Chiefs develop a process to determine an overall operational
assessment process that includes:
§
Functional requirements and immediate needs;
§
Work schedules for extended operations;
§
Rest and rotation periods for personnel; and
§
Adequacy of support facilities.
[ ]
Participate in planning and strategy sessions with local officials and the MST.
Receive MST Action Plan;
[ [
Ensure regular Team planning meetings are scheduled and conducted;
[ ]
Ensure regular SITREPs are forwarded to the MST Planning Section on
accomplishments or conflicts. Identify the completion of assignments and
availability of resources;
[ ]
Evaluate the capability of assigned resources to complete the assignment. Order
additional resources if needed;
[ ]
Ensure that all functional positions are conspicuously identified by vests;
[ ]
Ensure that the Operations Section Chief, in conjunction with the MST, obtains a
general health and medical situation assessment and locates available
resources;
[ ]
Convey medical capabilities and limitations to local official(s) indicating the need
for additional resources or specialized medical capabilities. Pertinent incident
medical planning information should be passed on, through the chain of
command, to State, Federal, and NDMS officials;
[ ]
Monitor on-site coordination between the functions within the Team, other
Teams, local officials, and the MST;
[ ]
Ensure that the Operations Section Chief liaisons with MST Medical Officer to
define plausible medical support and communications with the local medical
system;
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD LEADER
OPERATIONAL CHECKLIS T (CONTINUED)
On-site Operations (Continued)
[ ]
Evaluate Team operational performance in meeting established objectives to
include:
§
Effectiveness of overall Team operations;
§
Assessment of equipment shortages and needs;
§
Assurance of health and welfare needs of personnel including the need to
drink fluids, eat food, and take rest periods;
§
Assessment of fatigue in personnel;
§
Assessment of signs of EISS in personnel; and
§
Adherence to established procedures.
[ ]
Conduct regular Team meetings. Identify:
§
Who should attend;
§
Schedule; and
§
Unique agenda items.
[ ]
Resolve any coordination, communications, and personnel problems within the
Team;
[ ]
Ensure the development of a NMRT/WMD Demobilization Plan; and
[ ]
Prior to the receipt of the demobilization order, provide an estimate to the MST of
the hours necessary for personnel and equipment clean-up/rehabilitation.
Deactivation
[ ]
Review the status of the current Team assignment and advise local official(s) and
MST whether continued effort is necessary and advisable;
[ ]
Brief Command and General Staff concerning terminating mission and preparing
to return to home base;
[ ]
Brief Team personnel on mission status, reassignment, and demobilization
determinations;
[ ]
Ensure all Command and General Staff equipment is returned to the Logistics
Section;
[ ]
Ensure that personnel are assigned to assist with the breakdown and decon of
the NMRT/WMD equipment cache, if applicable and policing the Team Area of
Operations and the NMRT/WMD BoO;
[ ]
Ensure the return of NMRT/WMD BoO site to at least its original condition, if
possible;
[ ]
Ensure that all supplies and equipment are decontaminated, inventoried,
returned to the cache, and prepared for movement;
[ ]
Ensure all expendable supply use and maintenance requirements of equipment
is documented;
III-61
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD LEADER
OPERATIONAL CHECKLIS T (CONTINUED)
Deactivation (Continued)
[ ]
Maintain contact with the MST and follow demobilization plan;
[ ]
Ensure that personnel are assigned to assist with the loading of the NMRT/WMD
equipment cache on vehicles, if necessary;
[ ]
Ensure transportation is arranged for moving the Team back to its home base;
[ ]
In conjunction with the MST, approve all Team media releases;
[ ]
Conduct a Team debriefing session prior to the return to the home jurisdiction, if
possible, to identify items for the AAR;
[ ]
Submit a financial accounting of the mission including all costs and
reimbursement requests with related documentation to OEP within 45-days after
return to the home jurisdiction;
[ ]
Ensure all mission records, documentation, etc., are completed and forwarded to
OEP for archiving;
[ ]
Ensure follow up Team EISS management activities are conducted;
[ ]
Complete performance evaluations for Command and General Staff personnel;
and
[ ]
Prepare a formal Team After Action Report and forward to OEP, with copies to
the sponsoring organization within, 60-days after return from the mission.
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD SAFETY OFFICER
OPERATIONAL CHECKLIS T
Upon Activation
[ ]
Obtain weather and environmental information from media sources and begin to
assess personal protection, clothing, and environmental needs of Team
members;
[ ]
Make recommendations to NMRT/WMD Team Leader on personal and Team
equipment to be taken based on potential mission assignment, location of event,
environmental factors, etc.;
[ ]
Participate in the initial management planning meeting with NMRT/WMD Team
Leader;
[ ]
Review personal, Team, and specialized equipment checklist;
[ ]
Coordinate with the NMRT/WMD Team Leader concerning establishing proper
reporting procedures for all illnesses and injuries during the activation;
[ ]
Verify adequate Team medical evaluation of deploying members;
[ ]
Ensure a personnel accountability system is in place for the duration of the
mission and conduct regular accountability checks;
[ ]
Review Team mobilization plans for the specific incidents relating to safety;
[ ]
Evaluate safety considerations in all Team planning sessions;
[ ]
Ensure adequate medical coverage is provided to the Team during mobilization
and deployment;
[ ]
Ensure safety procedures are appropriate for the type of transportation mode;
[ ]
Ensure proper nourishment and hydration for Team members while in transit to
incident site;
[ ]
Ensure that appropriate PPE is used, especially hearing protection for military
aircraft;
[ ]
Monitor the wellbeing of Team personnel during any delays;
[ ]
Ensure personnel receive adequate time for rest and rehabilitation;
[ ]
Review safety considerations with the Team members;
[ ]
Monitor safety requirements while in transit; and
[ ]
Update preliminary safety plan to include environmental conditions.
On-site Operations
[ ]
Ensure local emergency responders have identified and marked hot, warm, and
cold zones for the incident and zones are restricted as appropriate;
[ ]
Ensure BoO is located out of hazardous areas and in a position to evacuate
quickly, if necessary;
[ ]
Ensure that appropriate PPE is used when necessary;
[ ]
Observe personnel and equipment off-loading to identify safety hazards;
[ ]
Ensure Area of Operations is as free of risk as possible (i.e., wires on ground,
etc.);
[ ]
Flag or otherwise clearly mark hazards that cannot be removed;
III-63
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD SAFETY OFFICER
OPERATIONAL CHECKLIS T (CONTINUED)
On-site Operations (Continued)
[ ]
Ensure NMRT/WMD operational zones are established and well marked;
[ ]
Monitor air space over incident to ensure closure;
[ ]
Ensure personnel are not engaged in Hot Zone activities longer than scheduled
time;
[ ]
Monitor Area of Operations for unsafe acts and changing conditions;
[ ]
Ensure an adequate emergency decon procedure is developed and available;
[ ]
Develop and implement Area of Operations and BoO evacuation plans;
[ ]
Ensure appropriate decon procedures are performed prior to personnel exit from
Area of Operations;
[ ]
Ensure the placement and appropriate use of an adequate number of hand
washing stations. These stations are to be located at or near all:
§
Latrine facilities;
§
Designated eating areas;
§
Food preparation areas;
§
Medical treatment areas; and
§
Area of Operations.
[ ]
Ensure that adequate fire protection is available at the BoO and the Area of
Operations;
[ ]
Coordinate with Logistics Section Chief and Operations Section Chief to ensure
adequate and appropriate latrine placements;
[ ]
Designate smoking areas;
[ ]
Coordinate with the Logistics Section Chief regarding establishing appropriate
garbage and rubbish disposal protocols;
[ ]
Coordinate with the Logistics Section Chief regarding establishing an appropriate
protocol that ensures that an adequate supply of non-contaminated water is
maintained for the Team;
[ ]
Ensure that location of generators, petroleum reserves, warming and cooking
fires, etc, does not impact the wellbeing of Team members (i.e., carbon
monoxide, fumes, noise, electrical hazard, etc.);
[ ]
Coordinate with the Operations Section Chief to ensure that all contaminated
runoff is captured if possible and proper disposal procedures are followed;
[ ]
Ensure that complete climatic condition (i.e., heat index and wind chill factor,
storms, winds, etc.) monitoring is performed. These factors must be included in
each Team briefing and clothing/protection measures presented to the
NMRT/WMD Team Leader as warranted;
[ ]
Participate in the development of the NMRT/WMD Action Plan;
III-64
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD SAFETY OFFICER
OPERATIONAL CHECKLIS T (CONTINUED)
On-site Operations (Continued)
[ ]
Ensure a proper rehabilitation area is set up;
[ ]
Ensure that adequate lighting is provided to the BoO and the Area of Operations;
[ ]
Monitor operations to determine safe practices are being used such as:
§
PPE;
§
Proper lifting techniques;
§
Escape routes identified and made safe;
§
Equipment used properly and in good working condition;
§
Ample consumption of water;
§
Proper communications within the chain of command; and
§
Appropriate temperature and noise levels.
[ ]
Monitor the BoO for safety considerations, including the location, feeding
requirements, water, and sanitation;
[ ]
Ensure that injury and illness data is obtained and that appropriate Workers'
Compensation forms are completed;
[ ]
Analyze injury and illness data to note any trends or areas of concern;
[ ]
Coordinate with the MST to ensure that adequate security is maintained at the
BoO and Area of Operations;
[ ]
Confer with the Section Chiefs to identify unsafe locations and hazards;
[ ]
Evaluate the assigned resources to complete the assignment; and
[ ]
Submit daily summary reports and appropriate forms to the
Administrative/Planning Section Chief.
Deactivation
[ ]
Ensure that any necessary EISS management needs for Team members have
been arranged;
[ ]
Ensure equipment is decontaminated, disassembled, and loaded in a safe
manner; and
[ ]
Ensure all records and reports are completed and submitted to the NMRT/WMD
Team Leader.
III-65
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD LIAISON OFFICER
OPERATIONAL CHECKLIS T
Upon Activation
[ ]
Participate in the initial management planning meeting with NMRT/WMD Team
Leader; and
[ ]
Obtain as much information as possible on location of incident, type and number
of local public safety resources, emergency response command structure from
OEP/EOC, MST, and other resources if available.
On-Site
[ ]
Establish contact with local Incident Command personnel. Provide information on
Team capabilities, required resources, etc.;
[ ]
Participate in Team strategic planning sessions with the NMRT/WMD Team
Leader and Operations Section Chief. Develop list of necessary local resources;
[ ]
Coordinate operations with local effort;
[ ]
Obtain resources from local Incident Command personnel, including water supply
for decon activities; and
[ ]
Ensure availability of NMRT/WMD or local EMS service for injured Team
members as well as hand-off for decontaminated patients.
Deactivation
[ ]
Ensure return of all local resources acquired during operations; and
[ ]
Exchange information with local Incident Commander on incident operations for
use in Team AAR.
III-66
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
E.
May 1999
OPERATIONAL CHECKLISTS
2.
Operations
Mission operational checklists have been developed for the following positions:
§
Operations Section Chief;
§
Medical Group Supervisor;
§
Nurse;
§
Medical Triage Specialist;
§
ALS Specialist;
§
BLS Specialist;
§
Non-Ambulatory Decon Group Supervisor;
§
Non-Ambulatory Decon Specialist;
§
Non-Ambulatory Monitoring Specialist;
§
Ambulatory Decon Group Supervisor;
§
Ambulatory Triage Specialist;
§
Ambulatory Monitoring Specialist;
§
Rapid Response Group Supervisor;
§
Entry Safety Specialist; and
§
Rapid Response Specialist.
III-67
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD OPERATIONS SECTION CHIEF
OPERATIONAL CHECKLIS T
Upon Activation
[ ]
Participate in initial Team planning meeting with NMRT/WMD Team Leader;
[ ]
Address medical needs and requirements of Team based on information
obtained on the incident;
[ ]
Setup and staff a Medical Check-In station to fully assess the fitness of deploying
Team personnel. Complete relevant documentation;
[ ]
Meet with assigned personnel to determine if they are personally prepared and
adequately equipped to perform their assignment;
[ ]
Ensure that assigned personnel are adequately briefed on and understand:
§
Individual and Team performance expectations;
§
Team problem-solving processes; and
§
Methods for establishing and changing Team priorities.
[ ]
Ensure appropriate medical coverage for any acute Team medical emergencies
is maintained during mobilization and deployment;
[ ]
Consider contacting the Centers for Disease Control and Prevention (CDC) for
medical care consultation, decon methods, and medical interventions; and
[ ]
In conjunction with the Logistics Section Chief, identify and initiate any outside
logistical requirements necessary for the Team to deploy personnel and
equipment.
On-site Operations
[ ]
In conjunction with the NMRT/WMD Team Leader, establish and supervise setup
of Area of Operation including Decon, Medical, and Support Zones. Divide area
by functional operation. Consider:
§
Proximity to incident;
§
Proximity to local incident command post;
§
Available shelter;
§
Communications; and
§
Safety and security.
[ ]
Make medical decision on go/no go for Team members based on vital signs and
other indicators;
[ ]
In conjunction with MST Operations Section Chief, develop plan to engage Team
personnel into local emergency operations;
III-68
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD OPERATIONS SECTION CHIEF
OPERATIONAL CHECKLIS T (CONTINUED)
On-site Operations (Continued)
[ ]
Assist in and oversee the following:
§
Unloading medical supplies;
§
Setting-up medical treatment areas and shower facilities;
§
Identifying toxic substance;
§
Assessing possible toxic problems;
§
Receiving patients, triage, and provide direction to decon personnel;
§
Reassessing patient treatment in hot zone; and
§
Ensuring proper disposition of patients.
[ ]
Ensure patient-tracking system to account for all patients treated by Team;
[ ]
Establish liaison with MST Medical Officer;
[ ]
Provide license verification to MST for appropriate medical personnel;
[ ]
Participate in briefing by MST and local officials to establish medical/EMS liaison.
Obtain pertinent medical and health information;
[ ]
Perform a general needs assessment and locate available resources. Convey
any information to the NMRT/WMD Team Leader indicating the need for
additional resources or specialized medical capabilities;
[ ]
Begin overall assessment process to determine:
§
Type of PPE required;
§
Tactical HazMat operations to employee;
§
Functional requirements and immediate needs;
§
Work schedules for extended operations;
§
Rest and rotation periods for Operations Section personnel;
§
Adequacy of support facilities; and
§
Evaluate general sanitation issues (i.e., potable water, toilets, food prep,
etc.).
[ ]
Provide systematic approach to victim processing, including sufficient space for
ambulatory and non-ambulatory care. Setup area to ensure:
§
Equipment cache setup;
§
Sanitation facilities;
§
Rehabilitation area;
§
Patient flow moves smoothly and adequately for space available;
§
Accountability and security of all patient personal effects; and
§
Patient disposition to other facilities, etc. is done systematically and with
proper records of transfers and personnel effects.
III-69
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD OPERATIONS SECTION CHIEF
OPERATIONAL CHECKLIS T (CONTINUED)
On-site Operations (Continued)
[ ]
Continually evaluate the Operations Section for effectiveness and modify as
appropriate. This should include:
§
Appropriateness and effectiveness of decon and medical care provided;
§
Assessment of equipment shortages, needs, and implications to
effectiveness;
§
Input to the Safety Officer to ensure that the health and welfare needs of
Team members are addressed, including hydration, sanitation, nutrition,
and mental health;
§
Assessment of fatigue in Team members;
§
Assessment of signs of EISS in Team members; and
§
Monitor on-site coordination with other functions within the Team, other
HazMat teams, DMAT, DMORT, local health care providers, etc.
[ ]
Evaluate the capability of assigned resources to complete the assignment;
[ ]
Resolve any coordination, communications, or personnel issues within the
Operations Section;
[ ]
Provide the NMRT/WMD Team Leader with periodic progress reports that
identify accomplishments or potential conflicts;
[ ]
Participate in development of the NMRT/WMD Action Plan;
[ ]
Keep Logistics Section Chief apprised of supply deficiencies and/or equipment
malfunctions;
[ ]
Submit summary reports and appropriate forms to the Administrative/Planning
Section Chief; and
[ ]
Provide NMRT/WMD Team Leader with regular situation status, including
numbers of patients, care provided, and patient disposition.
Deactivation
[ ]
Review the current status of the Section’s operational readiness and personal
fitness and provide the NMRT/WMD Team Leader with a recommendation on
reassignment or demobilization;
[ ]
Provide input into the Demobilization Plan on length of time to clear patients from
the site;
[ ]
Ensure all Operations Section equipment is returned to the Logistics Section;
[ ]
Coordinate appropriate follow up care for any Team members treated by the
Operations Section;
[ ]
Notify the Logistics Section of any operational equipment loss and potential
maintenance requirements of tools and equipment assigned to the Operations
Section; and
[ ]
Ensure all Section performance evaluations are completed.
III-70
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD MEDICAL GROUP SUPERVISOR
OPERATIONAL CHECKLIS T
Upon Activation
[ ]
Gather as much information as possible from local sources concerning the
disaster and the potential medical mission of Team;
[ ]
Setup and staff a Medical Check-In station to fully assess the fitness of deploying
Team personnel. Complete relevant documentation; and
[ ]
Resolve any issues with NMRT/WMD Team Leader concerning Team personnel
deploying with medical concerns.
On-site Operations
[ ]
Establish liaison with MST Medical Officer;
[ ]
Setup the medical treatment in Medical Zone. Provide systematic approach to
care, including sufficient space for triage and treatment area;
[ ]
Develop and implement a medical action plan;
[ ]
Position in the Support Zone;
[ ]
Stockpile stretchers near the receiving area;
[ ]
Supervise triage of patients on entry;
[ ]
Assist in the diagnosis of patient injury or illness;
[ ]
Perform medical treatment as needed to care for patients;
[ ]
Ensure patient flow moves smoothly and adequately for space available;
[ ]
Maintain patient-tracking system to account for all patients treated by Team, if
possible;
[ ]
Maintain accountability and security of patient records, as applicable;
[ ]
Ensure patient disposition to DMAT or other facilities, etc. is done systematically
and with proper transfer of records; and
[ ]
Provide regular status reports to the Operations Section Chief on patient
numbers, care provided, etc.
Deactivation
[ ]
Follow up on injured/ill Team members medical treatment as necessary; and
[ ]
Ensure any patient records are completed and submitted to the Operations
Section Chief.
III-71
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD NURSE
OPERATIONAL CHECKLIS T
Upon Activation
[ ]
Secure drug supply if no pharmacist is available through existing Team
procedures;
[ ]
Maintain temperature control of any medication that requires temperature control;
and
[ ]
Assist in loading and transporting equipment cache.
On-site Operations
[ ]
Position in the Medical Zone;
[ ]
Take and record vital signs of all HazMat personnel in the morning and make the
Medical Group Supervisor aware of any problems;
[ ]
Assist personnel with dressing and taping of PPE in dressing area;
[ ]
Dress in Level C or D, as advised by the Operations Section Chief;
[ ]
Assist with transition of patients from Decon Zone to Medical Zone or local EMS
personnel;
[ ]
Take vital signs of HazMat personnel after removing suits and assist with
hydration;
[ ]
Report any problems with Rapid Response Specialist's vital signs or condition to
physician; and
[ ]
Maintain care and records of sick or injured Team members.
Deactivation
[ ]
Oversee the disposition of contaminated medical materials after incident;
[ ]
Ensure all equipment is cleaned and returned to the equipment cache;
[ ]
Assist with the disassembly of Medical Unit and accountability of physical
resources; and
[ ]
Ensure all records and documentation are completed and submitted to the
Operations Section Chief.
III-72
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD MEDICAL TRIAGE SPECIALIST
OPERATIONAL CHECKLIS T
Upon Activation
[ ]
Secure drug supply if no pharmacist is available;
[ ]
Maintain temperature control of any medications that require it; and
[ ]
Assist in loading and transporting equipment cache.
On-site Operations
[ ]
Assist with the unloading of medical equipment;
[ ]
Position in the Medical Zone;
[ ]
Supervise triage of patients on entry to the Medical Zone;
[ ]
Assist in the diagnoses of patient injury or illness; and
[ ]
Perform medical treatment as needed to care for patients.
Deactivation
[ ]
Ensure all records and documentation are completed and submitted to the
Operations Section Chief.
III-73
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD ALS SPECIALIST
OPERATIONAL CHECKLIS T
Upon Activation
[ ]
Assist in loading and transporting equipment cache.
On-site Operations
[ ]
Assist with the unloading of medical equipment;
[ ]
Setup the medical treatment area. Provide systematic approach to care,
including sufficient space for triage and treatment area;
[ ]
Position in the Medical Zone;
[ ]
Assist in the diagnosis of patient injury or illness;
[ ]
Perform medical treatment as needed to care for patients; and
[ ]
Direct patients to follow up area after completion of medical treatment.
Deactivation
[ ]
Ensure all records and documentation are completed and submitted to the
Operations Section Chief.
III-74
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD BLS SPECIALIST
OPERATIONAL CHECKLIS T
Upon Activation
[ ]
Assist in loading and transporting equipment cache.
On-site Operations
[ ]
Assist with the unloading of medical equipment;
[ ]
Setup the medical treatment area;
[ ]
Position in the Medical Zone;
[ ]
Assist in the diagnoses of patient injury or illness;
[ ]
Perform medical treatment as needed to care for patients; and
[ ]
Direct patients to follow up area after completion of medical treatment.
Deactivation
[ ]
Ensure all records and documentation are completed and submitted to the
Operations Section Chief.
III-75
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD NON-AMBULATORY DECON GROUP SUPERVISOR
OPERATIONAL CHECKLIS T
Upon Activation
[ ]
Assist in loading and transporting equipment cache.
On-site Operations
[ ]
Setup non-ambulatory decon. Provide systematic approach to care, including
sufficient space for triage and treatment area;
[ ]
Position in the Support Zone;
[ ]
Ensure patient flow moves smoothly and adequately for space available;
[ ]
Provide regular status reports to the Operations Section Chief on patient
numbers, care provided, etc.; and
[ ]
Assist in moving patients to follow up area after completion of decon.
Deactivation
[ ]
See General Operational Checklist.
III-76
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD NON-AMBULATORY DECON SPECIALIST
OPERATIONAL CHECKLIS T
Upon Activation
[ ]
Gather as much information as possible on the incident and any NBC agents;
and
[ ]
Assist in loading and transporting the equipment cache.
On-site Operations
[ ]
Assist in unloading the decon equipment;
[ ]
Setup decon tents;
[ ]
Set up bleach sprayer for decon process;
[ ]
Set up stretcher stands in an appropriate manner;
[ ]
Setup equipment necessary for cutting off and bagging clothing, sharps
containers, Mark 1s, etc.;
[ ]
Dress in appropriate level of PPE, at the direction of the Non-Ambulatory Group
Supervisor, and report to Decon Zone to receive victims;
[ ]
Provide decon as necessary to patients delivered to the decon area;
[ ]
Maintain proper flow of victims through the decon process;
[ ]
Transfer patients to Decon/Medical Zone line;
[ ]
Decontaminate litters prior to reuse in the Non-Ambulatory Decon Zone; and
[ ]
Notify Logistics Section if further supplies are required.
Deactivation
[ ]
Ensure proper decon of all equipment prior to repacking.
III-77
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD NON-AMBULATORY MONITORING SPECIALIST
OPERATIONAL CHECKLIS T
Upon Activation
[ ]
Gather as much information as possible on the incident and any NBC agents;
and
[ ]
Assist in loading and transporting the equipment cache.
On-site Operations
[ ]
Assist in unloading the decon equipment;
[ ]
Setup decon tents;
[ ]
Set up bleach sprayer for decon process;
[ ]
Set up stretcher stands in an appropriate manner;
[ ]
Setup equipment necessary for cutting off and bagging clothing, sharps
containers, Mark 1s, etc.;
[ ]
Dress in Level B or C at the direction of the Non-Ambulatory Group Supervisor
and report to Decon Zone;
[ ]
Monitor decontaminated victims with appropriate devices for any residual
contamination; and
[ ]
Notify Non-Ambulatory Decon Specialist if contamination is detected.
Deactivation
[ ]
Ensure proper decon of all equipment prior to re-packing.
III-78
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD AMBULATORY DECON GROUP SUPERVISOR
OPERATIONAL CHECKLIS T
Upon Activation
[ ]
Gather as much information as possible on the incident and any NBC agents
involved; and
[ ]
Assist in loading and transporting the equipment cache.
On-site Operations
[ ]
Assist in unloading the decon equipment;
[ ]
Set up shower assembly with water flowing;
[ ]
Dress in Level C PPE;
[ ]
As ambulatory patients arrive, instruct them on how to remove and bag clothing,
decon themselves, and redress;
[ ]
Notify Rapid Response Specialist of any victim requiring assistance in the
shower;
[ ]
Maintain proper flow of victims through the decon process; and
[ ]
Notify Logistics Section if further supplies are required.
Deactivation
[ ]
Ensure proper decon of all equipment prior to re-packing.
III-79
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD AM BULATORY TRIAGE SPECIALIST
OPERATIONAL CHECKLIS T
Upon Activation
[ ]
Assist in loading and transporting equipment cache.
On-site Operations
[ ]
Dress in Level C protective clothing;
[ ]
Assist with the unloading of medical equipment;
[ ]
Supervise triage of patients on entry to the Medical Zone;
[ ]
Assist in the diagnoses of patient injury or illness; and
[ ]
Perform medical treatment as needed to care for patients.
Deactivation
[ ]
Assist with the disassembly of medical equipment and accountability of physical
resources;
[ ]
Return all medical equipment to the Logistics Section; and
[ ]
Ensure all records and documentation are completed and submitted to the
Operations Section Chief.
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD AMBULATORY MONITORING SPECIALIST
OPERATIONAL CHECKLIST
Upon Activation
[ ]
Gather as much information as possible on the incident and any NBC agents;
and
[ ]
Assist in loading and transporting the equipment cache.
On-site Operations
[ ]
Assist in unloading the decon equipment;
[ ]
Setup decon tents;
[ ]
Set up bleach sprayer for decon process;
[ ]
Set up stretcher stands in an appropriate manner;
[ ]
Setup equipment necessary for cutting off and bagging clothing, sharps
containers, Mark 1s, etc.;
[ ]
Dress in Level C and report to Medical Zone;
[ ]
Monitor decontaminated patients with appropriate devices for any residual
contamination;
[ ]
Return patient to decon process if contamination is detected; and
[ ]
Notify Rapid Response Specialist for patients who require assistance during
decon process.
Deactivation
[ ]
Ensure proper decon of all equipment prior to re-packing.
III-81
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD RAPID RESPONSE GROUP SUPERVISOR
OPERATIONAL CHECKLIS T
Upon Activation
[ ]
Gather as much information as possible on the incident and any NBC agents
involved.
On-site Operations
[ ]
Ensure the zones for the contaminated areas of the incident are clearly defined
and marked;
[ ]
Provide final briefing to Rapid Response Specialists;
[ ]
Dress in Level A protective clothing;
[ ]
Locate in the Decon Zone;
[ ]
Receive victims from the contaminated area;
[ ]
Ensure entry and exit vital signs are recorded;
[ ]
Oversee the entry and operations of the Rapid Response Specialists;
[ ]
Perform quick assessment and assist carrying non-ambulatory patients on litters
to the non-ambulatory decon area or holding area; and
[ ]
Perform chemical monitoring and environmental sampling in the contaminated
area as requested.
Deactivation
[ ]
Ensure proper decon of all equipment prior to re-packing; and
[ ]
Assists with the proper disposal of contaminated materials and equipment that
cannot be decontaminated.
III-82
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD ENTRY SAFETY SPECIALIST
OPERATIONAL CHECKLIS T
Upon Activation
[ ]
Gather as much information as possible on the incident and any NBC agents and
ensure proper PPE and decon safety equipment is available; and
[ ]
Activate the personnel accountability system.
On-site Operations
[ ]
Dress in Level C protective clothing;
[ ]
Locate in the Support Zone;
[ ]
Oversee the Decon Zone at all times for safety and general procedures;
[ ]
Assist with research on PPE and treatment when dealing with a commercial
product;
[ ]
Notify the Rapid Response Group Supervisor when any area under his/her
control needs to be changed for safety reasons;
[ ]
Prepare list of personnel with Social Security Numbers. Maintain extra lists for
fire department;
[ ]
Insure that pre-entry vital signs have been taken and recorded on proper forms;
[ ]
Determine go/no go decisions on whether responders dress out based on vital
signs with Rapid Response Group Supervisor;
[ ]
Oversee personnel donning of PPE. Inspect protective gear of each responder
prior to leaving dressing zone;
[ ]
Track entry and airtime of personnel entering contaminated area and forward to
Safety Officer. If possible, track time of set up, first and last victim removed;
[ ]
Continuously monitor Rapid Response Specialists for any signs of distress; and
[ ]
Monitor Team members returning to Support Zone at completion of decon duties.
Monitor vital signs of all members after incident.
Deactivation
[ ]
Ensure all contaminated equipment is decontaminated;
[ ]
Monitor safety of decon operations disassembly and repacking; and
[ ]
Ensure all entry records are maintained and forwarded to the Rapid Response
Group Supervisor.
III-83
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD RAPID RESPONSE SPECIALIST
OPERATIONAL CHECKLIS T
Upon Activation
[ ]
Gather as much information as possible on the incident and any NBC agents
involved.
On-site Operations
[ ]
Ensure personal readiness through proper hydration and food intake;
[ ]
Dress in Level A PPE;
[ ]
Receive pre-entry briefing from Rapid Response Group Supervisor on
procedures to be followed, evacuation signals, etc.;
[ ]
Receive final safety check;
[ ]
At the direction of the Rapid Response Group Supervisor enter the Decon Zone;
[ ]
Receive patients from staging area;
[ ]
Provide medical triage to victims in the Decon Zone;
[ ]
Treat or assist any downed emergency response personnel in the Decon Zone;
[ ]
Direct ambulatory patients to the correct area of the decon operation;
[ ]
Cut clothing from contaminated non-ambulatory victims and continue
assessment of medical condition;
[ ]
Provide critical medical interventions as necessary (i.e., medications or airway
assistance in the form of Bag Valve Mask (BVM) or intubation;
[ ]
Move patients to next decon shower;
[ ]
Maintain medical monitoring of patient and continue critical medical care;
[ ]
Provide Rapid Response Group Supervisor with regular status reports of
objectives, accomplished, problems encountered, etc.;
[ ]
Perform quick assessment and assist carrying non-ambulatory patients on litters
to the non-ambulatory decon area or holding area;
[ ]
Perform chemical monitoring and environmental sampling in the Hot Zone as
directed; and
[ ]
Complete post-entry medical surveillance.
Deactivation
[ ]
Ensure proper decon of all equipment prior to re-packing.
III-84
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
E.
OPERATIONAL CHECKLISTS
3.
Logistics
Mission operational checklists have been developed for the following positions on
the NMRT/WMD:
§
Logistics Section Chief;
§
Facilities Unit Leader;
§
Equipment Cache Manager; and
§
Communications Specialist.
III-85
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD LOGISTICS SECTION CHIEF
OPERATIONAL CHECKLIS T
Upon Activation
[ ]
Assess the readiness of vehicles and equipment cache for immediate
deployment. Forward assessment of findings to NMRT/WMD Team Leader;
[ ]
Address any critical cache shortfalls if possible;
[ ]
Preplan obtaining any equipment/supply needs not already in cache;
[ ]
Participate in the initial management planning meeting with NMRT/WMD Team
Leader;
[ ]
Obtain expendable items for cache using established procedures;
[ ]
Supervise the transportation of equipment cache on vehicles from home base to
POD or disaster site, as appropriate, in coordination with the civilian airport
authorities, military Equipment Cache Manager, and cargo handlers. Obtain and
maintain copies of all manifests;
[ ]
Obtain completed DoD Flight Manifest Form from the Administrative/Planning
Section Chief and provide to aircraft Loadmaster, if appropriate;
[ ]
Meet with assigned personnel to determine if they are personally prepared and
adequately equipped to perform their assignment;
[ ]
Ensure that assigned personnel are adequately briefed on and understand:
§
Individual and Team performance expectations;
§
Team problem-solving processes; and
§
Methods for establishing and changing Team priorities.
[ ]
Drive vehicles as required.
On-site Operations
[ ]
Supervise the off loading of equipment cache from the transport vehicles;
[ ]
Assess and determine the availability of resources for identified logistical
requirements in conjunction the appropriate officials at the Mob. Center or the
Area of Operations;
[ ]
Coordinate with the NMRT/WMD Team Leader and local Incident Command
personnel the most appropriate site for NMRT/WMD operations;
[ ]
Establish the equipment cache staging to include:
§
Ensuring appropriate environmental protection of supplies and equipment;
§
Coordinating the appropriation of expendable support items, i.e., fuels,
and medical oxygen;
§
Providing security for the equipment and medical cache;
§
Coordinating with Operations Section Chief for security and accountability
of controlled medical drugs;
§
Establishing work area for maintenance and repair; and
§
Providing support as necessary for on-site equipment needs.
III-86
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD LOGISTICS SECTION CHIEF
OPERATIONAL CHECKLIS T (CONTINUED)
On-site Operations (Continued)
[ ]
Setup for decon procedures:
§
Mix initial batch of bleach as instructed on mixing bottle for decon use;
§
Assist with suiting and taping;
§
Erect tarp for sunscreen in dressing area, if necessary;
§
Provide Gatorade, water, and ice to Team members as necessary; and
§
Provide additional supplies to Decon and Medical Zones as requested.
[ ]
Begin overall assessment process to determine:
§
Functional requirements and immediate needs;
§
Work schedules for extended operations;
§
Rest and rotation periods for Logistics Section personnel;
§
Adequacy of support facilities; and
§
Evaluate general sanitation issues (i.e., potable water, toilets, food prep,
etc.)
[ ]
Continually evaluate Logistics Section for effectiveness and modify as
appropriate. This should include:
§
Appropriateness and effectiveness of resupply;
§
Assessment of equipment shortages, needs, and implications to
effectiveness;
§
Input to the Safety Officer to ensure that the health and welfare needs of
Team members are addressed, including hydration, sanitation, and
nutrition;
§
Assessment of fatigue in Team members;
§
Assessment of signs of EISS in Team members; and
§
Monitor on-site coordination with other functions within the Team, other
HazMat teams, DMATs, etc.
[ ]
Resolve any coordination, communications, or personnel issues within the
Logistics Section;
[ ]
Provide the NMRT/WMD Team Leader with periodic progress reports that
identify accomplishments or potential conflicts;
[ ]
Keep NMRT/WMD Team Leader apprised of supply deficiencies and/or
equipment malfunctions;
[ ]
Participate in the development of the NMRT/WMD Action Plan;
[ ]
Evaluate the capability of assigned resources to complete the assignment; and
[ ]
Submit summary reports and appropriate forms to the Administrative/Planning
Section Chief.
III-87
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD LOGISTICS SECTION CHIEF
OPERATIONAL CHECKLIS T (CONTINUED)
Deactivation
[ ]
Review the current status of the Section’s operational readiness and personal
fitness and provide the NMRT/WMD Team Leader with a recommendation on
reassignment or demobilization;
[ ]
Supervise the breakdown and policing of the Area of Operations;
[ ]
Ensure that all accountable cache items are decontaminated, returned and
usage of expendable supplies is documented;
[ ]
Ensure that the NMRT/WMD cache is inventoried and reloaded for movement to
home base;
[ ]
Supervise the packaging, loading, and movement of the vehicles and cache;
[ ]
Track and maintain a listing of the losses or potential maintenance requirements
of all supplies, pharmaceuticals, and equipment;
[ ]
Recommend to the NMRT/WMD Team Leader cache rehabilitation requirements
after demobilization;
[ ]
Prepare justification statement covering damaged, destroyed, lost, and stolen
property and complete appropriate forms;
[ ]
Complete performance evaluations for Logistics Section personnel;
[ ]
Dissemble entire cache at home base for inventorying, cleaning,
disinfecting/decontaminating, and maintenance of all items;
[ ]
Re-order necessary items to maintain cache in readiness; and
[ ]
Reload cache on vehicles in preparation for next mission.
III-88
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD FACILITIES UNIT LEADER
OPERATIONAL CHECKLIS T
Upon Activation
[ ]
Assist with assessment of the status of the NMRT/WMD equipment cache and
vehicles for immediate deployment. Address any critical shortfalls immediately;
and
[ ]
Assist the Equipment Cache Manager in driving transport vehicles.
On-site Operations
[ ]
Assist the Equipment Cache Manager in unloading the transport vehicles;
[ ]
Assist in the setup of the NMRT/WMD equipment cache in an area determined
by the Logistics Section Chief;
[ ]
Setup tents;
[ ]
Dress out in Level C or D PPE and provide supplies as requested;
[ ]
Coordinate with the Liaison Officer to determine available water resources (i.e.,
fire apparatus, fire hydrants, building facets, etc.) for use in decon operations;
[ ]
Setup water supply to decon operations;
[ ]
Setup water run off system to collect contaminated decon water;
[ ]
Charge water supply system at order of the Operations Section Chief;
[ ]
Relieve or assist in the Medical Zone with patient movement, as necessary;
[ ]
Relieve in the Decon Zone, as necessary; and
[ ]
Assist the Equipment Cache Manager and Logistics Section Chief in
maintenance of inventory controls, upon deployment, during the mission and
post-mission.
Deactivation
[ ]
Notify Logistics Section Chief of the loss or potential maintenance requirements
of any assigned tools and equipment;
[ ]
Disassemble water supply equipment;
[ ]
Assist the Logistics Section Chief in the accountability of the returned equipment
to the cache;
[ ]
Assist in re-loading the equipment cache for transportation to the home base;
[ ]
Assist in the complete inventory of supplies and equipment;
[ ]
Resupply cache where necessary to complete return to readiness status; and
[ ]
Assist the Logistics Section Chief in preparing justification statements covering
damaged, destroyed, lost or stolen property.
III-89
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD EQUIPMENT CACHE MANAGER
OPERATIONAL CHECKLIS T
Upon Activation
[ ]
Assist the Logistics Section Chief in preparing the equipment cache for
transportation;
[ ]
Oversee the proper loading of the transportation vehicles in the correct sequence
so that priority equipment can be unloaded first; and
[ ]
Drive transport vehicle as necessary.
On-Site Operations
[ ]
Determine if the operation will be rolling unload or reverse/stationary unload.
If rolling unload, oversee the correct unloading of the vehicle in the proper
sequence for decon setup:
§
Unload Clorox sprayer and bulk supplies;
§
Unload medical supplies and equipment;
§
Unload equipment for dressing area and run Oxygen hose to multi-port
flowmeter; and
§
Dress in Level C or D PPE and report to Medical Zone.
or
If reverse/stationary unload, oversee the correct unloading of the vehicle in the
proper sequence for decon setup:
§
At stop point, ensure all boxes are unloaded in the chronological order as
marked;
§
Place sprayer and supply of Clorox on the non-ambulatory side of the
Decon Zone;
§
Unload medical supplies and equipment in the non-ambulatory side of the
Decon Zone;
§
Unload command and resource boxes in the green zone;
§
Unload oxygen hose with multi-port flowmeter and extend to nonambulatory side of the line to Medical Zone; and
§
Dress in level C or D and report to the Medical Zone.
Deactivation
[ ]
Inventory all supplies and provide report to Logistics Section Chief; and
[ ]
Repack units for transportation to home base.
III-90
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD COMMUNICATIONS UNIT LEADER
OPERATIONAL CHECKLIS T
Upon Activation
[ ]
Perform an assessment of the communications equipment for immediate
deployment. Address any critical shortfalls;
[ ]
Setup communications for home base during Team assembly;
[ ]
Activate cellular telephones and pagers, if applicable;
[ ]
Ensure that communication system is in place to facilitate movement from the
home base to the POD or the disaster site;
[ ]
Issue communications radio equipment to appropriate Team members:
Identify the assigned frequencies;
§
Brief members on accountability, use, and care;
§
Ensure personnel are aware of the prohibition of the use of radios while on
the aircraft; and
§
Program radios as needed.
[ ]
Gather available information on communications capabilities including assigned
frequencies in disaster area. Implement a communications equipment checkin/check-out accountability process;
[ ]
Provide communications link between the NMRT/WMD Team Leader and the
OEP/EOC;
[ ]
Discuss the formulation of the NMRT/WMD Communications Plan with the
Logistics Section Chief and the NMRT/WMD Team Leader; and
[ ]
Assist in the off-loading and security of communications cache.
On-site Operations
[ ]
Meet with the MST Communications Unit Leader and coordinate procedures;
[ ]
Select and setup NMRT/WMD Communications Center within the BoO in an area
suitable for maintaining good quality communications;
[ ]
Setup communications systems for Team operations to ensure that any deployed
assets outside the Area of Operations or BoO have reliable communications with
the NMRT/WMD Communications Center;
[ ]
Develop communications procedures for use during medical emergencies;
[ ]
Assess local surviving communication infrastructure including telephone, cell
system, local radio, and paging systems;
[ ]
Brief Team personnel on the communications plan;
[ ]
Provide security and environmental protection for communication equipment and
supplies;
[ ]
Establish priority use for satellite communication system, if applicable. Monitor
use of system and ensure logbook is maintained;
III-91
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD COMMUNICATIONS UNIT LEADER
OPERATIONAL CHECKLIS T (CONTINUED)
On-site Operations (Continued)
[ ]
Identify other communications systems that could enhance operations (i.e.,
amateur radio, Civil Air Patrol, air reconnaissance, etc.);
[ ]
Assess the need for additional power resources needed to support the
communication system and coordinate with Logistics Section Chief;
[ ]
Coordinate with Logistics Section to ensure continuous fuel supply for
generators;
[ ]
Monitor electrical and battery supply status and reorder as needed;
[ ]
Review the NMRT/WMD Action Plan and advise on capability to provide
appropriate communications as needed for each operational period;
[ ]
Anticipate requirements and evaluate the communications system effectiveness.
Modify to meet changing operational needs;
[ ]
Contact the MST Communications Unit Leader for additional frequencies, if
required;
[ ]
Monitor Team communications for compliance with established procedures;
[ ]
Maintain equipment as required;
[ ]
Tag and list defective equipment for follow up repair;
[ ]
Provide for safe disposal of batteries (i.e., HazMat, etc.); and
[ ]
Keep the Logistics Section Chief apprised of any supply deficiencies or
equipment malfunctions.
Deactivation
[ ]
Ensure that all assigned communications equipment is returned, inventoried, and
repackaged for transport;
[ ]
Notify Logistics Section Chief of the loss or potential maintenance requirements
of any assigned tools and equipment;
[ ]
Prepare justification statement covering damaged, destroyed, lost, and stolen
property;
[ ]
Ensure log books for satellite telephones are updated and current;
[ ]
Upon return to the home base, deactivate cellular telephones and pagers, if
necessary; and
[ ]
Ensure the communication cache is returned to an operational state of readiness
as soon as possible.
III-92
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
E.
OPERATIONAL CHECKLISTS
4.
Administrative/Planning
Mission operational checklists have been developed for the following positions on
the NMRT/WMD:
§
Administrative/Planning Section Chief.
III-93
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD ADMINISTRAT IVE/PLANNING SECTION CHIEF
OPERATIONAL CHECKLIS T
Upon Activation
[ ]
Initiate the Team Action Planning process;
[ ]
If possible, determine site conditions, agent(s) involved, magnitude, and
necessary resource requirements. These information items may be
channeled through the OEP/EOC, as it becomes operational;
[ ]
Collect any detailed information about the incident location including maps
of the affected area;
[ ]
Gather any incident information available as to the current situation,
ground transportation plan, SITREPs, etc.;
[ ]
Coordinate with NMRT/WMD Team Leader for the location and time of the
initial briefing. Notify the appropriate Team management personnel;
[ ]
Participate in initial Team management planning meeting with
NMRT/WMD Team Leader;
[ ]
Initiate the financial tracking system for any financial expenditures that
may result from the mission if the Team is activated;
[ ]
Coordinate with the NMRT/WMD Team Leader for the location and time of
the briefing of all Team personnel. Notify Team management personnel;
[ ]
Provide notification to OEP of Team activation, with names, Social
Security Numbers, and position of deploying Team members. This
information should be sent by e-mail ([email protected]) or by fax if
no e-mail (800-872-5945) ATTENTION NDMS Personnel Officer. Forward
completed Standard Form 61 or OF 306 to OEP by overnight mail;
[ ]
Check computer formats and templates, make corrections and begin
entering basic incident data;
[ ]
Complete the DoD Flight Manifest Form if appropriate and forward to the
Logistics Section Chief:
§
Names and Social Security Numbers required; and
§
Identify NMRT/WMD Team Leader on the manifest.
[ ]
Identify meal requirements for personnel during flight (i.e., box lunches or
hot meals);
[ ]
Assist the NMRT/WMD Team Leader with administrative issues, such as
notifications, travel arrangements, etc.;
III-94
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD ADMINISTRAT IVE/PLANNING SECTION CHIEF
OPERATIONAL CHECKLIST (CONTINUED)
Upon Activation (Continued)
[ ]
In conjunction with the Logistics Section Chief, identify and initiate any
outside logistical requirements necessary for the Team to deploy
personnel and equipment;
[ ]
Ensure organization and operation of the Team conforms to NDMS
guidelines;
[ ]
Plan for contingencies for the Team movement to the Mob. Center or
directly to the incident site;
[ ]
Prepare information for the NMRT/WMD Team Leader and Section Chiefs
briefings;
[ ]
Obtain updates on the POA/MOB Center;
[ ]
Obtain periodic updates on the latest disaster-related information;
[ ]
Set briefing times with the NMRT/WMD Team Leader allowing enough
time for information gathering and preparation of the needed reports; and
[ ]
Coordinate activities of the Administrative/Planning Section during the
mission.
On-site Operations
[ ]
Interact with the MST Planning Section Chief to determine the planning
cycle, information and required reporting times;
[ ]
Receive other Section Chief’s reports for inclusion in the Action Plan;
[ ]
Prepare the NMRT/WMD Action Plan for distribution at operational period
Team meetings;
[ ]
Begin overall assessment process to determine:
§
Functional requirements and immediate needs; and
§
Work schedules for extended operations.
[ ]
Facilitate planning meetings at regular intervals and develop planning and
reporting cycles;
[ ]
Coordinate with the assigned Section Chiefs to determine:
§
Work schedules for extended operations; and
§
Rest and rotation periods for personnel during operational periods.
[ ]
Establish methods of receiving data, weather information, etc.;
III-95
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD ADMINISTRAT IVE/PLANNING SECTION CHIEF
OPERATIONAL CHECKLIS T (CONTINUED)
On-site Operations (Continued)
[ ]
Continually evaluate the Administrative/Planning Section for effectiveness
and modify as appropriate. This should include:
§
Assessment of equipment shortages, needs, and implications to
effectiveness;
§
Assessment of signs of EISS in Team members;
§
Assessment of fatigue in Team members;
§
Effectiveness of the NMRT/WMD Action Plan; and
§
Compliance with SITREPs reporting times/dates to MST.
[ ]
Evaluate the capability of assigned resources to complete the assignment;
[ ]
Resolve any coordination, communications, or personnel issues within the
Administrative/Planning Section;
[ ]
Provide the NMRT/WMD Team Leader with periodic progress reports that
identify accomplishments or potential conflicts;
[ ]
In conjunction with the Safety Officer, ensure completion of appropriate
Workers' Compensation forms for treatment of Team member;
[ ]
Document the mission activities through reports, photographs, video
recordings, etc.;
[ ]
Evaluate the capability of assigned resources to complete the assignment;
[ ]
Submit reports and appropriate forms to the NMRT/WMD Team Leader;
[ ]
Prepare daily housing arrangements when necessary in coordination with
the MST;
[ ]
Estimate the mission length and initiate the Team demobilization planning;
[ ]
File all completed copies of Team reports such as the NMRT/WMD Action
Plans, MST Action Plans, and Unit Logs;
[ ]
Keep the Logistics Section Chief apprised of supply deficiencies and/or
equipment malfunctions; and
[ ]
Deliver requested reports to the MST.
III-96
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
NMRT/WMD ADMINISTRAT IVE/PLANNING SECTION CHIEF
OPERATIONAL CHECKLIST (CONTINUED)
Deactivation
[ ]
Review the current status of the Section’s operational readiness and
personal fitness and provide the NMRT/WMD Team Leader with a
recommendation on reassignment or demobilization;
[ ]
Coordinate with the NMRT/WMD Team Leader for a Team briefing on the
mission status and reassignment or demobilization considerations;
[ ]
Coordinate with the NMRT/WMD Team Leader on the dates and times of
reassignment or demobilization. Notify the Section Chiefs;
[ ]
Ensure that all appropriate paperwork concerning deployment, billeting,
payroll, and purchase orders be done in an appropriate fashion and
maintained;
[ ]
Ensure that all on-site and after action documentation is filled out and sent
to the appropriate authorities;
[ ]
Maintain timetable as specified in the NMRT/WMD Demobilization Plan;
[ ]
Ensure that all Administrative/Planning equipment is returned to the
Logistics Section;
[ ]
Ensure all financial and administrative records are intact and secure for
transportation to home base;
[ ]
Notify the Logistics Section of any operational equipment loss and
potential maintenance requirements of equipment assigned to the
Administrative/Planning Section;
[ ]
Prepare a comprehensive financial report listing all expenditures for the
purpose of requesting reimbursement for expenses from OEP. This should
include, but not limited to:
§
Transportation costs;
§
Personnel costs, including salaries and benefits; and
§
Lost, damaged or donated equipment, supplies, or
pharmaceuticals.
[ ]
Submit all records, photographs, and videocassettes to Medical Records
Specialist.
III-97
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
F.
TEAM EQUIPMENT AND INVENTORY
A mass casualty decon/medical team responding to a disaster cannot depend
upon the resources from the affected area for its logistics support; NMRT/WMDs
must therefore bring their own equipment and supplies with them. The
NMRT/WMD equipment cache should be sufficient to support the Team decon
and medical operations for the initial 12-hours with the exception of the water
necessary for decon purposes. Resupply items will be obtained through the MST.
Each NMRT/WMD must assemble and maintain its own equipment cache. The
cache should consist of supplies and equipment that is procured once and
reused repeatedly, as well as, supplies that are consumed in the course of
operations and require replacement. Additionally, there is the chance that some
or all of the cache could become contaminated during the incident and not be
recoverable. The recoverability of the cache will be determined by the MST.
The equipment cache must be compact, light in weight, economical and
adequate for the needs of the Team to support a medical/HazMat disaster
situation. Whenever possible, only supplies and equipment that are familiar to
Team personnel and used regularly be part of the cache. The equipment must be
rugged and functional in adverse environmental and operational conditions. All
purchased vehicles and equipment must include specifications, maintenance,
and operating manuals. Training for vehicle operation and specialized equipment
should be provided by the manufacturer or distributor. Refresher courses should
be scheduled at least yearly on essential equipment.
An equipment cache for a NMRT/WMD should meet the following requirements:
n
Have a weight and volume for ease of transport by Team vehicles that can
be loaded on military aircraft;
n
Provide austere equipment for all functions the Team is expected to
perform, including logistical functions required for limited self-sufficiency;
n
Arranged on the transport vehicles so that unloading can be done in a
minimal amount of time by driving the vehicles through the operational
zones and unloading the applicable equipment for each zone; and
n
Contain minimal perishable supplies to reduce inventory and rotation
costs.
III-98
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
F.
TEAM EQUIPMENT AND INVENTORY
1.
Equipment Packaging
All equipment should be packaged in an appropriate container, protected
from the elements. It should be functionally organized to meet the needs
of the Team and to facilitate rapid setup. NMRT/WMD equipment should
packaged and labeled by the operational zone that the container supports.
The following is a sample method for packaging the contents of the cache.
CONTAINER
NUMBER
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
ZONE
Decon
Decon
Medical
Medical
Medical
Medical
Medical
Medical
Medical
Medical
Medical
Medical
Decon
Medical
Medical
Medical
Medical
Medical
Medical
Medical
Medical
Medical
CONTENTS
Mark 1s/Airways
Decon Box
Chem Box
ABC Supplies
Respiratory Box
IV Supplies #1
IV Supplies #2
ACLS Box #1
ACLS Box #2
Trauma Box
Cyanide Box
Disposal Blankets
Face Shields and Goggles
Water Box
Blankets/Towels/Tyvek
Mark 1s and Airway for Tents
Blankets/Towels/Tyvek
Blankets
Thomas Packs
Resupply Chem Box
Mark 1s #1
Mark 1s #2
III-99
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
F.
TEAM EQUIPMENT AND INVENTORY
1.
Equipment Packaging (Continued)
CONTAINER
NUMBER
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
ZONE
Medical
Medical
Medical
Medical
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Figure 3-3
CONTENTS
Cyanide Kits
Trauma Resupply
Airway Resupply
Drug Resupply #1
Drug Resupply #2
Gloves
Suites A & B #1
Suites A & B #2
Level A Suits
Extra Tyvek Suits #1 (plastic box)
Extra Tyvek Suits #2 (plastic box)
Support Equipment
Shower Parts
Meals, Ready to Eat (MREs)
Gatorade
Radios
Detection Equipment
Powered Air Purifying Respirators (PAPR)
PAPR Filters
Cooling Vests
Cooling Vests
Equipment Packaging
III-100
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
F.
TEAM EQUIPMENT AND INVENTORY
2.
Equipment Maintenance
All equipment should be appropriately serviced and maintained in
operationally ready condition. Mechanical equipment should be checked
and operated on a regular basis as specified in the Team’s equipment
cache maintenance plan. Sterile equipment should be periodically reautoclaved and repacked after exercises. NMRT/WMDs should not obtain
or store perishable supplies in excess of needs for immediate response.
These supplies should be kept in a secure area such as the hospital
pharmacy, and rotated on a regular basis if not used. Other consumable
supplies should be obtained on activation.
3.
Equipment Storage
NMRT/WMDs responding to a disaster must move immediately in order to
begin the necessary functions of decon and medical care. The equipment
cache should be stored on vehicles in a secure and assessable, climatecontrolled environment. The storage site should be well protected against
the elements. The cache should be stored in a manner that allows for
immediate deployment with as little repackaging as possible. A vehicle
loading and storage diagram as well as a military aircraft load plan should
be kept at the storage site to facilitate locating and loading equipment
when needed.
III-101
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
F.
TEAM EQUIPMENT AND INVENTORY
4.
Personal Equipment
NMRT/WMD personnel should be prepared to respond to a mission within
4-6 hours of alert and up to 3-days or at least until initial disaster recovery
efforts have ensured adequate support for its operations. Since Team
members may not find adequate food, shelter, or water available initially at
the site, and the BoO may not become operational until well into the
response, Team members must bring personal food and water for the
initial 24-hours. Additionally, each member must have a personal gear kit
of no more than 50 lbs., sufficient to enable him/her to live and work in
austere conditions. This should include appropriate clothing for the
environment, personal hygiene items, medications, and protective items
such as sunscreen and insect repellent. It should be contained in one or
two personal water protective packs at most. It is advantageous to be able
to split the personal gear so that a small carrying pack bag of personal
necessities can remain with the member at all times, while the gear not
needed during transport or at the Area of Operations can be left at the
NMRT/WMD BoO or the lodging location.
III-102
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
F.
TEAM EQUIPMENT AND INVENTORY
4.
Personal Equipment (Continued)
The following is a suggested minimum inventory of personal gear and
equipment necessary for NMRT/WMD members to maintain appearance,
hygiene, and comfort for the duration of their assignment. This list may be
modified by OEP or Team management to fit the response. Team
members should adjust this minimum inventory based on the specific
requirements of the assignment.
§
Uniforms;
§
Under clothes;
§
Long underwear (medium weight, polypropylene);
§
Light Jacket;
§
Heavy Jacket (cold weather-type);
§
Heavy sweater;
§
Gloves (polypropylene, ski-type);
§
Rain gear (should be Gore-Tex-type);
§
Weather extreme clothing and equipment;
§
Personal safety clothing and equipment;
§
Photo ID and passport;
§
Towel and washcloth;
§
Personal grooming and hygiene kit;
§
Two sets of eyeglasses (if applicable);
§
Sunglasses;
§
Flashlight;
§
Watch;
§
Hearing protection earplugs (should meet American National
Standards Institute (ANSI) S3.9-1974);
§
Boots (should be steel toe/shank, water resistant);
§
Personal funds and credit cards;
§
Bottled water (32-64 oz.);
§
Small administrative kit for assigned position including critical
forms; and
§
Two-week supply of required personal prescription medications,
sunscreen, insect repellent, and applicable over-the-counter
medications.
III-103
May 1999
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
F.
TEAM EQUIPMENT AND INVENTORY
5.
Medical Supplies for Team Use
The Team should maintain medical equipment for use on Team members
in cases of acute illnesses or injuries. This may be carried by backpack or
other method, but must remain available throughout the mission, from the
time of mobilization until the return home. It should be packed in an
appropriate manner so that it is readily accessible at all times, including
during transport by aircraft or ground vehicles.
6.
NMRT/WMD Inventory List
The full inventory for a NMRT/WMD equipment cache showing the basic
items and stock that should be maintained at all times to ensure
operational readiness follows:
III-104
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
ITEM DESCRIPTION
UNIT SIZE
BASIC
STOCK PER
TEAM
NRT0001
2 PAM Chloride, IV, 1 g
Pkg/6
18
NRT0002
Adapter, Reducing, 2-1/2 - 5/8 Cap
Ea
2
NRT0003
Air Cascade Unit, Compressed
Ea
1
NRT0004
Airway, #7 Nasopharyngeal
Ea
120
NRT0005
Airway, Oral (100 mm)
Ea
30
NRT0006
Airway, Oral (40 mm)
Ea
5
NRT0007
Airway, Oral (80 mm)
Ea
25
NRT0404
Albuterol Sulfate (Ventolin) .083% 2.5mg/2 ml Premixed Solution
Pkg/25
1
NRT0405
Albuterol Sulfate (Ventolin) MDI Unit 1.8 g
Ea
6
NRT0008
Alcohol Prep Pads
Pkg/200
3
NRT0009
Amyl Nitrate Inhalers
Pkg/12
42
COM0020A
Antenna, Base Station, UHF 3db (5dBI)
Ea
1
COM0026A
Antenna, Dual Band (150-174/450-470 MHz)
Ea
2
COM0024A
Antenna, Mag.Mount w/Mini UHF Inst. (Inc 12' RG-8X)
Ea
3
COM0027A
Antenna, Magnetic Mount w/ (12') RG-8 & PL259 Soldered
Ea
2
COM0023A
Antenna, Mobile Wideband 5db (406-430 MHz)
Ea
3
COM0021A
Antenna, Mounting Kit (SS)
Ea
1
COM0030A
Antenna, Pigtail w/ (5') RG-8X, w/"N Male" & "Mini UHF Male"
Ea
1
COM0022A
Antenna, Pigtail w/ (75') Coax, w/M & F "N" Solderd
Ea
1
NRT0010
Atropine, 0.1mg
Pkg/10
1
NRT0011
Atropine, 30cc - 0.4mg/cc
Pkg/10
20
NRT0468
Backboard, Polyethylene
Ea
8
NRT0469
Backboard, Straps (9')
Ea
8
NRT0012
Backboards, Disposable
Ea
4
NRT0013
Bag Valve Mask, Adult Rescue (disposable)
Ea
30
CONTROL
NUMBER
III-105
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
CONTROL
NUMBER
ITEM DESCRIPTION
UNIT SIZE
BASIC
STOCK PER
TEAM
NRT0014
Bag Valve Mask, Pediatric Rescue (disposable)
Ea
24
NRT0015
Bag, PPE Carry All
Ea
54
NRT0016
Bag, Sand (50lb)
Ea
3
NRT0017
Bag, Victim Possession (roll)
Ea
5
NRT0018
Bags, Biohazard
Case/250
1
NRT0019
Bags, Body (heavy duty)
Ea
18
NRT0020
Bags, Trash (60gal)
Box/50
2
NRT0021
Bandage, Elastic (3")
Ea
6
NRT0022
Bandage, Kendall Conforming (2"-indvidual wrap)
Pkg/12
1
NRT0023
Bandage, Kendall Conforming (4"-indvidual wrap)
Pkg/12
6
NRT0024
Bandage, Triangular
Ea
6
NRT0470
Bar Code Reader System, Portable
Ea
1
NRT0025
Barrel, Runoff Collection ( 55 gal/blue)
Ea
1
NRT0027
Battery Tester, 12 Volt
Ea
1
NRT0151
Battery, "AAA" Cell
Pkg/12
1
NRT0028
Battery, "C" Cell (case)
Ea
144
NRT0029
Battery, "D" Cell (case)
Ea
144
NRT0031
Belt, Equipment (LC2- black)
Ea
54
NRT0032
Benadryl, 50mg, Injection
Pkg/10
3
NRT0033
Betadine Applicators
Box/75
16
NRT0035
Bladder, 1000 gal Water
Ea
1
NRT0036
Blankets, Disposable Emergency
Ea
150
NRT0037
Bleach, Institutional
Gal/Ea
12
NRT0038
Board, White Marking (3'x3')
Ea
1
NRT0039
Bottles, Spray
Ea
12
III-106
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
ITEM DESCRIPTION
UNIT SIZE
BASIC
STOCK PER
TEAM
NRT0040
BP Cuff, Adult w/Gauge
Ea
20
NRT0041
BP Cuff, Leg w/Gauge
Ea
1
NRT0042
BP Cuff, Pediatric w/Gauge
Ea
2
NRT0043
Bretylium 500mg, Injection
Pkg/10
1
NRT0078
Broom, Push
Ea
1
NRT0079
Broom, Push Handle
Ea
1
NRT0044
Brush, 18"
Ea
2
NRT0045
Brush, Betadine
Ea
300
NRT0046
Brush, Pole Head, 6'
Ea
2
NRT0047
Bucket, 5 gal, w/Handle
Ea
2
NRT0048
Cable, Control "L"
Ea
1
NRT0049
Cable, Y/C Video
Ea
1
NRT0050
Calcium Chloride Injection
Pkg/10
1
NRT0051
Camcorder, Sony Hi-8 Camcorder
Ea
1
NRT0052
Camcorder, Sony Hi-8 Battery
Ea
1
NRT0053
Camcorder, Sony Hi-8 Carrying Case
Ea
1
NRT0054
Camcorder, Sony Hi-8 Player/Recorder
Ea
1
NRT0055
Camcorder, Sony Hi-8 Video Cassettes
Ea
100
NRT0056
Can, Fuel (5 gal GI-type)
Ea
2
NRT0195
Can, Fuel (5 gal GI-type), Filler Spout
Ea
2
NRT0057
Can, Trash (plastic, 50 gal, gray)
Ea
2
NRT0058
Can, Trash (Rubbermaid 32G832/2894)
Ea
4
NRT0059
Canteen, Cover (1 qt, black)
Ea
108
NRT0060
Canteen, 1 qt
Ea
108
NRT0061
Cap, 2-1/2 f to m Water Hose
Ea
2
CONTROL
NUMBER
III-107
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
CONTROL
NUMBER
ITEM DESCRIPTION
UNIT SIZE
BASIC
STOCK PER
TEAM
NRT0062
Cap, 2-1/2 Female With Air Valve Stem
Ea
1
NRT0063
Cart, Projector
Ea
1
NRT0064
Chair, Steel Folding (grey)
Ea
20
NRT0065
Character Generator (Videonics)
Ea
1
NRT0066
Ciprofloxacin, 200 mg, IV
Pkg/12
3
NRT0067
Clipboard
Ea
6
NRT0068
Clock, Battery Operated, 12"
Ea
1
NRT0069
Coffee
Lb
20
NRT0071
Coffee, Pot (30 cup)
Ea
1
NRT0072
Computer, Laptop
Ea
2
NRT0433
Computer, Laptop 3 1/2 Floppy Drive
Ea
2
NRT0434
Computer, Laptop Battery
Ea
4
NRT0435
Computer, Laptop CD-ROM
Ea
2
NRT0436
Computer, Laptop Keyboard
Ea
2
NRT0437
Computer, Laptop Modem
Ea
2
NRT0438
Computer, Laptop Monitor
Ea
2
NRT0439
Computer, Laptop Mouse
Ea
2
NRT0440
Computer, Laptop Nylon Carrying Case
Ea
2
NRT0441
Computer, Laptop Port Replicator
Ea
2
NRT0442
Computer, Laptop Printer
Ea
2
NRT0443
Computer, Laptop Software Package
Ea
2
NRT0080
Connector, Oxygen, Christmas Tree
Ea
50
NRT0081
Container, Cargo
Ea
4
NRT0082
Container, Cargo
Ea
4
NRT0083
Container, Cargo
Ea
8
III-108
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
CONTROL
NUMBER
ITEM DESCRIPTION
UNIT SIZE
BASIC
STOCK PER
TEAM
NRT0084
Container, Cargo
Ea
24
NRT0463
Container, Transport, "M" Cylinder
Ea
6
NRT0085
Cooler, 3 gal Water (Gott)
Ea
2
NRT0086
Cooler, 5 gal Water (Gott)
Ea
1
NRT0087
Cooler, 12 gal Chest (Gott)
Ea
1
NRT0088
Cord, Power ( 50' HD 12/3)
Ea
4
NRT0089
Crate, Milk Type (plastic)
Ea
3
NRT0090
Cup, Cold (12 oz)
Case/2500
1
NRT0091
Cup, Hot (8 oz)
Case/1000
2
NRT0092
Cyanide Kits
Ea
100
NRT0093
Debridement Kits
Ea
3
NRT0189
Defibrillator, w/Ext. Pacemaker & Accessories(LifePak-10)
Ea
2
NRT0418
Defibrillator, 12-Lead EKG (LifePak-10)
Ea
2
NRT0424
Defibrillator, AC/DC Converter
Ea
2
NRT0420
Defibrillator, Battery (LifePak-10)
Ea
10
NRT0419
Defibrillator, Battery Support System (LifePak-10)
Ea
2
NRT0192
Defibrillator, Paddle Adapter, Ped. (LifePak-10)
Pr
2
NRT0095
Detection Kit, Chemical Agent (M18)
Ea
1
NRT0094
Detection Kit, Chemical Agent (M256)
Ea
10
NRT0190
Detection Paper, Bio-Agent (Anthrax)
Pkg/5
1
NRT0193
Detection Paper, Bio-Agent (Bot Tox)
Pkg/5
1
NRT0194
Detection Paper, Bio-Agent (SEB)
Pkg/5
1
NRT0191
Detection Paper, Bio-Agent (Y-Pestis)
Pkg/5
1
NRT0098
Detection Paper, Chemical Agent (M-8,Booklets-50 Count)
Ea
10
NRT0097
Detection Paper, Chemical Agent (M9-Roll)
Ea
2
III-109
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
CONTROL
NUMBER
ITEM DESCRIPTION
UNIT SIZE
BASIC
STOCK PER
TEAM
NRT0099A
Detector, Chem. Agent Alarm (M8A1w/M42 Alarm & M43A1
Detector)
Ea
1
NRT0099B
Detector, Chem. Agent Alarm, Battery (BA-3517/U)
Ea
1
NRT0099C
Detector, Chem. Agent Alarm, Cable (WD-1)
Ea
1
NRT0099J
Detector, Chem. Agent Alarm, Maintenance Kit (M273)
Ea
1
NRT0099K
Detector, Chem. Agent Alarm, Maintenance Kit (M293)
Ea
1
NRT0099G
Detector, Chem. Agent Alarm, Mount (M182)
Ea
1
NRT0099H
Detector, Chem. Agent Alarm, Mount (M228)
Ea
1
NRT0099D
Detector, Chem. Agent Alarm, Power Supply (M10)
Ea
1
NRT0099E
Detector, Chem. Agent Alarm, Power Supply (M10A1)
Ea
1
NRT0099F
Detector, Chem. Agent Alarm, Test Set (M140, M8A1)
Ea
1
NRT0104
Detector, Chemical Agent (mini CAD)
Ea
4
NRT0102
Detector, Chemical Agent Monitor (CAM)
Ea
7
NRT0152
Detector, Chemical Agent Monitor (CAM), Spare Battery
Ea
3
NRT0153
Detector, Chemical Agent Monitor (CAM), Spare Filters
Pkg/6
3
NRT0154
Detector, Chemical Agent Monitor (CAM), Spare Nozzle Cap
Ea
2
NRT0096
Detector, Chemical Agent Monitor (CAM), Wipe Test Kit
Ea
7
NRT0116
Detector, Drager Hazmat Kit
Ea
1
NRT0452
Detector, Drager Hazmat Kit, Acetone Tube
Ea
1
NRT0454
Detector, Drager Hazmat Kit, Alcohol Tube 25/A
Ea
1
NRT0449
Detector, Drager Hazmat Kit, Benzene Tube
Ea
1
NRT0457
Detector, Drager Hazmat Kit, Carbon Dioxide Tube 0.1%/A
Ea
1
NRT0453
Detector, Drager Hazmat Kit, Carbon Monoxide Detector Tube
Ea
1
NRT0472
Detector, Drager Hazmat Kit, CDS Simultaneous Test Set #1
Ea
1
NRT0473
Detector, Drager Hazmat Kit, CDS Simultaneous Test Set #2
Ea
1
NRT0456
Detector, Drager Hazmat Kit, Chlorine Tube 0.2-30 PPM
Ea
1
III-110
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
CONTROL
NUMBER
ITEM DESCRIPTION
UNIT SIZE
BASIC
STOCK PER
TEAM
NRT0447
Detector, Drager Hazmat Kit, Ethyl Acetate Tube
Ea
1
NRT0455
Detector, Drager Hazmat Kit, Formic Acid Tube 0.2-30 PPM
Ea
1
NRT0451
Detector, Drager Hazmat Kit, Hydrazine Tube 0.25-3PPM
Ea
1
NRT0450
Detector, Drager Hazmat Kit, Hydrocarbon Tube
Ea
1
NRT0458
Detector, Drager Hazmat Kit, Hydrocyanic Tube
Ea
1
NRT0459
Detector, Drager Hazmat Kit, Hydrogen Sulfide Tube
Ea
1
NRT0448
Detector, Drager Hazmat Kit, Methyl Bromide 5/B Tube
Ea
1
NRT0460
Detector, Drager Hazmat Kit, Nitrous Fume Tube 0.5-10 PPM
Ea
1
NRT0462
Detector, Drager Hazmat Kit, Oxygen Tube 5-23 Vol%
Ea
1
NRT0446
Detector, Drager Hazmat Kit, Polytest Screening Tube
Ea
1
NRT0461
Detector, Drager Hazmat Kit, Trichloroethylene Tube
Ea
1
NRT0108
Detector, Multi Gas Monitor (TMX-412)
Ea
1
NRT0432
Detector, Multi Gas Monitor (TMX-412) (calib.kit/regulator)
Ea
1
NRT0429
Detector, Multi Gas Monitor (TMX-412) (charger, dual rate)
Ea
1
NRT0430
Detector, Multi Gas Monitor (TMX-412) (hygiene board)
Ea
1
NRT0431
Detector, Multi Gas Monitor (TMX-412) (software kit)
Ea
1
NRT0428
Detector, Multi Gas Monitor (TMX-412) (SP402 sample pump)
Ea
1
NRT0105
Detector, Radiological Monitor
Ea
2
NRT0100
Detector, Radiological Monitor, Beta-Gamma Probe
Ea
2
NRT0106
Detector, Simulator Tickets, Chem. Agent, Training
Ea
12
NRT0107
Detector, Smoke and Fire Detector (professional )
Ea
2
NRT0268
Detector, VDR-2 Radiac Set
Ea
1
NRT0464
Detector, VDR-2 Radiac Set, Probe
Ea
1
NRT0109
Dextrose, 50%, 25g
Pkg/10
1
NRT0110
Digital Thermohygrometer
Ea
1
III-111
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
CONTROL
NUMBER
ITEM DESCRIPTION
UNIT SIZE
BASIC
STOCK PER
TEAM
NRT0111
Dolly, Convertible
Ea
2
NRT0112
Dopamine, 400mg, Amp
Ea
3
NRT0113
Dosimeter (MN 862)
Ea
28
NRT0114
Dosimeter Charger (MN 909)
Ea
1
NRT0115
Doxycycline, 100mg
Bot/40
1
NRT0117
Dressing, Adhesive, Sterile, 1x3
Box/100
6
NRT0118
Dressing, Sterile, 4"x4", Individual Wrap
Pkg/200
2
NRT0119
Dressing, Sterile, 8"x9", Individual Wrap
Pkg/20
4
NRT0120
Epinephrine 1:10,000, 1mg
Pkg/10
2
NRT0121
Epinephrine 1:1000, 1mg
Pkg/10
2
NRT0122
ET Tube Stylet, Adult
Ea
24
NRT0123
ET Tube Stylet, Pediatric
Ea
12
NRT0124
ET Tube, Cuffed, #6
Ea
12
NRT0125
ET Tube, Cuffed, #7.5
Ea
84
NRT0126
ET Tube, Non-Cuffed, #2.5
Ea
12
NRT0127
ET Tube, Non-Cuffed, #3
Ea
12
NRT0128
ET Tube, Non-Cuffed, #3.5
Ea
12
NRT0129
ET Tube, Non-Cuffed, #5
Ea
12
NRT0130
Faceshield, Chemical
Ea
16
NRT0131
Fax/Copier
Ea
1
NRT0132
Fax/Copier, Spare Cartridge
Ea
2
NRT0135
Fire Extinguisher, 5 lb, ABC
Ea
2
NRT0136
Fitting, Fire, Bastard
Ea
0
NRT0137
Fitting, Fire, National Standard
Ea
0
NRT0138
Flashlight, GI Angle Head
Ea
54
III-112
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
CONTROL
NUMBER
ITEM DESCRIPTION
UNIT SIZE
BASIC
STOCK PER
TEAM
Pkg/24
10
NRT0139
Gatorade (1-qt Envelope)
NRT0140
Generator, Diesel (Kubota 6.5 kw)
Ea
1
NRT0141
Generator, Diesel (Kubota 6.5 kw) Wheel Kit
Ea
1
NRT0074
Generator, Power Cord (50' 12/3 SOW w/L5-20P & Quad Box)
Ea
4
NRT0075
Generator, Power Cord (50' 12/3 w/3-Way End)
Ea
3
NRT0076
Generator, Power Distribution Box (MGW 501 Series 3 Base Unit)
Ea
1
NRT0073
Generator, Power Drop Cable (100' 8/4 SOW w/L14-30P &
L1430R)
Ea
1
NRT0142
Glove, Latex
Box/100
6
NRT0143
Glove, Neoprene, Lrg
Pr
24
NRT0144
Glove, Silver Shield, Lrg
Pr
12
NRT0145
Glove, Yellow Cotton
Pr
6
NRT0146
Gloves Nitrile x-lrg
Pkg/12
10
NRT0147
Gloves, 6-Layer (Navy)
Pr
54
NRT0148
Glucagon, 1mg
Ea
6
NRT0149
Goggle, Chemical
Ea
28
COM0044A
GPS, Garmin GPS 12 XL
Ea
1
COM0044B
GPS, Garmin GPS 12 XL, Cigarette Lighter Adapter
Ea
1
COM0044D
GPS, Garmin GPS 12 XL, GA27 Antenna (w/vehicular mount)
Ea
1
COM0044C
GPS, Garmin GPS 12 XL, PC4X Software & Cable Kit
Ea
1
NRT0156
Handtruck
Ea
1
NRT0157
Headlamp, Petzl
Ea
20
NRT0158
Heater, Hot Water (for decon)
Ea
1
NRT0159
Heater, Tent, Reddy Heater (R55)
Ea
4
NRT0478
Heater, Tent, Reddy Heater (R55), Supply Hose
Ea
4
NRT0160
Heparin Lock Adapter
Ea
120
III-113
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
CONTROL
NUMBER
ITEM DESCRIPTION
UNIT SIZE
BASIC
STOCK PER
TEAM
NRT0161
Heparin Lock Kits (buff caps)
Ea
500
NRT0444
Hose, Fire, 3", Cap-2 1/2 Female w/Air Adapter
Ea
4
NRT0445
Hose, Fire, 3", Cap-2 1/2 Female w/Hose Bib Adapter
Ea
4
NRT0162
Hose, Fire, 3", Caps-2 1/2 Female
Ea
2
NRT0163
Hose, Fire, 3", Fitting-2 1/2 Male
Ea
10
NRT0164
Hose, Garden (100'x 5/8")
Ea
2
NRT0166
Hose, Garden (75'x5/8")
Ea
1
NRT0165
Hose, Garden (25'x5/8")
Ea
4
NRT0167
Hose, Garden (50'x5/8" hot water-rated to 200 F)
Ea
4
NRT0168
Hose, Shutoff (3-Way)
Ea
1
NRT0169
Hose, Sump Pump Line, 5'x5/8"
Ea
2
NRT0170
Hose, Water Washer 5/8"
Pkg/5
2
NRT0171
Infusion Bag, Disposable Pressure (1000 cc)
Case/25
12
NRT0172
IV Catheter, #14, 2"
Case/50
1
NRT0173
IV Catheter, #16, 2"
Case/50
2
NRT0174
IV Catheter, #18, 1 1/4"
Case/50
6
NRT0175
IV Catheter, #20, 1 1/4
Case/50
1
NRT0176
IV Catheter, #22, 1"
Case/50
1
NRT0177
IV Extension Set
Ea
24
NRT0178
IV Infusion Set, Macro Drip
Ea
75
NRT0427
IV Infusion Set, Micro Drip
Ea
0
NRT0179
Jack, Hydraulic (10,000lbs)
Ea
2
NRT0180
Knife, Rescue (J-type)
Ea
6
NRT0181
Knife, Rescue, Blades (J-type rescue)
Pkg/?
6
NRT0182
Laryngoscope Handles, Disposable
Ea
24
0
III-114
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
CONTROL
NUMBER
ITEM DESCRIPTION
UNIT SIZE
BASIC
STOCK PER
TEAM
NRT0183
Laryngoscope, Miller Blade ( # 1-disposable)
Pkg/?
3
NRT0184
Laryngoscope, Miller Blade ( # 3-disposable)
Pkg/?
3
NRT0185
Laryngscope, Mac Disposable (w/#3 blades)
Ea
14
NRT0186
Lasix, 20mg, Injection (furosamide)
Pkg/12
1
NRT0150
Leaf Blower
Ea
1
NRT0187
Lidocaine, 2g Amp
Pkg/10
5
NRT0188
Lidocaine, Bolus, 100mg Pre-Filled Syringe
Pkg/10
3
NRT0199
Light Kit (Lowel)
Ea
1
NRT0200
Light, Halogen w/Tripod (500w)
Ea
3
NRT0479
Light, Halogen w/Tripod (500w), 5-15P Plug
Ea
3
NRT0201
Light, Halogen Replacement Bulb (500w)
Ea
4
NRT0202
Litter Stand (military)
Pr
11
NRT0203
Litter, Decon
Ea
8
NRT0204
Litter, UN,
Ea
9
NRT0205
Lubricant, Water Soluble, Single, KY
Ea
6
NRT0206
Manual, Chemistry of Hazmat Materials
Ea
1
NRT0207
Manual, Chris (TM-7444, 2 Volume Set)
Set/2
1
NRT0208
Manual, Control of Comm. Diseases (Benenson)
Ea
1
NRT0209
Manual, DOT/ERG, Resp 96
Ea
1
NRT0210
Manual, Emer. Care for Hazmat Exp. (Bronstein)
Ea
1
NRT0211
Manual, Hazmat Exp., Emer. Resp. & Pt. Care (Borak)
Ea
1
NRT0212
Manual, Pocket Guide to Chem. Hazards
Ea
1
NRT0213
Manual, Rapid Guide, Haz. Mat. In The Workplace
Ea
1
NRT0214
Mark-I Kits
Ea
780
NRT0215
Mask, Oxygen (non-rebreather-adult)
Ea
150
III-115
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
CONTROL
NUMBER
ITEM DESCRIPTION
UNIT SIZE
BASIC
STOCK PER
TEAM
NRT0216
Mask, Oxygen (non-rebreather-pediatric)
Ea
150
NRT0218
Mat, Rubber Foot (2'5" x 3'3"-Red)
Ea
2
NRT0219
Meals, Ready To Eat (MRE)
Case/12
7
NRT0220
Microphone System, Wireless (Samson)
Ea
1
NRT0221
Narcan 2mg
Pkg/10
1
NRT0222
Nasal Canula, Oxygen (adult)
Ea
150
NRT0223
Nebulizer, Oxygen
Ea
150
NRT0224
Neck Collars, Stiff (baby pediatric)
Ea
1
NRT0225
Neck Collars, Stiff (pediatric)
Ea
1
NRT0226
Neck Collars, Stiff (regular)
Ea
4
NRT0227
Needle, # 18 Injection
Box/100
9
NRT0228
Needle, Interosseous
Ea
8
NRT0034
Night Vision Scope (monocular)
Ea
1
NRT0230
Nubain,10 mg
Ea
3
NRT0471
Number Not Used
NRT0231
Otoscope/Opthalmoscope
Ea
1
NRT0235
Oxygen "E" Regulator
Ea
4
NRT0236
Oxygen "M" Regulator
Ea
2
NRT0232
Oxygen "Y" Yoke
Ea
1
NRT0233
Oxygen Cylinder, "E" (aluminum)
Ea
4
NRT0234
Oxygen Cylinder, "M"
Ea
2
NRT0237
Oxygen, Tank Wrench
Ea
1
NRT0238
Pack, Personal Backpack
Ea
58
NRT0239
Packs, (Thomas)
Ea
12
NRT0240
Pad, Writing (legal)
Ea
12
III-116
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
CONTROL
NUMBER
ITEM DESCRIPTION
UNIT SIZE
BASIC
STOCK PER
TEAM
Ea
4
NRT0241
Padlocks, Ea Keyed Alike, Long Shank
NRT0242
Paper, Printer (legal)
Ream
1
NRT0243
Pen, Magic Marker (red)
Pkg/12
1
NRT0244
Phone, Cellular, Phone
Ea
1
NRT0416
Phone, Cellular, Phone Charger
Ea
1
NRT0417
Phone, Cellular, Phone Charger Power Supply
Ea
1
NRT0247
Phone, Cellular, Battery
Ea
2
NRT0246
Phone, Cellular, Case
Ea
1
NRT0245
Phone, Cellular, Cigarette Lighter Adapter
Ea
1
NRT0248
Phone, Cellular, Porta Pak
Ea
1
NRT0249
Phone, Cellular, Porta Pak Battery Kit (bat.& chrg.)
Ea
1
NRT0250
Phone, Cellular, Porta Pak Data Conn. Interface
Ea
1
NRT0251
Phone, Cellular, Porta Pak Spare Battery
Ea
1
COM0043A
Phone, Satellite w/Carry Case & Strap
Ea
1
COM0043B
Phone, Satellite, Battery
Ea
2
COM0043C
Phone, Satellite, Cigarette Lighter Attachment
Ea
1
COM0043D
Phone, Satellite, Handset
Ea
1
COM0043E
Phone, Satellite, Power Supply (AC/DC)
Ea
1
NRT0257
Plastic, Roll ( 6ml, 24' X 100' roll)
Ea
1
NRT0258
Player/Recorder, Sony VHS
Ea
1
NRT0259
Player/Recorder, Sony VHS Cassettes
Ea
100
NRT0260
Pool, Decon, 7'-Diameter Inflatable
Ea
4
NRT0261
Pouch, LC-2 Mag (black)
Ea
54
NRT0262
Procardia, 10 Mg Tab
Bot/100
1
NRT0263
Projector, OH (Elmo)
Ea
1
III-117
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
CONTROL
NUMBER
ITEM DESCRIPTION
UNIT SIZE
BASIC
STOCK PER
TEAM
NRT0264
Projector, Slide (Elmo Kit 301AF)
Ea
1
NRT0265
Pulse Oximeter
Ea
2
NRT0266
Pulse Oximeter Case
Ea
2
NRT0267
Pump, Sump (120v)
Ea
2
COM0041A
Radio, Handheld COM/NAV
Ea
1
COM0041C
Radio, Handheld COM/NAV, Antenna
Ea
1
COM0041D
Radio, Handheld COM/NAV, Battery Charger
Ea
1
COM0041E
Radio, Handheld COM/NAV, Headset Adapter
Ea
1
COM0041B
Radio, Handheld COM/NAV, NiCad Battery
Ea
1
COM0045A
Radio, Handheld, Yaesu/Vertex
Ea
2
COM0045B
Radio, Handheld, Yaesu/Vertex, Battery
Ea
4
COM0045C
Radio, Handheld, Yaesu/Vertex, Mobile Charger/Amp
Ea
2
COM0035A
Radio, Handheld, Drop-In Charger (B/K)
Ea
1
COM0001AIS
Radio, Handheld, JT1000 (16 Ch, 403-470 MHz) Intrins. Safe
w/Options
Ea
15
COM0001B
Radio, Handheld, JT1000 Antenna (403-470 MHz)
Ea
15
COM0002AIS
Radio, Handheld, JT1000 Battery (intrinsically safe hi-cap)
Ea
30
COM0001C
Radio, Handheld, JT1000 Belt Clip (2.5")
Ea
15
COM0006A
Radio, Handheld, JT1000 Chest Pack
Ea
3
COM0018A
Radio, Handheld, JT1000 Cloning Cable
Ea
1
COM0013A
Radio, Handheld, JT1000 Ear Mike Sys., VOX Intf. Module
Ea
8
COM0012A
Radio, Handheld, JT1000 Hi-Noise Ear Mike (grey)
Ea
8
COM0001D
Radio, Handheld, JT1000 Ops Manual
Ea
15
COM0004A
Radio, Handheld, JT1000 Programming Key
Ea
2
COM0009A
Radio, Handheld, JT1000 Public Safety Speaker Mike
Ea
15
COM0003A
Radio, Handheld, JT1000 Rapid Charger
Ea
15
III-118
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
CONTROL
NUMBER
ITEM DESCRIPTION
UNIT SIZE
BASIC
STOCK PER
TEAM
COM0003B
Radio, Handheld, JT1000 Rapid Charger Power Supply
Ea
15
COM0005A
Radio, Handheld, JT1000 Rapid Charger (6-gang)
Ea
1
COM0015A
Radio, Handheld, JT1000 Speaker Mike Antenna (403-420)
Ea
15
COM0007A
Radio, Handheld, JT1000, Carry Case w/B-Loop
Ea
15
COM0034A
Radio, Mobile, UHF, 114 Ch, 10-40 Watts (403-470)
Ea
3
COM0034B
Radio, Mobile, Base Station Power Supply
Ea
1
COM0039A
Radio, Mobile, Black Nylon Case (Bendix/King)
Ea
1
COM0040A
Radio, Mobile, NiCad Battery Pack (Bendix/King)
Ea
1
COM0034C
Radio, Mobile, Smart Mic.
Ea
3
NRT0288
Refrig/Freezer, Admiral,AT19N8E
Ea
1
NRT0289
Regulator, Compressor Air, Fitting CGA 347
Ea
1
NRT0290
Regulator, Female Quick Conn., 2 Ea
Ea
2
NRT0291
Regulator, Hose, 1/4" Air, 5' Long
Ea
1
NRT0292
Regulator, Male Quick Conn. Chuck, 2 Ea
Ea
2
NRT0293
Regulator, Tire Inflation Chuck
Ea
1
NRT0217
Respirator, PAPR (MSA Optimair 6A Ultraview)
Ea
54
NRT0134
Respirator, PAPR (MSA Optimair 6A Ultraveiw) Filter (HE)
Case/6
36
NRT0133
Respirator, PAPR (MSA Optimair 6A Ultraveiw) Filter (OV/AG/HE)
Case/6
36
NRT0425
Respirator, PAPR (MSA Optimair 6A Ultraview) Battery
Ea
60
NRT0480
Respirator, PAPR (MSA Optimair 6A Ultraview) Extra Belt
Ea
2
NRT0481
Respirator, PAPR (MSA Optimair 6A Ultraview) Extra Hose
Ea
2
NRT0077
Respirator, PAPR (MSA Optimair 6A Ultraview) Protective Cover
Pkg/5
11
NRT0483
Respirator, PAPR (MSA Optimair 6A Ultraview) Spectacle Kit
Ea
10
NRT0482
Respirator, PAPR (MSA Optimair 6A Ultraview) Spectacle Kit Rx
Lens
Ea
10
NRT0294
Ringers Lactate, 1000cc
Case/6
2
III-119
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
CONTROL
NUMBER
ITEM DESCRIPTION
UNIT SIZE
BASIC
STOCK PER
TEAM
NRT0476
Rod, Generator Ground w/Ground Cable
Ea
2
NRT0475
Rod, Generator Ground, Slide Hammer
Ea
2
NRT0484
Roller, Conveyor (non-ambulatory patient moving)
Ea
4
NRT0295
Rope, Poly (yellow-100 ft, 1/4")
Ea
1
NRT0229
Saline Solution IV (0.9% 500ml)
Case/24
3
NRT0296
SAM Splints, (rolled)
Ea
12
NRT0155
Sawhorse. Portable, Folding
Ea
6
NRT0297
SCBA, Complete w/Tank, Harness, Facemask, Regulator, Hose
Ea
8
NRT0298
SCBA, Cylinder, 60 Min (extra tank)
Ea
18
NRT0299
SCBA, Facemask, Neoprene (extra mask)
Ea
6
NRT0485
SCBA, Facemask, Rx Lens
Ea
10
NRT0486
SCBA, Facemask, Rx Lens Kit
Ea
10
NRT0426
SCBA, Harness (part Of SCBA kit)
Ea
8
NRT0300
Screen Printing of Coats
Ea
108
NRT0301
Screen, Dalite Tripod (60"x 60")
Ea
1
NRT0302
Shears, Medicut
Ea
20
NRT0303
Sheets, Disposable (40"x90")
Case/300
8
NRT0304
Shelter, Emergency w/White Interior Walls
Ea
4
NRT0305
Shield, Eye Irigation Lens (MT100)
Ea
60
NRT0487
Shoring Kit, C-130
Ea
10
NRT0306
Shower Wand
Ea
2
NRT0307
Sign, Female (2'x2')
Ea
1
NRT0308
Sign, Male (2'x2')
Ea
1
NRT0309
Sign, Shower (3'x3')
Ea
1
NRT0310
Sleeping Bag, North Face Glacier Five Degree
Ea
54
III-120
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
CONTROL
NUMBER
ITEM DESCRIPTION
UNIT SIZE
BASIC
STOCK PER
TEAM
NRT0311
Soap, Hibiclene (qt)
qt
4
NRT0312
Soap, Liquid Soap (Box-Colgate Antiseptic)
Ea
1
NRT0313
Soap, Tide (Dry Quart)
Ea
6
NRT0314
Sodium Bicarbonate (4.2% injection)
Pkg/10
2
NRT0315
Sodium Bicarbonate (8.4% injection)
Pkg/10
1
NRT0316
Speaker, PA (bullhorn)
Ea
2
NRT0317
Sterile Water (30cc for injection)
Pkg/25
1
NRT0318
Stethoscope
Ea
24
NRT0320
Suction Unit, Battery Operated
Ea
4
NRT0319
Suction Unit, Battery Charger
Ea
4
NRT0423
Suction Unit, Battery (LifePak-10 Type)
Ea
8
NRT0321
Suit, Saranax Level B, x-lrg, w/Hood & Booties
Ea
50
NRT0322
Suit, Saranax Level B, xxx-lrg, L, w/Hood & Booties
Ea
10
NRT0323
Suit, Tychem 10,000, Level A, x-lrg, Full Encap.
Ea
16
NRT0324
Suit, Tychem 10,000, Level B, x-lrg, w/Hood & Booties
Ea
50
NRT0467
Suit, Tychem 10,000, Level B, xxx-lrg, w/Hood & Booties
Ea
10
NRT0325
Suits, Training (Level A, x-lrg)
Ea
6
NRT0326
Suits, Tyvex Coverall (w/hood & boot x-lrg)
Ea
500
NRT0327
Surge Protector, GFI Strip
Ea
6
NRT0328
Suture Kit, Disposable
Pkg/20
1
NRT0329
Suture Nylon # 2-0
Pkg/36
1
NRT0330
Suture Nylon # 4-0
Pkg/12
2
NRT0331
Suture Nylon # 5-0
Pkg/12
2
NRT0332
Suture Plain Gut 4-0
Pkg/12
2
NRT0333
Syringe, 10cc wo/Needle
Pkg/50
1
III-121
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
CONTROL
NUMBER
ITEM DESCRIPTION
UNIT SIZE
BASIC
STOCK PER
TEAM
NRT0334
Syringe, 1cc w/Needle 26ga
Pkg/50
1
NRT0335
Syringe, 20cc wo/Needle
Pkg/40
1
NRT0336
Syringe, 3cc w/21ga/1-1/2 Needle
Pkg/50
1
NRT0337
Syringe, 5cc wo/Needle
Pkg/50
2
NRT0338
Syringe, 60cc Catheter Tip
Box/25
1
NRT0339
Syringes, Tubex
Ea
6
NRT0340
Tags, Disaster Triage
Pkg/1000
1
NRT0341
Tape, Adhesive (1" rayon)
Pkg/12
3
NRT0342
Tape, Adhesive (2" rayon)
Ea
3
NRT0343
Tape, Duct
Ea
24
NRT0344
Tape, Hazard (red w/HazMat label)
Ea
10
NRT0345
Tape, Hazard (yellow w/caution label)
Ea
1
NRT0346
Tape, Surveyor (1"-orange)
Case/12
1
NRT0347
Tape, Vinyl Plastic (blue)
Ea
2
NRT0348
Tape, Vinyl Plastic (green)
Ea
2
NRT0349
Tape, Vinyl Plastic (red)
Ea
2
NRT0350
Tarp, Blue Plastic (16' X 24')
Ea
2
NRT0351
Tetracaine, (individual packs)
Ea
60
NRT0352
Theophylline, 500mg Amps
Pkg/25
1
NRT0353
Tongue Depressor
Pkg/50
1
NRT0354
Tool, Diagonal Wire Cutter (Craftsman)
Ea
1
NRT0355
Tool, Drill (Craftsman Electric VSR)
Ea
1
NRT0356
Tool, Drill Bit (Craftsman)
Ea
1
NRT0357
Tool, Drill Bit Set (Craftsman)
Ea
1
NRT0358
Tool, File (Craftsman-Flat Bastard)
Ea
1
III-122
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
CONTROL
NUMBER
ITEM DESCRIPTION
UNIT SIZE
BASIC
STOCK PER
TEAM
NRT0359
Tool, Gooseneck Wrecking Bar (Craftsman)
Ea
1
NRT0360
Tool, Hack Saw (Craftsman Flat Face Adjustable)
Ea
1
NRT0361
Tool, Hammer (Craftsman Nail Type)
Ea
1
NRT0362
Tool, Measuring Tape (Craftsman)
Ea
1
NRT0363
Tool, Mechanical Tool Set (Craftsman 144 Piece)
Ea
1
NRT0364
Tool, Plastic Handbox w/Tote Tray (Craftsman)
Ea
1
NRT0365
Tool, Pliers (Craftsman Channel Lock )
Ea
1
NRT0366
Tool, Pliers (Craftsman Long Needle Nose)
Ea
1
NRT0367
Tool, Screw Driver Set (Craftsman 8-piece)
Ea
1
NRT0414
Tool, Wrench, Hydrant
Ea
3
NRT0368
Tourniquet, Disposable
Pkg/50
1
NRT0369
Towel, Disposable (white)
Ea
600
NRT0370
Towels, Cotton (24" x 50")
Ea
162
NRT0070
Traffic Safety Cone (18")
Ea
6
NRT0371
Trailer, Cargo (12 x 7 double axle enclosed)
Ea
2
NRT0422
Trailer, Cargo, Dolly Wheel
Ea
2
NRT0421
Trailer, Cargo, Spare Tire
Ea
2
NRT0372
Tripod & Fluid Head (Bogen)
Ea
1
NRT0373
Tube, #16 Nasogastric
Ea
3
NRT0374
Tube, #38 Chest
Ea
3
NRT0375
Tube, Chest (Trocar #28)
Ea
3
NRT0376
Tubing, Oxygen, High Press, 50', m/f Conn
Ea
2
NRT0377
Tubing, Oxygen, High Press,100', m/f Conn
Ea
1
NRT0378
TV, 46" Sony
Ea
1
NRT0379
Uniform, Belt, Web (w/brass buckle)
Ea
54
III-123
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
CONTROL
NUMBER
ITEM DESCRIPTION
UNIT SIZE
BASIC
STOCK PER
TEAM
NRT0380
Uniform, Boot, Black (10" all weather)
Ea
54
NRT0381
Uniform, Boots (PVC, black steel toe)
Ea
62
NRT0382
Uniform, Hat (glacier - navy)
Ea
54
NRT0383
Uniform, Jacket (light weight-UPHS)
Ea
54
NRT0384
Uniform, Nomex Squad Suit (w/NDMS & name patch)
Ea
54
NRT0385
Uniform, Pants (BDU blue)
Ea
108
NRT0386
Uniform, Pants (Gore-Tex navy blue)
Ea
54
NRT0387
Uniform, Parka (arctic-navy blue)
Ea
54
NRT0388
Uniform, Parka (Gore-Tex black)
Ea
54
NRT0389
Uniform, Socks (polypro boot socks)
Pr
162
NRT0390
Uniform, Socks (wool boot socks)
Pkg/2Pr
81
NRT0391
Uniform, Underwear Bottom (polypro)
Ea
162
NRT0392
Uniform, Underwear Top (polypro)
Ea
162
NRT0393
Valium, 10mg Syringe (Tubex) w/Tubex Holder
Pkg/10
16
NRT0394
Valium, Auto Injector
Ea
100
NRT0395
Valves, Hemlick
Ea
6
NRT0396
Vehicle, 15-Pass Van (1-ton)
Ea
1
NRT0397
Vehicle, 15-Pass Van (1-ton)
Ea
1
NRT0398
Vehicle, Crew Cab (1-ton)
Ea
2
NRT0399
Vehicle, Custom Bodies For Trucks
Ea
2
NRT0400
Vehicle, Dashboard Emergency Lights
Ea
2
NRT0401
Vehicle, Federal Signal Siren Control
Ea
2
NRT0402
Vehicle, Light Bar (Whelen 9004SL)
Ea
2
NRT0403
Vehicle, Siren Speaker
Ea
4
NRT0406
Verapamil, 5mg Injection.
Pkg/5
5
III-124
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
May 1999
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
ITEM DESCRIPTION
UNIT SIZE
BASIC
STOCK PER
TEAM
NRT0407
Veriflow Manifold w/FCV
Ea
3
NRT0408
Vest, Cool (Thermalwear II Warm/Cool)
Ea
28
NRT0409
Vests, Paramedic
Ea
12
NRT0410
Wash Cloth, Disposable Face/Hand
Case/500
1
NRT0411
Washer/Sprayer (15 gal, 12v)
Ea
2
NRT0412
Washer/Sprayer ( 3 gal garden)
Ea
3
NRT0415
Washer/Sprayer (15 gal,12v), Battery Box
Ea
2
NRT0030
Washer/Sprayer (15 gal,12v), Battery, 12v
Ea
2
NRT0465
Washer/Sprayer (15 gal,12v), Black Wire
Ea
2
NRT0466
Washer/Sprayer (15 gal,12v), Red Wire
Ea
2
NRT0026
Water Distribution Manifold w/Anti-Scald
Ea
1
NRT0196
Water Distribution Manifold w/Anti-Scald, Extra Valve
Ea
1
NRT0413
Wipes, Hand (Vionex)
Pkg/50
2
NRT0101
ZZ (Not Assigned)
n/a
n/a
NRT0103
ZZ (Not Assigned)
n/a
n/a
NRT0197
ZZ (Not Assigned)
n/a
n/a
NRT0198
ZZ (Not Assigned)
n/a
n/a
NRT0252
ZZ (Not Assigned)
n/a
n/a
NRT0253
ZZ (Not Assigned)
n/a
n/a
NRT0254
ZZ (Not Assigned)
n/a
n/a
NRT0255
ZZ (Not Assigned)
n/a
n/a
NRT0256
ZZ (Not Assigned)
n/a
n/a
NRT0445
ZZ (Not Assigned)
Ea
0
NRT0474
ZZ (Not Assigned)
Ea
0
NRT0477
ZZ (Not Assigned)
Ea
0
CONTROL
NUMBER
III-125
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH AND MEDICAL RESPONSE SYSTEM
Response Team Description Manual
III. NATIONAL MEDICAL RESPONSE
TEAM/WEAPONS OF MASS DESTRUCTION
III-126
May 1999