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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 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. III-4 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. III-7 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 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 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. III-15 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; III-60 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. III-62 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. III-80 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