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Personnel Assets 50 – personnel DMAT US PHS Behavioral Health Team American Red Cross

Personnel Assets 50 – personnel DMAT US PHS Behavioral Health Team American Red Cross Medical Response Corp NY City School Nurses Americorp Volunteers Elmhurst Hospital personnel FEMA. DMAT Staffing Doctors = 6 Nurses = 8 Mid-levels = 1 Pharmacy = 3 Paramedics = 6

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Personnel Assets 50 – personnel DMAT US PHS Behavioral Health Team American Red Cross

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  1. Personnel Assets • 50 – personnel DMAT • US PHS Behavioral Health Team • American Red Cross • Medical Response Corp • NY City School Nurses • Americorp Volunteers • Elmhurst Hospital personnel • FEMA

  2. DMAT Staffing • Doctors = 6 Nurses = 8 • Mid-levels = 1 • Pharmacy = 3 • Paramedics = 6 • EMT’s = 2 • Clergy / Behavioral Health = 2 • Safety & Security = 2 • Logistics & Communications = 4 • Administrative staff = 2

  3. US PHS Behavioral Team • Evaluated and treated evacuees with behavioral health issues. • Acute and chronic • Rounded through the population heading off issues and identifying evacuees needing care. • Encouraged evacuees to begin returning to normalcy and lead activities towards that goal.

  4. American Red Cross • Assisted with daily living needs of evacuees. • Feeding • Dressing • Medications • Personal Hygiene • Sorting and handing out donations

  5. MRC and NY School Nurses • Staffed a 24/7 Triage, First Aid, and Medication Storage and Administration Station with one MN-1 DMAT medic and / or nurse with acute care supplies and equipment in main shelter area. • Non-medical MRC helped with the donations and assisted with daily living needs of the evacuees.

  6. Americorp Volunteers • Helped with food distribution • Assisted with moving evacuees and belongings • Assisted the US PHS team with providing activities for the children • Games • Movies • Arts and crafts

  7. Elmhurst Hospital personnel • Local hospital provided providers and nursing staff to care for those in the medical shelter • Had limited acute care equipment • Hospital was overwhelmed and drew back the staff with the exception of one provider who continued to care for patients belonging to their healthcare system

  8. Donations • Evacuees left their home, in some cases, without much more than what they were wearing. • MRC volunteers listed items on their Facebook page requesting items for the evacuees. • The amount of donations became a problem in itself.

  9. Donations • In some cases, we got 100 times what was needed. • In some cases, the items donated were not appropriate or needed to begin with. • Due to ICS not being followed, the shelter leadership was unaware of the request and therefore, unprepared for the arrival of truckloads of donations.

  10. Donations • The large amount of donations created a fire hazard and it became a health hazard – bed bugs. • Once the requests were made, there was no way to stop there arrival. • Too many volunteer hours were spent on sorting, storing, and redistribution of the large amount of donations.

  11. Donations • Theft, fights and hording • EBay • A structured way of requesting, accepting and managing donations at the shelter or off site needs to be in place.The shelter management needs to be involved in deciding what items are needed.

  12. MMT - Metro • Paramedics • Behavioral Health Personnel • Pharmacists • Pharmacy Technicians • X-ray Technicians • Respiratory Technicians • Lab Technicians • Team Leaders • CMO • Emergency Medicine Providers • Emergency Medicine Mid-level Providers • Emergency Medicine or ICU Nurses

  13. Missions • Hospital Augmentation • Staffing a fixed Structure • Staffing the Mobile Medical Unit (MMU) • Staffing a non-fixed Structure like the Western Shelters • Staffing a combination of structures and sites

  14. Service Provided • Housing and caring for: • Medical Home Patients • Nursing Home Level Patients • some may be chronic ventilator dependent • Med Surg Level Patients • ICU Level Patients • Urgent Care Services • Acute and Emergent Services • Caring for the Extended Patient

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