The Medical Reserve Corps (MRC) Role in a Disaster

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Speaker:  Dave Nichols, Volunteer Manager & Workforce Manager, Public Health of Seattle & King
County
The MRC is a relative newcomer to the disaster response world. It is another tool in your emergency
management toolkit; but only if you know about it and how it works during a medical emergency or
disaster. This presentation has been designed to introduce, inform, and answer questions about the
Medical Reserve Corps program and how it fits into the disaster. I will also offer some ways that you
can involve them in your exercises to help them learn your area and your operation.

Published in: Health & Medicine
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  • 600 hospital beds
  • Highline Community College
  • The Medical Reserve Corps (MRC) Role in a Disaster

    1. 1. How it functions How you can get involvedHow you can use it to help your community
    2. 2.  In the beginning How we got here What we are doing today Ways to help strengthen your program Ways to utilize your MRC
    3. 3.  On 9-11 medical volunteers showed up at hospitals to help with survivors
    4. 4.  Despite best intentions of the volunteers some issues arose in: ◦ Credentialing ◦ Liability ◦ Management
    5. 5.  Government was able handle the inoculations During the AA it was realized had the event been larger they would have needed help
    6. 6. “My call tonight is for every American to commit at least two years -- 4,000 hours -- over the rest of your lifetime to the service of your neighbors and your nation.”“Many are already serving, and I thank you. If you arent sure how to help, Ive got a good place to start. To sustain and extend the best that has emerged in America, I invite you to join the new USA Freedom Corps.”
    7. 7. MRC concept developed by Health andHuman Services (HHS) to:◦ Create a system to pre-identify active and retired medical and public health volunteers – at the community level◦ Prepare volunteers in advance of an emergency◦ Utilize volunteers on an ongoing basis to strengthen the public health infrastructure year round
    8. 8.  Liability protection for volunteers. Except as provided in subsections (b) and (d), no volunteer of a nonprofit organization or governmental entity shall be liable for harm caused by an act or omission of the volunteer on behalf of the organization or entity if:
    9. 9. 1. The volunteer was acting within the scope of the volunteer’s responsibilities2. The volunteer was authorized by the appropriate authorities for the activities or practice3. The harm was not caused by willful or criminal misconduct, gross negligence, reckless misconduct4. The harm was not caused by the volunteer operating a motor vehicle, vessel, aircraft, or other vehicle
    10. 10.  RCW 28.52 Liability WAC 118.04.180 responsibility of volunteer WAC 118-04-200
    11. 11. 49 MRC unitsRegional Coordinator: Jesús Reyna
    12. 12. 27 MRC unitsState Coordinator: Scott Carlson
    13. 13.  Hospital/Health System Health Department  Citizen Corps Council Emergency Management  Faith-Based Agency Organization Non-Governmental  Civic Organization Organization  Fire Medical Society Department/Agency  Planning College/University Council/Commission  Law Enforcement Agency
    14. 14.  Washington State 27 Units Department of Health - 13 units Office of Emergency Management - 8 units Citizen Corps - 3 units Fire Department - 1 unit Other - 2 units
    15. 15.  Washington State – 2,143 volunteers ◦ Department of Health – 1,731 Volunteers ◦ Emergency Management – 235 Volunteers ◦ Citizen Corps - 125 Volunteers ◦ Fire Department – 40 Volunteers ◦ Other – 13 Volunteers
    16. 16.  Medical – 1,538 Support - 605
    17. 17. Volunteer Count Total Carnation-Duvall Medical Reserve Corps , 85 Grays Harbor Medical Reserve Corps , 103 Pierce County Whatcom County Medical Reserve Medical Reserve Corps , 378 Corps , 108 Skagit County Medical Reserve Corps , 114Thurston CountyMedical Reserve Corps , 117 Public HealthRegion IV Medical Reserve Corps of Reserve Corps Seattle and King (Southwest County , 350Washington) , 153 Homeland Snohomish Security Region 2 County Medical MRC , 186 Reserve Corps , 215
    18. 18. The mission of the MRC is to engage volunteers to strengthen public health, emergency response and community resiliency.
    19. 19. ESF8 Missions Medication Health Alternate Center Screening & Care Facility (dispensing or Assessment vaccinating)Public Disease/EPIInformation SurveillanceCall Center PH Workforce & EnvironmentalMedical Needs PHRC Volunteers Hazard MitigationShelterDisasterBehavioral Health Mass Fatality Isolation & Management Quarantine
    20. 20. Open PODs ◦ Dispense medications to the public ◦ Common areas in the community (gyms, civic centers, community centers) ◦ Managed by the local public health departments (local volunteers) Closed PODs ◦ Medications dispensed to a specific group or organization ◦ Not open to the public ◦ Managed by organization’s staff
    21. 21. Healthcare for the Homeless NetworkVaccination Clinic Roles: Greeters, Registrars, VaccinatorsIn October, volunteersspent 139 hours andadministered over 600 fluvaccinations
    22. 22.  Training a small team of volunteers to provide surge capacity to Medical Examiner’s Office duties in the event of a mass fatality Annual training composed of 10 classes 2009-2010 team established Made up of 12 PHRC volunteers and WA Air National Guard members
    23. 23.  Provide volunteers to help City of Seattle HHS survey homeless in support of an RFP Provide volunteers to CD-EPI for a Norovirus outbreak in a supported community
    24. 24.  Care Clinic in Tacoma on April 30th Green River Earthquake/Tsunami/Volcano Terrorist incident Public Health Missions Whatever is next
    25. 25.  Public Health Support ◦ Outbreak investigation, support of LHD clinics, Outreach Disaster Medical Training ◦ Radiation, Mass vaccination, Field medicine Shelter Support ◦ FNSS, Red Cross, Heating & Cooling
    26. 26.  Community Support ◦ Fairs, bike & running races Support of populations ◦ Elderly, children, un/under insured, homeless
    27. 27.  Include them in your planning Insert them into drills (they are licensed medical professionals) Public education (hot and cold weather) Support of Red Cross shelters Add to CERT Drills and activation Health screenings of your populations Door to door service to deliver health/safety messages
    28. 28.  Questions? Ideas you can think of to utilize the Medical Reserve Corps? Thank you
    29. 29. My Contact Information◦ Dave Nichols, CEM◦ www.kingcounty.gov/health/phrc◦ We are on Facebook (Public Health Reserve Corps)◦ Email address: phrc@kingcounty.gov◦ or◦ dave.nichols@kingcounty.gov

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