OPERATION CAMCO Civilian and Military Cooperative Operation March 5, 2009
OPERATION CAMCO A joint Civilian/Military Exercise to test the Town of Sandwich Pandemic Preparedness Plan using Drive Thru EDS model for flu vaccine. Utilizing support of the MANG 267 th Combat Communication Squadron, 102 nd Medical Unit of MMR and USCG November 14, 2008 0800-2000 hrs
Participating Agencies Town of Sandwich Barnstable County (IMT, Health, CERT) Massachusetts State Fire Marshal s s Office Massachusetts Department of Public Health Massachusetts Air National Guard United States Coast Guard Boston University School of Medicine
Operational Objectives Use of inter-operability communications equipment for homeland security use. To operate a (JIC) Joint Information Center for press releases and credentialing visiting media personnel. To run flu clinic as drive thru dispensing exercise for potential pandemic vaccine. To test automated call out notification system for EDS command staff
Special Features WEBCAST with members of the George Mason University to operate a Doc in the Box evaluation of 2 simulated flu shot recipients. WEB-EOC EOC use by Town, transmit information to MEMA. Air Operations Section to monitor traffic and take real time traffic photos and send to command post as a JPEG.
VTC Components
Command Staff Command Staff Unified IC FD,PD,Health,Military Liasion Officer Deputy Chief Foley Safety Officer Gail Mailhott, RN (DPH) Public Information Offic. Douglas Lapp (Town) Asst.Liasion Officer Sean O'Brien (Health) Asst. Safety Officer (OBSERV) Brian Leary, EMT-P Sandwich FD Assistant PIO James Lehane (School) Assistant PIO Evan Lagasse (USAF) Asst.Safety Officer (EXPOSURE) Deb Patellos, RN (County Health)
Joint Unified ICP
What is a JISCC? Joint Incident Site Communications Capability Provides Inter-Ops between Military, Government,Municipal and other support agencies. Can link radio, phone and internet resources together for common communication picture.
Operations Section CAMCO Operations Section Chief Insp.Burke / Lt. Stringfellow Deputy OPS Chief Lt.Guillemette, SPD JISCC Unit TSgt. Quebeck Traffic Division Sgt.Nurse JISCC Specialist TSgt. Fantasia CPA Strike Team 10 Kevin Paice Civil Air Patrol Strike Team 11 Col.Valerie Lahtine Vaccination Division Joanne Geake, RN Registration Division MaryEllen Steeves Air Operations Division Col.Valerie Lahtine, CAP USAF Med Strike Team 1 LTC Patricia Simmons USCG Med Strike Team 2 CDR Andrew Meagher USCG Med Strike Team 3 Sandwich MRC Strike Team 4 Cathy Gwynn Sandwich MRC Strike Team 5 Rebecca Scott CPA Strike Team 6 Chris Neeven CPA Strike Team 7 Ed Webb CPA Strike Team 8 Doug Dexter
Logistics Briefing
IMT Check-In Trailer
Registration Point
Vaccination Area
Vaccination Area Part II
Inside Vaccination Area Located inside to handle overflow and ineligible drive thru people. Supervised by Indoor Vaccination Manager under Vaccination Group Supervisor.
Press Conference
Exercise Safety One safety officer assigned for first two years. Once drive-thru model exercised, (1) Safety Officer and (3) Asst.Safety Officers assigned for duration of the vaccinations. Safety is now the strongest link in the IAP and vaccination execution.
Safety Officer in Fire Service Usually assigned to all major incidents. SOFR concentrated on building construction, hazardous materials, and weather elements. Credentialed by the National Pro Board as a certified position. NFPA 1521 recommends one SOFR per Fire Department.
Safety Officer Hospital/EMS Concentrated on bio-hazards, universal precautions, fluids and medical waste disposal. Responsible for climate controlled area with redundant back ups for power and lighting. Infection Control Officers assigned to EMS and Public Safety Agencies.
All Hazards SOFR for Pandemics Must combine elements of DOT,US Forest Service, NFPA and Hospital/EMS elements. Position gets complicated when drive thru element is added on. Should be person with skill set and awareness in all areas. Asst SOFR should be from each of the sub discipline elements listed above.
SOFR Org Chart Operation CAMCO 2009 Vaccination Storage Manager. S/R HS3 Dana Mastronardi USCG Safety Officer Gail Mailhott-Bienvenue, RN DPH Region I EPC Asst.Safety Officer OBSERVATION Brian Leary, NREMT-P EMS Officer SFD Asst.Safety Officer INFECTION CONTROL Deb Patellos, RN Barnstable County Health Asst.Safety Officer DRIVE THRU Det.Bruce Lawrence Sandwich PD
Vaccination Storage Manager SR Checked storage temp every 30 minutes and kept log. Tracked amount of vaccine left in storage and reported amount to Supply Unit Leader Public Health professional with medication storage knowledge.
Safety Issues RADHAZ zone around satellite area Police on scene to keep gun holster locked and secured. No animals in cars for the drive- thru area. Animal Control on standby at scene. Keep breaks constant and advise OPS of overworked crews.
Environmental SOFR Issues Weather and impact on outside personnel Exposure to sun and potential for sun burn Exhaust fumes from cars, maintain rotation and evaluation of personnel using RAD 57 Weather impact on medical waste storage barrels outside.
Lessons Learned Use of Assistants in the Command Staff positions worked very well. Multiple LOFR, PIO and Safety assistants kept good span of control. Allowed for key players to attend planning meetings and Asst s s to continue with operation.
Lessons Learned Have operational components ready to go 1 hr prior to start time. Have uniformed Police Presence in the registration area, utilize CERT traffic teams in other critical areas. Have extra personnel available on stand by to assist Operations with fill in components.
Lessons Learned Have Medical Waste Manager assigned to the Medical Unit Leader under Logs. Use of Deputy Section Chiefs worked much better than Branch Directors, allowed for more flexibility. Will add Division/Group Supervisor next year that is Public Safety person.
Lessons Learned Barnstable County IMT did very well in handling Logistics and Check in functions to support operation. Tried to add too many components to exercise without sufficient personnel. Learned that drive-thru is the way to go if proper equipment and staffing is available.
Exercise Statistics 961 vaccinations given, with approximately 600 in the drive thru and 360 at the inside station. Total cost of exercise was approximately $3,200 including food. Had 125 volunteers working on the ground including (15) 5-person 5 strike teams in areas of registration, traffic and patient observation.
Conclusions Public Health needs to take stronger lead on Public Health Emergencies Unified Command needs to be clearly defined and followed Fire Service needs to take a proactive look at future in taking a role in all-hazards incidents
Conclusions All Hazards Intelligence/Information Section Chief will be the most important ICS add on to the Public Health Community. The position will be added to next year s exercise as a prominent objective to analyze.
Conclusions VSM Shadow was USCG Chief Pharmacist who will take reigns in 2009 Shadowing of Safety Positions is critical for solid list development DVM kept as Tech Specialist to answer animal questions as people went thru drive thru. Pharmacist next year assigned as Tech Specialist for Incident Commander.
Special Services 2009 Pandemic Response Organizational Chart Deputy OPS Chief Special Services Group Leader Native American Liason Diversity Manager Disabilities Manager Sign Language Specialist Language Task Force Ldr Religious Task Force Ldr Father Rodney Thibeault Visual Impairment Technical Specialist Russian Interpreter Spanish Interpreter Jewish Liasion S/R Episcopal Liasion S/R Animal Medicine Technical Specialist Protestant Liason S/R Baptist Liasion S/R
Sandwich EDS Planning Group
Contact Information Insp. John J. Burke Fire Prevention Officer Sandwich (MA) Fire-Rescue Department CHEM Fellow, Adjunct Professor Boston University School of Medicine Jburke@townofsandwich.net 508-888 888-0525 Ext.146