Emergency Support Function 6 Mass Care, Emergency Assistance, Housing and Human Services ESF Coordinator: Iowa County Emergency Management Agency Primary Agencies: Iowa County EMS Support Agencies: Iowa County Emergency Management Agency Iowa County Department of Public Health County and Municipal Law Enforcement County Emergency Medical Services Marengo Memorial Hospital Iowa County Schools County School Districts Transportation Services I. INTRODUCTION A. Purpose B. Scope The purpose of Emergency Support Function 6 (ESF-6), Mass Care, Emergency Assistance, Housing and Human Services, is to coordinate efforts to provide sheltering, feeding, and disaster welfare information (DWI) following an emergency or disaster. 1. In the event of a disaster, all or any part of Iowa County may be impacted in such a way that residents may have to evacuate their homes. If such a situation arises, a large number of citizens may need to be fed and sheltered. 2. Services will be provided without regard to economic status, race, religion, national origin, age, gender, marital status, gender identity, sexual orientation, English proficiency, ethnicity, mental or physical disability, political affiliation, or other affiliation. 3. Initial response activities should focus on meeting urgent needs of impacted citizens. Recovery assistance, such as temporary 1
housing, and loans and grants for individuals under the traditional disaster assistance programs of the Federal Emergency Management Agency (FEMA) and other federal agencies, may commence as response activities are taking place. As recovery activities are introduced, close coordination will be required between federal agencies responsible for recovery activities, and voluntary agencies providing recovery assistance. 4. Iowa County EMS will be responsible for the care of victims as determined by triage at shelter facilities. 5. Iowa County Law Enforcement coordinates the response of county agencies in assisting local and volunteer organizations to provide animals affected by the disaster with emergency care, evacuation, rescue, temporary confinement, shelter, food and water, and identification for return to the owner. 6. Mass Care includes: a. Shelter The provision of emergency shelter for victims includes the use of designated shelter sites in existing structures, creation of temporary facilities such as tent cities, or the temporary construction of shelters, and use of similar facilities outside the affected area, should evacuation be necessary. b. Feeding The provision for feeding victims and emergency workers through a combination of fixed sites, mobile feeding units, and bulk food distribution. Such operations will be based on sound nutritional standards and will include provisions for meeting dietary requirements of victims with special dietary needs. c. Disaster Welfare Information DWI includes services related to the provision of information about individuals residing within the affected area to immediate family members outside the affected area. It may also include services related to the reunification of family members within the affected area. 2
II. POLICIES A. This ESF will be implemented upon the appropriate request to the Iowa County Emergency Management Agency. B. Federal, state, and local jurisdiction, voluntary agency, and private sector resources may be used as available with the Iowa County EMS, taking the role as lead agency. III. CONCEPT OF OPERATIONS A. General 1. The Iowa County EMS has been designated the primary agency responsible for managing mass care activities. Other agencies have been designated to support the mass care mission. Resources from the private sector may also be applied to the response and recovery effort. 2. The Iowa County Sheriff may authorize use of county facilities and resources in support of mass care. In addition, they may enter into contracts with local businesses or agencies for additional resources facilities. 3. Possible shelter and/or feeding sites may include, but are not limited to: colleges, public and private schools, community centers, and churches that have general purpose or community rooms and kitchens. The Cities/ counties Fairgrounds and RV Parks could be used for tent or recreational vehicle camping. 4. Iowa County EMA will coordinate efforts to provide water, food, and shelter and other physical needs to animals. 5. Coordinate with the Public Information Officer to ensure the EOC is updated with current and accurate information. B. Organization The county EOC may notify and request activation of mass care agencies. When notified or activated, agencies will contact their staff, appropriate teams, and individual volunteers. They should maintain communication and coordination with the county EOC. 3
IV. RESPONSIBILITIES A. Preparedness Activities 1. Iowa County Emergency Management Agency Maintains a basic inventory of cots, blankets, and other supplies in a local warehouse. 2. Iowa County Department of Public Health B. Response Activities a. Identify capabilities and capacities for providing support to mass care operations. b. Coordinate with the Public Information Officer to ensure the EOC is updated with current and accurate information. 1. County EOC a. Receives and verifies situation reports from a variety of sources and identifies/estimates needs for mass care services. b. Identifies potential resources for providing mass care. c. Requests assistance from support agencies, and communication resources, as appropriate. d. Coordinates with involved support agencies regarding specific mass care site(s) locations that may be used and indicate what route(s) are to be used. e. Coordinates logistical support. f. Maintains coordination and communication between the EOC and support agencies. g. Coordinate with the Public Information Officer to ensure current and accurate information. 2. Iowa County Department of Public Health 4
a. Coordinates with environmental health to ensure safe and sanitary conditions. b. Identify health-related deficiencies in shelter operations and make corrective action recommendations to the shelter managers. c. Maintain contact with the EOC. d. Utilize a process for reunification of patients and family members during and after the emergency/disaster. e. Initiates the process of identifying the long-term mental health needs in the affected community and will work with Marengo Memorial Hosipital to coordinate long-term care and referral. f. Coordinates with the Critical Incident Stress Management Team meet the needs of first responders and disaster affected persons in the affected area immediately upon request. g. Coordinate with the Public Information Officer to ensure the EOC is updated with current and accurate information. 6. Iowa County Sheriffs Office a. Tracks the activities of all available animal shelter facilities and confinement areas identified before, during, and after the disaster. b. Provides information on the location and availability of shelter space, food, and water for animals. c. Coordinate with the Public Information Officer to ensure the EOC is updated with current and accurate information. 7. Iowa County EMA a. Coordinates with other counties or Iowa National Guard to provide food, water, bedding, clothing, or other supplies. 5
C. Recovery Activities b. Coordinates with Red Cross to provide fixed or mobile feeding sites. c. Coordinates with the Iowa County Sheriff s Office to provide assistance with animal shelter operations. d. Coordinate with the Public Information Officer to ensure the EOC is updated with current and accurate information. 1. Iowa County Department of Public Health a. Support recovery activities consistent with their mission and capabilities. Provides information to County Emergency Management Agency to assist with after-action reports. a. Coordinate with the Public Information Officer to ensure the EOC is updated with current and accurate information. 2. Iowa County Sheriff s Office a. Informs the Iowa County Emergency Management Agency as to the closing of animal shelters or confinement areas, personnel status, and supplies as the need diminishes. b. Coordinates return of animals to their owners and determine the disposition of animals that cannot be returned to their normal habitat or are otherwise separated from their owners. V. ATTACHMENTS A. Marengo Memorial Hospital Mass Care Procedure B. Neighboring Ambulances Map 6
Attachment A SUBJECT: POLICY REFERENCE: AB 1055 MULTI CASUALTY INCIDENTS SOURCE: DATE EFFECTIVE: 12/00 DEPARTMENT: IOWA COUNTY AMBULANCE SERVICE APPROVED BY: BOARD OF TRUSTEES DATE REVIEWED:4/10, 4/10, 4/11 DATE REVISED: 7/05, 4/10 DEFINITION: Mass Casualty Incident- an incident that places great demands on resources, equipment or personnel. Any incident involving hazardous, or radioactive materials, or chemicals. GUIDELINE: This policy should be used as a guideline, as every incident is unique to its type, location, number of injured, and resources available. This policy is deliberately vague so that it may be adapted to different types of incidents. MEANS OF CORRECTION Call off duty crew members to staff backup ambulance Call additional off duty personnel to assist at scene Page additional QRS teams to assist at scene, any or all QRS teams may be paged to assist in disaster situation. Call neighboring ambulance services and or helicopters for assistance CHAIN OF COMMAND Adam R. Rabe, Ambulance Director Jason Schott, Field Supervisor Martin R. Parbs, Paramedic 7
SUBJECT: MULTI CASUALTY INCIDENTS POLICY REFERENCE: AB 1055 INCIDENT LEVELS MCI LEVEL 3 A MCI-Level 3 is a small-scale incident involving 3-6 patients. The patients may be from one single incident or multiple incidents that stress the available local EMS resources. Iowa County Ambulance Service regularly staffs two ambulances, therefore additional personnel will be needed to staff the third ambulance. Consult page 5 to request additional resources. The director or next in charge should be notified. MCI LEVEL 2 A MCI-Level 2 is a moderate scale incident involving 6-10 patients. The third ambulance needs to be staffed. Additional off duty personnel could be called to assist at the scene. Additional QRS including paramedic level QRS teams could be requested. Consult page 5 of this manual for additional resources. The director or next in charge should be notified as soon as possible. Marengo Memorial Hospital should be notified and utilized if appropriate. MCI-LEVEL 1 A MCI-LEVEL 1 is a large-scale disaster involving more than 10 patients. All available personnel are called to service during a MCI-LEVEL 1. All available QRS may be requested. Additional resources should be requested as needed, consult page 5 of this manual. All members of the chain of command should be notified. All hospitals in the area should be notified, depending on the number of patients. TRIAGE MEDICAL COORDINATOR The first EMS trained person on the scene. The medical coordinator takes charge of all overall medical coordination at the scene until relieved by a higher trained EMS person. This person coordinates all emergency medical personnel. If there is an Incident Commander (rescue, fire) then the Medical Coordinator (M.C.) should work with and report to that person. Request additional resources Assign manpower to appropriate patients Assign 2 nd EMS person on scene as Triage and Treatment Coordinator Assign additional duties to EMS personnel as needed Act as Triage Coordinator in a MCI-LEVEL 2 OR 3 incident if appropriate Report number of patients to receiving hospitals Coordinate staging area for incoming resources Coordinate transport vehicles into and out of treatment area Coordinate air transport and landing areas TRIAGE AND TREATMENT COORDINATOR The second EMS trained person on scene, responsible for: Completing rapid assessment of each patient following START Method (see next page) Report to Medical Coordinator number of patients and priority patients Coordinate moving patients to treatment area Report to Medical Coordinator supplies, personnel, and transportation needed Coordinate transport of patients from the scene in the appropriate order 8
SUBJECT: MULTI CASUALTY INCIDENTS POLICY REFERENCE: AB 1055 COMMUNICATIONS All incoming and outgoing radio traffic from scene should go through the Medical Coordinator. All units coming from outside the county should be directed to use Mutual Aid 155.475. Incoming EMS units should be directed to report to the Medical Coordinator. Iowa County Ambulance and First Responders should use their normal frequencies, unless directed otherwise by the medical coordinator. If Possible - the Medical Coordinator should be scanning all appropriate frequencies. Communication between the Medical Coordinator and Triage and Treatment Coordinator should be on Iowa County EMS. USING THE S.T.A.R.T METHOD Simple Triage and Rapid Transport method should be used for moderate to large-scale incidents such as MCI-LEVEL 1 or 2. Patients are categorized into three categories based upon the severity of their injuries. When large numbers of patients exist, they can be given a colored tag or ribbon to identify the priority of the patient. Red: Yellow: Green: Deceased: Immediate, most urgent, injuries are life threatening, but can be stabilized without need for intensive care with a high probability for survival. Delayed, second priority, injuries are not yet life threatening and patients can wait 45-60 minutes in field without threat to life. Need to be reassessed every 10-15 minutes. Walking Wounded, third priority, patients have localized injuries and can wait a few hours without damage to life and limb. Any patient who has no spontaneous pulse or respirations. 9
Attachment B NEIGBORING AMBULANCE SERVICES For Reference Only Belle Plaine Ambulance Radio: Benton County Phone: 319-472-2337 Ext. 0 Blairstown Ambulance Radio: Benton County Phone: 319-472-2337 Ext. 0 Area Ambulance Radio: Cedar Rapids C-Med Phone: 319-366-7654 East Poweshiek Ambulance Radio: Poweshiek County Phone: 641-623-5679 Johnson County Ambulance Radio: JCOM Phone: 319-356-6800 Keokuk County Ambulance Radio: Keokuk County Phone: 641-622-2727 Wellman Ambulance Radio: Washington County Phone: 319-653-2107 10