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Effective Incident Command System
Public Health Response to Katrina Evacuees
Cobb & Douglas Public Health, Marietta, GA
Pam Blackwell, RNDirector, Center for Emergency
Preparedness and Response
Alpha Bryan, MDDistrict Health Director
Question
Activation: Sept. 1, 2005, 0620
NDMS Atlanta Fed Coordinating Center
Is there a good picture from later in
the presentation that could go here?
Question
Incident Command: 0645
Cobb County Public Health
QuestionCobb & Douglas PH ICS Response
ICS Response to Hurricane Katrina
QuestionCobb & Douglas PH ICS Response (cont.)
ICS Response to Hurricane Katrina
Question
Dobbins ARB: 0700 “Getting ready to roll.”
Organizing the Resources
QuestionThe Partners
• DoD/VA-NDMS
• Dobbins ARB
• Cobb & Douglas Public Health
• Cobb County Fire & EMS
• Georgia State Defense Force
• Cobb County Public Safety
• GEMA
• Cobb County Community Services Board
• Cobb County EMA
Question
• Cobb County Sheriff• Metro Atlanta EMS Providers• 36 Metro Atlanta NDMS Hospitals• Dekalb Board of Health• Metro Atlanta Public Health Depts• Region 3 EMS• Cobb County Animal Control• Georgia Highway Patrol• Volunteer Doctors and Nurses• FEMA• Volunteer clergy
The Partners (cont.)
QuestionPhase 1 Layout
QuestionPhase 2 Layout
Question
Hangar 746 Hangar 747
Deplane/EscortCC Triage
Security Check Point
Triage
Flight Line
Shelter StagingMedical Needs
Med Supplies Green
Team
Yellow Team
Red Team
EMS Staging
Transportation Flow
Transpo Coord
MACC
Office Space
Evacuee Doc
Chairs/ Holding
Food
Mass Transpo Staging
Mobile CMD Post
Not to Scale
Atlanta NDMS Patient Reception Area
Transpo Coord
Co
mfo
rt Items
QuestionAtlanta FCC NDMS Org Chart
Unified CommandMAC
OperationsPam BlackwellPublic Health
PlansLeticia MathisPublic Health
LogisticsWayne JonesDobbins ARB
AdminDobbins
SafetyGeorgia State
Defense Forced
PIOJIC
LiaisonDennis JonesPublic Health
Legal
Asst. OpsDawn WalkerPublic Health
ShelterStaging
MedicalVA
SecurityGrayling Livingston
Dobbins ARB
TransportationChuck Baird
Cobb Cty EMS
Tasking/Action Tracking
Communications
Triage
Treatment
Epidemiology
CISM
Flight OpsChad
Dobbins
Med TransportMarty BillingsRegional EMS
Mass TransportGEMA
DocumentationKim King/VA
Public Health/VA
Incident ActionPlanning
Staffing
ResourceManagement
Food/Water/Ice
Sanitation Staging
Base
VendorContractng
State EOCLiaison
Storage
MobilizationCenter(s)
HumanResources
FinanceDobbins
Public HealthVA
IncidentCommander
Paul Brannigan VA
QuestionAtlanta FCC NDMS Org Chart (cont.)
Unified CommandMAC
OperationsPam BlackwellPublic Health
PlansLeticia MathisPublic Health
SafetyGeorgia State
Defense Forced
PIOJIC
LiaisonDennis JonesPublic Health
Legal
Asst. OpsDawn WalkerPublic Health
ShelterStaging
MedicalVA
SecurityGrayling Livingston
Dobbins ARB
TransportationChuck Baird
Cobb Cty EMS
Tasking/Action Tracking
Communications
Triage
Treatment
Epidemiology
CISM
Flight OpsChad
Dobbins
Med TransportMarty BillingsRegional EMS
Mass TransportGEMA
DocumentationKim King/VA
Public Health/VA
Incident ActionPlanning
Staffing
Incident CommanderPaul Brannigan VA
QuestionAtlanta FCC NDMS Org Chart (cont.)
Unified CommandMAC
LogisticsWayne JonesDobbins ARB
AdminDobbins
SafetyGeorgia State
Defense Forced
PIOJIC
LiaisonDennis JonesPublic Health
Legal
ResourceManagement
Food/Water/Ice
Sanitation Staging
Base
VendorContractng
State EOCLiaison
Storage
MobilizationCenter(s)
HumanResources
FinanceDobbins PH VA
Incident CommanderPaul Brannigan VA
QuestionQuestion
The four essential units of a typical incident command system are:
Operations, Planning, Logistics, andFinance/Administration.
A. True
B. False
Question
Provide care and caring to those who have lost everything
The Mission
QuestionBriefings
Public Health Georgia State Defense Force
VA Staff
QuestionQuestion
In your opinion, which of the following civilian public agencies is least experienced and competent in executing an effective incident command system?
A. Police Department
B. Fire Department
C. Public Health Department
D. Emergency Medical Services
QuestionPhase I Hangar
Question
10 EMS units next to the flight line at all times
EMS Staging Area
Cobb County Civic Center 20 units on stand-by
QuestionVA/NDMS Treatment Area
QuestionHospital Bed Status Board
QuestionCobb Co. Emergency Operations Center
Question
Cobb County fire-med ops unit
Transportation
Question
Briefing by Paul BranniganVA-NDMS Incident Commander
Off-load Briefing
QuestionQuestion
The leaders of the four essential units (operations, planning, logistics and finance/administration) must come from the same agency as the incident commander.
A. True
B. False
Question“Wheels Down”
QuestionThe Belly of the Beast
QuestionImprovisation
QuestionPublic Health Mobile Command
QuestionQuestion
In your opinion, which of the following civilian public agencies is most experienced and competent in executing an effective incident command system?
A. Police Department
B. Fire Department
C. Public Health Department
D. Emergency Medical Services
Question
Cobb Public Health
Home Away From Home
Question
MREs? Yuck!
Meals
Question
Rest and sleeping tents
Chapel
Home Away From Home (cont.)
QuestionPhase II Hangar: NDMS Treatment Area
QuestionPublic Health Shelter Assessment Hangar
QuestionSecurity Screening En Route to Treatment
Ambulatory evacuees
Question
On board orientation and initial medical triage
Delta 757 Evacuee Flight
QuestionNon-medical Evacuee Hanger
QuestionThen Along Came Hurricane Rita
Reactivation at Dobbins ARB Sept 19 & 20
QuestionQuestion
Which of the following are essential characteristics of an effective incident command system?
A. Common communication protocols/text
B. Clear, consistent chain of command
C. Timely and appropriate delegation of authority and resources
D. All of the above
QuestionCritical Care Assessment Team (CCAT)
QuestionCritical Transport Coordination
QuestionTemporary Nursery & Assisted Living