Thurston County ARES/RACES -------- Tuesday 1900, 147.36+, 103.5 Amateur Radio and Disaster Medical

Thurston County ARES/RACES --------http://wwa-district3-ares.org/thurston_county----------- Tuesday 1900, 147.36+, 103.5

Amateur Radio and Disaster Medical Communications

Harold – KD7YOE

Vaunn – KD7UJH

Keith – N5MUR


Briefing Purpose & Agenda

• Provide an overview of disaster medical communications to Thurston County …– Amateur Radio Emergency

Service

– Radio Amateur Civil Emergency Service

– Amateur Radio Operators as appropriate

• Agenda– Western WA Organization

– District Three

– Local Hospitals• Capital Medical (CapMed)

• Providence St. Peter (St. Pete)

– HIPAA

– Reports

– Summary


MST Name & Mission

• Western Washington Medical Services [Emergency] Communications Team– aka Medical Services Team (MST), WWMSEC, WWMST.

– Med-Net is the tactical call-sign for the Regional Medical Net Control in Seattle, WW7MST.

• Provide vital emergency communications between medical facilities and suppliers in the community, local governments, and other emergency management agencies during disaster situations, when normal communications are inoperable or disrupted, utilizing amateur radio voice or digital networks, and other appropriate communications media.


MST History

• Founded in 1990, after the Loma Prieta quake

• Incorporated as a non-profit, 501(c)(3) organization

• Affiliated with ARES and RACES

• President: Marina Zuetell, N7LSL

• For more info …– www.ww7mst.org


MST Customers

• Hospitals and major medical centers– Public, private, and military

• Blood banks• Medical and pharmacy suppliers• Public health departments• National Disaster Medical System (NDMS)

– Disaster Medical assistance Teams (DMAT)– US Public Health Service– Military


MST Performs …

• Inter-agency/hospital communications• Inter-agency/hospital medical net control• Intra-hospital communications• Communications from field operations to

hospitals; transportation or incident sites• Inter-county, inter-state communications• Assistance with planning and implementing

emergency communications


MST Training

• Required Training– HIPAA

– Basic & Intermediate ICS: IS-100/200 (training.fema.gov)

– CPR and Blood Borne Pathogen Awareness

– ARRL EmComm 1, (www.emcomm.org)

• Recommended Training– Orientation to Hospital/Medical

Environment– NIMS: IS-700– Hospital Emergency Incident Command

(HEICS)– Medical Radio Systems– Tactical Communications and Net

Control Operations– Introduction to MCI & START systems

(Simple Triage w/Rapid Transport) – Basic & Intermediate Helicopter

Awareness– First Aid, etc.


MST State Frequencies

• MST has a net on the W7SRZ repeater (146.90-, 103.5) Thursday night at 2000 hours. All members are encouraged to check-in if within range.

• MST plans to add a UHF repeater (with linkage) at St. Pete to expand their coverage area.

Band Frequency Offset Tone Location Status6m 53.550 MHz - 100 Hz VA Hospital Operational2m 146.900 MHz - 103.5 Hz VA Hospital Operational1.25m 224.680 MHz Finn Hill Less than optimum70cm 443.550 MHz + 103.5 Hz VA Hospital Operational70cm 444.825 MHz 103.5 Hz Finn Hill Less than optimum


For More Information on MST

• Web Site: www.ww7mst.org– Public section: General information, training, etc.– Members only section: Requires permission from

WWMSEC leadership and call-sign authentication.– Much of the information in this presentation and more

can be found on the web site.

• We have a dedicated mission and need more team members. – Wouldn’t you like to support your local medical

facility?


Regional Homeland SecurityCoordination Districts


Western WA Counties Served

1. Snohomish Co - 4 hospitals, multiple clinics. Whatcom, Skagit, Island Cos - 6 hospitals, public health.

2. Kitsap Co - 3 hospitals, multiple clinics. Clallam, Jefferson Cos - 3 hospitals, public health.

3. Thurston Co - 2 hospitals, one clinic. Mason Lewis, Grays Harbor, Pacific Cos - 7 hospitals.

4. Clark Co - 2 hospitals. Cowlitz Co - 1 hospital, 2 campuses.

5. Pierce Co - 7 hospitals, multiple clinics, blood bank.

6. King Co - 19 hospitals, multiple service agencies, clinics, suppliers, blood bank, public health, Regional Medical Net Control, i.e., MedNet.


Disaster Medical Hospital Control

• DMHC, aka Control Hospital– The single hospital responsible for coordinating all hospital responses within a

region during a large-scale or mass casualty incident (MCI).– May also coordinate medical commo between hospitals.

• DMHCs plan to talk with each other via 6 meters.• DMHCs for our last drill:

Reg Hospital City Alternate City6 Harborview* Seattle Overlake* Bellevue1 Providence Colby Everett St. Joseph Bellingham

Skagit Valley Mt. Vernon2 TBD3 Providence St. Peter Olympia4 Oregon Health Science

University HospitalPortland SW WA

Medical Ctr Vancouver

5 Good Samaritan Puyallup Madigan FT Lewis


District Three Medical Facilities

County City Agency

Grays Harbor Aberdeen Grays Harbor Community HospitalGrays Harbor McCleary Mark Reed HospitalLewis Centralia Providence HospitalLewis Morton Morton General HospitalMason Shelton Mason General HospitalPacific Ilwaco Ocean Beach HospitalPacific South Bend Willapa Harbor HospitalThurston Olympia Capital Medical CenterThurston Olympia Group Health Medical CenterThurston Olympia Providence St. Peter Hospital


District 3 MST Callout & Freqs

• Call out is by pager or phone. One can also self-mobilize.

• Start MST operations on the Capital Peak repeater.

• If no success, try Cap Peak simplex output, 145.47.• MST ops will likely move to another simplex frequency.• The District 3 MST coordinator position is currently

unfilled. Any volunteers?

Chan Frequency O/S Tone Assigned to:2 145.47O - 100 Dist. 3 ARES/RACES Ops // K7CPR


CapMed Location

• 3900 Capitol Mall Dr SW, Olympia, WA 98502-8654

• (360) 754-5858• Enter thru the ER• Ask security to

admit you to the 5th floor (utility) where you will find the Ham Radio Room.

• Radio room phone: (360) 754-5858 x2603


CapMed Equipment

• The radio room is in a utility storage area. It has a work table and radio rack containing a power supply, 2m radio, 440 radio, filters, duplexer, and an external antenna. It has commercial power and light.

• The room is loud. You will need to use the supplied headphones (two sets on table). The headphones have a stereo plug while the radios have mono jacks. Just push the plug in part way.

• Use of Handie-Talkie's, and cellular phones is not authorized outside of the radio room unless approved by hospital authorities.

Work Table

Phone x2603

Antenna Coax

440

2m

Manuals

Power Supply


CapMed Coordination

• During a disaster, messages to and from CapMed are routed through the Disaster Control Center, at extension 1071, which is headed by Janine Cannon-Davis, the Emergency Department Director and Disaster Control Coordinator.

• The hospital capacity report is also generated by the Disaster Control Center.

• The CapMed Engineering Supervisor is Dean Rutledge, 956-2585. Commo equipment falls under his purview.


St. Pete Location

• 413 Lilly Road NE Olympia, WA 98506-5166

• (360) 491-9480

• Enter thru the ER

• Ask security to admit you to 2nd floor conference room, #202, where 2m coax is currently fed.


St. Pete Equipment

• Currently, there are 2 coax feeds for two 2m antennas in the 2nd floor conference room, #202. This room is the EOC for Control Hospital/DMHC functions. This coax and the antennas have not been recently tested.

• The emergency department, on the 1st floor, has a cart with a 2m radio, packet setup, and 3 power supplies, none tested.

• Future plans call for installed radios in two locations covering 2m/440/6m:

– An education room close to the EOC will have two stations for large-scale or MCI events.

– Another station in the Emergency Department will serve small-scale local events.

• The hospital has commercial power and light.• All rooms are expected to be loud, bring headphones.• Bring a 2m mobile & mag-mount/external antenna!!!• Handie-Talkie's, and cell phones are not authorized outside

radio rooms unless approved by hospital authorities.

Conf Rm

Coax x2

2m Radio & 3x12v Bricks

Packet Setup


St. Pete Coordination

• During a disaster, messages to and from St. Pete are routed through the Emergency Communications Officer, Keith Deline, in the EOC.

• The Administrator on Call, who will be located in the 2nd floor conference room (EOC) during a disaster, is responsible for the hospital capacity report.

• The St. Pete Facility and Technology Services Manager is Keith Deline, 493-7234. Commo equipment falls under his purview.


HIPAA

• Health Insurance Portability & Accountability Act• PHI – Protected Health Information

– Any medical or personal information that can be directly connected to a patient is protected.

– This info cannot be repeated, copied, transmitted, or otherwise transferred to others without written permission from the patient.

– There are significant fines associated with PHI.

• Under no circumstances should the death or other HIPAA related conditions of individuals be discussed or relayed by radio or other means from MST sites unless authorized by a local medical official.

• For more info: www.hhs.gov/ocr/hipaa


Hospital Capacity Categories

• Alpha I – ER Capacity right now!• Alpha II – ER Capacity in 30 minutes• Bravo I – OR Capacity in 30 minutes• Bravo II – OR Capacity in 60 minutes• Charlie I – Med-Surg beds available• Charlie II – ICU beds available• Charlie III – CCU beds available• Charlie IV – Pediatric beds available• Charlie V – Psychiatric beds available


Hospital Capacity Report


Summary

• MST focuses on inter-hospital communications during disasters.

• The starting point for MST during a disaster is the Capital Peak Repeater (145.47-, 100).

• TC ARES/RACES covers St. Pete and CapMed.• St. Pete is the District 3 Control Hospital/DMHC.

– Bring your own mobile 2 meter radio and mag-mount!!!

• Questions???

Documents

Thurston County ARES/RACES -------- Tuesday 1900, 147.36+, 103.5 Amateur Radio and Disaster Medical