MMRC Team Guidebook - MARIN HHS · Citizen Preparedness Mrc.train.org: ID #1007977 Standard...

MMRC

Team

Guidebook

MMRC Team Guidebook [Ver 1/17] 2

Marin Medical Reserve Corps

Program Coordinator

Sharon Carlin

1600 Los Gamos Drive, Suite 220

San Rafael, CA 94903

[email protected]

415-473-3643

Physicians

Nurses

EMTs

Paramedics

Behavioral Mental Health Professionals

Faith Leaders

Logistics Coordinators

Project Managers

Administrative Support

Computer Technology Experts

Firefighters

And so much more!

We Are

Table of Contents

Mission Statement Page 1

Welcome 1

Divisions 7

Uniforms/Gear 8

DSW Badge 10

4 Steps to Prepare for Action

1 Personally Prepared 13

2 Sign-up for Deployment 14

3 Training and Exercise 18

4 Team Up 20

Deployment Organizational Chart 21

Deployment Responsibilities 22

Deployment Packing List 24

MMRC Activation 26

MMRC Organizational Chart 27

MMRC History 28

MMRC Foundation 29

Your Liability/Insurance 30

Policies 33


Our Mission

The Marin Medical Reserve Corps mission is to augment

Marin county’s disaster medical response and strengthen

community resilience.

Our Team

Welcome to the MMRC and thank you for joining us! We

operate within Marin County and sometimes get deployed

for mutual aid to other areas. As part of the MMRC team,

you’ll help when …

Disaster strikes

Major emergencies occur

Public health is threatened

The Marin County Health and Human Services relies upon

medical and non-medical volunteers to assist in an

organized and meaningful manner. The Marin Medical

Reserve Corps is the mechanism for that response.

I invite you to be a part of our team to

make Marin county healthy and

resilient.

Sincerely,

Sharon Carlin,

MMRC Program Coordinator

One Volunteer’’ Story

As a young girl I watched my mother,

Annette, volunteer for numerous organi-

zations. She did not fear responsibility;

she welcomed it. She was my role mod-

el for getting involved. My mother fol-

lowed in her mother’s footsteps, and

now I in my own mother’s.

My 21-year-old daughter, Sheryl, is one

of the youngest members to join the

MMRC. My father, husband and three sons are helping

with specific programs or projects in the community and

making a difference in the world. In essence I have all

generations in my family involved in volunteer efforts. Vol-

unteerism is a core part my family’s heritage.

To be sure, volunteering for the MMRC keeps me young

and healthy! I hope you enjoy being a member of this

prestigious group.

Vivian

Vivian Cohen, RN


Helping in Your Community

Set-up and support Field Treatment Sites

Support and augment medical personnel at

hospitals and medical facilities

Set-up and support Points of Distribution

sites (PODS) for medicine distribution

Behavioral health support for community and

first responders

Teaching community classes in First Aid for

Disaster Response (FADR)

MMRC Volunteer

vaccinating at a

drive-through clinic

Your Division

As an MMRC Volunteer, you’ll have a place in

your local area with a Division Supervisor to

assist and support you in your volunteer work

and training. They will advocate for you and act

as a conduit of information from the MMRC and

the County of Marin.

Your Division will be assigned according to your

Marin county home (or work) address as

follows:

Division #1 Novato

Division #2 West Marin

Division #3 San Rafael

Division #4 Central Marin

Division #5 Southern Marin

My Division Supervisor:___________________

Contact Info: ___________________________


Your Team Gear

We have a uniform code that applies to you

when you’re deployed or participating as an

MMRC in an exercise or training. These

uniforms serve several purposes:

Clearly identifies you as an MMRC volunteer

Provides safe and durable clothing

Enhances esprit de corps of volunteers and

facilities a professional appearance

Team Gear is only to be worn or displayed

while working as an MMRC volunteer.

I understand our uniform policies

Required Team Gear

Shirt—Red t-shirt

(available at MMRC

office)

Black Pants—Such as

*Galls BDU 6-pocket

pants. Item #TR-076.

Black Belt—Such as

*Galls BDU Belt Item #BH-349

Shoes/Boots—Black leather or synthetic

leather, hard toe preferred.

Cap—Black with MMRC

logo (available at MMRC

office)

*buy online at: Galls.com


Your Team Badge

You’ll be issued an identification badge and a

Disaster Service Worker badge. Call the EMS

office for an appointment to have your picture

taken, be sworn in as a member of the Marin

Medical Reserve Corps, and receive a Disaster

Service Worker card.

You must wear your badge when activated,

during exercises and trainings, or any time

you’re volunteering your time on behalf of the

MMRC. Badges are the property of the MMRC

and must be returned to the MMRC upon

termination of volunteer services.

Call 415-473-3213

for appointment

Optional Team Gear

Jacket—Orange Ansi III and OSHA compliant

with reflective tape. Patches and jackets are

available for purchase at MMRC office.

MMRC patch on left

shoulder, located 1”

below shoulder seam

and centered across

seam.


4 Steps to Prepare

for Action

Be Prepared for SafetyBe Prepared for Safety

Attend any and all safety classes that

pertain to your MMRC function

Protecting your health, safety, and the overall well-

being of you and your family is Step #1.

Make a personal and family preparedness plan.

Implement and practice your plan with your family and

neighborhood.

Suggested trainings and tools are located below:

Redcross.org: Introduction to

Disaster

FEMA.gov: IS-22 Are you

Ready? An In-Depth Guide to

Citizen Preparedness

Mrc.train.org: ID #1007977

Standard Precautions and

Respiratory Hygiene

Step #1 —

Getting Personally Prepared


MMRC’s are notified of deployments, trainings,

meetings, and events through two different systems—

you need to sign up for both!

Sign up for D4H

D4H is the software MMRC uses to track volunteer

hours, notify you of MMRC events and trainings, and

send emails. You’ll be required to set-up a profile on

D4H and be offered assistance with this registration

when you meet with your Division.

1. Click on the link provided in your email invitation.

2. Set-up your username and password according to

directions. This will bring you to the Dashboard

https://marinmedical.d4h.org.

The following page will get you started. Feel free to

explore the Dashboard, Calendar, and the many other

functions that D4H has to offer.

Step #2

Sign-up for Deployment

http://www.d4htechnologies.com/

“Whiteboard” Weather alerts and short updates from

MMRC Management Team.

“My Calendar” See and register for upcoming events,

exercises, and meetings. Click “yes” or “no” to RSVP.

Tip: Bookmark the D4H login page. Write down and

save your username/password.

Contact Diane Ayers [email protected]

or Vivian Cohen at [email protected]

Identify the Dashboard Features

HELP


Sign-up for Disaster

Healthcare

Volunteers (DHV)

California has implemented a single network for

registration of all disaster volunteers that may be

called upon in the event of an emergency. This

network is called the Disaster Healthcare Volunteers

(DHV) system. All MMRC members must be registered

and managed utilizing the DHV system.

DHV improves the sharing of resources and enhances

coordination with other jurisdictions in California during

possible intra and inter state deployment.

On a regular basis, all members are requested to log

into their DHV profiles to update their contact

information, including their mailing address, phone

number and email address, as well as ensure that their

clinical license information is current and valid.

Go to https://www.healthcarevolunteers.ca.gov

1. Click tab Register Now

2. Select “Medical Reserve Corps Organizations”

3. Find and click “Marin Medical Reserve Corps”

4. Create your Username and Password.

5. Supply all the requested data. Use the email

address, telephone number, and mobile phone

number that you will be most likely to answer. This

is one of the ways you’ll be notified to deploy.

Contact Diane Ayers [email protected]

or Vivian Cohen at [email protected]

I have signed-up for deployment with D4H and DHV.

HELP


MMRC members participate in exercises, drills, and

workshops to ensure maximum preparedness for

deployment and service to the community.

Training events are geared to address situations

that you may encounter in a deployment.

Training events are designed to build upon your

existing professional scope and expertise. They

may include:

Augmentation of mass vaccination or

dispensing clinics;

Augmentation of public health surge capacity

at local hospitals or other care facilities;

Assisting in triage, treatment and transport

readiness

Field Treatment Site set-up and staffing

Incident Command System training

First Aid Disaster Response (FADR)

Step #3

Training & Exercise

Training Requirements

The MMRC training program is developed and

adopted according to the current demands and trends

of Marin County, the State of California, and the

Federal Government. In order be considered an active

MMRC with deployment status, you must begin by

completing the following:

IS-100.B: Intro to Incident Command

System. This is an interactive

course provided free at FEMA.gov.

FADR First Aid for Disaster Response. This is a

hands-on program developed for MMRC. The four-

hour class is free and available monthly. Schedule

your training with your Division

Supervisor.


“Team Up” at local Division meetings! You’ll hear

about the latest trainings, Division opportunities,

neighborhood news, and share your insights and

experiences. We also bring in speakers and conduct

tabletop exercises.

Check out the monthly

newsletter delivered to

your email and printed

for the division

meetings. In it you’ll

get member highlights,

deployment

debriefings, and

upcoming training

opportunities.

Step #4

Team Up

Team on Deployment

The MMRC uses an organizational chart consistent

with National Emergency Management System

(NEMS) and Statewide Incident Management System

(SIMS). This allows us to integrate with other

agencies around the county, state, and federal

government. You’ll learn more about this in your

required IS-100 training with FEMA.


MMRC Responsibilities

For Deployment

Receive initial deployment from Medical

Health Operational Area Coordinator

(MHOAC) and/or MMRC Program

Coordinator via text, email, or telephone call.

If you cannot commit to the full assignment

period, do not accept the assignment.

Your deployment could likely include any or

all of the following.

Working up to 12 hour shifts

Poor lighting

Uneven surfaces and trip hazards

Cold/hot conditions

No running water or electricity

Loud and/or sudden noises

Lifting and carrying up to 35 pounds

Moving patients

Make plans for your pets, family, and plants

before you accept any assignment.

If you have been using alcohol, prescription

medicine, or other drugs that have the

potential to render you impaired, unfit, or

unable to carry out the assignment, do not

accept the assignment.

If you are driving to or from an assignment,

you must possess a valid driver’s license and

required insurance.

I understand and agree to the responsibilities

for deployment


Deployment Packing List

LOCAL DEPLOYMENTS—12 hour increments

Security Items

MRC Identification Badge

(1) Additional form of Government Photo ID

Professional License

Disaster Service Worker (DSW) card

Personal flashlight (hand or headlamp)

Clothing (Be prepared for indoor/outdoor, severe temperatures)

MMRC T-shirt + extra

Comfortable, light-weight clothing (Think Layers!)

Long Black pants

Long-sleeved Black shirts

Hat

Black boots or comfortable black walking shoes

Warm jacket

Rain gear

Bandana/handkerchief

Gloves (Leather gloves if physical labor will be performed or

for warmth)

Extra socks and underwear

Personal Items

Cell Phone and charger

Sunglasses/glasses

Nonperishable Snacks

Bottles of water

Sunblock

Personal Medication

Lip Balm

MUTUAL AID DEPLOYMENTS

You may have the opportunity to be deployed outside

the Marin County area. Prior to deployment, you will

be advised how many days you can expect to be gone.

Taking that information into consideration, you will also

keep in mind that there might not be running water,

electricity, or modern conveniences. You will receive

complete instructions prior to deployment.


When You Are and

When You Are Not an MMRC

It’s important to know when you are acting as an

MMRC volunteer and when you are not. Generally, if

you have not been assigned or signed-up through

D4H, you are not there as an MMRC volunteer.

When deployed, the MMRC volunteer will be integrat-

ed into local emergency response through the Medical

Health Branch of the Emergency Operations Center

(EOC). All emergency and disaster-related response

of the MMRC will be initiated by the Medical Health

Operational Area Coordinator (MHOAC).

MMRC Activity Not MMRC Activity

Training, exercise, or event —

Scheduled and assigned by

MMRC on D4H

Training, not assigned

Public Event—Scheduled and

assigned by MMRC on D4H

Public event, community out-

reach, not assigned

Deployment for services

through MHOAC and/or

MMRC Program Coordinator

Self-deployed to disaster or

emergency

Our Organization

We are organized into functional groups and

geographic groups, with leadership and accountability

built in. Your Division Supervisor will contact you and

welcome you personally.


Our History

National Response to 9/11

During the tragic 9/11 events, thousands of individuals

arrived at the scene to offer help. It was difficult to manage

large numbers of unaffiliated volunteers. There was no way

to credential them or organize coherent operations. In his

2002 State of the Union address, President Bush

responded by establishing the National Medical Reserve

Corps – a central office directed by the Surgeon General

which serves to unify medical volunteer organizations

throughout the nation.

Marin County Board of Supervisors’ Response

The Marin County Board of Supervisors also recognized

the need to access the skills of local healthcare

professionals in the event of large-scale public health

emergencies. In 2002, Supervisors Susan Adams and

Cynthia Murray initiated a pilot Disaster Medical Volunteer

Program within Marin’s Department of Health and Human

Services. This program adopted the Medical Reserve

Corps partnership under the Office of the Assistant for

Preparedness and Response, U.S.

Department of Health and Human

Services.

The Marin Medical Corps Foundation was created a few

years ago as a fundraising entity to assist MMRC in

fulfilling its mission. With a 501(c)(3) designation,

donations to the MMRC Foundation can be tax-deductible.

If you would like more information about tax-deductible

donations, contact [email protected] or call

415-686-5294.

MMRC Foundation


Your Liability/Insurance

The Volunteer Protection Act

The Volunteer Protection Act (42 U.S.C. § 14501 et. seq.) provides qualified immunity from liability for volunteers and, subject to exceptions, preempts inconsistent state laws on the subject, except for those that provide protections that are stronger than those contained in the VPA. The VPA defines a volunteer as “an individual performing services for a nonprofit organization or a governmental entity which does not receive compensation" (other than reasonable reimbursement or allowance for expenses actually incurred); or any other thing of value in lieu of compensation, in excess of $500 per year....” 42 U.S.C. § 14506(6). Under the VPA, a volunteer of a nonprofit organization or governmental entity is immune from liability for harm caused by an act or omission of the volunteer on behalf of the organization or entity if: (1) the act or omission was within the scope of the volunteer’s responsibilities in the organization or entity; (2) if required, the volunteer was properly licensed, certified, or authorized by the appropriate state authorities for the activities or practice giving rise to the claim; (3) the harm was not caused by “willful or criminal misconduct, gross negligence, reckless misconduct, or a conscious, flagrant indifference to the rights or safety of the individual harmed by the volunteer,” and (4) the harm was not caused by the volunteer’s operation of a motor vehicle, vessel, aircraft, or other vehicle for which the state requires the operator to possess a license or maintain insurance. 42 U.S.C. § 14503(a).

California Liability Legislation

Registered Disaster Service Workers in California are covered under the Emergency Services Act (Government Code 8657). Government Code 8659 gives malpractice immunity to “any physician or surgeon… hospital, pharmacist, nurse or dentist who renders services during any state of war emergency, a state of emergency, or a local emergency at the express or implied request of any responsible state or local official or agency.. Also, CA Labor Code 3211.92(b) and the California Code of Regulations (CCR) Title 19 2570.2(3)(b)(1)Specify that the protection extends even during training for these emergencies. These provisions generally provide protection from liability during an emergency, except in cases of gross negligence.

California State Workers Compensation Law

Volunteer Disaster Service Workers must sign an Oath of Loyalty in order to be protected under Worker’s Compensation regulations. Government employees are automatically considered to be disaster service workers during declared emergencies and official disaster training exercises. Title 1, California Government Code, Div. 4, Ch. 8, Sec. 3100 and 3101.


Marin County Liability Protection

A group contract letter, dated September 24, 2007, between the MRC in Health and Human Services and the County of Marin’s Civic Center Volunteers Program confirms that

“… volunteer members of the MRC, when operating within their medical scope of practice for the benefit of the community, on behalf of the Marin County Department of Health and Human Services, shall be covered by both workers compensation insurance and medical malpractice insurance from the County of Marin. The insurance coverage shall not apply to services or activities that are not performed on behalf of the County of Marin or which are not in the medical scope of practice of the volunteer. Medical Reserve volunteers are covered if they are listed as current volunteers with the MRC, even if the Civic Center Volunteers office does not have their name on record in its office.”

I understand the liability coverage

Policies Harassment-Free Environment

The Marin Medical Reserve Corps (MMRC) is committed to providing a harassment and discrimination-free work environment in which all individuals are treated with respect and dignity. Each individual has the right to work in a professional atmosphere that promotes equal opportunities and prohibits discriminatory practices, including harassment. It is the policy of the MMRC that harassment based on race, color, religion, age, gender, sexual orientation, national origin, marital status, disability, veteran status or any other basis is strictly prohibited.

Any harassment, whether verbal or physical, is unacceptable and will not be tolerated. It is the intent that all MMRC volunteers work in an environment free from discrimination and/or harassment by another employee, supervisor or another volunteer for any reason. Discriminatory conduct in any form undermines morale and interferes with productivity.

If you feel that you may have been the subject of discrimination or harassment, contact the MMRC Program Coordinator or your Division Supervisor. Any reports of discrimination or harassment will be examined impartially and resolved promptly.

Safety

Providing a clean, safe and healthful work environment is a goal of the MMRC. No job is considered so important or urgent that volunteers cannot take time to perform their job safely.

During the deployment orientation, a supervisor will discuss all the applicable safety and health rules with you. If you are


unclear about any safety policies and procedures, ask the Division Supervisor, Program Coordinator, on the Supervisor on scene for further clarification.

As an MMRC volunteer, you have a responsibility for your own safety and health. This includes using all required safety equipment. You must also notify your supervisor of any physical conditions such as drowsiness due to medication, illness or emotional strain, which may affect your performance and safety.

You are expected to immediately report all work-related accidents, injuries, illnesses and near misses to your Division Supervisor, MMRC Program Coordinator, or Supervisor on scene. Electronic Communications Policy The MMRC’s electronic communication systems, including telephones, handheld two-way radios, e-mail, voicemail, faxes and Internet are available to conduct business in a timely manner. All communications are to be professional and appropriate and users are prohibited from using electronic communications for the solicitations of funds, political messages, harassing messages or personal use. Use of personal electronics and mobile phones should be limited when acting as an MMRC volunteer. No photographs or videos of patients are permitted. Photos or videos are prohibited, unless prior permission has been obtained from Program Coordinator. Drug Free Workplace All MMRC volunteers are expected to report to duty, free from drug and/or alcohol impairment and to remain in a condition that enables them to perform their duties in a safe, efficient, legal and professional manner. Volunteers who may have an alcohol

and/or drug problem are encouraged to voluntarily seek evaluation and treatment that will lead to successful rehabilitation. Volunteers must abide by the provisions of this policy as a condition of volunteer service. Violence-Free Work Environment Policy The MMRC does not tolerate any type of acts or threats of violence committed by or against a volunteer. In order to ensure a safe working environment, the MMRC prohibits all persons from carrying a handgun, firearm, or weapon of any kind on assignments, regardless of whether the person is licensed to carry the weapon or not. If you feel threatened, you should retreat and request intervention from a branch director or other available management staff. If fear of violence is imminent, immediately retreat and contact 911. Commitment to Diversity The Marin Medical Reserve Corps is committed to being a diverse organization. It seeks to recognize value and incorporate diversity in its services, policies and operations, service recipients, and volunteer workforce. Diversity includes differences such as age, belief, citizenship, culture, economic level, ethnicity, gender, language, national origin, and philosophy of life, physical ability, physical appearance, race, religion, and sexual orientation. Performance Volunteers are expected to comply with the policies, procedures, and standards of the Marin Medical Reserve Corps (MMRC) as explained at the beginning of their assignment, at the volunteer orientation and in this MMRC Team Guidebook.

If a Division Supervisor is concerned with a volunteer’s performance, the first course of action is to communicate that concern to the volunteer. If they are unable to reach an


understanding, the Program Coordinator will resolve the matter. In most cases, a volunteer will be given sufficient time to respond affirmatively. In some cases, however, immediate action may be required depending upon the severity of the issue. I understand and agree to MMRC’s Policies

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MMRC Team Guidebook - MARIN HHS · Citizen Preparedness Mrc.train.org: ID #1007977 Standard...

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