Core Competencies Matrix April 2007

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    OFFICE OF THE SURGEON GENERAL April 2007

    MRC Core Competencies Matrix

    PROLOGUE

    The Medical Reserve Corps Core Competencies Matrix is asuggested guide for training MRC volunteers at the local level.

    Core Competencies represent the baseline level of knowledge andskills that all MRC volunteers should have, regardless of their

    roles within the MRC unit. Because the core competenciesestablish only a minimum standard, units may choose to expandon the competencies in order to train volunteers at a moreadvanced level. Units may also choose to link the MRC corecompetencies to other existing sets of competencies for healthprofessionals.

    The Competencies Matrix presents a menu of options to guideMRC unit leaders. Leaders may choose trainings from the matrix,use other trainings not listed in the matrix, or create their ownunit-specific trainings based on the competencies.

    Utilizing the competencies makes interoperations between MRCunits more efficient by providing a common language in whichunits can communicate their volunteers capacities to each otherand to partner organizations.

    Core Competencies represent the baseline level of knowledge and skills

    that all MRC volunteers should have,regardless of their roles within the

    MRC unit.

    CORE COMPETENCIES MATRIX

    The Core Competencies Matrix is organized into the following categories:

    Domains are groups of competencies related to a certain topics. Thedomains may help you conceptualize how the competencies relateto one another. One training may cover one or all of thecompetencies within a domain.

    Specific Competencies are the demonstrable skills an individualshould have in order to be activated as an MRC volunteer.

    Knowledge, Skills, and Attitudes break the competencies down intomeasurable actions a volunteer should be able to perform in orderto be considered competent in an area.

    Suggested Trainings/Tools are recommended trainings, most of which are available on-line, free of cost, that will enablevolunteers to meet the competencies. These trainings are notrequired, nor is this list comprehensive; rather it is a starting point

    for unit leaders to consider available trainings.

    Assessment is a suggested method for unit leaders to assess whethera volunteer has fulfilled a competency. All competencies may beobservationally assessed in the context of exercises or drills inwhich the unit participates.

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    MRC Core Competencies MatrixDomain #1: Health, Safety, & Personal Preparedness

    Specific Competency Knowledge Attitude Suggested Trainings/Tools Assessment

    Describe the proceduresand steps necessary forthe MRC member toprotect health, safety,and overall well-being of themselves, theirfamilies, the team, andthe community.

    Identify the keycomponents of apersonal and familypreparedness plan.

    Identify andrecognize thepotential barriers toexecuting the plansand identifycontingencies

    Identify keycomponents of a

    variety of preparedness kits(e.g., home kit, Go-Kit, work kit)

    Identify keycomponents tokeeping ones self,

    family, team andcommunity safe

    from environmentaland incident hazardsand risks.

    Prepare a personaland familypreparedness plan

    Review it with family, neighbors,and friends

    Set up occasions toimplement the drilland measure itsefficacy or need for revision.

    Utilize recognizedmethods of protection (e.g.,hand washinghygiene, coughetiquette, masksand other personalprotectivemeasures)

    Embrace andpromote thevalue of personal, family,and work lifepreparedness

    ARC Introduction to Disaster www.redcross.org

    flash/course01 _v01/ FEMA Independent Study

    Program: IS-22 Are you Ready? An In-Depth Guide to Citizen Preparedness http://training.fema.gov/EMIWeb/IS/is22.asp

    CERT-Module 1, Lesson 2: Family and Workplace Preparedness

    www.citizencorps.gov/cert/IS317/ Ready.Gov

    www.ready.gov/america/index.html

    Standard Precautions and Respiratory Hygiene MRC-TRAIN Course ID:

    1007977www.mrc.train.org

    Document that the MRCmember has a personaland family preparednessplan in place.(Yes or No)

    Document that the MRCmember possesses adisaster kit (Yes or No)

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    MRC Core Competencies MatrixDomain #1: Health, Safety, & Personal Preparedness (continued)

    Specific Competency Knowledge Attitude Suggested Trainings/Tools Assessment

    Describe the impact of an event on the mentalhealth of the MRCmember and theirfamily, team, and others.

    Identify the range of anticipated stressreactionsexperienced bydisaster survivors,MRC members,responders, andothers in the earlyaftermath of disaster.

    Identify when, how,and where to refer disaster survivors,MRC Teammembers, andothers for additionalmental healthsupport and care.

    Identify the basicelements of Psychological First

    Aid and the keyways to provideemotional care andcomfort to disaster survivors, MRCMembers, andothers in the earlyaftermath of disaster.

    Providepsychological firstaid to disaster survivors, MRCteam members,and others.

    Acknowledgethat disastersand other publichealthemergencies arestressful events.

    Acknowledgethat MRCmembers are in aunique role toprovideemotional careand comfort to

    disaster survivors, MRCteam membersand others.

    Embrace theconcept thatprovidingemotional care

    and comfort inthe earlyaftermath of disaster maymitigate shortand long-termpsychologicalconsequencesin disaster survivors, MRCteam membersand others.

    Psychological First Aid: Field Operations Guide (MRC version) www.medicalreservecorps.gov/File/MRC_Resources/MRC_PFA.doc

    Psychological First Aid: Helping People Cope During Disasters and Public Health Emergencies www.centerfordisastermedicine.org/disaster _mental _health.html

    Nebraska Psychological First Aid

    Curriculum www.disastermh.nebraska.edu/psychfirstaid.html

    Psychological First Aid: Helping Others in Times of Stress Contact your local American RedCross Chapter

    Introduction to Mental Health Preparedness for Local Health Department Staff and Community Volunteers https://www.mrc.train.org/DesktopShell.aspx?tabid=62&goto=browse&browse=subject&look

    for=18&clinical=both&local=all&ByCost=0

    Document participationin a Psychological First

    Aid training (online or classroom)

    http://www.medicalreservecorps.gov/File/MRC_Resources/MRC_PFA.dochttp://www.medicalreservecorps.gov/File/MRC_Resources/MRC_PFA.dochttp://www.medicalreservecorps.gov/File/MRC_Resources/MRC_PFA.dochttp://www.medicalreservecorps.gov/File/MRC_Resources/MRC_PFA.dochttp://www.medicalreservecorps.gov/File/MRC_Resources/MRC_PFA.dochttp://www.medicalreservecorps.gov/File/MRC_Resources/MRC_PFA.dochttp://www.medicalreservecorps.gov/File/MRC_Resources/MRC_PFA.dochttp://www.centerfordisastermedicine.org/disaster_mental_health.htmlhttp://www.centerfordisastermedicine.org/disaster_mental_health.htmlhttp://www.centerfordisastermedicine.org/disaster_mental_health.htmlhttp://www.centerfordisastermedicine.org/disaster_mental_health.htmlhttp://www.centerfordisastermedicine.org/disaster_mental_health.htmlhttp://www.centerfordisastermedicine.org/disaster_mental_health.htmlhttp://www.disastermh.nebraska.edu/psychfirstaid.htmlhttp://www.disastermh.nebraska.edu/psychfirstaid.htmlhttps://www.mrc.train.org/DesktopShell.aspx?tabid=62&goto=browse&browse=subject&lookfor=18&clinical=both&local=all&ByCost=0https://www.mrc.train.org/DesktopShell.aspx?tabid=62&goto=browse&browse=subject&lookfor=18&clinical=both&local=all&ByCost=0https://www.mrc.train.org/DesktopShell.aspx?tabid=62&goto=browse&browse=subject&lookfor=18&clinical=both&local=all&ByCost=0https://www.mrc.train.org/DesktopShell.aspx?tabid=62&goto=browse&browse=subject&lookfor=18&clinical=both&local=all&ByCost=0https://www.mrc.train.org/DesktopShell.aspx?tabid=62&goto=browse&browse=subject&lookfor=18&clinical=both&local=all&ByCost=0https://www.mrc.train.org/DesktopShell.aspx?tabid=62&goto=browse&browse=subject&lookfor=18&clinical=both&local=all&ByCost=0http://www.disastermh.nebraska.edu/psychfirstaid.htmlhttp://www.centerfordisastermedicine.org/disaster_mental_health.htmlhttp://www.medicalreservecorps.gov/File/MRC_Resources/MRC_PFA.doc
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    MRC Core Competencies MatrixDomain #2: Roles & Responsibilities of Individual Volunteers

    Specific Competency Knowledge Attitude Suggested Trainings/Tools Assessment

    Describe the MRCmemberscommunication role(s)and processes withresponse partners,media, general public,and others.

    Understand the roleof the PublicInformation Officer (PIO) or other authorized agent

    Understand anindividual MRCmembers role andresponsibilities incommunicating withresponse partners,media, generalpublic, and others

    Understandlegislativerequirements relatedto the sharing of protectedinformation (e.g.,HIPAA, personalinformation, etc.)

    Perform your roles& responsibilities inthe position you areassigned

    Communicateeffectively withresponse partners,media, generalpublic and others

    Respect privacyandconfidentiality

    Promote

    consistent andapprovedmessaging

    Embrace highethical standards

    IS 100: Introduction to the Incident Command System

    OR

    IS 100: Introduction to the

    Incident Command System for Healthcare Hospitals

    Hospital Incident Command System (HICS) https://www.mrc.train.org/DesktopShell.aspx?tabid=62&goto=browse&browse=subject& keyword=HIPAA&keyoption=

    Both&clinical=both&local=all&ByCost=0

    Document thecompletion of IS 100 or equivalent

    Document the

    completion of a HIPAAtraining or equivalent

    Document participationin a interpersonalcommunication skillstraining or equivalent

    Demonstrate the MRCmembers ability tofollow procedures forassignment, activation,reporting, anddeactivation.

    Describe the localMRC's guidelines or procedures for assignment,activation, reporting,and deactivation

    Participate in a drill,exercise or publichealth activity

    Embrace themission of theMRC

    Honor a sense of duty

    Develop acommitment topersonalaccountability

    Local unit-specific training

    Drill, Exercise, Training, or actualevent

    Public Health activities (e.g.,participating in health fairs,disease screenings, andcommunity education events)

    Document completionof local unit-specifictraining

    Direct observation of compliance

    https://www.mrc.train.org/%20DesktopShell.aspx?tabid=62&%20goto=browse&browse=subject&%20keyword=HIPAA&keyoption=%20Both&clinical=both&local=all&ByCost=0https://www.mrc.train.org/%20DesktopShell.aspx?tabid=62&%20goto=browse&browse=subject&%20keyword=HIPAA&keyoption=%20Both&clinical=both&local=all&ByCost=0https://www.mrc.train.org/%20DesktopShell.aspx?tabid=62&%20goto=browse&browse=subject&%20keyword=HIPAA&keyoption=%20Both&clinical=both&local=all&ByCost=0https://www.mrc.train.org/%20DesktopShell.aspx?tabid=62&%20goto=browse&browse=subject&%20keyword=HIPAA&keyoption=%20Both&clinical=both&local=all&ByCost=0https://www.mrc.train.org/%20DesktopShell.aspx?tabid=62&%20goto=browse&browse=subject&%20keyword=HIPAA&keyoption=%20Both&clinical=both&local=all&ByCost=0https://www.mrc.train.org/%20DesktopShell.aspx?tabid=62&%20goto=browse&browse=subject&%20keyword=HIPAA&keyoption=%20Both&clinical=both&local=all&ByCost=0https://www.mrc.train.org/%20DesktopShell.aspx?tabid=62&%20goto=browse&browse=subject&%20keyword=HIPAA&keyoption=%20Both&clinical=both&local=all&ByCost=0
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    OFFICE OF THE SURGEON GENERAL April 2007

    MRC Core Competencies MatrixDomain #2: Roles & Responsibilities of Individual Volunteers (continued)

    Specific Competency Knowledge Skill Attitude Suggested Trainings/Tools Assessment

    Identify limits to ownskills, knowledge, andabilities as they pertainto MRC role(s).

    Identify the physicaland emotionalchallenges for various types of duties, dassignmentsand activities

    Identify personal andprofessional liability.

    Identify gaps in ownknowledge-base &training needs

    Engage in a self-assessment

    Communicatelimitations when

    appropriate or necessary

    Have realisticexpectations

    Accept oneslimitations

    Acceptresponsibility for personal or professionalgrowth anddevelopment

    Local Unit Orientation

    Drill, Exercise, Training, or actualevent

    Volunteer Screening

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    MRC Core Competencies MatrixDomain #3: Public Health Activities & Incident Management

    Specific Competency Knowledge Attitude Suggested Trainings/Tools Assessment

    Describe the chain of command (e.g.,EmergencyManagement System,ICS, NIMS), theintegration of the MRC,and its application to agiven incident.

    Understand NIMS &NIMS Compliance

    Understand the Roleof the MRC in ICS

    Understand how ICSis interdisciplinary &organizationallyvariable

    Identify the 5 ICSManagementFunctions

    Understand thePrinciples of Span of Control

    Identify the Roles &Responsibilities of Key ICS Positions

    Identify the KeyFacilities and

    Locations Describedin ICS

    Operate within thestructure of theincident commandsystem

    Notify the Chain of Command whensafety action isnecessary

    Respect thecommandstructure byrelinquishingpersonalauthority tooperationalauthority

    IS 100: Introduction to the Incident Command System

    OR

    IS 100: Introduction to the Incident Command System for Healthcare or Hospitals

    IS-700: National Incident Management System (NIMS),

    An Introduction

    Hospital Incident Command System (HICS)

    Successful completion of IS-700 or equivalent

    AND Successful completion of

    IS 100: Introduction to the Incident Command System

    OR IS 100: Introduction

    to the Incident Command System for Healthcare or Hospitals

    OR Hospital Incident

    Command System (HICS)

    OR Equivalent for one of the

    preceding 3 courses

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    MRC Core Competencies MatrixDomain #3: Public Health Activities & Incident Management (continued)

    Specific Competency Knowledge Attitude Suggested Trainings/Tools Assessment

    Describe the role of thelocal MRC unit in publichealth and/oremergency responseand its application to agiven incident.

    Perform your rolesand responsibilitiesin your MRC asthey integratewithin the publichealth or emergencyresponse system

    Successful completion of a local Points of Dispensing (POD) or Strategic NationalStockpile (SNS) training

    Successful completion of a public health training,where appropriate

    Understand your communitys publichealth system andthe role of the MRCin local public healthactivities

    Understand thepublic health role of the MRC inemergencyresponse.

    Understand who has

    the authority toactivate & authorizethe local MRC Unit

    Public Health 101 Online Pennsylvania & Ohio Public Health Training Center https://www.mrc.train.org/DesktopModules/eLearning/CourseDetails/CourseDetailsForm.aspx?tabid=62&CourseID=1000546

    Local unit-specific training

    Respect your rolewithin your Units operation.

    All competencies may be observationally assessed in the context of drills and exercise in which your Unit participates.

    https://www.mrc.train.org/DesktopModules/eLearning/CourseDetails/CourseDetails%20Form.aspx?tabid=62&CourseID=1000546https://www.mrc.train.org/DesktopModules/eLearning/CourseDetails/CourseDetails%20Form.aspx?tabid=62&CourseID=1000546https://www.mrc.train.org/DesktopModules/eLearning/CourseDetails/CourseDetails%20Form.aspx?tabid=62&CourseID=1000546https://www.mrc.train.org/DesktopModules/eLearning/CourseDetails/CourseDetails%20Form.aspx?tabid=62&CourseID=1000546https://www.mrc.train.org/DesktopModules/eLearning/CourseDetails/CourseDetails%20Form.aspx?tabid=62&CourseID=1000546https://www.mrc.train.org/DesktopModules/eLearning/CourseDetails/CourseDetails%20Form.aspx?tabid=62&CourseID=1000546