OPERATION OPERATION ““CAMCOCAMCO””

““Civilian and Military Cooperative Civilian and Military Cooperative OperationOperation””

March 5, 2009March 5, 2009

OPERATION CAMCOOPERATION CAMCO

A joint Civilian/Military Exercise to test the A joint Civilian/Military Exercise to test the Town of Sandwich Pandemic Preparedness Town of Sandwich Pandemic Preparedness Plan using Drive Thru EDS model for flu Plan using Drive Thru EDS model for flu vaccine.vaccine.Utilizing support of the MANG 267Utilizing support of the MANG 267thth

Combat Communication Squadron, 102Combat Communication Squadron, 102ndnd

Medical Unit of MMR and USCGMedical Unit of MMR and USCGNovember 14, 2008 0800November 14, 2008 0800--2000 hrs2000 hrs

Participating AgenciesParticipating Agencies

Town of SandwichTown of SandwichBarnstable County (IMT, Health, CERT)Barnstable County (IMT, Health, CERT)Massachusetts State Fire MarshalMassachusetts State Fire Marshal’’s Offices OfficeMassachusetts Department of Public Massachusetts Department of Public HealthHealthMassachusetts Air National GuardMassachusetts Air National GuardUnited States Coast GuardUnited States Coast GuardBoston University School of MedicineBoston University School of Medicine

Operational ObjectivesOperational Objectives

Use of interUse of inter--operability communications operability communications equipment for homeland security use.equipment for homeland security use.To operate a (JIC) Joint Information Center for To operate a (JIC) Joint Information Center for press releases and credentialing visiting media press releases and credentialing visiting media personnel.personnel.To run flu clinic as drive thru dispensing exercise To run flu clinic as drive thru dispensing exercise for potential pandemic vaccine.for potential pandemic vaccine.To test automated call out notification system To test automated call out notification system for EDS command stafffor EDS command staff

Special FeaturesSpecial Features

WEBCAST with members of the George Mason WEBCAST with members of the George Mason University to operate a University to operate a ““Doc in the BoxDoc in the Box””evaluation of 2 simulated flu shot recipients.evaluation of 2 simulated flu shot recipients.WEBWEB--EOC use by Town, transmit information to EOC use by Town, transmit information to MEMA.MEMA.Air Operations Section to monitor traffic and Air Operations Section to monitor traffic and take real time traffic photos and send to take real time traffic photos and send to command post as a JPEG.command post as a JPEG.

VTC ComponentsVTC Components

Command StaffCommand Staff

Command Staff

Asst.Liasion OfficerSean O'Brien (Health)

Liasion OfficerDeputy Chief Foley

Asst. Safety Officer (OBSERV)Brian Leary, EMT-P

Sandwich FD

Asst.Safety Officer (EXPOSURE)Deb Patellos, RN (County Health)

Safety OfficerGail Mailhott, RN (DPH)

Assistant PIOJames Lehane (School)

Assistant PIOEvan Lagasse (USAF)

Public Information Offic.Douglas Lapp (Town)

Unified ICFD,PD,Health,Military

Joint Unified ICPJoint Unified ICP

What is a JISCC?What is a JISCC?

Joint Incident Site Communications Joint Incident Site Communications CapabilityCapabilityProvides InterProvides Inter--Ops between Military, Ops between Military, Government,Municipal and other support Government,Municipal and other support agencies.agencies.Can link radio, phone and internet Can link radio, phone and internet resources together for common resources together for common communication picture.communication picture.

Operations Section CAMCOOperations Section CAMCO

CPA Strike Team 10Kevin Paice

Civil Air Patrol Strike Team 11Col.Valerie Lahtine

Traffic DivisionSgt.Nurse

Deputy OPS ChiefLt.Guillemette, SPD

JISCC SpecialistTSgt. Fantasia

JISCC UnitTSgt. Quebeck

USAF Med Strike Team 1LTC Patricia Simmons

USCG Med Strike Team 2CDR Andrew Meagher

USCG Med Strike Team 3

Sandwich MRC Strike Team 4Cathy Gwynn

Sandwich MRC Strike Team 5Rebecca Scott

Vaccination DivisionJoanne Geake, RN

CPA Strike Team 6Chris Neeven

CPA Strike Team 7Ed Webb

CPA Strike Team 8Doug Dexter

Registration DivisionMaryEllen Steeves

Air Operations DivisionCol.Valerie Lahtine, CAP

Operations Section ChiefInsp.Burke / Lt. Stringfellow

Logistics BriefingLogistics Briefing

IMT CheckIMT Check--In TrailerIn Trailer

Registration PointRegistration Point

Vaccination AreaVaccination Area

Vaccination Area Part IIVaccination Area Part II

Inside Vaccination AreaInside Vaccination Area

Located inside to Located inside to handle overflow and handle overflow and ineligible drive thru ineligible drive thru people.people.Supervised by Indoor Supervised by Indoor Vaccination Manager Vaccination Manager under Vaccination under Vaccination Group Supervisor.Group Supervisor.

Press ConferencePress Conference

Exercise SafetyExercise Safety

One safety officer assigned for first two One safety officer assigned for first two years.years.Once driveOnce drive--thru model exercised, (1) thru model exercised, (1) Safety Officer and (3) Asst.Safety Officers Safety Officer and (3) Asst.Safety Officers assigned for duration of the vaccinations.assigned for duration of the vaccinations.Safety is now the strongest link in the IAP Safety is now the strongest link in the IAP and vaccination execution.and vaccination execution.

Safety Officer in Fire ServiceSafety Officer in Fire Service

Usually assigned to all major incidents.Usually assigned to all major incidents.SOFR concentrated on building SOFR concentrated on building construction, hazardous materials, and construction, hazardous materials, and weather elements.weather elements.Credentialed by the National Pro Board as Credentialed by the National Pro Board as a certified position.a certified position.NFPA 1521 recommends one SOFR per NFPA 1521 recommends one SOFR per Fire Department.Fire Department.

Safety Officer Hospital/EMSSafety Officer Hospital/EMS

Concentrated on bioConcentrated on bio--hazards, universal hazards, universal precautions, fluids and medical waste precautions, fluids and medical waste disposal.disposal.Responsible for climate controlled area Responsible for climate controlled area with redundant back ups for power and with redundant back ups for power and lighting.lighting.Infection Control Officers assigned to EMS Infection Control Officers assigned to EMS and Public Safety Agencies.and Public Safety Agencies.

All Hazards SOFR for PandemicsAll Hazards SOFR for Pandemics

Must combine elements of DOT,US Forest Must combine elements of DOT,US Forest Service, NFPA and Hospital/EMS elements.Service, NFPA and Hospital/EMS elements.Position gets complicated when drive thru Position gets complicated when drive thru element is added on.element is added on.Should be person with skill set and Should be person with skill set and awareness in all areas.awareness in all areas.Asst SOFR should be from each of the sub Asst SOFR should be from each of the sub discipline elements listed above.discipline elements listed above.

SOFR Org ChartSOFR Org Chart

Operation CAMCO 2009

Vaccination Storage Manager. S/RHS3 Dana Mastronardi

USCG

Asst.Safety OfficerOBSERVATION

Brian Leary, NREMT-PEMS Officer SFD

Asst.Safety OfficerINFECTION CONTROL

Deb Patellos, RNBarnstable County Health

Asst.Safety OfficerDRIVE THRU

Det.Bruce LawrenceSandwich PD

Safety OfficerGail Mailhott-Bienvenue, RN

DPH Region I EPC

Vaccination Storage Manager SRVaccination Storage Manager SR

Checked storage Checked storage temp every 30 temp every 30 minutes and kept log.minutes and kept log.Tracked amount of Tracked amount of vaccine left in storage vaccine left in storage and reported amount and reported amount to Supply Unit Leaderto Supply Unit LeaderPublic Health Public Health professional with professional with medication storage medication storage knowledge.knowledge.

Safety IssuesSafety Issues

RADHAZ zone around satellite areaRADHAZ zone around satellite areaPolice on scene to keep gun holster locked Police on scene to keep gun holster locked and secured.and secured.No animals in cars for the driveNo animals in cars for the drive-- thru area. thru area. Animal Control on standby at scene.Animal Control on standby at scene.Keep breaks constant and advise OPS of Keep breaks constant and advise OPS of overworked crews.overworked crews.

Environmental SOFR IssuesEnvironmental SOFR Issues

Weather and impact on outside personnelWeather and impact on outside personnelExposure to sun and potential for sun Exposure to sun and potential for sun burnburnExhaust fumes from cars, maintain Exhaust fumes from cars, maintain rotation and evaluation of personnel using rotation and evaluation of personnel using RAD 57RAD 57Weather impact on medical waste storage Weather impact on medical waste storage barrels outside.barrels outside.

Lessons LearnedLessons Learned

Use of Assistants in the Command Staff Use of Assistants in the Command Staff positions worked very well.positions worked very well.Multiple LOFR, PIO and Safety assistants Multiple LOFR, PIO and Safety assistants kept good span of control.kept good span of control.Allowed for key players to attend planning Allowed for key players to attend planning meetings and Asstmeetings and Asst’’s to continue with s to continue with operation.operation.

Lessons LearnedLessons Learned

Have operational components ready to go Have operational components ready to go 1 hr prior to start time.1 hr prior to start time.Have uniformed Police Presence in the Have uniformed Police Presence in the registration area, utilize CERT traffic registration area, utilize CERT traffic teams in other critical areas.teams in other critical areas.Have extra personnel available on stand Have extra personnel available on stand by to assist Operations with fill in by to assist Operations with fill in components.components.

Lessons LearnedLessons Learned

Have Medical Waste Manager assigned to Have Medical Waste Manager assigned to the Medical Unit Leader under Logs.the Medical Unit Leader under Logs.Use of Deputy Section Chiefs worked Use of Deputy Section Chiefs worked much better than Branch Directors, much better than Branch Directors, allowed for more flexibility.allowed for more flexibility.Will add Division/Group Supervisor next Will add Division/Group Supervisor next year that is Public Safety person.year that is Public Safety person.

Lessons LearnedLessons Learned

Barnstable County IMT did very well in Barnstable County IMT did very well in handling Logistics and Check in functions handling Logistics and Check in functions to support operation.to support operation.Tried to add too many components to Tried to add too many components to exercise without sufficient personnel.exercise without sufficient personnel.Learned that driveLearned that drive--thru is the way to go if thru is the way to go if proper equipment and staffing is available.proper equipment and staffing is available.

Exercise StatisticsExercise Statistics

961 vaccinations given, with approximately 600 961 vaccinations given, with approximately 600 in the drive thru and 360 at the inside station.in the drive thru and 360 at the inside station.Total cost of exercise was approximately $3,200 Total cost of exercise was approximately $3,200 including food.including food.Had 125 volunteers working on the ground Had 125 volunteers working on the ground including (15) 5including (15) 5--person strike teams in areas of person strike teams in areas of registration, traffic and patient observation.registration, traffic and patient observation.

ConclusionsConclusions

Public Health needs to take stronger lead Public Health needs to take stronger lead on Public Health Emergencieson Public Health EmergenciesUnified Command needs to be clearly Unified Command needs to be clearly defined and followeddefined and followedFire Service needs to take a proactive look Fire Service needs to take a proactive look at future in taking a role in allat future in taking a role in all--hazards hazards incidentsincidents

ConclusionsConclusions

All Hazards Intelligence/Information All Hazards Intelligence/Information Section Chief will be the most important Section Chief will be the most important ICS add on to the Public Health ICS add on to the Public Health Community.Community.The position will be added to next yearThe position will be added to next year’’s s exercise as a prominent objective to exercise as a prominent objective to analyze.analyze.

ConclusionsConclusions

VSM Shadow was USCG Chief Pharmacist VSM Shadow was USCG Chief Pharmacist who will take reigns in 2009who will take reigns in 2009Shadowing of Safety Positions is critical for Shadowing of Safety Positions is critical for solid list developmentsolid list developmentDVM kept as Tech Specialist to answer DVM kept as Tech Specialist to answer animal questions as people went thru animal questions as people went thru drive thru.drive thru.Pharmacist next year assigned as Tech Pharmacist next year assigned as Tech Specialist for Incident Commander.Specialist for Incident Commander.

Special Services 2009Special Services 2009

Pandemic Response Organizational Chart

Native American Liason

Russian Interpreter Spanish Interpreter

Language Task Force Ldr

Protestant Liason S/R

Jewish Liasion S/R

Baptist Liasion S/R

Episcopal Liasion S/R

Religious Task Force LdrFather Rodney Thibeault

Diversity Manager

Animal MedicineTechnical Specialist

Visual ImpairmentTechnical Specialist

Sign Language Specialist

Disabilities Manager

Special Services Group Leader

Deputy OPS Chief

Sandwich EDS Planning Sandwich EDS Planning GroupGroup

Contact InformationContact Information

Insp. John J. BurkeInsp. John J. BurkeFire Prevention OfficerFire Prevention Officer

Sandwich (MA) FireSandwich (MA) Fire--Rescue DepartmentRescue DepartmentCHEM Fellow, Adjunct ProfessorCHEM Fellow, Adjunct Professor

Boston University School of MedicineBoston University School of Medicine

Jburke@townofsandwich.netJburke@townofsandwich.net508508--888888--0525 Ext.1460525 Ext.146