non-clinical deployment roles: domestic to international
DESCRIPTION
Objectives At the conclusion of this roundtable, participants should be able to… identify the various non-clinical roles public health professionals can fill in international or domestic deployment settings. identify non-clinical roles that are necessary in deployment setting, based on the ICS structure. identify the skills and experiences that can be leveraged to pursue deployment opportunities.TRANSCRIPT
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Non-clinical Deployment Roles: Domestic to International
LT Stephanie BriguglioLCDR Elizabeth Garza
LCDR Jaclyn Ruiz
USPHS Scientific and Training Symposium, Atlanta, GAHSO Category Day
May 19, 2015
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Objectives
1. identify the various non-clinical roles public health professionals can fill in international or domestic deployment settings.
2. identify non-clinical roles that are necessary in deployment setting, based on the ICS structure.
3. identify the skills and experiences that can be leveraged to pursue deployment opportunities.
At the conclusion of this roundtable, participants should be able to…
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Agenda
• Introductions • Our past PHS deployments and roles• ICS structure and potential deployment roles• RedDOG PHS deployment teams• RedDOG training newsletter• Training and skills found useful for
deployments• PHPAG structure (shameless plug)
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Introductions• LT Stephanie Briguglio (FDA/CFSAN)– Commissioned Jan. 2013– Deployed with RedDOG (Tier I team: RDF-2)
• LCDR Elizabeth Garza (CDC/NIOSH)– Commissioned Sept. 2007– Deployed 3 times with RedDOG (Tier I team: RDF-1)– Deployed 8 times with agency
• LCDR Jaclyn Ruiz (OS/OASH)– Commissioned Jan. 2008– Deployed twice as Tier III member
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• Unaccompanied Children mission • Length of deployment: 2 weeks• Location: Nogales, AZ (border town)• Role: Logistics section• Tasks: Transportation Duties, inventory, ordering
supplies, picking up/dropping off team members from airport, boosting team morale, many other duties as needed
LT Briguglio’s Deployment
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• Ship-based humanitarian mission on the USS Boxer• Length of deployment: 2 months• Location: Guatemala, El Salvador, Peru• Role: PHS Command Team, EA/PIO
– PHS Command transitioned across two different teams that deployed for a month each
• Tasks: – Executive Assistant– Public Information Officer– Health educator – Translation services when needed
LCDR Garza DeploymentsOperation Continuing Promise (2008)
OFRD (now RedDOG) Deployment
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• Largest humanitarian mission in the U.S.• Length of deployment: 1 week• Location: Border of U.S./Mexico in Mission, TX• Role: Strike Team Lead for Palmview Site
– 1st time strike teams deployed integrating RDF, MHT and SAT assets all under one command
• Tasks: – Lead Planner up until event– Public Information Officer– Health educator – Translation services when needed
LCDR Garza DeploymentsOperation Lone Star (2010)
OFRD (now RedDOG) Deployment
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• Roles:– PHS-1 RDF team member deployed in support of the July
4, 2009 mission– HHS liaison to the DC/Emergency Management Agency
Operations Center (July 4, 2008)– PHS-1 RDF team member deployed in support of the 2008
Presidential Inauguration• Length of deployment: 1 day each• Location: Washington D.C. in support of National
Special Security Events
LCDR Garza DeploymentsNSSEs: July 4, Presidential Inauguration
OFRD (now RedDOG) Deployment
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• Washington Dulles Airport, Quarantine Station: Ebola Enhanced Screening Operations
• Length of deployment: 3 months• Role: Public Health Advisor (PHA)• Tasks: – Operations Lead AM Shift– Assisted with ensuring fit-testing of staff– Educator & training
• worked to train Customs & Border Patrol and other partners on Ebola signs and symptoms and our role in the screening
– Conducted Ebola risk assessments– Assisted as needed in CARE Ambassador Encounters
LCDR Garza DeploymentsEbola Response (2014-2015)
Agency Deployment
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• Rostering Workers and Command Post Deployment• Length of Deployment(s): 1-2 weeks at a time• Location: Several sites along the Gulf of Mexico • Role: Survey Team, Command Team• Tasks: – Assisted with distributing surveys to response workers– Conducted training and education of other field staff– Data collection & analysis– Translation services when needed
LCDR Garza DeploymentsDeepwater Horizon Oil Spill (2010)
Agency Deployment
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• Poultry Processing Plant Health Hazard Evaluation• Coffee Plant Health Hazard Evaluation• Length of deployment(s): 1-2 weeks at a time• Location: Arizona, Texas• Role: Survey Team• Tasks: – Assisted with distributing surveys to workers– Data collection & analysis– Translation services when needed
LCDR Garza DeploymentsHealth Hazard Evaluations (2011, 2012)
Agency Deployment
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• Patient Outcome Assessment Team at Rabia Balkhi Maternity Hospital
• Length of deployment(s): 2 weeks at a time• Location: Kabul, Afghanistan• Role: Survey Team, Command Team• Tasks: – Data collection & analysis– Conducted training and education of local staff and
partners– Planning & logistics including working with Embassy
personnel to ensure appropriate security for our teams
LCDR Garza DeploymentsAfghanistan Health Initiative (2012, 2008)
Agency Deployment
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• Disaster Response for Hurricanes Gustav and Ike
• Length of deployment: 2 weeks• Location: Marshall, TX @ East Texas
Baptist University (Hurricane Gustav) and College Station, TX @ Texas A&M
(Hurricane Ike)• Role: Administrative team• Tasks: Intake and discharge in the field medical
station, keeping track of the location of patients, assisting other teams when needed
LCDR Ruiz’s Deployments
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• Humanitarian mission (voluntary); Continuing Promise 2010 on the USS Iwo Jima
• Length of deployment: 1 month• Location: Port au Paix, Haiti and Coveñas, Colombia• Role: Community Health Worker• Tasks: – Health educator – Provided fluoride rinses– Coordinated medical care with
in-country military team– Translation services when needed.
LCDR Ruiz’s Deployments (cont.)
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Incident Command System Structure
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Roles—Inside and Outside the Box- Laundry- Booking flights- Scheduling a
Wal-Mart run- Newsletter
creation- Listserv
creation and maintenance
- Respirator fit test administration
- Rental car key sign-in/out
- Ice cream sandwich distributor
- Day off planner- Nursing schedule
rotation- Sunshine fund- Truck driver- Database
creator/administrator- Photographer- Hair stylist/barber- Shoe shiner- Determining burn
rate- Run/PT organizer- Translator- Handling animals- Organizational guru- Staples.com expert
- Surveillance- Health records- Liaison- PIO duties- Creating
posters/flyers- Chauffeur - Grocery
shopping- Inventory- Tracking
important items
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RedDOG (Readiness and Deployment Operations Group)
Tier I Teams (must be able to be deployed 12 hours post-activation)• Rapid Deployment Force Team (RDF)• National Incident Support Team (NIST)• Regional Incident Support Team (RIST)
Tier I Teams (must be able to be deployed 36 hours post-activation)• Capital Area Provider Teams (CAP)• Applied Public Health Teams (APHT)• Mental Health Teams (MHT)
Tier III (must be able to be deployed 3 days post-activation)• Officers meeting basic readiness standards are tier III by default• On-call for one month every 5 months
For additional information on RedDOG and their Response Teams please visit: dcp.psc.gov/ccmis/DCCPR_readiness_and_deployment_m.aspx
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Trainings and Skills Helpful in Deployments
• Cultural competency• Language skills• Ability to perform an environmental scan for resources• Management and operations experience• Solid grasp of ICS and PHS response structure• Maintain foundational knowledge of general public health principles• Good interpersonal and communication skills• Patience• Stress management skills• Project management• Logistics skills (transportation, IT, supplies & services, food, facilities)• Administrative• Finance• Database skills• See handout
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Public Health Professional Advisory Group (PHPAG)
• Subcommittees– Awards– Career Development– Communications– Financial– Membership– Mentoring
• Tracks– Epidemiology (EpiC)– Generalist (LCDRs Garza
and Ruiz chair)– Global Health (LTs
Briguglio and Dondzila chair)
– Health Promotion/Health Education
– Policy