Level 3 Field Operations Guide (fog) or Handbook

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Medical Team Manager


IN TRANSIT
[ ] Ensure that all controlled substances are accounted for and secured during all mission phases.
[ ] Ensure appropriate medical coverage for the TF is maintained during all mission phases.
[ ] Discuss and coordinate anticipated medical and personnel logistical requirements.
[ ] Attend TF management meetings and planning sessions as they are conducted.
[ ] Monitor the TF for injury and/or illness during this phase of the activation.
ARRIVAL AT MOBILIZATION CENTER
[ ] Establish contact with IST Medical Unit Leader and receive briefing.
[ ] Conduct the medical portion of the general TF briefing.
[ ] Supervise assigned personnel at all mission phases.
ON-SITE OPERATIONS
[ ] Attend TF management meetings and planning sessions for development of TF Tactical Plan.
[ ] Evaluate ongoing team operations for effectiveness and modify as appropriate.
[ ] Provide medical control and perform medical care as appropriate.
[ ] Provide input to the TF planning process regarding health care issues affecting the TF.
[ ] Coordinate with Safety Officer to ensure that effective safety protocols are issued.
[ ] Provide the TFL with periodic progress reports.
[ ] In the event of serious injury or death of a TF member, verify the identity of the victim and follow TF personnel death procedures.
REASSIGNMENT/DEMOBILIZATION
[ ] Review the current status of the TF's operational readiness and provide a medical opinion to the TFL as to whether personnel are physically and/or psychologically fit to accept another operational assignment.
[ ] Coordinate incident stress defusing as indicated during the demobilization.

[ ] Coordinate appropriate follow up care for any TF member treated by the Medical Team.

[ ] Notify the Logistics Specialist of any operational equipment loss and potential maintenance requirements.
[ ] Prepare a Medical Team report for TF after-action meeting.

    1. Medical Specialist



IN TRANSIT
[ ] Evaluate and monitor TF environmental, hydration, health, stress, and safety issues.
ARRIVAL AT MOBILIZATION CENTER
[ ] Monitor TF personnel for signs of fatigue, dehydration, stress, or other health problems.
[ ] Initiate appropriate medical care to any team member or victim and document same.
ON-SITE OPERATIONS
[ ] Under the direction of the Medical Team Manager, assist in the treatment, extrication, and transfer of injured members and victims to local emergency medical services or available support networks.
REASSIGNMENT/DEMOBILIZATION
[ ] Monitor health and well-being of TF personnel.
[ ] Notify the assigned supervisor of the losses of any operational equipment or potential maintenance requirements.
[ ] Initiate appropriate medical care to any team member or victim, and document same.

    1. Hazardous Materials Team Manager



IN TRANSIT
[ ] Attend TF management meetings and planning sessions as they are conducted.
ARRIVAL AT MOBILIZATION CENTER
[ ] Supervise assigned personnel.
ON-SITE OPERATIONS
[ ] Participate in the development of the TF Tactical Plan.
[ ] Ensure proper HAZMAT work site control and safety.
[ ] Evaluate ongoing team operations for effectiveness.
REASSIGNMENT/DEMOBILIZATION
[ ] Review the status of the current team assignment.

[ ] Notify the Logistics Manager of any operational equipment losses and potential maintenance requirements.

[ ] Prepare HAZMAT Team input for a TF post-incident team meeting.

    1. Hazardous Materials Specialist



IN TRANSIT
(See general operational checklist.)
ARRIVAL AT MOBILIZATION CENTER
(See general operational checklist.)
ON-SITE OPERATIONS
[ ] Gather appropriate hazardous material information from local sources.
[ ] Conduct a local site survey (and if possible, an aerial reconnaissance) for the general area (approximately a five mile radius). Sketch the general area and note the following:

  • Location and status of major fixed facilities and transportation lines (i.e., nuclear power facilities, hazardous waste sites, refineries, etc.);

  • Topography;

  • Prevailing weather conditions (i.e., present, 6-hour, 24-hour, and 72-hour forecasts);

  • Evidence of smoke, flame, vapor cloud, etc.; and

  • Visible structural damage to critical facilities.

[ ] Check on the local capacity to treat possible hazardous material exposure victims.


[ ] Ensure availability of decontamination, in the event of contact, as appropriate for any TF personnel or victim. This will consist of a rapid emergency decontamination to be followed by a more thorough technical decontamination if indicated.
[ ] Assess the availability of local response capabilities to mitigate possible hazardous material situations.
[ ] Identify issues that could require the determination of 1) conditional entry, or 2) the cessation of TF operations, such as damage to nuclear facilities or installations causing the migration of hazardous products toward the specific rescue area.

[ ] Conduct a survey at specific rescue sites or other confined space areas to include:


  • Flammable atmospheres (10% of the Lower Explosive Limit);

  • Oxygen deficiencies;

  • Radiation levels;

  • Biological agents or contaminants;

  • Asbestos contamination; and

  • Other specific products, as indicated.

[ ] Deny entry, unless appropriate protective action is taken, if the following conditions exist:



  • Any positive flammable gas indicator readings;

  • Oxygen levels below 19.5% or above 22.0%;

  • Any toxic material readings within 10% of its Immediate Danger to Life and Health (IDLH);

  • Obvious or perceptible fumes, odors, smoke, or vapor from a confined space, or where vision is obscured within five foot levels; and

  • Asbestos hazards.

[ ] Document all events and forward to the Technical Information Specialist. The following, as a minimum, are required:



  • Site survey;

  • Site safety plan in conjunction with the Safety Officer;

  • Perimeter and entry readings;

  • Personal exposure forms; and

  • Medical surveillance records.

[ ] Verify meter readings with a second meter and different operator, if possible. All readings will be documented according to operator and meter unit number, and will denote the findings, time, and location.


[ ] Monitor ongoing working rescue sites as necessary. Provide technical assistance to the appropriate supervisory position.

[ ] Keep the HAZMAT Team Manager apprised of any tactical accomplishments or conflicts, supplies deficiencies, or equipment malfunctions.
REASSIGNMENT/DEMOBILIZATION
[ ] Notify the assigned supervisor of the loss of any operational equipment or potential maintenance requirements.




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