FLORIDA AMBULANCE DEPLOYMENT STANDARD OPERATING PROCEDURE Version 1.2 March 14, 2012

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1 FLORIDA AMBULANCE DEPLOYMENT STANDARD OPERATING PROCEDURE Versin 1.2 March 14, PURPOSE: The purpse f this Standard Operating Prcedure (SOP) is t establish a mechanism fr state ESF8 t marshal and deply grund and air emergency medical services (EMS) assets during disaster respnse. 2. SITUATION: EMS assets are a critical cmpnent f the public health and medical respnse system. Cunty emergency peratins centers (EOC) may request additinal EMS resurces during a disaster in rder t supplement grund and air ambulances and EMS persnnel in cunties when their resurces are verwhelmed by a majr emergency r catastrphic disaster. Specific missins fr EMS assets may include: Augmentatin f day t day EMS services. Patient and medical facility evacuatin supprt. Patient triage, treatment and transprt. Appendix VIII, Public Health and Medical Services, f the State Cmprehensive Emergency Management Plan, establishes that deplyment f EMS resurces will be crdinated by State ESF 8, with ESF 4 and 9, and, as necessary, the Flrida Aermedical Assciatin. Flrida has 4023 permitted EMS vehicles and 127 permitted EMS aircraft. The EMS vehicles cnsist f 2229 ALS transprt, 1407 ALS nn-transprt, and 387 BLS transprt. The air medical aircraft cnsist f 52 helicpters and 75 airplanes. In additin, Flrida has 23 MCI Supprt Units strategically lcated thrughut the state. State-level deplyments f EMS assets will be authrized by State ESF 8 and crdinated with State ESFs 4 and 9 and the Flrida Aermedical Assciatin. Deplyments f EMS assets will strictly adhere t the principles f Flrida's Incident Cmmand System. Resurces can mst efficiently be identified and marshaled wrking thrugh established rganizatinal structures and pints f cntact. EMS resurces will deply under an authrized missin request and will nt self-dispatch t the incident scene. Availability f EMS assets may be limited during disasters due t cmpeting peratinal cmmitments. All ambulance deplyments are subject t weather cnditins and safety cnsideratins. When requested, the prcesses established in this SOP can be implemented t supprt interstate mutual aid requests fr EMS assets thrugh the Emergency Management Assistance Cmpact (EMAC). Page 1 f 16

2 4. AUTHORITIES: Chapter (5) (b), F.S., authrizes the use f all <lvail<lble resurces f the state gvernment and plitical sub-divisins f the state, as reasnably necessary t cpe with an emergency. 5. CONCEPT OF OPERATIONS FI()rida's cncept f peratins is t deply EMS assets as typed ambulance strike teams, <lmbulance task frces r single EMS resurces. The preferred methd f deplqyment is <ls strike te<lms/t<lsk frces; hwever single EMS resurces may be deplyed based n specific missin requirements. Flrida has adpted the Natinal Incident Management System (NIMSltyping fr EMS resurces. EMS assets that may be deplyed pursuant t this SOP include: Air ambulances (fixed wing) Air ambulances (rtary wing) Ambulance (Grund) Ambulance Strike Teams Ambulance Strike Team Leaders Ambulance Task Frces Ambulance Task Frce Leaders Ambulance Task Frce Grup r Divisin Supervisr Registered Nurses Paramedics -~~ ~ - ",, EmergeneyMedieal+eehnieians {EMT"S}.~.~ ~_.~_ ~ ~-_._~..~..~.~ ~ ~...~_.. ~. Request Prcess fr Incidents with Ntice A. Requests t the state fr EMS assets must be crdinated thrugh cunty emergency peratins centers, and requested thrugh <lnd dcumented in EM Cnstell<ltin. Resurces shuld be requested by asset typed descriptins. A request will include a capability based descriptin f hw the resurces will be used as a part f the peratin. Missins fr EMS assets will be assigned t State ESF 8 in the State Emergency Operatins Center. State ESF 8 will validate the missin based n current situatinal <lwareness and resurce availability. Once validated, State ESF 8 will request EMS resurces deplyment assistance frm State ESF 4 and 9, and/r the Flrida Aermedical Assciatin (FAMA) depending n type f resurce requested. Grund ambulances, EMTs and Paramedics will be identified, mbilized, deplyed and dembilized thrugh the Flrida Fire Chiefs Assciatin State Emergency Respnse Plan (SERP1. SEfWRegimal Emergency Respnse Crdinatrs will wrk with State ESF8 t designate ne fire service-b<lsed Reginal Ef\ilS.t.iaisn and ne nn-fire servicecb<lsed Reginal EMS Liaisn fr each f the seven dmestic security regins in Flrida. The Reginal EMS U<lisns will manage resurce tracking fr ambulance resurces and will crdinate resurce tracking with the SERP Reginal Respnse Crdinatr. This li<lisn will <llso crdinate ambulance resurce tracking effrts with State ESF 8. Air ambulance resurces will be identified, mbilized, deplyed, tracked and dembilized thrugh the Flrid<l Aermedical Assciatin as per the Flrida Air Medical Services, Disaster Respnse Plan. Page 2 f 16

3 State ESF 8 will assign missin numbers t deplyed EMS resurces. The SERP Reginal EMS and/r FAMA liaisns will wrk directly with EMS prviders t identify assets available fr deplyment, deply thse assets and wrk with the Ambulance Strike Team (AST)/Ambulance Task Frce (ATF) Leaders/Grup - Divisin Supervisrs t track deplyed EMS resurces. WhE:m pssible, EMS resurces will be acquired frm ne r mre un-impacted gegraphical regins in rder prevent further burden n the impacted regin. State ESF8, State ESF 4 and 9, and/r FAMA will cllectively assign the duty f ASTlATF Leader, and/r Grup/Divisin Supervisr t trained and qualified persnnel (see Attachment B fr a descriptin f psitin qualificatins). St<:ite ESF 8, in cncert with the ASTlATF Leaders/Grup - Divisin Supervisrs, will man<:ige, as necessary, lgistical supprt fr the grund/air ambulance deplyment (htels, fuel, fd, re-supply, cmmand vehicles, MCI Supprt Units). State ESF 8 will attempt t acquire and deply an EMS mbile cmmand pst when three r mre ambulance strike teams/task frces are deplyed. St<:ite esf8, wrking with State ESF1, will attempt t acquire and crdinate the deplyment f nn-ambulance transprtatin resurces (Para-transit vehicles, buses). State esf 8 as necessary, will deply a liaisn t the incident t crdinate activities with the AST/ATF Leaders/Grup - Divisin Supervisrs. Once deplyed, ambulance resurce activities will be managed by the assigned AST/ATF Leaders/Grup - Divisin Supervisrs and State ESF 8 Liaisn (if deplyed). B. RequElst Prcess fr N-Ntice Incident Deplyments: N-ntice incidents d nt allw fr pre-deplyment crdinatin amng State ESF 8, ESFs 4 and 9, and the FAMA. The prcedures belw describe the mdified request prcess fr n-ntice incidents. State ESF 8, State ESF 4 and 9, and FAMA will cllabrate t maintain the n-ntice deplyment plan fr grund/air ambulance resurces. At the discretin f ESF 4 and 9, the SERP Reginal Crdinatr may be ntified f the need t deply ambulance assets by State ESF8 directly. State ESF8 will keep State ESF 4 and 9aw;;ire f the status f the deplyment. State ESF 8, either thrugh State ESF 4 and 9, r directly thrugh the SERP Reginal Crdinatr, will acquire the necessary resurces t meet the needs f the incident. StOlte ESF8, either thrugh State ESF 4 and 9, r directly thrugh the SERP Reginal Crdinatr, will deply additinal ambulance resurces as necessary t replace the nntice deplyed resurces within hurs f the initial deplyment. Grund ambulance prviders that participate in a n-ntice deplyment will, at the request f the SERP EMS Liaisn: Page 3 f 16

4 Deply a department supervisr t serve as an AST/ATF Leaders/Grup - Divisin Supervisr. Deply ambulance resurces that are lgistically capable f sustaining themselves fr 24 hurs (staff, unifrms, medical equipment and supplies, etc). Ntify their EMS Liaisn f any need t dembilize the deplyed assets prir t the 24 hur mark. StateE:SF e, thrugh the FAMA, will acquire the necessary air ambulances t meet the needs f the incident. State ESF 8, thrugh the FAMA, will deply additinal air ambulance res()urces t replace the n-ntice deplyed resurces within hurs f the initial deplyltlent. This assures EMS assets rapidly deplyed can return t hme base if necessary ~nd lng-term supprt fr the missin available. FAMA will assure that air ambulance prviders that participate in a n-ntice deplyment will: Deply an air ambulance department supervisr fr each grup f five air ambulances that FAMA sends t the deplyment t assist the designated AST/ATF Leaders/Grup - Divisin Supervisr. Deply air ambulance resurces that are lgistically capable f sustaining themselves fr 24 hurs (staff, unifrms, medical equipment and supplies, fuel, mliintenance, etc). Ntify the FAMA Liaisn f any need t dembilize the deplyed assets prir t the 24 hur mark C. C()lTllTlunicatins: Deplyed EMS persnnel will utilize the Vlume II f the Emergency Medical Services Cmmunicatins Plan (EMSCP) as a reference guide in rder t determine lcal radi frequencies t be used during a deplyment. Vlume II f the Emergency Mediclil ServiCeS Cmmunicatins Plan (EMSCP) is the peratinal "field mlinulil" t be clirried n all transprt permitted EMS vehicles within Flrida. It cntains infrmatin fr day-t-day perlitins, as well lis prviding the data necessary t enlible radi cmmunicatins during trlinsprt per~tins in unflimiliar areas, including neighbring cunties in Gergia and Alabama. D. Activatin Prcess Guidelines fr EMS Prviders Upn Request fr Deplyment The fllwing gl,lidelines are prvided nce a grund/air ambulance prvider is ntified f a deplyment: Grund/air ambulances/medical persnnel shuld reprt as quickly as pssible t the assigned rally pint. Persnnel are t take their prepared three-day G Packs with them t the assignment. See Attachment C. St~te ESF 8, State ESF 4, and 9, and FAMA will prvide agency representatives t wrk with the fire and nn-fire service- based grund/air AST/ATF Leliders/Grup - Divisin Supervisr in crdinating teams and getting them t the incident. StliteE:SF 8, ESF 4, and 9, and FAMA representatives, if requested and assigned, will liaise with the ESF 8, ESF 4, and 9 representatives at the State Emergency Operatins Center (SEOC). Page 4 f 16

5 E. RellQurce Management All grund/air ambulances will reprt t their designated rally pint(s) t meet with AST/ATF Le1lders/Grup - Divisin Supervisrs as applicable. At the rally pint(s), the ASTlATF Leaders/Grup - Divisin Supervisrs will be respnsible fr the fllwing: Intrducing team members. Briefing te1lm members n current incident cnditins, safety issues and the Ambuh;mce Deplyment Standard Operating Prcedure (ADSOP) Cde f Cnduct. Issuing ptential assignments. Diltermining respnse rute(s), cnsidering time f day, traffic, fd and fueling stc:>ps. Making and cmmunicating travel plans (cnvy rder). Identifying radi frequencies fr en rute cmmunicatins (typically a Talk-A-Rund channel). Cnducting a checklist assessment f the ADSOP readiness and equipment availability. Ntifying the jurisdictinal cmmunicatin center f status and ETA t the incident site/staging area. If,a grljnd/air ambulance unit is unable t cntinue t respnd fr any reasn, the AST/ATF Leaders/Grup - Divisin Supervisr will cntact the State ESF 8 t request replacement f the unit. The State ESF 8 will, in turn, ntify the State ESF 4 and 9 representatives and/r m...~...~eama.~uhe.situatioo'.~_~ _.m ~m. ~~ ~ m ~ m ~ mm m m ~ The AST/ATF Leaders/Grup - Divisin Supervisr shall reprt any deplyment related incidents/accidents t the State ESF 8. The State ESF 8 will in turn ntify the State ESF 4 and 9 representatives and/r FAMA f the situatin. EaCh grljndlair ambulance crew shall maintain respnsibility fr their persnal equipment, their grund/air ambulance, and their medical equipment /supplies. Any prblems shuld be reprted t the AST/ATF Leaders/Grup - Divisin Supervisr. At the incident scene, the deplyed ambulance team shall reprt t the AST/ATF Leaders/Grup - Divisin Supervisr and check in at the incident staging area r assigned area. The AST/ATF Leaders/Grup - Divisin Supervisr will be respnsible fr the fllwing: Initiating and using ICS Frm 214 (Unit Lg) fr the entire deplyment. Obtaining rientatin t hspital lcatins (lcal infrmatin and ICS EMS Cmmunicatins Plan Vlume II is a resurce fr this infrmatin). Determining preferred travel rutes and brief team members. Recl9iving Incident Briefing (lap, ICS Cmmunicatins Plan and ICS 206 Meqical Plan). Briefing Team Members n Incident and their assignments. Prviding infrmatin, including resurce rder and missin number, fr check-in (ICS frm 211). Reprting fr Line Assignment(s) r t a Staging Area as directed. AST/ATFLeaders/Grup - Divisin Supervisr will, at least n a daily basis, prvide Situatin Reprts (Annex "B") t the State ESF 8 at the SEOC. The State ESF 8 at the SEOC will assure that the grund/air ambulance deplyment situatin reprts are placed in SEOC emergency management missin tracking sftware. Page 5 f 16

6 M~dical Prtcls: Whenever deplyed, each AST/ATF Leaders/Grup - Divisin Supervisr, EMT, Paramedic r Registered Nurse wh prvides any medical care during thl:l incident, may utilize the scpe fpractice fr which s/he is trained, licensed, and accrl:le!ited accrding t the plicies and prcedures established by his/her Lcal Emergency Medical Services Agency (LEMSA). Grund/air ambulance persnnel may nt exceed their mee!ical scpe f practice regardless f directin r instructins they may receive frm any allthrity while participating n an ambulance deplyment. F. lgisticlli Sllpprt: The deplyment team reprting t the scene f an incident shuld nt expect lgistical supprt services t be in place in the early stages f the incident. Fr this rl:lasn all deplyed ambulance teams are expected t be self-sufficient fr up t three days r have a plan t be supprted in the respnse area. The lcatin and magnitude f the incident will determine the level fsupprt services available. State ESF 8 will wrk t prvide lgistical supprt beynd the 24 hur mark fr the deplyed EMS resurces. Hwever: Thl:l ASTlATF Leaders/Grup - Divisin Sllpervisr may have t utilize cmmercial services fr fd, fuel, and supplies until these lgistical services are established. Obtaining replacement medical supplies during the first days fa disaster may als be difficult. Thl:l AST/ATF Leaders/Grup - Divisin Supervisr may have t wrk within the lcal EMS structure t replenish medical supplies fr the deplyed ambulance team. (The Cunty Emergency Manager, with the assistance f lcal ESF 8, may be able t prvide medical...~ ~ resupply s.erv.ices..).. ~ ~.._.~... ~ ~~...~ ~.~. ~ _ ~_ ~.._. Thl:l AST/ATF Leaders/Grup - Divisin Supervisr r designee is expected t attend all peratinal shift briefings and keep all persnnel n the team infrmed f existing and predicted cnditins. If the individual units fthe ambulance deplyment are assigned t singll:l resurce functins (e.g., patient transprtatin, triage, r treatment) the AST/ATF Leaders/Grup - Divisin Supervisr will make cntact with the persnnel at least nce during each Operatinal Perid. Ifpssible, all units in an ambulance deplyment will stay tgether when ff-shift unless therwise directed by the AST/ATF Leaders/Grup - Divisin Supervisr. At minimum, all team members will remain in cnstant cmmunicatins. Until incident facilities are established, each AST/ATF Leaders/Grup - Divisin Supervisr will crdinate with their respective supprt services t prvide facilities supprt t the ambulance deplyment team. G. Dembilizatin: State ESF 4 and 9 in crdinatin with State ESF 8 are respnsible fr the preparatin and implementatin f the grund ambulance Dembilizatin Plan t ensure that an rderly, safe, and cst effective mvement f persnnel and equipment is accmplished frm thl:lincidl:lnt site(s). FAMA in crdinatin with State ESF 8 is respnsible fr the preparatin and implementatin f the air ambulance Dembilizatin Plan t ensure that an rderly, safe, ane! cst effective mvement f persnnel and equipment is accmplished frm the incident sitl:l(s). At n time shuld a deplyed grund/air ambulance team r individual crewmember Il:lave withut receiving departure instructins frm their AST/ATF Leaders/Grup - Divisin Supervisr. State ESF 8 will crdinate dembilizatin f EMS resurces with State ESF 4 and 9 and the Flrida Aermedical Assciatin. State ESF 8 will crdinate with State ESF 4 and 9 t implement any required decntaminatin prcesses f equipment and persnnel. Page 6 f 16

7 AST/ATF Leaders/Grup Divisin Supervisrs shuld btain necessary supplies t assure thllt the grund/air ambulances leave in a "state f readiness" whenever pssible. If unable t replace lst, used r damaged equipment, the AST/ATF Leaders/Grup Divisin Supervisr will ntify the State ESF 4 and 9 and State ESF 8 representatives at the SEOC prir t lellving the incident/staging lcatin. State ESF 8 will ntify the FAMA if the dembilizlltin. The ASTlATF Leaders/Grup Divisin Supervisr will cllect and return all ra(:iis and equipment n lan fr the incident. The AST/ATF Leaders/Grup - Divisin SUPervisr will recrd timekeeping recrds and shall be submitted them t State ESF 8 prir t dep;ilrture. All deplyed ambulance persnnel will receive a debriefing frm the AST/ATF Leaders/Grup - Divisin Supervisr prir t departure frm the incident site(s). Vehicles safety checks will be cnducted by AST/ATF Leader/Grup - Divisin Leader prir t the EMS unit's departure frm the incident site. Any prblems will be cmmunicated t the.ast/atf Leaders/Grup - Divisin Supervisr. The AST/ATF Leaders/Grup - Divisin Supervisr will review return travel prcedures with departing EMS persnnel. State ESF 4 and 9 will ntify ESF 8 f grund ambulance release time, travel rute, estimated time f arrival back at hme base, and actual arrival time back at hme base. The FAMA will ntify ESF 8 f air ambulance release time, travel rute, estimated time f arrival back at hme base, and actual arrival time back at hme base. ~~~~~.~~~~~~,~l:i. Cde ti:mulj.u:t:.tjje,cnouclldepl.ym:lrj::lsurces,underjheadsoeis,fparamqu[]l~,~,_,~." imprtance t the State ESF 8, ESF 4, ESF 9, the EMS Advisry Cuncil, FAMA, the spnsring agency, and the lcal Authrity Having Jurisdictin (AHJ). TheSe resurces are perceived as representatives f a well-rganized, highly trained grup f respnders wh have been assembled t help cmmunities in need f assistance. At the conclljsin f a missin, system members must ensure that their perfrmance has been psitive,and that they will be remembered fr the utstanding way they cnducted themselves bth scially and in the wrk envirnment. This COde f Cnduct cnsists f the rules and standards gverning the expected demeanr f members f agencies respnding as part f the ADSOP. Each system member is bth a representative f their respnse team and their Spnsring Agency. Any vilatin f principles r adverse behavir demnstrated will be lked upn as unprfessinal. Such behavir may discredit the gd wrk that the resurce cmpletes and will reflect prly n the entire team's perfrm;ilnce and Spnsring Agency. The (:ieplying EMS resurces are representatives f a well-rganized, highly trained, and disciplined grup f respnders wh have been assembled t help cmmunities in need f their assistance. At the cnclusin f a missin, team members must ensure that their perfrmance has been psitive, and that they will be remembered fr the prfessinal manner in which they cnducted themselves <;enef,1i Respnsibilities It is the respnsibility f the Spnsring Agency t prepare its members befre deplyment regarding cnduct. Each deplyed member is bund by their Spnsring Agency's rules, regulatins, plicies, and prcedures. Page 7 f 16

8 It is the respnsibility fthe AST/ATF Leaders/Grup - Divisin Supervisr rde~ignee(s) t reinfrce the ADSOP Cde f Cnduct during all planning sessins, team meetings, and briefings, and t mnitr cmpliance. Any vilatins must be dcumented, with apprpriate fllw-up actin taken by the State ESF8, ESF 4 and 9, FAMA and the Spnsring Agency. At n time during a missin will system members take persnal advantage f any situatin and/r pprtunity that arises. It is the respnsibility f each system member t abide by this Cde f Cnduct. As a basic guide, system members will base all their actins and decisins n the ethical, mral, and legal cnsequences f thse actins. It is in this manner that psitive and beneficial utcmes Will prevail in all system events. Accrdingly system members will: Keep the value f life and the welfare f the patient cnstantly in mind. Remain cgnizant f cultural issues including race, religin, gender and natinality, and peple with disabilities. Abide by all lcal law enfrcement practices, including lcal plicies regarding weapns. System members will nt carry firearms. Abide by all regulatins regarding the handling f sensitive infrmatin, including HIPAA. FllW lcal regulatins regarding medical care and handling fpatients and/r human remains. F()lIw lcal jurisdictin and federal regulatins r restrictins regarding taking and shwing pictures f victims r structures. Fllw prescribed directin regarding dress cde and persnal prtective equipment. Nt be in pssessin fnn-prescribed r illegal substances, nr cnsume alchlic beverages while n duty r subject t call. Only prcure equipment thrugh apprpriate channels. Nt accept gratuities t prmte cperatin. Nt deface any prperty nr remve prperty frm an peratinal wrk site as a suvenir. Transit nly via apprved radways and nt stray int restricted areas. Demnstrate prper cnsideratin fr ther teams' capabilities and perating practices. 6. ReCORD OF CHANGES & ApPROVAL This Ambul<mce Deplyment Standard Operating Prcedure replaces and supersedes the previusly apprved Ambulance Deplyment Plan dated March 14, A cpy fthis Ambulance Deplyment SOP will be made available t all licensed EMS prviders in the state f Flrida and is psted fr Page 8 f 16

9 general public access t the Department f Health s website at Prepared by: Reviewed by: Bbby Bailey Medical Lgistics Planner, FDOH Bureau f Preparedness and Respnse February 17, 2012 Melanie Black Planning Unit Manager, FDOH Bureau f Preparedness and Respnse March 1, 2012 Apprved by: Russell Eggert, MD, MPH, FACPM, FAAFP [Signature On File] Medical Executive Directr, FDOH Bureau f Preparedness and Respnse March 13, ATTACHMENTS A. Minimum Requirements fr EMS Participatin B. Recmmended Standards fr an Ambulance Strike Frce and Ambulance Task Frce C. Equipment Recmmendatins fr Ambulance Deplyment Teams, Ambulances and Team Leaders D. Ambulance Deplyment Standard Operating Prcedure Daily Reprt E. Self Deplyment Ntice Page 9 f 16

10 Attachment A: Minimum Requirements fr EMS Participatin Minimum Requirements fr participatin: EMS rganizatins that will deply will be cmpliant with this SOP: ADSOP grund/air ambulance prvider ambulances will hld current licenses and be cnsidered t be in gd standing by the Flrida Department f Health, Bqreau f Emergency Medical Sl9rvices. ADSOP grund/air ambulance prviders will be respnsible fr the deplyment nly f qualified persnnel as described in this dcument. Standards fr Ambulance Persnnel will: Be a member r emplyee in gd standing f the EMS prvider rganizatin. Be currently certified and in gd standing as an EMT, Paramedic r Registered Nurse with the state f Flrida. Have a minimum f ne year f EMS experience as an EMT, Paramedic r Registered Nurse. Have cmpleted ICS 100. Have cmpleted ICS 700. Have current immunizatins as identified in Natinal Incident Management System (NIMS) tvping fr EMS resurces. Be trained in Hazmat Awareness, and have dcumented Weapns f Mass Destructin Awarl9ness level training. ~~~~ ~~ "- BeTrainealin(ra6riftw rkin a mlnrmumr[evef'rc'rpei'snarpr6lectivee'q(jtpmenrlfn~~""" accrdance with CFR APP B) in a cld zne assisting in secndary decntaminatin prcesses. Standards fr an Ambuiance Strike Team (AST) Leader/Ambulance Task Frce Leader (ATL): Minimum Training Requirements fr the AST/ATL Leader: Must be currently certified and in gd standing as an EMT, Paramedic r Registerl9d Nurse with the state f Flrida. All training requirements fr the individual persnnel plus ICS 200 ICS 800 Tw years EMS experience in an EMS leadership psitin Basic cmpetency f Mass Casualty Incident Field Operatins Optinal: Flrida Ambulance Strike TeamlTask Frce Leader Curse Duties and Respnsibilities f the AST/ATL Leader: The AST/ATL Leader is respnsible fr: Assuring the safety and readiness f the assigned AST/ATL persnnel and equipment. Crdinating the mvement f the persnnel and equipment trllveling tollnd returning frm an incident site. Supervising the peratins f the AST/ATL team at the incident site, as directed by the Ambulance Grup r Divisin Supervisr, r Incident Cmmander. Maintaining familiarity with persnnel and equipment peratins, including assembly, respnse, and direct actins f the assigned persnnel, keeping the team accuntability at all times. Page 10 f 16

11 Cntacting apprpriate incident persnnel with prblems encuntered during the deplyment, including administrative, mechanical, peratinal, r lgistical issues. Prir t deplyment, determining missin duratin, special circumstances, reprting lcatin and cntact infrmatin. Ensuring cmpletin and submissin f ICS dcuments fr timekeeping, dembilizatin (Incident Cmmand System IICS] Frm 214), and lessns learned. Prviding situatin reprt and lap t State ESF 8, State ESF 4, and 9 (as apprpriate), pursuant t the schedule prescribed by the receiving entity(s). Participate in After Actin Reprt Prcess In summary, the AST/ATL Leader must have the capability and experience t manage, crdinate, and direct the actins f the ambulance crews at a wide variety f emergency situatins. This includes maintaining all required recrds, and ensuring the lgistical needs f all persnnel are met during the entire activatin f the team. Recmmended Standards fr an Ambulance Grup Divisin Supervisr: All training requirements fr the AST/ATF Leader requirements, pius Minimum five years experience in an EMS leadership rle. ICS 300 ICS 400 Successful Cmpletin f the Flrida Ambulance Strike TeamlTask Frce Leader Duties and Respnsibilities f the Grup - Divisin Supervisr: Ensure that administrative supprt persnnel, with basic lads f ffice supplies, deply with the Grup/Divisin Supervisr. Ensure the safety and readiness f the deplying persnnel and equipment. Crdinate the mvement f the persnnel and equipment traveling t and returning frm an incident. Supervise the peratinal deplyment f the ambulance strike teams/task frces at the incident, as directed by the Operatins Sectin Chief, r Incident Cmmander. Maintain familiarity with persnnel and equipment peratins, including assembly, respnse, and direct actins f the assigned units, keeping the team accuntl:ibility at all times. Cntact apprpriate State Incident Cmmand System persnnel with prblems encuntered by deplying teams, including administrative, mechanical, peratinal, r lgistical issues. Ensure vehicles have adequate cmmunicatins capability (see cmmunicatins sectin). Maintain psitive public relatins during the incident. Prir t deplyment, determine missin duratin, special circumstances, reprting lcatin and cntact infrmatin. Ensure cmpletin and submissin f ICS dcuments fr timekeeping and Dembilizatin (ICS Frm 214). Participate in After Actin Reprt Prcess. In summary, the AST/ATF Leaders/Grup - Divisin Supervisrs must have the capability and experience t manage, crdinate, and direct the actins f the grund/air ambulance teams at a wide variety f emergency situatins. This includes maintaining all required recrds, and ensuring the administrative and lgistical needs f the teams are met during the deplyments f the team(s). Page 11 f 16

12 Attachment B: Flrida Standards fr an Ambulance Strike Frce and Ambulance Task Frce Ambulance Strike Team A Flrida Ambulance Strike Team will cnsist f the fllwing NIMS typed assets: ThreEl t fivel grund/air ambulances f the same Type Tw Ambulance Strike Team Leaders with separate vehicles (fr 24 hur perations). Ambulance Task Frce: A Flrida Ambulance Task Frce will cntain the fllwing assets: Three t five related grund/air ambulances f different Types Tw Ambulance Task Frce Team Leaders with separate vehicles (fr 24 hur peratins). Optinal Deplyment Resurces; Additinal resurce may be required t supprt EMS activities during the respnse. Deplyment f the fllwing resurces will be determined at the time f missin tasking by StateESF 8 in cncert with ESF 4 and 9 and FAMA. State ESF 8 IT Disaster Preparedness Cnsultants CmmUnicatins trlliler(s) Cmmand Vehicle that has radi crnmljnicatins capabilities, slitellitel phnes, wireless internet -_.. _... ~~C<lp;;lbilitieS;"generatl'"pwel'"Snd~nughreserveflJeli1astihree--days:~ ~ ~ ~ Department f Health, Disaster Planning Cnsultants, Mbile CmmuniC;;itins Trailers(s) Supprt Ambulance TaSk Frce Incident Manllgement Team representativeli. MllliS Caliualty Incident Supprt Unitli(li) with generatr and fuel fr three dayli. Type 2 Field Mbile Mechanicli with service vehicles lind equipmenvsupplies. Grund vehicle fuel tender Type I that is capable f carrying enugh diesel fueland galiline t llupprt the deplyment fr three dayli. Helicpter fuel tender with grund crew. Helicpter mechanic With equipment and liupplieli Fd and water adequate enugh t liulitain the AST/ATF fr three dayli. Tentli and cts with air cnditining, generatr and fuel in adequate quantities/liize t supprt the AST/ATF fr three days. Page 120f 16

13 Attachment C: Equipment fr Deplyed GrundfAir Ambulance PliIl'$nnel Persnal GO Pack fr deplying persnnel shuld cntain the fllwing: " Clthing (shirts, pants, shrts, etc) in sufficient quantities and apprpriate fr climate " Jacket " Safety bts " Sunglasses " Hats (Ball cap r Bnie hat) " Pt<lble water fr three days " Rain gear " Fd supplies r Meals Ready t Eat (MREs) frthree days " Tilet paper " Persnal meds (enugh t last ten days) & Medical Histry Dcumentatin " Tiletries &ther persnal items as needed " Sunscreen " Bug spray " Sleeping bag & pillw " He<lring prtectin (ear plugs) " Pht 1.0. and petty cash " Handheld flashlight(s) with extra batteries " Sufficient quantities f equipment and supplies t meet expected three day deplyment that meets minimum scpe f practice (ALS r BLS) as determined by applicable statute and rules. " M<lps qf incident area and surrunding areas " Crnmunicatins equipment (TBD) " Capability t purchase fuel lcally (credit cards [department, crprate r persnal], and qr cash) " 20 Patient Care Reprts (PCRs) " 20 Disaster Triage Tags " 2 pair Wrk glves " 2 Safety Helmets with dust-prf safety gggles " 4 HEPA N95 masks and 4 dust filters " 2 Handheld flashlights with batteries Supplies and Equipment fr AST/ATF LeadersfGrup - Divisin Supervisrs that is in additin tq persnal G Packs: " ICS psitiqn specific vests " Maps qf impacted area and surrunding areas " Laptp cmputer with wireless capability, vehicle-based charger, wall charger, printer, paper, ffice supplies. " Cmpassand/r prtable GPS " Capability t purchase fuel lcally (c:;redit cards [department, c:;qrprate rpersqnalj, and r cash) " Cmmul1icatins equipment capable qfcqmmunicating with the teams ell rute and at the incident: Cell Phqne, radis, extra batteries and chargers, Satellite Phne and Charger " State f Flrida Field Operatins Guide (FOG) Manual " Fd supplies r MREs (Quantities sufficient enugh t supprt the tearn fqrlength f deplyment) " Ptable Water (Quantities sufficient t supprt the team fr length f deplyment) " 50 Disaster Triage Tags Page 13 f 16

14 2 Safety helmets with dljst-prf safety gggles 2 pairs Wrk glves 2 Flashlights r heai;llamp ICS Frms & Ambulance strike TeamfTask Frce/Grup/Divisin Leader(s) Kit 100 Patient Care Reprts (PCRs) Extra bulbs etc. as needed fr all equipment. Page 14 f 16

15 Attachment D: Daily Situatin Reprt Tempiate Date f Operatins Reprting Perid Current Situatin Summary f day's events Area f Operatins (gegraphic descriptin) list f al3l3ets deplyments by area f peratins Operatins Undertaken Operatins t be undertaken in current perid (Wrk Perid Objectives) Lgistical issues and recmmendatins Cmmunicatins issues and recmmendatins Administrative issues and recmmendatins Prpsed Dembilizatin Plan (when applicable) Submit t: Page 150f16

16 Attachment E: Self Deplyment Ntice DO NOT RESPOND TO THE IMPACTED AREA UNLESS AUTHORIZED In rder t help minimize self deplyments prir t a frmal, authrized ambulance deplyment, State ESF 8 will distribute the fllwing ntice t ali EMS Prviders. State EsF 8 is crdinating the deplyment f EMS resurces t the <incident name> impacted area With state ESF 4 and 9, and the Flrida Aermedical Assciatin. State ESF 4 and 9 will be wrking with the Flrida Fire Chiefs, State Emergency Respnse Plan (SERP) Reginal crdinatrs as the pints f cntact. The Flrida Aermedical Assciatin will be wrking with Flrida licensed air ambulance prviders as the pint f cntact. Yu are being deplyed t assist the lcal EMS in their respnse t the incident. Yur assistance is greatly appreciated. While n the deplyment yu will wrk under the Incident Cmmander r designee (Medical Branch, Transprt Officer Etc.) Yu must wrk within the ICS system, and fllw the directins f the Incident Cmmand staff r the Ambulance Strike TeamfTask Frce/Grup - Divisin Supervisr. Prir t Deplyment...J~leasal:QnliiidflJ:tnel11wing;... ~~.. Perid f service may be fr seven t ten days. Have a credit card fr the purchase ffuel, fd and r ther persnal supplies. Each vehicle must be permitted, staffed and equipped at the level permitted (BLS, ALS). Vehicles/aircraft available fr the respnse are t be mechanically sund and capable f sustained peratin during the deplyment perid in additin t travel t and frm the area f peratins. Deplying teams and persnnel will have with them the items in Attachments Band C. While n Assignment: Fllw the Ambulance Deplyment Standard Operating Prcedure, Cde f Cnduct at all times. Freelancing is nt allwed. Any freelancing will cause the service and the persnnel n the vehicle t be relieved f assignment and ntificatin f the hme rganizatin. All persnnel are t stay with their assigned unit until assigned a task by the Strike TeamfTask Frce/Grup - Divisin Supervisr. Keep radi traffic t a minimum. Use plain English. Yu are directed t fllw yur rganizatin's apprved patient care prtcls. Yu may nly perfrm prcedures and prvide medicatins cvered r described in yur rgl:mizatin's clinical prtcls. If yu are advised t prvide care with which yu are nt familiar, yu must advise the medical cntrl physician that what was requested is beynd the scpe f practice r calls fr a medicatin that is nt a part f the rganizatin's clinical prtcl." At all times yu must prvide nly the care allwed under yur Flrida certificatin. Page 16 f 16

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