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Home My WebLink AboutOB 1 DISASTER COORD. 12-01-80DATE: November 21, 1980 OLD BUSINESS Inter-Corn TO: HONORABLE MAYOR AND CITY COUNCIL FROM: AII~INISTRATION DEPARTMJ~NT SUBJECT: APPOINTMENT OF A CITY-DISASTERMEDICAL AND HEALTH ODORDINAR/3R BACKGROUND At the November 17th City Council meeting, Staff was directed to supply more detailed information concerning the responsibilities of the City's Medical and Health Coordinator during an emergency status. The data was desired in order to appoint a qualified replacement to this non-compensatory position, vacated by Dr. Robert E. Dreibelbis at his request. Dr. Dreibelbis has informed City Staff that he will oontinue to serve in the position until Council can expeditiously approve a replacement. Dr. Dreibelbis has suggested Dr. Robin Oxman (Internal Medicine) of the Tustin Conmunity Hospital as a likely candidate for the position. Our existing emergency plan does not specifically require a medical professional to serve in the capacity. However, Staff believes that the position's responsibilities are such that both the conmunity and CityCouncil~ould be better served during an emergency by a qualified professional in the medical field than by a layperson. In addition to Dr. Oxman (who has yet to be approached by Staff) and other practicing professionals, another potential pool for candidates is recently retired physicians in the cormnunity. RESPONSIBILITIES County emergency health service is authorized through mutual agreement to automatically operate within the City's jurisdiction upon a disaster, and has the prima.ryresponsibility for medical and health care during an emergency, augmented by and coordinated with City personnel. The City-Disaster Medical and Health Coordinator is appointed by the City Council to act as the Staff liaison with the local medical agencies, as well as County organizations, for the purposes of providing full interface in training, preparing, and mobilizing appropriate local resources to ensure the medical, health, shelter, and welfare concerns of the ~nity are met during an emergency. Additionally, the Coordinator informs and advises the Emergency Operations Council (City Oouncil) as to the status and direction of medical care during a disaster, and also serves as the Deputy Chief to the CommunityServices Director, whose department is responsible for coordinating shelter and welfare needs. The Medical and Health Coordinator works with the following personnel during an emergency: 1. Medical and ancillary personnel (private practice) 2. Co~nity Hospitals 3. Various private hospitals 4. Convalescent and Rest Home personnel 5. Public schools 6. Private schools 7. Coroner's Office ar~ mortuary firms 8. State' Department of Public Health 9. County Health Services Department 10. American Red Cross Salvation Army 12. Church groups Con~nunication is maintained with field units, hospitals, and other vital facilities to coordinate needs and direction. Further' information regarding this position's responsibilities as well as an organization, chart .of the entire City during a disaster may be reviewed in the additional attachments. It is reco~nended that the City Council: 1. Provide Staff with the names of any candidates they wish to be considered for appointment to the non-compensatory City-Disaster Medical and Health Coordinator position. If no candidates are suggested by Council, Staff will proceed to contact Dr. Oxman and/or search for other professionals to fill the position. 2. Approve a selection process. A. Subco~nittee of Council members to reco~nend a candidate for appointment by the City Council as a whole; or B. Direct the City /~tministrator to recommend to City Council one candidate from a~ong the nominees for appointment to the position. Respectfully submitted, ~~AiP' at'~s s~ista~ · '~ive sistant GN :dmt ' Attachments: 1. Medical and Health Care Disaster ReSponsibilities 2. City of Tustin Disaster Organization Chart ~uxi%iary Tasks: · . ' A~TA~. HMEN. T~.:i. .f... Collect and ~eport inc!u din9 Radef Opera%re fallout monitorlnU ~n.d repot ~inU s Provide first mid Frovid~ faci li%y contamination - control b. Medical Care Service Basic Tasks: Provide medical treatment for sick and injured persons Provide medical re0islraticn ser- vices · . -Auxiliary Tasl:s: L~;.; En forcem~n~ }~anaoe medical services, a~tivi~ies, facililies, and resources M~na~e the identification and dis- posizion of the deceased Collcct and report info~nation, includin9 Radcf Provide first aid in suppSrt se~dh and rescue Provide facility con%to! & ~raffic Control Service Tasks: Auxiliary Tasks: ~nforce laws, rules Provide security for facilities o~d Control pedastrlan ~rgffic Col!ec~ ~nd repor~ inc!udinD Radef OpermZe f~llout moni~ori~ reportinD stations Assist in search and light rescue Provide first aid Provide area contm~inalion control Attachn~nt I __ -46-~ 4/1975 B~sic Tasks: Auxiliary Tasks: Hous~ng Division Basic Tasks: Provide for the rcpair,.modifica- · ion, and/or construction of emergency facilities and housing ~!aintain an inventory and provide for the procuremen~ and tion of building supplies Co!leer and report information S~rve), existing housing Assess b~using damage and arrange repairs Survey sites for e)~edient and .provlsed housing ~laintaJ. n ~ housin~ inventory- Establish needs for expedient hous- ing construction Allocate housing space Auxiliary tasks: Co!!ec~ and report inforna~ion c. Economic Stabil].zation Div~.sion Basic Tasks: Economic Stabilization Plan~ for price stabilization, rent stabili- zation, and consumer rationing .Auxiliary Tasks: Food Division Collect and report infornation Basic Tasks~ Provide for the conservation~ al- location, and distribution of foodstocks Auxiliary Tasks: Health Division Basic Tasks Colle'ct and report info~mation Mai5%ain an inventory of health re- sources and provide for their emergency allocation Deter;~ine public health hazards-,' Establish standards for control of public health hazards Provide ~echnical guidance and supervise activities to.control public health 'hazards -4~- 4/1975 i ANNEX 5 MEDICAL, SHELTER, HEALTH & WELFARE CITY OF TUSTIN ENERGENCY PLAh' The authority for this service.is as defined in Section I, P~.anning Basis-Authority and References, contained in ~he Basic Plan. Large scale emergencies will install'an inherent realization within the mental attitudes of the people for the basic ne~ds of health and medical care and assurance that their well being will be protected. Prior to an emergency and with sufficient notice, actions must be taken to insure that medical supplies, shelter and facilities are ample, food supplies and safe drinkable. water is on hand and available for distribution. II. lit. During and after an emergenc_v there must be facilities for the cDre of the injured as ¥.'e!l as the identity and dis- position cf the deceased. The dangers of impure food and water, disrupted sewage systems and the spread of co.~_,.~u~%ic- a[~!e di~=_-~ses must be watched for and prevented. In that period of pest emergency conditions, the housing, feedino~ an~ clothing of survivors must be adequate for the purpose of preserving the well being of the people. The County of Orange, together with the _n_~erican P, cd Cross an'-] other crgc. nizations (Salvation Arr~:, Civic Groups, Church Grcuos: etc.) will have primary responsibility for ~'[e!fare, S~:elter, Medical and Health care of the people ¥~ith coordination of this service under the supervision of the Chief of %'[e!fare, Medical and Health and his staff. SCOP~ This annex covers the resources of the lCelfare, Shelter, .~.~edical and Health Service in the City capable of reducing or countering the effects of disasters. The highly trained personnel .of the Orange County Depart. meat of Public I[ealth, augmented by the personnel of the City, will be capable of assisting in first aid, triage, and psychological trauma in any emergency, particularly in major accidents and civ~.l disturbances. They would also assist in radiological monit- oring in nuclear war and maintain a watch for detection and identification of diseases in natural disasters. OBJECTIVES The aim of the Welfare, Shelter, Medical and Health Servlcu, wo.~:king .{n conjunction ¥;ith Orange County, is to protect thc: health of the peop].c in a time of disaster by: a. Cont]:¢,l of communicable diseases. b. Sul,cr\,iuJon Of cnvirom.'.:u%t~%l sanitation. c. Countcrn~5:a:;ur¢.-:; for chemical and l,~o]ogical warfare. D. E. F. G. Save Lives. C~nfort and treat the sick and injured. Determine e×piratlon in tho~o casualties'beyond help. Idantiflcation and disposition of the deceased. Emergency housing. Feodin3. J. Clothing. K. Registration and information. L. Famil~ rehabilitation. ~-!. Financial assis±ance. FI .... TIO:~S A.. Baslc Tetks: '' : *1.. Restore and ~..aintain public heel-~h controls. .- .-: ~ *'2. l.~: id~nti,~ica±ion anJ detection o~ chemical and biole~iceI ... ageni9 and coutermaasure systems. . i- ~- · ~ ~ ~' ~3. l.ian~ge and opera'~e reception centers. lnvenS'ory and allocate ~emporary Iod~.ing. Re~ister, feed, and cio,h= displaced persons. .Prey!de reha~ili±ation, an~ ceunsoling services. Flalntaln regisTration-and locater services. [4anage.and operai'e public shelters. · Provide medical treatment ~or ~he sick and injured p~rsons. I.,on;9; medical services, activities facilities and resources. I~. Au×llinr¥ Tasks: ~1, Ilanage health services, activities, facilities and resources. -2.. Collect and report information, Including RADEF. ...~ .3..~ro~Ide facility contamination control. P~ovtde first aid. ~ln conjuncllon ~,llh Orange Co,.:nty or other organizations. MEDICAL'~ SHELTER, HEALTH & WELFARE ~aintain casualty records and vital medical statistics. Coordinate emergency assignments of private medical facilitiec and allied medical groups. 7. Coordinate the use of Packaged disaster hos~ita!s and. 'first aid stations. * In conjf/nction wi~] Orange County or oSher organizations. OPEF~TIONAL CONCEPTS The ~felfare, Shelter, ~.~edica! and Health Services concept operation for tfl~e City of Tustin is predicted upon the opera- tional concepts specified by the Emergency Services Plan of the CounSy of Orange. The Service, as provided by the City, can be considered an extension of the County Services ~,ith the added advantage of City trained personnel geared to t_he specific situations deemed unique ~o t-he City. This then, provides an even and speedy integration of forces wkic?, must be the case %-..'hen the needs of the people are to be served. Concepts for specific .situations are as Nuc2ear War & Natural Disaster In the e-,:ent of Nuclear War or a major · ~=~,_=_ Disaster, th.e ~';elfare, Shelter, Medical and Health Service must be in po~3ition to provide absolute intelligence in the assessment of casualties, injuries, sanitary conditions and the ac=}~v~tie of City Services in action as they relate to ~he er. ergency situation. This intelligence will be assessed by the appropri ate segments of the Orau%ge County Health, ~.~edica! and q-~elfare Services in order tq ~..~eg,.a~e and take required actions county ~-~_ higher jurisdiction then takes command using the City .... { ' o,g,.n_zat!on as required. B. The Welfare, Shelter, ~.~edicai and Health Service of the City ~.;i!! initiate local action in the mobilization of local organizations to cope %-~ith the :-~edical, Heal~] and Welfare prQblems associated wi~ a major or civil dis- turbance. Dur%ng this action the service will review the situation nnd, if rcquired, notify and call in those segments of thc county organization required. ~rior to any event classifie&l as a major accident and divil dis- turbance, the City service %-:ill train personnel, organize the medical professions %.~ithin the City and conduct liaison with the county to assure a condition of readines~ in the event of an c~:ergcncy. 5-3 _ 4/197 5. ·MED. ICAL,. SHELTER, HF~LTH & WELFARE ORGANIZATION The Medical, Shelter, Health and Welfare Service is organized with a Chief and one Deputy Chief. The Deputy, the City Physician, is appointed as a liaison with the local medical agencies as well as the County for the purpose of providing. full interface in training, plans, information and direction. The City has two major hospitals with an approximate co~-~bined bed capacity of 500, as well as Emergency Receiving Rooms an~ hospital disaster plans capable of handling major medical emergencies. The two primary receiving hospitals to be Used in treating critical mass casualties from a disaster within the City are: 1. Santa ~na-Tustin Community Hospital 1001 North Tustin Avenue Phone n~ber ....... ~47-6744 Tustin Co..~umunity Hospital 14662 :[ewport Avenue Phone n~mber . .. . 838-9600 Once the extent of injuries has been established by the Incident Office to be of disasterous proportions, the following procedure is used to notify area hospitals: The Incident Officer radios "Control fl (coordinated county cor~..unications) and advises them of the type of incident, location, and approximate n~mber of patients. He t2~.en requests H.E.A.R. Hospital Emergency Administration Radio ~:et Radio be activated and asks for the patient distribution. 2. Control ~1, then notifies via radio the participating H.E.A.R. Net Hospitals in the area to expect mass casualties The Chief coordinates the Medical, Shelter, and Welfare Plans, training information, and direction with the county c0~nterparts in order to assure full readiness when.the need becomes appareot. The Chief of the Service integrates the planning, training, staffing and directional requirements into the total City Emergency Operational Procedures. A. The administrative resources have been established and in place in the City, including the necessary maps ~nd charts. Service resources are available through normal supply channels. 4/1975 The Chief of the Medical, Shelter, Health and Welfare Service has established requirements, policies, priorities, and procedures for control of supplies and personnel. The necessary coordination has been established with specific co~qty agencies for transportation and co.wan~nication. .~ Requests for receiving services of this Annex or giving mutual aid will be coordinated through the Area Coordinator, Cou~nty of Orange Operational Area (Emergency Center). Services needed in expediting shelter construction and improvement will be directed %o the engineering services. Appendices: A. Organ~i~lo~o Chart B. Succession List 5-5 4/1975 0 0 ~ -~ E~ 0 0 ~,--I 0 > ,.--I ..iJ ~ 0 ~U H ~ 4J 0 ~ ~: 0 0 0~ 0 Z 0 H ~ Z < H r~ uu o U U~ ~0 OH 0~: U~ HO :>~ Z 0 I U 0 ~ I