1. Capital RAC NC RACs: An EM Partner in Disaster Response Dale Hill, EMT-P CapRAC Coordinator Manager, Emergency Services Institute WakeMed Health & Hospitals

2. Capital RAC What is a RAC? Regional Advisory Committee Trauma center is the lead hospital –Provides structure for regional trauma care improvement & injury prevention –Now serves as mechanism for regional disaster preparedness Disaster Preparedness Coordination Regional ASPR grant SMAT II program

3. Capital RAC Regional Advisory Committees (RACs)

4. Capital RAC Capital RAC Area WakeMed Raleigh WakeMed Cary WakeMed North WakeMed Apex Wake County ES Holly Hill Hospital NCSU NC Baptist Men MRC CapRAC MRC PHRSTs Franklin Regional Medical Center Franklin County ES Betsy Johnson Regional Hospital Harnett County ES Central Carolina Hospital Central Carolina ALS Lee County ES Franklin Johnston Wake Lee Harnett Johnston Medical Center Johnston Medical Center Clayton Johnston County ES Raleigh

5. Capital RAC State Medical Response System Addresses federal Emergency Service Function (ESF)-8 Coordinated by the NC Office of EMS, through Regional Advisory Committees (RACs) Includes State Medical Assistance Teams (SMATs) & Medical Reserve Corps

6. Capital RAC The Role of the RAC Program administration –Data collection & reporting –Financial management –Healthcare response planning & education –Funding source identification & grant writing –Donation management Medical materials management –Preventive maintenance & repair of equipment –Equipment & supply recommendations

7. Capital RAC The Role of the RAC Education & training Mission support –Security & safety –Fleet management –Epidemiological support –Regional ICS

8. Capital RAC SMAT Program Mission To provide access to medical care to all citizens before, during, or after natural or man-made disasters Goal To provide medical surge capacity for the provision of medical personnel, medical product, pharmaceuticals, and physical plant for triage, treatment, tracking, and transport of patients

9. Capital RAC SMAT Program Design Concept based on mobile medical care Three-tiered system –SMAT I –SMAT II –SMAT III Signed MOU with OEMS Assets owned by Lead RAC hospital & staffed from within the region Responsibility of administrative team for recruitment & training

10. Capital RAC Deployed M8 System

11. Capital RAC Deployed M8 System

12. Capital RAC Deployed M8 System

13. Capital RAC Medical Personnel

14. Capital RAC Physical Plant

15. Capital RAC

16. CapRAC SMAT 800

17. Capital RAC CapRAC SMAT 800 Triad RAC SMAT 500

18. Capital RAC Other Assets Pharmacy Trailer –One of two in the state –Includes compounding, packaging & dispensing areas Medical Support Shelter trailer –Bedding & medical supplies for 80 patients Mission Support Truck Additional trailers –Decontamination –Medical supplies & equipment

19. Capital RAC Mission Support Vehicle

20. Capital RAC Pharmaceutical Trailer

21. Capital RAC Partner Support Identification & support of regional assets –Medical surge assets Telemetry Surge cases –Inventory systems –Mass fatality management –Patient evacuation & movement Local mass-gathering support –Community celebrations –Local festivals

22. Capital RAC Education & Training Local, regional & state training programs –Project –specific (radiation monitoring) –Regional (Rural trauma, SMAT & mass care) –State (mass fatality, ICS & HSEEP) Exercise development & support –Local, regional & state exercises Save Swoops Mass casualty exercises (Campbell University) –Project MoVES –Patient simulation

23. Capital RAC HPC notified Team Notified through ServNC Team prepares for deployment ICS established – Command staff identified – Chain-of-command followed Team members fill roles as identified by mission Deployment

24. Capital RAC Team Structure SMAT Coordinator / Team Commander –Team Leadership Assigned team Leaders –Approx 20-25 members per team Trained Command staff –ICS 200, 300, 400 –Specific courses such as logistic chief, planning chief etc

25. Capital RAC

27. Event Response Hurricane Katrina EQ chemical fire Hurricane Irene Harnett County PH flooding Mule Days

28. Capital RAC Healthcare preparedness & response – Can “speak the language” – Regional healthcare coordination – Mass gathering support Healthcare medical product Temporary healthcare facilities – Western Shelter systems – Specialty trailers Networking – Connections with regional, state & national healthcare organizations What Can the RACs do for You?

29. Capital RAC Questions?