Capital RAC NC RACs: An EM Partner in Disaster Response Dale Hill, EMT-P CapRAC Coordinator Manager, Emergency Services Institute WakeMed Health & Hospitals 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 Regional Advisory Committees (RACs) Capital RAC Watauga RAC Listing Mountain Area Trauma RAC (Mission) Metrolina Trauma Adv. Com. (Carolinas Med. Ctr.) Triad RAC (Cone/WFU Baptist) Southeastern Trauma RAC (New Hanover) Eastern RAC (Pitt) Duke RAC (Duke) MidCarolina Trauma RAC (UNC) Capital RAC (WakeMed Raleigh Campus) Indicates a Level I or II Trauma Center Capital RAC Area Capital RAC Franklin Regional Medical Center Franklin County ES WakeMed Raleigh WakeMed Cary WakeMed North WakeMed Apex Wake County ES Holly Hill Hospital NCSU NC Baptist Men MRC CapRAC MRC PHRSTs Franklin Johnston Medical Center Johnston Medical Center Clayton Johnston County ES Raleigh Wake Central Carolina Hospital Central Carolina ALS Lee County ES Johnston Lee Harnett Betsy Johnson Regional Hospital Harnett County ES 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 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 Capital RAC The Role of the RAC • Education & training • Mission support – – – – Security & safety Fleet management Epidemiological support Regional ICS 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 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 Capital RAC Deployed M8 System Capital RAC Deployed M8 System Capital RAC Deployed M8 System Capital RAC Medical Personnel Capital RAC Physical Plant Capital RAC Capital RAC CapRAC SMAT 800 Capital RAC Triad RAC SMAT 500 CapRAC SMAT 800 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 Capital RAC Mission Support Vehicle Capital RAC Pharmaceutical Trailer 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 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 Capital RAC Deployment • 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 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 Capital RAC Capital RAC Capital RAC Event Response • • • • • Hurricane Katrina EQ chemical fire Hurricane Irene Harnett County PH flooding Mule Days Capital RAC What Can the RACs do for You? • 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 Capital RAC Questions?