Upcoming Meetings

2018 tbd @ 1000
Visitors welcome
(Prospective member orientation @ 0900)
Fremont Fire Training Center

Upcoming Events

Holiday Party!
Spenger's Fish Grotto
Berkeley, CA
02 Dec, 1800-2200 hrs

Team News
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Wednesday
Nov012017

VOL. 17, NO. 7 - NOVEMBER, 2017

Mark Your Calendar

  • Nov 04: Team Meeting
  • Dec 01-31: On-Call
  • Dec 02: Holiday Party

Monthly Recap

Commander's Corner - Starting to catch up with the backlog from the deployments

Wednesday
Nov012017

Commander's Corner

David Lipin - Unit Commander

Welcome to November, and I hope everyone had a fun Halloween last night! We've been so busy these past few months, that this is the first newsletter since August. And because we continue to be busy, this will be a short newsletter as well.

Thank You!

I'd like to start by saying thank you to everyone -- and I mean everyone: members who deployed, members who didn't but wish they could've, members who provided crucial help on the home front, members who provided moral support and those who kept an eye on us, members who signed up for the potential CAL-MAT mission in the middle of all of our hurricane deployments, members who supported Urban Shield (yes, "normal business" continued!), all of those who didn't get to deploy to Anniston for training (remember that?), our families and friends who put up with so much over these past couple months, employers and co-workers who supported the work that we do, and the extended Bay Area community that reached out and provided support to us in so many small ways that added up (SFO, TSA, our US&R friends, EMS agencies across the Bay Area), and I'm sure others that helped out in ways that I'm not even aware of!

December On-Call Sign-ups

For the past few months, NDMS has abandoned the normal on-call schedule since we have been continuously rotating teams into the responses for Harvey, Irma and Maria. As of now, NDMS plans on resuming a "limited standard" on-call schedule starting in Dec. Basically, a subset of the Dec on-call teams will be on-call, with the rest of the teams participating in a system-wide stand-down to recover from the hurricane responses. Whether the stand-down takes place or not will depend on whether the Puerto Rico response is still underway, so the number of on-call teams is still to be determined.

So, in anticipation of that, we are collecting our usual on-call availability via the website. As usual, we need all federal members to leave their Dec availability by Nov 5th, so that we can start to work on backfilling or roster for submission by Nov 15th. Note that if the Puerto Rico response is still ongoing in Dec, we may be activated for another mission to Puerto Rico. And if the response is over, we might participate in the stand-down rather than our regularly-scheduled on-call. But the mission comes first, so this decision will not likely be made until the last minute. We appreciate everyone's flexibility on this, as we continue to prioritize support to Puerto Rico's recovery.

Nov Team Meeting

Our next team meeting will be this coming Sat, 04 Nov at the usual time and place (details on the left side of our home page). However, the meeting will be shortened, and will focus on an overview of the various deployments. We'll start with team business (of which there is some significant news), then spend a couple hours with a variety of speakers reviewing the many missions that we participated in for Harvey, Irma and Maria. This meeting is open to the public as usual, and all members and prospective members are encouraged to attend. The meeting will end at 1300 hrs, where we'll break for lunch. Future meetings will take deeper dives into specific aspects of lessons learned over the past few months, and we've got a long list of topics and plenty of new material to keep us going for quite some time!

After lunch, we will conduct a debrief session for those members who deployed. We have also invited the members of the other teams that backfilled CA-6 on our primary mission, so a few of those members will attend as well. This session will be limited to the invited members, to provide a more comfortable setting where the deployed members can discuss the missions in more detail, issues that arose, and whatever else is on their minds. Deploying and returning from deployment are sometimes challenging, and we encourage the members who deployed to attend this session, so we can be supportive of each other as we work through these challenges.

2018 Schedule

HQ is way behind in "regular business" items, including establishing the 2018 on-call schedule. If they stick to the traditional pattern, then our 2018 on-call months will be Feb, May, Aug and Nov. However, I would not be surprised if there are changes related to the restructuring, and also a reduced number of on-call teams for the first few months of 2018 as part of the anticipated "stand down". We'll let everyone know as soon as we find out.

Next month we'll establish our 2018 meeting schedule, and let everyone know that as well.

NDMS Restructuring

The recent deployments have temporarily interrupted our restructuring plans, but we will be resuming that plan in a modified way over the coming weeks. For the people who need to re-apply for their current positions, that portion of the plan will move forward as previously described (but delayed). For the positions that were set to be eliminated, NDMS is going to review those positions in light of the recent deployments before deciding how to proceed with those positions. For now, the next positions that will be posted will be Unit Commander and Deputy Unit Commander positions, currently scheduled to be posted before the end of this year. Other postings have not yet been scheduled, due to the Emergency Hire program (see next).

Emergency Hire Program

In light of the recent deployments, Congress has authorized certain agencies of the federal government to hire critical positions on an emergency hire basis. NDMS will be participating in this emergency hire process. It is complicated, and we'll discuss it in detail at the upcoming team meeting.

In short, an emergency hire employee does not need to go through the "normal" hiring process, and instead goes through a fast-track hiring process that selects and on-boards employees through an expedited process that takes weeks rather than months (or years, as has been the case in the past). NDMS employees hired under this process will be hired under the same revised Position Descriptions as will be used for the NDMS Restructuring process. Current NDMS members are eligible to apply for these emergency hire positions as well (e.g., if you're one of the people who will need to re-appy because the GS level for your position will be increasing). NDMS will hire up to 80% of its current openings under this process.

In exchange for the expedited hiring process, these emergency hires will be term (temporary) employees, with a 2-year term. At the end of 2 years, these term positions will be eliminated and the employees released from NDMS. The intent is to combine the emergency hire program with the restructuring program, so that we can use the emergency hire program to quickly hire people into NDMS to relieve the current strain on the system, and then progress with the restructuring program to fill the permanent vacancies. The emergency-hire employees will be eligible to apply for the permanent vacancies, so in theory many or most of the emergency hire employees will apply for and be hired as permanent employees before their 2-year term expires. If emergency-hire employees apply for one of the permanent positions, they will be able to include their NDMS experience as part of their qualifications, so they might gain some disaster experience that they otherwise would not have -- thus giving them an advantage over people who don't have disaster experience, or people who have disaster experience but at a lower GS level or in a different position (i.e., current members who choose to not apply for these emergency hire positions).

Current members (permanent employees) can apply for these emergency-hire positions. If they qualify and are hired, then they'll be moved from their current positions and GS levels to the new positions and GS levels, and have the same "advantages" as the rest of the emergency-hire employees when applying for the permanent positions. (Note that if you're one of the people impacted by the restructuring then you'll have to apply for one of these permanent positions if you want to stay with NDMS -- but we've already informed all of you who are affected by this.) If you choose to not apply for the emergency-hire position, then you'll remain at your current position and GS. This could pose a risk for you if NDMS decides that there are enough employees (permanent and/or term) at the new position and they decide to move forward with eliminating the old positions. This could also pose a risk for you when it comes time to apply for the permanent positions, because there could potentially be a lot of emergency-hire employees already qualified for the new position (because they'd already have been vetted for the new positions as part of the emergency hire program) and they'd have an advantage over you because you haven't yet been qualified for the new position (having chosen to not apply for the position under the emergency hire program).

However, current (permanent) employees who succeed at getting hired under the emergency hire program also have some risk, because they will have converted from permanent positions to term (temporary) positions, and it's possible that the restructuring program might reduce the overall size of the system or number of people in a given position simply by allowing the term positions to expire at the end of two years. This is not currently the intention, but we don't know what the future may hold.

So the pros and cons are something to seriously consider if you're a current NDMS member who has to re-apply under the restructuring program. If you're not currently an NDMS member and are looking to join, this is a great way to potentially get in quickly, so almost no downside for you! We'll discuss this in more detail at the Nov meeting, with some time for q&a to help clarify.

Holiday Party

We will be holding this year's holiday party on Dec 2nd at Spenger's Fish Grotto in Berkeley from 6pm to 10pm, in honor of our 20th anniversary as a team! We are still playing a lot of catch-up from all of the recent (and ongoing) deployments, so look for a party invitation in your email soon. Please save the date to come help us celebrate this milestone, and to say "thank you" to all of our members and our supportive families and friends of the team!

That's it for me for this month. I'm looking forward to seeing everyone next Saturday!

Tuesday
Aug012017

VOL. 17, NO. 6 - AUGUST, 2017

Mark Your Calendar

  • Aug 19: Team Meeting
  • Sep 01-30: On-Call
  • Sep 05-10: Adv DMAT FTX
  • Nov 04: Team Meeting
  • Dec 01-31: On-Call
  • Dec 02: Holiday Party

Monthly Recap

Commander's Corner - The latest from the Commander and HQ
Training News - August agenda; National Disaster Healthcare Certification

Tuesday
Aug012017

Commander's Corner

David Lipin - Unit Commander

Hello everyone. August is upon us. We're quickly approaching the peak of hurricane season and our on-call month of September, and off to one of the earliest and most active Atlantic storm seasons on record. It started back in April with Arlene, Bret and Cindy, well before the usual seasonal start in June. As a result, the forecasters have upgraded their forecast to include 8 tropical storms and 6 hurricanes (including 3 Category 3+ storms); this is a significant increase from initial forecasts of 7 tropical storms and 4 hurricanes. If you haven't signed up for September on-call yet, we can really use your help!

NDMS Restructuring

HQ has informed us of their plans to post Administrative Specialist and Medical Officer (i.e., Staff Physician) openings on the USAJobs website towards the middle of this month. These are all-inclusive postings, meant to fill open positions as well as to have existing personnel re-apply for the higher GS positions -- which most all of our team physicians need to plan on doing. So get yourself ready by creating a profile on the USA Jobs website, uploading a copy of your resume/cv and medical school transcript and diploma (for physicians), and setting up a daily search on the keyword "NDMS" so that you'll be informed as soon as these postings become available. CA-6 has openings for one Administratitive Specialist (open to any qualified individual, including existing members in other positions) and at least 10 physicians not including existing members that need to re-apply. We don't expect to fill all 10 of these slots, which is fine because most of them are MD/PA/NP slots so we can hire mid-levels in a future hiring round.

Anniston Advanced DMAT FTX

Preparations are well underway for our Advanced DMAT training in Anniston next month. Some of our August team meeting training will be focused towards that (see Training News below). All attending members should have registered with FEMA's Center for Domestic Preparedness by now (deadline today). You all must complete the Safety 101 course on Responder eLearn by August 15th (plan ahead; this course can take up to 2.5 hours! Paid, of course.), as well as complete your Responder Health Survey (which almost everyone has done already).

New JPATS team members

Jim Burr and Mark Weston are attending JPATS training this week in Sacramento, and will join Hunter as our JPATS-capable team members. These members will assist us with using JPATS on patient movement missions, and can also deploy to assist other DMATs, VA or DOD medical teams for patient movement (e.g., pre-landfall evacuations of healthcare facilities) during months that our team is not on-call.

Responder Health Statements and NDMS Portal

Members who do not complete their Responder Health Statements or do not successfully log onto the NDMS Portal will soon be moved to the inactive "to be released from NDMS" list in a few days. You should have been notified already if you're one of these at-risk individuals, but I'll also send out another notice soon.

Once you've completed these tasks, you will still need to maintain your access by logging into the NDMS Portal (and changing your password) every 60 days, and logging into RMS (where your Responder Health Survey is located) every 90 days. So think about adding these to-do items to your calendar as recurring tasks!

That's it for me for this month. I'll have more updates in-person at the August meeting; looking forward to seeing everyone there!

Tuesday
Aug012017

Training News

Aug 19th Meeting
Our next team training will take place on Sat Aug 19th at the usual time and place (see the Calendar on the team's home page). This will again not be a federal team meeting. However, it is covered by the CA equivalent of USERRA for CDMSA members; let David Lipin know if you need information about that.

In addition to the general meeting, we will cover the following topics:

  • Hot & Cold Weather Considerations (General members)
  • Administration Updates (General members)
  • Personal Preparedness for the Responder (General members)
  • Western Shelter Vestibule System (limited participants)

These topics are designed primarily to assist us in preparing for the upcoming Advanced DMAT training in Anniston, but these are all general topics from our matrix anway. In addition, we are supplementing this training with some specific training on the Western Shelter vestibule system for a handful of members who will be attending the Anniston training, because the vestibule is new to NDMS and not part of the cache that we normally use; this is "invite only", so you'll receive an email if we'd like you to take this training. But don't worry, the rest of the Anniston attendees will get the opportunity for this at Anniston next month, and we hope to make this a regular part of our future Advanced Logistics training.

ANCC National Healthcare Disaster Certification
For the truly "disaster medicine junkies" amongst us, the American Nurses Credentialing Center (ANCC) is now offering a National Healthare Disaster Certification board accreditation, appropriate for most every healthcare professional in the DMAT/CAL-MAT/CDMSA world. You must be an experienced disaster responder, have taken some specific disaster training (all DMAT members have likely completed this), pass a rigorous online test (and of course pay a fee). Additional information can be found on the ANCC website by clicking here.

Saturday
Jul012017

VOL. 17, NO. 5 - JULY, 2017

Mark Your Calendar

  • Jul 15: Tiki Party!
  • Aug 19: Team Meeting
  • Sep 01-30: On-Call
  • Sep 05-10: Adv DMAT FTX
  • Nov 04: Team Meeting
  • Dec 01-31: On-Call
  • Dec 02: Holiday Party

Monthly Recap

Commander's Corner - The latest from the Commander and HQ
Operations Update - Moffett FTX recap

Saturday
Jul012017

COMMANDER'S CORNER

David Lipin - Unit Commander

Hello all, and welcome to the July edition of our newsletter. We checked the box on another on-call month, with a week or so of tropical storm advisory activity -- a very early start to hurricane season. I've got a few updates since May, and a bit of new news as well.

NDMS Restructuring

We spent the entire May meeting on this subject, and there's not much left to cover on it. The plan is still not yet approved; HQ is working on it, but might have to wait until the new administration appoints a new ASPR. We're all just "standing by" on this. The one update I have on this front is that NDMS received official exemption from the otherwise Department-wide hiring freeze. So we do plan on resuming the hiring process in the near future. Some of this hiring might have to wait until the restructuring plan is approved, but some of it does not. (For example, we have a lot of people who have changed their licensure or gained additional experience over the years since they've joined NDMS, so we might be able to process position changes or GS upgrades for those individuals.) I don't have any news on when this will move forward, but our HQ says we'll be ready to go fairly soon.

We've already contacted each member who will be affected by this restructuring, and those of you whose GS level will be increasing (or who want to change to a new position) should be setting aside time to create your USA Jobs profile, update and upload your resume, get an unofficial copy of your educational transcript, and be as ready as you can be for when the positions post on USA Jobs. It might happen quickly, with a relatively short window of opportunity (a few weeks to a month, once the positions post).

One topic that we haven't discussed yet is the "generational change" that will occur within the team when hiring resumes. Hiring has been frozen for so long that we essentially have no "new" members; nearly everyone on the team has been on the team for 5+ years, and the average is closer to 10 years. We have so many unfilled positions that when we finally fill them, we'll have a lot of work to do to bring our new cadre up-to-speed and prepare them for deployment. We are starting the planning process for that now, and looking for more of our current members to jump in and get more involved with managing and running the team. So if you've been thinking along those lines, now is the time to raise your hand and step up. Please let me know if you're interested in helping with these tasks. We've got a lot of command staff positions to fill, and quite a few "supporting" roles for people with technical or organizational skills for the numerous one-off or background jobs that we'll need to start doing again when our ranks start to fill up again. These are all serious roles that involve significant ongoing time commitments. We need to start thinking about this now to stay ahead of this curve, so let me know if this piques your interest so we can start thinking about how to broaden our base and distribute the workload that's sure to come.

Tiki Party!

Brandon and family are hosting a Tiki Party at their new house on July 15th! (We've been avoiding these for the past few years because our last one resulted in a deployment the next day!). He sent out an eVite to all current and former members and family, so please RSVP via that invitation so he can plan ahead (or contact Brandon or me if you didn't get one). We're looking forward to seeing as many of you as possible for a fun and social afternoon, and (re-)introducing the team to your family!

Anniston Advanced DMAT FTX

We are still short one MD/PA/NP and one EMT-P for the full-team Advanced DMAT FTX in Anniston, Sep 5th - 10th. Please let me know asap if you're interested in this, otherwise we'll seek backfill from another team. This is a new training course that NDMS is designing to train entire teams, and NDMS is looking to us to help define the standard for this (as NDMS has frequently done in the past)!

Cyber Threat -- Beware!

In May, there was a global cyberattack, called WannaCry, which paralyzed computers in over 150 countries. While a kill switch has been activated for the major variant of this virus, there are other variants being circulated that have no kill switch.

This virus is a type of malware called ransomware. It comes via email or through infected websites. Once you click the link, open the attachment, or visit the infected website, the virus goes through your computer and your network connections to all network files and locks (encrypts) them so that you are not able to access them. The most frightening aspect of this virus is that once it's on a network, it specifically seeks out Windows machines that have not received the proper patch.

When you fall victim to this malicious virus, the criminals will tell you that you have two choices: pay a ransom and possibly get access to your files again, or don't pay the ransom and lose your files forever.

Federal employees are particularly at risk for this because of the previous security breach that revealed our information, so it's important to be very wary. There are many variations of phishing emails that try to get you to open an attachment or click on a link, so it's important that you never open email attachments or click links from unknown senders, or even "strange" looking email from someone known to you (because their contact list could have been compromised if they got infected). So please be careful, and when in doubt - ask before clicking that link or opening that attachment!

Responder Health Statements

Because we were on-call in June, all team members who did not have a current Responder Health Statement on file needed to provide one. With a handful of exceptions, we are now complete on this task. Going forward, hopefully this will be a routine process. Thanks to all of you who struggled to get this done, and don't forget to submit your timesheet for it!

NDMS Portal

All NDMS members (not just the omembers of the on-call teams) had to go through the NDMS Portal sign-on process in June as well, because of the security sign-on changes that have been implemented. Remember to log in regularly to this portal -- you need to change your password every 60 days or you'll be locked out (and then non-deployable)! And again, don't forget to submit your timesheet for this.

Urban Shield 2017

For those of you who are not going to Anniston with the team in September, I want to remind you that this is the same week as Urban Shield, and they're looking for volunteers. As in previous years, they're looking for help with participant monitoring and real-world medical for this event, but they're also looking for help as instructors, evaluators and/or proctors for an expanded Mobile Field Hospital station (MCI scenario for teaching hospital staff and others; we're the local experts on this in our community, so they're asking for our help).

The sign-up link is at www.urbanshield.org. Select Urban Shield Participants under the Register menu. This will bring up a Registration page.

If you're interested in helping to provide medical care during the event (as many of you have done in the past), click on the Medical Practitioner Application button and then fill out the form that comes up. For the "Have you been referred to a specific site or to a specific person" question, click Yes and then enter "Val Bilotti" in the referral box that appears.

If you're interested in helping at the Mobile Field Hospital station, click on the EMS Application button and then fill out the form that comes up. For the "Have you been referred to a specific site or a specific person" question, click Yes and then enter "Elsie Kusel and Sun Lin MD" in the referral box that appears.

CAL-MAT Program Launch

At our last meeting, Michael Frenn from CA EMS Authority came down to introduce us to the new CAL-MAT program. For those of you who weren't there (or didn't take notes), the program is up and operational, and you can join via their website: www.emsa.ca.gov/cal-mat. There's an FAQ there, as well as an application and other information.

That's it for me for this month. I hope everyone has a happy and safe 4th of July!

Saturday
Jul012017

OPERATIONS UPDATE

Joe Telles - Operations Section Chief

In June, I went to the EMSA CAL-MAT FTX at Moffet Field with many of you to participate in the realistic training exercise. It was my first opportunity to work with our team members in my new Ops Chief role and out of my past Logistics role. Wow! I was impressed! Your professionalism, skill level, dedication, and work ethic showed from the beginning of FTX until the end of the FTX.

Part of professionalism is using safe working practices. In an environment where there were plenty of tripping hazards and lighting challenges, you performed well. In an exercise where everybody was expected to do logistic work that required lifting heavy objects, you lifted using proper lifting techniques and using the one-person-per-handle rule. In the medical tents you handled sharps appropriately, kept ailes and beds accessible, and kept work spaces clean and organized. Our Safety Officers, including our own Brian Sherin, did a good job in identifying safety hazards then having them mitigated.

Another part of professionalism is being a supportive team member. All of you communicated well with one another, especially in the provision of medical care and the sharing of resources. It was obvious that you all kept an eye out for one another throughout the exercise, reminding each another to eat and hydrate, assisting one another whenever possible, and treating everyone with respect.

The wow factor really came into play when the patients started coming into the tents. Your skills as medical providers really showed as you handled the various simulated crush injuries, respiratory challenges, amputations, pregnancies, and even the various injuries to our canine friends. Your compassion for your patients also showed as you handled patients that suffered psychological trauma. Not only were the skills of our medical providers on display; the skills of our logistic and communication folks were also shown in the setup of tents, lighting, IT equipment, generators, EMR system, radio channels, satellite access, and the provision of food, water, and toilets.

One example of your work ethic and commitment was on Thursday during a down period when a large group of you decided to go on a fitness walk together. You all checked out using the T-card system, went on your walk, and then all checked back in using the T-card system. What was impressive was that all of you had participated in the fitness walk test the previous day. You not only showed a commitment to our fitness program you set an example for our fellow disaster workers that did not go unnoticed.

I would be remiss if I did not recognize the strong leadership in our Commander Dave Lipin (stepping back into a Plans role) and our Deputy Commander Andy Swartzell (in the role of Team Leader). We are fortunate to have such competent leaders. I also want to compliment the leadership of EMSA and the Sacramento team members. EMSA needs to be recognized for their commitment to providing the citizens of California disaster services. Now to lessons learned.

As in all emergency and training events there are lessons to be learned. Upon review, the following lessons were learned from the FTX exercise:

1) Once we are in deployment mode or in a deployment scenario, accountability is of the utmost importance! Somebody needs to know where you are at all times. If someone disappears or is unaccounted for, that person's welfare becomes a top priority of the incident. Valuable resources and time will be expended to find you, reducing our capability to carry out our mission. It is a natural tendency to find a private, quiet area to be alone in if you are not feeling well. That tendency is not appropriate when you are on deployment. Once you check into an incident you need to tell someone what you are doing, even if it is going to the bathroom. When you leave an incident, you need to go through the check out process.

2) Be adaptable. All roles are important on an incident. Being in the Green Tent is just as important as being in the Red Tent, Yellow Tent, or Triage area.

3) Practice ICS. ICS was developed in California in the 1970's to handle the management of wildfires. It is now used by the Federal government in the form of NIMS. There are 14 key principles of ICS. One of those principles is "Unity of Command". Each individual involved in incident operations will be assigned to only one supervisor. This means when we are in emergency operations you ask your direct supervisor if you need something or need direction. We are lucky to have leadership that is very accessible and friendly especially in non-emergency environments. In emergency environments though, that accessibility is now limited to your immediate supervisor unless directed by your supervisor to contact someone out of your chain of command.

In conclusion, this is a training events where I witnessed a constant improvement from the beginning of the event to its end. Usually performance and quality of work will level off or even start to decline as a deployment lengthens in time. It is a credit to all of you that participated that this did not happen. All of you paced yourselves and conserved your energy appropriately so that when the FTX concluded I had the impression that there was still plenty in the tank for each of you to keep going and performing at an optimal level. Strong work! It was a pleasure to work with each one of you.

Monday
May012017

VOL. 17, NO. 4 - MAY, 2017

Mark Your Calendar

  • May 20: Team Meeting
  • Jun 01-30: On-Call
  • Jun 05-09: Moffett FTX
  • Aug 19: Team Meeting
  • Sep 01-30: On-Call
  • Sep 05-10: Adv DMAT FTX
  • Nov 04: Team Meeting
  • Dec 01-31: On-Call
  • Dec 02: Holiday Party

Monthly Recap

Commander's Corner - More challenges ahead, and CAL-MAT is here!
Training News - Upcoming training news

Monday
May012017

Commander's Corner

David Lipin - Unit Commander

Hello all, and welcome to the May edition of our newsletter. I've got quite a lot to cover this month, and it's as challenging as last month's message. So let's dig in.

NDMS Re-alignment

We've learned a lot more about the pending NDMS re-alignment. To start, if you didn't read my segment from last month, I'd strongly encourage you to scroll down and read that one first because it will provide a lot of context for this continuation article. My other recommendation is to come to the May team meeting if you can, because we'll go into the details there and have plenty of time to answer questions and address concerns.

As I mentioned in last month's article, NDMS is about to undergo a broad realignment. As of the publication of this newsletter, it hasn't yet been approved and we don't have specifics as to dates and deadlines. But we expect it to begin soon, and we expect the roll-out to take place over many months to make the transition as smooth as possible.

The overall concept is not new; we've been talking about it for many months now -- smaller DMATs capable of fielding smaller, more nimble teams, a more modular footprint and cache, etc. But we now have some further details to expand upon.

One of the items I discussed last month was a consolidation to fewer types of positions. For example, instead of having a spectrum of RN positions, there will now be only one. Ditto for every other position. This means that as we consolidate into these single positions, some people will have their GS level reduced (which will be automatic and not require any effort on your part). If you are one of these individuals, we will notify you by email in the next few days.

Others will have their GS level increased, but this will not be automatic -- you will have to re-apply for your position; basically, you'll be "starting over" and have to go to USAJobs.gov and apply for your position. We're not ready for this yet, but it will be coming relatively soon. If you are one of these individuals, we will notify you by email in the next few days, and we encourage you to go to the USA Jobs website now, create your account/profile, update and upload your resume as well as a current copy of your medical license, and begin the process of acquiring your transcript from your medical school following the instructions on the USA Jobs website. Unfortunately, this will impact roughly 35% of our members. We'll review this in more detail at the upcoming meeting in May.

One of the upsides of this is that some of you will be able to apply for position changes to match your current licensure; we have several members who were hired into one position (e.g., nurse) but have advanced their careers and are now a different position (e.g., nurse practitioner). This will give those individuals an opportunity to "upgrade" to match their current licensure.

One of the new requirements is an increase in the number of clinical hours required to hold a medical position on the team. Since NDMS will be smaller, it wants to focus on clinically-active people. The number being bounced around is 32 hours per month of clinical work (on average), including paid and/or volunteer work. It's not approved yet, so this may change. But if you're not clinically active, we encourage you to start looking into opportunities to increase your clinical hours. We believe that this requirement will impact about 15% of members, and we will email you in the coming days if you're one of the members potentially impacted by this new requirement.

Another of the new requirements is the set of physical/health "fitness to deploy" criteria. These are not new, and we've been working on these as a team for many months now. But safety is an increasing concern for us (none of us is getting any younger!), and all of our members must be physically capable of deploying into an austere environment -- none of us wants to be a burden on the team or put the team's mission at risk. So it's important for everyone to work on being fit and healthy! But we should all be realistic about this, and accept that not every member is going to meet this criteria.

Now for the really bad news: the team will need to shrink in size, and some positions will be eliminated entirely. Mostly these are in areas where there is an overlap in federal service, where some other federal position can cover the position or function served by these individuals (i.e., reduction in overlapping services). Some of this may happen through attrition, but we don't expect attrition alone will suffice. There surely will be members that we have to let go from the team. We'll discuss this in greater detail at the team meeting, but we don't think it's fair to surprise anyone at the meeting so if you are (or might be) one of the members impacted by this part of the re-organization, I or someone from the command staff will call you over the next few days.

Note that we will be hiring soon, and anyone (including current members) can apply for any opening that we may have. So some people whose positions are being reduced or eliminated may be interested in applying for different positions on the team where we have vacancies. We'll review the new roster and our vacancies at the meeting, but we should not have the unrealistic expectation that every impacted member will be able to find a new position, due to the changes in requirements and overall reduction in total team size.

Overall, we estimate that just shy of 85% of our members will be impacted in some way. We can't predict the impact of the physical/health requirements, but for all of the other requirements we will reach out either by email or phone over the next few days to everyone that we think will be impacted. So if you don't hear from us soon, you're one of the roughly 15% or so that isn't impacted by these changes and you won't have to do anything through this transition other than meet the physical/health requirements. (See the next segment below for more information on that.)

This will be a tough transition for us, especially for those whose "DMAT career" will get cut short. But at the very least we should remember that we don't have a timeline on this, so it very well might take many months (or even longer) to complete, and it's not yet approved so we don't know what the final picture will look like. We hope to synchronize this transition with new hiring, so that we can maintain our capability as we work through this over time -- and give current members the opportunity to change to a different position if they need or want to.

The NDMS plan is to get this information out in the very near future, so I am planning on spending extra time at the May meeting to review this in greater detail, explain the strategy and reasoning, and help all of our members understand the impact on them and on the team. So please plan on attending the May meeting if you can.

Responder Health

Many of you have already had the experience of completing your Responder Health Statement (RHS) online, if you were on one of the rosters last year where we trialed that HQ-based system. Now they are rolling it out system-wide during on-call months, so I expect that our team will have to submit their RHS online during our June on-call month. They have been iterating to improve it based on their experience from the previous month, so I can't really say what it will look like when our turn comes. Expect one or more email messages directly from HQ with instructions -- I will send out an email to the team when I see those emails go out, so you know it's "for real". Note that this is a mandate. It doesn't matter whether you're available for on-call in June or not, you will still have to complete the RHS during the specified period (whatever that turns out to be). Keep track of your actual time spent (how much time on what day or days), because you'll be paid for that time. HQ estimates an average of 30-45 minutes to complete this, but some people will be able to complete it more quickly (especially if you've previously gone through it), and some may take longer due to IT or other issues. Just be patient, thoroughly read and follow the instructions you're provided, and keep track of your time. We'll provide what assistance we can when this process begins.

Thanks for the Help!

San Francisco sends its thanks to Ron Shuman and Mark Caplin for helping out at their recent disaster exercise. Over 20 clinic staff from the three-clinic system of Northeast Medical Services in San Francisco were trained in various disaster medical skills as primary care clinicians using the SF DPH curriculum, and then they participated in a tabletop and functional MCI exercise with an earthquake scenario guided by the instructors. Pictured in the photo (left to right) are Bob Goodnough and Karla Canseco (Emergency Medicine Residents at ZSFG/UCSF), Cindy Lambdin (SF DPH), John Brown (SF DPH and CA-6 member), Kenpou Saelee (SF DPH), Eric Silverman (EMS/Disaster Medicine Fellow at ZSFG/UCSF), Mark Caplin (CA-6 member) and Ron Shuman (CDMSA SF member). Also participating (but missing from the photo) was Josephine Valenzuela, another EM Resident (ZSFG/UCSF).

 

 

CAL-MAT Program Launch

As I mentioned in last month's article, the California EMS Authority assumed responsibility for the CAL-MAT program effective May 1, so that CAL-MAT members will now be state emergency hires, be paid by the state on deployments, and have liability, worker's compensation and other protections from the state. We will have someone from EMSA at our May meeting to describe the new program and how it will work. If you just can't wait, you can click here to read about the CAL-MAT program and even start the application process (but we'll also explain it at the May meeting).

So for several reasons, I'm looking forward to seeing everyone at our May meeting!

Monday
May012017

Training News

May 20th Meeting
Our next team training will take place on Sat May 20th at the usual time and place (see the Calendar on the team's home page). This will again not be a federal team meeting, for complicated reasons that I'll explain at the meeting. However, it is covered by the CA equivalent of USERRA for CDMSA members; let David Lipin know if you need information about that.

In addition to the general meeting (which will go an extra hour to discuss the pending NDMS re-organizationa and introduce the CAL-MAT program), we will cover the following topics:

  • Western Shelter Systems Overview (New members)
  • Persons With Disabilities in Disasters (General members)
  • Administration Updates (General members)

Moffett Field FTX
We'll once again be conducting our annual Field Training Exercise (FTX) at Moffett Field, this time the week of June 5th. The primary "medical" days will be Wed thru Fri, but we will also have a logistics and communications focus on Mon and Tue. Our scope is expanding once again this year as well. As in the past, we'll be working with the VA and FEMA US&R teams, but this year we'll also be joined by the CA National Guard and Air National Guard, and possibly some other entities as well (they're thinking about it). We'll practice patient loading and unloading from a National Guard helicopter, learn canine first aid, and have guest lecturers from the USGS and Alameda County Sheriff's Office.

EMSA is also stepping up in a big way with the CAL-MAT program, and covering the cost for all CAL-MAT participants. So other than your time (and gas to get there), it's free to participate this year! And also covered by the California USERRA-equivalent, and a great way to pick up 12+ hours of free CEUs or BRNs.

You can sign up via the website by clicking on the link under Upcoming Events (left side of the home page). Sign-ups have been extended a couple of days, until May 3rd. So get on it quick if you're interested! It's open to all CDMSA and potential CAL-MAT members.

Saturday
Apr012017

VOL. 17, NO. 3 - APRIL, 2017

Mark Your Calendar

  • May 20: Team Meeting
  • Jun 01-30: On-Call
  • Jun 05-09: Moffett FTX
  • Aug 19: Team Meeting
  • Sep 01-30: On-Call
  • Sep 05-09: Adv DMAT FTX
  • Nov 04: Team Meeting
  • Dec 01-31: On-Call
  • Dec 02: Holiday Party

Monthly Recap

Commander's Corner - Challenges ahead
Training News - Upcoming training opportunities
The Logistics Scoop - Suggestions on packing your gear

Saturday
Apr012017

Commander's Corner

David Lipin - Unit Commander

 

Hello all, and welcome to the April edition of our newsletter. This one was particularly rough to write, as it contains some unpleasant news for us as a team and a system. Well, mixed news really, but I struggled with the unpleasant parts. So here goes:

NDMS Re-alignment

As part of a broader refocusing of the government's budget and resources, NDMS (and OEM more broadly) is going to realign itself to be leaner and more nimble, able to provide smaller footprint, shorter-duration resources to state (and the federal) governments that have diminishing budgets for disaster preparedness and response. This realignment will start soon, but will take months (or even longer, up to 1.5 or 2 years) to complete.

Some of this is not new news. We've been talking for a while now about smaller footprint teams with more limited mission sets, and have even staffed a few of them over the past couple years.

We've also discussed how NDMS is going to evolve away from the "team typing" model to a "single type" model. Under the current model as a Type 1 team, we have to staff a 48-person on-call roster, and you're all aware how much of a struggle that's been because of our inability to hire for the past few years. And you may recall that certain types of teams were preferred over others for certain types of missions.

So for us, that part is actually good news. At some point this year (not March, but maybe June), we will switch from the "team typing" model to the "single type" model and have to roster only 35 people (much like "the old days"). Overall this means we'll reduce our need to backfill, but not completely since we're crtitcally short in a few areas. And we'll continue to provide backfill support to other teams that need it.

And more good news on that front -- NDMS is getting ready to hire again. As intermittants and employees that serve a critical function, we're not impacted by the otherwise government-wide hiring freeze. So we're hoping to soon start to fill our backlog of open positions.

But the "leaner, meaner" approach also means some changes. As we won't have to fill a 48-person deployment roster, we also won't hire to the same bench strength that we used to have. Our total strength will be just above 80 people as opposed to the nearly 120 that we have now (including all unfilled openings).

Further, to simplify the hiring process, NDMS is reducing the variations within positions that we hire to. This means that there will be only one position for each job category (e.g., one physician category, one nurse category, etc). For some members, this will mean an automatic reduction in pay grade (not that any of us do this for the money!). For others, it will mean a pay grade increase. But of course this is the government, so nothing good ever comes for free -- those who are due for pay grade increases will have to apply for them (to document your additional years of experience to qualify for the increases). Some of you will be able to use this opportunity to apply for different positions as a result in your licensure change (e.g., a paramedic who is now a nurse).

As we will now become a "leaner" team, it also means we'll have to become a "meaner" team, with a much stronger focus on meeting the reduced mission set that we're targeting. This means that we're only going to hire into certain positions, and that other positions will be eliminated. It also means that we're going to focus on hiring people who are clinically active, so that we can have fewer people with a broader skills base to meet our mission set.

Much of this will happen with attrition over the coming months, as it's been happening with us over the years. But some of this will ultimately mean that we will eventually have to let some people go, people who are no longer clinically active (we don't yet know what that means), people that aren't in one of the positions on the new team configuration (we don't yet know what those are), and people that don't meet the new health and physical fitness requirements.

We have time to figure this out, possibly a year or more. Some people will be able to work on passing the new health/fitness requirements, and others will be able to move to positions in the new team configuration. But it's not fair to spring this on people, so we're telling everyone now to expect future changes. We estimate that around 80% of our current team will be impacted in some way by these changes, but we don't know for sure because we haven't seen the specifics.

We hope to have the specifics soon, and our command staff will work together to analyze them and the impact on each member. We'll then reach out to each person individually to discuss the specific impacts to them, if any. I also plan on going into much more detail at the May team meeting, so we're going to re-arrange the meeting schedule to allow for extra time to discuss this as a team (assuming that we have sufficient details by then).

I know that change is sometimes hard and I'm certain that we'll have our share of challenges with this as well, but if we think about it in a "bigger picture" way, we've been undergoing this change for years already -- fewer and shorter deployments, more standby/staging missions, and struggles to meet our mission readiness with ever-diminishing budgets. We're now just acknowledging this change and stepping up to meet it head on.

DMAT Advanced Training Sign-ups Re-opened

We are short 1 MD member, 3 MD/PA/NP members, 3 EMT-P members, and 1 Pharmacist for the Advanced DMAT training in Anniston, so we have re-opened sign-ups for this training event. If you fall into one of these categories, I strongly urge you to consider signing up for this event. We're on-call anyway, so you should be setting aside that time regardless. And it's a great opportunity for us to contribute to the design of this new training before it is expanded system-wide next year. Sign-ups and all the details are under Event Signups on the right side of the website when you log in. Please consider this opportunity!

Resetting your NDMS Portal Password

By now all federal team members should have created AMS accounts and logged into the NDMS Portal. For security purposes, you have to log in and change your password every 60 days. If you forget, you'll have to call the AMS Help Desk to get your password reset. Ari Stern, our new CMO, reminded me to tell everyone that you can reach them at (888) 663-3447, option 4; they can help with logon problems as well as resets, but are only open during regular business hours (east coast, of course).

NDMS is working to consolidate as many systems as possible behind a single sign-on, so that team members don't need as many unique sign-ons as they do now: AMS/NDMS Portal, RMS/RHS (Responder Health Statement), and ReL (Responder eLearn). So look for some of those to consolidate over the coming months.

Tax March San Francisco, Apr 15

There's a rally/march event called Tax March San Francisco taking place in San Francisco on the afternoon of April 15th. While our organization remains neutral on the various positions that people have on issues, we do provide support to our local community and encourage our members to do so as well. The coordinators for this particular event are expecting between 8K and 20K people to attend, so they reached out and asked if we could spread the word that they're looking for medical volunteers to help out (and other volunteers -- logistics, HAM operators, etc). As usual, this event is not sponsored or supported by DMAT or CDMSA, but let me know if you're interested and I'll send you the details so you can sign up directly with them.

CAL-MAT Program Launch

We've been talking for a long time about CA EMSA taking over the CAL-MAT program from CDMSA, and they've slowly been working their way towards that. But I'm happy to announce that this is transition is now underway. CDMSA will officially transition the CAL-MAT program over to EMSA before the end of April, and all future medical events and responses will be conducted as a state program (with us as state emergency-hire employees when we're not volunteering). We'll hopefully have a guest speaker from CA EMSA at our May meeting to introduce and explain the new program.

So for several reasons, I'm looking forward to seeing everyone at our May meeting!

Saturday
Apr012017

Training News

May 20th Meeting
Our next team training will take place on Sat May 20th at the usual time and place (see the Calendar on the team's home page). This will again not be a federal team meeting, for complicated reasons that I'll explain at the meeting. However, it is covered by the CA equivalent of USERRA for CDMSA members; let David Lipin know if you need information about that.

Agenda details will be in the May newsletter.

Moffett Field FTX
We'll once again be conducting our annual Field Training Exercise (FTX) at Moffett Field, this time the week of June 5th. The primary "medical" days will be Wed thru Fri, but we will also have a logistics and communications focus on Mon and Tue. Our scope is expanding once again this year as well. As in the past, we'll be working with the VA and FEMA US&R teams, but this year we'll also be joined by the CA National Guard and Air National Guard, and possibly some other entities as well (they're thinking about it).

EMSA is also stepping up in a big way with the CAL-MAT program, and covering the cost for all CAL-MAT participants. So other than your time (and gas to get there), it's free to participate this year! And also covered by the California USERRA-equivalent, and a great way to pick up 12+ hours of free CEUs or BRNs.

We'll distribute sign-ups in the next few days.

Apr 15th MCI Drill
John Brown has asked for our help in conducting an MCI TTX/FTX for for the Northeast Medical Services held at one of their SF clinics on Apr 15th. It will involve doctors, nurses, medical assistants, mental health and other treating clinicians. They typically conduct an hour or so tabletop exericise (TTX) for the clinic leadership, then an hour or so of hands-on training on wound care and splinting, followed by a 1.5 to 2 hour MCI exercise using stuffed animals. They could use help with the hands-on instruction (e.g., providers with experience in splinting/wound care/psychological first aid) and then coaching/observing/evaluating during the hands-on MCI. They'll provide snacks and coffee, but everyone is bringing/buying their own lunches to keep costs down (they might start just after lunch this year; timing still tbd). If you are interested in volunteering, contact John Brown or David Lipin.

Saturday
Apr012017

Goodbye from DeAnn

DeAnn McAllan - Supervisory Nurse Specialist

While I'm sorry to say I have submitted my resignation, after almost 15 years, I'm happy to leave knowing that CA-6 remains in such good hands with so many dedicated leaders and volunteers. It has become harder for me to contribute and stay active with the on-call requirements, etc., due to increased family needs.

My 'road' with DMAT started when I was with the Contra Costa Sheriff's Department where I trained 2 search dogs (one for area searching/cadaver and the other as a bomb dog)....definitely one of the most fun and exciting things I had ever done. It was there that I met those who encouraged me to come to a DMAT meeting -- and here I am today, after so many years of trainings, education, preparation for those missions that we know will come up. It opened up the door for me to participate in many medical missions, including Cambodia, Vietnam, India, Peru, Philippines and of course Haiti. There have been so many good friends who have come and gone over the years, but never to be forgotten.

So for those of you who are new, and for the nurse who will now be able to join the team in place of me, know that your teammates are really special people. They are dedicated and will always be there when needed, to not only take care of patients during the missions but to take care of each other, as friends.

My email address is d.mcallan@sbcglobal.net, and I'm hoping to see you at a meeting now and then to 'catch up', or show you around Wisconsin. :)

DeAnn

Saturday
Apr012017

The Logistics Scoop

Carol Masterson - Uniforms Unit Leader

Ideas About Packing for Deployment

Lance Lougee found a great web article about how to pack. The article is Military Secrets That Will Make You a Better Traveler, by Bekah Defelice.

So, when you get ready for deployment you might what to get some ideas from this article. Defelice asks, "Why are military people good at packing?" Basically, it's because they practice. Military types will pack and repack several times to help memorize where stuff is in their bag. 

She also suggests that it might be a good idea to pack in reverse order. Think about what items you will need when you first arrive at your destination. How about important papers, PJs for your first night, or your cell phone charger? Then pack to have these items on top and handy.

Always “balance” your packed loads.  An example would be if you have a heavy item in your pack, place it in the middle of your pack and near your spine to maintain center of gravity.  Click here for info from REI about how to pack a backpack.  

If we are going to experience bad weather, think about placing your items in large trash bags inside your backpack or duffle bag to help keep them dry. 

How about organizing like items together and place them in plastic zip bags?  An example would be placing all your cell phone and charging cords together in one zip lock bag and putting it in a handy spot in your pack. The plastic bag will help keep items dry. 

Many people like packing cubes. There are many different sizes and prices available. You can organize by color code – such as a blue colored cube for uniforms, red color for undies and socks. Search the internet for packing cubes; you will get lots of hits.

Remember, if you pack it, you have to carry it! Most airlines limit bag weights and dimensions. Usual carry-on size is about 22” X 14” X 10”. Bags must fit under the seat in front of you or in overhead bins. Some airlines limit carry on weight 2to 5 to 40 pounds (remember the 2 miles, in 30 minutes, carrying a 25-pound pack!)  The checked bag size is about 62” (length + width + height) and a 50 lb limit or you will pay extra.  (Sometimes we're reimbursed for that, but sometimes not!) 

So, don't over-pack.  ake all the required items. Look for the lightest-weight items you can find. Leave all the extra stuff you think you "might" need at home. If you can really do without it for two weeks, why not do without it and save yourself some aggravation, effort and cost? 

Wednesday
Mar012017

VOL. 17, NO. 2 - MARCH, 2017

Mark Your Calendar

  • Mar 01-31: On-Call
  • May 20: Team Meeting
  • Jun 01-30: On-Call
  • Jun 07-09: Moffett FTX
  • Aug 19: Team Meeting
  • Sep 01-30: On-Call
  • Sep 05-09: Adv DMAT FTX
  • Nov 04: Team Meeting
  • Dec 01-31: On-Call
  • Dec 02: Holiday Party

Monthly Recap

Commander's Corner - Brief notes from the Commander
Operations Update - From our new Operations Section Chief

Wednesday
Mar012017

Commander's Corner

David Lipin - Unit Commander

 

Hello all, and welcome to our first on-call month of the year! For those of you who are available to deploy, make sure to double-check your gear and other deployment to-do list items! And please consider signing up for backfill for April or May, as we backfill from other teams and should pay back them back.

I have only a few items to discuss, so this month will be a short newsletter.

Hiring

HQ is making good progress in revising position descriptions and getting ready to post openings. Most of the hurdles have been cleared, so we're expecting to see hiring resume in the next month or two. We have specific openings for physicians, physician assistants, nurse practitioners, pharmacists, nurses and paramedics, and a few "team select" positions as well. Each of these positions will post as soon as it is ready (rather than waiting for all of them to be cleared), so if you're looking to join or know someone who is, it's time to start getting ready.

Take a look at our Join Us link for some general information. Also create an account on the USAJobs website, fill out your profile, and upload your resume and other relevant documents (read the USAJobs instructions). You can also set up searches on specific positions or keywords (like NDMS) so that you'll get an email when something posts that matches your search criteria. There are also some FEMA courses that are required for all applicants: IS-100, IS-200, IS-700, IS-800; you can take these online courses now from the FEMA website -- they're useful for any medical provider, not just NDMS members.

Pediatric Disaster Response Course

Carol Masterson forwarded information about this upcoming course: TEEX Pediatric Disaster Response and Emergency Preparedness, MGT-430. This is a 2-day course in Sacramento, March 22 and 23. It's free, and includes CEs. Description as follows: this course addresses pediatric emergency planning and medical response considerations, needs identified in a 2010 report by the National Commission on Children and Disasters. Based on the needs assessment, a training gap exists for emergency responders, first receivers, and emergency management personnel reducing their effectiveness in responding to pediatric patients and their unique needs/considerations. The course addresses pediatric emergency planning and medical response considerations through a combination of lectures, small group exercises, and a table-top exercise. [Editor's note: I represented NDMS to the National Commission on Children and Disasters on this topic, in the aftermath of Hurricane Katrina, so our team's experiences are captured in this report.] Click here for more information.

Sepsis Follow-up

Ari Stern, our new team CMO, presented a Sepsis and Shock lecture at our February team meeting. As a follow-up to that presentation, one of our team members sent him this PulmCrit link to a sepsis discussion, which is worth reading both for DMAT members and anyone who works in a hospital environment.

That's it for me this month. It was great to see everyone at our February meeting!

Wednesday
Mar012017

Operations Update

Joe Telles - Operations Section Chief

I would like to thank everyone who congratulated me on my new assignment as the team’s Operations Chief. I’m excited to be in a new role. It goes without saying that Annie Bustin was an awesome Operations Chief and was well loved so I have a hard act to follow! She will be missed and I thank her for all she has done. I know from observation our operations people are extremely skilled and dedicated with a wide range of experience. I look forward to working with all of you!

I would like to thank all of the Logistics folks that made my job easy the last five years. One of the things that makes my transfer easier is knowing that the Logs Section will be directed by the new Logs Chief Hunter. When Hunter will allow, I plan on helping out when I can.

As Commander Lipin stated at our February team meeting, we now have a team MLK (mobile life kit) that will travel with us when we our deployed. Carol Masterson, along with Hunter, is responsible for maintaining the MLK. She has volunteered to teach an in-service and familiarization class on using the MLK at our May team meeting. I’m looking for another volunteer to co-teach the class with Carol. The team member will need to become familiar MLK and also be able to teach an in-service class alone at a future team meeting. This assignment will necessitate the individual to attend at least one training session at the VA Palo Alto hospital where the equipment is located. For those interested in this assignment please email me.

I would like to thank all of you that signed up for our March on-call. For those of you that were not able to sign up because of prior commitments, remember if your plans have changed where you have now become available you can still sign up. The drawback of signing up this late is that no credit is given for your tier status, though this is more than offset by the flexibility and support you provide the team with making yourself available and possibly being rostered for a deployment. Once again I look forward to working with all of you!

Wednesday
Feb012017

VOL. 17, NO. 1 - FEBRUARY, 2017

Mark Your Calendar

  • Feb 04: Team Meeting
  • Mar 01-31: On-Call
  • May 20: Team Meeting
  • Jun 01-30: On-Call
  • Aug 19: Team Meeting
  • Sep 01-30: On-Call
  • Sep 05-09: Adv DMAT FTX
  • Nov 04: Team Meeting
  • Dec 01-31: On-Call
  • Dec 02: Holiday Party

Monthly Recap

Commander's Corner - Updates from the Commander, & many opportunities!
Training News - Upcoming team meeting, and an MCI drill