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19 Aug @ 1000
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(Prospective member orientation @ 0900)
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Upcoming Events

Moffett FTX
June 05-09
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Team News
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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

Wednesday
Feb012017

Commander's Corner

David Lipin - Unit Commander

Hello teammates, and welcome to 2017! I just got back from a 4-week vacation across the South Pacific, and have a lot of information to pass along. I'll try to get to as much of it as I can here, but I'm not done processing all of my email backlog so I'm sure there will be more on Saturday.

Feb 4 Team Meeting

Our first meeting of 2017 will be this Saturday, Feb 4th. Details are in Training News below. Don't forget that we're not wearing team uniforms (blouses)!

New Administration

As I mentioned last month, we are beginning a new administration, and it will take time for us to get revised "marching orders". Very little has trickled down thus far, as we still do not have a Secretary for Health & Human Services (but might very soon). So I continue to urge patience and a "business as usual" approach for now. I'll have additional information on Saturday.

Officer Position Changes

Along with a new administration, we are making some command staff changes of our own! Joe Telles is moving into the Ops Chief role, and Hunter is taking over as Logs Chief. In addition, Brian and Ari are swapping CMO and Deputy CMO roles, so Ari will now take the lead as our Chief Medical Officer.

We have a number of vacant command staff positions, but for the moment we are holding off on filling them because of the hiring situation and because we don't want to "penalize" anyone by moving them from a medical role into a non-medical role (which means they can no longer treat patients, which is where our primary need is at the moment).

When you see Joe, Hunter and Ari, please welcome them to their new roles!

Sign-ups Posted

We have posted sign-ups for our first on-call of 2017 (March), and availability information is due from all federal members by this Sunday, Feb 5th. This gives us time to request backfill as needed from other teams. So we need to hear from all federal members, available or not, by then.

We have also posted sign-ups for our Advanced DMAT field training exercise in Anniston in Sep. There's still room to sign up, as we're taking a full team with us. Click on the Event Signups link in the Member's Area for details and to sign up. This looks to be a fun "road trip" for the team, and we get to help establish precedent for the rest of the system. We're closing sign-ups in early Mar to give people plenty of time to get ready.

You can also sign up for Apr and May backfill now, to support other teams.

If you're interested in being a JPATS responder, the training for that takes place in Sacramento from Jul 31 - Aug 04. We get to send one individual from our team, so email me directly if you're interested (and haven't emailed me already).

And finally, the Cache Review working group will be meeting soon in Sacramento. This group will look into updating and overhauling the packaging of the DMAT cache. Travel-in date will be Mar 26, the work will be conducted Mar 27-31, and people will return home on Apr 01. We've been asked to contribute one RN to this group for this work session. The person must have been an RN with NDMS for at least 5 years, and deployed on at least 1 major mission (e.g., Haiti, Sandy, Katrina, etc.). If you're interested and qualified, please let me know by Feb 10th.

New NDMS Slogan

The current NDMS slogan (Ordinary Heroes in Extraordinary Times) was last updated in the aftermath of 9/11 and is showing its age. So the marketing folks at HQ have decided that it's time for a new one, and there's a Division-wide competition for it! The winner will receive a Certificate of Accomplishment, an ASPR coin, and will be recognized across the Division with an opportunity to write a few paragraphs as to why they joined NDMS (to be published in NDMS literature and to promote NDMS). The slogan must be:

  • Representative of the entire Division (e.g., not specific to one type of team)
  • Relate to the uniqueness of our strength -- OUR PEOPLE
  • Use appropriate language (professional, yet with common appeal)
  • Not be a copy from something/somebody else
  • Short and concise

Submit your idea(s) for a slogan to NDMSSupport@hhs.gov with the heading "NDMS Slogan - <Your Last Name>" by Feb 17th. Entries will be narrowed by OEM leadership, and the Team Leaders and Deputy Team Leaders will make the final selection when we meet in Chicago in March.

End of Fax, Email and Snail-mail Information Submittal

We are no longer accepting forms and other information from members via our fax line or email (the forms email address) methods, or by mailing us a hardcopy. For information security purposes, we are using the Upload Document link on the team website. If you submit by those methods, we'll send you a gentle reminder and then shred/ignore the information that you sent!

That's it for me this month. Looking forward to seeing most of you on Saturday!

Wednesday
Feb012017

Training News

Feb 4th Meeting
Our next team training will take place on Sat Feb 4 at the usual time and place (see the Calendar on the team's home page). This will 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.

Here's a peek at the agenda:

General Member Tract:

  • Ventilator Operations from Jim Burr
  • Sepsis and Shock from Ari Stern
  • Hospital Evacuation Planning from Brandon Bond
  • And our usual Electronic Medical Records and Equipment Lab hands-on opportunities

New Member Tract:

  • Personal Gear Orientation by Jim Duarte
  • Team Requirements & Mission Documents by Crystal Wright
  • Logistics & Basecamp Overview by Randall Hunter

Look for the agenda and meeting documents to be published under Training Documents (link on the right in the Members Area) later this week.

And of course bring your 25 lb go bag and comfortable shoes to join us on our lunch walk! We will formally record results at this meeting. Participation is still optional; you must have a formally-recorded result by the end of Sep 2017, so you'll have 2 more meetings in which to do this. However, we will give rostering priority to those that have completed this task (and after Sep of next year you will be non-deployable until completing this assessment).

For those of you who successfully completed the walk last time, we strongly encourage you to join in on the walk this time as well. It's not only good exercise, but we'd like to show strong support for team members who are doing it for the first time. Feel free to leave your packs behind though if you'd like, and just enjoy the walk!

ICS-300 and -400
San Francisco Municipal Transportation Agency is sponsoring ICS-300 and ICS-400 classes provided by the Industrial Emergency Council. ICS-300 will be taught Feb 15-17, 0700-1600 hrs, and has prerequisites of IS-100, IS-200 and IS-700 (all available online through FEMA, and required already of all CA-6 members). ICS-400 will be taught Feb 21-22, 0700-1600 hrs, and has prerequisites of ICS-300 as well as IS-800 (also available online through FEMA, and also already required of all CA-6 members). Both courses will be taught at 700 Pennsylvania Ave, Building D, Training Room 106 in San Francisco. Contact David Lipin if you're interested.

Disaster Management for Electric Power Systems
San Francisco Department of Emergency Management and CalOES are hosting TEEX's Disaster Management for Electric Power Systems course on Feb 23-24, 0800-1600 hrs. Contact David Lipin if you're interested in this course.

Feb 18th Aeromedical Considerations (Didactic + Field)
CA-11 has extended an offer to our members to attend an Aeromedical Evacuation training that they are conducting on Feb 18 from 1100 to approximately 1500 hrs. The first hour will be didactic at CA EMSA HQ in Rancho Cordova (near Sacramento), covering aircraft safety, LZ setup and patient loading. Then a break for lunch, after which everyone will drive over to Mather Field where everyone will get to interact with the crews and aircraft from CHP, Sac County Sheriff, CA National Guard and both of the REACH airframes. Please contact David Lipin if you are interested in attending this (non-paid) training.

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.

Thursday
Dec012016

VOL. 16, NO. 9 - DECEMBER, 2016 - JANUARY, 2017

Mark Your Calendar

  • Dec 03: Holiday Party

    2017
  • 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
Goodbye and Thank You - Annie is retiring from the team
Holiday Party! - Everyone's invited! Details here.

Thursday
Dec012016

Commander's Corner

David Lipin - Unit Commander

Hello teammates, and Happy Holidays! This is our traditional, combined December/January newsletter edition so that we can give everyone a break over the holidays.

I don't have much in the way of updates, but will fill you in on what I've got.

New Administration

First off, we have a new, incoming administration starting in mid-January next year. It will take a while for changes in leadership, policies and practices to "trickle down" to our level, so we'll all need to be patient to see the priorities of the new administration.

There will be teams at the Inauguration, but Feb and Mar on-call teams were excluded from participating in order to keep them ready for their respective on-call months. So the load falls primarily on the Jan on-call teams, with backfill from Nov and Dec on-call teams.

Sign-ups Posted

We have posted sign-ups for our Advanced DMAT field training exercise in Anniston in Sep. Click on the Event Signups link in the Member's Area for details and to sign up. This looks to be a fun "road trip" for the team, and we get to help establish precedent for the rest of the system. We're closing sign-ups in early Mar to give people plenty of time to get ready.

Our next on-call is Mar '17, so we'll post sign-ups for that on Feb 25th.

Don't forget that you can sign up for backfill for Jan and Feb! Those teams will be looking for backfill in early Dec and early Jan.

And if you're interested in being a JPATS responder, the training for that takes place in Sacramento from Jul 31 - Aug 04. We get to send one individual from our team, so email me directly if you're interested (and haven't emailed me already).

2017 Schedule

Please note our 2017 schedule, posted above. Put us on your calendar. Or better yet, subscribe to the CA-6 Calendar by going to the Calendar link on our website, then clicking the blue "+" button on the calendar!

Fitness Program

I wanted to thank everyone that participated in the fitness walk at the last meeting. We had a great turn-out! Those of you who completed the Moderate walk are done for a while (at least a year; we're not sure how often it needs to be repeated). Those that completed the Light walk or were unable to participate are encouraged to try again at our Feb meeting. We'll just keep doing it until we get everyone through, so no rush if you're not ready. But now's a good time to start working on it if you don't think you're quite up to it!

End of Fax, Email and Snail-mail Information Submittal

The end of this calendar year will mark the end of us accepting forms and other information from members via our fax line or email (the forms email address) methods, or by mailing us a hardcopy. For information security purposes, we are using the Upload Document link on the team website. If you haven't figured out how to do that yet, you've got one month left!

That's it for me this month. I hope to see many of you at the team holiday gathering this Saturday. Happy Holidays and have a safe New Year!

Thursday
Dec012016

Goodbye, and Thank You!

Annie Bustin - Operations Section Chief, Chief Nursing Officer

[From the editor: Annie submitted this to update people on her pending retirement from CA-6. Feel free to come say goodbye in-person at the holiday party!]

To my clanspersons,

I feel the hole, the void, the rupture of my resignation already and it's not even effective until the 31st! What can you say about a group of people who knowingly and willingly walked through the gates of hell and back with you? And what can you say about those very people who held their breaths waiting for another chance to do it again? Outsiders would call us crazy, adrenalin junkies, outrageous and probably tell us that we need therapy. Well, we do! Many of us have had therapy because of our 'hellish' days on deployments. But I would do it again and again if I was able to.

We've laughed together, cried together, bitched up a storm together, whined, drank, swore and worked really well together aside from the fact that those who will not be named have no clue about how unmistakably astounding and unparalleled you all are. Thank you. For all of it. Good, bad and downright ugly. For the chumminess, the fights, the smelliness of long deployments, the heartbreaking truths that were branded in our memories, the doubts and the without a doubts. It's been an honor. I will watch the seasonal hurricane reports and smile knowing that you too are watching them. You will forever be heroes.

Stay safe. Do well. Be kind.

"Be as you wish to seem."

With admiration,

Annie Bustin

Thursday
Dec012016

Holiday Party!

Our annual Holiday Party is Saturday, Dec 3rd, 6p-10p at Dave Lipin's house, 101 Dale Ave in San Carlos. This year we return to our traditional pot luck. The team will provide beverages and utensils, so bring an appetizer, main dish or dessert for 6-8 people, and come enjoy a relaxing few hours with your fellow team members! If the weather's decent, we can even light up the fire pit and outdoor heating.

Significant others and families are of course welcome, as are all of our disaster response partners and their families. We won't see each other again until February, so please come for one last "disaster junky fix" for 2016!

Tuesday
Nov012016

VOL. 16, NO. 8 - NOVEMBER, 2016

Mark Your Calendar

  • Nov 05: Team Meeting
  • Dec 03: Holiday Party

    2017
  • 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
Training News - Info on our Nov meeting, plus a few more opportunities
Holiday Party! - Everyone's invited! Details here.
Managing Anxiety during Advisories and Alerts - Useful tips!
App Review - The FEMA Mobile App for disasters

Tuesday
Nov012016

Commander's Corner

David Lipin - Unit Commander

Hello everyone, and welcome to November. We have finished our final on-call of the year (more on that below), which also wraps up the end of our 3-year on-call rotation cycle. We now get a break until March of next year! If that's too long for you, you can always sign up for backfill to help out other teams in the interim (click on Backfill Signup under Event Signups in the Members Area of the website). But for me, I'm looking forward to some down time.

I've got a bunch of stuff to catch everyone up on this month, so I'll just jump right in. More items, and more details on these items, at our upcoming team meeting. Speaking of which:

Nov 5 Team Meeting

Details about our upcoming meeting/training are in Training News below. Also, read further about the fitness walk. And don't forget that we've changed our uniform policy -- no BDU blouses!

2017 Schedule

Our 2017 schedule is posted above, with both on-call months and meeting dates. Additionally, you'll notice an Advanced DMAT FTX training in September. This is tentative (and was just announced), and is the pilot year of a new NDMS national-level training program at Anniston. We are scheduled to take a full team to AL for this full-scale operational exercise. It's not didactic training; it's full-on, full-scale training where we'll set up the BoO and maintain 24x7 operations! They're using CA-6 as one of the teams to help develop this training.

NDMS Portal Project

The NDMS Portal Project marches on. Some members have successfully gotten in, but others are still waiting for the next "enrollment push". One noteworthy item: this is a secure portal, which means that it requires you to change your password every 60 days. There's a bit of a "gotcha" here, as not only do you have to change your password every 60 days (you'll receive email reminders), but after you change your password you must log into the Portal using your new password. If you don't do that, then your account will be suspended and you'll need to work through the Helpdesk to get it reinstated. As you might suspect, it's easier to avoid the Helpdesk route if you can!

Hurricane Matthew Alert

I've got a lot of details to discuss regarding our recent Hurricane Matthew Alert experience, but most of them I'll save for an in-depth discussion at the team meeting.

I'd like to encourage everyone to read Katie's article below; I found it particularly helpful and I think you will as well. If you think about it, most all of the steps that she discusses can be done well ahead of time. It's probably a good idea to do them a few days before each on-call month, just to get them out of the way and give yourself some peace of mind. But when we notch it up to Advisory or Alert, I always go through that list again with the particulars of the mission in mind (e.g., after reading the safety info, thinking about the weather conditions, etc), just to reassure myself that I'm ready. Do I still want the same sleeping bag? Maybe some extra snacks because I don't particularly like the food in a certain region (or enjoy eating MREs)?

One of the things that she mentions is avoiding asking questions of the command staff unless it's really important. Another way of saying this is that we encourage each of our members to be as independent and self-sufficient as possible, and to work out as many of your personal details as you can ahead of time. If you've prepared appropriately, then there's really nothing that you should need to ask of the command staff. Use the normal resources for keeping the team informed: for example, you can update your availability using the On-Call Signup page. Not interacting personally with the command staff at crunch times like these is really helpful, because they have additional duties on top of everything that everyone else is going through.

We were on Alert for an extended period, longer than we've ever been. In fact, it's likely an NDMS record! This "sitting on the bubble" caused quite a bit of heartache and brain-wracking, as members had to balance their personal and DMAT lives. Many of you had some difficult decisions to make. Should you cancel your vacation? Should you go on that business trip, even though it means you'll have a delayed response time? Often, we observe that members schedule a vacation during an on-call month thinking "I'm willing to cancel it if we deploy", or "I'll leave my gear with another team member and deploy from my vacation location", but then they don't think about "what if the team might deploy but isn't committed yet?" Are you willing to cancel your vacation if we're on Alert? You may be tempted to ask one of the team officers if they have additional information or can help you with decisions like this. Be assured, there's no additional information that can help! You should make the best decision you can for your situation. Better yet, think about this situation (and discuss it with your family or others that could be impacted) before you sign up for on-call. If you decide to schedule a vacation, think about what your personal go/no-go date and boundary cases are going to be: will you be deployable on the day you are flying to/from your vacation location? will you be willing to cancel your vacation if we're on Alert the day before you depart on vacation? And so on. Personally, I hate making those decisions because I find them "lose-lose", so I just avoid scheduling anything during on-call months.

One of the challenges that the team faced during this extended Alert period was roster stability. We had to maintain a "wheels-up in 8 hours" roster for several weeks, and changes in people's availability caused us to change the roster frequently, sometimes multiple times per day. Some of these changes were unavoidable (e.g., someone gets injured), others were avoidable (e.g., a member's availability had changed since initial sign-up in Sep, but they forgot to update it on the website), and yet others were in the grey area (e.g., the "vacation" topic from above). We understand that "life happens"; we need our members to understand that the team is obligated to meet its service requirements even if individual members have availability changes. We prioritize members who make themselves available for the entire month (and even backfill members who make themselves available for the entire month) over members who have partial availability during the month. We have also decided to impose a 14-day "penalty" on any member that makes themselves available and then withdraws that availability when the team is placed in Advisory, Alert or Activation status; just as a member gets "credited" for each day of availability during On-Call, and bonus "credit" if the member is actually activated, the member will now be "debited" 14 days if they remove themselves from availability during these peak-activity periods. We hope that this will encourage members to think more about their personal situation as it relates to the team, and give the team more notice regarding availability changes. This will greatly improve our rostering ability, and decrease our workload during these hectic periods.

Much more discussion at the upcoming meeting.

Haiti 2017

The non-profit Haiti medical outreach program is continuing, and even expanding, in 2017. The work is even more important in the aftermath of Hurricane Matthew, because the areas that we serve were hit hard by the storm. 2017 dates are as follows:

  • Jan 28 - Feb 05: Leon
  • Feb 04 - Feb 12: Leon
  • Apr 22 - Apr 30: Castillon
  • Jun 03 - Jun 11: Leon
  • Jun 10 - Jun 18: Leon
  • Oct 14 - Oct 22: Leon (tentative)
  • Oct 21 - Oct 29: Castillon
  • Oct 21 - Oct 29: Abricot

These are all small teams, approximately 6-10 members with mixed skill sets. It's hard work, but very rewarding. If you're interested, contact me for details.

Fitness Program

We've been "warming up" to the fitness program for the last year or so with our pre-lunch walks at our team meetings, but this meeting (weather-permitting) will be the first time we formally measure people . As a reminder:

  • Light duty: walk 1 mile in 15 minutes without a pack. This is suitable for limited deployment environments with no unknown hazards (example, rotating into a pre-established BoO on level ground, providing care at a medical evacuation shelter). Unlikely that you could be deployed on a first-in assignment.
  • Moderate duty: walk 2 miles in 30 minutes carrying a 25-lb pack. This is suitable for most first-in deployments for typical DMAT members, and the standard that we are targeting.
  • Arduous duty: walk 3 miles in 45 minutes carrying a 45-pound pack. This is the standard for people expected to have a lot of physical activity during a deployment, such as logistics personnel.

You may wear comfortable footwear for the test, but we encourage you to wear your boots since that's what you'll be wearing on a deployment (where it counts)! This is a walking test, no jogging or running permitted. To succeed, you must finish in the allotted time without jogging or running, and be able to immediately resume normal activities (i.e., don't need a rest break, not out of breath). Team members must meet the Moderate duty criteria to be considered deployable for a first-in (unknown-type) mission, but Light duty is sufficient for certain known mission types.

This is still optional. If you are not healthy enough to participate, then don't participate! You have until our Aug 2017 meeting to complete the test. We will conduct Light and Moderate duty tests at each team meeting (weather permitting), and some national-level training (such as Anniston) may also conduct these tests. Arduous duty tests will be conducted by the Logistics Section at separate events.

Medical/Health Reporting

Most everyone on the team experienced the new national-level medical/health reporting system during our Hurricane Matthew Alert. Those that made it through and were reviewed will now only need to provide an update (which could be as simple as clicking Submit if your health status has not changed), but members who did not complete it will have an opportunity in the future to get this done. It is now required prior to any deployment; we cannot roster you unless you've completed this.

End of Fax, Email and Snail-mail Information Submittal

The end of this calendar year will mark the end of us accepting forms and other information from members via our fax line or email (the forms email address) methods, or by mailing us a hardcopy. For information security purposes, we are using the Upload Document link on the team website. If you haven't figured out how to do that yet, you've got two months left!

That's it for me this month. I'm now switching over to working on November status reports, so you'll know what to focus on for the November meeting. See you then!