Non-clinical Deployment Roles: Domestic to International

LT Stephanie BriguglioLCDR Elizabeth Garza

LCDR Jaclyn Ruiz

USPHS Scientific and Training Symposium, Atlanta, GAHSO Category Day

May 19, 2015

Objectives

1. identify the various non-clinical roles public health professionals can fill in international or domestic deployment settings.

2. identify non-clinical roles that are necessary in deployment setting, based on the ICS structure.

3. identify the skills and experiences that can be leveraged to pursue deployment opportunities.

At the conclusion of this roundtable, participants should be able to…

Agenda

• Introductions • Our past PHS deployments and roles• ICS structure and potential deployment roles• RedDOG PHS deployment teams• RedDOG training newsletter• Training and skills found useful for

deployments• PHPAG structure (shameless plug)

Introductions• LT Stephanie Briguglio (FDA/CFSAN)– Commissioned Jan. 2013– Deployed with RedDOG (Tier I team: RDF-2)

• LCDR Elizabeth Garza (CDC/NIOSH)– Commissioned Sept. 2007– Deployed 3 times with RedDOG (Tier I team: RDF-1)– Deployed 8 times with agency

• LCDR Jaclyn Ruiz (OS/OASH)– Commissioned Jan. 2008– Deployed twice as Tier III member

• Unaccompanied Children mission • Length of deployment: 2 weeks• Location: Nogales, AZ (border town)• Role: Logistics section• Tasks: Transportation Duties, inventory, ordering

supplies, picking up/dropping off team members from airport, boosting team morale, many other duties as needed

LT Briguglio’s Deployment

• Ship-based humanitarian mission on the USS Boxer• Length of deployment: 2 months• Location: Guatemala, El Salvador, Peru• Role: PHS Command Team, EA/PIO

– PHS Command transitioned across two different teams that deployed for a month each

• Tasks: – Executive Assistant– Public Information Officer– Health educator – Translation services when needed

LCDR Garza DeploymentsOperation Continuing Promise (2008)

OFRD (now RedDOG) Deployment

• Largest humanitarian mission in the U.S.• Length of deployment: 1 week• Location: Border of U.S./Mexico in Mission, TX• Role: Strike Team Lead for Palmview Site

– 1st time strike teams deployed integrating RDF, MHT and SAT assets all under one command

• Tasks: – Lead Planner up until event– Public Information Officer– Health educator – Translation services when needed

LCDR Garza DeploymentsOperation Lone Star (2010)

OFRD (now RedDOG) Deployment

• Roles:– PHS-1 RDF team member deployed in support of the July

4, 2009 mission– HHS liaison to the DC/Emergency Management Agency

Operations Center (July 4, 2008)– PHS-1 RDF team member deployed in support of the 2008

Presidential Inauguration• Length of deployment: 1 day each• Location: Washington D.C. in support of National

Special Security Events

LCDR Garza DeploymentsNSSEs: July 4, Presidential Inauguration

OFRD (now RedDOG) Deployment

• Washington Dulles Airport, Quarantine Station: Ebola Enhanced Screening Operations

• Length of deployment: 3 months• Role: Public Health Advisor (PHA)• Tasks: – Operations Lead AM Shift– Assisted with ensuring fit-testing of staff– Educator & training

• worked to train Customs & Border Patrol and other partners on Ebola signs and symptoms and our role in the screening

– Conducted Ebola risk assessments– Assisted as needed in CARE Ambassador Encounters

LCDR Garza DeploymentsEbola Response (2014-2015)

Agency Deployment

• Rostering Workers and Command Post Deployment• Length of Deployment(s): 1-2 weeks at a time• Location: Several sites along the Gulf of Mexico • Role: Survey Team, Command Team• Tasks: – Assisted with distributing surveys to response workers– Conducted training and education of other field staff– Data collection & analysis– Translation services when needed

LCDR Garza DeploymentsDeepwater Horizon Oil Spill (2010)

Agency Deployment

• Poultry Processing Plant Health Hazard Evaluation• Coffee Plant Health Hazard Evaluation• Length of deployment(s): 1-2 weeks at a time• Location: Arizona, Texas• Role: Survey Team• Tasks: – Assisted with distributing surveys to workers– Data collection & analysis– Translation services when needed

LCDR Garza DeploymentsHealth Hazard Evaluations (2011, 2012)

Agency Deployment

• Patient Outcome Assessment Team at Rabia Balkhi Maternity Hospital

• Length of deployment(s): 2 weeks at a time• Location: Kabul, Afghanistan• Role: Survey Team, Command Team• Tasks: – Data collection & analysis– Conducted training and education of local staff and

partners– Planning & logistics including working with Embassy

personnel to ensure appropriate security for our teams

LCDR Garza DeploymentsAfghanistan Health Initiative (2012, 2008)

Agency Deployment

• Disaster Response for Hurricanes Gustav and Ike

• Length of deployment: 2 weeks• Location: Marshall, TX @ East Texas

Baptist University (Hurricane Gustav) and College Station, TX @ Texas A&M

(Hurricane Ike)• Role: Administrative team• Tasks: Intake and discharge in the field medical

station, keeping track of the location of patients, assisting other teams when needed

LCDR Ruiz’s Deployments

• Humanitarian mission (voluntary); Continuing Promise 2010 on the USS Iwo Jima

• Length of deployment: 1 month• Location: Port au Paix, Haiti and Coveñas, Colombia• Role: Community Health Worker• Tasks: – Health educator – Provided fluoride rinses– Coordinated medical care with

in-country military team– Translation services when needed.

LCDR Ruiz’s Deployments (cont.)

Incident Command System Structure

Roles—Inside and Outside the Box- Laundry- Booking flights- Scheduling a

Wal-Mart run- Newsletter

creation- Listserv

creation and maintenance

- Respirator fit test administration

- Rental car key sign-in/out

- Ice cream sandwich distributor

- Day off planner- Nursing schedule

rotation- Sunshine fund- Truck driver- Database

creator/administrator- Photographer- Hair stylist/barber- Shoe shiner- Determining burn

rate- Run/PT organizer- Translator- Handling animals- Organizational guru- Staples.com expert

- Surveillance- Health records- Liaison- PIO duties- Creating

posters/flyers- Chauffeur - Grocery

shopping- Inventory- Tracking

important items

RedDOG (Readiness and Deployment Operations Group)

Tier I Teams (must be able to be deployed 12 hours post-activation)• Rapid Deployment Force Team (RDF)• National Incident Support Team (NIST)• Regional Incident Support Team (RIST)

Tier I Teams (must be able to be deployed 36 hours post-activation)• Capital Area Provider Teams (CAP)• Applied Public Health Teams (APHT)• Mental Health Teams (MHT)

Tier III (must be able to be deployed 3 days post-activation)• Officers meeting basic readiness standards are tier III by default• On-call for one month every 5 months

For additional information on RedDOG and their Response Teams please visit: dcp.psc.gov/ccmis/DCCPR_readiness_and_deployment_m.aspx

Trainings and Skills Helpful in Deployments

• Cultural competency• Language skills• Ability to perform an environmental scan for resources• Management and operations experience• Solid grasp of ICS and PHS response structure• Maintain foundational knowledge of general public health principles• Good interpersonal and communication skills• Patience• Stress management skills• Project management• Logistics skills (transportation, IT, supplies & services, food, facilities)• Administrative• Finance• Database skills• See handout

Public Health Professional Advisory Group (PHPAG)

• Subcommittees– Awards– Career Development– Communications– Financial– Membership– Mentoring

• Tracks– Epidemiology (EpiC)– Generalist (LCDRs Garza

and Ruiz chair)– Global Health (LTs

Briguglio and Dondzila chair)

– Health Promotion/Health Education

– Policy

Thank you for attending our roundtable!

Stephanie.briguglio@fda.hhs.govegarza@cdc.gov

Jaclyn.ruiz@hhs.gov