IECINSARAG External Classification • Béatrice Crettenand Pecorini • Paramedic Educator / RC Nurse Anaesthetist / USAR Advisor Medical Unit • 2012
INSARAG External Classification «Guarantee of effective and professional international assistance» Toni Frisch, Chairman of INSARAG
INSARAG The UN General AassemblyResolution 57/150 of 16 December 2002 on “Strengthening the Effectiveness and Coordination of International USAR Assistance” endorses the International Search and Rescue Advisory Group (INSARAG) Guidelines as the principal reference for the coordination of international USAR response.
INSARAG External Classification • This process facilitated the composition and the organization of USAR capacities to answer and assured the minimal standards which correspond to needs and to priorities. • The first IEC date since 2005. • Since the beginning of 2012, 30 USAR Team was classified.
Classified Team • Many USAR Teams member of INSARAG are not classified yet. • The classification does not guarantee the systematic sending of the USAR Team in a sinisteredcountry. • The failure on examination of classification is possible!
Since yet, 30 Teams classified 2005: Hungary, Central Rescue Services of Budapest (CRSB), Heavy2006:UK, UK International Search and Rescue (UK-ISAR), HeavyUSA, USAID – The Fairfax County USAR Task Force (VA-TF1), Heavy2007:USA, USAID Los Angeles CountyFireDepartment, USAR Team2, HeavyThe Netherlands, USAR.NL, HeavyGermany, GermanFederal Agency for Technical Relief (THW), HeavyGermany, I.S.A.R. Germany, Medium2008:Singapore, Disaster Assistance and Rescue Team (DART), HeavySweden, Swedish International FastResponse Team (SWIFT), HeavyNorway, NORSAR, MediumAustralia, Queensland Fire and Rescue Service, HeavySwitzerland, SwissRescue, Heavy2009:Poland, USAR Poland, HeavyUK, UK International Search and Rescue (UK-ISAR), Heavy (Reclassification)Iceland, ICESAR, MediumChina, CISAR, HeavyUAE, UAE USAR Team, Medium 2010: Japan, JapanDisaster Relief Team (JDR), Heavy Denmark, Danish Emergency Management Agency (DEMA), Heavy Belgium, Belgian First Aid and Support Team (B-FAST), Medium CzechRepublic, Czech Emergency Response Team (CZERT), Heavy France, Pompiers de l'Urgence Internationale (PUI), Medium 2011: Lithuania, Lithuania Emergency Response Team (LERT), Medium Austria, Search and Rescue Unit Vorarlberg (SARUV), Medium Russia, Central AirmobileRescue Team of EMERCOM of Russia, Heavy Turkey, Search and Rescue Association (AKUT), Medium The Netherlands, USAR.NL, Heavy (Reclassification) Korea, KoreaDisaster Relief Team (KDRT), Heavy USA, USAID – The Fairfax County USAR Task Force (VA-TF1), Heavy (Reclassification) Spain, EmergenciaRepuestaInmediataComunidad de Madrid (ERICAM), Medium Spain, UnidadMilitar de Emergencia (UME), Medium 2012: Sultanate of Oman, National Search & Rescue Team (NSRT), Medium Finland, FinnRescue (FRF), Heavy
Before the classification • Preparations of the USAR Team (INSARAG does not oblige to have a mentor but recommends it). • Official request for IEC to INSARAG, the dates of the classification examination are defined. • Presentation of the portfolio of evidence (PoE) and the scenario (the classifiers INSARAG receive these documents before the examination).
Classifiers and observers Classification examination : • On mandate of the UNO, classifiers who came from USAR Team (Search, Rescue, Medical, Logistic, Management) are going to be the assessors during all the duration of the examination. Classification EMERCOM Russia, 2011 Classification PUI France, 2010
Classifiers and observers Classification examination : • The delegate of the General Secretary of INSARAG, who is on-the-spot, will guarantee the good progress of the expertise. • Announced Observers coming by others USAR Team are present during the practical exercise but have only observer's role.
Progress of a classification Before the practical exercise, presentation to the classifiers: • Of the USAR Team (organization, human resources, official structure or NGO, training, financing, insurances…) Classification PUI France, 2010
Progress of a classification Before the practical exercise, presentation to the classifiers: • Of the material and equipment, of the storage (visit of the warehouse) of the material, maintenance, control … Re-classification Fairfax County USA, 2011
Progress of a classification Before the practical exercise, presentation to the classifiers: • Of the scenario for the exercise (check that all the points of the assessment grid will be demonstrated). Classification B-FAST Belgium, 2010
Progress of a classification Before the practical exercise, presentation to the classifiers: • Of the place of exercise (for validation). Classification B-FAST Belgium, 2010
Progress of a classification Practical exercise (36 hours), continues presence of the classifiers: • Announcement of the event, the contact with OSOCC • Mobilisation • Departure in mission • Arrived in the country • Assembly of the BoO • Work in rubble field • Demobilisation Classification EMERCOM Russia, 2011
Assessment checklist • All the points of the assessment grid are necessarily checked. • The evaluation can be realised under various forms: question-answer (oral), documents (paper), demonstration (visual). • Three answers are possible for every checked point: • Y ( Yes, green), answers the minimal standards • Y ( Yes, yellow), answers the minimal standards but the classifiers propose ways of improvement • NY (Not Yet, red), does not answer for the moment to the minimal standards = FAILURE OF THE CLASSIFICATION
Assessment checklist: example Version 2011 N.B.: The official language for the classifiers is English Address for the assessment checklist : http://www.insarag.org/en/iec/process-a-guidelines.html
Assessment checklist: important points for the Medical Unit 4. Deployment Staffing Procedure 4.2. Do the USAR team members undergo a medical screening process immediately prior to departure and is there a policy that allows for a team member to be replaced in a timely manner should they be deemed medically unfit for deployment?
Assessment checklist: important points for the Medical Unit 5. USAR Team Structure 5.1. Is the USAR team organisation structured in accordance with the INSARAG Guidelines with regards to: 5.1.5. Medical 5.2. Does the USAR team have sufficient personnel in its structure to work continuously in accordance with the INSARAG Guidelines? (Heavy USAR team 24 hrs operations for 10 days at 2 sites simultaneously; Medium USAR team 24 hrs operations / 7 days at 1 site)
Assessment checklist: important points for the Medical Unit 6. Training 6.4. Is there a continuous skills maintenance program commensurate with the classification level? 6.5. Are USAR team and personnel training records updated and maintained regularly?
Assessment grid: important points for the Medical Unit 8. Documentation 8.1.5. Record of inoculations/vaccinations required for international travel 8.1.6. Copies of valid documentation to support right to clinical practice in home country of medical personnel in the team 8.2.3. Emergency contacts details of USAR team members
Assessment grid: important points for the Medical Unit 8. Documentation 8.2.5. Shippers Declarations of Hazardous Goods 8.2.6. Manifest of Controlled Substances (e.g. medications) 8.3. Does the USAR team have standard procedures covering the following: 8.3.2. Emergency evacuation 8.3.3. Emergency medical evacuation & repatriation
Assessment checklist: important points for the Medical Unit 9. Activation and Mobilisation 9.4. Does the USAR team management have a process to gather information pertaining to the emergency and brief USAR team members on: 9.4.5. Emergency evacuation 9.4.6. Health and welfare issues
Assessment checklist: important points for the Medical Unit 10. Base of Operations (BoO) 10.2. Does the USAR team’s BoO provide for the following components: 10.2.5. Medical station providing for personnel and search dogrequirements 10.2.7. Sanitation and hygiene 10.2.10.Waste management
Assessment checklist: important points for the Medical Unit 11. RDC and OSOCC Coordination and Planning 11.4. Does the USAR team’s medical management coordinate activities with relevant local health authorities including: 11.4.1. Availability of local and international medical resources (including veterinary) to support USAR medical activities; 11.4.2. Casualty handover and transport procedure; 11.4.3. Fatality management procedure as determined by LEMA;
Assessment checklist: important points for the Medical Unit 15. Rescue Operations 15.6. Does the USAR team demonstrate technical rope capability to: 15.6.1. Construct and utilise a vertical raising and lowering system 15.6.2. Construct a system that allows for the movement of a load (including victims) from a high point laterally to a safe point below.
Assessment checklist: important points for the Medical Unit 16. Medical Care 16.1. Does the team have the ability to provide emergency medical care in collapsed structures including confined spaces from the time of access, during extrication to time of hand over?
Assessment checklist: important points for the Medical Unit 16. Medical Care 16.2. Is medical care available to USAR team members? 16.2.1. Primary Care 16.2.2. Emergency Medical care 16.2.3. Health Monitoring 16.2.4. Emergency Veterinary Care in collaboration with their handlers?
Assessment checklist: important points for the Medical Unit 16. Medical Care 16.3. Does the USAR team have a procedure for dealing with serious injury or fatality amongst team members? 16.4. Does the USAR team utilise a medical incident log?
Assessment checklist: important points for the Medical Unit 17. Safety Considerations 17.2. Do the USAR team members wear appropriate personal protective equipment (PPE) as required by the situation? PPE standard : protective boots, helmet with lamp, gloves, protective glasses, suite (overall) with protection in knees PPE Medical : medical gloves, mask, medical glasses, protective apron
Result of the classification • The result of the classification is given to the end of the exercise by the classifiers. • All the points of the assessment checklist are presented to the persons in charge of the USAR Team with comments. EMERCOM of Russia, successful classification, the UNO classifiers and the local authority (2011)
Result of the classification • If the examination is made a success, a certificate as well as the badge is given. • The classification is valid for a period of 5 years, it is followed by the reclassification (the "yellow" points must be improved).
Your classification You have now all the cards in hands to know how to make a success for your classification: At work! and good luck.