A Framework for Planning Community Response to Overwhelming Patient Surge
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Communications Interoperability (CI)

AOCA

Strategic Function: To ensure real-time communication across all disciplines (voice, data, video) among first responders and health care facilities in times of medical surge and disruption of normal means of communication.

The subject matter expert for this function is:

New Mexico Department of Health, Bureau of Emergency Management
Division of Epidemiology and Response
Wynn Brannin, Risk Communicator, Interoperability Communications Coordinator,
Emergency Operations Center Representative (EOC-R)
Direct (505) 476-8210
Pager (505) 939-2098
Fax: (505) 476-8201

Why: First responders must have timely communications with each other to response effectiveness and public safety.

Who: Local Emergency Managers, First Responders including firefighters, police, EMS agencies, 911 call center staff and local health care facilities.

When: Each community will decide through ongoing assessment, plan development and exercises, the trigger or threshold for the activation of the CI.  

Where: In planning, Communication Interoperability must be part of each responder’s operations plan.  In response, CI must be maintained by all first responders.

How: Planning for communications interoperability is based on an assessment of the existing communications infrastructure between first responders and health care facilities. Planning assumptions for CI include:

  • There are already established UHF and VHF frequencies used under
    normal circumstances by Dispatch, EMS, Law Enforcement and Health
    Care Facilities.
  • Primary communication systems, such as land-lines and cell phones will become
    overloaded very quickly and alternate means of communications are essential
    for continued operation.
  • Back up or redundancy in communication plans should include Very High Frequency(VHF) and Ultra High Frequency(UHF) in both the government band
    and the Amateur Radio band.  These frequencies will be compatible with the
    New Mexico Public Safety Communication Plan.
  • Trained communication operators are a vital component for Communication Interoperability.
    There should be a minimum of three operators trained ready to work and a dedicated location for each peri-operational period.
  • Personnel will be trained and equipped as communicators for every response location. These individuals should be trained and able to communicate by any means necessary.
Questions for consideration during assessment and planning include:
  • What frequencies - both VHF, UHF (800MHz) do your First Responders communicate on?  Is there the ability for EMS, Law Enforcement, Fire, and hospital to communicate with each other, easily, within these frequencies?*
  • Does your communication system have back-up systems (redundancy) in place in the event of a land-line, cell-phone overload?  Note: Redundancy refers to back up 2-way radio system.
  • Is there a network of amateur ham operators readily available to assume essential communication between above entities if there is a mass failure in the traditional means of communication?  If so, what are the triggers in your community that would mobilize these resources?
  • Does your communication plan include communication with NM DOH, DOH access, EMS communications (UHF Med Radio System)?
  • How will you train and exercise the communication operators – both paid and volunteer?

 

Tool

 

A sample tool to identify current means of communication:

 

 

 

 

 

Agency

 Frequency

Ability to Inter-communicate

Compatible with New Mexico Public Service Plan (NMPSP)

Cell Phone

Dispatch

 

 

 

 

Law Enforcement

 

 

 

 

EMS

 

 

 

 

Fire

 

 

 

 

Hospital

 

 

 

 

Amateur Radio
Operator

 

 

 

 

 

Resources

Summary
NM MEMS communication and information management related needs will be addressed through the NIMS communication and information management system established by the State of New Mexico.

New Mexico Statewide Interoperability Communications Working Group
Describe the work of this group and how it supports communications interoperability locally.
(available links will be added here)

Process To Assure Redundant Communication
Identify how communication will occur among the hospital (if there is one), primary care centers, local emergency operations center and patient transportation personnel.
(available links will be added here)

Identification of Local Communicators
Develop the list of individuals who are trained and able to communicate via radios and any other means.
(available links will be added here)

 

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