Kenya Red Cross Society Kenya Red Cross Society

MCI ProtocolMCI Protocol

STRATEGY PLAN 2011- 2015

Previous MCIs; Ngai-Ndethya train crash 1993

US Embassy Bombing 1998

Nyamakima Building 2006

Post Election Violence 2007/8

Nakumatt Supermarket fire 2009

Chasagwani oil tanker fire 2009

Sinai slum/oil pipeline fire 2011

JKIA fire 2013

Westgate attack 2013

Gikomba twin-bomb blasts 2014

MCI Synchronization within KRCS. The pillars of synchronization include;

Coordination of response activities (Internal and External)

Collaboration with partners and stakeholders

Command and control at the scene

Communication (Upwards and downwards) and use of common language

The Major roles of KRCS in a MCI is First Aid, Triage and Medivac.

MCI Declares in KRCS?

Large ….that generates National interest - SG

Small …..that generates interest at County level - CM

MCI Functions

Safety and Security

Fire Fighting

ICS & EOC

SAR

HAZMAT

Bomb squad

Medicare and Evacuations

Public Relation/Media/Communication

‘Reloaded’ mode

Upon declaration of MCI, the KRCS’ organizational reporting structure and lines freeze and a ‘Reloaded’ mode immediately activated for the management of the MCI

DM-Ops Duty manager assumes Head of EOC and becomes ‘Charlie Base’ for the command and control of the Operation under the ‘Reloaded’ mode

Communication and Reporting lines during MCI

MEDICAL COMMANDER

VOLUNTEER COORDINATOR/CELL LEADERS

RCAT LEADER OTHERS & STAGING

TANGO- ONE

CHARLIE BASE

SECRETARY GENERAL

INDIDENT COMMANDER/ COMMAND POST

MEDIA & PR

TECHNICAL ADVISORS

PARTNERS

KRCS MCI Guidelines1. Emergency Operation Center (EOC)

Receive, verify information on the incident and disseminate.

Duties of Charlie Base

Verifies Information has been received by SG, DM Ops, GM Supply Chain & E plus, PR

Opens a line of communication with the Tango- One Contacts Police, Fire, Ambulances, Neighbouring County Liaises with E-plus dispatcher for ambulance and hospital information

management. Establishes need gaps from the scene (Quick and dirty assessment) and

determine need for additional or stand down of resources Reporting;

Consolidate information on scene (Map of area, access routes, nearest hospital, airports etc )

Release periodic updates and bulletins to senior management for publication Liaise with Secretary General to prepare and launch a DREF or Appeal

2. Red Cross Action Teams (RCAT)

Mobilize the team by Tango-One or Charlie Base depending on the size of MCI.

As per standby teams activation guidelines

At scene RCAT team leader

Establish communication with Tango One Make a general observation and assess the situation, the needs and your capacity. Check is the site safe? (If not safe wait until site is safe) Do you need special equipment and personal protective equipment? Confirm with the medical teams that are on the ground, how many casualties do we

have, how many EMTs do we have and RCAT members Team leader Deploy the team to the different sectors including first aid, triage

evacuation and search for patients in all unlikely places PSS and Tracing teams set up support systems and provide services as per the

standby team activation guidelines in annex 1 Coordinate with other team leaders from other responding teams

3. Emergency Plus Medical Services (E+) Dispatch.

MCI information gathering and activation.

The paramedic in the first Ambulance on scene

assumes the roles of MC.

MC checklist

Report arrival to dispatch and hence forth report to Tango One. Direct and supervise Triage (as per START triage protocol in annex 2.) Establish of level resources (personnel and ambulances) at scene. Establish the need for a treatment area depending on the magnitude of the

incident (Consider Proximity, safety, access and exit routes) Frequent updates to Tango One Information gathering and reporting

No. of medical personnel and ambulances at the scene Compile and report on No. of RED, YELLOW, GREEN and BLACK patients using the

START triage protocol from the triage team leader to the Tango One No. transferred to Hospital under each category from transport team leader

4. County Manager

Information received, verification and dissemination then activation.

County manager assumes the role of Ground Commander Roles

Internal coordination with RCAT team leaders First Aid volunteers Tracing / Information desk Psychosocial Services (PSS) Search and Rescue Media Liaison formation from all deployed teams

External Coordination with stakeholders, IC, EOC Deployment of resources.

Engagement with other actorsKenya Red Cross

Kenya Defense Forces

National Police Service

National Youth Service

NDOC

NDMU

St John Ambulance

Nairobi County Fire

KK

G4S

Ministry of Health

Hospitals

Private practitioners

Community members

Coordinated Command structure

Scaling down and termination of the Operation

Appropriate use of resources availed for the MC and Stand-down mobilized resources

Upon attending to all casualties and the scene is announced as cleared by the Incident Commander, Tango-One and /or Ground Commander shall terminate the operation

Debriefing

PSS for staff and Volunteers

Thank you