"Deployed_Where","Deployment_Dates","Event","OFRD_Response","Response_Comments","Appropriate","Changes","Meet_Changes","Effective","Travel","Cultural","Language","Health_Beliefs","Local_Customs","Religious_Beliefs","Individual_Values","Other_Differences","Effectiveness","Addl_Training","Training_Example","Other_Comments","Email","Date","Time"
"Nowhere","1/1/2006 - 12/1/2006","IHS Colville","No","Slackers","Yes","No.","No","Yes","Yes","No","Influence","Not applicable","Differences","Not applicable","Influence","No change.","3 Effective","No","No training.","Other Comment","x@x.x","12/21/2006","03:35 PM"
"FOH Clinic (Parklawn Bldg) in Rockville","07-DEC-2006","FOH Immunizations","Yes","","Yes","No.","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","Stanley.Shepperson@fda.hhs.gov","12/26/2006","02:32 PM"
"FOH Clinic Parklawn, Rockville , MD ","11/29/06","FOH Immunizations","Yes","I knew early enough so as to informa my supervisor that I would need the time off for deployment.","Yes","No - mission did not change","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","This was an ideal opportunity to be on the ground level in making the DHHS community aware that PHS pharmacists were adequately trained and certified to administer flu shots. The community was very receptive and encouraging to us as PHS pfficers.","brenda.stodart@fda.hhs.gov","12/26/2006","02:53 PM"
"FOH Parklawn Building","12/1/2006","FOH Immunizations","Yes","","Yes","NO","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","christina.thompson@fda.hhs.gov","12/26/2006","03:23 PM"
"FOH Clinic in Parklawn Building, Rockville, MD","November 30, 2006","FOH Immunizations","Yes","","Yes","No.","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","diem.ngo@fda.hhs.gov","12/26/2006","03:23 PM"
"FOH Parklawn Building","Nov 29, 2006","FOH Immunizations","Yes","RADM Babb and LCDR Waterman coordinated the deployment with FOH very efficiently.","Yes","No","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","This deployment was a win-win for PHS and the Pharmacy Category!","NSood@hrsa.gov","12/26/2006","03:43 PM"
"Collville Confederated Tribes Reservation","10/15 to 10/29, 2006","IHS Colville","Yes","Yes, info was timely and useful","No","","N/A","Yes","No","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Differences","","3 Effective","No","","","michael.flood@ihs.gov","12/26/2006","07:09 PM"
"Fort Detrick, Flu vaccination clinic","11/6/06 and 11/21/06","FT Detrick","Yes","","Yes","No","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","","mary.rossicoajou@cms.hhs.gov","12/26/2006","08:36 PM"
"Colville Indian Reservation, Washington","29 Oct. through 12 Nov. 2006","IHS Colville","Yes","I received briefing material that was very helpful.  Additionally, we had a conference call with the officers that deployed prior to us that was helpful.","Yes","The mission required that we remain flexible. We were able to identify some needs in the community that we were able to address.","N/A","Yes","Yes","Yes","Not applicable","Not applicable","Differences","Differences","Not applicable","","4 Very Effective","N/A","","","fhershberger@bop.gov","12/27/2006","08:10 AM"
"Rockville, MD","November 30, 2006","FOH Immunizations","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","melina.griffis@fda.hhs.gov","12/27/2006","08:35 AM"
"Ft Detrick","2 days in Nov","IHS Colville","Yes","","Yes","NO","No","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","martinellia@mail.nih.gov","12/27/2006","08:38 AM"
"FOH Clinic Parklawn","12/4/2006","FOH Immunizations","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Good deployment experience. Well organized.","Steven.Jones@fda.hhs.gov","12/27/2006","08:59 AM"
"Colville, Washington","9/18-10/2/06","IHS Colville","Yes","Did have trouble with travel arrangements. GovTrip was very difficult to use.","Yes","NO","N/A","Yes","N/A","Yes","Not applicable","Influence","Influence","Not applicable","Influence","Distrust of federal government; distrust of USPHS uniform","4 Very Effective","Yes","Formal training in containing suicide cluster","A privilege to work with the US PHS team of very dedicated professionals. Thank you to Connie Hunt for her leadership and cultural awareness.","deborah.price@ihs.gov","12/27/2006","10:33 AM"
"Colville Conferedated Tribes - Colville, WA","November 12-26, 2006","IHS Colville","Yes","However, a briefing call did not take place between my team and the deployment team that left prior to my arrival.","Yes","No.","N/A","Yes","Yes","Yes","Not applicable","Not applicable","Differences","Not applicable","Not applicable","","4 Very Effective","Yes","LCDR Betty Hastings and Dr. Connie Hunt provided very thorough and detailed information regarding providing culturally appropriate services.  Being able to consult an elder of the tribe was extremely beneficial particularly in crisis situations where relatives of clients must be contacted.","It would be extremely beneficial for the teams to overlap at least 1-2 days to allow for more in-depth orientation and appropriate follow-up of client needs/services. One negative aspect of the deployment was that a briefing was not scheduled for my team and it was difficult to determine what clients needed follow-up and immediate attention. Overall, I am grateful that I served on this mission and feel confident in serving in this capacity, if needed in the future.","Tarsha.Wilson@hhs.gov","12/27/2006","12:52 PM"
"Fort Detrick","4 Dec 06","FT Detrick","Yes","","Yes","","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","Good deployment enjoyable and rewarding. ","edward.wolfgang@fda.hhs.gov","12/28/2006","12:56 PM"
"DC Metro area","11/29/2006 - 12/6/2006 12/8/2006 and 12/12/2006","FOH Immunizations","Yes","","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","kcwilliams@hrsa.gov","12/28/2006","02:02 PM"
"Colville Indian Reservation, Washington State","26 Nov- 10 Dec 2006 ","IHS Colville","Yes","CDR Betty Hastings sent a very informative pre-deployment briefing binder and video.  She also called me before I left and provided some valuable information about the area and the type of work that was needed on the reservation.  ","Yes","Yes, there was a homocide of a tribal elder the first day that we were there that threw a already fragile community into further crisis.  We spent a lot of time reaching out to the community and the families, encouraging them to talk and letting them know that we were available.     ","Yes","Yes","No","Yes","Not applicable","Differences","Differences","Influence","Differences","","4 Very Effective","Yes","American Indian Traditional Healing/Medical Practices","Clearer mission goals and longer deployments.  The amount of work that needed to be done and the help that the people needed on the reservation was overwhelming.  I personally was not ready to come home, I felt that we still had things that needed to be done and things that needed to be followed up on.  I think that it was hard also because we were the last group.  But I would have stayed longer.  I don't think that 2 weeks in long enough.  By the time you get comfortable and figure out what you are doing, its time to come home. I would go back.  Overall it was a good experience and I would go again, I just feel like we left a lot unfinished.   ","mclellanj@cc.nih.gov","12/29/2006","02:52 AM"
"Ft. Detrick, MD","8 NOV 2006","FT Detrick","Yes","","Yes","No.","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","The clinic was efficient, the atmosphere was very professional.","jason.humbert@fda.hhs.gov","12/29/2006","07:31 AM"
"Ft Detrick","","FT Detrick","N/A","","Yes","No","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","5 Undecided/Do not know","N/A","","","katherine.berkhousen@fda.hhs.gov","01/03/2007","09:10 AM"
"Silver Spring, MD 20993","November 30, 2006","FOH Immunizations","N/A","","Yes","No","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","lori.garcia@fda.hhs.gov","01/03/2007","10:12 AM"
"Tower Building","12-12-2006","FOH Immunizations","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","We provided about 50 immunizations this day.  It was an outstanding opportunity for pharmacists maintain proficiency in providing immunizations.  The PharmPAC had provided an ""inservice"" to further prepare pharmacists to administer immunizations.  They are now considering a competency to accompany the inservice to ensure that the pharmacists appear skilled as well as trained.

The Tower Building clinic day was requested by a manager at the Tower Building (non-Corps personnel) but he selected the same day and time as the SG's Holiday party.  Thus, many CC officers were at the Parklawn Building rather than the Tower building that morning.  Additionally, due to the delayed vaccine shipment, many of the Tower Building staff had already obtained their vaccination at another FOH clinic or elsewhere.  Thus, the anticipated demand for the clinic at Tower Building should be much higher for the next flu season.  

Thank you to OFRD for coordinating this opportunity!","laura.pincock@fda.hhs.gov","01/03/2007","10:50 AM"
"Colville Confederated Tribes, Nespelem, WA","October 1-15, 2006","IHS Colville","Yes","","Yes","This was a mission requiring flexibility in tasks.  Have done this kind of work before so was fine.","N/A","Yes","No","Yes","Influence","Influence","Influence","Not applicable","Influence","Have worked in Indian Country for a long time so was fine","4 Very Effective","Yes","We always need more training and cultural awareness despite our experiences","Thoroughly enjoyed the deployment; hope to be asked again to serve in Indian Country for suicide prevention","ldd5@cdc.gov","01/03/2007","01:48 PM"
"Washington, DC","29 DEC 06","Select Event","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","mike.anderson1@dhs.gov","01/04/2007","11:11 AM"
"Washington DC","12/30/06-01/02/07","Ford Funeral","Yes","","Yes","No","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","","connie.jung@fda.hhs.gov","01/04/2007","11:17 AM"
"washington dc","12/30-1/1","Ford Funeral","No","information disseminated by rdf leadership","Yes","yes - continuous 24hr coverage not needed, info not conveyed to team members.","No","Yes","N/A","Yes","Differences","Not applicable","Not applicable","Not applicable","Not applicable","","2 Somewhat Effective","Yes","access to (telephonic) interpreter services","","","01/04/2007","11:18 AM"
"Washington, DC","12/30/06 - 1/2/07","Ford Funeral","Yes","","Yes","the shift hours changed","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","cynthia.harris@fda.hhs.gov","01/04/2007","11:34 AM"
"Washington, DC- President  Ford's Funeral ","December 30-January 2, 2007","Ford Funeral","N/A","Informed by PHS-2 Admin as part of Tier I PHS-2 OFRD would not necessarily be first contact for me.","Yes","No, essential requirement of being available for medical support staff as RN did not change- duty hours and assignment were flexible.   ","Yes","Yes","Yes","No","Influence","Influence","Not applicable","Not applicable","Not applicable","Hispanic patron, used son for interpreter to say that he needed cotton balls for ears due to sinus drainage, although this may not be a valid intervention, gave him cotton balls to place in ears to satisfy his request.","4 Very Effective","N/A","","This deployment with NDMS, National Park Service, District of Columbia Department of Health and Red Cross on the National Mall was more organized and had appropriate equipment (tents with floors & lights, heaters, cots, communication systems, forms, and better supervision by all partners) than previous funeral and inaugural events of the past few years. Well done!  ","martha.olone@fda.hhs.gov","01/04/2007","11:34 AM"
"Humphrey Bldg","12/30/2006 - 1/2/2007","Ford Funeral","Yes","","Yes","No.","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","The deployment was successful and the process smooth.","sean.belouin@samhsa.hhs.gov","01/04/2007","03:11 PM"
"Ford Funeral - WWII Memorial","30 Dec, 2006","Ford Funeral","N/A","Went through the RDF team, so didn't interact directly with OFRD","Yes","Time and intensity of the required response seemed to decrease from the initial notification to the actual event","Yes","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Though our services were not needed, the placement of the medical van, determined by the Park Service, I believe, was less than optimal, had our services been necessary.  This could be addressed via communications with the Park Service (or whoever determined the placement of the van).","kschoendorf@cdc.gov","01/04/2007","03:32 PM"
"Washington DC","12/30/06-1/2/07","Ford Funeral","Yes","","Yes","Based on early communications we received, it wasn't clear the that pharmacy strike team was needed for a 12 hour shift on the first evening.  We were able to adjust and staff appropriately.","Yes","No","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","andrew.haffer@fda.hhs.gov","01/05/2007","09:52 AM"
"Washington DC","12/30/06 - 1/2/07","Ford Funeral","Yes","","Yes","","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","krumlaum@mail.nih.gov","01/05/2007","09:58 AM"
"Washington DC Capitol Building","30 December 2006- 1 January 2007","Ford Funeral","N/A","","Yes","Yes. Changes in scheduling for individual members","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Due to the hours for my assignment, I was required to drive to the Humphrey Building. I possessed no experience driving downtown. Finding the entrance to the parking garage in the dark was challenging. I drove by it several times before the attendant waved me into the correct position. ","lyoung@nih.gov","01/05/2007","11:47 AM"
"Washington, DC","12/30/06 - 01/02/07","Ford Funeral","N/A","","Yes","No","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","PreMission briefing was well done.  Communication within our team was great.  I appreciated our senior leadership coordinating our team with our PHS-2 in mind as well as oour skill sets.  My shift was cancelled so I never got a chance to actively work in a tent.","jgwathney@hrsa.gov","01/06/2007","12:08 PM"
"Confederated Tribes of the Colville Reservation","October 1-15","IHS Colville","No","Information was communicated directly from IHS through team command. When information from the field was needed OFRD was very responsive.","Yes","No change ocurred","N/A","Yes","No","Yes","Not applicable","Influence","Influence","Influence","Influence","","4 Very Effective","Yes","For officers who have not worked with native people and tribal governed nations, it would be very benefical to have continuing education trainings or resources available prior to being deployed. For this specific deployment, IHS personnel and previous team did provide an overview of the tribe prior to beginning work.","This deployment was one of the most enriching experiences. A determination or clarification of wearing uniforms specifically with Tribal nations should be clarified prior to deploying.     ","elise.young@hrsa.hhs.gov","01/07/2007","12:49 AM"
"Washington DC, ","Dec. 30- Jan, 2, 2007","Ford Funeral","Yes","","Yes","","N/A","Yes","N/A","Yes","Influence","Not applicable","Not applicable","Not applicable","Not applicable","","2 Somewhat Effective","No","","","cheryl.peterson@ihs.gov","01/07/2007","07:54 AM"
"Ford State Funeral","12/30/06 - 01/02/07","Ford Funeral","N/A","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","","kelleyl@ninds.nih.gov","01/07/2007","09:00 AM"
"Washington DC Ford Funeral","12/30/06  and 1/1/07","Ford Funeral","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","npowell@cc.nih.gov","01/07/2007","07:36 PM"
"Washington DC","Dec 30th -Jan 1st","Ford Funeral","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","I think everything went well and I would do this again","pcartera@mail.nih.gov","01/08/2007","11:00 AM"
"FOH Parklawn Flu Clinic","11/29/06","FOH Immunizations","Yes","","Yes","No","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","This was an excellent opportunity for a pharmacist to exercise skills not traditionally associated with pharmacist.  By participating in this deployment I feel that I will be more well rounded in my pharmacy practice and better suited to serve the needs of my patients.","kendra.stewart@fda.hhs.gov","01/08/2007","11:42 AM"
"Fort Detrick , Frederick, MD","December 4th and 12th","FT Detrick","Yes","","Yes","No.","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","It was a great deployment and I throughly enjoyed it.","amy.anderson@fda.hhs.gov","01/08/2007","11:52 AM"
"FOH clinics Rockville and Germantown, Maryland","01 Dec, 2006 ; 05 Dec, 2006","FOH Immunizations","Yes","","Yes","I was deployed to the Parklawn Building clinic at Rockville, and then asked to go to another out reach clinic at the Dept. of Energy in Germantown at a different day","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","hawyee.yan@fda.hhs.gov","01/08/2007","01:04 PM"
"Ford Funeral","01 JAN 2007","Ford Funeral","Yes","","Yes","No","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","Clindsey@hrsa.gov","01/08/2007","04:03 PM"
"Hubert Humphrey Building, Washington , DC","12-30-06, to 1-2-06","Ford Funeral","Yes","At times it was a little confusing getting direction from OFRD and the RDF Team 2 leadership, but it did all come together as our leadership kept us well informed.","Yes","Yes, originally, we were to be 24 /7 for viewing of Fords' casket, howevr due to the dates possibly the hours were cut back. We then went to at 0700-1800, shift, and were on call for this event after the first day of reporting. ","No","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","I am not sure if we are to be reimbursed for any of this deployment. Were we to recieve orders?
How does this work if we drove to the site on day one and remained on call the rest of the time.When we are deployed locally like this are we being given reimbursement for milage, perdiem, as there was no information provided to CO on this issue. From my past experience with NDMS they are well taken care of from an administrative point , as they are civilian and paid for their time. Who looks after this for our teams??
Please provide any information as I understood this to be a deployment therefore we needed orders??      ","lindajo.belsito@dhs.gov","01/10/2007","12:40 PM"
"Ft Detrick Flu Clinic- Frederick, MD (Strough Auditorium)","11/13/06 and 12/4/06","FT Detrick","Yes","They faciliated this as a deployment with CAPT Martinelli (prior to her transfer) and CAPT Heavner's assistance. ","Yes","No, administered flu vaccines, provided health education, assisted Ft. Detrick Health Clinic staff and military with this effort (also assisted in taking down items/clean up etc)","N/A","Yes","No","Yes","Not applicable","Not applicable","Not applicable","Influence","Not applicable","Providing privacy for flu administration to specific women who asked to have some privacy (may have been religious or cultural) 
","4 Very Effective","No","This was managed well, since it was an open auditorium, more privacy was provided for women and young children, infants receiving vaccination behind the stage in a more sealed off environment.  Support provided.  ","Staff expressed their appreciation for our support and would recommend this be done annually.  Can assist with FOH and other vaccination sites as a deployment.  I enjoyed the deployment and was honored to serve military, civilians and family and DoD contractors as well as PHS officers. Thanks for the reminder to complete the evaluation.   ","katherine.matrakas@fda.hhs.gov","01/12/2007","02:51 PM"
"Ft. Detrick ","December 12th, 2006","FT Detrick","N/A","","Yes","","Yes","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","vada.perkins@fda.hhs.gov","01/16/2007","11:50 AM"
"Ft. Detrick Flu Shot Clinics","1 Nov 06 plus assigned staff for entire deployment","FT Detrick","Yes","RADM Babb and CAPT MArtinelli were instrumental in giving us the tools and authorizing the deployment.","Yes","No.","N/A","Yes","N/A","Yes","Not applicable","Influence","Not applicable","Not applicable","Influence","Whether or not flu vaccination was desirable and whether to take intranasal or IM administration...","4 Very Effective","No","","This was an excellent opportunity to serve the public health and our sister service...","gale.heavner@fda.hhs.gov","01/17/2007","04:22 PM"
"US Capitol, Washington D.C.","Dec. 30, 31, 2006 & January 1,2 2007","Ford Funeral","Yes","","Yes","No","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Training on the SNS and their medications/uses/administration would be helpful","barbara.sanchez@fda.hhs.gov","01/22/2007","05:28 PM"
"","","Select Event","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","","03/12/2008","01:10 PM"
"Missippi and New orleans","19 February - 1 March 2008","Select Event","Yes","Response was timely and appropriate","Yes","Only insofar as the time was concerned.  We finished early so were allowed to return almost a week early.","Yes","Yes","No","Yes","Not applicable","Influence","Not applicable","Not applicable","Influence","Cultural values of folks worked with.","4 Very Effective","No","My background and experience had prepared me for this and we were given a talk about local values of the people.","I felt this mission was very well-organized and I felt supported in everything I did.  Thank you very much.","bbraden@hrsa.gov","03/12/2008","01:53 PM"
"Lake Charles, LA","Feb 19-29, 2008","NOLA 2008","Yes","Great staff and very responsive. ","Yes","NO","N/A","Yes","Yes","Yes","Not applicable","Influence","Differences","Not applicable","Not applicable","","4 Very Effective","No","","Great mission.I was honored and I wish to be a part of any mission follow-up. ","Emartin@hrsa.gov","03/12/2008","01:53 PM"
"Biloxi, MS","February 19-19, 2008","NOLA 2008","Yes","","Yes","","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","This was an excellent deployment. The leadership was outstanding, namely CAPT Jose Belardo and CDR Eddie Frazier. Both leaders were mission-oriented yet sincere and highly efficient at getting the job done. Both deserve recognition for their tireless efforts to execute this mission as successfully as they did. I also acknowledge and applaud the CDC team members who worked incessantly to conduct this mission. Special thanks is also extended to the Louisiana and Biloxi, MS FEMA staff who were very skilled and effective in communicating with the residents. This was a great deployment.","LBishop@hrsa.gov","03/12/2008","01:53 PM"
"New Orleans and Lake Charles, LA","2/19 - 29/2008","NOLA 2008","Yes","","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","This was a great mission -- I thoroughly enjoyed it and am grateful to have been selected","janice.adams-king@fsis.usda.gov","03/12/2008","01:57 PM"
"Louisiana","2-19-28/2008","NOLA 2008","Yes","","Yes","No","N/A","No","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","It seemed to put many people at ease that we had one African-American and one Caucasian as well as one male and one female on our team on our Louisiana deployment. It was also very helpful to have FEMA partners who were native to New Orleans or at least persons who had been living in N.O. since Katrina rather than out-of-town FEMA representatives.","4 Very Effective","N/A","","The answer to #8 should be ""unable to determine"". We provided persons with a formaldehyde measurement taken 2.5 years after most of them had started living in FEMA temporary housing units. We did not perform health assessments on the trailer occupants.  Most of the more acute health effects from formaldehyde-associated airway or skin irritation likely happened soon after trailers were provided to persons displaced by Katrina and when the formaldehyde levels would have been higher than now. We cannot assess risk reduction or change in population morbidity/mortality with this one-time provision of a formaldehyde result.","tharrington@cdc.gov","03/12/2008","02:00 PM"
"New Orleans and various sites throughout LA","February 19-28, 2008","NOLA 2008","Yes","","Yes","No","N/A","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","A very good mission from beginning to end.","wwainwright@hrsa.gov","03/12/2008","02:23 PM"
"New Orleans, LA","Feb 19-29","NOLA 2008","Yes","","Yes","","N/A","Yes","N/A","Yes","Not applicable","Influence","Influence","Not applicable","Influence","The people of New Orleans are a culture unto themselves.","4 Very Effective","No","","The experience was very rewarding.  My FEMA partner was very knowledgeable about the area and the people and their concerns.
I had reservations at first about our ability to contact the full number of participants in the time given, but I was pleasantly surprised at the success of the project.  Having FEMA make the appointments before hand was a great plus.","mnt0@cdc.gov","03/12/2008","02:27 PM"
"New Orleans, LA  and Biloxi, MS","February 19 - 29, 2008","NOLA 2008","Yes","Requests were responded to in a timely and efficient manner.","Yes","","N/A","Yes","N/A","Yes","Not applicable","Not applicable","Influence","Not applicable","Not applicable","","4 Very Effective","No","","This mission was important not only for delivering health information but for humanizing the ""feds"".  The use of two person teams (USPHS and FEMA) was very effective in that we were able to answer questions and provide resources/options at the same time.  Many residents were impressed that the government provided for the personal delivery of the results of their testing.  ","scampbell@hrsa.gov","03/12/2008","02:29 PM"
"NOLA","2/19/08 -2/28/08","Select Event","Yes","Several calls were held for information sharing and in preparation for the mission.","Yes","No.","N/A","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","I thought the goal of the mission was clearly communicated and met. The CDC personnel were responsive and helpful and the team leadership was well chosen.","gonzalez.bernadette@epa.gov","03/12/2008","08:08 PM"
"Gulf Coast","February 19, 2008-- February 22, 2008","NOLA 2008","Yes","","Yes","NO","N/A","Yes","No","Yes","Influence","Differences","Influence","Not applicable","Influence","","4 Very Effective","No","","","blackburn.tajah@epa.gov","03/13/2008","08:32 AM"
"New Orleans","February 19 - February 28, 2008","NOLA 2008","Yes","OFRD kept the officers being deployed abreast of changes and the necessary information needed for the deployment.","Yes","No, the requirements of the mission did not change.","N/A","Yes","No","Yes","Not applicable","Influence","Differences","Influence","Influence","","4 Very Effective","Yes","","This was a wonderful deployment experience. I found the trailer residents that I visited to be very friendly and hospitable. As a result, I felt very at ease with my role and had a wonderful experience supporting CDC and FEMA. At least one person indicated that the uniform was bit intimaditing but most were appreciative of the visit and the one-on-one interaction. Overall the information provided to these residents appeared to be well received. ","fontenelle.samantha@epa.gov","03/13/2008","08:40 AM"
"New Orleans and Biloxi, MS","2/19 - 2/ 29","NOLA 2008","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","A problem I had prior to deployment was the last minute notice by OFRD to require officers to wear the poly wool khaki. This is NOT a required uniform for deployment and officers are not required to keep this uniform in order to be ready for deployment. Current requirements are working khaki (may be polykhaki OR polywool) and BDUs. We were given 2 working days notice that we had to deploy in polywool which I did not own and could not borrow from another officer. I understand that OFRD would like to move to a required polywool uniform for deployment and plans to do but until this becomes a requirement (w/ appropriate notice/memo/changes to PHS circular, etc), it was inappropriate to require this uniform and caused undue hardship to scramble and attempt to find a polywool khaki at a time when I was already working to prepare for deployment and leave my current position for 2 weeks. ","aha5@cdc.gov","03/13/2008","10:49 AM"
"NOLA","2/19/08-2/28/2008","NOLA 2008","Yes","","Yes","NO","N/A","Yes","No","Yes","Not applicable","Not applicable","Influence","Not applicable","Not applicable","","4 Very Effective","No","","","michael.bartholomew@ihs.gov","03/13/2008","08:22 PM"
"New Orleans","February 19 though Feb. 28, 2008","NOLA 2008","Yes","","Yes","No.  The requirments remained the same.  The only thing that altered was the locations, which is to be expected with a mission of this type.","N/A","Yes","No","Yes","Not applicable","Not applicable","Differences","Not applicable","Differences","","4 Very Effective","No","Training was provided and was essential in preparing the officers for the deployment.","","ald6535@bop.gov","03/14/2008","09:49 AM"
"Louisiana (New Orleans, Baton Rouge, Slidell)","2/19/08 - 2/29/08","NOLA 2008","Yes","It would have been helpful to have clinical info on formaldehyde available from CDC prior to arrival at New Orleans.  ","Yes","No. ","N/A","Yes","Yes","Yes","Not applicable","Not applicable","Influence","Not applicable","Not applicable","Health literacy levels ","4 Very Effective","No","I felt well prepared for this mission my virtue of my education, training, and experience","I appreciated the opportunity to serve on this mission. It was a memorable experience, great team (PHS & FEMA), and I believe we made a difference for those still recovering from the aftermath of Hurricanes Katrina, Rita, & Wilma in 2005.  
/CAPT Dawn L. Wyllie, MD, MPH","dawn.wyllie@ihs.gov","03/14/2008","03:55 PM"
"New Orleans","2/19/08- 2/29/08","NOLA 2008","Yes","","Yes","No","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","angela.robinson@fda.hhs.gov","03/18/2008","12:58 PM"
"New Orleans","2/19/08 to 2/29/08","NOLA 2008","Yes","","Yes","We finished earlier than anticipated","Yes","No","Yes","Yes","Influence","Influence","Influence","Influence","Influence","","3 Effective","No","","Question 8, Effectiveness. I chose ""no"" but really the appropriate response is ""N/A"". Our mission was to give results and translate the results for people. For the most part, people appreciated our efforts but I don't think it influenced their decisions to stay in the trailers. Even people who experienced health effects, effects that were likely due to the trailer environment, wanted to stay. Assessing whether or not our mission improved the health of the population was not within the scope of our mission and any judgment about that would be speculation.","tweiser@npaihb.org","03/18/2008","03:29 PM"
"tea","","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","","09/23/2008","02:31 PM"
"tea","","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","","09/24/2008","09:49 AM"
"jackson MI and LSU LA","2 weeks at the End of August 2008","Hurricanes2008","No","Was told I would get a phone call to deploy. It never came. If a fellow officer didn't  call me I wouldn't have know to go. Missed my flight, had to rebook.","Yes","yes, no clear direction. ","Yes","Yes","N/A","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","If I wasn't prior Army mabey. ","After deploying twice in Katrina and then Gustav it has become apparent to me that the only folks who need to be deployed are PHS nurses and a very limited amount of physicians, mabey 15/1 ratio. 

Most other PHS folks just add to the mass amount of money it takes to deploy high ranking officers. And they don't feel like they are utilized at all either. 

Nurses can be nurses and also do safety, security assessment, food services (basic sanitation), and commo and administration. 

It was also apparent during the recent Gustav that we had a very large number of admin staff which seamed a waste. A person good in logistics, communication/it, and a good organizer/leader would be all you need. 

One suggestion is to do away with the FMS idea and deploy small units of nurses in groups of 10 in two SUV to easily move to different areas with emergent basic to go bags. 

The FMS should be downsided to plan to assist a 25 bed GERIATRIC patient load thereby easier to move and deploy and cheaper to restock and store. Prefferably to load on a 26 foot truck so anyone can drive it. The Fedex folks in Jackson got paid to stand around for a week overseeing their trucks??  

Outside community resources should be used heavily (churches, schools, boyscouts, etc.) All these folks would be proud to jump in and help the PHS.  There should be heavy training in utilizing local folks. 

idea 2: There should only be one person in charge always. If you arrive on location and ask anyone who is in charge and the person can't point the leader out there is no one in charge. I asked 6 different PHS individuals in LSU at the ten city who was in charge and not one of them new. They said it was unclear.  

idea 3: a DMAT should handle the triage ""treat and street"" as the DMATs say. Only in this case the PHS should be the street side with a small shelter set up for special needs. Or a larger shelter made up from SMALLER units.  

Idea 4: during every deployment there should be a demonstration of a basic trauma nurse course head to toe assement followed by the individual doing 2-3 assessment themselves. This would take very limited time if organized, we had plenty of downtime in both deployments I've been on. It's great knowledge to have and would help make non-nurses a little more comfortable jumping in to help (which usually involves cleaning people since the populattion we are helping is geriatric/nursing home folks). There may also be a need to provide a basic nursing skills presentation/hands on so PHS folks can help clean, feed, and assist patients with daily needs. 

  ","sean.creighton@fda.hhs.gov","09/25/2008","07:45 PM"
"College Station","9/22/08 to 9/24/08","Hurricanes2008","No","We are exspected to travel on active duty without orders. This is something no other uniformed service would allow it's members to do. Those orders prevent people from having to go thru extra security checks imposed by airlines, those orders give proof to the service members deployment duty and prevent multiple explainations on the way. Those orders prevent conflict with the officer and his service unit.","Yes","","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","I am a CRNA, Not a RN, Not A Nurse Practioner, and Not a Doctor. Anesthesia is very short all across the IHS. To deploy me creates a burden for my service unit by closing Operating rooms, additional cost of Locums coverage, and increasing the frequency of call for those remaining in the department. I want to help with relief efforts, however it becomes a dis-service to my service unit if the deployment needs don't require a CRNA and I am deployed anyway. It would help if the choices for deployment roles were more specific and not so broad. This would give the persons that are selecing people for deployment a better idea of what skill set the officer has. I am sure I was selected because I said I was a Nurse Practioner, which is not the case but it was the only advanced practice nursing role available to choose from.","mark.bucher@IHS.gov","09/25/2008","08:16 PM"
"Alexandria LA","8-29-08 to 9-15-08","Hurricanes2008","No","We were activated on Wednesday.  I personally waited up late into Thursday night only to get word of a moving departure target time on Friday night. As an RDF team member, I expected the 12 hour boots on the ground. I was available prepared and ready to go!","Yes","Yes. First directed to establish a 250 bed FMS at LSU Field House after 3 hours of sleep (flew in at 2:30am, awoke at 5am to go to LSU Field House) after setting up for 8 hours was then told to get on a bus to drive 200 miles to Alexandria and set-up another FMS. During the drive was ordered to ""give-up"" 4 medical providers from the already split RDF team and man first-aid stations. Despite attempts to discuss concerns for this detail, the response was cold and rude from the IRTC. No thought was given to the RDF teams current needs or capabilities. On arrival in Alexandria was up till early am, set-up the FMS And began immediately triaging and intaking evacuees. From this point on, our mission was stabilized until our demob.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","RDF-2 exemplified the meaning of teamwork.  The team was well commanded by CAPT Cal Edwards and CAPT Linde-Feucht.Despite the misdirection and/or lack of direction by our superiors in the field, the team did the job. Each team member rose to the occasion and were outstanding. We were a stellar group of officers. The team members knew their roles, were confident in their command and well cared for by the team as a whole. The CORP should be proud of this team. Since returning I have had many fellow officers who were deployed come to me and ask to join the team.  They learned it was tough going as a ""single"" asset on the ground.  RDF-2 Second to NONE!!","vanderson@niaid.nih.gov","09/25/2008","08:23 PM"
"LSU AGRICULTRAL MEGA-SHELTER ALEXANDRIA, LA","","Hurricanes2008","Yes","System (s) for accountability for Officers in Theater needs to be totally revamped.  As OIC of LSU Ag., there was little if no communication between IRCT and OFRD.  I had O's being asked to prepare for backfill who had been in Theater for 10 days.  If a death/serious injury of an O had occurred it would not have been a favorable outcome to our Command structure.  Morale at the FMS was extremely diminished do to the lack of knowledge of our most valuable resources in the Theater.  Questions of ""Do they really know we are here? and statements of ""If that was my job of accountability I would have been fired."" were backed up by Command staff with out question but extremely hard to answer with confidence.  I personally called Omega travel to book an identified flight to respond to Theater with out orders.  Orders need to be generated for O's from a start and an end point.  Systemic issue are present and need to be restructured not with a band aid but with a revamping.  I will forward more through an OIC after action report with more specifics.  CDR Darin D. Daly  ","Yes","Changes and challenges occurred on a daily basis.  Most O's in Theater understood or were explained the process of how State identifies missions and we execute those missions.  Medical professionals will always adjust to mission but communication of identified missions need to have clarity for sense of ""buy in"" or being on board.  Uncertainty and lack of information create rumors.  Rumors can only be squashed with information and accurate information was hard to come by at times critical to mission.  Again affects on the crew were drastic and uncertain which, in a leadership role, made it harder to manage rumor mill central.  We went from a chronic mission of 250 bed special needs shelter to one that embodied, concurrently, an acute mission of 3500 shelteries.  After 1 day of breakdown and repacking of the CASH we had to unpack the CASH for another mission of 250 special needs shelter for the State under Dr. David Holcombe.  At LSU Agricultural Mega-Shelter there are 2 missions.  One of chronic and one of acute.  Later around day 10 , the center became sheleter became one of transient people with a 1-2 day hold over from there buses back to their homes.  This created issues of filling chronic care medications people had been with out for 2-5 days.  Issues we could have ignored if we held true to our chronic care mission but as medical professionals we had to address the issues.  In addition we had to account for a possible outbreak with raw sewage in patient care areas, general population, and the food service areas.  The pharmacy was not equipped for these separate but congruent missions.  The pharmacy stock did not reflect the patient population i.e. insulin dependent diabetics, COPD, asthma, and  psychiatric patients.  I'd look at the orders from the pharmacies in Theater to better to prepared for next Hurricanes in LA.   ","Yes","Yes","Yes","Yes","Differences","Differences","Differences","Not applicable","Differences","We encountered drug seekers for Narcs and other schedule 2 medications.  Psych meds were at a premium in regards to demand.  Sheltered people had a sense of ""Owed to me.""  ","4 Very Effective","No","Knowledge of patient major diagnosis would help.","I'd be open to being part of a committee that looks at the revamping of system and structures for deployment and issues during deployment. (W)203-312-5371 (H)845-677-4274 (C)845-242-1957  I can TDY for 1-2 weeks for direct interaction with sections with in OFRD.","dan0452@bop.gov","09/25/2008","11:28 PM"
"Louisiana","Aug. 28-Sept 5","Hurricanes2008","No","They sent my plane info. at 11p and my plane left at 7a they did not call, I just happened to look at my computer before I went to bed........Not nice","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","The whole event did not leave a good taste in my mouth. I was told I would stay in a hotel, guess what the floor was it and no privacy. also, as a nurse I was treated like a dog. There should have been a lot more nurses and less of other classifications. We worked 12Hrs days.   numerous other items as well, but I don't have all day to fill this page.","dmann12@cox.net","09/26/2008","01:42 AM"
"Alexandria, Louisiana","8/29/08 through 9/11/02 ","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","houda.mahayni@fda.hhs.gov","09/26/2008","07:35 AM"
"Slated to go, but agency recinded clearance at last minute due to staff shortages. ","N/A","Hurricanes2008","No","Attempted repeatedly via e-mail and phone to contact OFRD to let them know I couldn't deploy- No answer.  This resulted in a ticket being purchased which went un-used.  What is worse is that with no ability to communicate, a team leader in Atlanta with my name on a roster had no way of knowing if I missed my flight, was AWOL, or dead in a ditch.  Once staffing in my department improved, I was not able to let anyone at OFRD know that I was now available for the ""second wave"" of deployments.  My gut feeling is that the records probably disqualified me from going with the relief crews because I was listed as having deployed with the initial response.  I'll probably get a unit comm. for a deployment I didn't even participate in (and yes, I will be returning it!).  Overall, communication was TERRIBLE!","Yes","N/A","N/A","No","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Judging from what other officers who were able to deploy are telling me, communication across the board was very poor.  I understand that this was an unprecidented depoloyment in terms of scope, size, and geographic area, but it does sound as though some things could have been done much better.  With the tremendous amount of resources flooding into theater, it would probably have been a good idea to send a significant number of personnel to OFRD as well so that those deploying would have a point of contact for any issues that might have come up. My experience was that all communication was one-way with no feedback loop.
Another area that could be improved was the ""deployment role"" selection we had to make when logging into the OFRD website.  By only allowing a responder to select one role, OFRD may very well be missing out on taking the most advantage of officers who may have a wide variety of skills above and beyond their respective professions. ","mtaylor@bop.gov","09/26/2008","07:47 AM"
"USNS MERCY Pacific Partnership 2008","5/19/08 through 7/5/2008","Select Event","Yes","","Yes","The process of preparing pharmaceuticals for distribution changed in Vietnam due to strict regulation and the need to have all pharmaceuticals to be custom cleared before distribution.","Yes","Yes","No","Yes","Differences","Differences","Differences","Differences","Not applicable","","4 Very Effective","No","","This deployment was a great experience.  The ability to contribute to the improvement of the health conditions of people who are in need made it a very rewarding experience.  ","houda.mahayni@fda.hhs.gov","09/26/2008","07:50 AM"
"Alexandria, Louisiana","August 31 - September 13, 2008","Hurricanes2008","Yes","","Yes","Yes.  Our first mission was with Hurricane Gustav.  We had an FMS set up at the LSU-Ag building.  The second mission was with Hurricane Ike and we were supporting the State of LA with their hospital.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","The beginning of the deployment was very unorganized.  I never got an itinerary or orders for the deployment.  I had to call and get my travel arrangements and found out that I  had missed my first plane.  Once we arrived at the Alanta airport, nothing was arranged as was sent out in the e-mail.  There were a lot of lost PHS officers and no one knew were to go.  Late that night we were flown to BR only to find out that was not where we were suppose to be.  We were then headed to Monroe (at 0400) and were called 20 minutes into the journey and the route was changed to Alexandria.  Once in Alexandria, we were a team that was mixed with several different RDF groups (none of which had trained together).  We were never sure on a day to day basis if ORFD even knew we existed.  Overlooking the unorganization, I can say that it was a good experience and I learned a lot from the deployment.","bburges@bop.gov","09/26/2008","08:59 AM"
"Alexandria, LS and Bossier City, LS","8-31-08 through 9-15-08","Hurricanes2008","Yes","In short yes. Initially there was confusion because I belong to BOTH the: IRCT Region 1 and RDF-3. So if my file could be updated to reflect the ""dual membership"" in the OFRD data systems, it would help expedite my ability to respond next time. Overall, it did go quite well, thanks.","Yes","Yes, on day 7 a group of us (10 officers total) were moved from the Alexandria, LS site into Bossier City, LS to support the DMAT teams. We were in Bossier City for another 8 days, to make the total deployment 16 days total.","Yes","Yes","Yes","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","No problems were encountered pertaining to cultural influences/differences. I felt very comfortable providing care to the communities we served.","4 Very Effective","No","","I think the group of officers I responded with did extremely well working together, despite several challenges put before us. The ability to work together and maintain a respectful environment for our patient's, team members, and leadership was maintained. I was very appreciative to be a part of such a strong team.","ajohnson2@hrsa.gov","09/26/2008","09:29 AM"
"Texas","9/6/08 - 9/19/08","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","hstuart75@hotmail.com","09/26/2008","10:21 AM"
"College Station, TX","9/6-19/2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","I was glad to be of service.","dan.tompkins@ihs.gov","09/26/2008","10:36 AM"
"With RDF 1 Blue Team, to Atlanta, then Dallas, then to College Station TX (Reed Arena)","9/6/2008-9/19/2008","Hurricanes2008","Yes","During activation recieved phone call to stand by for instructions, expected to deploy in 2-3days, actually deployed next morning, confusion when I recieved 2 seperate mission assignments via email, was hard to find out which one I was to serve on, diffecult time reaching OFRD personnel late that Friday night, but did receive phone call back from CDR Denis with instructions on which mission I was detailed to, did not recieve phone call for flight in am from travel agent until almost midnight Friday 9/5/08, flying out next morning at 6am 9/6/08 was diffecult on family and preparing.","Yes","Mission was to staff a FMS, in beginning teams were divided to operate 3 small FMS, when we arrived in Dallas, all 3 teams were combined to serve and open a large FMS in college station, were to be able to house 500 special needs patients, pt population was more critical then expected and involved many total care patients, lack of supplies and staff to effectivly care for patients was diffecult in beginning, but after a few day staff numbers increased and supplies were coming in more quickly. ","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Lack of communication and diffeculty with coordination of travel to and from mission was an issue. Still have recieved no communication in regards to orders, or reimbursment since arriving home (but I figure as things wind down and since the mission continues, I presume this follows that). At Reed areana we also had diffeculty with billeting, no billeting available when we arrived in college station, lack of sleeping (cots in gymnasium with lights on at all times), and lack of food and poor quality of food was diffecult on top of caring for critical patients with extreme special needs, this seemed to way heavily on staff and morale. Concerns for food quality not only for the officers but mainly for the patients were expressed, and alternative diets were created for our more special needs patients (diabetics etc), after about a week, transportation for officers to eat away from reed arena was provided. Level of care required for patients and lack of supplies and staffing needed for the care of this patient population was not rapidly identified by command personnel, and the morale and spirit of the team decreased as we felt like the command had no idea what we on the floor were experiencing and the diffeculty and level of care that was required for these patients by all medical (doctor and nursing) staff. For several days after initial influx of these critical patients, communication between command and staff working the floor was minimal, in situations like this communication is the key, I felt as a nurse on the floor, if we were told from day 1 the issues we would be facing (ex. lack of billeting, food, etc) and what command was doing to fix them or the problem, morale and spirit would of remained, but the lack of communication and waiting for news decreased the morale. As a commissioned officer deployed for the first time with OFRD, I felt like no one was taking care of us from the command stand point, and as we struggled to take care of these very sick critical patients, it was only my fellow nurses and doctors and other team members that pitched in that made what we did a success in those first few critical days. I left College Station Reed arena, feeling like what we did there was successful, communication had improved and the issues with the level of care and supplies and personnel had been addressed, but I think if communication had been initiated earlier and the voices were listened to in the beginning, things would of been less stressful in a tough situation to begin with. Thank you for the oppurtunity to serve with OFRD, I will look back on this all with a better understanding and I am thankful for the oppurtunity to serve our fellow American citizens when they needed us most, please know that I am only expressing my concerns and the problems we faced for that maybe improvements can be made before the next mission. Thanks again. ","nursetiffany@gmail.com","09/26/2008","10:45 AM"
"Baton Rouge, LA","August 31, 2008 - Sept. 12,  2008","Hurricanes2008","No","Awaited orders which never arrived.  As of today, I still do not have orders.","Yes","Conditions were constantly changing to where our mission was constantly changing","Yes","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","The deployment was very unorganized and communication was lacking","mguia@bop.gov","09/26/2008","10:57 AM"
"college station, tx","09/06/2008 THROUGH 09/22/2008","Hurricanes2008","No","WHEN I STARTED RECEIVING CALLS FRIDAY 09/05 THEY SAID THEY COULD NOT TELL ME ANYTHING. THEY JUST KEPT TELLING ME TO ""STAND BY"" FOR POSSIBLE DEPLOYMENT. FINALLY AT 4PM CST I TOLD THE GENTLEMAN THAT I AM A SINGLE MOM AND I NEEDED TO KNOW IF I WAS FOR SURE DEPLOYING BECAUSE I HAD TO MAKE ARRANGEMENTS. AT THIS POINT HE FINALLY SAID YES I WAS DEFINATELY GOING. EVERYONE PREVIOUS TO THAT JUST SAID POSSIBLY. I HAD LESS THAN 24 HOURS FROM THE TIME I RECEIVED MY FIRST PHONE CALL UNTIL I WAS ON A PLANE.","Yes","WE HAD ALOT MORE PATIENTS THAT REQUIRED FULL ASSISTANCE THAN ANTICIPATED. IT REQUIRED ALOT OF HANDS-ON BY CLINICAL AS WELL AS NON-CLINICAL STAFF TO MEET THE NEEDS OF THE PATIENTS. ","Yes","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","","09/26/2008","11:22 AM"
"College Station, TX","9/6/08-9/23/08","Hurricanes2008","No","Did not receive a travel itinerary; had to call OPEO Travel numerous times the morning of travel to get a live voice.  Once I spoke to a person, he assured me he would call back with the itinerary, and not to call him.  After 2 hours (and no call), I called OPEO Travel and nothing had been done to make the flight arrangements (and the person had left for the day without signing out the work).  I served as an AO for our group, and I heard many problems from individual officers as they would call in to report travel itinerary delays, etc.","Yes","The requirements for my section (Admin/Finance) did not change, but certain sections were busier at particular times of the deployment, requiring cross-training, and additional staffing (ideal) to support different areas at different times.","No","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","In general, this mission was a great experience.  There are specific lessons learned that our group discussed; but this is not the right forum for such a discussion.","mleff@mail.nih.gov","09/26/2008","12:41 PM"
"Baton Rouge","9/3/08 through 9/16/08","Hurricanes2008","Yes","","Yes","No","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Overall this was a very positive experience.","peggy.mathis@phs.dhs.gov","09/26/2008","01:14 PM"
"Baton Rouge, LA","08/31/08-09/13/08","Hurricanes2008","N/A","","Yes","Yes, as Prev Med I thought we were going to help outside of the FMS, no ""mission requirements"" were articulated until I hit the ground.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","N/A, I added inout into the AAR.","skip.payne@fda.hhs.gov","09/26/2008","01:36 PM"
"College Station, Texas","September 12, 2008- September 25, 2008","Hurricanes2008","Yes","Excellent","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","I was very excited and appreciative to be able to help the people affected by Hurricane Ike, and would love to have the opportunity to do so again. Due to severe shortages in medical staffing, my previous assigned agency did not allow deployment opportunities, now with my present agency I have the opportunity, and will at all times, take advantage of the opportunity. I thank you for allowing me to be part of the outstanding experience.","y.mitchell58@yahoo.com","09/26/2008","02:03 PM"
"College Station- Reed Arena FMS","9/7/08 through 9/19/08","Hurricanes2008","Yes","","Yes","Yes, had to move location from Atlanta to Dallas then to College Station due to change in hurricane tracking.","Yes","Yes","Yes","Yes","Not applicable","Influence","Influence","Influence","Influence","","3 Effective","Yes","Possibly just knowing more about the demographics and health issues in the area we served.  ","","stephanie.markman@ihs.gov","09/26/2008","02:03 PM"
"Reed Arena, College Station, TX","9/6-16/08","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","Labeling of medications for patients was done by hand without the neatness of a printed font.","The Electronic Medical Record was devoid of any pharmacy module for label printing, drug selection and administration recording purposes. The ordering process from providers was acknowledgable but there was no way to efficiently record the meds being scheduled/given and all recordkeeping in the pharmacy was done on hard-copy records and hand-written labels.","mark.mcclain@fda.hhs.gov","09/26/2008","02:19 PM"
"College Station, Texas","September 6 - September 23","Hurricanes2008","N/A","I had no contact with OFRD, did not receive orders, only received an e-Mail giving a ""heads-up"" and then a late e-mail with my travel itinerary","Yes","Yes, frequently. We expected an FMS pharmacy cache, did not receive, had to order many things through IRCT that should have been included. The Acuity of the patients was higher than expected, thereby increasing workload on the pharmacy and nursing","Yes","Yes","Yes","Yes","Influence","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","deployment team roster should include language abilities","Officers in the field need consistent, strong logistic support from the IRCT and above - too many 12 hours shifts without food provided for staff, too much ""sleep"" time spent packing gear and moving cots, several times without justification of notice, our gear was packed by strangers and moved.","rskerda@hrsa.gov","09/26/2008","02:25 PM"
"Montgomery, AL; Columbia, SC","8/31-9/11","Hurricanes2008","Yes","","Yes","Shifting needs due to multiple storms required 2 relocations","Yes","No","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","","jmckinney@nih.gov","09/26/2008","03:06 PM"
"Atlanta, GA - Dallas,TX - College Station, TX","09/06/2008-09/22/2008","Hurricanes2008","No","I had submitted several question prior to deployment in how to deal with a Family Emergency and the possibility of deployment but received no response.  The situation resolved itself but a response would have been nice.  ","Yes","Yes, we were to setup and operate a 250 bed FMS.  Later we were told that we would be augmenting a existing FMS, the actual FMS we ended up operating contained Level 1-4 patients, which were mostly Levels 3 and 4.  We were only supposed to have Level 1 and 2 patients.  The FMS location changed several times as well.","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","Craig.grunenfelder@ihs.gov","09/26/2008","03:10 PM"
"Alexandria, LA & Bossier City, LA","8/31/08 to 9/15/08","Hurricanes2008","No","3 - I was told I would be getting a call with travel information and could get any questions answered at that time.  Didn't get a call but got an email itinerary instead with very little notice till departure. ","Yes","Yes - Initally located at Alexandria, LA at an FMS setup by USPHS.  Was transferred to Bossier City, LA to provide admin support for an FMS setup under a DMAT team command.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","dayton.newbrough@ihs.gov","09/26/2008","03:22 PM"
"College Station TX","","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","Yes","Not applicable","Influence","Not applicable","Not applicable","Differences","","3 Effective","No","","","","09/26/2008","03:53 PM"
"Jackson MS","08/31/2008-9/12/08","Hurricanes2008","Yes","","Yes","Yes, we moved from Jackson, MS to Atlanta and to Baton Rouge, LA.  This required interactions with DMAT and other RDF deployed assets.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Good deployment.  Some communications breakdowns that could have resulted in better outcomes, but overall very productive and beneficial.","henry.mcmillan@hhs.gov","09/26/2008","04:25 PM"
"Little Rock, AR; Dallas, TX; Austin, TX","07 September 2008 to 20 September 2008","Hurricanes2008","Yes","Please send information to both e-mail addresses, not just the primary.  Thank you.","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","Would have liked to have resources such as phones, computers, printers, fax machine, on the ground.  We used our personal phones, hotel fax machines and had to borrow paper from the hotel.","jgetchell@bop.gov","09/26/2008","04:27 PM"
"FMS, College Station, TX","9/12 to 9/26","Hurricanes2008","Yes","In tial call came 72 hrs before orders but orders came late in PM by e-mail (11:00pm) for next am deployment.  If hadn't been up late checking e-mail, would have missed the plane.","Yes","Was told prepare for any billet, but was all inside so didn't need most of the equipment list stuff.  Also the patients were mostly Level 4 and 5 not 3 and under as had been told.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","This was my first deployment. I was struck with the great lack of appropriate supplies for the level of care needed and the slow correction of it. Also the adequate supply of good meals was a constant problem. Having said that, The fellow officers all joined in being creative, hard working and everyone helping to meet the needs of all even if initial roles weren't direct care.  Esprit de Corps was excellant though tried many times.","richard.march@ihs.hhs.gov","09/26/2008","07:08 PM"
"College Station TX","9/21 - 9/26","Hurricanes2008","Yes","I got an email with my flight schedule, but no phone call","Yes","","N/A","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","I would like to add Discharge Planning to the training received and the available role choices for deployment.","I had a great experience in this deployment, but I was only deployed for 6 days and that is not long enough to count.  I feel that as long as we deployed to a location, and 'boots touched ground' we should be able to get some credit towards promotion.   but it was a wonderful experience that I can not wait to repeat, thank you.","kcamp05@hotmail.com","09/26/2008","07:59 PM"
"Baton Rouge, LA","8/31-9/12","Hurricanes2008","No","OFRD emailed a phone number to call if no flight info. was received via email by 1 am. I did not receive and email at 1 am and was unable to reach anyone at the number given.I repeatedly called the number. At 2 or 3 am, I received travel information that my flight was departing at 7 am. ","Yes","We started as a SpNS but then became a FMS at some point. We had to transfer patients from one facility to another also. ","Yes","Yes","Yes","Yes","Influence","Influence","Differences","Not applicable","Not applicable","","4 Very Effective","Yes","I need to learn to speak Spanish. ","Deployment packing email from Sean David Waterman included an example of what not to pack that was misconstrued by many (including myself) to mean that we should pack for a hotel stay. Many did not have proper gear.	Avoid examples that might be misinterpreted. Instructions to modify the packing list to suit personal needs should use a clear cut example such as, “If you are totally bald, you do not have to pack a comb.”
 
","evelyn.blaemire@cms.hhs.gov","09/26/2008","10:45 PM"
"FCI Pollock","Aug 30- Sept 2, 2008","Hurricanes2008","N/A","I was deployed with the BOP response to Hurricane Gustov. Louisanna Prisons transfer State Inmates form costal prisions to FCI Pollock. I was part of the medical team from FMC Carswell sent to care for 400 plus state inmates.","Yes","no","N/A","Yes","No","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","There is a difference dealing with female inmates vs male inmates.","4 Very Effective","No","","","Mae.burns@sbcglobal.net","09/27/2008","05:11 AM"
"Federal Medical Shelter - College Station, Texas","Sept 21 - 26, 2008","Hurricanes2008","No","Received 4 alert notices ""you will deploy in 24-48 hours"" with no follow-up information.  Emails should not come out in the middle of the night to deploy in 2-4 hours at 0630 in the morning. Ridiculous ""call-down"" methods, officer who called on phone could not answer any questions not on her preprinted index card or teleprompter.","No","There was no consistancy as to what the mission was or what the requirements of the non-stop influx of new officers was to be. I was yanked between 6 different supvervisors/branch chiefs before finding a ""home"".","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","This question serves no purpose!","3 Effective","Yes","Actually setting up an FMS instead of reading about it online.  Training in preventative medicine and infectious diseases.  Access to computers that allow for internet research on topics not restricted by .gov or .edu restrictions.","There was little to NO communication from the RDF command staff to shelter inhabitants and staff.  Rumors and innuendo was the mainstay. Terrible living conditions for officers working evening or night shifts due cramped and LOUD rooms, hallways, cubby-holes or sleeping in the bleachers.  Donated food was horrible, no nutritional value, no vegetables, served only colas, and tea for ever meal, lukewarm at best food temperature. No meals for night shift officers! Meal times not conducive to shift work timetables.  Meals should have started 1 hour before shift change and lasted up to 1 hour past shift change to allow adequate access to dining. Improper use of medical providers based on their degree not their CURRENT specialty.  Just because a person has an MD or RN behind their name does not mean they can run the gambit from pediatrics/neonatology to geriatric/bariatric medicine.  Use officers for the skills/training they have not what ""someone"" thinks they have.  Reinstitute voluntary CCRF deployment roles and let officer who want to be there be there, not require every officer to just show up and be a warm body to fill a whole on a roster.  Do away with the RDF system, they don't follow ICS, IRCT, EMG or the National Response Framework, they are rouge officers with PERSONAL goals, not departmental goals.  Incorporate more skilled clinical PHS officers into DMAT/VMAT/DMORT roles not have them as some seperate elite off-shoot of ESF8.","usphsbsn@hotmail.com","09/27/2008","08:42 AM"
"FMS College Station, TX","9/6/08 - 9/22/08","Hurricanes2008","Yes","I realize that the situation was somewhat chaotic, but pre-deployment communication could perhaps have been better. I received a call that that I might be going, then that I would be going, then to watch my e-mail for flight info, but nobody could tell me when/where I'd be going or what I'd be doing (only that I'd find out when I got there).","Yes","No.","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","My Omega itinerary indicated that the ticket from BWI to ATL was paid, but the AirTran agent insisted that it wasn't. I spent 90 minutes on the phone at the ticket counter with OPEO travel and Omega before the problem was resolved -- if it had taken much longer, I would have still made the flight but my luggage would have had to wait for the next plane. ","terrence.c.lew@gmail.com","09/27/2008","09:42 AM"
"Gustav","8/29/08 - 9/12/08","Hurricanes2008","No","","Yes","Rally point, redirected to Alexandria, LA after setting up Baton Rogue FMS.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Excellent team. RDF 2
PHS 2 second to none!","tonyastobbe@yahoo.com","09/27/2008","11:32 AM"
"College Station, Texas","16 Sep 08 - 26 Sep 08","Hurricanes2008","N/A","","Yes","The mission requirements were fluid and dynamic at times requiring flexibility and adapatability.","Yes","Yes","N/A","Yes","Not applicable","Differences","Not applicable","Differences","Not applicable","","4 Very Effective","Yes","I am currently in my Master's Program where we are at this time addressing issues with how to provide ""wholistic"" care to a diverse, or ""melting pot"" type, population of clients.","This was a very rewarding experience for me and I appreciated the opportunity to provide my part in helping those who were in need.","cblila@verizon.net","09/27/2008","12:30 PM"
"College Station, Texas","Sept. 12, 2008 through Sept. 25, 2008","Hurricanes2008","Yes","Received e/mail, phone call and itinerary via e/mail in a timely manner.","Yes","It was a rapidly changing, challenging mission, patient numbers and acuity superceded staffing ratios, safety, sleeping, showering,eating accommodations and effective communication methods were taxed.  ","Yes","Yes","N/A","Yes","Differences","Differences","Differences","Differences","Differences","In order to assess some spanish speaking patients needed to utilize others in population, this was not optimal or confidential .  The food available for meals for patients and staff was not optimal in nutritional or safety sense.An example would be  barbeque beef served to elderly patients that posed potential digestion and choking risks.","4 Very Effective","Yes","Readily available language interpreters whose duty was to interpret for accurate history taking and assessment of patients.","","anne.stohr@ihs.gov","09/27/2008","12:41 PM"
"College Station Texas","Sept  19-26th","Hurricanes2008","Yes","I was impressed that someone was available by phone even at difficult hours. ","Yes","Yes, as the mission changed the requirements changed. The problem is that OFRD was always one step behind the mission. The mission required alot of extra staff in the beginnning. Staff started arriving 1-2 wks later as the mission started winding down so there was not enough staff in the beginning and way too much staff in the end. Once I arrived, I felt there was not good communication between OFRD and command staff. Some people were deployed for 20 days, while other were only deployed a few days. Once new staff started arriving, they should have gotten all of the other staff out.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Very detailed SOP and after action reports were developed for the wound care team and dishcarge planning. My hope is that these reports will be looked at closely and changes will be made to improve the processess. Some people were skeptical that Washington D.C even looks at these reports. There has to be supplies on the ground at the initial response such as wound care supplies, special mattresses, etc. You can not put nursing home or sick patients on cots and not expect them to get bed sores. This was very frustrating for the medical staff who were working 12-15 hour days and not enough time to turn patients effectively. Overall, I feel the mission was a success and amazing that the discharge planning team was able to place almost 300 residents at area facilities. ","tracygggg@sbcglobal.net","09/27/2008","02:41 PM"
"College Station, TX ","Septermber 21 tpo September 26","Hurricanes2008","Yes","","Yes"," My mission cut short due to changing number of patients","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","hdnguyen_2001@yahoo.com","09/27/2008","03:38 PM"
"College tation ","","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","","09/27/2008","04:52 PM"
"College Station, Texas","09/12/2008 - 09/25/2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","jamather@montrose.net","09/27/2008","05:42 PM"
"College Station, TX","09/06/08 to 09/23/08","Hurricanes2008","Yes","","Yes","","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","Laponte@hrsa.gov","09/27/2008","06:51 PM"
"College Station Texas","9/16/2008 -9/26/2008","Hurricanes2008","Yes","","Yes","yes, from recieving patients to working on discharging patients","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","Rubyrn@aol.com","09/27/2008","09:13 PM"
"College Station, TX","9/6-9/23","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","mitchel.holliday@ihs.gov","09/28/2008","12:23 AM"
"Baton Rouge Louisiana - LSU Fieldhouse and PMAC","30AUG2008 - 11SEP2008","Hurricanes2008","N/A","Unsure of how to answer. Neither I nor my supervisor received orders to go, was provided with an e-mail stating to be ready and told by deputy director (who works in the same facility as my office is located) that there were verbal orders for me to go.","Yes","Yes, I served as a pharmacist, but as nursing staff was limited, I performed some nursing roles such as medication administration and other patient care. It was an excellent experience and I gained more respect and admiration for the nursing profession. Also did a lot of cot setup and moving of equipment as needed.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","chris.lamer@ihs.gov","09/28/2008","09:04 AM"
"Baton Rouge, Louisiana","August 31-Sept 12","Hurricanes2008","No","We were told we would deploy August 29 but did not receive information until late August 30 for deployment on August 31.  Information was not consistent.  We were told we were going to fly to La, then were told to drive to Atlanta then were flown to Atlanta and a plane was chartered to La.  In Atlanta, the team was split up.","Yes","","N/A","No","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","We did not have the supplies we needed in order to effectively perform our jobs.  We had only cots and we needed hospital beds.  We ran out of hygiene supplies due to the needs of the type of patients.  
Also, no one appeared to take into consideration billeting for the team.  We were asked to move 3 times, 2 of these times to totally unacceptable housing (one a building that did not have running water or electricity, the other to a tent with Hurrican Ike bearing down on the area in the next few days.)
Demobilization was also not effective.  We were given flights out and then when we were at the airport, we heard rumors that we were AWOL due to the fact that Hurricane Ike was coming and that we needed to stay.  There was lack of accountability for staff.","","09/28/2008","10:28 AM"
"college station","less than a week","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","","09/28/2008","01:06 PM"
"College Station, TX","9-19-2008 to 9-27-2008","Hurricanes2008","Yes","The ""heads-up"" phone call was very beneficial for final preparation to add closure to a few activities at work and gather up my gear.","Yes","Somewhat.  The intent of a special needs shelter change to hospital based services, services for long-term care patients.  Some of the tools we used need to be ""tweaked"" for better response in the next event.
","Yes","No","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","no","","bernard.long@ihs.gov","09/28/2008","03:32 PM"
"FMS College Station","20 Sept. 2008 through 27 September 2008","Hurricanes2008","Yes","","Yes","Yes.  Mission was to safely discharge residents to an appropriate level of care to meet their medical needs.","Yes","Yes","No","Yes","Not applicable","Not applicable","Influence","Not applicable","Influence","","4 Very Effective","No","","FMS must develop an admitting and computerized census program to track patients.  Census numbers varied and were not consistent.  EMR did not allow to run reports of census numbers or other factors.  Tracking the number, acuity, and medical needs of the patients is critical to the success of the mission and the overall health and well-being of the people we served.  Also the computer system was very slow, which delayed the discharge of residents due to printing and processing discharges.  A dedicated, powerful server capable of handling these requests must be developed and implemented prior to the next FMS being online.  One other suggestion is to develop a discharge planning team (such as there are other specialty teams) that could be deployed to an FMS to assist with completing the mission.  I believe that this team could be instrumental in reducing the length of the mission, and I would volunteer to help develop it if requested.","dthamel@anmc.org","09/28/2008","04:12 PM"
"college station","less than a week","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","chris.miller90@hotmail.com","09/28/2008","04:55 PM"
"Federal Medical Station in College Station, TX","6-19 SEPT 2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","TORREY72@WINDSTREAM.NET","09/28/2008","10:18 PM"
"College Station","September 22, 2008","Hurricanes2008","N/A","","Yes","Yes, the mission requirements for staff decreased during deployement.","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","bgueck@yahoo.com","09/28/2008","10:57 PM"
"college station","9/20-9/26/08","Hurricanes2008","No","significant delay in response to questions. I was on alert for more than 10 days.","Yes","no","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","kokodoc@msn.com","09/29/2008","05:25 AM"
"Alexandria, LA","08/31/-09/16/2008","Hurricanes2008","Yes","","Yes","The mission requirments did not change. The location changed & I was able to meet the evolving needs of the deployment.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","The USPHS food team had two main functions at the LSU shelter in Alexandria, LA during Hurricanes Gustav & Ike: to inspect& provide training to the Warming Kitchen staffed by Red Cross & Americorps volunteers & ensure the safety of catered food(provided by Piccadilly Cafeteria)delivered to PHS officers & patients of the FMS. These function was performed with little or no problem. The lack of hairnets/head coverings by kitchen staff was not corrected by the end of the deployment.","Abraham.Maekele@fda.hhs.gov","09/29/2008","10:00 AM"
"Hurricaine Ike, College Station Tx","Sept. 6, 2008 to Sept. 25, 2008","Hurricanes2008","No","There was no phone confirmation of deployment date, nor were ther any orders issued, no information on point of contact.","Yes","Inadequate number of officers were initially deployed for the patient population needs ","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Cultural influences or differences had nothing to do with this deployment.  It was inadequate supplies and manpower.","","09/29/2008","10:00 AM"
"Jackson, MS; Baton Rouge, LA","8/31/2008","Hurricanes2008","Yes","No. My travel itinarary was disbursed in the middle of the night through email. I would have missed my flight if a buddy had not awoke me with a phone call. Also, I never received a phone call from my team leader.","Yes","Yes. The RDF that I was assigned to was split up. Half serving in Jackson, MS. and the other half in Baton Rouge, La. It was my understanding that this was never supposed to happen.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","Yes","In disaster relief efforts,you can never have too much training","","jhill@cnhsa.com","09/29/2008","10:23 AM"
"College Station, TX","Sept 6 - 19","Hurricanes2008","Yes","No problems with travel.","Yes","Overall excellent deployment.","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Our billeting arrangements changed daily for the first 10 days.  This made it very difficult to rest as each night was spent packing and relocating.  When 3 RDF's combined once we arrived to College Station, the new commander did not seem to possess effective managerial and leadership skills.  I believe his category was Pharmacy.  Commanders during deployment would benefit from participating in training to include interpersonal skills, communication skills, and leadership development.  If you need any further information, please contact me.  Again, overall, this was an excellent deployment, very fullfilling and worthwhile.","dintelmn@bop.gov","09/29/2008","10:36 AM"
"OFRD, Rockville, MD and Travel HHS, Wasghinton, DC","Oct. 28, 2008 - Sept. 11, 2008","Hurricanes2008","Yes","N/A","Yes","N/A","Yes","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","N/A","basilioj@mail.nih.gov","09/29/2008","10:49 AM"
"Austin Texas","9/10-24/08","Hurricanes2008","No","No.  I have no idea how were expected to be checking email all day long when we are on notice.  I work for the FDA and am in manufacturing facilities all day long.  How are we supposed to check email??","Yes","","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","","I had a really bad experience with some DMAT members.  For example, they had no respect at all for PHS members.  I could go on forever, but some of those ""Temporary Federal Employees"" were just rude, arrogant, and condescending.  I was told this by my DMAT ""boss"" when I arrived there.  ""I have no idea why they deploy you guys (PHS) when you have no training"".  I kindly explained to him that I was a pharmacist with a license (just like him) and that I've worked 3 deployments successfully in the past.  Additionally, I told him that in my opinion, this was not complicated work compared to our normal jobs.  It was embarassing to me working with some of those classless people who had no respect for any of us.  NDMS needs to take a serious look at who they hire.  It really sucked working with and next to DMAT teams.  I was honestly proud of the PHS members I worked with.  ","","09/29/2008","11:02 AM"
"College Station","9/19-9/27/08","Hurricanes2008","N/A","","Yes","Yes, I transferred into doing discharge planning which I have not done before.","Yes","Yes","No","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","Geriatric population required adaptation ","4 Very Effective","No","","","anthony.tranchita@ihs.gov","09/29/2008","11:14 AM"
"College Station, TX","9/22/08 - 9/27/08","Hurricanes2008","No","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Communication continues to be a significant problem---both before deployment and during the deployment.","cynthia.harris@fda.hhs.gov","09/29/2008","11:26 AM"
"Jackson, MS,  Atlanta, GA and  Baton Rouge, LA","30 August through 16 September 2008","Hurricanes2008","Yes","It was nice being part of the OFRD calls and the regional calls before I deployed. This helped us disseminate information to the rest of the team while we were waiting for travel itineraries. Once in the field, it was hard to understand where OFRD fit in the chain of command.","Yes","Yes. I went out the door with one assignment and this changed when I changed planes in NC. I would not have been aware of these new responsibilities (i.e., Team Lead) had I not gotten a phone call from our team PIO who had been designated point of contact for the team. He had stayed on the calls and had email access while the rest of the team was in travel. After the initial shock, I feel I recieved excellent support from CAPT Beck and CDR Elenberg while I transitioned into this new role. Mission requirements changed throughout this deployment as we then demobilized one FMS, staged in Atlanta awaiting Ike. We able to get EMR training while we waited and then my team went to Baton Rouge to support and then demobilize the PMAC center.","Yes","Yes","Yes","Yes","Not applicable","Influence","Influence","Not applicable","Influence","","3 Effective","Yes","Great on-line course with DHHS/Office of Minority Health: Culturally Competent Nursing Care, A Cornerstone of Caring. Best course I've ever taken.","I was really glad to have the opportunity to lead a team during this deployment. The time we had in Mississippi really pulled us together as a unit, preparing us for a more stressful environment in Louisiana. All officers that have the potential for being placed in this position should read CAPT Abrashoff's book: It's Your Ship. I had it with me to read on the plane and it gave me a foundation to build from as I developed my own leadership style. Good read.","lirwin-pinkley@hrsa.gov","09/29/2008","12:27 PM"
"FMS College Station","9/6/2008 - 9/22/2008","Hurricanes2008","Yes","","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","Based on the folding steel (trampoline)cots provided, I will be obtaining and bringing along my own army (styly)cot for future deployments.  Yes the folding cots are easier to put up, but they are terrible to sleep on based on their size and design (too short, too narrow, not enough support and the springs are incomfortable and dangerous).","Anthony.Zeccola@FDA.HHS.Gov","09/29/2008","12:38 PM"
"FMS College Station","21 Sep - 26 Sep 2008","Hurricanes2008","N/A","","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","The Emergency Medical Record (EMR) was deployed successfully for the first time for the Ike response. However, training for level 1 support (i.e. Tier 3 IT staff) was not as effective as it could have been. Better transitioning from RDF to Tier 3 regarding knowledge set and operating procedures could be improved. In addition, online training would assist the Tier 3 support staff with any base level knowledge and advancements with the EMR software and interface in order to keep skill sets level across the board.","randy.saria@ihs.gov","09/29/2008","12:46 PM"
"Austin Texas JFO","09/10/2008-09/27/2008","Hurricanes2008","Yes","","Yes","Was tasked to assist the safety/environmental health officer (Scott Kalis) with infection control assessments at 3 Federal Medical Stations and at the University of Texas Medical Branch where a DMAT team was deployed.  We traveled by GOV, small airplane and small helicopter to afeected sites.","Yes","Yes","No","Yes","Influence","Not applicable","Differences","Not applicable","Differences","Large Hispanic population among evacuees","4 Very Effective","Yes","Fluency in Spanish would have been helpful","""Real World"" training for the IRCT would have helped me hit the ground running.  I feel like I need to review some of the ""book training"" that we did 2 years ago now that I have a better grasp on what the requirements and objectives are.","audra.ashmore@ihs.gov","09/29/2008","12:54 PM"
"A&M University, Texas","09/22/08-09/26/08","Hurricanes2008","No","OFRD e-mailed me 7:09 pm on Friday 09/19/08 and although the information was sent to my home address, I have not checked my e-mail because we recently moved and had not had time to check e-mail. I was not called nor notified that i will be deployed prior to this e-mail. I think it would be good to have e-mail sent during work hours and be called also becuase if one is on leave the e-amil access might be limited. ","Yes","Although I was in nurse catagory, I was assigned in the ADM/Finace role. I think this was good in that I get to be trained in different role which I can be utilized in this role for the next deployment if needed to be. ","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","I wished that I was deployed in much earlier than I was deployed because I saw many officers called in but couldn't leave the mission site because there were no relief officers. I was deployed with the last team and it seemed like we didn;t have much to do and our mission was cut too short- deployed for 5days, I wish I was able to relief those officiers who were there more than 2 weeks.","kyong.hyon@fda.hhs.gov","09/29/2008","12:59 PM"
"Alexandria LA FMS16","29 Aug-16Sep","Hurricanes2008","N/A","","Yes","Yes. Extended to provide coverage incase Hurricane Ike made landfall in LA","Yes","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","","09/29/2008","01:02 PM"
"College Station, Texas","6 Sep - 12 Sep 2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","No information received yet regarding completing travel voucher for per diem and other expenses.","brian.smith2@tma.osd.mil","09/29/2008","01:35 PM"
"College Station, TX","9/8/08-9/19/08","Hurricanes2008","Yes","","Yes","The mission requirements were not clear initially, it wasn't until we began to receive evacuees that the mission became clear (at least to those of us who were actually working with the evacuees).","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","additional resources would have assisted in providing better care - but not specifically related to cultural or linguistic services.","","","09/29/2008","01:57 PM"
"FMS College Station, TX","September 22-27, 2008","Hurricanes2008","N/A","","Yes","Upon receipt of notice of deployment, it was my understanding that I would be supporting a fully functional FMS.  However, upon arrival, it was clear that the deployment was winding down.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","Yes","As a Tier 3 responder, I feel that ANY additional training would have been incredibly helpful.","I was excited to receive notice of ""stand by"" for deployment on 5 September 2008, but then suffered atrophy of that excitement over the course of the next two weeks as I watched others deploy while I waited for additional information.  Two weeks after my initial notice of ""stand by,"" I received notice of travel - concurrent with RENEWED excitement - but then suffered another emotional setback upon discovering that I had basically deployed to clean up, post-deployment.  Still, it was my pleasure to serve, and this was a FANTASTIC opportunity and experience.

The quality of this experience, however, was primarily due to the fact that I was actively engaged by command staff, who ensured that this deployment (which was clearly in the midst of winding down) served as an opportunity to learn hands-on about a BROAD spectrum of the responsibilities during a deployment.  There seemed to be a noticeable disconnect of expectations among me and my fellow Tier 3 responders as to what was our role, how we mattered to this deployment, and what to expect at the close of the mission.

Still, over the course of the week, many of these discrepancies between expectations and reality were narrowed, however my impressions of those officers who appreciated optimal experiences correlated directly with the level of engagement of that (usually) Junior Officer by a more-experienced mentor.","joel.nelson@tma.osd.mil","09/29/2008","02:13 PM"
"College Station, TX","09-19-08 to 09-26-08","Hurricanes2008","No","Very little information was given at any one time.  Very little notice was given at time of deployment or prior to demoblization.","Yes","","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","Yes","We had some patients that spoke very little English and it would have been helpful to have language assistance available.  Spanish was covered by staff but, we did have some Asian population there that would have benefitted by a translator.","","d4snyder@bop.gov","09/29/2008","02:37 PM"
"College Station TX","9-16-08 to 9-26-08","Hurricanes2008","Yes","","Yes","No the mission requirements were consistent","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","mestephenson@bop.gov","09/29/2008","03:07 PM"
"Austin Texas","2008SEP06-2008SEP2008","Hurricanes2008","Yes","","Yes","Yes.  I was originally asked to train and lead a group made up of half of my MHT and a Tier 3 group to run a FMS.  In lieu of that we were merged with an already functioning FMS and I was sent to the IRCT to work as the State Mental health Department Liaison.","Yes","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","This deployment was the best PHS training exercise that I have ever had. First lesson: no one should be in a leadership position during a deployment without the following: 1) minute training in logistical supply line functioning; 2) a laptop computer with a wireless internet access card; 3) a cell phone that is water-proof 4) a satellite phone.  Given the dependence that the RDF/FMS has on logistical supply lines and the absolute necessity of those logistical supply lines for items such as ARFs, taskers, rosters, and daily reports, it is impossible to function without this hardware.  We had all of the hardware except the satellite phone because we brought them and used them at our own expense.  We were to receive a all these items including a satellite phone on site, but it never came. We needed this hardware from day-0. I received training in logistical requisitioning through OJT while staged in Atlanta by befriending a DMAT logistics person.    I will write a report of my team's experiences shortly.  We supplied our own communications gear (minus the satellite phone) because we absolutely knew up front from Katrina that we needed it.  We were told that we would be supplied with communications gear when we got to the field.  It arrived way to late to be useful (I got a FEMA cell phone 10-days into the deployment) or not at all (I continued to use my own ruggedized laptop that I purchased after Katrina).  Communications gear should not be handed out on site, because it arrives too late.  It should accompany the team into the field. Second major lesson: We were told that we would have wrap around services in the FMS.  There were at least 2 FMS's where this fell through repeatedly (PMAC, College Station).  These contacts need to be iron clad agreements. It also appears that this lack of support in the ""wrap-around service agreements"" is a pattern and not an isolated incident. The wrap-around service agreements need to be examined very carefully.  Third major lesson: the FMS is designed and staffed to accept level 1-3 patients.  In College Station and PMAC there were significant numbers of level 4 and 5 patients.  There was also a pattern of pushing the FMS to take these level 4-5 patients and there was no known resource to transfer them to.  Therefore, either the RDF/FMS needs to be prepared for level 4-5 patients or the RDF/FMS needs to have a ready and cooperative resource to send them.  Merely teaming up an RDF with a DMAT will not work as a solution unless the DMATs know what an FMS is and agree to sign on to this type of work. In the PMAC, the DMAT pulled out with patients on ventilators left behind. We spent several training sessions giving DMATs the information that we had on the FMS and this was their first exposure to them.","paul.andreason@hhs.gov","09/29/2008","03:41 PM"
"College Station FMC","16SEPT08- 26SEPT08","Hurricanes2008","Yes","Online, no phone call.  Pre and post deployment.  ","Yes","No","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","michaelcray@mchsi.com","09/29/2008","03:48 PM"
"Little Rock AR, Dallas TX, Austin TX (Patient Advocacy/ Repatriation Team)","07 Sep 2008 - 20 Sep 2008","Hurricanes2008","Yes","","Yes","I was on the Patient Advocacy Team (Repatriation of Evacuees)which required alot of flexibility. No problems to report. ","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","I have to give credit to all who worked hard getting plane tickets, rental cars, hotel rooms, etc. I come from a military background and can say that this was a well organized deployment especially when you consider the short time frame to get it all done. I look forward to future deployment opportunities with PHS. ","boykin5024@windstream.net","09/29/2008","04:13 PM"
"FMS- College Station, Texas","Sept. 6-22, 2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","thorntov@od.nih.gov","09/29/2008","04:15 PM"
"Reed Arena College Stattion FMS","22-26 September, 2008","Hurricanes2008","N/A","","Yes","No","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","In many cases, the meals provided by the Red Cross were sub-standard.  It would be better to serve C-Rations so that a balanced nutritional plan is followed.  One meal consisted of chili dogs, no fruit or vegetables.  

In our case, we were able to take many of our meals away from the FMS so nutrition was not a big concern.

If we were in a situation where there was no alternative food source the Red Cross meals provided would not have maintained the staff over an extended period of time.

There was not a list of where all the officers slept.  If we needed to contact an officer who was sleeping there was no way to find him or her other than by looking from pod to pod. A simple print out of who slept where would have been valuable. Finding a sleeping officer becomes very difficult at night when the lights are turned off. To address this deficiency, there should be a CCRF standard operating procedure for control of all officers.  This is a basic tenet of military command and control.

I was impressed by the operation as a whole.  I believe that Captain Coppola did an excellent job of leading and keeping his officers informed of the changing situations. 

Very Respectfully,
Michael Chard
Commander USPHS
PHS #60035
","mchard@anthc.org","09/29/2008","04:33 PM"
"College Station , Texas","9-21-08 through 9-26-08","Hurricanes2008","Yes","  ","Yes","The mission was complete and ended","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","hbrainerd@scf.cc","09/29/2008","04:49 PM"
"Alexandria, LA (W/ RDF-2)","08/31/2008-09/15/2008","Hurricanes2008","Yes","OFRD responded, but not in a timely manner.  This might be corrected by potentially having some OFRD staff and potentially other USPHS officers maintain the OFRD headquarters and answer questions and give guidance to officers.  I called several OFRD officers work numbers on August 30th and all the  voicemail boxes were full and I couldn't talk to anyone.  Secondly, maybe some of these new OFRD staff could be responsible for calling about 10-50 officers instead of emailing them.  I received an email at 12:53 am Sunday morning to catch a flight out ot BWI at 7:05, it was a good thing I was proactive and called the travel agency and checking my email or I would have missed the flight.","Yes","No.","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","Yes","Additional training could always help.","I filled in as a deputy safety officer augmenting RDF-2 in Alexandria, LA.  We did a great job helping the special needs patients and I learned a lot.  

It mightr be a good idea to have OFRD or the USPHS remind  officers about the overall proper wear of the uniform and general appearance standards that are expected of them on deployment.    ","mikesmith4u@hotmail.com","09/29/2008","04:49 PM"
" LSU - Baton Rouge, Louisiana","8/31/2008 - 9/12/2008","Hurricanes2008","N/A","Information regarding deployment was provided through the RDF team leadership; I directed my questions through the RDF.","Yes","No - however anticipated demobilization objectives were unclear at first.  ","N/A","Yes","Yes","Yes","Influence","Influence","Influence","Not applicable","Differences","","3 Effective","Yes","Education and literacy levels impacted the way that patient information should have been prepared; more training on development of materials would have been useful.  There were very diverse backgrounds and socio-economic levels in the LSU FMS patient population. ","Billeting arrangements seemed to have low priority - the team moved several times during the deployment.  ","hunterhelen@mail.nih.gov","09/29/2008","05:28 PM"
"College Station, Texas/Texas A&M University campus","Sept 21, 2008- September 26, 2008","Hurricanes2008","Yes","","Yes","No they did not change.","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Most of my patients were elderly African American. I am African American too. I put myself in my patient's shoes. All I would want to is someone to care for me and talk with me for a while, which is what I did with my patients. I adored all of my patients. My deployment was a wonderful and fulfilling experience!!","dazeymae28@hotmail.com","09/29/2008","07:53 PM"
"Reed Arena, College Station, Texas","9/22/08 through 9/26/08","Hurricanes2008","Yes","none","Yes","#4. There appeared to be a lag time of requests for specific disciplines and the actual deployment.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","Messages from OFRD were consistently sent to both work & home email addresses until I received the travel itinerary.  It was sent to the work email address only. Perhaps the travel agents should be given both addresses if they are available on record.  ","msmith@cc.nih.gov","09/29/2008","08:03 PM"
"College Station, TX","September 6, 2008-September 22, 2008","Hurricanes2008","Yes","","Yes","NO","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","ttmom25@aol.com","09/29/2008","08:15 PM"
"Baton Rogue","09/01 to 09/11","Hurricanes2008","No","Little or no info and support regarding travel, lodging, team leader info, mission.","Yes","Mission requirements changed several times, i.e., location of mission, scope of mission, support of mission. In addition, billeting and feeding issues changed several times - always for the worse. The DMATs working with us changed as well, but all the DMATs were excellent.","N/A","Yes","Yes","Yes","Differences","Influence","Differences","Influence","Influence","","3 Effective","No","","","","09/29/2008","10:56 PM"
"","","Hurricanes2008","N/A","","No","","N/A","No","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","These questions seem targeted to this years' ship based missions and not the recent hurricane missions. They do not capture the challenges and needs for improvement identified during the mission in which I participated.","","09/30/2008","06:06 AM"
"College Station FMS","Sept 6-17","Hurricanes2008","No","OFRD and Omega Travel were notoriously frugal with information sharing. ","No","No","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","I would prefer training that would improve our actual misson skills. Why is this survey about cultural differences? There was no plan on this deployment. We made the whole thing up as we went along, and had no knowledge of what we were doing. Billeting never happened, Leadership was essentially non-existant, and only the professionalism and dedication of the overloaded people actually working in the FMS pulled it off. Luck alone prevented people from dying, (we had one very near miss) and we won't always be so lucky. OFRD is playing with fire and the Corps is going to get burned.","","09/30/2008","09:31 AM"
"College Station FMS","Sept 6-23","Hurricanes2008","No","OFRD and Omega Travel were notoriously frugal with information sharing. ","No","No","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","I would prefer training that would improve our actual misson skills. Why is this survey about cultural differences? There was no plan on this deployment. We made the whole thing up as we went along, and had no knowledge of what we were doing. Billeting never happened, Leadership was essentially non-existant, and only the professionalism and dedication of the overloaded people actually working in the FMS pulled it off. Luck alone prevented people from dying, (we had one very near miss) and we won't always be so lucky. OFRD is playing with fire and the Corps is going to get burned.","","09/30/2008","09:53 AM"
"Atlanta, GA then College Station, TX","09/06/08-09/21/08","Hurricanes2008","Yes","","Yes","I feel that the patient population cared for was of a higher acuity than expected which required changes in Pharmacy Inventory to properly manage their conditions.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","CAPT Skerda, the pharmacy team, and all other officers were just a pleasure to work with during this deployment.  I would however, like to mention a few things that you may want to consider: 1. having the pharmacy cache focused on the population of expected patients - if the inventory will be smaller consider a therapeutic substitution list to make it more efficient and definitely include ACLS medications; 2 it was brought up in team discussions that if communication were enhanced between IRCT and OFRD then mobilizing and demobilizing would have been much smoother - given the acuity of the care required by these patients (many on 20+ medications and one who required resuscitation) requires great attention to detail which even the best healthcare practitioner would only be able to sustain for a certain period of time.
It was a pleasure serving on this deployment and I look forward to further deployments when needed.","matthew.dionne@fda.hhs.gov","09/30/2008","10:05 AM"
"College Station, TX","9/20/08 - 10/5/08","Hurricanes2008","N/A","I did not ask for information of OFRD. ","Yes","No, the mission requirement to staff an FMS did not change. ","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Thank you for the oppportunity to complete this survey. This survey addresses only a few aspects of deployment and is insufficient to determine the quality of the communication, care, conditions, and effectiveness of the deployment. Please provide another forum in which officers can freely text concerning the experience. Thank you.","leeco@mail.nih.gov","09/30/2008","10:23 AM"
"Austin, Texas","September 10-24, 2008","Hurricanes2008","Yes","","Yes","Served as evening and night Logistics Chief for the DHHS/JFO in Austin, TX.  I'm the Logistics Chief for IRCT-7.  ","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","The greatest challenge was not interfacing with our PHS or fellow IRCT officers in the field, but with the ""new"" concept of working with NDMS.  Overall this experience was very positive.  ","spgaustad@msn.com or scott.gaustad@ihs.gov","09/30/2008","10:28 AM"
"Lousiana","Aug 29 - Sept 12 ","Hurricanes2008","No","Received an email on 28th to be ready. Recieved a phone call ~7PM on 29th to be at the airport by 10PM. Not sure where I was going, what I was doing, who I was going with, or what the name of my contacts were when I got to the airport.","No","Yes, I was assigned to the preventive medicine team, however from much of my deployment I was doing food service, sanitation, patient transport, and ""gofor"" tasks. It needed to be done, but did not require an advanced degree to perform these tasks","Yes","Yes","Yes","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Differences","","3 Effective","Yes","The cultural differences were more with team members than with clients. Team member's dietary complaints and self-imposed restriction (e.g. vegetarian, ""the team comes first"" regarding food) were so demanding and imposed, that it interfered with providing service to the clients.","Beyond the basic readiness requirements, there either needs to be a ""cultural readiness requirement"" or accomedation in place. Many members of the entire team did not adapt well to dietary, sleeping, team roles and skill sets, and general living contditions.","","09/30/2008","10:33 AM"
"ASPR","9/1/08-9/15/08","Hurricanes2008","Yes","(I didnt really have any questions of OFRD- knew exactly what was needed while going in)","Yes","Yes- originally deployed for the National Operations Center but due to DHS processing times, ended up with ASPR in the SOC (which was fine- always glad to help out)","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Always a pleasure to deploy when needed. OFRD is doing a great job.","andrei.nabakowski@fda.hhs.gov","09/30/2008","10:57 AM"
"ASPR","8 Sep - 21 Sep 08","Hurricanes2008","Yes","","Yes","Slightly, but because what we were working on was fluid, we were able to adapt to meet the requirements of the deployment. ","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","","","dianne.paraoan@fda.hhs.gov","09/30/2008","11:32 AM"
"Austin, TX","9/14-26/08","Hurricanes2008","Yes","","Yes","No.","N/A","Yes","No","Yes","Not applicable","Influence","Influence","Not applicable","Not applicable","","3 Effective","No","","","","09/30/2008","11:54 AM"
"Baton Rouge, LA & College Station, TX","9/16/08 through 9/26/08","Hurricanes2008","Yes","We were assigned to the ESF-6 mission in Baton Rouge but were not being utilized.  We called OFRD the afternoon of 9/20/08 and our five person team was reassigned by that evening.  Although there were some mistakes made in the travel arrangements our team was able to work with the situation and get to our next mission in TX.","Yes","The ESF-6 mission did not have enough need to support 10 officers so they planned on demobilizing most of us on 9/20/08.  We new there was more need in TX for help so we contacted OFRD to be reassigned somewhere and they did so on 9/20/08.  The RDF-1 FMS mission in College Station was not based on our individual skill sets/professions but more on the need for officers.  Some of us were kept very busy while others were placed into roles in which there was more help than was needed.","Yes","Yes","Yes","Yes","Not applicable","Not applicable","Differences","Not applicable","Differences","","3 Effective","No","","","chad.snell@ihs.gov","09/30/2008","12:17 PM"
"Alexandria, Louisiana","8/29/08-9/11/08","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","ddozier@nih.gov","09/30/2008","12:39 PM"
"college station, tx. - hurricane ike","9/20/2008 thru 9/27/2008","Hurricanes2008","N/A","","Yes","no","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","edward.arnold@ihs.gov","09/30/2008","12:42 PM"
"Baton Rouge","Aug 29,2008 - Sep 12, 2008","Hurricanes2008","Yes","","Yes","Yes, There was a high need for Clinic patient care in the FMS","Yes","Yes","Yes","Yes","Not applicable","Differences","Not applicable","Influence","Influence","","4 Very Effective","No","","Overall, a very good deployment experience","rsigh@hrsa.gov","09/30/2008","01:01 PM"
"College station, Texas","9/22-9/26","Hurricanes2008","Yes","I was given adequate notice that I would be deployed. ","Yes","By the time I was deployed, the mission was moving quickly towards closure. This was a testament to the effeciency of the operation.","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","ronald.bachorski@ihs.gov","09/30/2008","01:02 PM"
"FMS 16 Alexandrea Louisiana","8/29/2008-9/16/2008","Hurricanes2008","N/A","I am on an RDF.   I recieved messages through my chain of command.","Yes","Yes.   FSM sites changed.  Use of officers changed.","Yes","Yes","No","Yes","Influence","Differences","Influence","Differences","Influence","State expectations of a Federal shelter","4 Very Effective","Yes","Since Louisiana seems to be a frequented deployment site, specific cultural training would be helpful.","","cynthia.rubio@samhsa.hhs.gov","09/30/2008","01:07 PM"
"College Station FMS","9/21/08 - 9/27/08","Hurricanes2008","Yes","","Yes","Change from critical medical needs to more social needs ","Yes","Yes","No","Yes","Not applicable","Not applicable","Differences","Differences","Differences","","4 Very Effective","No","","re: Item 9, haven't submitted reimbursement paperwork yet. ","fgonzales@cthp.org","09/30/2008","01:13 PM"
"Texas A&M University, Reed Arena","September 16-26, 2008","Hurricanes2008","Yes","","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","I had a very positive experince. The only area that I would suggest for improvement is the manner in which deployment orders are distributed. At least a day notice should be manadatory. The small amount of notice we are given has a negative impact on our agency position.  ","chinntn@cc.nih.gov","09/30/2008","01:25 PM"
"Baton Rouge/Carville/Alexandria","29AUG-16SEP08","Hurricanes2008","N/A","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Most of these questions do not apply to the services OFRD provided/didn't provide to the members who recently deployed for the hurricanes, nor do they get to the heart of the matter - Was OFRD support of the teams and they're patients provided in a timely, efficient, effective, and sufficient manner?  ","flagg.debra@epa.gov","09/30/2008","01:32 PM"
"College Station, TX","Sept 6, 2008 to Sept 22, 2008","Hurricanes2008","Yes","","Yes","The mission requirement changed during the deployment. We were initially staged in Atlanta, GA and then to Dallas, TX to support a shelter in Dallas, TX. We were deployed to College Station, TX when the workload exceeded the current man power.","Yes","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","I truly enjoyed the opportunity to deploy and assist displaced residents with their health care needs.  I have a strong recommendation regarding appointment of leadership during deployments. Encourage team to recognize personnel with experience regardless of rank.  Leadership needed more command and control during the deployment.  I recommend that at the 04, 05, 06 level, Officers participate in Leadership Development Courses in preparation of deployment roles.","erik.vincent@ihs.gov","09/30/2008","01:36 PM"
"Jackson, MS and Baton Rouge, LA","August 31-September 12 2008","Hurricanes2008","No","I was not informed of my final destination until after I called an officer at OFRD after I was in Atlanta","Yes","Yes, we were originally sent to augment the staff, but ended up taking over and duplicating files, care, etc","Yes","Yes","N/A","Yes","Not applicable","Influence","Differences","Not applicable","Not applicable","","4 Very Effective","No","","Communication from the IRCT down to the officers on the ground was extremely poor.  Did not understand why they were unclear of many simple details required to effectively complete the misson","","09/30/2008","01:51 PM"
"College Station, TX","9/19/2008-9/26/2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","Yes","Quarterly Tier 3 training","","","09/30/2008","01:56 PM"
"Baton Rouge and Alexandria Louisiana","08/29/08-09/16/08","Hurricanes2008","Yes","","Yes","Yes; we set up a FMS in Baton Rouge and shortly after finishing we were told to leave for Alexandria to set up and run a FMS there.","Yes","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Upon entering the CORPs, officers are told they will be on-call every five months and may be deployed for up to 2weeks; however, this pass deployment went against these standards in that people were called outside of their on-call month and that people were mandated to stay past 2weeks.  If this is something that will continue, everyone should be made aware that there are no standards in regard to length of deployment and 5month rotation.  Additionally, when being deployed, officers should be taken care of in regard to food and water.  There were a couple of days when no food was provided to the officers (MREs would have been a good supplement for those days).","nikkia.powell@hhs.gov","09/30/2008","02:02 PM"
"Alexandria, Louisiana Riverfront Convention Center","8/29/08-9/16/09","Hurricanes2008","No","","Yes","Yes. Deployed to FEMA Facility Carville, LA to set up FMS at LSU. Informed same date team was being split an dredeployed, 1/2 to Shreveport, 1/2 to Ruston. While enroute both teams were diverted to Alexandria to set up man and immediately recieve evacuees to FMS #16","Yes","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","laurie.kelley@hhs.gov","09/30/2008","02:07 PM"
"FMS College Station (originally Atlanta, GA)","9/6/08 - 9/23/08","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","Ellen.lazarus@fda.hhs.gov","09/30/2008","02:16 PM"
"College Station Texas","9/19/08","Hurricanes2008","Yes","I only got 12 hrs. notice and no phone call.  2 days after I left (they called my home to tell me I was going to be deployed, and my husband told them I was already deployed)but everything else was fine","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","As always it was a pleasure to serve on this mission.","harley122@verizon.net","09/30/2008","02:22 PM"
"College Station, Texas","9/21/2008 -9/27/2008","Hurricanes2008","Yes","All needed information was provided.","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","Since this was my first deployment, I realize the value of being a team player and flexible. ","willie.tompkins@samhsa.hhs.gov","09/30/2008","02:22 PM"
"JACKSON FMS, THEN RDF-3 (BATON ROUGE)","8/31/08 - 9/12/08","Hurricanes2008","No","BEING TIER 3, I EXPECTED 24 NOTICE OF DEPLOYMENT.  I GOT LESS THAN 7 HOURS NOTICE TO CATCH A PLANE.","Yes","YES.  FROM FMS JACKSON TO BATON ROUGE, THE NUMBER OF PEOPLE ON MY TEAM CHANGED AND THE ROLE CHANGED FROM MANAGEMENT TO AUGMENTING.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","IRCT CONTROL WAS VARIANT FROM REGION 6 TO REGION 4.  REGION 6 IRCT WAS VERY EFFECTIVE AND HELPFUL, BUT REGION 4 WAS, FOR LOSS OF A BETTER WORD, INEFFECTIVE.  POWER STRUGGLES BETWEEN DMAT'S AND PHS OFFICERS SHOULDN'T EXIST.","RPGREEN@CNHSA.COM","09/30/2008","02:56 PM"
"College Station, Texas","Sept 6 thr 19 Sept 08","Hurricanes2008","No","Conference calls would not let enough people get on the line so half the group never received the information.","Yes","We were originally deployed as a team but as the mission developed we were split up and the leader went in one direction and the team members were obsorbed into a current team at the site.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","It would have been nice to have hit the ground in College Station earlier than we did.  One team was already burned out when we arrived.  We could have relieved them much much earlier.  We need a liason from OFRD assigned to the teams on the ground so they understand what is happening and can relay that to the decision maker in OFRD.  I think the entire team felt like we were under utilized for 4-5 days.  It was assumed by leadership on the ground that OFRD forgot we were in Texas as correspondenc to the teams did not have us listed on several occasions.  "," d3campbell@bop.gov","09/30/2008","02:58 PM"
"New Orleans and Lake Charles LA","9/5 to 9/19","Hurricanes2008","Yes","","Yes","Yes, moved from NOLA to Lake Charles the day after IKE hit TX. ","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","We were told that Env. Health inspection equipment would be provided, however upon reporting to duty in LA we were informed that we had no equipment.  Fortunately, the 5 member CDC team that we met up with was able to purchase equipment for the OFRD team with the CDC Foundation Credit Card. Also, all CDC deployed officers had signed orders from the DEOC while OFRD deployed officers are still with out orders. BOTC instructors tell officers to never travel with out written orders.   ","ejx8@cdc.gov","09/30/2008","02:59 PM"
"Austin, TX","Sept 19-26, 2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","briefing of the community profile, culture, etc","","nancy.bill@ihs.gov","09/30/2008","03:34 PM"
"College Station Texas","9-22-08  - 9-26-08","Hurricanes2008","Yes","I didn't ask for any information before I left.","Yes","Yes
At first we though I was going to stay for 14 days but I was only needed for 5 days.","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Once we all got to College Station in the second wave we were overstaffed.  The people in the first wave were understaffed. I would have liked to help them out earlier but I imagine that it is difficult to predict and there is usually a lag time between the time you critically need the help and when additional staff is actually able to be deployed. Half of the patients were discharged from the facility by the time I arrived. If they had not been placed then all extra help would have been needed.
The whole experience was great.   I feel much more prepared in the event of a future deployment.  All of the officers were great to work with, they were all willing to do anything to be of help and to feel useful. More training on how patches should be applied to BDU's would be good. Or just ask everyone to read the regulations. I saw some rank patches that were not located the standard distance from the tip of the collar.  One or two of the 200 officers were a little sloppy in their appearance.  In general it was a great experience.","ellen.kruusmagi@crihb.net","09/30/2008","03:49 PM"
"college station, tx","9/21-26/08","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","latoya.bonner@ihs.gov","09/30/2008","03:56 PM"
"College Station TX","September 23 thru September 26th","Hurricanes2008","Yes","","Yes","When I got there it was too late to really contribute.  I would have like to have been there at least 7 days to have had it counted.","Yes","No","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","Yes","It would be nice to know what lab equiptment was in use!","I felt as though I was not needed once i arrived.  I would have like to have gone to Galveston to help.  If I'm to be deployed it would have been nice to have my 7 days in for credit!","renaelhill@yahoo.com","09/30/2008","04:07 PM"
"Jackson, MS","8/31/2008","Hurricanes2008","Yes","4","Yes","Deployment to Jaskson, MS and Baton Rouge LA
4","Yes","Yes","N/A","Yes","Differences","Influence","Differences","Not applicable","Not applicable","","3 Effective","No","","","4415 Cliffbase Dr. NW Albuquerque, NM 87120","09/30/2008","04:17 PM"
"College Station, Texas","Sept 6 to 27, 2008","Hurricanes2008","N/A","","Yes","Our original mission was Tallahassee, FL, we changed to College Station, TX. ","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","This was a good deployment.  

No guidance was provided on how to file for reimbursement.","alan.dellapenna@ihs.gov","09/30/2008","04:32 PM"
"FMS, College Station, Texas","September 12-25, 2008","Hurricanes2008","Yes","3","Yes","No, required to work 12hour nights for 3 days and then switched to 8 hours nights.","Yes","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","The initial days were difficult due to lack of staff, adjusting to new work hours (nights), and billeting.  The officer morale was very low, with complaints of running out of food for officers, no personal privacy, verbal abusive from patients and contract staff, lack of sleep, and male officers entering female quarters unannounced.  Although this was a difficult mission, I feel honored and proud to be a Commissioned Corps Nurse Officer that served these evacuees to the best of my ability under these conditions.   ","teresa.sanders@ihs.gov","09/30/2008","04:37 PM"
"Alexandria, LA","August 29 2008 to September 10, 2008","Hurricanes2008","Yes","","Yes","While I was initially assigned patient record duties as a member of the PHS-2 RDF admin team, I spent most the time on the mission assisting nurses with patient care. ","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","The food was substandard and I tried as much as possible to eat else where or skip meals. The billeting could have been better. Things improved after shower facilities were installed.","Diwad@niaid.nih.gov","09/30/2008","04:45 PM"
"Tallahassee, FL and Austin, TX","Se[t 1- Sept 19","Hurricanes2008","Yes","For the most part.  I was one of the extended officers and it was hard to know when I was supposed to get released from deployment.  I never received any orders.","Yes","The mission changed from the persepective that I was part of Surge I in Florida and then the storms changed direction and Florida was not hit.  So, after two weeks, Florida released us and I got diverted to Austin.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Overall I had a very positive experience.  I ended up missing my first flight out becuase the itinery was never sent to me and no one called.  So I followed up and ended up arriving two days late.  Then, they sent travel info via e-mail when I was being sent to Austin which was almost a problem because of a lack of access to e-mail once the IRCT in Tallahassee had shut down.  Luckily I was able to get access from a hotel business room, otherwise I would have missed that info as well.  I had asked to be called with the itinery and it never happened.  Also, I received no info on how to do my travel voucher.  However, the travel desk did answer my questions when I called so hopefully I am back on track with reimbursements.","shari.windt@ihs.gov","09/30/2008","04:49 PM"
"Alexandria, LA","29 Aug 2008 - 16 Sept 2008","Hurricanes2008","Yes","","Yes","The major change was the length of time we were deployed.  Instead of the 14 days, we were deployed for 19 days.

The last several days we were without patients (we were running an FMS) but could not be released because of the threat of additional evacuees.  ","Yes","Yes","Yes","Yes","Differences","Differences","Differences","Not applicable","Differences","","4 Very Effective","Yes","Any additional training on ANYTHING would be a benefit when deploying.  Currently we receive ZERO training.","","","09/30/2008","04:59 PM"
"FMS College Station, Texas","9/22/08 - 9/26/08","Hurricanes2008","Yes","There was some miscommunication between the folks who obtained my airline ticket and the folks already at the FMS.  Everyone thought I should have arrived a day earlier even though my airline ticket was for the day I arrived.","Yes","","N/A","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","I had a great experience and felt it was a wonderful opportunity to serve folks who were displaced due to Hurricane Ike.  I appreciated the opportunity.","myrna.buckles@ihs.gov","09/30/2008","05:18 PM"
"College Station FMS","08 Sept - 19 Sept","Hurricanes2008","No","I never recieved orders or post deployment info. Flight was not paid for - called OMEGA to have them pay for it.","Yes","MHT merged with RDF and I was utilized strictly as a provider.","Yes","Yes","Yes","Yes","Not applicable","Differences","Not applicable","Not applicable","Influence","","4 Very Effective","No","","","","09/30/2008","05:22 PM"
"Marshall, TX and College Station, TX","8/31/08 - 9/15/08","Hurricanes2008","Yes","","Yes","Constantly.  We moved from Dallas to Marshall to Dallas to Atlanta to Dallas to College Station and back to Dallas throughout the mission.  It was understandable -- we were being sent where we may be most effective, but that info changed hourly.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","In some locations, I imagine a number of people with Spanish speaking ability would be required.","","Jonathan.Rash@ihs.gov","09/30/2008","06:34 PM"
"FMS College Station, Texas","9/21/08 through 9/26/08","Hurricanes2008","No","I was notified to deploy 8/31/08 despite having told OFRD I could not leave my station until after 9/1/08. I later deployed in the second wave.","Yes","No","N/A","No","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","1. When I arrived on station 9/21/08 the mission was winding down rapidly and patients were being discharged to better placement. There were 30 pharmacists there at one time, which was several-fold too many.
2. Suggest more overlap of deployed officers, as it is difficult to determine what the thought process was of the officers before you.","gary.baker@ihs.gov","09/30/2008","07:57 PM"
"FMS College Station, Texas","06 Sept to 19 Sept 2008","Hurricanes2008","Yes","However, I did not receive a phone call letting me know that my itenrary had been posted. I checked my email before going to bed on 9/05.  When I checked in the morning, I had an email indicating I was to have been on a plane at 06:00.  Obviously I could not make that flight. I was able to rebook through Omega.  Additionally, I was not given an itenrary when I left College Station and had to call omega to get my flight information.","Yes","The requirements changed based on the type of patients we had and what actions we had to take. Initially, our tasks involved a lot of physical activity setting up the FMS.  Later, I was involved in triage and then moved into more direct mental health provision.  ","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","Although not a problem on this deployment, additional training in spanish language skills may be needed in the future. ","","fhershberger@bop.gov","09/30/2008","08:22 PM"
"FMS  College Station, TX","SEP 20 to SEP 26","Hurricanes2008","Yes","I never received a phone call to inform me that my itinerary was ready. My itinerary was sent after 9pm and was for a flight the next morning at 8 AM. I was terrified that I would be counted as AWOL !!!","Yes","Yes it changed from day to day, and the communication was poor.","Yes","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","5 Undecided/Do not know","N/A","","Alert rosters would be very effective. Each OPDIV/liaison could have a roster of all of their PHS Officers with contact information. The liaison would send a list to OFRD of available PHS Officers for deployment. ","j_arceneaux@hotmail.com","09/30/2008","09:42 PM"
"College Station FMS","September 2008","Hurricanes2008","Yes","","Yes","More PHS officers kept being sent to the site, when it was becoming obvious that the mission was winding down due to the placement of the patients in community settings or back to their homes.","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","The accomodations were attrocious. Female officers being required to sleep in cots adjacent to males, with disregard for acceptable levels of modesty and privacy. Too few, and too distant from sleeping areas, bathrooms and showering facilities, again with both sexes sleeping in the hallways leading to the facilities. With all the interest in fitness and diet displayed by CCRF, a total disregard for officer health by providing us with greasy, salty, high caloric unhealthy food, and few if any fruits and vegetables. All of this while ignoring trying to find suitable hotel accomodations in the undamaged town, supposedly because of the football game bookings? I heard many officers say that that would be their last deployment.","","09/30/2008","10:01 PM"
"Baton Rouge","09/02-09/15/2008","Hurricanes2008","No","I Was told someone will get back with me and I thought that will be on the phone. I did not know I had to look up my information on the computer.","Yes","No","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","wurahd@cc.nih.gov","09/30/2008","10:33 PM"
"College Station, Texas","Sept. 16--26, 2008","Hurricanes2008","Yes","I think all went well.","Yes","No it did not.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","This was my first deployment and I was happy to help the special needs patients at College Station, Tx.","aket527@hotmail.com","09/30/2008","11:10 PM"
"Dallas FT Worth, Marshall TX, Atlanta GA, and College Station TX","8-31-08 to 9-15-08","Hurricanes2008","Yes","The list for supplies needed was overwhelming because you were not given enough information to decide if you needed sleeping bag, etc.  It would be nice to have more information with each deployment what you are to bring.  Also, when you are on standby does that mean you are on a six ring status like in the military or can you leave town for the weekend, etc.  This needs to be clarified.  If you are a shift worker you may not always be awake when everyone else is so you don't get the notice that you have tickets and orders to leave that day because you work night shift and don't wake up until you have to leave for work, so you end up missing your flight.  A phone call is a must and if you don't get in touch with one phone number then try the other phone number listed.  ","Yes","Pt care is the same where ever you go, so no.  There were other hardships we had to deal with at College Station that were not a problem at Marshall Tx however pt care is pt care.  ","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Because I work in a hospital I listed the hospital fax number for reimbursement however, I have not to my knowledge received a fax( it may be misplaced). Do they email you also stating they are sending  the fax or haven't or have received the necessary information.  I know sometimes things get misplaced and I am not sure how long I should wait before I refax or call to inquire and unsure who I call to inquire.  ","barbara.nyberg@ihs.gov","10/01/2008","05:18 AM"
"Baton Rouge and Alexandria, LA","8/29/2008 through 9/15/2008","Hurricanes2008","Yes","","Yes","Yes, after setting up one 250 bed FMS in Baton Rouge and planning to man it through hurricane Gustav, our RDF #2 Team was immediately re-deployed to Alexandria, LA to set-up a second 250 bed FMS and man that.  This would normally be fine with the exception that the RDF#2 team worked 60 hours strait with no sleep, having to forage for meals, and was expected by the state of LA and the IRCT to provide clinical care to over 200 special needs patients simultaneously.  This created a significant safety issue when it came to providing effective clinical care for the patients and a safety issue for officers who were operating themselves on no sleep.  An other area of frustration for the whole team was the requirement for RDF#2 to extend beyond two weeks which compounded work issues for officers back at their perspective agencies in addition to a host of family care issues.  Deployment extensions create a whole host of stressors for officers when supervisors expect them back and family members expect them back as well.","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","sean.belouin@samhsa.hhs.gov","10/01/2008","08:49 AM"
"College Station, Tx","6 Sept. thru 22 Sept","Hurricanes2008","Yes","e-mail with travel info sent after I left office on Friday.  After waiting all evening for a phone call from OPEO travel office -- I never received a timely call.  Other responding officers said that calls were made well into the night (after 11:00 PM).  I was not contacted for travel until team arrived in Atlanta and called me direct.  I waited all evening on 5 Sept and all morning on 6 Sept. for a call that did not come.  ","Yes","After planning for a 14 day mission -- we were extended to 17 days.  The entire duration was not a problem -- but it would have been better if I could have planned for the extended period.  Unplanned extensions may present a problem in the future.","No","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Overall, I felt that we (PHS-1) performed well during this deployment.  Being mixed with tier-3 personnel worked out well and we became integrated rapidly.  ","ron.varsaci@fda.hhs.gov","10/01/2008","09:58 AM"
"College Station, TX","September 21-25","Hurricanes2008","Yes","","Yes","Yes.  Since it was toward the end of the mission, most officers took up extra roles in discharge planning of the patients.","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","jfeola@bop.gov","10/01/2008","10:10 AM"
"FMS, College Station, TX","9/5/08-9/22/08","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Sleep depreivation was the most significant issue.  Sleeping quarters were far from adequate.  the traffic through the area was constant during the day for those of us who worked through the night.  Our initial billet was open to the public and unsecure so men from the street walked through our quarters. The flourescetn lighting also was unable to be turned off in the somen's quarters.   ","sbonfiglio1@msn.com","10/01/2008","10:26 AM"
"College Station","9/21/08-9/26/08","Hurricanes2008","Yes","Didn't really need information, it was all on the email sent to me by OFRD.","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","","10/01/2008","10:37 AM"
"Jackson, MS and Baton Rouge, LA","8/31/08 thru 9/12/08","Hurricanes2008","No","I didn't directly request information but when I was notified via email that I was going to be depoloyed, that message from OFRD indicated I would receive a call from my team leader with more information about the deployment.  I never received a call from anyone on the team and wouldn't have known where to go when arriving in Atlanta except that I ran into another officer who did know.   ","Yes","Yes.  Mission requirements changed for me individually and then also as a team.  As a therapist while in Jackson, I was initially tasked to the logistics team to assist with transportation.  After a couple of days, I was then tasked to help with patient care on the wound care team.  As a team, our mission changed from Jackson, MS to ""augmenting"" in Baton Rouge, LA.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","thomas.schroeder@ihs.gov","10/01/2008","11:06 AM"
"Montgomery AL, Columbia SC,  Austin TX","8/31/2008-9/20/2008","Hurricanes2008","No","Initially, OFRD contacted me by both home and work e-mail, but then the travel office only sent itinerary information to the work e-mail on a Saturday, and then only 15 minutes before the scheduled flight was to leave.  I would ask that travel be communicated by phone especially since not everyone has blackberries.

Additionally, there was about 36 hours when I was in Montgomery AL and OFRD did not respond to me directly, although I was told to call and/or e-mail the office about my availability.  Region IV IRCT had released me, but they did not travel me, OFRD appeared to not be traveling people once in the field, and I had no one else to report to.  This time period was especially hard since I had been told I was being involuntarily extended, but then I had no work to do and was sitting idle in a hotel.","Yes","Yes.  I was on 3 separate missions and each of the missions had a separate set of jobs.  Being at the DOH in AL was slightly different from being at the state EOS in SC, and both were very different from being in the IRCT.  All of this roles were as a liaison officer, for which I am very grateful, as this is a role I trained for and could understand on at least a superficial level.  I was very grateful also to be working directly with a number of different RECs, all of whom are much more skilled in deployment roles and could act as my mentors.","Yes","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","kmb5@cdc.gov","10/01/2008","11:53 AM"
"College Station","9/21 - 9/27/08","Hurricanes2008","Yes","","Yes","no","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","dpritchett205@aol.com","10/01/2008","12:15 PM"
"College Station, TX","9/6-9/21/08","Hurricanes2008","Yes","","Yes","","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","I am a Tier 3 officer who has not deployed since Hurricane Rita -- i.e. 3 years ago!  Given the heavy use of Tier 3 officers in the recent Hurricane deployments, I suggest that Tier 3 officers receive training on their deployment roles, particularly those officers who are asked to function outside their normal disciplines.

Command staff did not communicate well with the teams during the deployment.  What are reasonable expectations for command staff and those who serve under them?  Leadership is a skill and I did not feel that leadership was evident.  Many of the officers were new to the Corps, were long-time Corps officers who had never deployed before, or were prior service and had very differnt expectations.  The team I deployed with had an excellent Team Leader but he was sent to Austin within 2 hours of arrival at the FMS. All of us were exhausted and demoralized at the end of the deployment such that a majority were extremely unhappy with their experiences.Our sense was that OFRD had trouble locating replacements for thse who were deployed in the field.  All of us should be operating under the same rules.  If Corps officers avoid deployments, make excuses, or refuse duty, they should be discharged.  In the mean time we need to do a better job of grooming leaders and working together.  At a minimum, quarterly training should be required so that we will have the skills neded to function effectively as FMS teams.

I could say a lot more about the FMS experience, the supplies that were provided in the FMS ""kits"", and other observations, but will leave it at this. I think the state of Texas needs to consider equipping several semi-permanent shelters in the future.  Also, if incentives (cash?) were provided by the state, it would be easier to re-patriate evacuees into communities after a disaster.  This would be cheaper in the long run than brining in hundresds of officers, setting up an FMS, etc. ","","10/01/2008","12:43 PM"
"College Station, TX","Sep. 6 - 21","Hurricanes2008","Yes","","Yes","","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","More EMR training for all staff would help, especially the RDF members. An EMR system that meets the needs of an FMS rather than a DMAT. More OFRD planning for on-site billeting and food. Standardized written FMS procedures so that officers don't have to make everything up when you get on-site and as you work through the deployment. Standardized procedures should be available on the OFRD website (I can send one for Medical Records based on our experience at FMS-Ike, College Station, TX, if someone will send me contact information).","lesley.preston@ihs.gov","10/01/2008","01:13 PM"
"Denton Texas","08/31/08-09/04/08","Hurricanes2008","Yes","I missed my flight as I didn't have quite 2 hours to get to the airport after receiving orders.  I am about 2 1/2 hours away from airport.  They did get me reconnected to a new flight that next day.","Yes","I was deployed with IRCT team as logistics, but did LNO.  Positions are taught in the IRCT course so was somewhat informed and taught by personnel there.","Yes","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","kari.blasius@ihs.gov","10/01/2008","01:52 PM"
"College Station, Tx","09/19/08 to 09/27/08","Hurricanes2008","Yes","","Yes","","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","Additional training on my part-learn spanish","I overall had a good expirence in this deployment.  The food could have been better and we must be allowed to eat seperately from the patients. No response on reimbursements yet- i haven't figured out what I need to do to get per-diem and milages yet.","cara.nichols@ihs.gov","10/01/2008","02:08 PM"
"College Station FMS, College Station, TX","Sept 19-26, 2008","Hurricanes2008","Yes","Yes, my questions were answered","Yes","No","N/A","Yes","Yes","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Differences","Cultural differences with leadership of team command","3 Effective","No","","I purposely did not fill this out as soon as I got back as I wanted time to reflect and to recover from lack of sleep.  By far this was one of the worst experiences of my life.  I strongly believed in the mission that we were sent to do and I was willing and able to do what was needed.  I looked forward to my deployment as this was the first time I had been called.  I also admit I was somewhat anxious because I was not for sure what my specific role would be.  My expertise, that for which I am trained to do in my every day job, was not utilized nor was it probably needed for this particular deployment.  I received minimal training in my deployed role at my site.  Most of what I learned was from a DMAT person who did my job full time.  I appreciated his help in doing my job better.  Overall, I thought that the Corps was highly disrespectful to its officers and the Agencies for which they work.  I can understand that during an emergency that one does not always get much lead time before deployment. However, I was brought in for relief of those initial deployed officers.  It is unfathomable that a relief plan could not be put in place to give officers more than 12 hours notice that they are being deployed.  I was notified of my deployment after my workday had ended.  Deployment requires officers to make adjustments in not only their work life but home like too.  Giving officers so little notice about deployment added undue stress trying to make arrangements at work and home to make sure everything would be covered in their absence.  I mentioned above the cultural differences in team command.  My supervisory style is 180 degrees different than the team command that I experienced. Perhaps Team Command was taught to use a specific style of management maybe it was the military style of management.  I don’t think it is very effective to be rude, raise their voice, or lay someone out in front of their peers.  I am a supervisor in my daily job and I was appalled. It was not an effective way to run an organization and only increases the stress levels of individuals who are already stressed out.  I am still having nightmares about it.  The sleeping conditions at College Station were horrible to say the least.  I admit to being a light sleeper so my problem was magnified due to the noise and activity of my sleep mates.  I averaged maybe 3 hours of sleep at night and do not think I ever achieved REM sleep, which is needed to repair and restore not only the body but the mind.  What was worse was that there was no where to get away from the patients or other people.  There was no lounge, no privacy, nothing where one could just go and relax.  Because my hours were odd, it was difficult to find two other officers to use a morale car and get away or to find a buddy to walk with.  I was basically stuck.  The good points about the deployment are that for the most part the officers I deployed with were hard working and committed.  It was a source of pride for me to be associated with this group.  I took it upon myself to help every officer I could when they had problems.  My desk was just inside the Command Center, so I was usually the first person they saw.  I tried to help anyone who had a problem and think I was successful in lowering the stress levels for several officers.  I am willing to be deployed as the Corps sees fit but I think we can do a better job.","ded4@cdc.gov","10/01/2008","02:45 PM"
"Atlanta, Dallas Ft. Worth and ultimately College Station, TX","9/6-21/08","Hurricanes2008","N/A","I did not contact OFRD directly. I was informed by an officer on the morning of Sept 5th that I would be deployed that weekend. Information came to me via e-mail at 2330 for an 0630 departure.
In regards to the question below, I was able to be deployed but as a Tier III member, I thought I would be given more than 6 hours notice. ","No","N/A","N/A","Yes","Yes","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","My practice is different than an ill nursing home population","4 Very Effective","No","","1. More than six hours notice should have been given to officer. It should not have meant staying awake to check e-mail.
2. Demobilization was word of mouth and was not organized.
3. Leadership was lacking in using: chain of command, communication and most importatnly protecting its own assets (us) when they had the power to do so. An example of this is when logistics said we should find room to sleep on the floor when they could have gotten us cots rather easily (THIS WAS A VERY BAD REFLECTION ON LEADERSHIP AND WAS HORRIBLE FOR MORALE).
4. We did not have the proper supplies for our mission.
5. Patient care suceeded in spite of our leadership due to the concerted efforts of the officers.
6. Leadership should learn from the military and use the chain of command.
7. There was no structure/discussion for how different entities (i.e., doctors, nurses) were to work together - this was within leadership's ability to address.
8. Medical knowledge of our patients was incomplete and piecemeal because of the lack of systems.
9. If one reads the HHS PTSD information and how best to prevent it, the leadership in this deployment did not follow guidance including establishing rest that is known and equitable and providing information to staff.
10. In summary, there was a total lack of systems that were and are needed for patient care in a disaster and they should be created if not established. HHS leadership should follow the military's example on this.","susielippold@msn.com","10/01/2008","02:49 PM"
"College Station, Texas","20-27 Sept 2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","Seemed well organized.","jeffery.smith@ihs.gov","10/01/2008","02:54 PM"
"College Station, TX","16-26 SEP 2008","Hurricanes2008","N/A","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","sueflip@aol.com","10/01/2008","03:05 PM"
"FMC College Station TX","9/22 - 9/26/08","Hurricanes2008","Yes","I had been on travel and got the e-mail <24h before I was supposed to deploy.  However, I called the number for the ops desk in the e-mail and was able to confirm that I was going out, which was very important at that point.","Yes","","N/A","Yes","No","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","We were dealing with the very last patients out of the FMC--the hardest to get out the door.  Their world experience/worldview/SES was very different from ours.  To be respectful, I had to keep that in mind whenever I spoke with patients.  Having said that, some of these folks were among the most dignified, wonderful people I have met in my life.","3 Effective","No","","All of us who deployed to the last few weeks at this FMC were aware that the first couple of weeks of this special medical needs hurricane shelter's existence were chaotic and put the clinical officers (and volunteers from other categories) under tremendous pressure to take care of 300 patients.  Burnout among this first shift of COs was noted and discussed.  The collective guess of officers deployed 9/22 was that the deployment of ~60-70 additional officers was a response to those conditions. 

In any event, I found myself in the company of ~200 officers at the shelter, including 3 from my workplace.  Deputy commanding officer Pryor briefed us, had each group explain what it was doing, asked us to be flexible and to largely self-select into groups based on interest/expertise.  This worked reasonably well:  those with clear clinical expertise moved into clinical groups, and those with interest or ability in one of the other groups integrated into those groups.  People were shifted around  to meet needs.  I was asked to work data issues for the discharge group.  

I did not use my day job skills as an occupational reproductive epidemiologist and part-time flight crew studies exposure assessor.   However, we got our last very needy patients out the day we left after much negotiation.  I did everything from FEMA contacting to pushing some patients and luggage to the door; I generated some accurate headcount spreadsheets that gave everyone up and down the management chain a handle on who was still there and what they needed to get out the door.  I was told that the spreadsheets were greatly appreciated, and I learned a lot about how a shelter of this type manages its patients.  

I deliberately did not self-select into the epidemiology group (my day job expertise), because my sense was that the group might have little to do.  I did not have enough to do on 3 previous deployments (2 CDC, 1 OFRD) when assigned by expertise.  I was determined to find a busy group which I could fit into, and I found this to be a much more satisfying deployment.  

I think there is some remaining question on these deployments about what to do with Scientist officers. What I'd like to convey to you:  assignment according to category or work skill is appropriate and fine for some categories.  For junior officers in categories like the Scientist category and occupations like epidemiologist, that kind of rubric is likely to shut them out of deployments and hence the FMRB, promotions, etc. (FYI, I already have my FMRB and promotions).  Clearly, it's not appropriate to have officers filling needs like patient turning/changing diapers, but the staff needs for these emergency deployments do include positions for officers with general skills which are not in their day-job descriptions.  When missions are well managed, Scientist officers can contribute meaningfully to them.   

I've shared versions of these comments with my management and with CDC's DEOC.
CAPT Barbara Grajewski, NIOSH Cincinnati","BAG2@cdc.gov","10/01/2008","03:07 PM"
"Mississippi","August 31st - 2 weeks","Hurricanes2008","No","Couldn't reach anyone to address questions regarding deployment the day before I left.","Yes","","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","There was not anyone at OFRD numbers when I tried to call to get information about the deployment.  Also, no information was given regarding reimbursement.  I received information on how to do this from a colleague.","","10/01/2008","03:58 PM"
"College Station/Texas A&M ","9/21/08 - 9/26/08","Hurricanes2008","Yes","NA, found emailed information adequate.  Although, the question of whether to submit an electronic form if your agency already uses an electronic system was not identified.  ","Yes","Mission requirements changed somewhat, but my own duties did not.  ","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Overall the deployment went well.  However, considering that we were staffed with Dietitians, it was amazing how bad the food was.  I ate only 2 meals onsite as the other meals were either not available or unpalatable.  
Additionally, please configure an anonymous method of submitting comments or understand that officers WILL NOT provide honest comments for fear of promotion retribution.  ","keith.foy@fda.hhs.gov","10/01/2008","04:21 PM"
"College Station","9/ 21 - 27","Hurricanes2008","Yes","","Yes","no","N/A","Yes","No","Yes","Not applicable","Influence","Influence","Influence","Influence","","3 Effective","N/A","","","jim.white@ihs.gov","10/01/2008","04:32 PM"
"Hurricane Ike College Station","9/06/08 - 9/22/08","Hurricanes2008","N/A","Good communication through CAPT Andreason so OFRD was not needed.","No","Part of a MHT to respond to Florida and mission changed to create a RDF on the fly to respond to physical and medical health care needs of nursing home patients for extended time period.","Yes","No","Yes","Yes","Differences","Influence","Not applicable","Not applicable","Not applicable","","3 Effective","Yes","Caring for an older, frail population with dementia or emotional needs different from other ages requires awareness and trng from gerontology field.","#8 PHS employed an electronic data collection system which increased risk of harms to patients instead of an EHR with decision support tools, robust pharmacy package and aids to continuity of care between shifts and transitions of care. Work arounds were haphazard, not communicated among team and not the same with different nursing and medical staff.  Good EHR is especially impt when staff practicing beyond their scope of practice which was required of many I worked with.","tricia.trinite@ahrq.hhs.gov","10/01/2008","04:39 PM"
"Austin IRCT, several days in Galveston & Beaumont","10 Sept - 24 Sept","Hurricanes2008","Yes","Yes, as well as possible.  Travel arrangements were not well done.  We need a better system to moblize officers and tracking those who are already out, excused, returned, etc.","Yes","Somewhat,  I started in the IRCT in Austin and was sent downrange to Galveston & Beaumont shortly after landfall. Returned to the IRCT after 5 days in the field.   ","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","Dispite specific instructions from CAPT Beck, Travel still made my depolyment flight from the wrong airport.  Once in the IRCT, we had confirmation of 9 officers deploying to the IRCT but these officers went days with no flight or housing information.  Very late on the night before they were expected they received their flight information (again, one from the wrong airport).  Without the attention from the IRCT, these officers might have been reported as AWOL through no fault of their own. We need to work on a better interface between OFRD and Travel or increase the OFRD staff to handle travel.  
In working in the  IRCT and checking on some officers who were listed as 'Failed to Deploy' by the AO at one site - we discovered several were actually on site, some were in route (due to very short notice on flights) and even talked to officers who were deployed to other sites.  We need a better tracking method to identify officers who have been excused by OFRD (for medical or other good reasons), have already depolyed and returned or are still in the field, are mission critical to their agencies or have truly disregarded orders.  
The methods of contacting people seem to be confusing.  I'm aware of several Tier 3 officers who have names starting with 'B' who were deployed together in College Station and in Katrina - while others with names later in the alphabet have never been called.  
Several deployed officers complained of officers at home who always seem to 'get out' of being deployed and others who find a quick excuse to be relased early (after 7 days so they qualify for a ribbon).  I hope OFRD is looking into ways to deal with these officers and also with supervisors who just don't want to let their people go.","CYNTHIA.KUNKEL@FDA.HHS.GOV","10/01/2008","04:57 PM"
"Eastern Texas Baptist University and College Station, Texas","Aug 31, 2008 thru Sept 12. 2008","Hurricanes2008","Yes","Yes","Yes","We initally responded to Hurricane Gustave then Hurricane Ike","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","XMS04MEX@aol.com","10/02/2008","05:46 AM"
"San Antonio, Texas","9/23 through 9/27","Hurricanes2008","Yes","","Yes","Yes. I was asked to report to IRCT in Austin but was rerouted to San Antonio upon arriving in Austin.  ","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","I did not receive a phone call from OFRD about deploying as only an email was sent.  This delayed my departure to destination.","alina.walizada@samhsa.hhs.gov","10/02/2008","09:01 AM"
"College Station","9/19-9/27/2008","Hurricanes2008","Yes","If we were given an itinerary with 24 hours notice that you were definately deploying, I believe it would have relieved alot of stress on officers.","Yes","No","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","This deployment allowed me to particpate in a wide variety of duties including medical,  supervising, discharge planning,  logistics and pt education.  These duties ""outside"" of my normal job role will be beneficial in the future.  ","dschantz@bop.gov","10/02/2008","09:04 AM"
"Federal Medical Station, Reed Arena, Texas A&M University, College Station, TX","9/22-9/26 ","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","dug5@cdc.gov","10/02/2008","09:48 AM"
"College Station, TX","9/18/08 -9/27/08","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Influence","","4 Very Effective","No","","","david.beckstead@dhs.gov","10/02/2008","12:19 PM"
"College Station, TX","09/21/08 thru 09/27/08","Hurricanes2008","Yes","","Yes","No, I was deployed as a pharmacist and did mostly pharmacy related work. Although everyone during the deployment pitched in to help were ever help was needed.","N/A","Yes","No","Yes","Not applicable","Differences","Differences","Not applicable","Differences","","4 Very Effective","No","","I felt the deployment was a great experience and I'm looking foward to deploying again. Seeing PHS officers at their best was very inspiring. The leadership was very good and guided the officers very well. Overall the mission went off without a hitch and things ran very smoothly considering all the chaos surronding us.","Frank.verni@fda.hhs.gov","10/02/2008","12:33 PM"
"college station, TX","9/23 - 9/26","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","Better training on electronic records would have been helpfull","","mark.black@ihs.gov","10/02/2008","12:41 PM"
"FMS at College Station, TX","09/21/2008 to 09/26/2008","Hurricanes2008","N/A","I had no questions that needed to be asked.  Information about travel was improved since Katrina/Rita.","Yes","Facility was in the process of closing down upon my arrival.  This was the reason for my short deployment","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","Electronic Pharmacy package needs to be added to the EMR.  This would be capable of a complete medication history and profile with a list of medications provided by FMS, by patient and dc'd medications.  The pharmacy package needs to be capable of printing rx labels.","Over 30 pharmacists were deployed in 2 days and then sent home within 6 days.  There was little overlap with the prior deployed pharmacist.  For this deployment approximately 10 pharmacists should have been deployed a week earlier for overlap and then with the facility closing down the rest should not have been deployed.","yan7231@bop.gov","10/02/2008","02:39 PM"
"Washington, D.C.","September 12-28, 2008","Hurricanes2008","Yes","","Yes","No","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","My deployment in Washington, D.C. allowed me to understand how Intelligence is disseminated from the Secretary's Operation Center (SOC), the National Response Coordination Center (NRCC) and the Joint Field Office (JFO).  I felt a sense of purpose working with FEMA and the Administation for Children and Families and carrying out their mission and goals.  I was also able to assisted not only the various agencies I worked with, but also populations affected through distribution of key information, data and reports.  I felt a sense of accomplishment introducing various process improvement tools and streamlining reports and collection of data.","gerald.brozyna@cms.hhs.gov","10/02/2008","03:37 PM"
"Baton Rouge","9/3/08 - 9/16/08","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","mark.pike@ihs.gov","10/02/2008","05:29 PM"
"Atlanta, GA & College Station, TX","9/6/08  to 9/24/08","Hurricanes2008","Yes","Travel arrangement were slow to arrive.  I received my travel information about 7pm on Friday and had to leave for the airport at 5 am on Saturday.","Yes","Yes,  We intially went to Atlanta, then moved to Dallas and on to College Station.  This was due to the changing path of Hurricane Ike.","No","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Billeting in College Station was an issue.  Hotels were not available so we stayed on cots in the Arena.","keith.shortall@ihs.gov","10/02/2008","06:37 PM"
"Texas A&M","9/6 - 9/21/08","Hurricanes2008","N/A","","Yes","They placed both the patients health and my licence in jeapordy by accepting patients requiring a level of care we could not offer. Ex: a tracheostomy patient was accepted on the night shift. We did not have the correct oxygen mask for him and he remained on a nasal canula instead of mask for a trach - he coded due to the lack of oxygen. They gave us sicker patients and no supplies to care for them","No","Yes","N/A","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","drug culture - people started selling their pain medication which required that we monitor the problem","4 Very Effective","No","","I have no issue in caring for patients.  I have significant concerns about placing patients with high acuity in an environment that I consider to be unsafe due to the lack of staffing, equipment, and supplies.  Keeping patients in an environment that can cause deterioration or endangerment does not seem to be part of our mission.","carolyn.cahn@cms.hhs.gov","10/02/2008","06:42 PM"
"College Station, TX","Sep 16-26, 2008","Hurricanes2008","No","First notification over a week before actual departure","Yes","NO","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","Time frame between flights (less than 5 minutes) caused luggage delay.
Better identification of specialty experience/training to have more effective role during deployment
Lack of coordination for adequate billeting, food, and attention to mental health needs of officers during deployment
Lack of coordination between demands of work load/deployment roles and officers available","candice.cotton@ihs.gov","10/02/2008","06:52 PM"
"FMS College Station, TX","","Hurricanes2008","N/A","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","1. My itinerary notification only went to my work email and not my home email. Luckily I had gone in to work on Saturday to finish up in preparation for deployment otherwise, I would've missed the flight. 
2. Training for the electronic medical record should be done prior to deployment.
3. The electronic medical record is in serious need of improvements. (ie, drug database, ability to ""see"" pending pharmacy orders, ability to differentiate between active medication orders and discontinued or expired orders, ability to retrieve prescription data, etc)
4. Overlapping the staff for better pass on... The initial crew left on Monday and we arrived Sunday night.","iahlstrom@bop.gov  OR iahlstrom@comcast.net","10/02/2008","08:09 PM"
"IRCT-West (Austin, Texas)","9/18/2008-9/30/2008","Hurricanes2008","No","I was deployed by CDC and OFRD kept trying to deploy me somewhere else at the same time. Both I, and CDC, had contacted OFRD multiple times about my deployment. At one point, I was on the verge of being considered AWOL.","Yes","No.","N/A","No","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","jgrant@cdc.gov","10/03/2008","02:33 AM"
"College Station, TX","9-19-08 to 9-26-08","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","I have not received my reimbursement at this time but I just submitted it on 9-29-08 so I am not expecting it yet.  

Would have been nice as Tier III to have received more notice.  I received an e-mail on 9-18-08 @ 10:30 a.m. saying I was selected to deploy.  At that time, I wasn't sure when I would go but thought that I would have 2-3 days to prepare.  Later that evening at 6:30 p.m., I received a second e-mail with my itenerary to leave the following morning at 10:30 a.m.  Less than 24 hours notice.  I understood that Tier III would have more time to prepare than that.  

The deployment experience went well for me.  I felt badly for the PHS officers that were at College Station initially.  By the time I arrived on 9-19-08 most of the kinks were worked out and there were more than enough staff available.  The initial deployment team were much less fortunate and when I arrived the morale was really low.  Once those initial PHS officers were released home the moral had a drastic change and I think it affected the overall satisfaction and positive outcome of our patients and all PHS officers.  ","misty4061@yahoo.com","10/03/2008","11:00 AM"
"Austin, Texas","September 10 - 24, 2008","Hurricanes2008","Yes","","Yes","no","N/A","Yes","Yes","Yes","Differences","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","More officers were deployed than needed. ","paula.foster@ihs.gov","10/03/2008","12:43 PM"
"College Station","9/17/08-9/26/08","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","This is a totally ineffective and ridiculous questionairre that does absolutely nothing to assist the deployment team to improve their response to this crisis. This deployment was carried out haphazardly with ineffective staffing, ineffective leadership resulting in extreme staff stress and mental breakdown, and below standard patient care. THAT is what should be addressed here, not my cultural barriers or influences.","bcook@scf.cc","10/03/2008","01:11 PM"
"Little Rock ,Ar., Dallas & Austin, Tx.","7 -23 Sept. 2008","Hurricanes2008","Yes","","Yes","Mission evolved as new information was recieved and process of Patient Advocacy Team was developed.","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","netonw@yahoo.com","10/03/2008","02:36 PM"
"College Station TX","9/19/08 - 9/26/08","Hurricanes2008","Yes","","Yes","I was deployed in the role of floor staff nurse; then put into the role of discharge planner.  This was an excellent opportunity for me to utilize my advance practice nursing skills in case management and function as a discharge planner.  Ideally, I would like to deploy as a discharge planner in future deployments.","Yes","Yes","No","Yes","Differences","Influence","Differences","Differences","Influence","","3 Effective","No","","","susan.mathew@ihs.gov","10/03/2008","03:58 PM"
"Atlanta, GA, Dallas, TX, College Station, TX","09-06-08 TO 09-22-08","Hurricanes2008","Yes","ROUTINE EPISODES OF HURRY UP AND WAIT, BUT OVERALL IT WENT WELL.","Yes","","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","ROBERT.VALANDRA@IHS.GOV","10/03/2008","04:47 PM"
"ilhxmVbLTfiqwKrymB","sXAbhncGjCQxQhKTOX","Hurricanes2008","Yes","SOzrfG  <a href=""http://dxfyoqcvzubo.com/"">dxfyoqcvzubo</a>, [url=http://kkmozvbfzxgu.com/]kkmozvbfzxgu[/url], [link=http://tulaxpxijeyo.com/]tulaxpxijeyo[/link], http://gequnojwbrts.com/","Yes","SOzrfG  <a href=""http://dxfyoqcvzubo.com/"">dxfyoqcvzubo</a>, [url=http://kkmozvbfzxgu.com/]kkmozvbfzxgu[/url], [link=http://tulaxpxijeyo.com/]tulaxpxijeyo[/link], http://gequnojwbrts.com/","N/A","Yes","N/A","N/A","Influence","Influence","Influence","Influence","Influence","SOzrfG  <a href=""http://dxfyoqcvzubo.com/"">dxfyoqcvzubo</a>, [url=http://kkmozvbfzxgu.com/]kkmozvbfzxgu[/url], [link=http://tulaxpxijeyo.com/]tulaxpxijeyo[/link], http://gequnojwbrts.com/","4 Very Effective","No","SOzrfG  <a href=""http://dxfyoqcvzubo.com/"">dxfyoqcvzubo</a>, [url=http://kkmozvbfzxgu.com/]kkmozvbfzxgu[/url], [link=http://tulaxpxijeyo.com/]tulaxpxijeyo[/link], http://gequnojwbrts.com/","SOzrfG  <a href=""http://dxfyoqcvzubo.com/"">dxfyoqcvzubo</a>, [url=http://kkmozvbfzxgu.com/]kkmozvbfzxgu[/url], [link=http://tulaxpxijeyo.com/]tulaxpxijeyo[/link], http://gequnojwbrts.com/","baexnf@uwwsev.com","10/03/2008","10:56 PM"
"College Station","9-19 to 9-26","Hurricanes2008","N/A","","Yes","no","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","A telephone call in addition to a deployment e-mail would be appreciated. Some of us when in travel status do not have access to e-mail. Our cell phone numbers would be more effective in notifying us of deployment.","","10/04/2008","10:06 AM"
"Baton Rouge, LA","8-31-2008--9-11-2008","Hurricanes2008","No","We were told via email to not bring a sleeping bag to cut down on luggage. We were told we would be in a hotel type place.  Well...we were on the floor in a hall or gym floor.","Yes","","N/A","Yes","Yes","Yes","Differences","Not applicable","Differences","Not applicable","Differences","","4 Very Effective","N/A","","EMR was a great computer the program was good and easy to learn.  However, the pharmacy and medication administration record was very confusion and needs work on that program and training of the EMR for all staff involved in medications.  ","","10/04/2008","03:08 PM"
"College Station, TX","9/21/08-9/27/08","Hurricanes2008","Yes","Yes the OFRD did respond appropriately.  They were very helpful in answering my questions","Yes","no","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Overall I thought it was agreat deployment.  I am glad to be part of a great organization.  I look forwad to deploying in the future.","r4carter@bop.gov","10/04/2008","06:55 PM"
"College Station, Texas","Sept 6 - 19, 2008","Hurricanes2008","Yes","No, I had not received a packing list.","No","the mission requirements changed because the acuity of the patient population changed.  We were to accept only level 1-2 patients.  In the end, our initial patient load were generally of acuity level 4-5.  This change in our mission and the fact that we were inadequately staffed at the onset(a FMS needs appropriate nursing staff at the onset - 15 patients to one nurse is in adequate), caused dangerous conditions for patients.  As a physician, I and most of the other staff needed to become nurses or nurses aids for most of the mission.  Since we all still had duties from our primary jobs, this lead to undercared for patient population.","No","No","Yes","Yes","Not applicable","Influence","Not applicable","Not applicable","Differences","As a pediatrician I am not fluent in nursing care patient needs or abilities to communicate.","2 Somewhat Effective","N/A","Yes, if I had been trained as a family medicine physicians and a nurse.  Additionally, all providers need to have ACLS certification prior to deployment.  Our code team was not adequately trained as well.","Due to poor staffing, poor planning, lack of leadership and organization, we were fortunate that we did not have more patient injuries, illnesses, and deaths.  The OFRD has only the MEDICAL STAFF who worked continuously during this mission to thank for their overwhelming efforts in this deployment.  ","susannah.olnes@ihs.gov","10/06/2008","10:27 AM"
"MS and AL","Oct. 31- Sept 12,2008","Hurricanes2008","No","","Yes","No","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","","10/06/2008","11:14 AM"
"College Station, Tx","September 22-27, 2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Deployment was better coordinated during the 2008 Hurricane season.  Travel was coordinated very well.  Leadership was seasonsed in running FMS.  Overall, FMS in College Station, TX was a success.","quyen.tien@fda.hhs.gov","10/06/2008","11:55 AM"
"Austin Tx","9-19-08 to 10-3-08","Hurricanes2008","Yes","","Yes","Infection control check list for the FMS to Community Assessments","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","","eleanor.morin@ihs.gov","10/06/2008","12:02 PM"
"College Station, TX","9/21/08-9/26/08","Hurricanes2008","N/A","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","","10/06/2008","12:16 PM"
"College Station, TX","09/19/08 to 09/26/08","Hurricanes2008","No","I have to call the head office several times to get updates and when to leave.","Yes","","N/A","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","mtmorgan@anmc.org","10/06/2008","12:26 PM"
"FMS Marshall, TX and FMS College Station, TX","August 31, 2008 to September 16, 2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","","shannon.hill@fda.hhs.gov","10/06/2008","01:57 PM"
"Alexandria Louisiana and Bossier City, LA","08/31/2008 through 09/15/2008","Hurricanes2008","Yes","My orders to deploy were e-mailed to me at 0100 on 08/31/08 and instructed me to be on an 0600 flight.  I did not see the e-mail until noon, but fortunately I was able to reach the SOC and get an after hours number for Omega Travel to get my flight rescheduled for 1830 on 08/31/08.  A more timely delivery of the deployment notice would have been helpful.  I was checking e-mail until 2300 on 08/30/08, so I was surprised to see an e-mail was sent at 0100 on 08/31/08.  I understand the huge logistical task to deploy hundreds of officers in a short period of time, but it is very distressing to be in a situation where I was trying to be diligent, and yet I still missed the e-mail for my deployment.","Yes","Yes, on the eighth day of my deployment, a new mission was identified where a pharmacist was needed, so I volunteered to leave Alexandria LA and travel to Bossier City LA.  I worked in a shelter with one DMAT pharmacist serving a shelter population of approximately 120 patients.  The shelter re-opened for Hurricane Ike and housed approximately 50 medical needs patients and their caregivers.  During that time period the DMAT pharmacist was demobilized and was replaced by a PHS pharmacist.","No","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","Communication to the entire team from the Incident Commander could have been better.  Information was not provided in structured meetings on a routine basis.  I enjoyed working with the DMAT teams from Missouri and Ohio at the Bossier City Shelter.  It was very rewarding serving the patient population in both shelters.  CAPT Linda Crosby, Pharmacist in Charge at the Alexandria Shelter did an outstanding job and it was a pleasure working with her.","walter.fava@fda.hhs.gov","10/06/2008","02:17 PM"
"My response is limited to the set up & manning of operations for 2 Fed Medical Stations:  1 at East Texas Baptist University in Marshall, TX & 1 at Texas A&M in College Station, TX.  I am a PHS Commissioned Corps Nurse Officer & on the on-call roster for Aug 2008.  "," Monday 1 Sept 2008 - Monday 15 September 2008 --  I have also provided feedback to the following web site for my deployment --    http://teams.hhs.gov/aar/","Hurricanes2008","No","Improvements needed:  Communication of initial travel orders to people who are designated to deploy.  Example:  For my orders there was a dis-connect between a contract provider (Davis) & Omega travel.  Based on group e-mails being sent out by the other folks being deployed, I called Omega directly & found out that I had orders & my air plane would leave in 30 minutes.  That was the first information that I had.  Fortunately, I was able to get that one canceled and get another flight out of my area.  
Also, I don’t know how hotel information is usually handled, but I got that information through group e-mails of the other participants being deployed as well.  
","Yes","For myself during future deployments, I will take a blank print out of the travel voucher for OEP with me.  Consideration should perhaps be given to include a blank OEP travel voucher in the pre-deployment checklist so that everyone will know from the start what is important to keep track of & to actually have the form will be helpful to fill out on a day by day basis.  
During 15 days, I had 4 air flights, 4 bus trips, 5 different hotel stays and of course several days of sleeping on cots in gymnasiums and arenas.  Taking a form with me ahead of time would be helpful.
","Yes","No","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","My response is limited to the set up & manning of operations for 2 Fed Medical Stations:  1 at East Texas Baptist University in Marshall, TX & 1 at Texas A&M in College Station, TX.  I am a PHS Commissioned Corps Nurse Officer & on the on-call roster for Aug 2008.  
Strengths: 1) willingness of team members to work together for all areas of responsibility.  2) Leaders who communicated the necessary information to the group as needed.  3) Readiness of the workers to follow directions of the leaders  4) Use of local volunteers in College Station, TX ie Nursing Students & Medical Students to assist in providing hands on pt care.  


Question 2
Improvements needed:  Communication of initial travel orders to people who are designated to deploy.  Example:  For my orders there was a dis-connect between a contract provider (Davis) & Omega travel.  Based on group e-mails, I called Omega directly & found out that I had orders & my air plane would leave in 30 minutes.  That was the first information that I had.  Fortunately, I was able to get that one canceled and get another flight out of my area.  
Also, I don’t know how hotel information is usually handled, but I got that information through group e-mails as well.  
For the FMS missions that I participated in, the mix of personnel needed to include more nurses for the hands on nursing care of nursing home patients & patients that were homebound & needed assistance with daily activities, Ex – basic hygiene, dressing, eating, etc. 


Question 3 / 4
Though I answered “yes” to this question, I need to provide more information.  I don’t think this applies to my situation as much as others that were higher up in the command chain.  
There is little that we could do as primary hands on nursing care providers to change our environment for the patients that came to us.  We tried to adapt what we had to work with to what was needed for each patient.
I discuss in a later question how some material and equipment changes could be made to better provide the care that was needed.  (Questions 8 & 9).  

Question 5
There needs to be standardized procedures during Triage of the incoming patients – for a designated person (or perhaps 2 persons, but no more than 2) on each Triage team to be responsible for physically searching the patient & all their belongings & asking care providers (if any are present with the patient) if there are any medications present.  

At College Station, TX, when we were getting a lot of patients to triage in the initial stages of accepting the evacuees, I discovered in my section (about 26 patients to care for) that there were 3 individuals that had medications on their person or in their possession.  These 3 individuals could not be responsible for self-medicating with their own medications.  1) a hospice patient that could not turn in the bed without assistance had been in a cot on the Arena floor for 2 days when her medications were found in a “Huggie’s wipes container.”  Her medications included Dilaudid drops for pain.  Narcotics were supposed to be removed at the Triage area for submission to the Pharmacy.
2.  A patient with seizure medication was discovered to have her medications in her bed linens 2 days after being in a cot on the Arena floor.  3.  an older male patient with Alzheimer’s disease was discovered after being in a cot on the Arena floor, to have his medications which included Aricept and Morphine.  
These are dangerous situations.  The elderly individual with Alzheimer’s disease could have easily mistaken his medications and doses and could have died with taking too much of his morphine at one dose. 


Question 6
I think the biggest issue that resulted in limitations for patient care was the number of patients to nurse ratio.  There were a lot of patients with high acuity ratings & a lot of those individuals did not have a home care provider come with them or any relatives.  This made it very difficult to actually determine what the issues were with any patient that was not competent to relay information in an accurate manner. 
One must consider that many of these people were taken in an urgent manner by local Emergency workers - & there was no extra time to gather all medications and medical records, much less clothing & necessary supplies.  
Triage at the site had to take place in a VERY rapid manner when many patients had to be triaged in a short time frame from all sorts of transportation means (some were evacuated by air, others by ambulance and / or the fire department).  
It would have been a huge benefit to have more trained nursing personnel.
I think the highest priority for planning would be to determine the maximum number of patients that any locale could support (assume that a high percentage of those patients will be bed bound) and then to make certain there are enough personnel to provide the hands on nursing care for all of those patients without depending on the patient having their own “home care health provider” on site.  
The next highest priority would be for food supply.  There were not enough resources to provide for all the special dietary needs of a bed bound population (ex. diabetic, pureed foods, ensure etc).  Accommodation for special dietary needs of this type population should be anticipated.  


Question 7
I can not answer who should be assigned the responsibility for the corrective actions.  


Question 8
Equipment that should be changed from what was available at the FMS for the patient populations encountered at Marshall and College Station, Texas:
There is a need for a much greater percentage of the cots to have the capability to elevate the head of the cot.  Many patients had tube feedings, were bed bound, could not feed them-selves, had COPD, or had COPD & were on Oxygen, etc.  
The cots were low to the ground & for VERY heavy patients (which were a lot of our patients) and were not suitable to provide support to those heavier patients.  These low cots were not conducive to utilizing good body mechanics in moving, changing, cleaning & / or feeding these patients.
The bedding was totally inadequate for using with patients that were incontinent or could not get up and walk on their own to the toilets.  Also bed bound patients that are heavy should have linen (or a suitable substitute) that could be utilized to move the patients with (example – the “paper” sheets would tear at the least amount of stress).  
Laundry services should be obtained if at all possible for bed linens, etc.  
Some clothing articles became available after a couple of days in College Station, but should be there at the beginning of the set up.  


Question 9
I need more training on all these issues to understand completely where the equipment comes from, who is responsible for ordering, maintaining and storing it.  Nor do I know where it is manufactured.  Therefore, I can not provide constructive feed back for this question.

Even though I don’t know who would be responsible for this, there should be a letter from the higher ups to the local Community Leaders at College Station, Texas who were responsible for coordinating all the volunteer efforts including the Nursing Students and the Medical Students.  EVERY one of those volunteers, community workers as well as EACH student should have a letter of appreciation and recognition for their efforts sent to them, from the Federal Government.  That would be a very small amount of payment for their invaluable work – a lot of these volunteers worked until at least 2300 hours at night & some were there later than that.


Question 10
For this mission, I don’t think I can contribute any further information than was provided in the previous questions. 

For myself during future deployments, I will take a blank print out of the travel voucher for OEP with me.  Consideration should perhaps be given to include a blank OEP travel voucher in the pre-deployment checklist so that everyone will know from the start what is important to keep track of & to actually have the form will be helpful to fill out on a day by day basis.  
During 15 days, I had 4 air flights, 4 bus trips, 5 different hotel stays and of course several days of sleeping on cots in gymnasiums and arenas.  Taking a form with me ahead of time would be helpful.

I do not know the criteria for per diem for meals on these deployments.  But when I was active duty in the army, if operations required 24 hour / daily coverage, per diem was granted routinely IF mid-night meals could not be provided to the night shift personnel.  Taking this into consideration, only once was a late-night meal provided & I don’t know how it was provided and I don’t know if all the night workers were able to participate.  

I would like to have a specific acknowledgement for our Tier 3 Team Leaders (Tiger Team) who were immensely helpful in all phases of the deployment including providing post-deployment / demobilization follow up for our team – CDR Catherine Vieweg provided a completed & filled out example of our OEP Travel Expense Report (without which I don’t know if I could have filled it out correctly) - also Commander Paul Reed, Chief Medical Officer & also LCDR Gregory Davis.  
","laverne.puckett@fda.hhs.gov","10/06/2008","02:29 PM"
"College Station","9/21-9/27","Hurricanes2008","No","Received an itinerary and that's it.  No phone call or communication on travel arrangements from Airport to site.","Yes","No","N/A","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","Communication prior, throughout, and post deployment should be addressed.  This would include objectives, timelines, and goals.  Too many officers standing arround.","laura.herbison@ihs.gov","10/06/2008","03:05 PM"
"Alexandria LA","8/31/08-9/16/08","Hurricanes2008","No","The ""emergency"" lines were unmanned. No information was given as to actual departure date/time. Itinerary sent at 21:58 for a flight that departed at 22:10. Actual deployment location changed twice while enroute. Onsite transport from point to point ambiguous and without any apparent planning. ","Yes","Yes. For the second hurricane, Ike, we were told by the onsite team commander that we didn't have a mission and with the refusal of the onsite commander to provide briefings, there was no organization or meaningful utilization of PHS resources","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","With regard to item 9. I have yet to be reimbursed although I submitted my voucher AND receipt within 3 days of returning. I been asked three times for a parking voucher that I submitted. Also; deployment teams were broken apart resulting in a wasting of training and preparedness that the RDFs had participated in. The onsite commander at the Alexandria site behaved unprofessionally routinely in the presence of other agencies and political entities, refused to utilize a command structure in favor of a single decision-maker structure. Some officers had no duties and indulged in inappropriate behavior. ","vachonis@msn.com","10/06/2008","06:43 PM"
"College Station, TX","9-6 to 9-22","Hurricanes2008","Yes","","Yes","","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Medical personell should have set up supplies in an alphabetical manner. There should have been prepared and served meals for the night shift (midrats). Sleeping arrangements could have been better. Nutricious meals should have been planned better. Laundry services should have been planned. More providers and nurses should have been there. The ratio for nurses was 1:15, not the 1:4 as it should be. Physician ratio was 1:20. There should have been a basic dental instrument set included for emergencies. Duct tape was NOT included in the Tri Walls- it is a very valuable commodity. The Tri Walls could have been more clearly labeled as to contents. It the contents label included certain items, it should have been in the container. EG: the container that listed strip electrical connectors number of 15, had non in the container. Adefinate shortage of blankets for patients and deployed staff. A lack of adequate bed sheets for patients. Shortage od O2 condensors. Inadequate extra large besd. The patient trapeze lifts did NOT i9nclude the trapeze and straps in the first 5 units. An emergency order for straps included 5 units with the trapeze and straps missing. This should be checked in the original packing and the trapeze and straps lashed to the metal units. 
There were NO Band Aids in the Tri Wall supplies. Inadequate food for vegetarian officers of which there were a fair amount.
The Corp of Cadettes at Texas A&M were superb. There was a list of all the volunteers and there should be an Outstanding Unit Citation for them with a PHS ribbon and letter for each one. Thay are allowad to wear the award on their uniforms. The Texas A&M kitchen supervisor and her staff dis a magnificient job in assisting our officers in providing food, supplies, and equipment to feed patients and staff. The other student volunteers- medical students, nursing students, regular students, and others should be commended for the many hours volunteered. The many deployed officers that routienly spent 12-14 hours a day just to keep up. We deployed with 204 officers and could have used at least another 100 just to do our jobs. Using the provided computers was not that difficult but it would have made it easier if a training silibus were provided a head of time for familiarization. This form should have a spell check. Officers were upset over the constant changing of sleeping quarters. 
More officer moral building perks could have been provided. Quieter sleeping quarters would have been welcome. The ladies sleeping quarters had blazing lights on 24/7. Instruction on foot care in using combat boots should have been provided way prior to deployment- how to break boots in, insoles to be added, thickness of socks to use, foot powder, ""mole skin"" for rubbing. Packing of suitcases with wheels rather than heave duffels- hard to move distances. Create mini courses in food handling, supply stocking, basic patient for non medical providers, Tri Wall handeling, officer mental health care for prolonged exposure to deprived patients and their care. PTSD care for all officers involved in a traumatic deployment- those involved in direct patient care which was almost everyone. This was traumatizing in that all the patients required a lot of care and that there were not enough nurses to help prevent possible patient death senarios. The nurses were breaking down in our meetings because of the stress. On demobilization, there was not enough planning for 17 officers that got to the airport, and had no itteniaries. This necessitated waiting for 4 hours for travel arraingements.","saunders.steiman@ihs.gov","10/06/2008","07:08 PM"
"Baton Rouge, LA","9-3-08 to 9-18-08","Hurricanes2008","Yes","","Yes","NO","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Worked with the IRCT Chief Pharmacist providing pharmacy supply/logistics in the JFO...it was great!  Great learning experience and FMS's & DMAT's got their required medications/supplies needed to do their job.","frankb.martin@ihs.gov","10/06/2008","07:33 PM"
"Alexandria, LA","8/31/08 to 9/16/08","Hurricanes2008","No","No, I did not receive a call to notify me of my airline flight which left at 0610.  I only received an email at 0100 that morning with an itinerary that I happened to find at 0200.  Otherwise, I would have missed the flight.  I never did receive travel orders.","Yes","The location of the mission changed 3 times within the first 12 hours.  After that, it remained at the same location, but the mission itself at that location changed 3 times as well.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Billeting was also less than ideal.  We were 3 days without a mission and were still living in the shelter on cots with limited access to vehicles.  We remained in the shelter in a large co-ed room for the entire 2.5 weeks.  Communication from the IRCT was often confusing and unorganized.  Throughout the deployment we received calls from a variety of people who had no idea we where we were and 4 officers even got called to deploy while already deployed.  ","linda.crosby@ihs.gov","10/06/2008","07:50 PM"
"College Station, TX","09/21 through 26/2008","Hurricanes2008","N/A","I did not ask for more information, but it was by chance that I found out I was scheduled to leave on Sunday evening. I just happened to open my email just after noon on Sunday and found out I was to leave in a few hours. It would have been very easy for me to have missed that message. A telephone call would have added certainty that I would be informed of these travel plans. And I had no idea about the nature of the deployment - conditions to expect - type of deployment - even a paragraph describing the general purpose of the TAM mission would have prepared me better as far as needed equipment. (I would have brought my own laptop which was needed and I would have left some equipment at home which was unnecessary.)","Yes","No, the requirements were pretty much the same throughout the deployyment.","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","My deployment primary role is IT/Comm/Intel. My category is Nurse. As we heard orientation introductions from the various team leaders, I realized the best use of my skills was supporting the NDMS Electronic Medical Record software/hardware (that is my day to day role at work.) One recomendation is to establish a Clinical Applications Coordinator role for deployments (CACs support EMRs and EHRs.)As we used and supported the EMR, we developed many suggestions for improving the software and hardware to enhance the usefulness and reporting functions of this package. We did offer some suggestions to the software vendor support person but he indicated he has no authority to command changes be made to the software, but suggested we speak with the NDMS Director. I believe a workgroup could be established (officers that have had a chance to use the software on real deployments) and we could forward a set of key requests to the director of NDMS for consideration. With a few changes, the software could be much better for typical longer term PHS deployments like College Station. I would be happy to participate on such a workgroup.","vthrutchley@bbahc.org","10/06/2008","08:33 PM"
"College Station, TX","9/19/08 - 9/27/08","Hurricanes2008","N/A","","Yes","There was a transition from a fully operational FMS to patient discharge and demobilization. ","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","jgraf@cc.nih.gov","10/06/2008","10:38 PM"
"Alexandria, LA","8/31/2008..9/13/2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","Yes","There were only 9 of us that originally had to set up the shelter - hands on training like the RDF teams have had would have been a huge asset.  None of the 9 officers there had any previous training (however, two of us had been deployed before).","Overall the exerience was much more organized than Katrina - I would be interested in joining an RDF team if needed.","jmalia@hivresearch.org","10/07/2008","09:10 AM"
"Jackson, MS, Atlanta, GA, and Baton Rouge, LA","31 Aug - 16 Sep, 2008","Hurricanes2008","Yes","However, I did not receive my travel information until about 10:30 PM the night before I was to deploy the next morning early.","Yes","Yes. First we took care of nursing home patients at Jackson, MS, we then moved to Atlanta, GA for staging for 2 1/2 days, and then finally to Baton Rouge, LA to augment the RDF 3 team. ","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Alot of new officers on this last deployment. It needs to be emphasized that they should be very flexible and willing to do whatever is necessary during their deployment. Also, alot of the officers were told not to bring sleeping bags and then needed them - they should routinely carry one just in case. Furthermore, as you will read from RDF 3 After Action Report, the cache with the computers never arrived to Jackson, MS so officers had to use personal computers. Additionally, there was a big miscommunication regarding which officers from the Baton Rouge, LA RDF 3 Team and the additional RDF 3 team officers coming from Jackson, MS to augment their team, were to go home after two weeks. It was very disorganized at the end of that mission and could have been handled smoother. ","Clindsey@hrsa.gov","10/07/2008","10:03 AM"
"College Station Texas","9/21/08 until 9/27/08","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Information through the grapevine about the previous leadership at Reed Arena, prior my arrival, had caused moral problems with some Officers. (Hess)
 
Some officers wore the PHS ball cap and T shirt with civilian clothing. This was criticized. However, the following is from the most recent Commissioned Corps E-Bulletin and may have 
caused confusion among officers wearing the BDU uniforms.

Q:  May the black PHS t-shirt be worn off duty? 
A:  Yes, the PHS t-shirt worn with the BDUs may be worn off duty with civilian clothes, as can the Command Ball Cap without rank or bill ornamentation. Sweaters, jackets, coats, and other uniform components may be worn also with civilian clothes as long as there are no rank or distinctive uniform insignias worn as well. 

I wore the Khaki uniform, but I actually prefer the Salt and Pepper uniform, as it is our sharpest uniform and it is unique to the PHS.

I left Reed Arena on a bus. As the two  buses with PHS Officers aboard,  pulled away from the curb at Reed Arena, the entire Command Staff in the very early morning, were on the side walk. They were standing in a straight row, at attention and saluting the buses as they were leaving.
This made a very positive and lasting impression on many Officers.

Thank you,

Bill Gould","wgould@bop.gov","10/07/2008","10:42 AM"
"Alexandria, LA","8/31/08 to 9/16/08","Hurricanes2008","No","I received no information about the deployment or mission from my team leader nor from OFRD.","Yes","While at the LSU Ag Center in Alexandria, I received information on the mission for Hurricane Gustav then after a week the team completed the mission for Gustav and we received no orders for 3. After the 3rd day, the team received new mission information to serve patients for Hurricane Ike.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Hurricane Gustav mission was not structured appropriately and communication was a problem. A team leader should have been appointed and should notify an RDF and others of the mission. I understand that this may involve 300 officers or more but everyone has email access. This would have allowed everyone to understand what our mission was during that time. The IRCT didn't provide the team daily updates of Hurricane Gustav and Ike. The team was left in the dark and we didn't have access to email to communicate to our families.","suryam.palanki@ihs.gov","10/07/2008","10:51 AM"
"Austin, Texas","September 19-29, 2008","Hurricanes2008","Yes","","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","I strongly commend the APHT-3 Leader CAPT Sven Rodenbeck for a well executed mission as well as all of the officers on this unique, highly-qualified team. I thank OFRD staff for a job well done in coordinating the deployments for so many officers. Thank you again. ","Lbishop@hrsa.gov","10/07/2008","11:43 AM"
"College Station, TX FMS","06-22 September 2008","Hurricanes2008","Yes","Yes, inital confusion occurred because activation e-mail stated that rallying point would be in Atlanta, GA but did not give a more detailed location.  I had to contact the RDF-X team leader and CDC DEOC to gain more information regarding this deployment in the early stages.","Yes","Yes, I was originally assigned to the Operations staff and worked on member tracking and dissemination of information related to the deployment.  Once in College Station the team was disbanded and I was assigned to the Administration team entering registration, tracking, and discharge data into the electronic medical record.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","dzb0@cdc.gov","10/07/2008","11:44 AM"
"Alexandria, LA","31 Aug 08-15 Sep 08","Hurricanes2008","No","We were told that motels would be available to us...sleeping bag not required.  I didn't receive my Itinary until very late Saturday night...after 1AM Eastern standard time the 1800 # was not active.","Yes","During Gustav we had our own mission, i.e. set up a 250 bed special needs facility.  The following week during Ike our mission changed to augment the state","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","This was the first deployment for many of us in our group….we were a mixture of RDF 2 & 3, & Tiers B & C.  What we accomplished during this deployment was amazing.  The hurricane evacuation building at LSU-Ag in Alexandria was just completed a week prior to our deployment.  We encountered massive sewer problems….someone had poured cement down the sewer drainage system in 4 different locations.  We came together as a group and adapted and overcame this huge hurdle as sewage backed up in the common area and into our hospital.  We moped, cleaned and disinfected until the problem was finally fixed a week later.  Also, keep in mind that there was not air conditioning through most of this sewer problem.  As a result of our actions, we had no public health issues that could have been catastrophic.  ","cdarrah@bmc.portland.ihs.gov","10/07/2008","12:08 PM"
"College Station TX","Septermber 21-26, 2008","Hurricanes2008","Yes","","Yes","No, other than length of need from 14 days to 6","N/A","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","jamie.shaddon@ihs.gov","10/07/2008","03:36 PM"
"IRCT-West, JFO, Austin, TX","9/11/08-9/24/08","Hurricanes2008","Yes","","Yes","","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","5 Undecided/Do not know","N/A","","","joe.creager@ihs.gov","10/07/2008","05:02 PM"
"Austin, TX  - JFO & Galveston, TX","9/19-10/3","Hurricanes2008","N/A","","Yes","4","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","as part of APHT # 3, I thought we/OFRD did the best we could considering the curcumstances","martin.guardia@fda.hhs.gov","10/07/2008","06:14 PM"
"Alexandria, Louisianna","August  31 thru September 16","Hurricanes2008","N/A","","No","Yes.  At first the mission objectives were unclear.  Those individuals who were in charge did not seem to know what they were or who (actual names of officers) who were to be present. We first were taken to Baton Rouge where they gave us the decision to go to Alexandria or LSU.  It seemed like it did not matter where we went.  I could have used a coin to decide because nothing was clear cut.  I chose to go to LSU but when my bus arrived they said we were suppose to go to Monroe, Lousianna and set up a hospital.  Then we started up there.  Half way there they said that those plans had changed and we were suppose to go to Alexandria and set up a hospital there at the LSUA Shelter.  ONce we got there we had more of a mission objective to fullfill during Hurricane Gustav and I was able to fullfil those requirements.  Then the mission changed for Hurrican IKE.  We remained in the same shelter but worked under the STate.  Working under the State of Louisianna changed the requriments and those changes were not in agreement to our licensure protocol.  As a pharmacist I was asked to assist in nursing/nursing assistant details.  ","Yes","Yes","N/A","No","Influence","Influence","Influence","Not applicable","Influence","","4 Very Effective","N/A","Maybe","","larron.dolence@ihs.gov","10/07/2008","07:16 PM"
"Atlanta, Addison and College Station","09/06/08-09/19/08","Hurricanes2008","No","I did not receive the same email that other officers in my deployment received.  ","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","tlewisbaker@bop.gov","10/07/2008","10:14 PM"
"College Station Texas, Reed Arena","9-21-08 through 9-26-08","Hurricanes2008","Yes","Could have been more information offered related to what was needed during this deployment. Turns out this deployment was to a more developed/less primative location. We didn't need camelbacks etc...","Yes","We transitioned from direct patient care towards demobilization of arena/site. ","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","Fortunately, I am an IHS RN with myriad of experiences on patient wound care and delivery of nursing interventions. ","I enjoyed this deployment/opportunity. I was able to seek out and be of use during this deployement in a variety of roles. I however, did notice some poor representation in officership on behalf of Captain Kelly. This individual was very abrupt/dismissive of junior officers. I had the distinct and offensive impression he was extremely ""proud"" of being a Captain. In stark CONTRAST Captain Coppola was very helpful in advice and guidance regardless of rank. I feel Captain Kelly could benefit from some direct guidance on leadership. He can also benefit on counseling related to appropriate dialogue between professionals. More than one occasion I noticed a complete disregard in practice of professionalism best represented by the statement ""discipline in private and praise in public"". I would welcome an opportunity to further discuss or explain my concerns related to this aspect of my deployment. It pains me to witness a senior officer be so callous in his actions and thereby, affect the representation of the Corp in a negative manner. ","stevemcmillan@yahoo.com ","10/08/2008","02:32 AM"
"College Station, Texas","9/22/2008-9/27/2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","I did not have any travel issues with this deployment.  I am aware of others who I was deployed with who experienced some travel issues and the time they were deployed was not their deployment month.  If it is not a person's deployment month, it would be helpful to receive a phone call or other notification before receiving travel orders shortly before departure time. 

Also, it would have been helpful to have more than one mouse for the computers as work could have been completed quicker. ","nicole.vesely@fda.hhs.gov","10/08/2008","08:28 AM"
"Baton Rouge, Alexandria","AUG 29 -SEP 16, 2008","Hurricanes2008","No","MOst of te communication came from our team members, planning, logistics and assume that information was coming from OFRD. The only information that was sent was directions to the Rally point which came too late.  ","Yes","Since this was the first time setting up SNS, since Katrina, our teams mission we thought was clear however the expectations of having a team set up two SNS with no rest and then begin to accept evacuees was an exhausting,  dangerous, and not well thought out plan. Our teams are trained to augment state resources, and it seemed as though there were none to assist us, in the set up of these shelters.  ","Yes","Yes","N/A","Yes","Not applicable","Differences","Differences","Differences","Differences","This population seemed to be those who require special care, high medical needs, and most did not seem to be compliant with their past medical regimine. There was one evacuee who spoke Vietnamese, and luckily we had a team member who could communicate with him to assess his needs. many of the medical and mental health , special needs evacuees were those who were independent to some extent prior to this event and to think we were going to change their lives in three weeks had some providers creating false expectations. we tried to allow as much independence and autonomy and still maintain a safe shelter, with exceptional nurseing , medical and mental health care.Most of these evacuees were thankful for the care they recieved and told us they were grateful for our services and caring attitudes. ","4 Very Effective","Yes","As a Nationally Certified Case manager, my expertise and experience was extremely helpful to the team in setting up the SOP for DC planning and transportation once the home was safe to return to . Also my 28 yrs of Nursing and management allowed me to assist the non nursing staff in understanding that many of the tasks on this deployment were NON nursing functions and ALL can be helpful in these settings to take the burden off of the Nursing staff who are required to do skilled care. I have suggested training for these types of shelters to ALL Officers ALL teams so that they ALL may function to full expectations in these settings. Training in ADLS, Positioning patients, feeding patients, assisting in out of bed, wheelchair, scooter, electric wheelchair, how to use a Hoya Lift, what are different types of transportation needs for the evacuees who are non ambulatory. are these evacuees set up with Home care? How does this resume after desaster? All of these topics need to be understood, to some extent as these evacuees, will be discharged back to home or some other setting. ","This was the my second experience predeployed to Hurricane and it felt like Deja Vu, but that being said, I was able to pull from my 28 yrs of nursing , management , and case management experience to make the admission, in patient care and then dc planning and setting up transportation processes one that allowed our team to coordinate smooth transitions for these families back to their homes. Once this was explained to my team , I was put in charge of this d/c plan and coordinated with local , state resources to facilitate a smooth transition for these evacuees back to their homes, or alternative living arrangements once it was safe to do so.What shocked me was that it seemed as though the local and state took no responsibility in this process to assist and facilitate getting these people back home.  Our team RDF2 came togehter and supported one another when we felt as though no one of our own leadership cared about what was happening on the ground. Where are they and do they know what is going on here? As a charge nurse it was important to listen to the officers and do our best to care for ourselves as well as the evacuees. The evacuee to Nurse ration in some sections was 70 to 1 and this became overwhelming as many of these evacuees needed some assistance or total care. Most of us felt as though were utilized inappropriately in the set up phases, and could have been sent earlier to assist local and FEMA with set up as a TEAM so we could be fresh to care for the evacuees.  We were totally depleted once two SNS were set up and then recieved evacuees, but we got it done. It did not seem like the IRCT cared about the humans attatched to this mission as care givers and officers. We learned alot once again , what we did good and bad. As a team we were proactive to corrrect systems and make them work to suit the mission. As a team we supported one another to get through the most difficult days and nights and when it was all over we stood back and said we did a great job, did not have one death, and many went out happy and healtheir than they arrived. Every evacuee stated how grateful they were for our service, professionalism, and caring attitudes. Those were the things that brought many of us to tears, when we could finally catch our breath and say WOW! What a great team, and what a great job we did. It will be interesting to see how many officers remain after their three year commitment to these teams that we feel are being marketed inappropriately as 105 member self sufficient teams. We are not.These two experiences have been the most challenging and rewarding times as an Officer and an RN , asside from 9-11-01. I accepted this commission with the understanding that I have a higher calling and in this role, I am living that dream. Thanks for this opportunity.    ","lindajo.belsito@dhs.gov","10/08/2008","10:25 AM"
"Alexandrea, and Bossier City","8/31/08 - 9/16/08","Hurricanes2008","No","Deployment logistics was very disorganized and provided no detail as to where I was to be deployed. The emails that were sent only contained information that I would be sent to Atlanta, with no information as to where I was to go until after I left on travel. I had no ability to access my email once I left and had no contacts to call to find out details. I finally had to call Omega who gave me details to report to Atlanta Aviation. There, no one had any listing of where we would be deploying. There was confusion as to which bus to get onto once in Baton Rouge that held up our travels. We arrived at one location to be told we would not be staying and would be moved to Monroe. Once it was established where we were going, our bus was stopped in the middle of our travels to be diverted to a new location. There has to better communications, organization, and management of these deployments. OFRD needs to strongly recognize that these logistics failed and needs to identify the issues and rectify the problems before another major event occurs. I don't mind being pulled here or there, but this can have significant impact on a devastating situation. Emails prior to our departure needs to better prepare us for the environments that we will be exposed to. It was not helpful at all to be given information that we ""would not be needing a sleeping bag"". With that information, I threw out my sleeping bag and pad out of my go bag. We had cots but no blankets, we had to use the blankets that were meant for pt use. Communication has to improve in all aspects of the deployment.   ","Yes","Yes. I was deployed to augment an RDF team and was sent elsewhere to augment DMAT. Members of an RDF team were split apart to augment other sites. The fact that federal dollars were spent to train these teams with specific goals was disregarded when organizing and deploying personnel to specific locations and teams were left stripped of personnel.","Yes","Yes","Yes","Yes","Influence","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","I adjusted very well.","OFRD really needs to consider improving mobilizing and deploying at a moments notice. Whether that means increasing the numbers of personnel actively working on the deployments or improved training. I realize that it has to be a logistic nightmare but with better preparation can be a very effective response. It is very obvious that we are still learning how to utilize NIMS and the incident command structure, and need to look to other agencies who are proficient in its use to learn from. Communication on all levels has to improve to be better effective in responding to major events. On a positive note, The RDF teams were well trained to carry out our missions. Team members were very cohesive and able to identify their roles and responsibilities and worked tirelessly to get the job done. I am very proud to have worked with our team. Corp personnel have the most well rounded skills and can pull together to make any situation work. This is very special and needs to be considered when pulling apart teams to augment other response teams like DMAT. Understandably we are working jointly with NDMS, the fact is that the mission, and objectives are completely different. Their personnel comes with one focused objective to perform in their specific roles whereas our corp is capable of a wide variety of skill sets and are not afraid to use them. ","","10/08/2008","12:59 PM"
"Austin, Texas","09/18 - 10/03/2008","Hurricanes2008","Yes","","Yes","The APHT mission was not very specific by design.  Once we got on the ground and met with the state we were able to determine what specific issues/needs the state wanted us to address.","Yes","Yes","No","Yes","Not applicable","Not applicable","Influence","Not applicable","Not applicable","Texas is a home rule state so the state health department can not tell the county or city health department what should be done.  We had to be invited in.","4 Very Effective","Yes","We need to resolve the APHT equipment cache situation.  It was not ready for this deployment or any prior to this situation.  We need to have training exercises with state and local health departments.","We need to reachout to ASPR and state and local health departments and educate them about APHTs.  Most of the REC I met during this deployment had no idea what an APHT can do.","Srodenbeck@cdc.gov","10/08/2008","02:02 PM"
"Austin, TX","9/20/08 - 9/29/08","Hurricanes2008","Yes","","Yes","APHT #3 was separated into smaller workgroups to complete missions throughout the geographic area.  Some of the missions seemed to be developed after we arrived.","Yes","Yes","No","Yes","Influence","Not applicable","Influence","Influence","Influence","","4 Very Effective","No","","","brent.rohlfs@ihs.gov","10/08/2008","04:57 PM"
"Austin, TX","9/21/08 - 10/01/08","Hurricanes2008","Yes","","Yes","NO","N/A","Yes","N/A","Yes","Differences","Differences","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","I am a Native American Indian and have had to adapt my entire life.","I had a very positive experience with the APHT3 Gold Team.  I enjoyed the partnership with the Texas Dept of Health.  The partnership with the state make enhanced our success in our mission.  I look forward to my next deployment!!!","leeann.johnson@ihs.gov","10/08/2008","05:02 PM"
"Jackson, MS and Baton Rouge, LA","8/31/08 to 9/13/2008","Hurricanes2008","No","I did not receive some of the e-mails. The Bureau of Prisons is a secure e-mail server and officers due not have access at home. Some of the emails only went to my work email adress despite having my home e-mail on file at ? Incorrect information was sent regarding the packing list. The ""sleeping bags"" were needed.  I did not receive a call as stated in the e-mail from OFRD to notify me of my deployment. ","Yes","RDF Mississippi had a major change in mission at Baton Rogue, LA despite having almost all of the team demobilize. There were on the 20 officers left to cary out the duties of the command staff and care for 30 patients. ","No","Yes","Yes","Yes","Not applicable","Not applicable","Influence","Not applicable","Not applicable","","3 Effective","No","","FMS specific training would be useful. Familarization with the supplies available. ","lwitter@bop.gov","10/08/2008","07:52 PM"
"College Station, TX","Sept 6th thru Sept 22nd","Hurricanes2008","Yes","I was notified on Friday around 9:00 am and left my home @ 0500 Sat am. Since I went to bed early Friday eve I missed some important e-mails. I have learned that I need to dcheck my e-mails moments before I leave the house.","Yes","I was assinged to team X, which was held in readiness for a while until it was determined where the greatest need would be.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","The electronic medical records system needs some input from Dr.'s and RNs- I have already spoken to my section chief re this. When the provider orders a medication is says ordered-this is OK, however when it is dispensed by Pharm it says administered- this is NOT good because everyone thaounght that meant it had been given when it had not. Also when it was given by the nurse it said evaluation - which to me means did the pill work?","I would like to give more feedback to the EMR computer designers. Thanks","sls.phs@juno.com","10/09/2008","11:06 AM"
"College Station","09/21 to 09/26","Hurricanes2008","Yes","They were very helpful. Someone answered the phone every time I called","Yes","No. I was designated a provider and stayed in that classification the entire time.","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","I had experience working in the South and the patient population were similar to the ones I used to serve. I could see how someone only experienced with NA populations might have had a little more difficulty.","tracy.williams@ihs.gov","10/09/2008","11:47 AM"
"Atlanta, GA  to College Station, TX ","Sept 06, 2008 to Sept 21, 2008","Hurricanes2008","N/A","I did not submit a request for information.","Yes","The mission became more like a Long Term Care Facility operation rather than a Special Needs Medical Shelter.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","I had issues primarily with travel notification, billeting in the Arena and nourishment. I am glad, I went prepared with some dry goods to sustain for a while. Having exercise capability was very helpful (TA&M Gym). I feel strognly that we made a big difference in the lives of many displaced people. It would have made it much better for us if we had known about the population we would be serving, by preparing well ahead of time for the logistical and medical needs. ","rita.shapiro@fda.hhs.gov","10/09/2008","12:09 PM"
"Baton Rogue , Louisiana","8/30/2008 thru 9/12/2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","The communication with officers who deployed on this mission was somewhat lacking. We were told that we would be contacted by phone by team leaders and the travel office, THIS NEVER HAPPENED. All Communication was by E-mail/Blackberry, please keep in mind that not everyone in the field has a blackberry and not everyone checks their E-mail daily. .

There was also one Glaring piece of incorrect information . I received instructing not to bring sleeping bags since we would be billetted in a hotel. Only to arrive and find out that it was not true. at the deployment site there were initially no quarters set aside for officers to sleep . We basically had to find our own little corners, then we had to move four times between onsite and offsite facilities.","grafton.adams@phs.dhs.gov","10/09/2008","01:02 PM"
"College Station, Texas","September 5 - 22, 2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","","thorntov@od.nih.gov","10/09/2008","02:03 PM"
"College Station Tx","09/06/2008 to 09/22/2008","Hurricanes2008","Yes","","Yes","As Hurricane IKE moved in to the Gulf of Mexico we moved from Atlanta to Dallas to College station","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","Yes","to understanding and speaking spanish","","cplus11@msn.com","10/09/2008","03:18 PM"
"SOC & Travel Office","08-28-08 and 09-13-08 to 09-25-08","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","bourge66@yahoo.com","10/10/2008","12:36 AM"
"Haiti","August 3 - September 26th, 2008","Hurricanes2008","Yes","","Yes","Humanitarian Relief to Emergency Response","Yes","Yes","N/A","Yes","Influence","Influence","Influence","Influence","Influence","International Skills Required and Effective","4 Very Effective","No","","The ability to adapt and demonstrate public health assessment methodologies to provide population vulnerability information to relief coordination efforts in Haiti was critical and effective.","dale.bates@hrsa.hhs.gov","10/10/2008","01:24 AM"
"Alexandria, LA","08/31/08 - 09/11/08","Hurricanes2008","No","Mail box was full ","Yes","Changes included setting up for residents, taking down medical field station in preparation for probable deployment to other areas","Yes","Yes","No","Yes","Not applicable","Influence","Influence","Influence","Influence","","4 Very Effective","Yes","Additional knowledge about African American cultural beliefs.","I was honored to be a part of this deployment.  We had a wonderful team of very professional personnel and I feel we, together, performed in an outstanding manner.","sharon.shane@ihs.gov","10/10/2008","01:42 PM"
"Marshall and College Station","August 30 to September 15, 2008","Hurricanes2008","Yes","however; the miscommunication was that we were told that OMEGA will contact the officer via phone and they ended sending e-mail travel vouchers; which, some of us missed our original flights.","Yes","We were target to go to Tyler, ended in Marshall and later we were to head to Tallahassee via Atlanta; however, we ended going back to Dallas ending in College Station","No","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","I recommend that in future mission we get all of the cots with raised head and raised foot rest. During this deployment we have limited number of those and we ended changing patients to get some of these beds for patients who needed them. If all of them are the same type; it will be beneficial for all of us, because some patients may need to have either their head or foot raised. We ended been very creative with folding chairs in raising some of the head or foot rest on these cots. We also need to increased the numbers of bariatiric equipment and have some beds and related equipment (wide wheelchairs, bedside stools, etc) set-up prior to receive patients. ","Florentino.merced-galindez@samhsa.hhs.gov","10/10/2008","02:33 PM"
"Jackson MS and Baton Rouge LA","31 Aug 2008","Hurricanes2008","Yes","Sort of, the request came very late while the deployment time was a few hours later after notification.  ","Yes","Not in Jackson however in Baton Rouge, there did seem to be a change.  After completing the Jackson MS FMS we were stageed in Atlanta and then sent to Baton Rouge.  Upon arrival and over the next few days, the patients were discharged and them the Baton Rouge CC Officers were demobilized.  However, the IRCT changed the travel after Officers had already left and 23 Officers were left to address the needs along with 2 DMAT crews.  It seemed as though there was no clear direction of the IRCT at that point.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","While funding is never enough to address all needs, if we are to have an effective Corps in emergency preparedness, there should be training for all Corps (not just didactic).  One of the more irritating comments made from RDF members were ""if you had gone to RDF training you would have been more prepared.""  ","carmen.clelland@ihs.gov","10/10/2008","03:22 PM"
"Baton Rouge and Alexandria Louisiana","August 29 to Sept 18th","Hurricanes2008","Yes","","Yes","","Yes","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","I enjoyed the experience and hope to deploy more in the future","John.Quinn@fda.hhs.gov","10/10/2008","05:42 PM"
"Atlanta -- Tallahassee","Sept 6 through Sept 10 (5 days)","Hurricanes2008","No","Given the track of Ike, it was hard to know where we would go and when we would go.  There could have been some info that we would be staffing an FMS","Yes","","N/A","No","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Overall, a great experience.  I learned more about the Commissioned Corps and what officers in other OPDIVs do than I thought possible. ","scr1@cdc.gov","10/10/2008","05:43 PM"
"College Station, texas","9/23-26/08","Hurricanes2008","Yes","","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","","me18m@nih.gov","10/10/2008","05:43 PM"
"New Orleans, LA and Lake Charles, LA","9/11-9/19/08","Hurricanes2008","No","They could give me absolutely no information.","Yes","Mission did not change","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","","10/10/2008","05:44 PM"
"Alexandria, LA","Aug 31-Sept 5","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","Yes","Not applicable","Not applicable","Differences","Not applicable","Not applicable","","4 Very Effective","No","","","","10/10/2008","05:46 PM"
"College Station TX","9/19/08- 09/26/08","Hurricanes2008","No","All of the contacts listed in the e-mails were unreachable. The voice messages were full on 2 contacts and I was only able to get in touch with one individual.","Yes","NO","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","","10/10/2008","05:47 PM"
"Mississippi","August 31, 2008","Hurricanes2008","Yes","","Yes","From Atlanta to Mississippi then bused back to Atlanta then bused to Baton Rouge LA. We could stayed Jacksonville State University, then be deployed to Baton Rouge.","Yes","Yes","N/A","Yes","Not applicable","Not applicable","Differences","Not applicable","Not applicable","","4 Very Effective","No","","","","10/10/2008","05:48 PM"
"Alexandria, LA","8/29/08 to 9/22/08","Hurricanes2008","No","Information was very slow and delayed regarding deployment time and date, return time and date and re-deployment status.","Yes","As a laboratory officer with no laboratory equipment, I became a nurse.  I assisted the team with patient care needs, vital signs, patient changing, patient medication, patient care. ","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","","Additional training in basic patient care is always a good basic knowledge to have and a good opportunity for everyone that deploys to experience and to fill confortable with.  It makes us more valuable when we deploy and more useful in the team.","","10/10/2008","05:51 PM"
"College Station, Texas","09/21/08","Hurricanes2008","No","Only in regards to deployment to return home - extremely frustrating not knowing when I would be leaveing or if approved. Seems like there would be better way to coordinate this.","Yes","Well, my deployment role in ""Health Educator"" and I was in the functioning role of a clinical nurse and I did not have my 80 hours of clinical nursing experience.","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","2 Somewhat Effective","N/A","","There needs to be some compliance with male & female sleeping arrangements specifically if an area is clearly designated as female sleeping quarters - MALES need to stay out. Its difficult enough performing duties to worry about what male officers moving into the female sleeping quarters.  ","tina.tah @ihs.gov","10/10/2008","05:51 PM"
"Alexandria, LA","8/31 - 9/11","Hurricanes2008","No","The deployment of the teams was unnecessarily rushed and chaotic.  Tier 1 teams should be deployed with 12 hours notice of their flights, especially given the advance notice of the approaching hurricanes.","Yes","","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","The IRCT was not responsive to RDF needs or requests and at times showed a lack of professionalism and common courtesy and was not restricted to one hurricane response.","","10/10/2008","05:53 PM"
"College Station","09/21/08-09/27/08","Hurricanes2008","Yes","All information that was needed was provider, thus I did not need to contact them","Yes","The goals changed - We were providing pharmacy services and then we needed to demobilize","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","This is something people learn through life experiences. ","Everything went very well.  ","alex.townley@ihs.gov","10/10/2008","05:56 PM"
"College Station, TX","9/22/08 9- 9/26/08","Hurricanes2008","N/A","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","I noticed that a lot of the officers did not seek out duties, they would wait to be asked to perform a specific task while watching other officers work very hard to demobilize the Federal Medical Station.  I got a pre-deployment email on my home email account late Friday evening, but the travel itenerary was sent only to my work account which was not monitored during the weekend because I thought any further emails would be sent to both accounts.  The situation with GovTrip was difficult because I frequently travel and being in deployment status for over a week after the deployment ended created a situation in which a ""local"" travel authorization was denied by ASPR because I was not returned to Phoenix Area IHS in the travel system.  Please do not take these comments as complaints.  Overall I thought it was a fantastic mission and it felt great to get folks back to thier homes.  I grew up a few hours from Houston, in southern LA, the next deployment could very well be to help my kin and I feel that they will be in great hands when the Corps shows up.","Brandon.Groh@ihs.gov","10/10/2008","06:00 PM"
"Baton Rouge LA","9/2-9/27/08","Hurricanes2008","Yes","Yes
Directly requested due to being IMPAC card holder","Yes","Three different IRCT Commanders","Yes","Yes","Yes","Yes","Not applicable","Differences","Not applicable","Not applicable","Not applicable","RDFs not working effectively with NDMS","4 Very Effective","Yes","Training with NDMS is essential for collaborative work","Shocked at reasons why PHS officers needed to return to regular duty!
If deployment was such a hardship the officer should NOT have deployed.
Deployment SHOULD NOT BE A REQUIREMENT FOR PROMOTION due to unskilled officers being deployed; officers only wanting to be deployed for promotion or award reasons and NOT public health and promotion.
I learned from NDMS that emergency response requires a flexible and compassionate mind set which unfortunately is not exhibited by most officers who were obsessed with their rank and power trip during the deployments
During Katrina I was one of the worker bees in the field and I was shocked on how officers failed to work effectively together and with NDMS
This deployment my view was from the IRCT and I unfortunately saw no difference and observed the lack of understanding basic ICS principles of the chain of command.
It is unfortunate that RDFs failed to use Electronic Medical Records when NDMS as the same location could
The Tier 3 officers appeared to be better trained and willing to be flexible with the needs of the deployment unlike the RDF members who thought the RDF was it's open empire and did not need to be accountable to anyone","jane.kreis@fda.hhs.gov","10/10/2008","06:00 PM"
"Austin with APHT #3","09/20/2008 through 09/29/2008","Hurricanes2008","Yes","","Yes","No.","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Our entire team was deployed prior to the establishment of clear missions in TX.  Several team members were under-utilized.  I also participated in the Wisconsin Environmental Health mission immediately prior to deploying to Texas.  Flight itineraries to TX were provided to the team members for the morning immediately following what was supposed to be our last day of field work in Wisconsin.  This caused the team to conclude the mission ahead of schedule in order to return home, prepare to be deployed to austere conditions, and sleep prior to returning to the airport early the next morning.  Thankfully, we were allowed to travel one day later than originally scheduled, but due to the tight travel schedules we were initially provided, we lost productive time on the last day of our Wisconsin deployment.","","10/10/2008","06:03 PM"
"Baton Rouge, LA","8/29/08-9/11/08","Hurricanes2008","N/A","Never asked OFRD for information","Yes","Mission requirements were never expressed in the form of official orders or informal means prior to arriving to the final deployment site in Baton Rouge.  There, the mission of staffing an FMS under RDF structure was changed to various combinations of PHS officers supporting DMAT control of the FMS.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","The effectiveness and efficiency of travelling the RDF-3 team was very poor.  Team members received little communication and less coordination of their movements, resulting in the team not deploying as one unit, nor ever fully assembling.  Instead, tier 3 officers supplemented the vacant parts of our teams, but with little concern for category/ skills.
Team organization and basic protocol for ICS broke down once RDF-3 was placed under DMAT.  Lack of contracted services resulted in officers serving in housekeeping, food service and orderly functions.  Lack of purchasing ability resulted in officers acquiring patient and staff resources personally.  There was apparent failure of coordination with IRCT concerning command, supply and billeting issues.
As expected, officers performed well beyond all duties asked in austere and stressful conditions, resulting in a successful mission regarding patient care.  This however masks fundamental problems with our deployment process, team interoperability, command leadership, and resources for supply and services that must be openly addressed and resolved to increase team efficiency and general morale.","nathan_epling@partner.nps.gov","10/10/2008","06:05 PM"
"College Station, TX","09/06/2008 through 09/24/2008","Hurricanes2008","N/A","","Yes","","N/A","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","","roger.hargrove@ihs.gov","10/10/2008","06:06 PM"
"Austin, TX","9/1/08-9/4/08","Hurricanes2008","No"," I was told I would be deployed on 8/30, but did not receive orders.  I got a call on 8/31 from OMEGA travel with my departure date.  When I arrived in Austin I did not have a contact person, I did not know if I was eligible to rent a car, I did not know where I was supposed to report to.  I did not receive orders until after I returned to my duty station.","Yes","Yes.  When I arrived I was told I would be working in Operations, I was then changed to Finance/Administration when they changed orders and told all Austin Central Command to go home rather than redeploy.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Five hours after I returned home I was told to prepare for redeployment.  I stayed by the phone all weekend and never got a call.  When I called the office of Force Readiness I was told that I could be deployed any day.  I ended up scheduling patients on a day by day basis which was frustrating to those patients who needed follow up care, as well as to the hospital administration who wanted to know what days I would be gone so they could begin processing the paperwork for the temporary provider.  Overall I felt that there should have been better organization and better communication between the office of Force Readiness and the commissioned officers.","barbara.cohn@ihs.gov","10/10/2008","06:07 PM"
"Baton Rouge, LA","Sep 12-Oct 3","Hurricanes2008","Yes","","Yes","No","Yes","Yes","No","Yes","Differences","Differences","Differences","Not applicable","Differences","","4 Very Effective","Yes","Any training is helpful in preparing someone to work with different cultures","","","10/10/2008","06:07 PM"
"Marshal & College Station Texas","Aug 29 - Sept 15","Hurricanes2008","Yes","","Yes","","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","I have concerns that came up with the treatment of Public Health Officers while on deployment in College Station. I was very disappointed in the overall view that the Incident Commander and Command Staff in their lack of concern in obtaining bedding & food for the staff working underneath them.","jeffrey_conner@ykhc.org","10/10/2008","06:08 PM"
"A.G Center, Alexandria LA.","August 31 to September 16th 2008","Hurricanes2008","Yes","no, I was not contacted.  I had to contact them and was told at 8:15pm that I had an 11:00pm flight to which I responed it takes me 2.5 hours to drive to ther Airport.  This happened to almost everyone who was deployed","Yes","I performed duties for an Occupational Therapist during both hurricanes Gustav and Ike","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","I think the Commissioned Corps in WAshington needs to have a better plan to activate each officer so that they have an idea how far their officers live from an Airport, so they can better cordinate travel when activated.
While deployed we kept finding out that Washington was emailing officers travel information in the filed when we had no ability to access email.  I think Washington needs to get better at learning the chain of command and let all information go throught the task force commanders, so that they can get it out to the troops ","joseph.christ@ihs.gov","10/10/2008","06:13 PM"
"Atlanta, GA; College Station, TX","9/6/08 until 9/14/08","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","The travel services (airline reservations) from home city to the staging area (deployment place) was smoothly done. Information was relayed quickly and efficiently.","julian.canizares@fda.hhs.gov","10/10/2008","06:16 PM"
"College Station, TX","SEP 21, 2009 - SEP 25, 2009","Hurricanes2008","Yes","5","Yes","we were demobilized within 5 days as the special needs shelter was closing. We discharged about 300 patients and caregivers within the few days I was stationed there. ","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","More attention needs to be paid to the foodservice for patients and officers when standing up a temporary medical facility. You must involve a registered dietitian early in the planning process. I would highly recommend that you get the input of an RD that has specific experience working in hospital foodservice and accustomed to feeding large numbers of people and people with special dietary needs, such as many of the patients/caregivers that were being cared for at College Station. You would never think of establishing a pharmacy without a pharmacist. As I understand it, an engineer was appointed to be in charge of the food service at the beginning of this mission with negative consequences. Also, we were asked to contribute $20 to the ""Sunshine Room."" This was a room for officers where there would be access to food and beverages in case an officer could not get to the dinng room or there was no food left as patients and caregivers came first. I willingly contributed funds, but when I checked the room my 2nd day of my arrival, all that was purchased and available were big bags of candy, chips, nuts, sugared cereals....just junk. There wasn't any peanut butter, bread, fresh or canned fruit...no simple ""nutrient-dense"" foods. A little ""junk-food"" is okay, but should not be the only thing available to eat. I recommend that some guidelines be drafted to guide officers in the selection of foods/beverages for ""Sunshine Rooms."" Food and nutrition is a basic need for everyone and we all say it is important, but often don't give it the appropriate priority. Please consider these recommendations in future planning for emergency responses. ","","10/10/2008","06:20 PM"
"College Station, TX","Full deployment","Hurricanes2008","Yes","","Yes","role changed twice","Yes","Yes","Yes","Yes","Differences","Differences","Differences","Differences","Differences","","4 Very Effective","Yes","Standards of care","You do not ask questions that could improve the outcome for officers.","david.kelly@hhs.gov","10/10/2008","06:21 PM"
"College Station, TX ","9/16 to 9/26/08","Hurricanes2008","Yes","Yes","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Influence","","4 Very Effective","No","","I had a good experience. I felt my past work experiences prepared me for the situation and work environment. I had no difficulties adapting. ","DeeAnne.Marshall@ihs.gov","10/10/2008","06:24 PM"
"Alexandria, Louisiana","8/31/2008 - 9/16/2008","Hurricanes2008","Yes","","Yes","Yes, the mission requirments changed from patient care to patient, evacuee care and transport and monitoring.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","Demographic information, climatology, local customs","Overall, a good experience, would like to deploy again, if needed in the future.","Damion.Killsback@ihs.gov","10/10/2008","06:24 PM"
"Austin, TX","19-28 September","Hurricanes2008","Yes","","Yes","We deployed without a specified mission","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","I believe that cultural and linquitic differences in the communities we served (in texas) are among the least important items to be addressed following this deployment.","michael.reed@ihs.gov","10/10/2008","06:30 PM"
"College Station, TX","9/22/08 - 9/26/08","Hurricanes2008","No","I actually never received a telephone call related to my deployment. The activation came on Friday and my travel documents were delivered via email on Sunday. I was unable to check my email until Monday morning and my flight left Monday afternoon. However I was able to get my business in order and make my flight thanks to the support of my supervisor and family.","Yes","I expected to be deployed for at minimum two weeks, however it was only for one week. However it was still a good experience for my first deployment.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","I enjoyed the deployment and was able to serve in a variety of roles (e.g discharge planning, logistics-inventory, and the Command Center.  I look forward to future deployments.","mrice@hrsa.gov","10/10/2008","06:32 PM"
"College Station, TX","23-26 SEP 2008","Hurricanes2008","Yes","","Yes","Yes, the FMS was demobilized very quickly upon my arrival. I did very little clinical care and a lot of moving patients and their goods into taxis. This was OK by me--this sort of mission is subject to this sort of change. No problem.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","It would have been nice to learn that my Monday flight out (to deploy) was rebooked to Tuesday prior to arriving at the airline counter. In this case it was no big deal--I live close to the airport--but an e-mail the eve before, or even the morning of the flight, would have been better.","lawrence.zubel@ihs.gov","10/10/2008","06:54 PM"
"College Station Texas","9/22-9/27/2008","Hurricanes2008","Yes","","Yes","When I arrived on Monday, the process of discharging patients had begun and as the week went on, the mission became one of focusing on patient discharge medications and education toward using home meds. ","Yes","Yes","Yes","Yes","Not applicable","Influence","Not applicable","Not applicable","Influence","","4 Very Effective","N/A","","Regarding Travel: My departure time from home was changed by 4 hours without notifying me, which required me to use alternate flights to arrive to College Station. It was explained to me that the original itinerary (the only one sent to me) was changed almost immediately, but I was only sent the old itinerary. ","rboyle@scf.cc","10/10/2008","07:03 PM"
"FMS Alexandria Riverfront Center","29AUG2008-16SEP2008","Hurricanes2008","Yes","I did not get any information directly from OFRD--it all came through the RDF chain of command","Yes","Yes-our mission changed several times.  First PHS-2 RDF was going to split into blue and gold teams and each would staff a FMS for Hurricane Gustav.  The team never split and the team stayed together the entire deployment.  First we were staffing a FMS at LSU Field House, then we were staffing the Riverfront Center FMS, then we were extended again for Hurricane Ike.","Yes","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","Insufficient numbers of clinical staff was an issue.  Despite repeat requests by Command Staff to IRCT we did not get any more nurses and providers.","","10/10/2008","07:17 PM"
"college station, tx","sept22-sept26","Hurricanes2008","Yes","","Yes","Yes, I arrived toward the end of the mission so I was not needed in a clinical role as much toward the end of the mission. I got to help out with planning discharge some instead.","Yes","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","erin_giles@hotmail.com","10/10/2008","07:18 PM"
"Marshal, TX; Atlanta, GA; College Station, TX","August 31-September 15","Hurricanes2008","No","I found out I was being deployed through a call from the command staff after I already missed one flight.","Yes","Yes, they changed almost hourly","Yes","No","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","","10/10/2008","07:21 PM"
"USS KEARSARGE","04August-21September 2008","Select Event","Yes","","Yes","Yes we were extended by 10 days to respond to crisis in Haiti food,water,medicine crisis","Yes","Yes","No","Yes","Influence","Influence","Differences","Influence","Influence","","4 Very Effective","Yes","Types of clinical cases normally seen in central and south america prior to deployment","Overall I must say I have deployed two previous times and this time internationally which required special arrangements such as shots passports and I will give high marks to LT Smith and Cdr waterman. Had a short visit on ship by Captain Beck. Thanks for all you did for me.","paulwickard@bellsouth.net","10/10/2008","07:24 PM"
"College Station FMS","9/06/08 - 9/26/08","Hurricanes2008","Yes","","Yes","","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","If officers did not have experience with low SES individuals then world views may have been an issue","4 Very Effective","No","","As a Corps, we need to be significantly more effective in choosing leadership during deployment. Rank does not equate to operational or leadership skills during a disaster. Our rank system is based on Officership or SME development as opposed to leadership.  We need to consider these factors when planning ahead. ","jeff.coady@cms.hhs.gov","10/10/2008","07:27 PM"
"New Orleans","9/5-9/10","Hurricanes2008","Yes","No: OFRD was impossible to communicate with via phone or email. Neither of my message were replied to.
I recommend hiring assistants to respond to the mass # of calls and emails that occur during deployments. ","Yes","No but they should have.","N/A","Yes","N/A","Yes","Not applicable","Not applicable","Differences","Not applicable","Differences","Broad spectrum of differing opinions and styles ","4 Very Effective","No","","The needs should be re-assessed daily and officers should be sent where they can be most affective and efficient. A lot of complaints about the purpose of the mission and over-all effect. Senior officers should not be allowed to deploy if they don't know how to wear their uniforms. I tried to call OFRD using 3 numbers from their site for 3 days and couldn't get an answer and nobody returned my phone calls or emails. Travel arrangements were excellent. Still haven't been reimbursed but I'm assuming it is being processed. No information has been given to me regarding how to obtain a government credit card while working for a tribal health organization, i'm assuming this is impossible but was lectured for not having one during my deployment. No information was given to me in regards to if the mission met the criteria for a CRSA.  ","","10/10/2008","07:47 PM"
"college station","","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","","","rnroadrun@yahoo.com","10/10/2008","07:51 PM"
"Baton Rouge, LA (Gustav)","8/30/2008 - 9/12/2008","Hurricanes2008","No","I was told someone would call regarding travel itenerary; instead all communication was via email.  While in route I had no access to email.  ","Yes","","N/A","No","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","My feeling is that I was of no added value to the mission.  A local volunteer could have done what I did which was medical records.  That is not to say I didn't appreciate the opportunity to deploy.  I appreciative of the experience.  It is just that I felt sort of useless.  ","christopher.duncan@ihs.gov","10/10/2008","08:17 PM"
"USS Kearsarge","8/3/2008 - 9/21/2008","Hurricanes2008","Yes","5 - strongly agreed","Yes","Yes.  It was a medical/dental humanitarian mission at first.  Later, it was a Hurricane Relief mission in Haiti","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","My flight ticket home from Haiti to Miami was reserved but not purchased","minhjo@yahoo.com","10/10/2008","08:38 PM"
"College Station and Galveston Island","9/19 - 9/28/08","Hurricanes2008","Yes","","Yes","NO","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Deployment communication( travel alert)  should be done by phone as in the past.","janet.cliatt@fda.hhs.gov","10/10/2008","08:48 PM"
"NOLA","8/30-9/6","Hurricanes2008","Yes","Only 4 hrs lead time","Yes","Minor. Adjustment","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","","bangs.gary@epa.gov","10/10/2008","08:49 PM"
"Jackson Miss. Baton Rough La.","9/1-9/12","Hurricanes2008","No","I was informed that I would be called back in 15 min. to inform me of my flight and any changes. I am still waiting for that call.","Yes","YES. Miss. First, we were to augment the Nursing Home staff with the care of their Pts. Then we moved to total care of their Pts. 
","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","I was not as prepared to assist with the geratic patients as I would have liked to have been.","","fxnelson@bop.gov","10/10/2008","08:49 PM"
"Baton Rouge, Gustov","8/30-9/13","Hurricanes2008","No","Very disfunctional this deployment. Not sure where were I was deploying or who I was augmenting. No contact from Teir 1 person. Information was misleading about what to bring for sleeping. tried to contact OFRD by e-mail and phone. Received no response the first time. Then received an e-mail that didn't answer my question.","Yes","No","N/A","Yes","Yes","Yes","Differences","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","Yes","interpreter services","Out of the 14 times i have deployed, this was by far the worst led and managed deployment. Leadership for tier 1 team was practically non-existant. The leaders appeared to be over their heads and very overwhelmed. It definitely had an effect on the officers and DMAT team that were with us (quite embarrassing). We were extremely short of nurses. The work load ( pt numbers and acuity vs number of nurses) was dangerous. We worked 16+ hours a day, with an average pt load of 18-20, with 85% of the patients total care. The type of services needed by these patients were much different than what I have seen before on deployment. It was back to ""floor nursing"" which I have not done in 16 years. I do not mind the hard work or long hours, but the acuity vs the number of nursing staff was at a dangerous level and leadership (either the tier 1 or the IRCT) did anything. I could go on and on. Teir 1 team was unprepared for everything, from handling admission protocol, to coordination and dc planning. We had 1 psych provider for patient and staff and 1 SW. It was obvious that they were flying by the seat of their pants. I guess I expected (as an augmenting nurse) for their team to have an idea of what they were doing. Come talk to me. I have much more.","mary.rossicoajou@cms.hhs.gov","10/10/2008","09:03 PM"
"College Station, TX","9/6/08 - 9/12/08","Hurricanes2008","No","There was a lack of communication regarding flights prior to our departure.","Yes","Somebody from OPS is better off to judge this.","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","","10/10/2008","09:31 PM"
"College Station, TX","09/06/08-09/21/08","Hurricanes2008","No","Not able to hold of anyone but voice mail.  received return call 2 days later.","Yes","","N/A","No","Yes","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","commucation problem, billeting, food supply.","","10/10/2008","09:32 PM"
"Jackson MS AND Baton Rouge, LA","8/31/2008 to 9/16/2008","Hurricanes2008","Yes","","Yes","We finished one mission and were sent to stage in Atlanta for another mission. We were then sent to Baton Rouge LA for a second mission assignment","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","We were deployed to Jackson MS first for a week to staff a FMS and dealt with an IRCT based in FL. We were then redeployed to Baton Rouge, LA after one week in the field and were reconnected with a different IRCT. The second IRCT persistently thought that we were a fresh new team there to relieve the Officers already in Baton Rouge. Better communication between IRCTs would have resolved this issue as despite our best efforts as Officers in the field, we were unable to correct this belief.","are8@cdc.gov","10/10/2008","09:34 PM"
"Marshall, Texas and College Station (both were FMS)","8/31/08 to 9/15/08","Hurricanes2008","No","No, we were never provided a packing list although we were told we would get one.  There was a marked lack of information to orient us and to help us with last minute preparations, etc.  I was the team Admin Lead and I spent a lot of time answering repeatative basic questions that should have been handled by OFRD providing an FAQ document.  I put together a draft FAQ document while I sat at my computer all day handling the team email traffic.  I'll email it to Sean-David Waterman. ","Yes","The mission was extended in that we deployed for Gustav and were kept deployed for Ike.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Travel arrangements and travel (flight) related communication was a disaster for the whole team.  Billeting was acceptable in Marshall but not in College Station.  We could have and should have been placed in hotels in College Station because there was not acceptable billeting in either the Reed Arena or Kyle Stadium (not secure and/or couldn't be darkened for sleeping during the day and/or noisy; no bedding and we were not told to pack bedding as we were told we would be in hotels).  Food was grossly inadequate (very poor quality), and there was no midnight meal provided for the night shift.   ","Catherine.vieweg@fda.hhs.gov","10/10/2008","09:44 PM"
"Marshall and College Station Texas","Aug 30,2008 to Sep 15, 2008","Hurricanes2008","No","I received 2 phone calls to let them know my status regarding supervisory approval and I was on ""standby"" and will be notified. No one was available on Saturday when I happened to look at my work email and found the email about travel itinerary. However, LCDR G. Davis and CDR C. Viewig emailed updates and gave as much information as possible to assist people on what was happening.","Yes","Initially, there did not seem to be a mission other than to get people to Texas. After the mission to Marshall, the team went to Atlanta to sit for 4 days to wait on the next mission (waiting on a hurricane to hit). The team was pulled out of Marshall before the mission was complete. A DMAT team came in and closed the FMS so we could travel to Atlanta to wait. ","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Differences","","3 Effective","No","","#5- Yes, but only because of my prior military experience. I do not think that I would have known what to do if I did not have this knowledge. 
#7 - The answer is yes, but there was a wait time between missions. The mission at College Station was far beyond the scope and platform of the cache that was available. Over 250 patients were brought in within a 8 hour period with one subset of a team to handle the patients. 6 nurses were helping with triage however, those 6 were also due to leave in the early hours of the morning (non-HHS officers). That left only 12 nurses to handle the magnitude of the incoming patients. 
#8 yes, but the safety of hte patients and the officers was greatly compromised. The patients were receiving substandard care due to the type of supplies, the acuity of the patients, the ratio of nurse to patient based on that acuity, and the ability of the EMR to handle the capture the nursing care. The safety of the nurses and those who helped was also compromised due to the physical surroundings and the potential liability of decreased quality of care. The team did as best as they could in the circumstances; however, the risks were great. 
#9 - The travel on the first day was very difficult since I accidently found the travel itinerary. It took 4 attempts to finally get on a plane. The rest of the travel was good. The accommodations were good when dealing with the hotels (when we were in one). The mission at Marshall- the University took care of us. While sleeping arrangement swere not the optimum, it was safe, clean, assessible, and consistent. There was easy access to showers and bathrooms. The mission at College Station was very different. It was not consistent, it changed daily, you had to hunt and hope to find a shower. It was not always clean. Food was also an issue at Marshall. It was not convenient and the night shift had very few options. So far, the reimbursement has gone well. However, I was billed tax on a couple of hotel nights that came in after the travel voucher was complete.  ","tmatthews@hrsa.gov","10/10/2008","09:52 PM"
"College Station, Texas","Sept. 6-23, 2008","Hurricanes2008","No","As a member of Tier 3-C, I was on call for Sept. I was notifed via e-mail to deploy for Gustav on Aug.30. I was away for the Labor Day weekend, rushed back home, & missed the scheduled flight.  I was the deployed the following weekend for Ike.  During my deployment, my work place was called by OFRD to see if I was available for deployment.  Communication breakdown?","Yes","Our priority was to take care of the evacuees.  Towards the end of my deployment the emphasis was relocation.  My last 2 days were spent in discharge planning.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","","","10/10/2008","10:01 PM"
"Alexandria, LA","29 Aug - 16 Sept","Hurricanes2008","N/A","I'm with RDF - 2 and was deployed with them.  Didn't have any contact with OFRD","Yes","Requirements may not have changed, but mission changed many times over the first few days.","Yes","Yes","Yes","Yes","Influence","Influence","Influence","Not applicable","Influence","","4 Very Effective","No","Famiuliar with the culture since have lived and worked there","","schoendk@mail.nih.gov","10/10/2008","10:03 PM"
"","","Hurricanes2008","No","Being alerted then told to check email hourly, etc is not realistic for days on end. Also, some folks received emails that others did not. It would have been nice if an email could have gone out if they did not anticipate mobilizing units that evening. I also only got 5 hours notice to get to the airport and it was fortunate I checked my email about the time it came in otherwise I could have missed the plane. ","Yes","no","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","lchristians@scf.cc","10/10/2008","10:37 PM"
"College Station, TX","Sept 21-26","Hurricanes2008","Yes","","Yes","","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","robertc@mtclinic.net","10/10/2008","11:14 PM"
"Hurricaine Gustav & Ike-Missippi & Baton Rouge","August 31-September 12","Hurricanes2008","Yes","","Yes","The mission location changed to several locations
Missippi to Atlanta to Baton Rouge ","Yes","Yes","No","Yes","Not applicable","Not applicable","Differences","Not applicable","Differences","","4 Very Effective","No","","","rhondamm@lummi-nsn.gov","10/10/2008","11:58 PM"
"college station + marshall texas","30 AUG 08 to 15 SEP 08","Hurricanes2008","Yes","I was contacted via phone and email numerous times","Yes","The change was simply due to the size of the FMS.  In Marshall the # of patients and caregivers was only approx. 40 where College Station had 300 patients","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","More Dietitians are needed in the FMS setting.  We only had 2 RD's for 300 patients @ College Station which was inadequate.  We were plating and delivering 900 meals per day to patients, had approx. 50 patients who needed assistance with feeding, and had 20 patients on tube feedings.  We were overwhelmed and if it was not for cadets from the university and RN students we would have failed.

Other issues I had included:  It took 9 weeks for me to get paid even though I submited my claim within 5 business days after returning.  I emailed Lauren Santigo numerous times and she was not helpful.  I finally went over her head to get the issue resolved.

The Food service contract was grossly inadequate for feeding nursing home type patients.  If it was not for Texas A&M Univeristy dining services we would have been forced to feed patients food which was extremely inappropiate.  This issue was brought to the leaderships attention but was not solved.  We served 70-90 yr old Male and Female pts with chronic dz a menu that consisted of:  Chili, Beef Stew, Sloppy Joes, etc.

Billeting was terrible.  I did not feel like I was taken care of so I could focus on the mission of patient care.

Tier 3 tigers was a great experience.  We bonded as a team and I enjoyed my leadership of LCDR Davis, CDR Reed, and CDR Viewig.  I would love to see our original team become a new RDF b/c we were a great assets at both FMSs.
","michael.mero@fsis.usda.gov","10/11/2008","12:06 AM"
"Austin Texas","(9/19 to 10/3","Hurricanes2008","Yes","I didn't really ask much I just followed orders","Yes","The missions were not very well planned out.  We had to make due with what we had.  There was alot of waiting with no clear direction.","Yes","Yes","No","Yes","Not applicable","Not applicable","Influence","Not applicable","Influence","We did not know what to expect.","4 Very Effective","Yes","I think Officers need to know that deployments are not vacations.  There were quite a few individuals whining about sleeping in tents, getting their boots dirty.  They need to know they are expected to do what ever to get the mission done.","I was a little disappointed in some officers complaining too much about the working environments.  We are officers and they need to act like officers.  Also I think it is very important to weed out individuals that want to be on a team just for promotions.  If they are on a team then they need to want to work hard no matter what the situation is and sleep were ever we have to.","marcus.martinez@ihs.gov","10/11/2008","02:02 AM"
"FMS Marshal, FMS College Station","8-31-08 to 9-15-08","Hurricanes2008","N/A","","Yes","Not sure. The undelying mission was always patient care. That never changed, but assignments changed frequently.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Attending OBC and having the week with CDR Denis was VERY benefical in preparing me for deployment. I felt comfortable and knowledgeble about the deployment.","shary.jones@cms.hhs.gov","10/11/2008","08:29 AM"
"Marshall, TX","08/30/2008-09-12-2008","Hurricanes2008","Yes","","Yes","No, the mission did not change","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","enrique.vega@phs.dhs.gov","10/11/2008","08:58 AM"
"College Sstation","","Hurricanes2008","Yes","In the future I think it is important that OFRD staff notify the officer by phone (not all carry blackberries) and when stating that travel itineraries are forthcoming make it clear that this activity is not done by OFRD but by Omega which means it could show up at any time of the day. This will help reduce confusion when an officer ""thinks"" he/she will be getting something from OFRD in a more timely manner and will help reduce anxiety and additional calls to OFRD.","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","","10/11/2008","09:43 AM"
"FMC College Station TX","22 - 27 September","Hurricanes2008","Yes","3","No","Yes, mission terminated early.","No","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","","James.cowher@tchealth.org","10/11/2008","10:19 AM"
"College Station, TX","Sept 5 until Sept 20","Hurricanes2008","Yes","","Yes","","Yes","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","Outfitting all the client EMR machines with more memory. Making data base to allow the medical staff more practical application of the data.","","donald.ackerman@fsis.usda.gov","10/11/2008","10:22 AM"
"Baton Rouge","8/30-9/12","Hurricanes2008","No","Informed them that I did not have a blackberry or other internet device & would need to be notified by cell phone for further instructions. Blindly boarded plane for Atlanta & had not been contacted by team leader. Knowing which team leader I was assigned to & a contact number & what location I was to report to would have decreased confusion & made the trip more efficient. Did not know what to do once arrived in Atlanta. Cannot rely on internet as primary communication unless issue EVERYONE a blackberry or similar device. ","Yes","Yes. Intially LSU fieldhouse was low acuity, then changed to all acuity & pt load increased from orginal plans.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Better planning for billeting NEEDS to be part of INTIAL planning. Everyone received an email stating a hotel rooms were to be provided, but we NEVER got one. There weren't even enough cots available each night & people would steal each others cots. We were kicked out of 3 different buildings, never allowed into a 4th, and ended up back in one of the buildings that we were kicked out of. 

Unknown reimbursement status.","ann.gorman@ihs.gov","10/11/2008","10:51 AM"
"Jackson, Ms  Atlanta,Ga  Baton Rogue, Ls","8/31 - 9/13","Hurricanes2008","Yes","Yes and No, the final travel plans had arrived after I departed from my home, I had no means of obtaining those plans while ""on the road""","Yes","","N/A","Yes","Yes","Yes","Not applicable","Not applicable","Influence","Not applicable","Not applicable","","3 Effective","No","","The travel arrangements were chaotic, need better system in place for all PHS officers to obtain vital information while on the road, I never received a phone call. One possible solution: make blackberry communication devices standard issue for all (?deployed) officers - some did have them and were provided by their individual employers","swbaker@bop.gov","10/11/2008","11:04 AM"
"College Town Texas","9/22/08 - 9/27/08","Hurricanes2008","Yes","","Yes","no","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","It was a nice break from working in a staff shortage UC/ER facility -ISOHARD- 12hr shifts which takes me one hour to commute to one way. So 14 hr day total","theresa.tsosie-robledo@ihs.gov","10/11/2008","12:11 PM"
"Alexandria, LA and Bossier City, LA","8-31-08 to 9-15-08","Hurricanes2008","Yes","NO, I had no idea where or if was going to be deployed until a few hours before I needed to leave. The entire travel system was a mess. When I got to Atlanta no one knew where to go or how we were going to get to our deployment area. ","Yes","I was in Alexandria, LA for 7 days then I was sent to work in a special needs shelter in Bossier City, LA. In Alexandria the PHS officers were in charge of running the medical care and in Bossier City we were there to augment a D-Mat team. ","Yes","Yes","Yes","Yes","Not applicable","Not applicable","Influence","Not applicable","Differences","","4 Very Effective","No","","Why were the RDF teams split up? I received a e-mail stating I was to augment RDF teams #3 and #4, but the RDF teams were split up. Most of my team members were Teir 3 officers.  I thought the RDF teams were a complete team of Dr.'s, nurses, engineering, social workers, etc, with expierence in deploynments.  We had a great team in Alexandria, but I think it was pure luck that we all ended up there. We worked very well together despite the fact that we had no training to work as a team. The one thing we were missing in Alexandria was a social worker, we needed one badly, but the nursing staff did a great job with social work duties. Over all I enjoyed my deployment and it was a great experience. ","mardell.raile@ihs.gov","10/11/2008","12:13 PM"
"Texas A&M shelter","9/13 -9/28","Hurricanes2008","Yes","","Yes","I was deployed as a part of MHT 3, but was pulled due to the lack of nurses and my deployment role changed to nursing.","Yes","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","","10/11/2008","12:41 PM"
"Baton Rouge Louisiana - JFO","9/13/08 thru 10/3/08","Hurricanes2008","Yes","I never got formal orders, only itinerary for travel.","Yes","Yes.  I was originally deployed as medical/technical help for the pilot program ""Disaster Case Management"".  When I first began the mission it was in a consultant type capacity.  Then as the pilot program was ending, and it was evident that there were not going to be adequate ""Local Case Managers"" to handle the cases outside of Baton Rouge, my role transitioned into the field to perform shelter assessments, get concent signitures and perform more as a medical disaster case manager.","Yes","Yes","No","Yes","Influence","Influence","Influence","Not applicable","Influence","","4 Very Effective","Yes","Had difficulty with the French spelling vs pronunciation of the parishes, and geographical locations.  We procured a map that helped alot. ","A clear, suscinct orientation to the JFO, the chain of command, my mission expectations, and program orientation would have been helpful.  Into the 2nd week of deployment CAPT Lavin gave a telephone inservice as to program description, mission expectations, and chain of command which was very helpful.  The overall mission was carried out to the best of our resources.  There appeared to be critical staffing shortages of Case Managers in the Disaster Case Management Program, and there was no one to back-fill our positions when we left.  When my deployment was over I had to leave behind a large case load of clients who were in critical need areas.  Continuity of case management would have been lacking in this instance.  I enjoyed my deployment, and feel like I was able to bring aid to many special needs cases, utilizing my wide range of medical and Infection control skills.  I look forward to deploying again.  ","Helen.Ballantyne@ihs.gov","10/11/2008","02:46 PM"
"Atlanta, Ga & Texas (Collegetown)","6 Sept thru 21 Sept 08","Hurricanes2008","Yes","My leader for the MHT (CAPT Andreason) was very informative with updates and conference calls regarding deployment issues.","Yes","Yes, I was initially deployed as a mental health team member, but due to the shortage of nurses I was converted to work as a nurse on the unit and was not able to work as an MHT member throughout the entire mission.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","The number of medical staff *nurses.physicians/ nursing aidess, etc.)was inadequate to care for the high acuity and number of patients received in the Texas areana.I felt that if the entire PHS was deployed why was there such a shortage? I feel that when planning the logistics of a mission the Chief Nurse should definitely be more involved in what is needed to care for patients. I felt other the other disciplines were represented well but if felt as if the nurse leader was lacking. I was a physician who infomed myself and another nurse who had deployed as a member of the MHT that we both needed to work with the other nurses due to the shortages. This movement caused confusion for the nurses because we were not in their initial count and often were left out when decisions were made for orders, etc.","nih1912@aol.com","10/11/2008","02:59 PM"
"OFRD Offices","04 September - 21 September 2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","tjbranch@earthlink.net","10/11/2008","06:24 PM"
"Alexandria and Bossier City, Louisianna","8/31/2008-9/7/2008,9/7/2008-9/15/2008","Hurricanes2008","Yes","I was called 3 days in advance to be on alert..found out approximately 6 hours in advance of when my flight left...live one hour from airport.","Yes","No, my duties were as a registered nurse throughout my deployment.","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","My deployment was a humbling experience for me ..one which I'll never forget.   My only problem was with my reimbursement..but understood it was end of fiscal year.","joelle.keepseagle@ihs.gov","10/11/2008","07:35 PM"
"college station, TX","Sept 9-19","Hurricanes2008","Yes","not much advanced notice-- no cell phone call, just e-mail which could have easily been missed","Yes","Just that we needed more nurses fast-and they were sent!","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","I work with many cultures and diversities in patients at prison. ","My clinical nursing job in the BOP is perfect training for this type of mission. My clinical skills and experience in dealing with a diverse population were very helpful in providing the skilled nursing care needed. Also nurses in the BOP are adapted to flexibility in scheduling and constant changes. This mission was a perfect fit for me. I felt much needed, and able to provide the skills necessary. I would like to see more of a pre-arranged agreement with the BOP administrators to let us go a little more easily. Although I know that our mission in the BOP is critical, I think that there should be more of an expectation that we WILL go when called upon, and not have to ""beg"" to be released or wait long periods for supervisor approval. My DON originally said that they ""couldn't possibly spare me"" , but when someone ""higher up"" called our facility, I was put on the list to deploy. I would like to see this resolved so that when called WE CAN JUST GO. Some get awards for deploying, while others are repeatedly told by their supervisor, that they cannot go.","chrisandmikeeck@gmail.com","10/12/2008","10:24 AM"
"Pollock Louisiana","8/30/2008 thru 10/03/2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","pamburcie@sbcglobal.net","10/12/2008","10:52 AM"
"Austin, TX","Sept 19-26, 2008","Hurricanes2008","N/A","","Yes","Hard to tell...Though there were a few missions that became viable during our stay in Austin, we didn't have any set missions upon arrival and had alot of down time.","Yes","No","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Need to send APHT out sooner; need equipment available (we had to bring our own; need to send advance team to line up missions; need to evaluate wearing BDUs during interactions with community members; need to develop set of cross training modules to use during down time; need infection control and safety policies developed for APHTs.","diana.kuklinski@ihs.gov","10/12/2008","10:56 AM"
"Alexandria, LA and Bossier City, LA","8/31/08-9/14/08","Hurricanes2008","Yes","Information was incorrect. THe plane in Atlanta landed after I was to meet a bus bound for Miss. When we depolyed we first went to Baton Rouge only to be moved to Alexandria within 2 hours. We were told we would not need a sleeping bag and we would be in hotels. When we arrived in Alexandria we ended up purchasing Sleeping bags for the cots, out of pocket.
 ORFD  called me two days later asking me where I was even though we signed rosters, had OIC call with info contact others in the chaion of command. I truly felt as though no one knew where I was and I could have been considered MIA or AWOL. A bit disconcerning to say the least. ","No","Yes, First I was assigned to Missippi group. When I arrived in Atlanta I was informed that the last bus left at 3 PM, however my plane did not arrive until after 6 PM. I was informed I was to be with Tier two detachment from OIC. One week after arriving in Alexandria, the nurses were asked if they would be willing to move to Bossier City and assist the Ohio D-MAT team. I did volunteer and complied with the second mission.","Yes","Yes","Yes","Yes","Differences","Not applicable","Differences","Influence","Differences","Able to use my ASL skills with a few deaf an HOH patients, very handy!","3 Effective","Yes","training for a week with the tier group I was assigned ","I am sorry to say that several individuals did not display behavior becomming flag staff officers. There was drinking after they worked their 8-12 hour shift,arriving back at the facility under the influence, driving  government rental cars while under the influence and not being available when needed due to drinking. These officers felt it was beneath them to work off shifts, or assist with heavy lifting. In one episode at the Bossier City Site a D-MAT nurse asked for their assistance and several 0-5 officers refused to do so. 
On a positive note I had the pleasure of working with some acceptional officers. They were CDR.Vishon, CAPT Shane, LCDR Keepseagle, CDR. Provost, LT Deleon, CDR. Ellis, CDR Fava,CDR Kelly and LCDR Killsback. These officers worked above and beyond, putting in extra hours, assisting patients and fellow staff members even on their supposed down time for sleep.","armynse@yahoo.com","10/12/2008","02:59 PM"
"I didn't.  I was stood down the evening prior to my deployment date.","N/A","Hurricanes2008","No","They couldn't tell me whether or not I was deploying.","Yes","N/A","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","charles.craig@ihs.gov","10/12/2008","03:52 PM"
"College Station","Sept. 16- Sept.26","Hurricanes2008","Yes","","Yes","","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","Spanish emerision oriented toward medical.","I found out just over 7 hours prior to my flight that I was being deployed. It would be nice to get notified a little sooner. I got home at about mid-night from work, my flight was 7AM. The deployment seemed to run well other wise. Great help from Texas A&M faculty and students. ","wfcarc@juno.com,","10/12/2008","03:54 PM"
"Baton Rouge, LA","8/29/08-09/11/2008","Hurricanes2008","Yes","","Yes","Yes- prestaging, then mission to run FMS, then mission to merge FMS with state shelter","Yes","Yes","Yes","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Differences","Philosophy/mission differences between local/state/federal r","4 Very Effective","No","","","michael.toedt@cherokeehospital.org","10/12/2008","08:47 PM"
"Austin, TX","10-24 Sept 08","Hurricanes2008","Yes","Confusion on getting a call for planning the flight. The communication was email only so had to take a later flight.","Yes","","N/A","Yes","Yes","Yes","Not applicable","Not applicable","Differences","Not applicable","Not applicable","","Not applicable","N/A","","This is the second deployment in which the building really was not safe for working as it had not been properly prepared. The ventilation had not been purged after 2 years of vacancy. I was exposed to strep while deployed and was out 10 days after returning home. Many others became ill. There was not doctor onsite. Environmently safety needs to be stressed and ensured as much as the physical. If I go down physically, I will be unable to contribute 100%.","debra.tubbs@cms.hhs.gov","10/12/2008","09:34 PM"
"Austin, TX","9/31-10/5/08","Hurricanes2008","No","When I arrived at Austin I did not know where I was supposed to go from the airport. When I contancted the Emergency OFRD number that I was given by the Travel toll free line there was no answer and I was told by the recording that the voice mail is full.  I tried other numbers that I had with me but could not obtain any additional information until finally one of the officer called me back about 2 hours later with the hotel information. I think there was exteremely poor planning on the OFRD side.  It would make it a lot easier and less frustrating if I had all of the deployment information before hand and if I had any questions there was a 24-hours line that I could contact for help.","Yes","No.","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Although I came back from the deployment more then a month ago I still have not received the reimbursement for my travel.","vlada.matusovsky@fda.hhs.gov","10/13/2008","08:25 AM"
"FMS College Station","9/21/08 - 9/27/08","Hurricanes2008","Yes","Was called three weeks prior to deployment telling me I was on Alert. Then 3 weeks later was emailed I would be deploying. My only concern is that I was not called with my Itenerary - not a huge problem since when on alert an officer should be checking his/her email daily. ","Yes","Yes, It appeared to me that more officers were needed earlier in the deployment and fewer later in the deployment. However, it appeared that a large influx of officers arrived later in the deployment when the mission was winding down. ","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","I guess I am not sure how or why there is so much of a focus on cultural influence or cultural differences in the post-deployment survey. I would have expected more regarding the actual conduct of the operation and leasons learned. ","matthew.armentano@cherokee.org","10/13/2008","08:58 AM"
"LSU Field House and PMAC, Baton Rouge, LA","","Hurricanes2008","N/A","","Yes","Yes, due to a problem with recieving additional nursing staff, pharmacists were asked to administer oral medication to patients along with their additional duties (Question scope of practice).","Yes","Yes","Yes","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","We never recieved any information or documentation on how process reimbursement for travel. Recieved no intial travel information from OFRD. Pharmacists asked to administer medication to patients. No information on reimbursement for equipment losted during deployment due to FEMA location being displaced while I was working. ","wholt@cdc.gov","10/13/2008","09:10 AM"
"College Station, TX","9/6/08 THRU 9/19/08","Hurricanes2008","Yes","","Yes","The Command updated us as needed concerning mission requirements","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","Overall, I worked hard and had a great experience.  I am proud to be a member of the PHS.","","10/13/2008","09:46 AM"
"georgia, texas (College Station)","end of sept","Hurricanes2008","Yes","","Yes","","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","herndontm@hotmail.com","10/13/2008","10:03 AM"
"FMS, COLLEGE STATION, TX","9/21/08-9/26/08","Hurricanes2008","Yes","","Yes","","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Training with the EMR system might have been helpful.  Also, standard resources that could be included in the pharmacy cache may also be helpful and help minimize what individuals feel they need to bring.","stacey-thornton@cherokee.org","10/13/2008","10:24 AM"
"Alexandria, LA (Via Baton Rouge and Carville, LA)","29Aug- 16Sep2008","Hurricanes2008","Yes","However, we had a large amount of confusion as to where were would be for the duration of our mission, and seemingly very little support from ""above.""","Yes","originally, our team was to be split in half, and staff two FMSs in two different locations; after setting up one FMS, we were moved to an altogether different location and again set up an FMS, which the entire team then staffed for the duration ","Yes","Yes","Yes","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","Poverty, and thus the local 'way of life' was profoundly apparent and resutled in a way of life different than the way PHS officers generally live; there was a very stark contrast to our daily encounters [at home] and our patients'","4 Very Effective","Yes","An understanding of illness in the area, some knowledge of the cultural differences bewteen DC area and the affected area. ","","","10/13/2008","10:40 AM"
"mississippi, baton rouge","8/31-9/12, 2008","Hurricanes2008","No","I never recieved official orders, we eventually were told we had a blanket order for our team. Also, an email indicated that itinerary for flight should be recieved by a cretain time and if did not recieve than to call a number, the number was inactivated and I ended up missing my first flight because I didi not recieve my itinerary in time.  I also did not recieve a phone call from my team leader, which was also stated in an email.","Yes","while enroute I recieved notification that I would be goign to a different location.  We also demobilized our first assignment and then we integrated back in with the rest of team in Baton Rouge and we where instructed to demobilize shortly after we arrived and there was lots os miscommunication and not clear direction from the chain of command and this affected the team","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","Yes","we had a presentation on the FMS midway through, that would have been helpful prior.  Also, it  would be good to have tier 3 training like the RDF's or incorporate more tier 3 in RDF's.  This may help with team cohesivness and better serving those that we are helping.","Overall, This was a good first deployment.  I was impressed on how our mississippi team really worked together for the overall mission of the USPHS. It made me proud to be an officer in the USPHS","nichole.vetter@ihs.gov","10/13/2008","10:50 AM"
"Austin TX-with misions in Houston and Galveston","19 Sept. thru 3 October","Hurricanes2008","Yes","","Yes","Yes. Missions were not clearly defined and available for every officer.  Many of our skills were not utilized to their maximum potential.","Yes","Yes","No","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Differences","","4 Very Effective","No","","Missions should be clearly defined before an entire team is deployed.  Many officers set for days waiting for a mission.  IF missions cannot be defined, utilize this time for additional training and education.  I felt many days were wasted because there was nothing to do.","Stephanie@indianhealthboard.org","10/13/2008","11:13 AM"
"Texas","9/19/08-9/29/08","Hurricanes2008","N/A","","Yes","No","N/A","No","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","lwh4@cdc.gov","10/13/2008","11:31 AM"
"Marshall, TX and College Station, TX","8/31/08-09/15/08","Hurricanes2008","Yes","Yes, they were able to deploy from my vacation site giving me the opportunity to spend a little time with family who were meeting us that we had not seen. ","Yes","Yes, we were moved several times during our deployment: Dallas,TX to Marshall, TX to Dallas, TX to Atlanta, GA to Dallas, TX to College Station, TX.  The teams were changed several times as well. ","Yes","Yes","N/A","Yes","Influence","Influence","Not applicable","Influence","Influence","","3 Effective","No","","","amanda.crowder@ihs.gov","10/13/2008","11:33 AM"
"Baton Rouge, LA","August 30, 2208","Hurricanes2008","N/A","I made no specific requests for information","Yes","yes, it was not clear what the initial mission was; the mission changed during the deployment, roles for team members changed throughout the deployment creating confusion about chain of command","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","Confusion began by not having a central staging location for RDF #3, like Atlanta; the team arrived in groups, not placed together at one location as a complete team.  Leadership changes continued through the deployment.  Roles and assignments kept changing, not following the templates for chain of command.  Travel issues, still are confusing; when and how to expect travel itineraries, terminology ""orders"" needed for supervisors and when to leave duty stations to prepare for travel was disruptive for clinical staff and never were received by many. Emails about billeting affected how many packed for deployment instead of following checklist as published.  Early departure of team leaders negatively impacted morale of team.  Meal times did not correspond to work schedules; food ran out often before all of team could eat.  Special diets for patients were considered as an after thought (renal diets, soft diets, etc).  Very low to the ground cots without head raising capabilities were hard for staff to work and for patients’ medical and physical needs.  Continued changes for bed labeling made it difficult to find and account for patients.  Pre-planning for pharmacy issues not well integrated; needed more lap top computers for administrative purposes to create and manage requests for data, forms, solving dilemmas, etc.  EMR issues were numerous, especially for the fact that the system provided was set up for one time visits and not repeated visits.  To be paperless, need enough EMR stations for clinical staff to chart on and be able to print medication sheets for the complex poly pharmacy patient.  Also to transfer information and provide hand off when patient’s were discharged to other facilities.  Caregiver received services and there was confusion about how to track them.  Discharge planning was overwhelming to local resources, plans for opening special needs shelters need to include patient disposition earlier; especially if they cannot return to their homes or previous facilities. We must remember that those we care for are temporarily in our custody, after 2-3 days we must think seriously about the long term effects on their skin, mood and overall orientation, need to contact their relatives and be connected with the outside world (such as visitation, TV and newspapers).  Most of these issues are not new for this deployment.  I look forward to helping our team be ready and pre-planning for the future.","bibihunter@earthlink.net","10/13/2008","11:58 AM"
"Austin, Texas","19 SEPT 2008 - 29 SEPT 2008","Hurricanes2008","Yes","","Yes","Yes.  There were no missions established prior to deployment or during the first 2 days of deployment.  Missions were developed as we waited at the JFO for assignments.","Yes","Yes","No","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Differences","","4 Very Effective","No","","","shawn.sorenson@searhc.org","10/13/2008","12:02 PM"
"Mississippi and Louisiana","1-13 Sep 08","Hurricanes2008","No","We had a message to call a number only for a recording to tell the officers that the number was not activated.  ","Yes","Yes, we were brought back to Atlanta only to be sent to Louisiana three days later.","Yes","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Team leadership was erratic. Did not seem able to plan ahead very well or communicate above their level. Several doctors on the medical team countermanded each other. If one of them was in charge, why could he not be decisive? On the move to Louisiana, upon arrival, the team leadership failed to communicate that we had been already in the field for one week. We were absorbed into another team and the leadership that was already on the ground in Louisiana did not appear be be concerned about the welfare of the officers they had just absorbed. The O6 that was in charge in B. Rouge announced she was leaving and turning over command to another O6 at a time when the vast majority of her officers were still on the ground. She did not seem to be concerned at all about getting her people out. When you are in command you are responsible to accomplish the mission and you certainly are responsible for the welfare of your subordinates. What kind of commander leaves her troops behind?  That is one of the worst examples of bad leadership I have ever seen anywhere. There was in general a lack of vision and planning ahead. And once planning was done, it was not carried out effectively. Bad leadership carries bad outcomes with it.","","10/13/2008","03:44 PM"
"BATON ROUGE,  LA","31 AUG TO 12 SEP 2008","Hurricanes2008","Yes","","Yes","NO","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","MY MAJOR CONCERN WAS RECEIVING MY TEAVEL ORDERS CLOSE TO 2:30 AM TO LEAVE BWI AT 07:00 AM. ","ELCOQUI@COMCAST.NET","10/13/2008","05:18 PM"
"Austin TX","Sept 21,08 ri Sept 29, 08","Hurricanes2008","No","INitially called on Sept 5th, caller had no information except I was deploying.  I am a Tier 1 assigned officer and later was told to stand down as only tier 3 were supposed to be called.  I was notified on 9/17 of pending deployment in next 12 - 24 hours.  Did not recieve an itinerary until sunday morning 9/21 and departed later that day after told by team leader, at 08:30 I had reservations on a 10:30 flight at an airport 3 hours away.","No","","N/A","No","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","","10/13/2008","06:55 PM"
"Baton Rouge, Louisana","August 31, 2008-September 12, 2008","Hurricanes2008","No","I was notified only 8 hours prior to deployment as to when I was leaving.  The contact number was a voicemail with no one returning messages.  E-mails regarding my deployment were sent sporadically between my home and work e-mail address, therefore I did not receive some of them.  My phone message was returned to my home three days after I was deployed.  ","Yes","","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","In regards to travel, I was given the first course of travel, however I was not given additional information regarding the second flight I was required to take.  It was sent to my home after I had departed.  I also have yet to be reimbursed for my travel expenses.  The food provided was limited in both portion size, and a lack of healthy choices. Finally, initial notification strongly suggested we would be housed in hotels and to pack accordingly.  Unfortunately, I followed that suggestion and was without numerous necessary items.","mlmpr1@aol.com","10/13/2008","07:12 PM"
"College Station, TX","9/23/08-9/26/08","Hurricanes2008","Yes","","Yes","Yes","Yes","No","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","I was deployed after the health and housing services at the Texas A&M Arena were winding down. Therefore, even though my primary role is as a clinical physician assistant, I was not able to see any patients during my short deployment. However, I was able to help the supply section accomplish it's task of cleaning, crating and loading supplies. Not a bad deployment but I was hoping it would be longer. 

OFRD was great and helping me change my travel schedule/flight reservations. Thanks.

I WOULD VERY MUCH LIKE TO BE A PART OF ONE OF THE NAVY HUMANITARIAN MISSIONS NEXT YEAR. HOWEVER, MY SUPERVISOR MAKES OUR WORK SCHEDULE 3-4 MONTHS IN ADVANCE. DO YOU HAVE ANY IDEAS ON HOW I COULD FIND OUT MORE THAN 4 MONTHS IN ADVANCE WHEN THE MISSIONS WILL TAKE PLACE? 

THANK YOU FOR YOUR TIME.

LCDR J. TODD BAUGHMAN, PA-C, USPHS","todd.baughman@ihs.gov","10/13/2008","08:21 PM"
"Atlanta, Dallas, College Station","September 2008","Hurricanes2008","N/A","","Yes","","Yes","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","","10/13/2008","08:57 PM"
"College Station, TX","09/21/2008 - 09/26/2008","Hurricanes2008","Yes","","Yes","Yes. I was designated Mental Health which is my specialty, but was assigned medical. I am a nurse, therefore it was not a problem.","Yes","Yes","No","Yes","Not applicable","Differences","Not applicable","Differences","Differences","","4 Very Effective","No","","","kimjimmerson@tx.rr.com","10/13/2008","10:19 PM"
"College Station Texas","September 12-September 25","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","","ats5@cdc.gov","10/14/2008","07:26 AM"
"College Station, TX","9/19-26/08","Hurricanes2008","Yes","With a great deal of persistence on my part.","Yes","No","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Though this deployment went smoother than others in the past there's still a great deal more improvement needed.  We should have SOPs for all of our responsibilities and activities along with forms pre-prepared as the basic foundation and needs during each deployment are very similar if not the same.  There was a lot of time spent developing these things when they should've been already developed, for example how to operate and the functions of the discharge planning department, how to manage PHS and Contracted Staff and what are the expectation for both groups, etc. ","kimberly.martin@fda.gov","10/14/2008","07:33 AM"
"Baton Rouge, LA (LSU Campus)","31 Aug-13Sept 08","Hurricanes2008","Yes","No, no one ever responded to emails or phone calls.  Arrangements were sent out at the very last minute via email only at a very late hour.","Yes","No, ","N/A","Yes","Yes","Yes","Not applicable","Differences","Differences","Not applicable","Differences","","4 Very Effective","No","","I am prior military.  One of the first things and most important things in a deployment is to to take care of your own people (staff).  We had to sleep on floors the majority of our time there.  No billeting arrrangements were ever made.  We worked 12 hour nights straight, with no relief.  Furthermore, many evenings I would wake up early to grab dinner, and it would not be there.  The LSU staff would close the chow lines sometimes an hour early.  There were several meals missed by the night shift workers.  How does PHS expect people to work 12 hours without adequate meals and restful sleep?  Lastly, I do not feel the leadership there expressed our conditions and needs to the IRCT.  I also do not feel they were prepared to be in a leadership position independently.  Also in my previous career, leaders are the last to leave or they leave with their people.  They don't leave first.  I was really disappointed in this deployment.  I am glad that I posessed the skills to take care of people, but I wish the same opportunity was given to me in the form of leadership.   ","c4walker@bop.gov","10/14/2008","07:49 AM"
"Jackson, MS & San Antonio, TX","8/29/08-9/9/08 & 9/9/08 - 9/27/08","Hurricanes2008","N/A","Being in ASPR I was deployed by ASPR to support the FEMA ambulance contract in MS and TX for Gustav and Ike.","Yes","Once Gustav was completed in MS then I was assigned to TX for Ike. Mission was seamless.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","Reimbursement is very slow. Despite submitting my Jackson MS reimbursement while in Texas and signing everything over 2 weeks ago, still no reimbursement.","george.durgin@hhs.gov","10/14/2008","07:51 AM"
"Alexandra Louisiana","August 29 - Sept 18","Hurricanes2008","N/A","","Yes","the location of our mission","Yes","Yes","No","No","Influence","Not applicable","Not applicable","Not applicable","Influence","","4 Very Effective","No","","","","10/14/2008","07:53 AM"
"Texas, Marshall and College Station","30 Aug to 16 Sept","Hurricanes2008","Yes","","Yes","Evolved from a very effective team of individual augmentees to having to be incorporated in with other RDF units, supposedly more well-prepared to staff a FMS.  However, the integration led to decrease in efficiency and morale, as the integrated team leadership was wholely incapable.  To quote the RDF 1 team lead (on his first all-hands address), ""I do not think I am up for this.""  He wasn't, nor was his staff in general.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","paul.reed@fda.hhs.gov","10/14/2008","08:07 AM"
"Alexandria, LA","29Aug2008 to 16Sept2008","Hurricanes2008","Yes","","Yes","Yes - first sent to LSU where the team set up a 250-bed federal medical shelter only to be informed that the mission had changed and the group was being sent to Alexandria, LA to set up another 250-bed federal medical shelter.  ","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","","10/14/2008","08:36 AM"
"Carville, LA and Alexandria, LA ","August 29- September 17, 2008","Hurricanes2008","Yes","N/A -I received information through PHS-2 as a team member.","Yes","No, same requirement for setting up SNS but did have 2 locations.","Yes","Yes","No","Yes","Influence","Differences","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","This questionairre does not address critical need for additional nurses that was never supported in Alexandria and an obvious lack of quality check on appropriate stocking of SNS supplies such as bariatic pack sent with beds but without mattresses.  ","martha.olone@fda.hhs.gov","10/14/2008","08:52 AM"
"Marshall, TX and College Station, TX","31 August through 14 September 2008","Hurricanes2008","Yes","NO!  Inaccurate information was given out by OFRD personnel regarding need to report in to office to respond.  LTJG Olin Bakke was rude and provided the wrong information at the wrong time.  Overall performance of OFRD was POOR and DISGRACEFUL.","Yes","Mission requirements were understood and the TIER 3 leadership (CAPT Montalvo, CDR Reed, CDR Vieweg and LCDR Davis) were excellent.  The should be put in for the highest awards possible.  What was deplorable was the complete lack of planning and logistical support that OFRD and the other so called leaders in Rockville provided to their officers in the field.  Officers were issued orders to show up with BDU's and ballcaps and later were told that they should have brought bedrolls.  Sleeping facilities, bedding, showers, soap, towels, laundry facilities, etc., were an afterthought.  We should have concentrated on patient care, but instead had to scrounge up bedding, etc.  Also, RDF leadership was generally awful.  CAPT Hess and CDR Simpson were both martinets with no leadership skills.  They both should probably have retired 10 years ago.","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","keith.schwartz@hrsa.hhs.gov","10/14/2008","08:58 AM"
"Baton Rouge, LA","August 29 - September 12, 2008","Hurricanes2008","No","Never received printed orders for deployment or demobe.  Only received travel orders for demobe leg home.","Yes","","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","","10/14/2008","08:59 AM"
"Marshall, TX; College Station, TX","9/1/08-9/14/08","Hurricanes2008","No","Real orders were never actually issued.","No","No","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Since the missions of the future will primarily be of the patient care variety, training should be given to Engineers/Scientists to make them either EMTs or IHs.  Also, the mission commander or logistics chief needs to be delegated more authority on-the-ground to make decisions and aquisitions.","copeland.michael@epa.gov","10/14/2008","09:00 AM"
"Baton Rouge, LA","9/16/08-9/26","Hurricanes2008","Yes","","No","","No","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","I'm an engineer and was listed as a nurse for deployment.
I'm not sure where the error occurred.","","10/14/2008","09:01 AM"
"Austin, TX --- JFO","09/19/2008 -- 10/03/2008","Hurricanes2008","No","","Yes","","N/A","No","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","","10/14/2008","09:09 AM"
"College Station, TX","9/ 21 to 9/27","Hurricanes2008","Yes","","Yes","no","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","brian.breuer@ihs.gov","10/14/2008","09:22 AM"
"Marshall and College Station, TX","August 31 to September 15, 2008","Hurricanes2008","No","I did not receive any information from OFRD. I had to do my own research and arrange my own travels through Omega.","Yes","The original mission in Marshall,TX, used only Tier 3 officers as an FMS. The second mission to College Station, TX, integrated the Tier 3 officers into an established RDF.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","","10/14/2008","09:23 AM"
"College Station, Texas","September 5-September 19th","Hurricanes2008","Yes","","No","Because of lack of nursing staff, I was asked to participate in the nursing role that I did not feel qualified to do. The population of people appeared to be much sicker than what I envisioned the original mission to entail.","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","I worked with an incredible group of social workers who gave 1000% towards fufilling the mission.  Officers displayed tenacity, flexibility, and compassion, despite less than adequate conditions.  I am in awe at the quality of Officers that I worked with and proud to be a part of this group.   ","mbanks-shields@hrsa.gov","10/14/2008","09:39 AM"
"Austin, Texas","9/19/2008 to 9/29/2008","Hurricanes2008","N/A","","Yes","The mission requirement when we deployed was not clear.  However, after arrival, it did become clear.","Yes","Yes","Yes","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","Concerns were expressed by various community leaders about having us move about the community in full BDUs.","3 Effective","No","","1. I think that the PHS needs to do some work educating local public health leadership.  Everywhere that we went we had to spend a good deal of time describing the PHS.  

2. Although direct flights on a less expensive airline were available, More costly flights were arranged that required changing planes.","","10/14/2008","09:39 AM"
"College Station, TX","September 16-25, 2008","Hurricanes2008","Yes","Only 6 hour notice.","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Overall Good experience.  Short notice did not allow for all preparation paperwork to be received before deployment.","swacha@bop.gov","10/14/2008","09:40 AM"
"Austin TX","Sept. 19 thru Sept 29","Hurricanes2008","Yes","","No","I deployed as part of APHT-3.  It was clear there was no clearly defined mission when we deployed and I spent 7 or the 10 days of the deployment sitting around with no mission.","N/A","No","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","It was very clear that the entire APHT-3 team did not need to deploy all at the same time.  When the IRCT briefed us they specifically told us that there were few or no missions for us.  The entire team sat around with nothing to do for 4 days and the missions we went on were, in my opinion, not critical to hurricane relief.  ","dgardner@niaid.nih.gov","10/14/2008","09:41 AM"
"Austin and Galveston, TX","9/19-10/2","Hurricanes2008","Yes","Never received travel orders.","Yes","Mission evolved due to varying assignments made based on requests from cities, counties, and the state.","Yes","Yes","Yes","Yes","Differences","Not applicable","Not applicable","Not applicable","Not applicable","Spanish speakers/writers would have been advantageous.","3 Effective","Yes","Spanish classes supported by Agency or PHS.","","jmckernan@cdc.gov","10/14/2008","09:43 AM"
"Austin/ Houston","9/19-9/30/08","Hurricanes2008","No","","Yes","N/A","N/A","Yes","No","Yes","Not applicable","Not applicable","Influence","Not applicable","Influence","","3 Effective","N/A","","The fact that we were ""on alert"" from the Saturday before labor day until we deployed on 9/19 caused a great deal of disruption to my workplace.  When I joined the team I was told that I would have 48 hours notice of deployment.  Being on alert for weeks and then being told less than 18 hours before the flight leaves is not 48 hours notice.  I am concerned that if situations like this continue no supervisor is going to want to hire a PHS officer.

OFRD tried to deploy me with a team other than my APHT3 team and then told me that I was AWOL when I had been instructed not to deploy. A week later, while I was deployed with the APHT3 team OFRD called and left messages for me telling me that I was AWOL again.  My son received the messages and was very distressed.  ","rbent@mail.nih.gov","10/14/2008","09:44 AM"
"Alexandria, Bossier City, LA","8/31-9/15/08","Hurricanes2008","No","Called on Cell phone on 8/27/08, I erposnded on 8/28 with Supervisor's approval, checked my e-mail daily, when on 8/31/08 I read an e-mail at noon that had given e-mailed me a ticket for 8/31 @ 0800 via e-mail 8/30 at 2230. When I read this at noon on 8/31 (Sunday), there was no one to call, except the ticket agent for further instructions, luckily they new the phone number for dispatch.  On my return trip home, this routine was repeated.  I was e-mailed my flight plan while in a Hurricane shelter that was without power, and/or e-mail capabilities. Again missed my flight home.  The whole time I carried my cell phone and either or both incidents could have been averted with a phone call or message.","Yes","Yes, mission at Alexandria moved to Bossier City, LA","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","Seriously, four questions on Cultural Influnces with space for comments but no questions about training to help prepare for responding to an emergency, set up of a hospital, EMR training....and only one question with regard to travel and no space for comments.  ","d1deleon@bop.gov;  daniel.h.deleon@us.army.mil","10/14/2008","09:47 AM"
"college Station, TX","9/12 through 9/25/08","Hurricanes2008","Yes","There was confusion about who the correct POC in TX would be and whether or not I was supposed to pick up a vechicle in TX. I was given 3 different names by OPEO","Yes","Prior to arriving I was told that I would be working one 12 hr shift on and one day off,etc. When I arrived I did not report to the POC noted on the e-mail, and there was confusion about who my group should report to. The shift was changed to 12 hour continuous nights.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","It would be very beneficial to send out a survey to all officers that participated in this deployment and you will find that a large number were disatissfied with the organization of this mission.  ","elizabeth.hobson-powell@noaa.gov","10/14/2008","09:50 AM"
"College Station, Texas","September 6 to September 21","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","Elderly, acute highly-debilatated patients","4 Very Effective","N/A","","It was a great experience and felt wonderful to help those in need.","william.bender@fda.hhs.gov","10/14/2008","09:54 AM"
"Alexandria LA","31 August - 16 Sept","Hurricanes2008","No","Notification of itinerary for travel was not handled very well.  I, like many other officers, received e-mail correspondence that was not delivered in a timely manner.","Yes","No","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","","ljacoby@hrsa.gov","10/14/2008","09:54 AM"
"jackson, MS, Baton Rouge, LA","8-31-08 to 9-16-08","Hurricanes2008","No","It was very frustrating to not have any mission info. or orders prior to deparure.  As part of our training in BOTC, etc. we were always told to never travel without orders, then the OFRD expects us to do this. It is hard to know what to expect when deployments arise. Officers were also told we would be getting telephone calls with travel and mission info. These telephone calls never came. It appears that the OFRD was incompetent, unorganized, understaffed, or possibly all of the above.  ","Yes","Completed mission in Jackson during the first week of deployment, then proceeded to Atlanta for 2 days and then to Baton Rouge for the remainder of the deployment. During the second week of deployment we were notified that all officers in our group were to remain deployed an extra 3 days.  Yet, in the end only 22 officers remained the extra 3 days. The extended deployment was not optional.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","This was a very frustrating deployment from start to finish!  I was finally given an itineray 3 hours before flight departure and I live 150 miles from the airport!!  During times of deployment I feel additional staff should be available to make travel arangements in a more timely manner. Staff should also be available to keep in contact with deploying officers either by phone or e-mail.  Also, accurate information should be given.  We were initially told not to bring sleeping bags as we would be staying in a motel.  This definitely did not happen!! ","craig.noteboom@ihs.gov","10/14/2008","10:01 AM"
"LSU Ag Center, Alexandria, LA","31 Aug-15 Sep 08","Hurricanes2008","Yes","","Yes","Yes--I was initially deployed as an augmentee to RDF2, but due to transport, timing, etc a team consisting of RDF2 and 3 members was cobbled together to staff the LSU Ag Center special needs shelter.  We were also extended to accommodate Hurricane Ike and the Louisiana State shelter that mobilized to support that.","Yes","Yes","Yes","Yes","Not applicable","Not applicable","Influence","Not applicable","Not applicable","understanding Louisiana law and using it (I had to involuntarily commit a patient under LA law)","4 Very Effective","N/A","","I very much enjoyed the work and service that went into this deployment, as I did with Katrina/Reta years ago.  However, the administrative process relating to my deployment, and the call for me to redeploy 2 days after returning because lists/communication had not been updated in DC, was very demoralizing.  I saw multiple colleagues called to deploy to LA while they were already deployed there--clearly there were problems with information flow related to who had and had not deployed.  While these may seem minor glitches from an administrative standpoint, they were most distressing to the individuals involved, and I observed a distinct effect on detachment morale when it seemed apparent headquarters (whoever that was) did not know who was there and who not.  It would be well to try to avoid this problem in the future if possible.","lawrence.chance@ihs.gov","10/14/2008","10:05 AM"
"COLLEGE STATION, TX","","Hurricanes2008","Yes","N/A","Yes","NO","N/A","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Where possible, need to inform officers as to what the mission is prior to deploying.  This would help the officer in determining if they need to bring tools, instruments, laptops, etc.  The mission at College Station was clear and defined by the time I deployed yet I flew in not having a clue what the situation was or my potential assignment.","burke.helmer@ihs.gov","10/14/2008","10:16 AM"
"Atlanta, Dallas, College Station","9/5/2008 - 9/21/2008","Hurricanes2008","Yes","","Yes","We were initially billeted to Atlanta in expectation that Ike would hit Floridam, then we were moved to Dallas.  We were also supposed to be in charge of our own FTS but we eventually take subsumed into RDF-1 in College Station and did not run our own FTS.","Yes","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","","cbd1@cdc.gov","10/14/2008","10:20 AM"
"LSU in Baton Rouge and Alexandria LA","August 29 to September 16, 2008","Hurricanes2008","N/A","","Yes","","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Need improvement in logistics, planning, transportation, and communications.","koung.lee@fda.hhs.gov","10/14/2008","10:21 AM"
"texas college station FMS","9/23-27/08","Hurricanes2008","No","notification of deployment process was not done via celular phone. Deployment occured on weekend when access to e-mails is difficult. I missed my flight.","Yes","no","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","do not know","","","10/14/2008","10:21 AM"
"Patient Advocate Team -- various areas","07Sep to 24Sep2008","Hurricanes2008","Yes","Yes","Yes","Yes -- the focus of our mission changed during our deployment.   Our first mission at first was to provide information to local hospitals and assist with getting medically evacuees with FEMA #'s.  Towards the end of our deployment--our mission was assist hospitals in arranging CareFlite transportations and to act as a liason between hospitals and state EOCs.  ","No","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","Additional resources:  Fax, copier, paper would have been a great resource.  OFRD did respond to other needs of the Patient advocate team, such as providing cell phones with walkie-talkie capability.","Overall the deployment went well considering this was the first time that a (PAT) patient avocate team was created.  Positive feedback from affected hospitals and state EOC were given and hope that the availability of patient avocate teams will be considered for future emergencies.  It was noted that if the patient adavocate team were in place before the arrival of evacuees -- it would help with communication between discharging/admitting hospitals, CareFlite (transportation), State EOC, OFRD, NDMS and FEMA.  

It also was a benefit to work in conjunction with the Arkansas DMAT team, who had a wealth of experiences to share and definately made in difference in the success of the mission/s.  

I consider the patient advocate team mission a success and had been given the resources when available, by OFRD.  I would like to suggest, if future PAT missions are to occur - that a PAT team case be sent to include such items as:  Laptops (reporting), printer (with copy, capability), cell phones, SOP (with report examples) and various admin supplies (highlighters, pencils, pens).    ","karen.bitsoie@ihs.gov","10/14/2008","10:26 AM"
"College Station, TX","September 21-September 27, 2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","Felicia.BinionWilliams@fda.hhs.gov","10/14/2008","10:39 AM"
"Baton Rouge","8/29-9/12","Hurricanes2008","No","They didn't have information about my deployment nor did I request information from them.","Yes","Mission was undefined when we boarded the plane.  Later, we set up a field hospital in Baton Rouge","Yes","Yes","Yes","Yes","Not applicable","Not applicable","Influence","Not applicable","Not applicable","We worked with the MA-1 DMAT team.  Their approach was different and it took time and understanding to integrate the two approaches.","4 Very Effective","No","","","DVQ6@CDC.GOV","10/14/2008","10:42 AM"
"Marshall, TX","8/30/08","Hurricanes2008","No","There was not the 72 hour notice for Tier 3, it was a matter of a few hours of notification to fly out.","Yes","The mission requirements changed with the wind.  It changed so often it was confusing to everyone.  We were on stand by a majority of the time, wondering where we were going to go.  Alot of hurry up and wait. We were in Dallas at a hotel, left to Marshall and worked FMS, then within an hour notice, left back to Dallas, flew out (was told to Tallahassee, FLA,) but flew out to Atlanta GA, sat in hotel 3 days, then flew back to Dallas.  Following day we were bussed out to College Station, TX and were treated like second class citizens by other PHS Tier 1 group.  Supervisors/Commanders seemed to struggle for power in front of all of us.","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","It was a lot of hard work, but I appreciate the experience I've gained. ","kelly.factor@ihs.gov","10/14/2008","10:50 AM"
"Baton Rouge, Louisiana","08-29-2008 to 09-12-2008","Hurricanes2008","N/A","Did not communicate with OFRD.","Yes","","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","This survey does not provide an avenue to solicit feedback for future improvement in the entire process and seems to focus on cultural influence/differences.  I hope there will be other ways that feedback is solicited.  Comments space should be provided for every answer, so that it can be explained or else little can be learned from yes/no answers.","ajx1@cdc.gov","10/14/2008","10:55 AM"
"College Station, Texas","9/5/2008 - 9/26/2008","Hurricanes2008","Yes","","Yes","Taking care of patients much more ill than expected","Yes","Yes","Yes","Yes","Not applicable","Differences","Not applicable","Not applicable","Differences","","4 Very Effective","N/A","","","lrector@hrsa.gov","10/14/2008","11:03 AM"
"Texas A & M University, College Station, TX","09/06/08 - 09/21/08","Hurricanes2008","Yes","Yes.","Yes","Yes, we started out mostly LTC but towards the end of the 2nd week it became more ambulatory care.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Again, it has been a rewarding experience working with all PHS categories where everyone was very respectful despite lack of sleep and working in a new environment. I admire the attitudes of the PHS officers and volunteers, especially the nurses, and am glad I can be a part of the team. Regarding staffing, I personally feel for future deployments, as a pharmacist, we do not need as many pharmacists, maybe 16 vs the 24 we had. ","Rebecca.DeCastro@cms.hhs.gov","10/14/2008","11:05 AM"
"College Station, TX","September 21-27, 2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","I feel officers would benefit from annual deployment training which would train officers on new deployment technology (ex: electronic medical records, etc.), deployment etiquette, etc.","postelle.birch@fda.hhs.gov","10/14/2008","11:08 AM"
"SOC/ Travel Office","9/11 to 9/28/08","Hurricanes2008","Yes","3","Yes","3","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","still waiting for reimbursement and cannot rate performance","escott@hrsa.gov","10/14/2008","11:08 AM"
"College Station, TX","9/20/08 to 9/27/08","Hurricanes2008","Yes","","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","","nursecin@hotmail.com","10/14/2008","11:11 AM"
"College Station, Texas","9/22 thru 9/26","Hurricanes2008","Yes","","Yes","I worked in the command center compiling patient census, acuity and worked with medical records which I enjoyed.","Yes","Yes","N/A","Yes","Not applicable","Influence","Influence","Not applicable","Not applicable","","3 Effective","N/A","","","lisa.lawrence@fda.hhs.gov","10/14/2008","11:14 AM"
"Atlanta, GA / Dallas, TX / College Station, TX","09/06/08 - 09/21/08","Hurricanes2008","Yes","Good info prior to deployment.  RDF-X leader (CDR Andreason was very helpful.","Yes","Not really - told we were going to do a FMS and that is what we did (locations/rumors changed as far as where we were going). ","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","Should look at flying out of Dallas instead of Austin (larger airports).  I had to wait 8 HOURS for a flight to Minneapolis (then to Minot, ND) from Austin.  Not all of us live in large cities along the east coast.  That should have been taken into consideration. ","kris.neset@ihs.gov","10/14/2008","11:17 AM"
"College Station, Texas","21 September - 26 September 2008","Hurricanes2008","Yes","I think that there was more information available to us at the time regarding billeting, as I was in the second wave of officers that were sent to Hurricane Ike.  It all worked out in the end, but it would have been nice to have had some information along with our e-tickets, etc. ","Yes","The mission requirements did not change. I was the Director of Food Service and was under the Logistics Command.  I did network and work very closely with the dietitians that were under Preventive Med.  I think we developed a great team effort.","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","I think the most important thing was showing compassion to the patients that had been displaced from their homes.  ","This was my first deployment and I learned a lot from it.  I learned you need to be flexible and a team player.  I also appreciate the leadership of the mission for keeping the lines of communication open at all times. ","Edith.Clark2@ihs.gov","10/14/2008","11:21 AM"
"Baton Rouge LA","31Aug-12Sept 2008","Hurricanes2008","No","Original e-mail sent to work and personal e-mail accounts, but subsequent e-mails went to work email only. Potentially could have been a problem if I didn't have access to my work account from home.
 I also called the number given and emailed the originator of the e-mails for a status update since the e-mail informed me I would be hearing from the team lead, which I never did.  Neither voice mail or e-mail was ever answered.Also, e-mails w travel updates were being sent at 0930 the day of travel; for those of us that are not issued Blackberries from our agencies, this is a communication problem.","Yes","No.  We were there to take care of evacuees and that is what we did.","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Travel orders were an issue. Orders did not come through until after 0200 with flight leaving at 0705 that same day. Team arrive exhausted.  
Original e-mail stated NOT to bring sleeping bag/pillow as we would be put in a hotel-we ended up scrounging for space on the floor.
There were no vegeatrian options at meals for those of us who don't eat meat/eggs.  HHS is promoting eating healthy, but there were no fresh fruits and the only fresh ""vegetable"" served was iceberg lettuce. 
It would be nice if all deployed officers had a Blackberry or some device were they could receive communications while on travel since emails were being sent while we were actviely traveling.","","10/14/2008","11:23 AM"
"Alexandria LA","8/29/08 -9/10/08","Hurricanes2008","Yes","No official orders were ever sent","Yes","We were first stationed in Baton Rouge. ","Yes","Yes","No","Yes","Influence","Influence","Influence","Influence","Influence","","3 Effective","Yes","Local helpers","Severe lack of nurses; should cross train pharmacists and  physicians to monitor diabetic patients  -finger sticks and giving insulin injections would have helped the nursing staff; also coming out of their area(s) to assist with filling out patient pharmacy needs would have helped the nurses; physicians and pharmacists need to pair with nurses to more effectively respond to pt's  RX needs; PHS admin staff need to be cross trained as health aids --changing beds; giving bed baths, lifting etc. Pharmacy needs to take over the responsibility of the glucose monitors since no glucose strips were available on this deployment and this was also the case during Katrina.  CROSS TRAINING is  a critical factor if PHS is to be fuly deployable.","","10/14/2008","11:37 AM"
"Louisiana","8/29- 9/10","Hurricanes2008","N/A","","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","There needs to be training, or a protocol developed, to provide guidance to command leaders/section leaders on how to deal with officers guilty of misconduct and/or insubordination.  This should include taking disciplinary action against unfit officers who are either a danger to themselves, other officers, or the patient population.  Specifically, when warranted, the suspect officer should be removed from the mission and/or RDF team. If you would like additional feedback on this issue, please feel free to contact me.","lori.cantin@fda.hhs.gov","10/14/2008","11:39 AM"
"Baton Rouge, LA","8/31/08-9/11/08","Hurricanes2008","No","Packing list sent after I was contacted to board a chartered flight (2 hours before it was to leave). Next orders sent at 12:30 am for a 7 am flight.  Arrived at deployment with 3 hours sleep.","Yes","Yes, nature of wards in FMS was in flux depending on needs of community.","Yes","Yes","Yes","Yes","Not applicable","Influence","Influence","Not applicable","Influence","","3 Effective","No","","","lea8@cdc.gov","10/14/2008","12:01 PM"
"Austin Texas","8/31/08- 9/5/08","Hurricanes2008","Yes","","No","No","N/A","No","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","2 Somewhat Effective","No","","","","10/14/2008","12:01 PM"
"Texas","Sept 5th - 19th","Hurricanes2008","Yes","","Yes","No, I was aware of the fact that as issues of the deployment change, we need to adapt accordingly.","Yes","Yes","Yes","Yes","Influence","Not applicable","Not applicable","Not applicable","Not applicable","The nature of the people that we served were in more distress then I was anticipating.","4 Very Effective","No","","In my opinion, the basic needs that influence a person’s ability to perform under most circumstances is: Food, Shelter (sleep), and a sense of confidence in command.  I believe that we accomplished a great deal as a deployed unit, whereas the Corps is made up of individuals that will do what-ever they have to in-order to make a difference.  However, I do feel that in some instances, leadership was out of touch with the people they were leading.  Many things look good on paper, but when real situations happen, real decisions need to be executed decisively.  I left with the sense that many did not fully trust the leaders that were leading them.  Many stated that the poor planning combined with the lack addressing immediate issues such as ""the Food being served to patients and officers"", combined with the lack of hands on approach by command when they were needed the most, led to a lack of confidence over-all.  Personally, I have been in these situations before and understand that there are some things that you cannot train for and there will always be issues that will arise in the field that are un-predictable, however if we as a Corps want to assume this role, then these issues need to be addressed and not paved over.  I trust that we we will!","go4dodgers@yahoo.comn","10/14/2008","12:04 PM"
"Texas","9-20-08","Hurricanes2008","Yes","","Yes","","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","Chris.Allen@ihs.gov","10/14/2008","12:06 PM"
"Jackson, MS and Baton Rouge, LA","8/31/08 to 9/12/2008","Hurricanes2008","No","We were told to expect information by a specific time, but information either never came or was extremely tardy","Yes","","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Overall there seemed to be very little coordination at higher levels of command. The IRCT seemed to have no idea what was going on or the asset they had under their control.","wbower@cdc.gov","10/14/2008","12:07 PM"
"Little Rock, Dallas, Austin, Dallas","Sept 7-23, 2008","Hurricanes2008","Yes","Yes, with as much information as they had.  Some of the OFRD staff were not from that office and were as lost as I was.  They tried to help.","Yes","Yes.  This was the first mission of this kind.  So, I was new for everyone involved.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Communication was the most difficult part of this deployment experience.  Office equipment, ie: phones, fax, printers, copiers, paper, paperclips, etc.  were a necessity for this type of mission and were not readily available  Members of my team had to use their personal cell phones for over 7 days of our mission.  Computers were not available until Day 4 and when 2 lap tops arrived the information re: passwords were not provided.   

Because I am from the BOP and we do not have access to our government e-mail outside of work, I was forced to use and ensure that my personal e-mail address was given out for business purposes.  This was yet, another obstacle that had to be overcome for this mission.  

Per the NIMS structure, ready access to information and instructions are key.  Communication via phone and e-mail was paramount for the success of a mission; hence, I would suggest that a standard set of communications equipment to include the items listed above be available upon the deployment of staff, so that the deployed staff appropriately informed and can ""hit the ground running"" for any deployment event.   ","awaugaman@bop.gov   aswaugaman@hotmail.com","10/14/2008","12:07 PM"
"FMS College Station","19 September - 26 September 2008","Hurricanes2008","N/A","","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","The process of being notified of deployment and receiving travel itinerary went well. The email I received explained points adequately and I felt as prepared as I could be for the trip.
Billeting was adequate.
Notification of demobilization was adequate.
My only criticism during this deployment was the flow of information from the Command Staff down to the working staff (especially those on shift work actually caring for the evacuees). There was a daily newsletter which was somewhat helpful. However, having a daily or every other day briefing to address the following would have been optimal:
1. What information to give the evacuees (specifically regarding the potential for going back home)
2. How our daily mission requirements were changing (what staff were leaving, how many more staff were coming in, how will staff be allocated across shifts, how many evacuees were likely to be transferred out)
3. Open forum to discuss what has been going well and how we could work to improve daily operations
4. Updates on when to expect staff to demobilize, how that process will work, when to communicate with employers and family as to expected return
Thank you for your time and attention.","ckoratich@cc.nih.gov","10/14/2008","12:07 PM"
"Baton Rouge","Aug 31 - Sep 12","Hurricanes2008","No","Hurry up and wait was the theme for the entire deployment!!!","Yes","Yes,  Changed from a FMS to a hospital","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","but3799@bop.gov","10/14/2008","12:12 PM"
"Wisconsin","9-4-08","Select Event","Yes","They did not change while I was in WI. ","Yes","no. ","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","Have GPS units and a computer with a printer for the APHT Strike Team to use in the field. ","The travel contractor didn't look at the cost benifit of driving vs. flying.  We need to keep an eye on cost with these deployments. 

For the APHT teams I'd like to see a kit bag provided with tools and testing equipment.  This should be issued to the Officer and updated/restocked by OFRD on a regular basis.  Call me if you want to discuss 712-252-3988.

** I was out for almost 4 weeks on deployments - I think that when an officer is out more than 5 days - OFRD should pick up the cost of the Officer for that MONTH. ","Chris.Allen@ihs.gov","10/14/2008","12:12 PM"
"RDF-3 in Jackson, Atlanta, Baton Rouge","8/31/08 - 9/15/08","Hurricanes2008","No","I sought information regarding travel to the site, but when I called the travel office number that I was provided, they were unable to assist and offered no insight on timeframes for travel.","Yes","Yes, we had a mission to Jackson to setup and be a part of the FMS.  When it was nearly shut down we were sent to Atlanta without a mission assignment.  A couple days later, we were sent west again to assist with the FMS at Baton Rouge.","Yes","Yes","Yes","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","There is a culture of exhaustion associated with the frequent need to move out of the path of these storms.","3 Effective","Yes","Simply sending a link or letting officers know of a place they could go in the modules to brush up on training for their deployment role in an RDF at an FMS or otherwise would be helpful.  This however would require that officers know their mission assignments before arriving.","This deployment provided some great experiences, however much still needs to be done with respect to defining officer roles, and assuring expectations for travel are clearly outlined.  Additionally, the command structure on the deployments needs greater experience and training to effectively lead in a deployment.  There were too many mixed messages coming from the top down (OFRD, IRCT, and RDF command) which led to a decline in officer morale.","jeffrey.allen@ihs.gov","10/14/2008","12:44 PM"
"Baton Rouge","09/16/2008","Hurricanes2008","Yes","","Yes","No","No","Yes","No","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","ibrahim.kamara@fda.hhs.gov","10/14/2008","12:45 PM"
"Baton Rouge, LA","Aug 30 - Sept 9","Hurricanes2008","Yes","I did not need to corresponde with OFRD; I was on an RDF roster and information came down my chain of command; listening to Tier-3 officers, however, this did not seem to be the case for them.","Yes","Yes; the mission requirements changed several times.  Most notably, the SIZE of FMS we were staffing increased from 250 to 500 bed capacity; the SEVERITY of patients changed from expecting mostly low-moderate acuity to actually encountering mostly moderate acuity with some high acuity patients (e.g. hospice patients, critical care patients)","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","I really don't understand the point of this questionairre.  Questions I would like to be able to elaborate on are ""Yes/No"" only. ","levans2@cdc.gov","10/14/2008","01:06 PM"
"Atlanta, Georgia, Dallas, Texas and College Station, Texas","9/5/08 to 9/22/08","Hurricanes2008","Yes","yes","Yes","Initially we were to set up a FMS. During our deployment, our mission leader was reassigned else where and the team helped staff an existing FMS in College Station. ","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","No meals were provided. Had to charge hundreds of dollars for food during deployment and have not been reimbursed yet. Reimbursement should not take more than a few weeks.","susie.dill@fda.hhs.gov","10/14/2008","01:15 PM"
"College Station, TX","9/6-9/21","Hurricanes2008","Yes","Notification of flight times probably could use some tweaking.","Yes","To some extent but nothing shocking.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","Recommend working on transitions e.g., comings and goings, overlap, etc.  Basically to do as much planning as possible for these kinds of things.","dbrum22@yahoo.com","10/14/2008","01:23 PM"
"College Station, TX","9/22/08 to 9/26/08 ","Hurricanes2008","Yes","","Yes","","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","As the logistics section deputy chief, it became evident for the need of local procurement authority.","I contrast this experience with an earlier deployment that was far more physically stressful.  I inspected flood damaged buildings in hot/humid settings.  I was able to properly rest every night and keep myself health. Billeting in a gym with 200+ officers and patients is not a healthy situation.  Officers were unduly stressed from the sleeping arrangements.  PHS deployed too many of the wrong folks.  This faux corps attitude about deployments is suspect.","dan.heintzman@ihs.gov","10/14/2008","01:25 PM"
"Little Rock Ark; Dallas Tx and Austin Tx","09/07 -09/22/2008","Hurricanes2008","Yes","This was my fisrt deployment with USPHS. I felt there was a lag in communication from the time when I was 1st notified of activation to the time I was notified of my flight arrangements. After that communicatio was adequate","Yes","The role we served as a Patient advocacy team was new, and initial requirements for the mission were unclear. I feel as team we pulled together, to define the requirements and set the standards which will benefit future teams.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","litzman@yahoo.com","10/14/2008","01:26 PM"
"Alexandria, LA","Aug 31-13 Sept ","Hurricanes2008","N/A","","Yes","Yes, We travelled around for a considerable amount of time before the mission became clear.","Yes","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Better training and command and controll are needed to most effectively use our resources for obtaining positive outcomes in this type of situation. Incorporate training on the EMR and coordination with the DMAT teams to facilitate information utilization and reporting.","donald.sawyer@tma.osd.mil","10/14/2008","01:33 PM"
"Baton Rouge & Alexandria, LA","Aug 29 - Sep 15, 2008","Hurricanes2008","N/A","I was ""on call"" for RDF-2, so I was well aware of the situation.","Yes","I was extended beyond the normal 14 days, and instead of asking permission to stay on longer I had to ask permission to leave on time. ","Yes","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","OFRD needs to have a better understanding as to where their Officers are located, and have more power to move them and cycle them in and out of deployment.","calicea@ncifcrf.gov","10/14/2008","01:54 PM"
"Jackson, MS and Baton Rouge, LA","31AUG2008 - 12SEPT2008","Hurricanes2008","Yes","","Yes","The mission requirement changed because we finished one mission. And were sent to another site. ","Yes","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","The start of the deployment was confusing because we were told we would get a phone call with travel instructions and all the communication was done through email.  If you didn't have email access, via blackberry or some other device, you were at a disadvantange.
However, the group deployed did an excellent job fullfilling the mission.  The Team Leaders at Jackson, MS were excellent. They provided clear communication on the mission and provided great leadership. 
The communication at the end of the mission at Baton Rouge could have been better. We had multiple rumors where and when we were moving to the next location or demobilizing. This was the most frustrating part of the mission. 
Overall, I was very proud to serve with this unit.  We came together extremely well to provide a rapid health response to the communities/patients involved.
And would be honored to be deployed again with such an extremelty professional group.","jeffrey.walling@ihs.gov","10/14/2008","01:57 PM"
"USNORTHCOM, Peterson AFB, Colorodo Springs, CO","9/5/08-9/19/08","Hurricanes2008","Yes","There was some initial confusion as to when I was going to depart, but that was likely related to the fluidity of the situation.","Yes","","N/A","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","During this deployment I worked as part of a standing interagency group that served to advise the commander on the activities of other government and non-government agencies with respect to coordination and potential requests for assistance from DoD. I also worked directly with the Office of the Command Surgeon in support of the patient aeromedical evacuation mission. ","macgillt@niaid.nih.gov","10/14/2008","02:04 PM"
"Atlanta, GA, Dallas, TX, College Station, TX","9/6/2008-9/21/2008","Hurricanes2008","Yes","","Yes","The 3 deployed teams were combined to form on giant RDF.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","I am overall satisfied with the effort put forth by OFRD in conjuction with Omega Travel to get me where I needed to be.  There was quite a bit of ""on deployment"" training especially being it was my first ever deployement.","david.schwab@fda.hhs.gov","10/14/2008","02:12 PM"
"Baton Rouge","September 16, 2008 to September 22, 2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","budmart1@msn.com","10/14/2008","02:23 PM"
"Alexandria LA","29 August - 16 September 2008","Hurricanes2008","N/A","Requests for information to OFRD were made via communication channels within the team and through the team captain.","Yes","The mission length was involuntarily extended while we sat several extra days in a building that was empty except the team.  ","N/A","Yes","Yes","Yes","Differences","Influence","Influence","Not applicable","Not applicable","","3 Effective","N/A","","I understand involuntary extensions during an emergency.  I do not think it is appropriate to refuse to backfill a team because it is expensive or inconvenient.  Otherwise, the ground rules should reflect that reality rather than promising us, our families, and our supervisors that deployments should be 2 weeks in length.  I felt there was no respect for work priorities that would await us upon return to the office.  It is difficult to try to plan our personal lives (such as my prepaid vacation) around deployments when those plans are not respected - i.e., we say we aren't available longer than the 2 week deployment time and that is known months in advance of deployment season, and deployments are involuntarily extended.  I was a bit surprised that many of the deployment issues seem to be relatively unimproved since the Hurricane Katrina deployment.","melissa.greenwald@fda.hhs.gov","10/14/2008","02:26 PM"
"Dallas, Texas (Marshall, Texas) & College Station,Texas","8/31/08 until 9/15/08","Hurricanes2008","Yes","","Yes","No.","Yes","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","Periodic pre-deployment is highly recommended.","lcanete@psc.gov or rsn_recreations @ hotmail.com","10/14/2008","02:29 PM"
"Atlanta, Dallas and College Station, TX","September 6 - 20, 2008","Hurricanes2008","Yes","I received a phone call at 3pm on Friday, an email from the CMDR of our RDF at 630pm and a call at 2am on Saturday advising I was to be on a plane at 830am.","Yes","No, we were to set up a mobile hospital and we did so.","N/A","Yes","Yes","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","Patient's and evacuee's need to share concerns or just vent about everything.  A means to relieve stress.","5 Undecided/Do not know","Yes","","Safety was headed by a CDR who didn't have a clue about food safety.  I would suggest in the future to divide safety into two parts: General and Food / Water.  As a Food Specialist for 33 years I was in charge of food delivery and service but was never asked my opinion concerning how left overs were to be handled, reheated, etc.  Instead a CDR who had no food experience except (as he claimed) he worked for a catering service in High School made food safety decisions.  He was also more of a hinderance than a help.  As a Captain I simply ignored his uniformed comments and took care of business.  If possible please put people in charge (preferabley Capt's) who have the experience and the communication skills needed in emergency situations.  . ","david.blevins@fda.hhs.gov","10/14/2008","02:40 PM"
"Baton Rouge LA","8/31/2008 to 09/13/2008","Hurricanes2008","N/A","I did not request anything of them.","Yes","No","N/A","Yes","Yes","Yes","Differences","Differences","Influence","Differences","Differences","","4 Very Effective","Yes","Prior to deploying it would be properous to study the area that we are deploying to.  An info sheet sent out would be great.  Remember it was my idea. :) Actually, now would be the time to send it out according to the areas we have deployed to.TR","","tiara,ruff@ihs.gov","10/14/2008","02:48 PM"
"College Station, TX","10-21-08 to 10-27-08","Hurricanes2008","No","I was called on a Friday and was given no other information.  When I called on Monday, I was told that OFRD could not predict the storm.  Two weeks later I received an email and was really deployed.  I should not have been called the first time.","Yes","Yes, the patient load decreased, but more officers were still being sent in and many were standing around with nothing to do.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","5 Undecided/Do not know","Yes","Having access to Excel would have alleviated hand writing reports.","The NDMS system should have canned reports that show how many patients are still under care, how many have been discharged, etc.  It should not take 7-10 minutes to print out a report as it did.","","10/14/2008","02:59 PM"
"Alexandria, LA","8-29 through September 15","Hurricanes2008","Yes","Moved from site to site","Yes","type and number of patients","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","basic nursing skills","","william.wyeth@fda.hhs.gov","10/14/2008","03:22 PM"
"College Station, TX","9/5-19","Hurricanes2008","No","Emailed at 11PM the night before for an outbound flight at 0600. On return leg, informed only 3 hours in advance of demobilization and departure from College Station...","Yes","PHS-1 was split into 2 teams on 9/6, into 3 teams on 9/8, recombined and assigned additional Officers into a PHS-1+ on 9/9. ","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","For explanation for my response to your Q.9, see my answers to Q.4","satop@niaid.nih.gov","10/14/2008","03:48 PM"
"college station, TX","sept 6-19, 2008","Hurricanes2008","Yes","only had 6 hours notice from notification to departing flight.","Yes","The mission was unclear the first 4 days waiting for path of hurricane to develop.  This was expected. ","N/A","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","short notice time for initial deployment, did not receive official orders, no travel plans or tickets to return until after midnight on the day I was coming home.","bec4349@bop.gov","10/14/2008","04:01 PM"
"Alexandria, LA","8/29/2008 - 9/15/2008","Hurricanes2008","N/A","","Yes","Yes. We were schedule to work at a different shelter and we were moved to set up and maintain the FMS shelter at the Alexandria Riverfront Center","Yes","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Training between the IRCT and the RDF teams would be helpful.  As an RDF member, I felt like we were on an island with no support for most of our deployment.","kellie.clelland@fda.hhs.gov","10/14/2008","04:06 PM"
"Austin, TX JFO","9-19-2008 to 10-3-2008","Hurricanes2008","N/A","I was contacted by my Deputy Team Commander (APHT 2), then by the Deputy Team Commander of the team (APHT 3) with whom I deployed.","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Getting specialized equipment, especially GPSes, was extremely difficult. ","eric.shih@hhs.gov","10/14/2008","04:07 PM"
"College Station, TX","September 6-22 (only Sepember 14-22 at College Station)","Hurricanes2008","Yes","","Yes","","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","This questionnaire seems very narrowly focused and barely addresses the topics that I would have chosen to emphasize for evaluation.","william.baine@ahrq.hhs.gov","10/14/2008","04:25 PM"
"Baton Rouge","8/29-9/12","Hurricanes2008","No","I found out I was being deployed within 2 hours and then again did not find out until 11:30 pm that I was being deployed at 6am.  ","Yes","","Yes","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","","10/14/2008","04:39 PM"
"College Station Texas","9/6 - 19/2008","Hurricanes2008","N/A","","Yes","","N/A","Yes","Yes","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Influence","Literacy","3 Effective","No","","","kimberly.love@fda.hhs.gov","10/14/2008","05:09 PM"
"College Station, TX","09/15/08-09/19/08","Hurricanes2008","No","Before departing for the deployment, not much info was provided on my role in the resposne.","Yes","","N/A","No","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Still haven't been reimbursed.  Also, there were too many PHS officers in College Station when I was there.  My services weren't needed.","jac6@cdc.gov","10/14/2008","06:04 PM"
"College Station, TX","9/21/08  to 9/26/08","Hurricanes2008","N/A","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","Providers should have a label identifying their particular role.  I found it confusing.","","10/14/2008","06:08 PM"
"Jackson MS, Atlanta GA, & Baton Rouge LA","8/31/08 - 9/16/08","Hurricanes2008","Yes","No. New flight made for 0700 8/31/08, but not notified until 0500 that morning.  Called multiple times throughout the night w/ no answer until 0500.","Yes","Yes, originally supposed to go to Baton Rouge, then changed to Jackson.  Good thing I have a blackberry.","Yes","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","I received many instructions via my blackberry.  I believe it would have been difficult to access a computer while traveling, unless you had known to bring your own laptop.","kerri.chin@ihs.gov","10/14/2008","06:30 PM"
"Baton Rouge - LSU ","August 30 - September 12","Hurricanes2008","No","I didn't make any requests but there were travel communication issues - Please the comments below.","Yes","No","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Via e-mail I was told that someone would call regarding flight arrangements going the morning of 8-30.  Instead I received notification at 7:30PM of a 10:59PM flight.  Driving the speed limit it takes 2:45 to get to the airport.  I barely made and I wasn't driving the speed limit.  There were communications occuring via e-mail even after our flights which were not accessible without a Blackberry.  This kind of communication is not reliable unless we are all dispensed Blackberries.  There were a lot of logistical things that could have been done better if the people making the decisions were at the site to see what was possible and prudent.  ","","10/14/2008","06:39 PM"
"Alexandria, LA","08/29/08 to 09/11/08","Hurricanes2008","No","","Yes","we were scheduled to stay in LSU, but then got reroute to Rustan, but on the way was changed again to Alexandria, LA","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","cross training b/t RDF team and IRCT","","","10/14/2008","07:47 PM"
"Baton Rouge, LA","Aug 30,2008 - Sept 13,2008","Hurricanes2008","No","After the ticket was issued, very little info conveyed.  (ie, What to do once in Atlanta, no info regarding lodging, transportation, etc..)","Yes","no","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","The purpose of this particular survey is unclear.","gregory.whelan@ihs.gov","10/14/2008","11:36 PM"
"Jackson Mississippi and Baton Rouge, LA","31 Aug-Sept 13","Hurricanes2008","Yes","","Yes","Yes, once we completed deployment FMS Mississippi we were staged in Atlanta and then forwared to Baton Rouge. ","Yes","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","The only real negative component of the deployment was the communication with IRC, OFRD and the onsite command center.  Once redeploying to the forward location of Baton Rouge, it was thought we were all intergrated into one team, RDF-3.  However, after demobilzation of RDF-3 the IRCT separated us back out to FMS Mississippi and wanted to extend us.  FMS Mississippi were in theater at the same time as RDF-3.  It demotivator and demoralizer for the FMS team.  The expectations that was given was not the reality of the situation.  Communication is a key concept for all parties. Also, on intial travel everyone on the team was on telephone standby.  I never recieved a call from anyone of when to report.  I so happend to check my email, and the window of opportunity to deploy was missed the first time.  Also, the arrangements for the trip back home was also very clustered.  I was called after checking into the airport and waiting for take off that my flight arrangments were cancelled.  Again, communication is a key factor. ","jtube@frontiernet.net","10/15/2008","12:01 AM"
"College Station, TX","","Hurricanes2008","Yes","Yes but the response was slow.","Yes","Yes.  We ent to Atlanta, then Dallas and finally to College Station.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","The command was not very effective.  There were officers assigned to  areas they were not trained professionally and just by their rank ended up supervising the section.  This should be avoided in the future as these officers make the work officers who are trained professionally in the area very difficult.  An officer should not supervise any section or functions for which s/he is not trained and or certified.  This should for all functions in an FMS or hospital setting.","godwin.odia@ihs.gov","10/15/2008","02:40 AM"
"College Station, Texas   Texas A&M University","September 6,2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","FMS set, EMR training","I hope that in the future, there are place where officers can sleep and good meals.","lpark@mail.cc.nih.gov","10/15/2008","10:12 AM"
"Marshall TX, and College Station TX.","8/30/08 thru 9/15/08","Hurricanes2008","No","I never requested any information related to the deployment from OFRD.  Should I have?","Yes","this mission changed almost daily.  after we left marshall tx, we went to atlanta GA and waited for Hanna or IKE to hit the east coast, when those threats were not realized we went back to texas to respond there (College Station)","Yes","Yes","Yes","Yes","Influence","Not applicable","Influence","Influence","Differences","","4 Very Effective","No","","","clifford.jackim@cms.hhs.gov","10/15/2008","10:33 AM"
"Louisiana","August 29- September 14","Hurricanes2008","N/A","","Yes","No","Yes","Yes","Yes","Yes","Not applicable","Influence","Influence","Not applicable","Influence","","4 Very Effective","No","","Would have been better if the IRCT had been on the ground before we were there.  Also, there was a rather cold reception from LSU -- seemed as though poor pre-planning may have been a cause of misunderstanding of the role of PHS","sara_newmman@nps.gov","10/15/2008","10:57 AM"
"Austin, tx","September 20, 2008 to October 1, 2008","Hurricanes2008","Yes","","Yes","No","Yes","Yes","No","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","","10/15/2008","11:10 AM"
"Jackson, MS and Baton Rouge, LA","August 31- Sept 13, 2008","Hurricanes2008","No","1st msg rec'd via email 27 Aug @ work placing me alert.  2nd email msg rec'd @ home 1830 saying to expect a phone call that evening or the next morning with travel itinerary.  Nothing further until 3rd email 30 Aug @ 2230 saying that if I didn't receive my travel itinerary by 0100 31 August then I should contact ASPR @ an 800#.  No one answering at the 800# @ ASPR.  Finally recieved itinerary @ 0130, 31 August to travel @ 0830.  Ridiculous!!!!  Do you think we all carry Blackberries or do you expect us to sit in front of our computers just waiting for the ""GO"" message?","Yes","Oh yeah, very fluid.  Spent more time traveling across the Gulf Coast then actually fulfilling a mission.  Ex. Activated FMS Jackson 31 August and deactivated 6 September.  Travelled evening of 6 Sept into morning of 7 Sept from Jackson to Atlanta.  Staged in Atlanta from 7 to 9 Sept.  Travelled 9 Sept from Atlanta to Baton Rouge to assist w/ FMS Baton Rouge.
Our mission deemed completed 11 Sept.  Are you kidding me?  Would have made more sense to send/extend RDF-3 personnel from Jackson straight to Baton Rouge while sending Tier III, non-HHS personnel back to their agencies.  Waste of assets, money, etc.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","Cluster from the get go.  RDF-3 team split up upon initial arrival in Atlanta the a.m. of 31 August.  First 60-70 to arrive and catch charter went to Baton Rouge.  Rest of team went to Jackson.  No forethought given as far as assets and skill sets being sent to either place.

When the team was finally reconstituted in Baton Rouge, the IRCT in Baton Rouge thought that those coming from Jackson had only been deployed for ONE DAY.  The IRCT had no idea or did not care about agency MOUs and restrictions as far as length of deployments.
Team Leader of RDF-3/Baton Rouge was a TOTAL failure.  First, she shows up without the appropriate footwear for the uniform and has to wear tennis shoes for the first three days.  Seemed small at the time BUT SHE'S THE TEAM LEADER.
Consistently gave orders than contradicted her initial orders and became visibly upset to point of crying because her initial orders were carried out.
Both the Team Leader and Deputy Team Leader of the Baton Rouge contingent CONVENIENTLY had early flights out before the rest of the team had left.  Deputy flew out Thursday a.m. and the Leader flew out Friday a.m. well before flights were being cancelled and personnel were being called back due to implications of Hurrican Ike.  So much for leadership from the front.
Please rethink the necessary skill sets when making up RDF's, especially RDF 3.  We had a SIGNIFICANT number of personnel in clinical billets who had not practiced in a clinical setting in YEARS, e.g., CDC personnel.
I put a ""yes"" in difficulty with reimbursement because I haven't been reimbursed yet.
Finally, I still have the email put out by OFRD stating very clearly that we would be staying in hotel(s) so pack accordingly, e.g., no need for sleeping bag, towels, etc.  Was this a joke?!!?  ","","10/15/2008","11:26 AM"
"college station","9-16-2008--9/28/2008","Hurricanes2008","Yes","","Yes","NO","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","B1WEAVER@BOP.GOV","10/15/2008","11:36 AM"
"College Station, Texas","September 22-26, 2008","Hurricanes2008","Yes","I was notified of deployment only by email.  I strongly recommend that officers be notified by telephone as well, especially when an officer is to be deployed over a weekend. ","Yes","","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Not enough officers were deployed at the start of the mission, and far to many number officers were deployed towards the end of the mission than were needed. ","andrew.zajac@fda.hhs.gov","10/15/2008","12:01 PM"
"College Station, Texas  at Texas A&M","Sept. 5, to Sept. 22, 2008","Hurricanes2008","No","No Official Orders were ever given.","Yes","Mission was disorganized.  RDF-X sat in Hotels for the first 8 days.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","RDF-X was on Per Diem the entire time and no reimbursement has been seen yet.  I was deployed for 18 days, the first 8 days Capt. Andreason briefed the RDF-X team at least daily.  At College Station, Tx, Andreason was pulled from the RDF-X team.  RDF-X was briefed the first day at College Station and then went 8 days without being briefed. The next briefing was day 18 when verbal orders were given to go home.  When day 14 of deployment arrives and no briefing on demobilization or extension is given, it changes the attitudes of the deployed to be very negative. Other RDF teams seemed to be favored at the FMS because their team CO was still present. There seemed to be so many admin. people that there was not enough for them to do, yet the clinical persons felt short handed.    ","","10/15/2008","01:29 PM"
"Southeast Texas","September18-30, 2008","Hurricanes2008","N/A","I deployed with my agency, it was considered a USDA-OFRD supported deployment.","Yes","Yes, the mission requirements changed.  I became the lead for my team, when the Senior officer became ill before we leaving for our destination.","Yes","Yes","N/A","Yes","Differences","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","Since returning from my deployment I am currently taking a Rosetta Stone course for Spanish.","","ltcollierusphs@gmail.com","10/15/2008","03:24 PM"
"Baton Rouge and Alexandria, LA","8/29-9/16","Hurricanes2008","No","We were told by the RDF-2 team commander the day that we were activated that we would be receiving a call within a couple of hours by someone in the travel office.  By midnight that night no one on the team had heard anything from the travel office.  The following day we were told that we would be leaving in the morning to head to Louisiana.  At about 5pm we finally received a text message and e-mail from our team planning section saying that we needed to rally at Dulles Airport by 7pm and that details about a rally point would be provided later.  I received probably 5 additional text messages while I was driving with very confusing information.  Finally, when I arrived at the Airport, parked my car, and went inside I received another e-mail saying that we would be rallying at 10pm at a different location outside the airport where parking was very limited.  I ended up having to pay for parking, took a taxi cab home to Arlington, and then took a taxi back to the airport.  The days leading up to the deployment were very stressful and the entire team was sleep deprived by the time we arrived because the breakdown in communication.  We still have not yet received travel orders.  ","Yes","Yes.  We arrived in the middle of the night at a FEMA facility outside of Baton Rouge.  Half of our team got an hour or two of sleep and then they were told that they needed to get up and set up an entire FMS at the LSU field house.  After they spent the entire day setting up the FMS we were told that we would not be staffing the FMS that they had spent hours working on.  Our mission was then to get on busses and drive to Alexandria, LA in the middle of the night and set up another FMS.  The half of the team that spent the entire day setting up the FMS was at the end of their rope and they were exhausted by the time we reached Alexandria, but they were told that they had to help set up the FMS because there were busloads of patients outside on busses waiting to come in.  At about 3:30am we started accepting patients.  We took care of these patients for about 2 weeks at the FMS in Alexandria before we were able to discharge all of them.  We were then told to break down and pack the entire FMS the evening that the last patient left.  About an hour after we finished packing everything up we received another call saying that the following morning we would be setting up to accept 150 patients who were displaced due to hurricane Ike.  Then an hour later we were told that we would not be setting up the FMS again.  We stayed in Alexandria, LA with no patients to take care until 3 days post landfall of Ike even though a smaller number of officers were manning a FMS down the road at LSUA.  The mission requirements seemed to change hourly.","Yes","Yes","Yes","Yes","Differences","Differences","Influence","Influence","Influence","","4 Very Effective","Yes","","Overall, I thought that the deployment was a good experience.  I really enjoyed feeling like part of a team that was helping people in need.  I was very thankful to be a part of an RDF team where I knew everyone.  

Although the experience that I had was a positive one, many individuals on my team were left with a very bad taste in their mouth and are seriously considering leaving the RDF team.  Based on discussions that our team has had post-deployment it seems as though there is a prevailing feeling that we were dropped in Louisiana and forgotten.  We were not supported by the IRTC or by OFRD.  We were the first team sent out before hurricane Gustav, and we were deployed for 3 weeks, but we didn't have one visit from an Admiral or anyone in the leadership of PHS.  We were denied supplies and the personnel support that we needed to be able to do our jobs safely and effectively.  I know that there is limited personnel and funding for OFRD, and that everyone involved with the deployment did the best job that they could.  I would suggest that individuals working for the IRCT have training and that individuals working at this level should be required to have deployment experience so that they know what the needs are of individuals in the field.  I would also suggest that one individual on the IRCT be assigned solely to represent each shelter in the area.  

One thing that worked really well on our trip out was the chartered flight.  We arrived as a group and all of our luggage was there with us.  It would be very nice if charter flights could be provided for the trip home as well.

I am the food and transportation logistics branch chief for PHS-2.  I am one of 2 dietitians on the team, but I was the only individual that was assigned to work with foodservice full-time.  We have numerous food safety specialists on our team and one other dietitian was there, but it seems as though the roles of these individuals need to be more clearly defined.  Rather than assisting with foodservice full-time, they were tasked with other duties which limited their ability to assist with the service of food and ensuring the safety of the food we were serving. There need to be at least 3 individuals on each RDF team assigned to food procurement and service full-time.  At least one of these individuals should be a Registered Dietitian and one of the individuals should be a food safety expert.  I have been at several training events and have found it extremely frustrating to be responsible for providing food for over 300 staff and patients, but I don't have enough bodies to accomplish this task without begging for people to help.  It seems as though all officers that have a primary deployment role of ""dietitian"" or ""food safety"" should have the understanding that their primary responsiblity during training and deployments is to ensure that the staff and patients are fed and that nutritional needs of the patients and staff are addressed.  On my RDF team there seems to be a great deal of confusion about what the roles are of individuals in certain sections of preventative medicine.  It would be wonderful if the RDF teams and OFRD could come up with brief descriptions of what the duties should be during deployments for individuals in different deployment roles in addition to more thorough SOPs.   ","bdenkinger@cc.nih.gov","10/15/2008","03:41 PM"
"Baton Rouge, LA","08/31/2008 to 09/12/2008","Hurricanes2008","N/A","","Yes","No","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","There are certainly ""opportunities for improvement"" in this deployment.
 Poor travel arrangements: Officers missed flights because promised telephone notification never materialized, extremely short advance notice for flights (I was notified by e-mail at 0230 that I had a 0630 flight from an airport 2 hours away- good thing I was awake that early!) , an inadequate number of travel agents that were difficult to reach, officers routed home through airports closed due to the hurricane, errors in booking return flights that sent officers to the wrong home city or departed from unaccessable airports.
 Conditions on the ground harsher than the circumstances required: 
 Food was extremely limited. We occasionally ran out before everyone had a chance to eat. Variety was poor- the same bland meal every day. No options for vegetarians or religious diets. Meals often served at room temperature within coughing distance of patients.  
 Billeting was essentially non-existant. Officers slept on floors in hallways, on hard tables, anywhere they could find space to lay down. This is understandable in an emergency situation... except we learned that IRTC were single-billeted in nearby hotel rooms. 
  Bathing facilities were totally inadequate- for a period of time male staff had to share open cold shower with pateints.    
 Frequent and poorly thought out decisions to move from one set of ""quarters"" to another.  
 Laundry services were essentially unavailable for many officers who arrived for a 2 week deployment with only two sets of uniforms in a hot/humid climate doing dirty work. LSU was contracted to do laundry, but limited it to 10 bags per day. This was inadequate for 87 officers.
 IRCT gave the impression of being distant and uninterested. They were seldom seen at the medical evacuation shelter. We held twice-daily musters, which they seldom attend. Rumors circulated after the deployment of bullying behavior- officers recalled from the airport by IRCT staff, and threats by IRCT that disciplinary action would be taken against officers who already had flown home (under travel orders).  If this is true, I consider it completely unconscionable.
 Morale took a hit when we learned that local operations were going to be run by DMATS instead of the PHS. We outnumbered the DMATS by a large magrin, had better leadership, stayed on site longer, and had a better balance of the skills (especially nursing) needed to operate the shelters. In my opinion, in a situation such as this, the PHS needs to have a leadership role.
  
  Yet for all the bad, there was much good too. First of all, the mission was accomplished. The officers, from top to bottom, acted selflessly and with unquestioned integrety. The idea to muster in Altanta and take a charter flight to Baton Rouge was sound and contributed to esprit de corps. The PHS officers treated the patients and their caregivers not only with skill, but also with kindness and respect. 
 I would have no reservations about having my own loved ones being treated in such a center. ","spetrie9@charter.net","10/15/2008","04:05 PM"
"College Station, Tx","9/19-9/27/2008","Hurricanes2008","No","I was given a heads up that my name was on the list.  Next thing I'm notified that I am to deploy the next day.  I think notifying the officer with a few days notice would be much preferred and appropriate.","Yes","No.","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","jc4dns@hotmail.com","10/15/2008","04:08 PM"
"Yes","09/06/08-09/19/08","Hurricanes2008","Yes","","Yes","Yes. We ended up needing more nurses do to the high acuity of the patients. They had to call in CNAs, nursing students, and a DMAT to Texas A&M Reed Arena.","Yes","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","kelly.royce@dhs.gov","10/15/2008","04:38 PM"
"Baton Rouge","30 Aug - 12 Sept 2008","Hurricanes2008","No","This was the most disorganized, horrid deployment and demobilization I ever experienced.  It made me ashamed of the PHS inability to function well in an emergency.","Yes","We had to adapt our ICS as we were never informed that we would be working hand in hand with a DMAT that took over control of the situation within 48 hours.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","This assessment is almost worthless in that it does not deal with the billeting, lack of food, lack of cooperation from IRCT, total lack of support from OFRD (even post-deployment - neither CDR Ellenberg or LCDR Waterman have the courtesy to respond to email requests for information from senior officers!!!). This deployment should be a lesson learned in how NOT to do things - as a senior officer, I was disgusted with what I saw from headquarters.  However, the RDF team was superb and it was only due to the officers, NOT OFRD, that made this mission succesful.  Furthermore, evaluations are to be anonymous - asking for emails violates this basic ethic of assesment and evaluation.  Shame on you!!","hbw2@cdc.gov","10/15/2008","04:48 PM"
"Batan Rouge, LA","30AUG08","Hurricanes2008","No","Provided with a call to catch a departure plane in 45 minutes.  Requested information for a later flight and never received a call back.","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","In the future, all notices should state that a Hotel may not be available and sleeping bags are mandatory.","jdhall@psc.gov","10/15/2008","05:01 PM"
"Baton Rouge, LA","8/30/08 to 9/12/08","Hurricanes2008","No","I tried to call OFRD several times and no one answered the phone.  I was sent emails that said I would be contacted by a certain time by phone and never was. I just had to keep checking my email.   I  happened to have email access right before a left for my flight and had new info or would not have known where to go once I got to Atlanta.","Yes","No","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","jodi.sparkman@ihs.gov","10/15/2008","05:29 PM"
"Texas, Marshall and College Station","Sept. 1-Sept. 15","Hurricanes2008","Yes","","Yes","Yes, they kind of did.  We were first set up in a hotel, but moved to sleeping on cots, and we were not instructed to bring a sleeping bag and had to scrounge for blankets.  The same thing happened in College Station,Tx.  The instuctions for deployment were to bring a sleeping bag for being in the field and we were told we would need them.","N/A","Yes","Yes","Yes","Differences","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","Yes","Learning a different language to communicate to some of the patients better.","We had an issue with command in College Station, Tx.  I beleive they allowed too many too sick of patients, and we were a bit overwelmed.  A bigger problem was the food that was being provided.  Texas A&M food service was willing to provide good healthy meals, but we were getting it delivered from a Baptist church and for a day and a half were eating MRE's.  This was not a healthy choice at all for the patients who are already sick enough.  And it weakened moral in an already stressfull situation.  ","mrendahl@yahoo.com","10/16/2008","10:42 AM"
"FMS RDF#1 College Station, TX","9/21-9/26","Hurricanes2008","Yes","","Yes","","No","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","I have suggestions for better preparing pharmacies on deployment.  I have been on 2 deployments now, both involving setting up and preparing to take down pharmacies and I believe that we could be better prepared for consistency sake and so that those officers deployed as pharmacists, whether they are currently practicing pharmacy or those who have not actually practiced pharmacy in years could have adequate references and a practical functioning pharmacy.","kari-barrett@cherokee.org","10/16/2008","10:59 AM"
"IRCT Austin, TX","9/22/08 to 10/3/08","Hurricanes2008","No","I only received an email to my work computer at 2300 Friday night. I did not find out about the deployement until Monday morning at 0800 that I was to be on a plane at 1130.","Yes","I was deployed as a clinical pharmacist at College Station, they changed the mission by the time I arrived. I then took on the planning officer role at the IRCT Austin","Yes","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","steven.mazzella@fda.hhs.gov","10/16/2008","11:22 AM"
"Dallas","8/31/08-9/15/08","Hurricanes2008","Yes","","Yes","No","N/A","Yes","No","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Influence","","4 Very Effective","No","","","","10/16/2008","11:44 AM"
"college station","9/20-9/27","Hurricanes2008","No","no real ""orders"", no 24/7 contact number for enroute problems, travel agent planned impossible connection (10 min between flights that were in different terminals requiring exiting security and catching a bus between concorses) i was stranded in phenoix had difficulty contacting ORFD, initial orders and travel canceled at last minute because OFRD planning to deliver to aid shelter via small plane into small airport right before hurricane hit, they should have brought the group of us in to dallas as planned and arragnged ground transport...apparently we were desperately needed then and barely needed 1 week later...they had really poor communication as to the status we were in after inital travel was canceled","Yes","","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","","njmunoz@anmc.org","10/16/2008","11:57 AM"
"Alexandria, Louisiana","August 31 - September 15, 2008","Hurricanes2008","No","Expected travel orders on Friday, August 29; did not receive itinerary until very early Sunday morning (August 31).  Attempted to contact ASPR travel hotline (as instructed in an e-mail) but never got connected.","Yes","Mission requirement did not necessarily change; however, exact deployment located changed many times before finally arriving at the correct destination.","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","We need a better system for identifying exactly who is in charge (i.e., who to report to) at intermediate points during the deployment/travel process.  Also, RDF-3 personnel were divided up and sent to 3 different FMS's, which seemed to defeat the purpose of having a pre-defined RDF.  At the LSU Ag Center FMS (where I was sent), we did not know in advance exactly who/how many officers would be depoyed there.  We ended up with officers from RDF-2, RDF-3, and Tier 3.  We had to quickly assemble a command structure, assess our clinical staff capabilites, and get the FMS set up and operational within a few hours.  This ad hoc group performed admirably; however, things would have run much smoother if we had been able to do some pre-planning.","DByrne@cdc.gov","10/16/2008","12:09 PM"
"TX, College Station","sept  21-26","Hurricanes2008","Yes","","Yes","Yes, first it was a despearte need for nursing care.  Then it was an epedemiology need to use the EHR to find out where pts were discharged to, and then it was to pack in a hurry!","Yes","Yes","No","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","Sensitivity toward people who have lost everything","4 Very Effective","Yes","perhaps a reminder that we need to listen to the pts if poss","My 82 year old pt, Ms Sills, said it all  ""I ain't never seen a UHaul attached to a hearse.""","lindsey.bramwell@cms.hhs.gov","10/16/2008","12:47 PM"
"college Station","9/22-9/26","Hurricanes2008","Yes","","Yes","yes, I am a nurse and I was asked to do discharge planning instead of pt care. No problems ","Yes","Yes","Yes","Yes","Not applicable","Differences","Differences","Not applicable","Differences","","4 Very Effective","No","","I believe it was unrealistic or unwise to have billeted the officers in the hallway on cots","michael.stroud@ihs.gov","10/16/2008","12:58 PM"
"College Station, TX","19-26 Sep 08","Hurricanes2008","Yes","","Yes","full patient load through the discharge and completion of mission","Yes","Yes","No","Yes","Not applicable","Influence","Influence","Not applicable","Not applicable","","4 Very Effective","No","","","arne.sorenson@ihs.gov","10/16/2008","01:23 PM"
"New Orleans, LA & Lake Charles, LA","9/5/08 - 9/19/08","Hurricanes2008","N/A","I did not have time to request information.  I was contacted at 9:15 pm Thursday night, received my ticket at 3:00 am Friday and left my duty station at 10:30 am Friday morning.","Yes","No","N/A","Yes","Yes","Yes","Differences","Influence","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","Blackberry for everyone deployed.  Contact information of others on the team prior to deployment.","The mission went very well.  Captain Cseh did an excellent job including everyone in the mission and specifically providing for our needs.  I think that everyone should be required to have a Blackberry for commuication and be made aware of the mission of the team prior to deployment so everyone has the right equipment for the job.  Overall, I think the mission was a sucess and look forward to another opportunity to deploy.","shane.hoffmann@ihs.gov","10/16/2008","02:11 PM"
"Alexandria, Louisiana","August 31, 2008 - September 15, 2008","Hurricanes2008","Yes","Following receipt of travel information from ASPR, improved communication between OFRD, RDF-3, and individual officers would have been helpful.  As it happened, we all overcame minor obstacles created by lack of certain information, and were successful throughout the deployment; however, I believe that this is an area where improvements can be made.","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","As a member of the Engineer Category, it was personally gratifying for me to be able to use my particular skillset and contribute to the success of the team during this deployment.","david.farley@ihs.gov","10/16/2008","02:13 PM"
"LSU Fieldhouse Baton Rouge LA","8/30/08-9/12/08","Hurricanes2008","No","I received an e-mail the evening of the 29th stating I would be contacted that evening or the next morning I was not contacted until the next evening giving me six hours notice of my planes departure.  The main communication breakdown was not knowing where I was going next after ariving in Atlanta until after I landed.  I have a govt blackberry but several other officers on the flight did not, if as officer did not have mobile access to their e-mail they would have been stuck trying to find out where to go next.","Yes","","N/A","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","mark.neinhuis@dhs.gov","10/16/2008","02:26 PM"
"Baton Rouge LA","8/30/08-9/12/08","Hurricanes2008","No","We were told to expect a phone call with informaton
this never occured. We were sent emails which were not the best way to alert us.  Unless you had a blackberry or device with internet access your information was unavailable","Yes","","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","hva9@cdc.gov","10/16/2008","03:54 PM"
"Alexanderia, Louisiana","31 Aug 08 to 16 Sep 08","Hurricanes2008","Yes","The informations were being communicated to me by e-mail.  One e-mail stated that we would staying in hotels and didn't need to bring sleeping bags, so I didn't take mine.  Eventually, I was stationed at the LSUA Agriculture Center and need my sleeping bag and other items I left at home, thinking I was going to be in a hotel.  I was misguided.","Yes","Yes.  I was instructed to augment a RDF team in either Baton Rauge, LA, or Jackson, MS.  Eventually, we ended up in Alexanderia, LA.","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","1 Not Effective","No","","The leadership we had was not very organized and effective in keeping us informed throughout the deployment.  I was very uncomfortable with the structure of our team and felt that we could have been managed more effiently.  I understand that we were deployed to a potential disaster area, but I, also, understand that these leaders were, supposably, trained prior to deployment in setting up the command centers and infrastruture.  I did not see this happening throughout the deployment.  I did do what I was sent out to do--to meet a need of people that were unfortunately affected by a natural disaster.","ebigthumb@gimc.ihs.gov","10/16/2008","04:15 PM"
"Marshall and College Station Texas","From Aug 31 to September 15","Hurricanes2008","Yes","","Yes","no change","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","comment for 9-have not received reimbursement

Other comments: 
1st-The medical cash we received came with an itemized list; there were many items missing from the box that were on the list. Each cash should be carfully inventoried before sent to the FMS. 2nd-There were many frustration with logistic processes which had potental to hindered or compromised patient care. Pre approval for some items were necessary such as baby wipes, adult diapers, Powder, ect. The processes were corrected after much deliberation. ","helena.attakai@ihs.gov","10/16/2008","04:50 PM"
"College Station, TX","September 21-27, 2008","Hurricanes2008","Yes","","Yes","","Yes","Yes","No","Yes","Not applicable","Not applicable","Differences","Differences","Differences","","4 Very Effective","No","","","dford@nih.gov","10/16/2008","05:05 PM"
"Hurricane Ike","Sept 6th thru Sept 21","Hurricanes2008","Yes","somewhat.","Yes","Yes","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","I will be submitting more commentary that will suppliment some of these questions. ","jamilakrobinson@yahoo.com","10/16/2008","05:27 PM"
"College Station, Texas","September 16 to 25, 2008","Hurricanes2008","No","There were too many phone calls to remain on standby, when they said to stand by for 72 hours as you will receive orders, 72 hours turned into 6 days. It's difficult to plan for home, work and school, when there are no definite plans,dates for deployment.","Yes","The lodging requirements changed, but really did not impact myself.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","The organization/logistics of deploying professionals to the shelter in the beginning could have been better. The morale was low as nurses were overworked with not enough help. By the time extra help came, it was not needed and people were standing around, in fact given days off when they had just arrived. This was not appreciated to those who had been working for almost two weeks with no days off. A lot of information is submitted to OFRD regarding deployment role, however when on deployment this information is not used in putting teams together.","ardis.zah@ihs.gov","10/16/2008","05:40 PM"
"college station texas","9/6/08 thru 9/20/08","Hurricanes2008","Yes","We got  sent info without request and too little time before departure to request a response","Yes","we deployed to an inappropriate (in hindsight) staging area in Atlanta and Dallas for 7 days before actually getting to tx where we could provide medical care at tremendously wasted expense to the government and frustrating inactivity to staff","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","people are people. victims are victims, spanish language interpreters were very helpful. ","Not applicable","N/A","","You are evidently looking for cultural issues in this questionnaire. Of FAR greater import were the inappropriate staging of our RDFX team, the massive epidemic of bedsores due to inadequate pt bedding, poor sleeping quarters adversely affecting the effectiveness of staff, and the mismatch of inadequate nursing aide/orderly level staff to the needs of bedridden patients. You needed fewer physicians, more of whom needing to be from practicing primary care backgrounds. Unfortunately, those are generally from IHS sites that have as much continual disaster level need and for whom the deployment seriously impacted the neglected care of patients we left at home during deployment","william.calder@ihs.gov","10/16/2008","11:25 PM"
"Baton Rouge, LA","9/16/08 - 9/20/08","Hurricanes2008","No","I couldn't get an answer as to why I was being deployed from Tier 3 and it was not my on-call month. I knew other officers who *wanted* to deploy, and it was their on-call month, and did not get a call. I was only given 12 hours notice to travel, which is not appropriate for tier 3.","No","The mission was for social services ESF-6. My POC requested a team of 10 nurses with mental health skills. The team OFRD sent (myself included) was a mix of EHOs, engineers, scientists who did not have the necessary skills to do the mission. We were demobilized and sent home early because of this and could not provide much assistance while we were there.","No","No","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","My management was upset to hear I was pulled away so quickly when I wasn't on call during the last 2 weeks of the fiscal year which is the busiest time of year for us, only to go to a mission that I could not assist with. This hurts the agency's view of the commissioned corps. Future assignments should be matched more carefully and go by volunteers first, then mandatory assignments. What ever happened to sending out emails for requests of what is needed? This system worked very well, because those that wanted to go, had the right skills, and knew they had supervisory approval, could respond. Only then if you needed more people do you start the involuntary deployments. This works out better for everyone.","jen7@cdc.gov","10/17/2008","10:26 AM"
"Locally, then Austin, TX and San Antonio, TX","08/28/2008 - 09/07/2008","Hurricanes2008","Yes","","Yes","Yes.  I arrived at Austin IRCT and was sent to San Antonio AARC almost immediately.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","As of 10/17/2008 I still have not received the paperwork to complete my travel voucher.","dwilliams@hrsa.gov","10/17/2008","10:50 AM"
"College Station, TX","22-Sept-08 to 26-Sept-08","Hurricanes2008","Yes","","Yes","No","N/A","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","","","10/17/2008","12:10 PM"
"Austin, TX  JFO","9/19 - 9/29","Hurricanes2008","Yes","Never received formal travel orders.  APHT Team lead was good about getting information and directing it to us.","Yes","It was open ended at first, the APHT Team received several mission tasks that we sent teams to the field to respond to during the deployment.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Questions like number 8 are more relevant to the work of the RDFs than that of the APHTs as it is difficult to see those outcomes for what we do this soon.","cvl1@cdc.gov","10/17/2008","02:00 PM"
"College Station, TX","9/22-9/27/2008","Hurricanes2008","Yes","Information received did not include method of transportation to site or who was to meet me. Information was not as clear as information provided during Hurricane Katrina.","Yes","ICS roles & responsibilities for various sections within the command cell were not followed within FMS therefore confusion resulted. Training of appropriate roles and responsibilities was required and continues to be required. If FMS command cell does not utilize ICS as assumed by other parties within HHS response hierarchy, then confusion results at all levels as incorrect assumptions are made. ","Yes","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","1)FMS command cells are not utilizing roles and responsibilities of ICS. As a result communications with HQ and JFO are difficult as sections which traditionally handle issues are not doing so. Officers become confused during current deployments and future deployments. Changes in roles/responsibilities appear to be based more upon personalities rather than function. 2)Issues communicating with NDMS personnel within leadership positions of IRCT within JFO. 3)Failure of IRCT to communicate information to FMS.","Daisy.Mitchell@hhs.gov","10/17/2008","04:02 PM"
"Alexandria LA (FMS-16) and ","Aug 29- Sept 16, 2008","Hurricanes2008","Yes","Information was passed down through our RDF-2 command staff.","Yes","As Logistics Chief for RDF-2, the requirements changed depending on the situation.  
Personnel:
What happened?  Staffing was short
Why it happened?  Team size is limited
How to fix?
•	Team size should be increased to 150 in order to implement 3 shift rotation (12 on/ 24 off).  This will enable all team members to get needed rest and will share the burden of the night shift equally. 
•	Addition of physical therapists to staff could enhance patient care and staff health during FMS operations (will help maintain patient mobility and relieve staff occupational muscle strains induced by moving +400 lbs patients).
Pre-Deployment Communication and Logistical Planning

What happened?  No billeting for team, no cars readily available, no idea of locations of the FMS set-ups.  Time spent on these issues that could be redirected to set-up and patient support services
Why it happened?  IRTC had not informed us of this information
How to fix?  Telcons with the IRTC to request specific site information and  FMS  inventory.

Detailed information needs to be sent to all RDF command staff from IRCT/SOC prior to departure from deployment area.
•	List of available FMS sites and site specifications in mission area should be provided to command staff prior to on-call month/departure for mission location.  A list of specifications for FMS layouts should be developed.  Layouts could be general or tailored to specific sites or types of events.  They should be digitized and added to the EMR.
Justifications-	
1.	This will allow team leaders to access various capabilities and deficiencies of available FMS sites.
2.	Site specs will allow Logs to prioritize services needed for specific sites. 
•	An updated FMS spreadsheet of cache contents should be provided to each FMS logistics section twice a year. 
•	Automobiles need to be reserved and ready for pick up at arrival destination.
•	Establish pre-negotiated housing in close proximity (<5 miles) to pre-determined shelter location
•	Prepared list of contacts for local resources prior to arrival. 
•	Contact information on our counter parts for the other RDF Teams.

Transportation

What happened? Difficulty in obtaining cars and officers had to rent them on their own government card and pay for gas.
Why it happened?  The cars were not preauthorized by IRTC with a rental agreement at the local rental
How to fix?

•	(FMS tri-wall containers should be packed in containers (such as Sea-Land containers) to facilitate transport over land, air and sea.  The containers can also double as potential components of FMS site (such as lodging, patient housing, storage, etc.).
•	A gas card should be included in Admin cache.

Effective:  
•	Chartered plane for the majority of the team.
•	Coach bus available to transport the team in groups locally and between shelters.
		

Facilities and Lodging

What happened? Food services were substandard and not specific for the diabetic and dialysis patient population.  Laundry services and local facilities were not readily available for patient linens, clothing and staff laundry.  Officers were billeted in a campground (during the hurricane) and co-located with the shelter patients.
Why it happened? No planning ahead to contract with purveyor or plan for billeting with appropriate facilities for officers.
How to fix?
•	A list of necessary support contracts and/or MOUs (food, laundry, etc) should be drawn up and initialized when an FMS site is activated.  This contract list should be specific to each FMS site because some sites will have built in support services due to location assets.  Some FMS sites with certain capabilities (eg. laundry services though a co-located university) could provide support to other FMS facilities. 
•	Connections for lodging and security through local military or government infrastructure (eg. Veterans Administration) 
•	Supply contracts need to be on a trial basis with a back up provider.
•	Portable facility structures (eg portable shelters, Blue-Med tents) should be included as FMS equipment.  These portable buildings could provide alternative medical treatment sites or staff housing.
•	FMS components should arrive with RDF team.
•	Team should practice one week a year with FMS (set-up, operation and take down).
•	Pre-deployment contact information from OFRD and logistics IRTC staff should be received by Logistics 
•	RDF components should receive task-specific training (i.e. IT/Comm on EMR, transportation/lodging on military driver license, etc)
•	An inventory of each potential FMS sites’ infrastructure capabilities (electrical, HVAC, sewage, etc.) should be compiled and supplied to the RDF. 

Effective:  
•	Shelter facility was secure and maintained electrical power, sewer and structure throughout the hurricane.
•	Local police support.

Communications
What happened?  Nextel cell phone supplied by IRTC had poor reception. Radio issues cited below.   Officers relied on their own cell phones and Blackberries for official use with patients and FMS
Why it happened?  Outdated communications cache.
How to fix?
•	Provide team w 12-16 push to talk phones and use JT-5000s for secondary back-up and all team communication
o	Secondary channel for one on one communication. Establish and train staff on independent conversation
o	Request from ASPR the encrypt extra channels on the yellow radios
•	Push to talk cell phones should come from at least two different carriers
Justification- If one cell provider’s towers are compromised, then our communication is in danger.  Multiple providers give us communication redundancy.
•	Cell phone for key officers (PIO, Logisitics, Command Staff, discharge planners, social workers) or temporary SIM cards for BlackBerrys
•	Cell Phone and Email capability for Officers on the team
•	Temporary SIM cards for BlackBerrys phone, capable and PTT capable
•	Establish RDF cell phone contracts for pooled minutes and associated equipment
•	More PTT cell phones
•	Satellite Phone for reliable communication to IRTC

Effective:
Walkie Talkie and yellow radios 
Dedicated number.

What happened?  Connectivity was not available through a land line.  WiFi was spotty.  Toner for printers were not available.
Why it happened?  RDF relied on facility through FEMA to provide a land line and it was not provided.
How to fix?
•	Dedicated Broad band internet connection (DSL, cable, fiber optic) and a Minimum of two land lines to provide the following: fax and command staff phone, voice calls for command staff and phone banks for patients and for floor staff (social workers for discharge planning)  numbers will be blocked.  DSL line for government only use
•	Ability to set up a wireless system including printing, memory and interface options
•	Network Support Kit should support current electronic cache
o	No USB cables
o	Adaptor kit to change ends of cables 
o	Kit of cable adaptors
o	Small portable projector (in-service, information, training)
•	Whether EOC accounts should be set up for all section heads before deployment with instructions, web addresses, passwords and IT support to trouble support.  RDFs for two way communication from the field to the SOC
•	Each section needs one or more dedicated laptop eg. Admin, Planning, Logistic
o	Easy manageable security option eg. Cable locks
•	Satellite receiver and television.  Justification- up to date weather and emergency situational awareness for national and local authorities
o	Alternative to this is a Sling Box device $250 broadcast to a laptop and use a video conference/cams
o	Satellite provides a source of situational awareness for residents and staff in the shelter.
•	Laptops are recommended be provided to command staff with air cards and jump drives prior to departure. 
•	Scanner/Printer fax delivered at time of arrival

Electronic Medical Record

•	Need Training for logistics staff and end users of the team
•	Recommend adding GPS and GIS and Microsoft word.
•	Secondary VPN account plus all access codes preloaded or sent to RDR Team logistics
•	Auto back up
•	Auto Transmitting backup every 4 hours
•	Auto back should self transmit through existing internet connection 
•	Two laptops should be separate and should come with the team
•	Pharmacy formulary should be loaded onto the EMR

Additional Suggestions:

Food

•	Criteria for selection of food service vendors must be able to accommodate special dietary requirements for patients and staff with food allergies food intolerances, altered consistency food ie pureed.
•	Criteria for food vendors must be inspected and currently certified by state, provide fresh fruit and vegetables twice a day, provide 4 meals and snacks for patients and staff,
•	FMS Cache needs coolers, blenders, microwaves, ziplock bags for storage, aluminum foil, plastic wrap and hair nets and food thermometers. 
•	Foods that were omitted from FMS cache included infant formula disposable formula bottles canned pured foods, three days supply of MREs and water.  Need ready to feed infant formula, regular and special needs.
•	
Medical Supplies

•	ICRT to establish a quality control committee to evaluate supply process for the FMS.  Restocking is unpredictable and inconsistent.  Non requested items received, and requested items not received.
•	Should standardize contents of the patient comfort kits—all kits were missing items.
•	Ensure that the ‘cache kits’ are complete.  We received partial kits with missing items.
•	IRCT should generate list of pre-approved vendor contacts at pre-positioned points for various logistical services.
•	Packing List for Nurses Station Kits was not available for review. 
•	Formal requisition process for medical supplies which can be tracked by the requesting FMS, ideally electronic
•	Identify POC at the IRCT for logistics to trouble shoot equipment malfunctions

Demobilization
Packing up of medical supplies should be under the direction/supervision of logistics personnel. During the most recent pack up, medical and administrative materials were packed into triwalls on a random basis-based on which boxes would fit into available triwalls; this posed difficulties later when it became necessary to locate packed equipment (oxygen concentrators); had it been necessary to unpack and re-set up the FMS, a great deal of time would be spent locating and organizing material. 
•	Suggestions:
•	repacking of materials for demobilization be performed under supervision/direction  of logistics personnel
•	Logs personnel ensure materials be packed by type (i.e. all respiratory equipment be packed together) 
•	Logs personnel to ensure that triwalls are labeled with abbreviated inventory when packing materials
","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","If we expect to be deploying to the Gulf Coast in the future, PHS needs to develop a relationship with the respective state governments.  Most of these people have not heard of us until we land in their lap.  There was also a lot of misinformation going around regarding the capabilities of out team.  The local and state people expected us to be a fully independent team that only required minimal support.  They weren't ready to provide things like laundry, food and transport support.","michael.mclaughlin@fda.hhs.gov","10/17/2008","04:21 PM"
"Little Rock, AR","9/7/08 to 9/20/08","Hurricanes2008","Yes","At the time I received my phone call there was no information given regarding my deployment.","Yes","No","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","As a suggestion, I think if you could utilize the same individuals to respond to similar deployments, because of previous experience with this deployment, it would be most beneficial to the Public we serve, the Corps and the individuals serving in their expertise or field of study.","violet3395@yahoo.com","10/17/2008","05:52 PM"
"college station texas","sept 19- 26th, 2008","Hurricanes2008","Yes","","Yes","no","Yes","Yes","N/A","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Differences","","3 Effective","No","","A clearer and stronger command staff. Their seemed to be many people who wanted to try and lead but not that many who wanted to follow","dev7181@bop.gov","10/17/2008","08:16 PM"
"FMS at College Station, TX","9/21/08 - 9/26/08","Hurricanes2008","Yes","","Yes","Yes.  We went from taking care of patients, to discharging them, either to where they came from or to another state sponsored facility.","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","I believe that the deployment of the secondary teams was not as effective as it could have been.  There were approximately 20 pharmacists on site, when the group, of approximately 20+, arrived to relieve them.  The first group, left the next day.  I believe that if 10 of the second group would have been deployed a week earlier, better continuity would have been achieved.  I believe that the total number of pharmacists deployed was appropriate, but the timeliness of their deployment could have been handled better. ","mallanson@bop.gov","10/18/2008","04:17 PM"
"Texas","09/21/08 thru 09/27/08","Hurricanes2008","No","","Yes","No","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","jheimrich@gci.net","10/19/2008","01:10 PM"
"Alexandria and Bossier, LA","08/31/2008 - 09/16/2008","Hurricanes2008","No","Deployment information was not received until the early morning before my flight was to depart from my duty station.  If I had not signed into my e-mial at 0200, I would not have known I was flying out at 0700.","Yes","Yes,  originally, I was deployed as a TIER 1, Roster C officer expecting to deploy with the team I have trained with.  Immediately upon arrival at the emergency site, our team was split and divided and sent to many different locations therefore eliminating the team integrity which is the reason I requested to join a TIER 1 team.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Additional training on the actual equipment that is used during a deployment should be considered and time was lost understanding the equipment that was available.","ron.keats@ihs.gov","10/20/2008","10:40 AM"
"Texas and Atlanta","Aug 30-Sept 15, 2008","Hurricanes2008","No","It was a big mass confusion.  Only gave 6 hour notice.
Everyone was sending out emails because they had no details as to where to report and what to use as transportation once arriving.","No","Yes, the mission kept changing almost day to day.  Most of the time we did not know what was going to happen to us.","Yes","Yes","No","Yes","Not applicable","Differences","Not applicable","Not applicable","Not applicable","Older generation that we cared for have different beliefs altogether","2 Somewhat Effective","Yes","Caring for geriactrics and the many health problems and conditions they have. For example G-tubes, trachs, and etc.","This deployment started off somewhat o.k. when we were first deployed with our original teams.  However when all the teams came together in College Station, the high ranking officers that were fighting over who knew more than the other and who should be doing this or that.  It was an awful thing to witness especially for the junior officers.  It was this behavior which started the animosity between the teams.  In this situation, there were too many Chiefs and not enough Indians.","zeewood@yahoo.com","10/20/2008","10:50 AM"
"Hurricane Ike (Atlanta GA, Dallas & College Station TX","9/6-19/08","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Cache grossly inadequate for ""special needs"" population served; FMS caused harm to patients/evacuees in the form of decubitus ulcers. Staffing FMS in the first week was not adequate to meet the needs of the population (feeding, bathing, personal hygiene & toileting, and position changes for patients not able to perform these functions independently).","andra.battocchio@ihs.gov","10/20/2008","11:34 AM"
"College Station, Texas","22 September - 26 September 2008","Hurricanes2008","N/A","","Yes","Didn't necessarily change, but went into the demobilization mode upon arrival.","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","","travis.bowser@ihs.gov","10/20/2008","01:14 PM"
"College Station","9-6-08 to 9-24-08","Hurricanes2008","N/A","","Yes","Yes, Mission was not defined nor the teams until we were actually deployed to the scene.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","Scenario training with differences from State Health Agencies (TX, LA, MS).","This was a very successful deployment but there were definite needs that still need to be met to help decrease stress and waisted time/resources.","scott.colburn@fdal.hhs.gov","10/20/2008","01:50 PM"
"Baton Rouge, LA","08/30/2008 to 09/13/2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Communications:  OFRD travel notifications were sent by email.  Cell phone contact would have been more reliable as I do not have access 24/7 to a device capable of recieving email at home or while on deployment.

Travel:  At demobilization I was routed by the travel company into the past of an approaching Hurricane.  No way to contact the travel company to change reservations.

Billeting:  We were all living a Medical Needs Shelter with patients.  Nowhere to get away from the patients to shower, sleep or eat.  I worked the night shift and received a small meal before and at the end my 12 hour shift.  Very difficult to work under strenuous conditions on two meals a day for about 1400 calories total per day.  I lost 15lbs the first week.  I managed to buy meals and food items in the area as services to the community were restored.  The food served during the entire deployment was inadequate. 

IRT command visited the shelter once briefly.  They did not assess officers sleeping areas or food service.

Staffing:  The Medical Needs Shelter took in a high percentade of patients with total care needs.  A limited number of nurses were available.  More nurses are needed for the number of total needs patients accepted into the shelters.","phager@anthc.org","10/20/2008","02:29 PM"
"Baton Rouge FMS","8/31/08 - 9/12/08","Hurricanes2008","No","Was told I was leaving early on 8/29/08 with RDF-3, never heard from anyone until I called Omega on 8/31/08 and they asked when I would like to fly...","Yes","","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","Billeting (i.e. sleeping on the floor, Hot Bunking (sharing sheets, blankets, and pillows) was terrible.  Lack of food was unbelievable. Being told we weren't eligible for per diem since food (even though not much of it and overall quality was lacking). ","JIMMELW@aol.com","10/20/2008","02:53 PM"
"Austin, TX","September 19-October 3, 2008","Hurricanes2008","N/A","I didn't really deal with OFRD for this deployment.  APHT #2 and #3 did a good job with keeping the team informed.  I had no problems with obtaining information related to my deployment from them.","Yes","I think this questions needs more clarification - what is meant by requirements?  The mission was not defined at the onset of deployment, but was later developed with the state.  IRCT did an impromtu presentation and discussed the need to lean forward with resources which helped me understand the situation better.","Yes","No","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","#9 - I think reimbursement should be a separate question - I did not have any difficulties with travel or billeting.  I have not been reimbursed yet and it is unclear when I will be reimbursed.

There were difficulties in obtaining the necessary equipment for the field missions.  We did not receive any of the APHT equipment stash.  Equipment needs to be identified before the deployments and be onsite when we arrive.  The staff didn't have the necessary tools to conduct the missions (i.e. food inspections) and had to supplement with their own in most cases or it had to be purchased separately.  If the APHT's are expected to be functional upon arrival, there needs to be more logistical support from OFRD or from whomever is responsible for these teams.  

The command staff were supportive of the team members.  They resolved the issues with communication and even recognized team members who were taking the lead and self starting.  I would deploy again with APHT #3.","jennifer_a_proctor@nps.gov","10/20/2008","03:58 PM"
"College Station, TX","September 6-19","Hurricanes2008","N/A","","Yes","The mission requirements were not clearly articulted to the teams, other than we are deploying in support of a hurricane.  So I am unable to answer this question.","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","james.blankenship@yahoo.com","10/20/2008","05:02 PM"
"Alexandria, LA","August 29- September 11, 2008","Hurricanes2008","Yes","As the Planning Chief, many of my request were met however one outstanding item that I am still being queried on is the issuance of deployment orders whether before or during deployment. ","Yes","Yes, due to mission change we were made to set up 2 FMS within a 24 hour period which was taxing to the team. ","Yes","Yes","No","Yes","Not applicable","Not applicable","Influence","Not applicable","Influence","","4 Very Effective","Yes","","Information on health disparities of special needs population, identification of cultural influences and barriers. In general a detailed cultural competency course. There are other training that are needed for those deployed that should explored by OFRD. ","Raquel.Peat@fda.hhs.gov","10/20/2008","05:11 PM"
"FMS College Station, TX","09/22/08 through 09/26/08","Hurricanes2008","Yes","I never received a phone call about the deployment order.  I did see it in email in a timely fashion, but no call was ever placed to ensure I was aware of my orders and itinerary.","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","The sleeping accomodations were severely lacking.  The cots provided to most personnel were 6 feet in length.  I am 6'5"" tall which left me hanging over the ends uncomfortably and causing bruising on my legs.  This isn't a problem for one or two nights but after several nights of low quality sleep, I noticed a significant effect on my ability to rest at night and this can lead to compromised safety during the provision of health care.  Also, at the FMS, there was a lack of comradery which I felt was present at my Katrina deployment.  I believe officers should be assigned or deployed in teams that can forge a relationship of some sort versus a single officer dropped into a team of about 200 or 300 officers and not linked with any particular group.  This helps to increase morale and minimize any feelings of isolation, loneliness, etc.  Thank you.","mtaxera@chapa-de.org","10/20/2008","06:17 PM"
"Marshall and College Station, TX","August 31-Sept 15, 2008","Hurricanes2008","Yes","","No","Deployed to FMS in Marshall, then back to Atlanta to wait for hurricane Ike, to FMS in College Station.","Yes","No","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","Not involved in direct patient care. The OFRD teams really do not need a clinical general practice dentist for patient care. The team does not need a dental officer just to carry and move patients.
Too many officers deployed without recent clinical experience.
Additional training in logistics or finance would be useful.
My past work experience enabled me to be successful as the logistics officer in Marshall, TX.
I have had FEMA's training courses in IRCT, ICS 100, 200, 300, 400, 800, and 800b. I spent my time in College Station changing and re-charging radio batteries.","cerrillos@aol.com","10/20/2008","06:28 PM"
"Altanta/Dallas/College Station","9/06 - 9/19","Hurricanes2008","No","","Yes","We were unsure of the requirements for the first 4-5 days...waiting for direction.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","There wa much confusion and misinformation regarding lodging and meals.  I submitted my travel reimbursement and still have not been paid.","victoria.vigil@phs.dhs.gov","10/20/2008","08:24 PM"
"College Station-TX FMS","Sept 6-22","Hurricanes2008","No","","Yes","Yes.  1) Change in Command structure for merging 3 RDFs was not effective.  2) High patient acuity overwhelmed resources without Command response in a timely manner.  Likely that command structure problem contributed to the failure of getting good information to the correct command elements to make develop appropriate response or plans.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Biggest failure on this deployment was the disorganization of the Command structure and unclear roles, responsibilities and authorities once 3 teams were merged into one.","jason.woo@fda.hhs.gov","10/21/2008","08:46 AM"
"Jackson, Mississippi & Baton Rogue, Louisiana","8/30/08- 9/13/08","Hurricanes2008","Yes","I was told I would get a call when instructions were readdy. I never received that call. Luckily I checked my e-mail account every couple of hours or I would have missed my flight. ","Yes","Yes, I was to go to Louisiana originally but once we landed in Altlanta, GA our mission changed and 70 of us were routed to Jackson, Mississippi.","No","Yes","Yes","No","Not applicable","Not applicable","Differences","Not applicable","Not applicable","","4 Very Effective","Yes","A nursing pack with essential equipment (i.e. stethoscopes, pen lights, O2 monitors, blood pressure cuffs, note pad) there was not enough in the supplies sent, nursing diagnosis referrence material and skills resource guide.","We were sent information about supplies to bring with, it stated no sleeping bags required will be in a hotel. The hotel never happened, so I had to go shopping on deployment for essentials that I thought I would have in the hotel. (i.e. sleeping bags, towels, washclothes, laundry soap, shampoo, hairdryer, toilet paper).","Brenda. hoverson@ihs.gov","10/21/2008","10:32 AM"
"Baton Rouge","8/30/2008 - 9/12/2008","Hurricanes2008","N/A","Was given short notice regarding deployment.
Was waiting for the Travel Office to provide more information on 8/29/08, but did not receive the call from OFRD until ~11 pm, and was told to be at the airport at 1 am (8/30) for a charter flight leaving at 2 am.  ","No","The mission requirements changed during the course of deployment.  Staff assigning duties were very accommodating re: trying to match skill sets with responsibilities and one's comfort zone re: patient care.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","","10/21/2008","12:11 PM"
"HHS SOC","9/1/08 - 9/15/08","Hurricanes2008","N/A","Deployed by my current Agency, Dept. of Defense to HHS SOC as a DoD LNO/SME.","Yes","Shift hours were variable.  Mission creep and deployment from SOC of other DoD liaisons led to increased demand for DoD information.","Yes","Yes","N/A","Yes","Differences","Not applicable","Differences","Not applicable","Differences","HHS is a bit different than DoD.  I'll leave it at that.","4 Very Effective","No","","Had a great time, fantastic crew in the SOC.  Looking forward to another deployment.","van.morfit@ha.osd.mil","10/21/2008","12:52 PM"
"Marshel Texas/college station","29 Aug-Sept 16","Hurricanes2008","Yes","yes... did not like being emailed... I would rather be notified by phone.","Yes","the aquity of the patients was higher than we expected.","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","we needed more nurses","Roverguy67@yahoo.com","10/21/2008","02:52 PM"
"College Station, TX","09/06/2008 to 09/22/2008","Hurricanes2008","Yes","","Yes","The basic requirements of providing pharmacy services remained the same, but the expected patients changed as we ultimately supported special health needs patients for which we were not adequately equipped","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","brenda.stodart@fda.hhs.gov","10/21/2008","05:55 PM"
"Austin, TX","8/31-9/5/08","Hurricanes2008","No","I did not feel communication was effective.  The Emergency Travel nor OFRD could confirm when orders to travel would come down and therefore I sat around all day on a Saturday checking emails to see if orders had come through.  Orders eventually came through roughly about 2am Sunday morning to fly out about 6:30am the same morning.  Needless to say, I didn't get the orders and by the time I woke up I had missed the flight.  I believe OFRD would not expect us to stay up basically around the clock checking emails for travel orders.  Following, I had to contact travel to reschedule my flight.  ","No","","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","When Tier 1 was established we were trained we would have within 12 hours to respond to emergencies.  My experience is I had about 4 hours to respond, which would be ok, but my orders came in the wee hours of the morning I was to travel.  In future incidents, my suggestion is to give those deploying as much lead time as possible and give us a window as to when we might be flying out.  It is not reasonable for the Travel Office to send out flight itineraries in the middle of the night and expect us to fly out the same morning 4 hours later.  I don't believe its expected of us to stay up around the clock when we're put on alert for a deployment as this is cause for safety concerns.  All personnel should be given a window as to when it may be expected for us to travel.  Travel orders should come out with an acceptable amount of lead time so that we may be able to make our flights.  I would hope in the future that if we are to fly early in the morning we would get travel orders the day before.  Thanks.","matthew.mcnew@fda.hhs.gov","10/22/2008","09:04 AM"
"Marshall, TX and College Station, TX","08/31/08 - 09/15/08","Hurricanes2008","No","I was very confused as to whether I'd be deployed or not due to my basic readiness status and never heard any information related to such an issue until I was actually deployed.","Yes","Well we thought we'd be staying in a hotel therefore many of us lacked the equipment to be sleeping on a cot in a gym room. However, supplies were provided that helped and commanding officers on our team were very accomodating and helpful.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","jaclyn.rubio@samhsa.hhs.gov","10/22/2008","09:05 AM"
"Texas","August 30-Sept 15","Hurricanes2008","Yes","","Yes","Yes, our deployment was dual mission (Hurricane Gustav in east Texas and Hurricane Ike response in College Station, Texas)We spent several days unsure where/when we were going after our first mission.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","","mnehrebecky@nih.gov","10/22/2008","11:02 AM"
"Jackson, MS and Baton Rouge, LA","9/1/08-9/15/08","Hurricanes2008","No","I was told I would receive a call regarding the actual deployment but did not. An e-mail was sent that I did not see until after the flight had left. ","Yes","Yes. One mission was completed but we were then sent to Atlanta to stage and prepare for a second hurricane. This was generally pretty disorganized.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Travel was the biggest issue, very disorganized, and I still have not received reimbursement despite it being approved three weeks ago. I also had difficulty with the undefined extension of the deployment beyond 14 days, both personally and professionally. My willingness to leave my busy practice in an underserved area was based on an agreement that it would be limited to 14 days. As a result, I may not be available for future deployment as the needs of my primary duties cannot be neglected for an extended period of time.","lori.willinghurst@ihs.gov","10/22/2008","05:13 PM"
"Alexandria, Louisiana","8/30/2008-9/11/2008","Hurricanes2008","No","I received the activation notification , 2 email and 3 phone message.  The following afternoon, I requested an update on my status with no response.  Four hours later (Team 2 all ready at airport), I received a phone call to try to arrive at airport in 3 hours.
","Yes","The OFRD very specifically said it was a 2-week deployment.  Once at site, that statement changed to be open-ended even though original mission was completed. ","N/A","Yes","N/A","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","There was minor cultural differences, such as Creole and Vietnamese cultures.  More interesting, was realizing subtle differences in the practice of medicine.","4 Very Effective","N/A","","It was a terrific learning experience and I was glad to help people in need.  I think future deployments should pay attention to the length of deployments-as prolonged deployments are more difficult to cover in clinical settings such NIH.","","10/22/2008","09:30 PM"
"College Station","9/6/08 through 9/20/08","Hurricanes2008","Yes","I was able to get all the necessary information regarding my deployment from the email message sent to me by OFRD.  Any additional information I needed, I got by contacting my team leader directly, Capt. Hess.  Having his direct contact information on the email was a great touch.","Yes","No.  I do not believe the mission requirements changed, as I was taught in the OBC course to be prepared for anything during this type of deployment involving a natural disaster.  However, our mission for the most part remained consistent throughout.","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","I found this deployment to be a very worthwhile experience for me, as this is the first time I've deployed to a natural disaster.  Being prior US Army, my deployments were quite different.  I found during this deployment that servicing patients who were all Americans made the delivery of care much easier, however I am aware that I could be deployed to other environments where this may not be the case.  I believe our team of PHS officers handled this deployment well with the resources we had.  If I could offer a suggestion that I believe would make planning for the deployment a lot smoother, I would recommend that we (USPHS) have rotating teams of health care officers in place that are prepared to remain for duration of the deployment.  This would eliminate two week rotations, scrambling to get new officers in and oriented in such a short period of time, exhausting travel budgets, etc.  After one team completes a deployment, we then have another team trained and ready to remain for the duration of the next one, and so on....  We would only need to augment those team members who could not deploy.  This would also allow officers to get more training and experience during each deployment, and a better sense of why we wear the uniform.   I noticed that many ""high ranking officers"" (O5 and O6) had never deployed before after being in the corps for more than 10+ years.  And with very little training and preparation for deployment, they were not ready to ""lead....""  I'm grateful for the OBC training and prior service experiences I received, which I believe gave me the tools to effectively participate in this deployment.  I'm  looking forward to another one and hope to join one of the RDF teams very soon.","lidget001@hawaii.rr.com","10/22/2008","11:30 PM"
"1234","1234","Hurricanes2008","N/A","1234","No","1234","No","No","No","No","Differences","Differences","Differences","Differences","Differences","1234","5 Undecided/Do not know","Yes","1234","1234","abc123@acme-hackme.com","10/23/2008","09:39 AM"
"Jefferson Parish and Calcusieu Parish LA","9/5-9/19/2008","Hurricanes2008","N/A","","Yes","Lack of tools to properly conduct requested surveys, the OFRD staff did not have any equipment to inspections.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","Yes","Have CDC or OFRD purchase 3-10 man EHO Caches to deploy with this type of mission.","HHS should fully read or contact the state pretaining to ARFs, the request for 30 sanitarians who were RS or REHS certified made the mission difficult when OFRD send 5 officers where two are engineers and on Nurse who are not able to sign inspection forms for the state.  ALso it required 10 officers to do the work that 30 RS/REHS were requested to complete.   I would recommend that the EHO PAC's recommended deployment kits be funded and maintained by a centeral OPDIV who can deploy and oversee these types of missions, where ORFRD can supply EHO officers to fill out the mission.

Respectfully submitted 

CAPT Larry Cseh","loc3@cdc.gov","10/23/2008","10:37 AM"
"Louisiana","9/3-9/17","Hurricanes2008","No","In every other deployment, we were told when we were leaving and when we were returning.  Even though we received a ""one-way"" ticket, there was no reason to expect we would be there more than 14 days, as that is the length of a standard deployment unless the officer is asked to extend.  If there was a change in policy and the standard length of deployment was revised, officers should have been notified prior to being given travel since there are child care issues.","Yes","Yes, originally I was supposed to deploy as admin/finance for Ruston.  Upon arrival, IRCT assigned me as CMO support at the IRCT, than because I am a pharmacist I was sent to a DMAT for 2 days when pharmacists left, than back to CMO support, than pharmacy logistics support to do a (non-essential)inventory.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","ACLS training should be required for pharmacists","I observed civilian employees treating other commissioned officers (not me personally) in a disrespectful manner (threatening and yelling at them unnecessarily).  This was a huge change from my last deployment. I hope this does not continue.   ","lisa.hubbard@fda.hhs.gov","10/23/2008","11:41 AM"
"College Station TX , Texas A&M","9/06-9/19/08","Hurricanes2008","No","","Yes","","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","","mwjohnson@bop.gov","10/23/2008","11:47 AM"
"Tallahassee, FL","August 31 to September 11","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","wei.guo@fda.hhs.gov","10/23/2008","11:58 AM"
"Marshall, College Station","Aug 31-Sept 15","Hurricanes2008","N/A","","Yes","FMS, increased acuitiy level of patients accepted into College Station","Yes","No","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","1. there were several officers who had severe dietary restrictions. If the team did not have access to prepard food these individuals would have required evacuation/demobilization from the area.
2. The bariatric cache needs to be made available routinely as part of the FMS equipment cache. looking at the obesity rates in the Gulf states, the socio-economic status of the patients, the level of medical acuity the cache is necessary and will be put to use in an FMS.","","10/23/2008","01:16 PM"
"Austin Tx","9/10/08 to 9/24/08","Hurricanes2008","Yes","","Yes","No.","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","","darla.mccloskey@ihs.gov","10/23/2008","05:16 PM"
"Baton Rouge,  LA","8/29/08 - 9/12/08","Hurricanes2008","Yes","","Yes","Yes, redirected to Alexandria to set up 2nd FMS Shelter","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","Put SOP and policy/procedure for nursing and operating a FMS into place.  I am very willing to be a part of this task group to develop","Excellent experience.  Hard work but incredibly satisfying!","tonyastobbe@yahoo.com","10/24/2008","08:35 AM"
"College Station, Texas","September 6, 2008 thru September 22, 2008","Hurricanes2008","Yes","","Yes","No","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","I felt that this was a very successful deployment meaning we really met the needs of the people during this crisis.","DCaldwell@hrsa.gov","10/24/2008","11:54 AM"
"College Station, TX","Sept  22-27,2008","Hurricanes2008","Yes","","Yes","","Yes","Yes","Yes","No","Not applicable","Not applicable","Differences","Differences","Influence","","3 Effective","Yes","","","douglas.fiorentino@fda.hhs.gov","10/24/2008","01:52 PM"
"College Station, TX -Hurricane IKE","9/22/08-9/27/08","Hurricanes2008","Yes","","Yes","It changed only in that it went from an emergent event with a lot of victims to a stable discharge event with a decreasing population.","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","In the future, it would be helpful if the ASH or SH would direct the CEO's of our various agencies (i.e. Wardens) to let us go at the start of a disaster instead of the tail end.","","10/24/2008","02:05 PM"
"Alexandria Luisiana","","Hurricanes2008","Yes","","Yes","","Yes","Yes","No","Yes","Influence","Influence","Influence","Not applicable","Influence","","4 Very Effective","Yes","additional staff","","","10/25/2008","02:14 AM"
"Alexandria Luisiana","","Hurricanes2008","Yes","","Yes","","Yes","Yes","No","Yes","Influence","Influence","Influence","Not applicable","Influence","","4 Very Effective","Yes","additional staff","","ssamgreav@msn.com","10/25/2008","02:14 AM"
"Bouton Rouge, LA","29 Aug. to 12 Sept. 2008 ","Hurricanes2008","Yes","I was notified by phone about 4 hours prior to departure of the chartered plane.","Yes","Requirements changed frequently.  ","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","","gym6@cdc.gov","10/25/2008","05:27 PM"
"College Station, TX","September 6-22, 2008","Hurricanes2008","N/A","","Yes","I am deployed as part of a mental health team.  We were then divided up and each half was attached to an RDF.  I was the mental health section chief for our deployment but when we got to Texas I was scheduled as a nurse and mental health person.  I was carrying 25 patients as well as taking mental health referrals.","Yes","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","It is beneficial to provide officers with the opportunity to evaluate their experience yet this entire form focuses on my skills and abilities.  Where and when do I get an opportunity to discuss the overall deployment experience and difficulties I encountered due to poor management/leadership?","mcguirem@mail.nih.gov","10/25/2008","06:34 PM"
"Federal Medical Station, Bryan, Tx","9/16/2008-9/26/2008","Hurricanes2008","Yes","I would have preferred to drive to this deployment.  I live approximately 4 hours from Bryan.","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","We needed more staff at the front end of the deployment as opposed to the back end.  We had a lot of unnecessary supplies, perhaps someone clinical should be more involved with medical supplies needed.  Otherwise I feel we were very effective in accomplishing our mission.  ","mrgme@hotmail.com","10/26/2008","06:10 PM"
"FMS-Marshall and FMS-College Station","Aug 31, 2008 - Sep 15, 2008","Hurricanes2008","No","I was put on alert status but no one emailed or called me to confirm that I was actually deploying until the morning of my flight.","Yes","Was told that we were going to stay in a hotel; however, we stayed in the gymnasium, etc. Also, was not prepared for the patient acuity level.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","diem.ngo@fda.hhs.gov","10/27/2008","05:55 AM"
"College Station Texas","September 22-26, 2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","maya.gripper2@cms.hhs.gov","10/27/2008","10:03 AM"
"Louisiana","9/11/08 - 9/20/08","Hurricanes2008","No","I was notified of deployment and received travel arrangements on the same day (rough 5 hr lead time). That is not much time to make home deployment arrangements. I would also like to state that OFRD  never issued this officer deployment orders when every CDC deployed officer did have copies of deployment orders. In these areas, OFRD did not respond appropriately to the request for information.","Yes","No","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","I understand that deployments are part of an immediate disaster response. However, as we deploy and uncover public health disparities, we also have the knowledge/expertise and therefore, the obligation to improve those situations (aka long-term). This may best be done through training. What this Louisiana deployment uncovered in my eyes was the lack of awareness and training for food handlers. State codes may vary from the FDA code but in the interest of public health, training of the FDA code will dramatically protect public health at that critical time of need. I would like to see basic food quality training as part of a disaster response. It was very rare to find anyone cognizant of even the most basic of food handling principles.","cdankmeyer@bbahc.org","10/27/2008","12:17 PM"
"Gustav/Ike - Alexandria LA","8/31/08 to 9/17/08","Hurricanes2008","Yes","","Yes","No","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","Basic education on disaster suppies in ""pods""...who owns them and who distributes these supplies.  PHS or DMAT?","Long, hard work and hot sweaty conditions...I loved every minute of it!  ","mangum.jason@epa.gov","10/27/2008","01:18 PM"
"Baton Rouge, Louisiana","August 29-September 13, 2008","Hurricanes2008","Yes","The office was timely for me as an individual but not necessarily for the whole team","Yes","Due to the presence of an incomplete team and integration of the DMAT teams on the ground, mission reqirements changed.","Yes","Yes","Yes","Yes","Not applicable","Influence","Influence","Influence","Influence","","4 Very Effective","Yes","Standing up an FMS; electronic medical record","Needed more support from OFRD on billeting and demobilization","wjb5@cdc.gov","10/27/2008","01:25 PM"
"College Station, Texas","Sept 22 - 26","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","","10/27/2008","02:31 PM"
"Madison, WI","Flooding 2008 - Sept 4 - 19, 2008 ","Select Event","Yes","","Yes","","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Still have not received reimbursement and I have already paid the government mastercard bill.  Please reimburse me as soon as possible. ","harris.stephanie@epa.gov","10/27/2008","05:45 PM"
"College Station, TX","9/20-9/26/08","Hurricanes2008","No","My duty station changed as did the airport location. I was rebooked to depart from the new airport but was never notified by email. ","Yes","No, I was assigned to the FMS station @ College Station,TX and not reassigned to another duty.","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","marjorie.delmar@ihs.gov","10/27/2008","06:58 PM"
"Baton Rouge, La","August 31 to September 12, 2008","Hurricanes2008","Yes","Just had to wait by the phone to get the call that the tickets were ready.","Yes","","Yes","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","We needed wet wipes but I was able to create them from the dry wash clothes, liquid hand soap, bottles of water and new trash bags.  Excess manpower hours were and resources were used to create one item that should be in the cash.  We need a better system to remove laundry and provide laundry.  Red Cross support with clothes would have been helpful.  MRE's were not offered to offices for days and should have been.","","mlyons@bop.gov","10/27/2008","07:59 PM"
"College Station, Texas","9/6/08-9/14/08","Hurricanes2008","Yes","Although I recommend that each person is called if travel orders are made for departures less than 12 hours after issuing.  Some travel issues were experienced by team members.","Yes","No, not significantly.","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Overall, the deployment was excellent and the travel team did a good job.  If travel orders can be issued in advance, it may make our travel easier for security.  I wanted to compliment the travel team for quickly getting me orders for a trip home to address a family issue.  The one issue I had on this deployment was minor, but I was not sent reimbursement paperwork upon my return to duty station.  I ended up receiving these from a team member.  ","wfpierce3@gmail.com","10/27/2008","09:15 PM"
"College Station, FMS","9/6-16/08","Hurricanes2008","Yes","An email was sent at 11:00pm on Friday night, 9/5 stating I was to deploy the following morning to Atlanta.  No call was ever received beforehand of a pending deployment.","Yes","Yes, after first deploying to Atlanta for staging, we were flown to Dallas 3 days later for setting up the FMS on 9/10.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","The high acuity level of nursing home type patients made for a challenging deployment due to lack of nursing assistants.  The role of the Mental Health Team was not defined and this team was integrated into the RDF with the effectiveness of this team being lost and suppressed for the needs of the staff and patients.  The EMR was completely lacking a pharmacy module without the ability to print labels and recordkeeping had to be done on hard-copy records (dispensing and administration records). Although the pharmacy cache was deficient, the re-supply was made efficient and timely before the hurricane and sheltering in place.  The lack of billeting made for some austere conditions but was manageable. Pharmacy staffing was well-supported with adequate numbers of pharmacists to fit the demands of the patient population and complexity of medication regimens patients came in with.  Unit dose medications for these types of patients would be helpful in the future.","mark.mcclain@fda.hhs.gov","10/28/2008","08:31 AM"
"Atlanta Georgia","6-8 September 2008","Hurricanes2008","N/A","","Yes","Minor uniform requirement change. They requested the use of PHS baseball cap.","Yes","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","I was deployed in less than 12 hours. The only reason I deployed in such a short notice was because I have a blackberry because I am currently on standby 24/7 for DIHS Special Operations and I had my deployment bag from Operation Enduring Freedom (old military habit). Deployment activation was done via email and whoever called to inform me about my itinerary just left a message on my voice mail. I was immediately demobilized due to current assignment critical manning needs. The whole deployment process was an eye opening experience (literally), thanks for the opportunity.","angel.rivasrivera@dhs.gov","10/28/2008","09:18 AM"
"Baton Rouge and Alexandria, LA","Aug 28-Sept 14, 2008","Hurricanes2008","Yes","","Yes","Yes, we were relocated after setting up the first FMS","Yes","Yes","Yes","Yes","Not applicable","Differences","Not applicable","Differences","Differences","Most of the differences that I experienced were with my Team members ","4 Very Effective","N/A","","As the mental health supervisor, I was to have a Tier 3 Officer join me.  He was diverted to another location, without any notification to me. My concerns as a supervisor were accountability for that Officer as well as a RDF #2 Dentist under my charge, that was diverted without warning or notice. 

Also, I am wondering if attaching us to a Guard Unit may help with the on-site logistics. (For individuals that don't handle austere conditions, ""unknowns"" or change well, (which the Corps has a few of) not having basic needs met early on, really unraveled some individuals and set the tone for their deployment experience.  As a result, I think some would hesitate to deploy. Just a thought.

Also, if possible. a pre-meeting with the State's Dept. of Mental Health and team mental health supervisor's would be really helpful. When I couldn't get MHT augmentation, I went to the State and was able to secure 4 social workers, 1 discharge planner and a counselor from the Dept. of Aging, LA.  These folks were critical in discharge planning as we housed 50 psych patients of which some were homeless, or addicted or mentally ill and disabled.  As always, I am proud to serve and am ready for the next one.","betty.hastings@ihs.gov","10/28/2008","06:24 PM"
"College Station, Texas","9/12/2008 9/25/08","Hurricanes2008","Yes","","Yes","Yes, mission dynamic, needed to be flexible and positive in attitude","Yes","Yes","No","Yes","Influence","Influence","Influence","Not applicable","Influence","","4 Very Effective","Yes","yes,available spanis translators","I did complete this survey on 9/26/08 and submitted it post Ike Deployment, this is #2 completion.","anne.stohr@ihs.gov","10/28/2008","11:23 PM"
"Atlanta, GA ","8/29 thru 9/12","Hurricanes2008","Yes","I deployed as part of CDC's mission critical team ","Yes","No - our mission was well defined - although nuances were apparent","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","I found the experience, as with previous deployments, to be very rewarding","gdt1@cdc.gov","10/29/2008","03:15 PM"
"LSU-A Alexandria, LA shelter","8/31 - 9/16/2008","Hurricanes2008","Yes","","Yes","This was an ever evolving mission. We were at one point slated for Baton Rouge, then were headed to Monroe, LA, then finally to Alexandria, LA. Once we arrived at this site the mission remained relatively stable, although there were still constant unknowns. The sewer situation as it evolved, kept us constantly on our toes (pun intended). Between Gustav & Ike was a period of great unknown. Are we staying, are we moving to a new site? Eventually after having packed everything up, we unpacked and stayed at the same site!","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","There were four dental officers assigned to this shelter and while there was a steady need for dental services, we were helpless to provide care other than evaluating and writing prescriptions. First of all, four dentists at one shelter is overkill, especially if we are unable to function in our field. This raises the second point, we should have an armementarium consisting of more than a prescription pad.","sjohnson2@hrsa.gov","10/29/2008","05:27 PM"
"Austin, Texas","09/21/2008 thur 10/03/2008","Hurricanes2008","Yes","","Yes","Yes, we were originally sent to function as an IRCT VII team, but upon arrival we were tasked to back fill various positions needed for IRCT West.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","btkhall31@aol.com","10/29/2008","06:48 PM"
"Hurricane Gustav Patient Advocate Team","09/7/08 through 09/22/08","Hurricanes2008","Yes","Yes they did a very good job, the only improvement I would suggest is that when i was notified to travel to the airport I was called 1 hour from departure and there was not enough time to catch that flight.  A little more notification time would be helpful.  However they just scheduled me on the next flight and everything worked out smoothly.  I was glad to have served on this deployment. ","Yes","Was assigned to the Patient Advocate Team and we were very flexible and traveled from Arkansas, Texas, Louisiana, Oklahoma and ready to go from moment to moment to repatriate pts back to south Louisiana.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","John.Melton@IHS.Gov","10/30/2008","08:26 AM"
"Jackson State; LSU","August 30 -- September 16, 2008","Hurricanes2008","Yes","There was some initial confusion as to when and where to report-- once we arrived at our actual destination, things became more organized.  I did not receive a ""pack list"" until it was too late.  We had received instructions to not bring sleeping bags, when in fact, they were needed.  ","Yes","Yes-- we moved around quite a bit, as the hurricane trajectories changed.","Yes","Yes","Yes","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","Treatment of geriatric patients (I'm trained as a pediatrician)","3 Effective","No","","","Linda.Ulrich@fda.hhs.gov","10/30/2008","04:12 PM"
"FMS College Station Texas","September 16 - 26, 2008","Hurricanes2008","Yes","Yes","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","2 Somewhat Effective","N/A","","","patterson6755@bellsouth.net","10/30/2008","09:01 PM"
"Jackson, MS and Baton Rouge, LA","31 August- 13 September","Hurricanes2008","Yes","","Yes","","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","It has been over 6 weeks since I sent my information to OPEO for reimbursement.  I STILL have not received the itemized travel voucher for my expenses.  This is absolutely ridiculous!!","pchorosevic@bop.gov","10/31/2008","01:03 PM"
"TEXAS A&M COLLEGE STATION","9/6/08-9/21/08","Hurricanes2008","No","The travel order/itinery was sent to me at 11pm via email for 6am flight next day.  No phone calls received from the travel desk.  I had to make several phone calls to make next flight arranged.  The next flight the OFRD arranged wasn't paid for, and I had to make several calls again to correct it at the airport. ","Yes","","N/A","No","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","swargo@mail.nih.gov","10/31/2008","01:18 PM"
"College Station, TX","September 6-21, 2008","Hurricanes2008","Yes","","Yes","No, our goal was to set up a FMS but the location changed midway ","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Although I was able to serve in a dual role (nurse and epidemiologist) during the deployment and adapt to the needs of the mission, I felt I was overworked and needed more time off and support from leadership. I felt nurses in general hadto work too many hours because of the advanced health care needs of the evacuees early on. We did not enough nurse officers who could deliver the care needed for this population. Then the extra nurses arrived too late into the deployment when we needed them earlier. Occupational health issues were largely ignored; several of the nurse officers and others were stressed, fatigued, and suffering from musculoskeletal pain from working with a nonambulatory population. It was really difficult to adequately care for the evacuees when we didn't feel cared for ourselves. ","cawest@cdc.gov","10/31/2008","04:07 PM"
"BATON ROUGE","AUG 28 - SEPT 11","Hurricanes2008","Yes","NO.  I AM STILL AWAITING ORDERS THAT I CAN SUBMIT TO THE AIRLINES FOR REFUND ON TICKETS I CANCELLED DUE TO MY DEPLOYMENT.  I HAVE MADE 3 INQUIRIES.","Yes","NO IT DID NOT CHANGE","Yes","Yes","Yes","Yes","Not applicable","Differences","Influence","Not applicable","Differences","","4 Very Effective","No","","","FRANCES.PLACIDE@CHEROKEEHOSPITAL.ORG","11/01/2008","02:13 PM"
"Marshall, Texas and College Station, Texas","Aug 31, 2008 thru Sep 12, 2008","Hurricanes2008","Yes","","Yes","Yes I originally deployed for Hurricane Gustav and stayed when Hurricane Ike approached.","Yes","Yes","Yes","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","PHS #68294 for update of OFRD webpage","Xms04meX@AOL.COM","11/03/2008","05:58 AM"
"Baton Rouge","08/31/08-09/12/08","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","kimberly.hull@yahoo.com","11/03/2008","10:29 AM"
"Baton Rouge, LA","8/29/08-9/11/08","Hurricanes2008","Yes","","Yes","","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","Could use additional training in regards to deployment.  EMR could be improved to better meet the needs of deployment staff.","russell.appleby@cherokeehospital.org","11/03/2008","11:51 AM"
"Jackson, MS; Baton Rouge, LA","8/31/08 thru 9/13/08","Hurricanes2008","No","Initial notice stated that I would be contacted by OFRD Fri eve or Sat. Did not receive email until after I went to bed Sat. When I checked email on Sunday, flight had already left. There was no contact phone number on travel itinerary, none on OFRD website. It took numerous calls on my part to make contact with someone for further instructions.","Yes","Once the deployment was finished in Jackson, MS, transported to Atlanta, GA for a few days, then transported to Baton Rouge, LA. It seems as though it would have been more efficient to go straight to Baton Rouge, LA","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","5 Undecided/Do not know","N/A","","While I was at the airport for my return flight, my airline ticket was cancelled, no notification or reason given, causing me to miss my flight home. Needless to say, I was extremely agitated.","gtblachedmd@aol.com","11/03/2008","03:31 PM"
"College Station TX","","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","charles.jaworski@tananachiefs.org","11/03/2008","05:35 PM"
"college station texas","9-21 thr 9-27","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","thurber.james@gmail.com","11/03/2008","06:18 PM"
"College Station Texas","9/21/08 - 9/27/08","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","5 Undecided/Do not know","N/A","","","ppacheco@bop.gov","11/05/2008","01:11 PM"
"Haiti (part of USS Kearsarge team)","09/10/2008 - 09/26/2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","The travel reimbursement process was absoutely terrible.  OFRD must address the problems in processing travel vouchers in a timely fashion.  It has been pure torture to get my travel voucher processed and my GOVtrip account released back to my agency.  Your survey must be re-designed to capture travel order and vouchering problems.  For example, other memebers of my team certainly experienced problems with airline tickets not paid for.  The lack of timely and accurate travel voucher processing has overshadowed what was otherwise an extremely positive and rewarding experience on the USS Kearsarge mission.","scott.helgeson@ihs.gov","11/06/2008","01:27 PM"
"Austin, TX (JFO).  From there, I went to Houston as part of the Household Assessment Mission.","Sept, 19-29, 2008.","Hurricanes2008","N/A","","Yes","Yes.  Unfortunatelly, most of the Team had no mission assigned during the first five days after arriving to Texas, and most of the Team members were sent back home after 10 days(not completing the usual two week  deployment length), because of the same reason.","Yes","No","No","No","Differences","Differences","Differences","Influence","Differences","","5 Undecided/Do not know","Yes","While doing a household assessments in rural Texas, we were exposed to marked cultural differences that affected the effectiveness of our work, and potentially, our safety.   Intruding private property could be dangerous, and addressing potentially stressed individuals would require at least some prior briefing/training, which we did not have in an appropriate way.  However, the fact that we were assisting the State, and that they took the lead most of the time, was a mitigating factor for  these issues.  The staff from the state of Texas knew their culture, and that helped for the success of the mission.","I want to highlight the superb leadership of my Team (APHT3), CAPTs Rodenbeck, Lee, and Meade.  They did their be under very unclear circumstances.   

The Household Assessment Mission did not seem to me as a good use of our expertiese as PHS officers.  
","","11/07/2008","11:49 AM"
"Baton Rouge, LA","08/31-09/13","Hurricanes2008","Yes","Very little notice of deployment, redeployment mechanism is sub-par to say the least. Senior leadership should be the first on the ground and last to leave ensuring the safe redeployment of their officers! ","Yes","OFRD could not establish a consistent place for officers to sleep night to night.  We moved sleeping arrangements 4 times.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","I think there should be more assessment on OFRD's coordination and in-the-field management.  Under this category you would undoubtedly receive sub-par grades!","kfisher@psc.gov","11/09/2008","03:02 PM"
"Alexandria LA","29 Aug 08 - 16 Sept 08","Hurricanes2008","Yes","Agree","Yes","NO","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","","","elvira.hall-robinson@hhs.gov","11/10/2008","09:03 AM"
"Baton Rouge, LA","October 8-27, 2008","Hurricanes2008","Yes","","Yes","The mission was ever changing as various support resources moved out of FEMA","Yes","Yes","N/A","Yes","Differences","Differences","Differences","Not applicable","Differences","I was able to meet the clients where they were.","4 Very Effective","No","I am a flexible person.  I adapted as necessary.","This was a wonderful opportunity for me.  I prepared type-written reports for each client under my care to assist the next Team/FEMA re: quality case management.  Great deployment.  I look forward to future deployments! ","","11/10/2008","06:04 PM"
"College Station, Texas","22 September,2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","PHS officers deployments to areas affected by the hurricanes presented great opportunities to serve society and to show presence as a branch of the uniform service. I Felt proud deploying as PHS officer to serve humanity.","moses.ajoku@ihs.gov","11/11/2008","12:09 PM"
"Alexandria, Louisiana","August 29 through September 16, 2008","Hurricanes2008","Yes","","Yes","","No","Yes","No","Yes","Differences","Not applicable","Differences","Not applicable","Differences","","4 Very Effective","Yes","","","iris.valentin-bon@fsis.usda.gov","11/12/2008","09:21 AM"
"Arkansas, Dallas, Austin","07 Sept- 20-sept","Hurricanes2008","Yes","","Yes","Some were extended beyond 14 days","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","As of November 14 I still have not recieved reimbursement for expenses. I was told that my paperwork was inappropriately filed with the contractors which has caused the delay. This delay has not been good for my financial state. We should not have to worry about timely reimbursement when being deployed. ","mrboykin@bop.gov","11/14/2008","09:18 AM"
"College Station","9-21-2008 thru 9-27-2008","Hurricanes2008","No","I was sent tickets the last week in August and was never called.  I e-mailed and never heard from anybody.  I called the airplane chartered placed and talked to the Commander in charge.  

Then, on 9-20-2008 I was sent tickets but never was called, again.","Yes","I was a nurse and did nursing care.  Then, when the field hospital was shutting down, We cleaned cots, etc. and packed boxes.","Yes","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","barbarad@nih.mail.gov   LJBADEMERS@aol.com","11/15/2008","02:47 PM"
"Alexandria, VA","9/ 19- to 29/ 8/ 08","Hurricanes2008","Yes","","Yes","NO","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","janet.cliatt@fda.hhs.gov","11/17/2008","08:46 AM"
"Marshall TX and College Station TX","08/31/2008-09/14/2008","Hurricanes2008","Yes","I asked whether I would need a sleeping bag since we did not get a specific packing list.  I was told that I would NOT need one, but it turned out that I did.  One night I was unable to sleep because it was cold and no blankets were available.  I wrapped myself in extra clothes and my rain poncho, but it was still cold in the building that we were sleeping in in College Station and there was no way to turn the air conditioning off (or the lights).","Yes","","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","CDR Katherine Viewig was an outstanding team leader.  CDRs Greg Davis and Paul Jones also did a great job","seb5@cdc.gov","11/17/2008","02:41 PM"
"MARSHAL TX, COLLEGE STATION TX","08/30/08 - 10/16/08","Hurricanes2008","Yes","IT WAS A VERY HURRIED TRAVEL ORDER AND FLIGHT.  I MISSED A FLIGHT DUE TO SCHEDULING NOTIFICATION ERROR.  aFTER THAT EVERYTHING WENT QUITE SMOOTHLY.","Yes","","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","MARTIN.SMITH@IHS.GOV","11/18/2008","11:57 AM"
"College Station, Texas","09/06/08 thru 09/22/08","Hurricanes2008","N/A","","Yes","The mission requirements did not change. The hurricane changed routes; therefore, our mission changed routes, but the requirements remained the same. ","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","theresa.gallagher@ihs.gov","11/18/2008","02:02 PM"
"1234","1234","Hurricanes2008","N/A","1234","No","1234","No","No","No","No","Differences","Differences","Differences","Differences","Differences","1234","5 Undecided/Do not know","Yes","1234","1234","abc123@acme-hackme.com","11/18/2008","09:38 PM"
"Louisana, for hurricane Gustav","9/1/08 to 9/14/08","Hurricanes2008","Yes","","Yes","yes, we were sent in before the storm hit land and as such as the hurricane landfall predicitons changed we were relocated to other areas. ","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","sohail.mosaddegh@fda,hhs,gov","11/20/2008","11:45 AM"
"Alexandria, Lousiana (AG center)","8/31/08 to 9/9/08","Hurricanes2008","No","I received an email stating that I was to be deployed and that I would receive a phone call from my team leader that evening or the following morning.  I never received any phone calls despite having updated all my contact information.  I then received an email stating that I would hear from Omega Travel by 0100 EST with a travel itinerary or I was to call a certain number.  0100 EST came and I had not received a travel itinerary.  I called the number and received an automated message stating the extension I was trying to reach had not been activated.  I did not receive a travel itinerary until approx 0530 EST (0230 Pacific time, which is where I live) giving me a departure time of 0600 that same day.  If a fellow officer had not checked their email in the middle of the night and told me to check my email I would have missed my flight.","Yes","Yes, our primary mission was to establish a field medical clinic to serve patients with special needs who had been displaced by the hurricane.  The location at the AG center, however, was attached to a red-cross mission which at its peak had more than 3000 occupants.  The initial triage of this population was handled by EMS personnel but when the patient's condition exceeded the scope of practice of the EMS personnel we were handling the urgent care needs of this population.  Many patients with uncontrolled diabetes, hypertension, who had run out of medications.  Many patients who required oxygen who were out of their oxygen, etc.
Additionally, there were sewage system problems in the facility which impacted both our side (the PHS field clinic with the special needs population and the Red Cross side)  We had to assist in troubleshooting and taking precautionary public health/sanitation measures to prevent what could have been a serious outbreak of illness from the break down in sanitation.","Yes","Yes","Yes","Yes","Influence","Influence","Not applicable","Not applicable","Not applicable","","2 Somewhat Effective","No","","","christopher.keane@ihs.gov","11/24/2008","12:25 PM"
"Baton Rouge, LA","9 Oct 2008-21 Oct 2008","Hurricanes2008","Yes","","Yes","No","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","cspells@hrsa.gov","11/24/2008","01:44 PM"
"FMS, College Station, Texas","9?22/08 - 9/27/08","Hurricanes2008","N/A","I did not have any questions. i did find out about the specific deployment on Monday morning of thr same day I was to be at the airport for deployment. fortunately, i was in the office by 6:00AM that morning and so had time to do some job related activities before returning home (40 miles away) to pack and get to the airport!!!","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","Texas A&M appeared to be ready for us to vacate their buildings in time for thier big game with Army by the time i was deployed and the deployment was cut short. i hope i have the opportunity for a full deployment at some point!","lflowers@mail.cc.nih.gov","11/25/2008","02:18 PM"
"Humanitarian Mission-NS Mercy","May 18-Jun 4, 2008","Select Event","Yes","CDR Waterman was excellent","Yes","no","N/A","Yes","No","Yes","Not applicable","Differences","Differences","Not applicable","Influence","","4 Very Effective","No","Felt very prepared, skill wise","I completed this evaluation because I was never requested to provide an evaluation for this deployment, nor has it been documented in my OFRD file","karen.dorse@dhs.gov","11/26/2008","09:26 AM"
"College Station ","Sept 2008","Hurricanes2008","Yes","","Yes","Yes, I was deployed to an FMS and in the middle of my deployment we started demobilizing.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","kdanford@bop.gov","11/26/2008","02:20 PM"
"Hurricange Gustav - LSU Fieldhouse/PMAC","8/29-9/11/2008","Hurricanes2008","Yes","","Yes","","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","chris.lamer@ihs.gov","11/26/2008","08:05 PM"
"texas A&M campus","sept 16","Hurricanes2008","Yes","","Yes","","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","adsmith@bop.gov","11/28/2008","09:47 AM"
"College Station, TX","Sept 6, 2008 thru Sept 19, 2008","Hurricanes2008","Yes","","Yes","NO","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Still waiting for reimbursement","krummcake9@sbcglobal.net","11/30/2008","05:25 PM"
"College Station,Texas","9/19/08 through 9/26/2008","Hurricanes2008","Yes","","Yes","Provided primary healthcare as Family Nurse Practitioner,during period of initially Special Needs Shelter,to less acuity level","No","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","rmewing@wildblue.net","12/01/2008","05:45 AM"
"Jackson, MS and Baton Rouge, LA","August 31 to September 12","Hurricanes2008","No","The number they gave to call for information wasn't answered. I looked up the numbers for OFRD personnel listed on deployment notification and left messages. They call me back 3 days later, which was 3 days AFTER I was in Jackson, MS.  ","Yes","","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","OFRD appeared to be unstaffed to handle the operation.","wab4@cdc.gov","12/01/2008","07:01 AM"
"College Station, Texas  Hurricane IKE","","Hurricanes2008","Yes","","Yes","","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","","lcdr.blankenship@yahoo.com","12/01/2008","08:10 PM"
"EMG at SOC","8/31/08-9/6/08","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","","","theresa.liu@fda.hhs.gov","12/02/2008","10:02 AM"
"austin jfo","10/02-16/2008","Hurricanes2008","Yes","","Yes","","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","","scotty.hargrave@fda.hhs.gov","12/02/2008","10:50 AM"
"College station Texas","9-6-08   9-21-08","Hurricanes2008","Yes","","Yes","","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","","delores.starr@ihs.gov","12/02/2008","01:59 PM"
"Jackson, MS & Baton Rogue, LA","August 31, 2008 - September 13th, 2008","Hurricanes2008","Yes","Yes, but not in the timelines the e-mails indicated.","Yes","Yes, I was originally to go to Baton Rogue, LA, but once at the Atlanta, GA airport we were told our orders were changed, and then got on a bus heading for Jackson, MS.","Yes","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","Nursing resource guides and enough and enough equipment for medical and nursing staff. i.e. sethoscopes, O2, B/P cuffs, transfer belts","","beern@msn.com","12/04/2008","06:51 AM"
"College Station, TX","9/6/2008 - 9/22/2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","I was charged by United Airlines for the 1 bag I checked during my flight back from deployment.

As of today (12/4/2008) I have not received reimbursement.","mdr2@cdc.gov","12/04/2008","01:16 PM"
"Carlisle, LA and Alexandria, LA","08-29-2008 to 09-16-2008","Hurricanes2008","Yes","","Yes","The mission requirement did not change,  just the location.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Our mission director, Cal Edwards was great!!!","Tia.Harpervelazquez@fda.hhs.gov","12/04/2008","02:10 PM"
"Alexandria, LA","Aug 29th-Sept 16th, 2008","Hurricanes2008","N/A","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","Yes","Guidebook to field nursing","","jjonesl@mail.nih.gov","12/04/2008","02:39 PM"
"Alexendria, LA","August 29 until September 16, 2008","Hurricanes2008","N/A","","Yes","","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","Question 8: Return Flight was over booked and I had to fly to to a different airport.  This was different from the one that I flew out of and I had to try to make arrangements to be picked up at the airport in a short period of time.  ","keith.olin@fda.hhs.gov","12/05/2008","01:28 PM"
"Alexandria, Louisiana for Hurricanes Gustav & Ike","August 31, 2008 to September 15, 2008","Hurricanes2008","N/A","I received most if not all of my deployment information from the PHS 2 RDF team.  
The OFRD travel section responded as best they could to my air travel questions since they were under very tight time constraints.  I received travel info (airplane flight times and connecting flight) at the last minute.  For example, I received updated connecting flight information (e.g., time change for flight departure) only after I arrived in Atlanta from BWI and I had to rush to get the van for the connecting flight.  It would have been nice to have this informaiton before I left BWI so I would know where to go when I arrived in Atlanta.","Yes","Yes, I was deployed for Hurricane Gustav but PHS 2 RDF (the team I was assigned to) was requested to stay in Louisiana 3 days post landfall of Hurricane Ike.","Yes","Yes","No","Yes","Differences","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","Regarding items 10-12, I was able to obtain discharge planning information from a Vietnamese patient with the assistance of a fellow PHS Vietnamese officer (Mimi Phan) who translated for me.  Without the help of this officer, I would not have been able to obtain the amount of detailed information (including contact phone numbers of friends and landlords) needed to complete the form for this patient.  This helped to get the patient discharged in a timely manner.","carole.broadnax@fda.hhs.gov","12/05/2008","04:57 PM"
"Alexandria, LA","8/29/08 to 9/11/08","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","","12/05/2008","05:19 PM"
"College Station, Texas- AMU","Sept 6th-21st","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","patgarzone@aol.com","12/05/2008","05:21 PM"
"College Station, Tx","09/05- 09/22/2008","Hurricanes2008","Yes","","Yes","Yes--forward location of where our RDF was to be sent changed multiple times.","Yes","Yes","No","Yes","Differences","Not applicable","Influence","Influence","Influence","","4 Very Effective","No","","Manpower shortage at front end of FMS operation, overage at end.  Bedding surfaces were inappropriate for the patient population--caused pressure sore which then became a major medical management issue.  Wound care skills highly beneficial for any nurse, physician or OT/PT that deploys.","anne.whitis@searhc.org","12/08/2008","03:05 PM"
"LSU, Baton Rouge, LA","03 Sept to 17 Sept","Hurricanes2008","No","I tried to obtain information on Saturday, 30 August, but the only phone number provided in the email for OFRD was a office phone with a full voice mail box.  My email said to fly to Atlanta where I would be routed to either Mississippi or Louisiana, but there was no information on how I would know my final destination and there was no way to obtain any information on final destination.","Yes","The mission was originally to care for ambulatory patients or patients with care givers that did no require primary care.  However, the LSU Field House shelter ended up having high acuity patients.  When the LSU Field House Shelter closed we were moved to care for the patients in the PMAC, a shelter originally designed for high acuity patients.  ","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","The conditions for officers during this deployment were deplorable.  Officers had no where to decent to sleep, and many had to share a bunk with someone working opposite shift.  This situations could have lead to an outbreak among officers that would have reduced ability to care for patients. This is my first deployment where officers and patients shared rest rooms.  Male officers were reduced to using sinks where patients were dumping and washing bedpans and urinals.  This is also my first deployment were officers and patients obtained food (such as it was) from the same source.  This situation again could have resulted in an outbreak reducing officer ability to care for patients.  The food was substandard, officers did not receive fruit or dairy for the first 8 days of deployment, and no provisions were made for vegetarians.  Worse, provisions were not made for patients who required a special diet such as diabetics and those with dental issues.  When the LSU Fieldhouse shelter was closed, officers were told to pack for a move to another facility.  This facility had no electricity so officers were moved into the PMAC to sleep in the basketball facility, then moved to the FEMA camp which was the best accomodations of the entire deployment, only to be moved back to the PMAC when Ike was approaching.  It was a true testiment to the officers that they successfully completed their mission under such adverse conditions.   ","","12/08/2008","03:34 PM"
"Baton Rouge, LA","20080830-20080912","Hurricanes2008","No","","Yes","","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","vxwilson@bop.gov","12/09/2008","01:37 PM"
"Baton Rouge, LA","11/18/08 until 12/02/08","Hurricanes2008","Yes","Within reason and sufficiant amount of time.  Difficult in relaying the information to my chain of command.","Yes","No","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","overall good deployment experience to assist with crisis case management.   Problems with local communications about resources.   
","tcesar@bop.gov","12/09/2008","01:42 PM"
"Baton Rouge, Louisiana","11/4/08-11/21/08","Hurricanes2008","No","The only information received was that I would deploy but information from the sponsoring agency outlining the focus of the mission and documents to help were not provided until the day of travel - e-mail sent while officers were literally in the air - which made it very difficult to access the information. Logistics: we did not receive our travel itinerary until hours before our flight was to depart, as noted e-mail with helpful info received too late to access - hotel tax waiver form, for e.g. could not be obtained until days later.","Yes","No","N/A","Yes","Yes","Yes","Not applicable","Influence","Not applicable","Not applicable","Influence","Rural populations with low socioeconomic status, many health issues - disenfranchised & marginalized populations","4 Very Effective","No","","This was a good deployment for MSW's - an excellent use of our skills. I think we made a positive impact on the people and systems we were there to support.","jaizvera@cc.nih.gov","12/10/2008","02:52 PM"
"Louisiana","September  11 - 20","Hurricanes2008","N/A","","Yes","","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Was deployed through the USDA (FSIS) for educational and outreach activities which included distribution of food safety education materials and cleaning and sanitizing supplies to various hurricane-affected areas in Louisiana.","mahendra.kothary@fda.hhs.gov","12/11/2008","11:32 AM"
"College Station Texas","16 September to 27 September 2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","tully10228@comcast.net","12/11/2008","03:30 PM"
"College Station, Texas","September 12, 2008- September 25, 2008","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","ymitchell@tconline.net","12/11/2008","10:06 PM"
"Hurricane Gustav","10/31/8 - 9/12/08","Hurricanes2008","Yes","Yes","Yes","Yes, there were alot of changes upon leadership, and responsibilities.","No","Yes","No","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Differences","","4 Very Effective","Yes","","","byron.henry@fda.hhs.gov","12/12/2008","03:53 PM"
"Marshall TX, ","August 31 to September 15,2008","Hurricanes2008","Yes","","Yes","Patient acuity much higher than anticipated.  Many total care not just ""special needs"".","No","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","monicas@intra.niddk.nih.gov","12/12/2008","04:26 PM"
"College Station","22 Sept to 26 Sept, 2008","Hurricanes2008","Yes","","Yes","No change","N/A","Yes","Yes","No","Not applicable","Influence","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","ted.corcoran@ihs.gov","12/14/2008","06:57 PM"
"Baton Rouge, LA","11/18-12/2","Hurricanes2008","Yes","","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","mrpedersen@bop.gov","12/15/2008","03:42 PM"
"Atlanta, GA FEMA RRCC IV","8/29-9/11/08","Hurricanes2008","No","","Yes","mission required additional manpower to handle the reporting demands","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","I traveled without orders and when I arrived to the deployment billet location, no one was aware of my arrival or had work for me to do.","iek8@cdc.gov","12/16/2008","09:43 AM"
"Baton Rogue and Alexandria, LA","29 Aug - 16 Sept 2008","Hurricanes2008","Yes","","Yes","Yes. We were shuttled to various different FMS and the potential that our mission would change again was constant","Yes","Yes","No","Yes","Not applicable","Influence","Differences","Not applicable","Influence","VERY poor population. Many had mental health issues.","4 Very Effective","Yes","We have received ZERO training on patient interaction.  ","There continues to be a problem with getting credit for this deployment.  And without credit for deployment I am not eligible for FMRB.  As an officer who will soon be up for promotion, it is vital that information is updated and correct.

Numerous attempts to try to contact OFRD to have this corrected have been unsuccessful.","","12/16/2008","12:08 PM"
"Baton Rouge, LA .        LSU","8-31-08  thru 9-14-2008","Hurricanes2008","Yes","Waited by computer during holiday weekend for 2 days.","Yes","Yes first a 500 bed FMS then a 750 bed FMS then moved and took over 500 bed FMS from the state.","Yes","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","mizzourn@earthlink.net","12/17/2008","05:14 PM"
"College Station TX","Sept 6,2008 -Sept 20,2008","Hurricanes2008","N/A","","Yes","No","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","rhemberger@hrsa.gov","12/18/2008","11:29 AM"
"college station TX","Sep  6 -20","Hurricanes2008","Yes","","No","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","2 Somewhat Effective","N/A","","","sallach.andrew@epa.gov","12/21/2008","11:10 PM"
"Hurricane Gustav / Hurrican Ike","August 30 2008 - September 17, 2008","Hurricanes2008","Yes","LCDR Greg Davis was very insrtumental at this point of the deployment as he was Tier III Tiger's first point of contact. I recevied a call from him as well as an email with response to suggested personal items neccessary for deployment, location of deployment, roles and responsibilities and point of contacts. CDR Katherine Viewig - provided at the onset an excel spreadsheet with a list of all of the individuals to be deployed with Tier III Tigers, their titles, roles, and phone numbers. Together these two were very instrumental in organizing the group. This was my first deployment with PHS; being prior Navy, this was different; however, insightful. 
Timeliness - considering everything mentioned above timeliness could have very well been an issue, since everyone received travel times anywhere from 15 minutes to an hour prior to departure. This was a little difficult for me because although I had my bags packed, there was no way I could have made it to BWI in the 15 minutes notice I received initially. I live approximately 36 miles away. However, I had no problems changing my flight time.","Yes","From the onset my mission was to effectively assist, support and protect those in need. Initially, Tier III Tiger were to set-up an FMS at East Texas Baptist University to assist and support patient evacuees during Hurricane GUSTAV. This mission was successfully accomplished as I was extremely impressed with how well this group (Tier III Tigers) bonded and pulled together, worked hard and were well received by the patients and their care givers. Despite the somewhat shortage of Nurses compared to the number of patients - Pharmacists, Admin and the IT groups provided assistant to the nurses whenever and wherever needed, whether it was changing a bed, helping them lift patients, or just responding to the patients needs, it was a wonderful experience. I would say the mission here was accomplised. Next, with limited notice and or information on the next mission; we were packing up and headed back to Dallas and from there we were told that we would be going to Florida. The next morning we learned we were packing up and headed to Atlanta - station for Hurrican IKE. While in Atlanta, we were informed that we were headed to Florida. However, the next morning we were packing up and heading back to Dallas, TX. This time we were going to College Station (Texas A&M) to set-up a 300 bed FMS. To my surprise we were joined by RDF Blue Team. Once again I was impressed by the ability of 200 officers from all over the world to come together for the good of completing our mission. However, this time there was a difference in the Leadership. We went from being led by the leaders of Tier III Tiger who not only led by example but allowed Tigers to feel included and apart of a team. I felt like we were a family. Everyone was informed, very, very motivated and excited about working together and completing our mission. This new leadership, although, structured, this appeared to be the focus. Our goal went from teamwork to individuality in my opinion. The morale at this point was down. Food was not great, sleeping arrangements shifted from one day to the next, which made it difficult for am workers to receive adequate sleep, shortage of nurse compared to the over 300 patients that were received, limited to no transportation -I would say this was the biggest of the morale problems. Additionally, most of Tier III Tigers were beyond 14 days and somewhat sleep deprived. Capt Montalvo, CDR Davis, CDR Reed, CDR Viewig were outstanding they kept up the morale of the Tigers, kept us as informed as possible and provided excellent support to the team from start to finish.","Yes","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","As IT Team Lead while deployed at FMS Marshall and FMS College Station, I with no prior Electronic Medical Record training became the subject matter expert on the EMR System. I enlisted assistance and together we worked tirelessly to get the EMR System installed and online through determined coordination and communication.  This effort was directly responsible for the successful functionality and operation of the Electronic Medical Record System at both FMS Mashall and FMS College Station.  ","tjohnican@liberty.edu; tonya.johnican@fda.hhs.gov","12/22/2008","12:05 AM"
"FEMA Region RRCC","9/2/08 - 9/9/08","Hurricanes2008","N/A","","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","ctw6@cdc.gov","12/22/2008","08:31 AM"
"IRCT Austin TX","08/31/08 to 09/04/08","Hurricanes2008","Yes","","Yes","I was moved from Logistics to Planning due to a shortage of Planning Officers.  I possessed appropriate skills to perform in either role.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","william.koch@psc.hhs.gov","12/22/2008","12:53 PM"
"Special Needs Shelter, College Station, TX","09/06/08 to 09/22/08","Hurricanes2008","Yes","","Yes","NO","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","william.koch@psc.hhs.gov","12/22/2008","12:55 PM"
"1234","1234","Hurricanes2008","N/A","1234","No","1234","No","No","No","No","Differences","Differences","Differences","Differences","Differences","1234","5 Undecided/Do not know","Yes","1234","1234","abc123@acme-hackme.com","12/28/2008","12:32 AM"
"IRCT-W","25 August - 26September","Hurricanes2008","Yes","When specific trained personnel were requested from this IRCT Austin, OFRD was able to respond and provide the appropriate clinically trained Officers to deployed locations","Yes","When UTMB was knocked out we had a need for clinical laboratory scientists to run an ASPR lab set up to support the DMAT emergency room at UTMB.  OFRD responded to this change by supplying the trained Officers to run the ancillary laboratory.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","Outstanding OFRD response.  Need to discuss training of additional personnel in our ASPR deployable laboratory systems.","john.welch@hhs.gov","12/29/2008","08:19 AM"
"Alexandria LA","31 Aug- September 15","Hurricanes2008","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","","12/29/2008","11:08 AM"
"Virgin Islands","10/24/2008 - 11/16/2008","Hurricanes2008","No","I deployed thru the National Park Service Facility Incident Recovery Team","Yes","Location changes and duty changes","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Once again I deployed thru the National Park Service, Facility Incident Recovery Team.","gregory_robinson@partner.nps.gov","12/29/2008","03:37 PM"
"FMC in College Station, Texas","09-21-2008 THRU 09-26-2008","Hurricanes2008","Yes","","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","WBUTLER@BOP.GOV","12/30/2008","10:30 AM"
"Austin, Texas","9/18 through 9/28/2008","Hurricanes2008","Yes","The officer on duty after hours was particularly helpful in following up on a question regarding a change in airline scheduling.","Yes","No.","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","lucinda.harris@ihs.gov","12/30/2008","12:11 PM"
"Mississippi and Louisiana","31Aug08-13Sept08","Hurricanes2008","Yes","They responded appropriately, it was initially confusing to figure who was in charge and where to go once deployed. This was my first deployment, so things will be more smooth next time. ","Yes","no","N/A","Yes","No","Yes","Not applicable","Not applicable","Not applicable","Not applicable","Differences","","4 Very Effective","No","","I was impressed how everyone regardless of rank were dedicated to getting the job done.
I think OFRD should have more personnel available if possible to help with orders, travel plans initially when everyone is first deployed.  It just seems like everyone is wanting the same information and the manpower is lacking to disseminate the critical information.  Having extra personnel would reduce the stress level.","dev8304@bop.gov","12/30/2008","12:23 PM"
"FMS College Station","6 SEPT - 23 SEPT 2008","Hurricanes2008","N/A","","Yes","We originally deployed to Atlanta, GA and pre-staged there until the path of Hurricane Ike became more clear.  We then moved to College Station, TX to set up and run FMS College Station.","Yes","Yes","No","Yes","Influence","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","An overview of cultural differences for the specific population would be helpful.","","kozloskym@cc.nih.gov","12/30/2008","05:44 PM"
"OFRD at Parklawn Bldg., Rockville and Travel DDHS, D.C.","08/27/08-09/10/08","Hurricanes2008","Yes","","Yes","n/a","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","I believe i've done this evaluation before. I just want to know when will this deployment show in my deployment history. Please respond.","basilioj@mail.nih.gov","12/30/2008","08:32 PM"
"Lompoc LA","8/30/2008-9/3/2008","Hurricanes2008","N/A","Deployed through agency","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","pamburcie@sbcglobal.net","12/31/2008","11:02 AM"
"Baton Rouge, LA","August 31- September 12, 2008","Hurricanes2008","Yes","They were honest about not having specific departure dates, but encouraged us to stay flexible and be ready at short notice.  ","Yes","No.  The mission remained to care for special needs clients throughout the deployment.  ","Yes","Yes","Yes","Yes","Differences","Differences","Not applicable","Not applicable","Differences","","4 Very Effective","No","","","jnixon@bop.gov","12/31/2008","12:34 PM"
"rIqTgQDvIKedxTDPg","JjPlBhtZuWHLbUwJX","Hurricanes2008","Yes","eKiID4  <a href=""http://lljpdsieixtq.com/"">lljpdsieixtq</a>, [url=http://wdukprfxoaok.com/]wdukprfxoaok[/url], [link=http://qnoexgnwksgj.com/]qnoexgnwksgj[/link], http://koijzeideyks.com/","Yes","eKiID4  <a href=""http://lljpdsieixtq.com/"">lljpdsieixtq</a>, [url=http://wdukprfxoaok.com/]wdukprfxoaok[/url], [link=http://qnoexgnwksgj.com/]qnoexgnwksgj[/link], http://koijzeideyks.com/","N/A","Yes","N/A","N/A","Influence","Influence","Influence","Influence","Influence","eKiID4  <a href=""http://lljpdsieixtq.com/"">lljpdsieixtq</a>, [url=http://wdukprfxoaok.com/]wdukprfxoaok[/url], [link=http://qnoexgnwksgj.com/]qnoexgnwksgj[/link], http://koijzeideyks.com/","1 Not Effective","No","eKiID4  <a href=""http://lljpdsieixtq.com/"">lljpdsieixtq</a>, [url=http://wdukprfxoaok.com/]wdukprfxoaok[/url], [link=http://qnoexgnwksgj.com/]qnoexgnwksgj[/link], http://koijzeideyks.com/","eKiID4  <a href=""http://lljpdsieixtq.com/"">lljpdsieixtq</a>, [url=http://wdukprfxoaok.com/]wdukprfxoaok[/url], [link=http://qnoexgnwksgj.com/]qnoexgnwksgj[/link], http://koijzeideyks.com/","zhkqht@xtioja.com","12/31/2008","05:48 PM"
"South Texas Detention Center","07/10/08-07/24/08","Hurricanes2008","Yes","","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","jennyrmohon@sbcglobal.net","01/05/2009","02:17 PM"
"Gustav-Jackson Mississippi ","September 2008 ","Hurricanes2008","Yes","","Yes","Yes, we were transferred from Mississippi to Louisianna for Hurricane Ike assistance ","Yes","Yes","No","Yes","Differences","Not applicable","Differences","Not applicable","Not applicable","","4 Very Effective","N/A","","","rhondamm@lummi-nsn.gov","01/08/2009","07:32 PM"
"Baton Rouge LA","11-18-2008 through 12-03-2008","Hurricanes2008","Yes","","Yes","","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Deploying with a small component (4 officers) of our MHT-5, which overlapped (for hand-off purposes) with another small component (3 officers) of MHT-5 that was finishing its deployment, made for two highly effective and cohesive groups. As Mission Chief for the second deployment team, I greatly appreciated our MHT-5 team leader's (CDR Elise Young) selection of personnel for the mission. She clearly gave much thought to the particular strengths and skills of team members and she assembled two qualified and dedicated teams that worked very well within their teams and with each other during hand-off. The liaison officer for the mission from ACF, LT Sophia Hsu, also contributed greatly to the success of our mission and took care of the small details of the deployment so that we could concentrate on the mission at hand.","Scott.Cooper@cms.hhs.gov","01/22/2009","12:15 PM"
"Capitol","1/18-21/09","Inauguration 2009","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","","01/22/2009","03:14 PM"
"Washington, DC  ","1/19-20/2009","Inauguration 2009","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Very engaging deployment as USPHS was involved in an historic moment","laurie.brown@hhs.gov","01/22/2009","04:54 PM"
"2009 Inauguration","1/17-1/22/09","Inauguration 2009","Yes","Yes, but it is frustrating when the information changes continuously.  However, we were told to expect that.  I am very structured so it was difficult to adjust to all the change.","Yes","The requirements didn't change.  Just other info such as hotels, etc.","N/A","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","I was very disappointed that officers with higher ranks did not know how to salute or were not wearing there uniforms properly.  This was also noticed by enlisted members of the Navy that deployed with us.  This is an embarrassment to the PHS.  I strongly believe that anyone who has not gone through the OBC or an equivalent should be required to do so no matter how many years they have been in the PHS.","bsaundersj@yahoo.com","01/22/2009","06:22 PM"
"Washington DC","18 Jan through 21 Jan","Inauguration 2009","Yes","","Yes","","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","I would have benefitted from improved two-way radio equipment.  Specifically, an ear piece would have allowed me to better monitor radio traffic.  I was stationed adjacent to loudspeakers and was not able to hear many of the transmissions.  In addition, there were no warming facilities on the Capitol grounds; ticketed guests would have had to leave the area to access a warming area.  This may be something to consider for future cold-weather events.","ljacoby@hrsa.gov","01/23/2009","08:16 AM"
"Washington, DC","January 19 - 20, 2009","Inauguration 2009","Yes","","Yes","Our mission changed several times and the role was not clearly defined.  It kept evolving.","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Many officers in my team expresed regret at not receiving any type of credential for this deployment. I would have been nice for all deployed officers to have a generic ""Inaguration 2009"" name tag to remind us of our service.  ","scampbell@hrsa.gov","01/23/2009","08:19 AM"
"IRCT augmentation logistics detatched from RDF2","17 jan to 20 jan ","Inauguration 2009","N/A","","Yes","Originally to be a ""rover"" on Capitol Hill, with rest of RDF2. Was detached, along with two others, to support IRCT Logisitics ground support unit.","Yes","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","dominic.frasca@hhs.gov","01/23/2009","08:55 AM"
"Washington DC","1/18/09 - 1/21/09","Inauguration 2009","Yes","","Yes","No","N/A","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","Excellent mission.  I believe planning to meet the health and safety needs of those who attended the event was poor on the part of the city.
I also felt like our DMAT did not work as a team with PHS officers staffed in the 
RV.  If the clinical presentation was not ""urgent or life threatening"" it was passed off onto the PHS officer, therefore documentation and all critical information needed for patient assessment not captured due to volume of patients seen and not enough PHS providers to meet the needs.
Suggest teaming in the future to avoid this issue.
Also, the RV was not a functional ennvironment to provide patient care.  No room or privacy...could have the potential for HIPPA violation and appropriate patient care compromised.
","tonyastobbe@yahooccom","01/23/2009","10:17 AM"
"Capital steps","01/19-20/2009","Inauguration 2009","Yes","all info came from our team PHS-2","Yes","our location changed","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","No","","I understand funding is always an issue but OFRD must understand that you need to provide food and water during deployments at all times. Although water was provided, food was not secured. This is embarrasing to both the Corps and me and would make me reconsider volunteerting for deployments in the future if these issues are not addressed.","envirosound@yahoo.com","01/23/2009","11:13 AM"
"Capital Grounds","1/19-20/09","Inauguration 2009","N/A","","Yes","My team, BLS-20, was assigned to work in area 15 on the Capitol grounds, but we found out through the Capitol Police that no people would be allowed in area 15.  We checked throughout the day to make sure that this was true, and it was - there were no people in that area.  It was frustrating being assigned to an area with no people, but it worked out in the end because we ended up just roaming around the south side of the capitol grounds and helping out other teams.","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Overall, this was a great experience!  Everyone on the team (PHS-2) pulled together and worked well together in some difficult conditions.  I think that, although it would have been difficult to provide different accommodations on the night of the 19th, sleeping in the Great Hall of the Humphery building was not ideal at all.  It would have been better to have us in a conference room or somewhere away from all of the noise from the lobby.  Also, providing us something for breakfast, including coffee, would have done wonders for team morale.  Additionally, it would have been better to have a separate area for the officers to go to to get warm.  We had to go back to the medical trailers to get warm and rest and it made the trailers very crowded with all of the patients and workers in there.  Have a warming tent or trailer set up for the workers would have worked better.  Even though this has really nothing to do with OFRD, it would have made more sense for OAPs maps to look to same as the Capitol Police maps.  The maps did not match up at all and the areas were numbered differently.  This made it very difficult to figure out where medical emergencies were occurring because we had to match up the maps first before we could go to the area where we were needed.  I must say, though, that working with the Capitol Police was a great experience.  They have a great group of officers working for them and it made the roaming teams' jobs much easier because they were around to offer us support.","michelle.noonan-smith@fda.hhs.gov","01/23/2009","11:21 AM"
"Capitol Hill","18 Jan thru 21 Jan","Inauguration 2009","Yes","","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","As a Nurse Practitioner, I still believe that we are not being utilized or recognized as health care providers with advance practice training and skills.  Though I am a nurse and always will be, I would like my advance training and skill set to be used accordingly.  ","gobournep@mail.nih.gov","01/23/2009","12:17 PM"
"Humphrey Building","Jan 19-20, 2009","Inauguration 2009","Yes","There was excellent communication via the RDF1","Yes","No the mission requirements did not change.","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","This was a very good experience. I learnt much about POD and feel quite comfortable setting one up should a need arise.","rita.shapiro@fda.hhs.gov","01/23/2009","03:40 PM"
"Washington D.C.","1/18-1/21","Inauguration 2009","Yes","","Yes","","N/A","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","I truly enjoyed the experience to deploy, however I request OFRD take into consideration the time changes for Tier 3 personel who are stationed outside of Eastern time. It would have been greatly appreciated to have arrived more than 5 hours before starting 1 day of 8+ hours of training and 18+ hours of providing medical care. ","jthompson@scf.cc","01/23/2009","05:06 PM"
"Hubert Humphrey Building","1/17/19 thru 1/22/09","Inauguration 2009","Yes","","Yes","Yes. Initially to be inside for all duties. Had to deploy to Tidal Basin to assist with erecting tents for a Critical Care Point. Temperatures were in single digits. We were not prepared for exposure to this type weather.","Yes","Yes","Yes","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","Roger.Ballard@phs.dhs.gov","01/23/2009","05:36 PM"
"Washington DC","Jan 18-21, 2009","Inauguration 2009","Yes","I would call and LT Smith was right on the ball for information that I requested.","Yes","Mission always require some flexiblity with any mission success.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","The OFRD team did a great job with the many agencies that performed the mission. It was there organization that led to the success of the mission.","glennhamilton1@yahoo.com","01/24/2009","02:52 AM"
"Washington D.C.","01/18/09 - 01/21/09","Inauguration 2009","Yes","","Yes","Everything went according to plans.","Yes","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","This was a great deployment.","terrance.thomas@fda.hhs.gov","01/24/2009","10:14 PM"
"WASHINGTON D.C","1-17-2009 TO 1-22-2009","Inauguration 2009","Yes","","Yes","THERE SEEMED TO BE SEVERAL SCHEDULE CHANGES, OTHERWISE THE MISSION REQUIREMENTS WERE GOOD.","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","I WOULD HAVE FELT BETTER ABOUT THE DEPLOYMENT IS WE WERE ABLE TO WORK IN THE FMS AND ACTUALLY DO SOMETHING BESIDES SET UP.  MY SKILLS HAD NOTHING TO DO WITH WHAT WE DID.","DEB.BELGARDE@IHS.GOV","01/25/2009","06:06 AM"
"The Mall","01/20/09","Inauguration 2009","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","ccorbie@cc.nih.gov","01/25/2009","10:42 AM"
"Andrews AFB and HHH for training and Capitol Hill","1-18-09 to 1-21-09","Inauguration 2009","No","RFI's were often answered with uninterpretable information or misinformation. ","Yes","Yes, we never exactly knew what we were doing until the Sunday prior to deployment. Our team, PHS-2 was not treated as a team but as indiviual assets.","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","The training we received at Andrews AFB was excellent!  Cudo's to CDR Elenberg.","vanderson@niaid.nih.gov","01/25/2009","01:44 PM"
"National Mall Field Tent","Jan 19-20 2009","Inauguration 2009","No","Rec'd hardly any communication prior to deployment","Yes","Yes, went from being a medical provider to a box carrier","Yes","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","What does this have to do with anything?","Not applicable","N/A","","This survey seems pointless.  This is the Nation's capitol, what cultural differences are you talking about??  Aren't these the same questions from the Hurricane Ike response??","","01/25/2009","08:58 PM"
"Capital Grounds","1/18/2009-1/20/2009","Inauguration 2009","Yes","","Yes","","Yes","Yes","No","Yes","Not applicable","Differences","Not applicable","Not applicable","Influence","","4 Very Effective","No","","(1) A defined mental health responder role might have been useful in Inauguration response, given that some patients were treated who had severe behavioral health issues but there were no behavioral health professionals in the response trailers.
(2) We lacked clear mechanisms of communication regarding security threats that we observed at the Inauguration ceremony; reporting observed security problems through the health responder chain of command was slow and less effective.","whitejo@cc.nih.gov","01/26/2009","10:52 AM"
"First Aid Tent M-1","Jan 17-Jan 22","Inauguration 2009","No","much of the information was transmitted very last minute, often hours before deployment.","Yes","My tent was initially supposed to be a BLS tent but we were informed we had ACLS equipment if it was necessary for us to respond in that fashion.  Luckily, we didn't have any patients that required ACLS but since no one in the tent was ACLS certified it could have posed a problem","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","Yes","We had volunteers that could sign for deaf patients, but it would have been more useful to have Spanish interpreters.","Overall, a very enjoyable deployment, but very exhausting.","kmarin1978@gmail.com","01/26/2009","11:54 AM"
"Inauguration - Capitol Grounds","1/18/09-1/20-09","Inauguration 2009","Yes","","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","jgwathney@hrsa.gov","01/26/2009","11:56 AM"
"2009 Inauguration","Jan 17-22","Inauguration 2009","Yes","","Yes","","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","","sethompson@scf.cc","01/26/2009","02:52 PM"
"Capitol West","Jan 18 - 20","Inauguration 2009","Yes","","Yes","","N/A","Yes","Yes","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","calicea@ncifcrf.gov","01/26/2009","03:41 PM"
"Washington DC","17-21 January 2008","Inauguration 2009","Yes","Lt Damon always answered my questions effectively and efficiently","Yes","no","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Overall, the organization and logistics of the event went really well. Officers were well informed in a timely manner by CDR Waterman and LT Damon. Coodos! on a job well done.
Officers should be given additional time to review their equipment in the medical tents before the event occurred. Many items that were needed, oxygen appraratus, tubing, etc were unavailable when needed. Tents should have been maintained at a warmer temperature. More medical/nursing staff was needed.","karen.dorse@dhs.gov","01/26/2009","04:05 PM"
"Washington, D.C","01/17/2009 - 01/21/2009","Inauguration 2009","Yes","Received transportation information upon arrival to washington-dulles regarding 01-18-09 activities. OFRD ensured everyone was accounted for.","Yes","Times were extended on the first day due to the large crowd.","Yes","Yes","No","Yes","Not applicable","Differences","Not applicable","Not applicable","Differences","large crowd encompensing all age/belief spectrums","4 Very Effective","No","","I was in FAS-7. On inauguration day, the skills' set and staffing did not match the volume and acuity of patients.
Our main concern was hypothermia induced emergencies. Our heater was inefficient, tent could have been secured to minimize air leaks. We were not able to use a building operated by Park Rangers. We received clinical back up from CCP staff about 1-2 hours after being requested. Patients were very grateful and satisfied for the care recieved. It was an honor to serve the nation and proudly represent the USPHS.","ahhlen2u@msn.com","01/26/2009","04:17 PM"
"Washington","01/17/09-01/21/09","Inauguration 2009","Yes","","Yes","","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","chideha.ohuoha@us.army.mil","01/27/2009","01:14 PM"
"Inauguration Training and Event JAN 18-20","","Inauguration 2009","Yes","Most of the communiation came through the RDF chain of command so I would say yes. ","Yes","NO. Those of us who were assigned to this deployment knew it was going to big one of the biggest historical events. That being said, wer knew there was a potential for disaster, however it was one of the most peacegul, happy mass gatherings in spite of the cold weather. Everyone was inspired and happy to be there to see the event take place. ","N/A","Yes","No","Yes","Differences","Not applicable","Differences","Differences","Differences","There were people at this event from all over with cultural differences. However everyone one was in good spirits and even those who medically needed attention were receptive to the medical interventions we provided or suggested.  ","4 Very Effective","Yes","I think cultural sensitivity is something we all need to be trained and aware of. Many of our deployments and population we treat are culturally diverse. I am fortunate to have had a lot of experience in this type environment. ","This event was one of the most exciting deployments due to the Historic Nature. To be part of this event and to have had a successful mission, and a great response from the OAP in regards to our performance, is telling about how far the USPHS has come. I am proud to be part of PHS 2, second to none, and will continue to support these missions for as long as I am able. Our team came together once again to meet the mission and were all proud to have served in this capacity. ","lindajo.belsito@dhs.gov","01/27/2009","02:18 PM"
"DIstrict of Columbia","18 Jan - 21 Jan 2009","Inauguration 2009","Yes","Yes, strongly agree-most information was eventually sent out.  I did not check after COB fri 19 Jan for further updates.","Yes","Mission requirements did not change, however different aspects of the plan and/or implementation did change","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","No","","Awesome well-thought out mission implemented with great efficiency.  CAPT Edwards was very effective as leader for those offiecers in hotel.  Small changes in plans (FAS) occurred secondary to the crowds of people. It was great to work with NDMS,DMAT, and local officers!  End of day on Tuesday was a bit scattered, trying to get everyone back safely from FAS, radios were key. End of mission was not well defined-thinking officers had to work a Wed morning breakfast per email.","rmbnp@tampabay.rr.com or rbennett@hrsa.gov","01/27/2009","03:59 PM"
"Washington, DC (Tiger team, lead CAPT A. Montalvo)","2008, Jan 17-20","Inauguration 2009","Yes","","Yes","Yes, initially the whole team was backing up PA-3 for a DMAT site (Dept of Energy), then the team was split into 2 parts, one backing up the DOE DMAT, while the other backed up the Dept of State DMAT","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","CDR Paul Reed, CDR Catherine Vieweg, LCDR Greg Davis were superb in organizing this deployment despite the slight change in mission.  Everything went smoothly.","schai@cdc.gov","01/28/2009","08:30 AM"
"Navajo Area Indian Health Services","January 18-21","Inauguration 2009","Yes","","Yes","Transportation needs were confusing, especial on Sunday, Jan 9th.","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Need to make sure that people have up today clinical skills.","","01/28/2009","10:47 AM"
"IRCT","January 17-20","Inauguration 2009","Yes","Information was lacking and slow to arrive.  We had to go through another contact for further info from OFRD.","Yes","I did logistics for the entire deployment.  I was deployed to the IRCT but spent the entire deployment in the field.","N/A","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","jeremy.wally@fda.hhs.gov","01/28/2009","01:21 PM"
"Washington DC area","01/17/2009  to 01/21/2009","Inauguration 2009","Yes","OFRD informed of us of the needed information while still at OBC. They kept giving us updates almost daily prior to deployment.","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","I am grateful for the experience and would deploy again if needed. CDR Elenberg, CDR Denis, and the Tiger team leads were very helpful and informative.  Thanks!","Vicky.Ottmers@dhs.gov","01/28/2009","06:15 PM"
"Medical Logistics (Area 3 on the Mall)","1/17-1/20 2009","Inauguration 2009","Yes","Outstanding, as always","Yes","Yes- changes in time, locations, and responsibilities.  All were handled professionally with no insurmountable difficulties","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","Great event.  A lot of long hours with logistics (one day was 18 hours long, with a couple more 13+ too), but great work and glad to help out.","andrei.nabakowski@fda.hhs.gov","01/29/2009","02:34 PM"
"US Capital, Office of the Attending Physician","January 19 - 22, 2009","Inauguration 2009","Yes","","Yes","","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","","Diwad@niaid.nih.gov","01/29/2009","09:29 PM"
"Capital ","17 January - 21 January","Inauguration 2009","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","tjbranch@earthlink.net","01/29/2009","11:08 PM"
"Washington D.C.","01/17/09-01/21/09","Inauguration 2009","Yes","","Yes","Slightly, mainly because we were moved around from a hotel to ""camping"" inside a building.","Yes","Yes","N/A","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","N/A","","","mrendahl@yahoo.com","01/30/2009","04:43 PM"
"Washington DC","01/17/09-01/21/09","Inauguration 2009","Yes","","Yes","Did not change","N/A","Yes","No","Yes","Influence","Influence","Influence","Not applicable","Not applicable","","4 Very Effective","No","","","Nikkignp@aol.com","01/30/2009","05:42 PM"
"Presidential Inaguration 2009 (Capitol Mall)","1/19 - 1/20/2008","Inauguration 2009","Yes","","Yes","No","No","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","humbert39@yahoo.com","02/01/2009","12:08 PM"
"Inauguration - medical tents on the Mall","January 19 and 20","Inauguration 2009","Yes","","Yes","Mission was clear and remained clear.","N/A","Yes","N/A","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","","valerie.jensen@fda.hhs.gov","02/02/2009","11:08 AM"
"Washington DC","1/17/09 - 1/21/09","Inauguration 2009","Yes","","Yes","","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","4 Very Effective","No","","","cassidylarae@gmail.com","02/02/2009","03:18 PM"
"First Aid Station M7","17 JAN to 22 JAN 2009","Inauguration 2009","Yes","","Yes","","N/A","Yes","No","N/A","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","Excellent training in preparation for Inauguration offered on 18 Jan 2009 at DHHS.","dshine@bop.gov","02/03/2009","10:21 PM"
"First Aid Station-","January 19, 20, 2009","Inauguration 2009","Yes","Responded timely.  Would have been more helpful to receive deployment information earlier in order for officers to make arrangements for childcare.","Yes","No","N/A","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","3 Effective","N/A","","Very disorganized during the check in process.  Not sure why officers were required to be credentialed and then did not receive any credentials-this was very disorganized.","elizabeth.hobson-powell@noaa.gov","02/04/2009","09:39 AM"
"HHS Humphrey BLDG","19 Feb - 20 Feb","Inauguration 2009","Yes","","Yes","No but we were advised of and prepared for the possiblity, I.E. back fill for those on the Mall, FMS in Alexandria. ","N/A","Yes","Yes","Yes","Differences","Influence","Not applicable","Not applicable","Influence","","4 Very Effective","No","","","rskerda@hrsa.gov","02/04/2009","02:00 PM"
"FMS in Dept. of Energy with DMAT PA-3","Jan 17-22, 2009","Inauguration 2009","No","I asked many times prior to the deployment if I would be needed, with no response.  I was then asked to volunteer a few days before the event.","Yes","Yes.  I was setting up the FMS in the Dept. of Energy building on Fan. 17, and midway through the mission, we were told that we were now needed to set up a Casualty Collection Point (CCP). Apparently there was a lack of logistics set-up officers due to a planning error.","Yes","Yes","No","No","Not applicable","Not applicable","Not applicable","Not applicable","Not applicable","","Not applicable","N/A","","I have heard that the BDU is now a required uniform.  Notice should go out reminding officers of this.  Moreover, officers who deploy should have accessories appropriate for the weather (such as field jackets).  The lack of cold weather gear made some officers a safety liability.  

Also, the cold weather bdu headgear should be better specified.  In very cold weather, the cap and earmuffs is dangerously insufficient.  Each officer adopted a different head covering (ball cap, watch cap, eight-point cover, balaclava, ect) and this looked embarrassingly disorganized.  This issue should be addressed as a part of the search for a new BDU uniform.","lorenrodgers@fda.hhs.gov","02/04/2009","04:42 PM"