Hurricane Katrina Hurricane Katrina ResponseResponse

US PHS Pharmacy Logistics US PHS Pharmacy Logistics SupportSupport

NDMS SectionNDMS Section

FEMA Logistics Center RockvilleFEMA Logistics Center Rockville

PHS Pharmacy Logistics PHS Pharmacy Logistics TeamTeam

• CDR Matthew Tarosky, Team Leader CDR Matthew Tarosky, Team Leader (FDA)(FDA)

• CDR Josephine Lyght (HRSA)CDR Josephine Lyght (HRSA)• LCDR Michael Bourg (FDA)LCDR Michael Bourg (FDA)• LCDR Jaewon Hong (NIH)LCDR Jaewon Hong (NIH)• LCDR Iain Margand (FDA)LCDR Iain Margand (FDA)• LCDR Glenna Meade (BOP)LCDR Glenna Meade (BOP)• LCDR Nina Mezu Nwaba (FDA)LCDR Nina Mezu Nwaba (FDA)• LCDR Ryan Nguyen (FDA)LCDR Ryan Nguyen (FDA)• LT Courtney Calder (FDA)LT Courtney Calder (FDA)• LT Lance McLeroy (FDA)LT Lance McLeroy (FDA)

Day 1: August 29, Day 1: August 29, 20052005

• Category 4 storm with 145 Category 4 storm with 145 mph winds makes second mph winds makes second landfall along Gulf Coast landfall along Gulf Coast near Buras, LAnear Buras, LA– Eye passes directly over Eye passes directly over

eastern edge of New eastern edge of New OrleansOrleans

• Category 3 storm with 125 Category 3 storm with 125 mph winds makes third mph winds makes third landfall near the landfall near the Louisiana/Mississippi Louisiana/Mississippi borderborder– Catastrophic flooding results Catastrophic flooding results

in 80% of New Orleansin 80% of New Orleans

Day 2: August 30, Day 2: August 30, 20052005

• Activated 10 person pharmacy Activated 10 person pharmacy logistics team at NDMS warehouselogistics team at NDMS warehouse

• Prepared 3 International Medical Prepared 3 International Medical Surgical Response Team (IMSuRT) Surgical Response Team (IMSuRT) cachescaches– 280 line items280 line items

• Prepared 21 Advanced Cardiac Life Prepared 21 Advanced Cardiac Life Support (ACLS) go-bagsSupport (ACLS) go-bags– 50 line items50 line items

Team Building: Red, Hot, and Blue

Day 3: August 31, Day 3: August 31, 20052005

• Completed pharmaceutical re-supply ofCompleted pharmaceutical re-supply of– Three IMSuRT cachesThree IMSuRT caches

• Completed three DMAT caches (250 line Completed three DMAT caches (250 line items)items)– Three IV Fluid palletsThree IV Fluid pallets– Three pharmaceutical palletsThree pharmaceutical pallets

• Completed return order (6 boxes) of Completed return order (6 boxes) of expired medicationsexpired medications

• Completed inventory and organization of Completed inventory and organization of pharmaceutical overstock (35 totes)pharmaceutical overstock (35 totes)

Team Building: Pot Belly

Day 4: September 1, Day 4: September 1, 20052005

• Completed re-supply of pharmaceuticals Completed re-supply of pharmaceuticals and IV fluids for 3 DMAT cachesand IV fluids for 3 DMAT caches

• Completed re-supply of IV fluids for 3 Completed re-supply of IV fluids for 3 IMSuRT cachesIMSuRT caches

• Completed electronic inventory ofCompleted electronic inventory of– 21 ACLS bags21 ACLS bags– 3 IMSuRT caches3 IMSuRT caches

Team Building: Hamburger Hamlet

Day 5: September 2, Day 5: September 2, 20052005

• Checked in $80,000 Checked in $80,000 pharmaceutical orderpharmaceutical order

• Completed 4 DMAT cachesCompleted 4 DMAT caches– Four pallets of IV fluidsFour pallets of IV fluids– Four pallets of Four pallets of

pharmaceuticalspharmaceuticals

Team Building: China Jade

Day 6: September 3, Day 6: September 3, 20052005

• Completed 4 DMAT Completed 4 DMAT cachescaches– Four pallets of IV fluidsFour pallets of IV fluids– Four pallets of Four pallets of

pharmaceuticalspharmaceuticals

• Completed re-supply of Completed re-supply of 4 DMAT caches4 DMAT caches

Team Building: None

Day 9: September 6, Day 9: September 6, 20052005

• Completed 23 ACLS bagsCompleted 23 ACLS bags

• Completed 4 DMAT Completed 4 DMAT cachescaches

Team Building: Guapo’s

Day 10: September 7, Day 10: September 7, 20052005

• Wrote 4 DMAT Wrote 4 DMAT cache re-supply cache re-supply ordersorders

• Wrote 4 DMAT Wrote 4 DMAT cache orderscache orders

• Wrote 23 ACLS bag Wrote 23 ACLS bag re-supply ordersre-supply orders

Team Building: None

Day 11: September 8, Day 11: September 8, 20052005

• Completed 4 DMAT cache re-supply ordersCompleted 4 DMAT cache re-supply orders

• Completed 4 DMAT cache ordersCompleted 4 DMAT cache orders

• Completed 23 ACLS bag re-supply ordersCompleted 23 ACLS bag re-supply orders

Team Building: None

Summary: Days 1-11Summary: Days 1-11

• Prepared 3 pallets of 3 IMSuRT cachesPrepared 3 pallets of 3 IMSuRT caches– 280 line items per cache280 line items per cache

• Prepared 44 ACLS go-bags (Strike Team)Prepared 44 ACLS go-bags (Strike Team)– 50 line items per cache50 line items per cache

• Prepared 34 pallets of 19 DMAT cachesPrepared 34 pallets of 19 DMAT caches– 250 line items per cache250 line items per cache

• Completed return order of expired medsCompleted return order of expired meds– Six boxesSix boxes

• Completed re-organization of overstock Completed re-organization of overstock – 20 totes20 totes

After Action ReportAfter Action Report

• Team integrated well by Team integrated well by focusing on mission and task focusing on mission and task completioncompletion

• Team building sessions were Team building sessions were very complimentary to team very complimentary to team dynamicsdynamics

• Safety shoes more practical Safety shoes more practical than oxford shoes in than oxford shoes in warehouse environmentwarehouse environment