15th Medical Group Medical Contingency Response Plan
APPENDIX 3 TO ANNEX T - TCCOR 5 AND TCCOR 4 ACTIONS
TCCOR 5 DEFINITION: 1 June – 30 November (Hurricane Season in Hawaii).
Possible arrival of 50 knot (58 mph) winds or greater.
TCCOR 4 DEFINITION: 72 hours prior to possible arrival of 50 knot (58 mph) winds.
Upon notification of TCCOR 5 or TCCOR 4 or more severe weather conditions, the
following personnel/sections will:
1. 15 MDG/CC:
1.1. Initiate a telephone recall of all MDG personnel, if required. Use one of the
following statements:
Hotel 1 - This is a notification of a hurricane threat. We are currently at TCCOR Level
__. A mandatory evacuation for personnel living on base and in the local community is
in effect.
Hotel 2 - This is a notification of a hurricane threat. We are currently at TCCOR Level
__. A mandatory evacuation for personnel living on base is in effect, and for those living
off base monitor local media for instructions in the local community.
Hotel 3 - This is a notification of a hurricane threat. We are currently at TCCOR Level
__. No evacuation has been ordered; all shift workers for the next 24 hours will contact
their OIC/NCOIC for instructions. All other personnel should report to duty at the
normal duty hours in the BDU/ABU uniform.
Hotel 4 - This is a notification of a hurricane threat. We are currently at TCCOR Level
__. No evacuation has been ordered. All personnel should report to duty at the normal
duty hours in the BDU/ABU uniform. Take appropriate personal precautions to prepare
for the hurricane.
EXAMPLE: This is (RANK, NAME) with a recall message. Message number (X)
TCCOR Level (X). Please call the next person in your chain and have the last person
contact the Squadron Superintendent upon completion of the chain.
1.2. Evaluate need to activate the MCC.
1
UNCLASSIFIED/FOR OFFICIAL USE ONLY
2. MEDICAL CONTROL CENTER (MCC) TEAM CHIEF:
2.1. Activate the MCC using applicable checklists and start an events log, if required.
2.2. Make contact with the JBEOC.
2.3. Send a representative to the /JBEOC and/or WOC when meetings are called.
2.4. Brief key staff on impending situation and provide updates as needed.
2.5. Make MDG announcements and conference calls to inform MDG personnel of
impending situation and actions to take.
2.6. Contact family members of MDG personnel on leave and TDY to assess if they need
help in sheltering if and when an event occurs.
2.7. Ensure that LMRs are allocated to critical personnel.
3. CHIEF, MEDICAL STAFF: Determine the extent of clinic activities and publicize.
4. CHIEF NURSE EXECUTIVE:
4.1. Coordinate staffing schedules if no evacuation is ordered.
5. OUTPATIENT CLINICS:
5.1. Operate as directed by the MDOS/CC.
5.2. Ensure new patients have adequate supplies/medications to withstand the
emergency.
5.3. Provide patients with information on seeking medical care during the emergency.
6. MEDICAL LOGISTICS/FACILITY MANAGER:
6.1. Determine the need to contact NAVFAC to deliver sand for sandbags.
6.2. Coordinate with the MCC team chief for manpower to sandbag and secure the
facility.
6.3. Devise a system to account for and secure high cost equipment on the second floor
during category 3 - 5 hurricane. (See TCCOR 2 checklist).
2
UNCLASSIFIED/FOR OFFICIAL USE ONLY
7. VEHICLE CONTROL OFFICER:
7.1. Ensure vehicles are parked clear of trees.
7.2. Keys for vehicles parked inside will be left in the ignition. Keys for vehicles left
outside, when a total evacuation will not occur, will be left with the VCO. When a total
evacuation is likely or has already been ordered, keys for vehicles left outside will be left
under the driver’s seat. All vehicles will be fully fueled before being stored or parked.
Also, if feasible, members of the Critical Personnel Team will evacuate in any remaining
vehicles during total evacuation when they have no vehicles of their own to use.
7.3. Refer to Annex O, Appendix 1 for the parking plan of MDG vehicles during a
disaster type situation.
8. ALL SECTIONS: When all actions are completed and area is secure, contact the
MCC (448-6305/448-6385), for further instructions. Personnel will be utilized as needed.
Duty Sections responsible for posting signage on exterior doors must place the
appropriate TCCOR sign on the door(s) assigned.
9. OPR: The Medical Readiness Office is responsible for maintaining this appendix.
3
UNCLASSIFIED/FOR OFFICIAL USE ONLY
15th Medical Group Medical Contingency Response Plan
APPENDIX 4 TO ANNEX T - TCCOR 3 ACTIONS
TCCOR 3 DEFINITION: 48 hours prior to possible arrival of 50 knot (58 mph) winds or
greater.
Upon notification of TCCOR 3 or more severe weather conditions, review TCCOR 4
checklist. In addition, the following personnel/sections will:
1. MCC TEAM CHIEF:
1.1. Activate the MCC and start an events log, if required.
1.2. Evaluate need to send designated medical teams to designated location.
1.3. Ensure hurricane evacuation disks/binders to account for status and destination of all
medical group personnel are current and available once the evacuation order has been
carried out.
2. FIELD RESPONSE TEAM (FRT):
2.1. Obtain record boxes for possible storage of flyers’ medical records to prevent water
damage.
2.2. Cancel all physical exams and routine appointments. Continue service for flyers on
an as needed basis until evacuation order is given.
3. ANCILLARY SERVICES (PHARMACY, LABORATORY, RADIOLOGY and
DENTAL CLINIC:
3.1. Pharmacy will lock up all controlled drugs and maintain drug cabinet keys in the
vault for all sections except for Dental.
3.2. Continue services until directed by MCC to discontinue patient services.
3.3. Protect electrical equipment from water damage.
3.4. Bring records at least 3 feet up off floor to prevent water damage.
NOTE: THE FACILITY MANAGER IS THE FOCAL POINT FOR ALL ASPECTS
OF SECURING THE FACILITY.
NOTE: MANPOWER WILL BE USED TO FILL SANDBAGS AND PLACE THEM
AT LOCATIONS AROUND THE FACILITY AT THE DIRECTION OF THE
MANPOWER/SECURITY TEAM CHIEF.
4
UNCLASSIFIED/FOR OFFICIAL USE ONLY
4. OUTLYING BUILDINGS: Building custodians will secure buildings to include:
4.1. Unplugging and protecting computer systems.
4.2. Moving all electrical devices from areas vulnerable to water damage.
4.3. Policing the outside area to ensure that hoses, sprinklers, and any loose objects are
taken indoors.
5. 15 MDG CLINIC:
5.1. Collect record boxes stored in the clinic.
5.2. File the records from the bottom three rows of the record shelving into the cardboard
boxes.
5.3. Relocate the boxes to the Medical Logistics Warehouse (Hangar 4, Bldg 2060)
where they will be stored.
6. ALL SECTIONS: When all actions have been completed and areas are secure,
contact the MCC (448-6305/448-6385), for further instructions. Personnel will be
utilized as needed. Sections responsible for placing signage on exterior doors must place
the appropriate TCCOR status sign on the door(s) assigned.
7. OPR: The Medical Readiness Office is responsible for maintaining this appendix.
5
UNCLASSIFIED/FOR OFFICIAL USE ONLY
15th Medical Group Medical Contingency Response Plan
APPENDIX 5 TO ANNEX T - TCCOR 2 ACTIONS AND TCCOR 1
ACTIONS
TCCOR 2 DEFINITION: 24 hours prior to possible arrival of 50 knot (58 mph) winds or
greater.
TCCOR 1 DEFINITION: 12 hours prior to possible arrival of 50 knot (58 mph) winds or
greater.
Upon notification of TCCOR 2 and TCCOR 1 or more severe weather conditions, review
the TCCOR 5, TCCOR 4 and TCCOR 3 checklists. In addition, the following
personnel/sections will:
1. MCC TEAM CHIEF:
1.1. Activate the MCC and start an events log, if required.
1.2. Continue to account for status and destination of all MDG personnel if a full account
of personnel is not yet complete.
1.3. Ensure all portable radios are turned over to the MCC before personnel depart the
area.
2. ALL PERSONNEL - UPON THE ORDER TO EVACUATE THE
INSTALLATION:
2.1. Immediately notify their supervisor of their destination and destination phone
number prior to departure. All personnel living off base must obey civil evacuation
orders.
2.2. Supervisors will in turn annotate information and relay to their superintendents prior
to their departure to a safe location.
NOTE: SUPERVISORS WILL ENSURE THAT THEY OBTAIN A COMPLETE
LISTING OF THEIR PERSONNEL’S DESTINATIONS AND PHONE NUMBERS
FOR THEIR SUPERINTENDENTS PRIOR TO EVACUATING.
3. CRITICAL PERSONNEL TEAM LIST (Member’s listed in Appendix 1 to this
Annex):
3.1. Secure medical campus buildings.
3.2. Make periodic checks of the interior of the buildings to assess damage.
6
UNCLASSIFIED/FOR OFFICIAL USE ONLY
3.3. Provide emergency medical care, as required. Use DD Form 555, Patient Visit
Register, and SF 600, Chronological Record of Care, to document care; CHCS system
will not be operational. Manually maintain patient treatment log.
NOTE: THE 2d AND 3rd FLOORS OF THE MDG WILL BE OFF LIMITS EXCEPT
AS DIRECTED BY THE 15 MDG/CC OR FACILITY MANAGER.
4. OUTLYING BUILDINGS: Secure desktop computers.
5. FIELD RESPONSE TEAM (FRT): Secure flyers’ medical records.
6. ALL FIRST FLOOR STATIONS: Secure all desktop computers, peripherals and
typewriters off the floor by at least one foot as directed by the Information Systems
Flight. Cover computer, peripherals, etc. with plastic.
7. TOTAL EVACUATION: When a total evacuation is ordered, the actions outlined
in this annex and appendix will be strictly followed.
8. ALL PERSONNEL: Are responsible for monitoring the recovery status of the
community/base. All personnel assigned to the MDG will report back to duty at the first
reasonable opportunity. It is imperative that all personnel report promptly because
medical aid may be needed immediately following the storm. In cases of severe damage,
an alternate medical facility may need to be established using salvaged supplies.
Additionally, even in cases of minor damage, we will be needed to aid in recovery
activities throughout the base. Duty sections responsible for placing signage on exterior
doors must place the appropriate TCCOR status signs on the doors assigned.
9. OPR: The Medical Readiness Office is responsible for maintaining this appendix.
7
UNCLASSIFIED/FOR OFFICIAL USE ONLY
15th Medical Group Medical Contingency Response Plan
APPENDIX 6 TO ANNEX T – TCCOR 1E AND TCCOR R ACTIONS
TCCOR 1E DEFINITION: This occurs at landfall.
All personnel will shelter-in-place until all clear is sounded.
TCCOR R DEFINITION: This is the recovery period and begins after all clear has sounded.
- Only designated Emergency Personnel may engage in rescue/recovery operations after passage
of the hurricane.
- Recovery period may last for days/weeks after passage of a severe storm.
- Tenants must be prepared to assist with rescue and recovery of critical and mission essential
functions.
- Upon completion, normal operations will be restored.
8
UNCLASSIFIED/FOR OFFICIAL USE ONLY