Level 1: Level 1 is considered the US normal, and as a standard of practice, should not apply to individuals and teams serving internationally.
Level 2: International normal readiness level. Standard overseas threat level. Level 2 situations are taken care of locally by the field team.
Level 3: Local Field Team manages the situation, but the team informs Reliant's International Crisis Manager by reporting the international incident so that Reliant can evaluate the situation. Typically at this level, the incident is localized and on a smaller scale. Reliant would not know of the incident without the field team informing us. Reliant would like to hear that "we are fine" and be available to help evaluate the situation and provide assistance if needed.
Level 4: Local Field Team still mostly manages the situation. As soon as possible, the team informs Reliant's International Crisis Manager by reporting the international incident and Reliant's ICMT is now actively involved in the decision-making and helping the field team directly.
Level 5: Management of the crisis is now beyond the capacity of the local field team to manage independently. Reliant's International Crisis Management Team or its pre-approved delegate is now managing the situation until the Local Field Team returns to a position to do so themselves. This is a major crisis resulting in ongoing disruption to field operations or the threat now inhibits the ability of the team to safely continue.
Specific Readiness Level To Determine Next Steps
| Level 5 | Level 4 | Level 3 | Level 2 |
|---|---|---|---|
Potential exposure to unpreventable and untreatable/uncurable major diseases or health hazards with long term effects or likely death Deadly Epidemic or a major outbreak of the type of disease described above in the immediate vicinity | Potential exposure to unpreventable and untreatable health hazards or diseases with minor lingering effects The infectious disease type described above detected in the immediate vicinity or a major outbreak in a neighboring area | Potential health hazards and exposures to the infectious disease can be managed by typical vaccines and are generally easily treated by local healthcare but a major outbreak has been detected in the area or neighboring country and could affect the team | Standard regional diseases and illness |
Steps to Reduce Probability and Consequences
- See Travel Notification and Travel Notification for International Workers for COVID travel guidelines
- COVID-19 Insurance Coverage Details
- Practice environmental awareness (Color Codes for Situational Awareness) and follow safety regulations
- Have a prepared evaluation of local medical facilities with their strengths and weaknesses as well as a suggested list of possible transfer facilities including the nearest Level 1 Trauma Center and the best, most practical US-based facility depending on the general disease/illness
- Have an accessible record for all overseas personnel of relevant medical history or conditions, including current treatments
- Maintain emergency medical coverage for all staff ( See Insurance Overview and Rates for International Workers)
- Maintain good health habits to ensure good immune function
- Remember to contact Aetna early on in the process (See Claims for International Insurance with Aetna)
Applicable Corporate Policies
- Evacuations may be authorized and mandated at either the local, Self-Evacuation, or Reliant level.
- Confidentiality During Crisis Events
- Medical Information Confidentiality
Crisis Resolution Protocol
- Determine the location and status of all personnel in relation to infected areas and inform them of the infected areas
- If personnel become infected, follow the Contingency Planning: Medical Emergency
- As soon as you are able, begin documenting and gathering information
- Contact Reliant to report the incident: Crisis Reporting for International Incident
- Reliant will reach out to receive more details for their internal crisis report. Eventually, Reliant will share a communication tracking log that will serve as a way for team leaders and Shared Crisis Authority and Responsibility in Reliant Partnerships to all view communication updates between Reliant and the field team member
- Implement procedures to avoid any further contamination of personnel
- Determine the location and status of all other personnel following all quarantine measures needed. Be alert to and able to advise them to Shelter in Place if needed unless the situation demands immediate Evacuation or Orderly Relocation
- Avoid physical contact with others
- Avoid contact with animals and protect against insects
- Consider prepackaged food and water to avoid contamination
- Avoid crowds
- If needed, reference: U.S. CDC – Center for Disease Control and Prevention 1600 Clifton Rd. Atlanta, GA 30333 U.S.A. (800) CDC-INFO, (800) 232-4636 cdcinfo@edc.gov
- Follow all ICMT directions and recommendations
