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Page History
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Level 1: As a standard of practice, no international missionary should be living in a readiness level state of Level 1 (relaxed, unaware of surroundings, not prepared to react). Level 1 is considered US normal.
Level 2: Overseas normal readiness level. Standard overseas threat level. Situations are taken care of locally by the field team.
Level 3: Local Field Team manages the situation, but the team informs Reliant crisis manager 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: Field team is mostly managing the situation, but Reliant crisis manager is now actively involved in the decision-making and helping the field team directly.
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Specific Readiness Level To Determine Next Steps
| Level 5 | Level 4 | Level 3 | Level 2 |
|---|---|---|---|
Individuals with life-threatening injuries or illness Needing ongoing permanent care or institutionalization. Examples: ICU | Injury or illness could result in permanent damage or ongoing effects even if treated properly Example: Dehydration in a remote location without proper care available | Injury or illness will not likely cause permanent damage or ongoing effects if treated properly A significant number of team members are ill or incapacitated and operations are affected Example: Hospitalization | Standard bumps and bruises. Standard surgery with a high probability of good outcome and low risk. Appropriate Medical care is present and available. |
Steps to Reduce Probability and Consequences
- Practice situational awareness and communicate routinely with the Global Security Advisor
- Be prepared to activate other contingency plans if situations arise
- If additional contingencies occur, strongly consider immediate evacuation
Applicable Corporate Policies
- 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 injury/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 Missionaries)
- Provide basic emergency medical response training to field staff
Applicable Corporate Policies
- Evacuations Evacuations may be authorized and mandated at either the local, Self-Evacuation or corporate Reliant level.
- Know your Places of Refuge
Crisis Resolution Protocol
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- Provide immediate field medical triage as able to stabilize the patient for transport or to await emergency assistance
- Locate individual’s medical history data
- Call for emergency assistance if available
- If emergency assistance is not available, transport the victim to the nearest medical facility
- If you cannot or should not move the victim, seek out emergency assistance from the nearest location and return to the victim as soon as possible
- As soon as you are able, begin documenting all events. Eventually, move all documentation to the Tracking Log created by Reliant and shared with you for this incident.
- Contact Reliant to report the incident: Crisis Reporting for International Incident
- Reliant will reach out to receive more details and complete an Initial Crisis Report.
- Reliant will share a Tracking Log with you to continue to document details that will also serve as a way to communicate new updates with all parties involved.
- When you have time, start the Tracking Log and begin documenting all events
- Determine the location and status of all personnel that might be affectedother personnel. Be alert to and able to advise them to Shelter in Place if needed unless the situation demands immediate Evacuation or Orderly Relocation
- Prepare affected individuals for potential medical evacuation if needed, strongly preferred over utilizing local mental facilities
- Contact other staff for emergency assistance if needed
- Determine the possibility of additional medical emergencies and act to limit the probability
- Prepare affected individuals and an escort to perform a medical evacuation if needed
- Determine the location and status of all personnel
- Reliant will work with local leaders to assign Assign personnel to investigate the incident, establish a time frame for when the reported offense occurred, and confirm their activities leading up to the incident and locations they might have visited recently. This personnel should locate and contact any witnesses that might have observed the incident and complete an Initial Crisis Report for each.
- Establish initial contact with the Reliant Crisis Manager using the Emergency Number
- Record any injuries using the Victim Information Form
- Contact the nearest U.S. Embassy or Consulate
- If there are any missing persons, simultaneously follow the missing persons contingency plan
- Activate Shelter-in-Place Protocols starting with a lockdown of field team facilities with a mandated curfew for all personnel until further notice
- The Team Leader should make contact with, notify, and provide continuing care for affected team members.
- Follow all CMT directions and recommendations.If possible attempt to evacuate or relocate to places of refuge
- Close the incident with a detailed report of all events and steps taken (especially if the individual was removed prior to completion of the team)Share a copy of your report with Reliant
