National Emergency Responder Credentialing System Medical and Public Health  Background This document describes baseline and additional criteria for the National Emergency Response Credentialing System.  Credentialing The Public Health/Medical Working Group determined the job titles listed herein to be the most commonly requested public health and medical personnel in a state-to-state mutual aid-based response.  
1. Required Criteria 

 Considering existing, nationally-accepted standards, the Public Health/Medical Working Group extracted relevant education, training, experience, physical/medical fitness, certification, and licensing criteria to define the baseline criteria for each job title listed below.  These baseline criteria represent the minimum requirements for public health and medical personnel to participate in the Incident Management Systems Division.s National Emergency Responder Credentialing System. 
 
2. Clinically-Based Courses 

 Many nationally recognized clinically-based certification/verification courses such as Advanced Cardiac Life Support are appropriate and essential resources for field personnel. Such courses are not included within these criteria because they are recognized as an employer/system expectation commonly used to measure knowledge and performance. They are desirable but have not been included within these criteria as a requirement that must be inventoried. 
 
3. Equivalent Courses 

 Per NIMS compliance at the time of publication, ICS- and FEMA IS- training courses are listed.  Equivalent courses must meet the NIMS National Standard Curriculum. 
 
4. Categories 

 Please refer to the Definitions section for the categories used in the National Emergency Responder Credentialing System. 
 
Web Site 

 For more information, you can also refer to the National Mutual Aid and Resource Management Web site located at: 
http://www.fema.gov/emergency/nims/mutual_aid.shtm 
 

         
Job Titles   
1. Advanced Practice Registered Nurse 

2. Assessment Team Leader 

3. Behavioral Health Specialist 

4. Clinical Social Worker 

5. Dental Assistant/Hygienist 

6. Dentist  

7. Dialysis Technician 

8. Dietician/Nutritionist 

9. Disease Control Specialist 

10. Environmental Health Sanitarian 

11. Environmental Health Specialist 

12. Environmental Health Team Leader 

13. Epidemiologist 

14. Epidemiology Data Entry Staff 

15. Epidemiology Interviewer 

16. Epidemiology Team Leader 

17. Laboratory Technologist/Technician 

18. Mass Dispensing Team Leader 

19. Mass Dispensing, Consultant 

20. Mass Dispensing, Dispenser 

21. Mass Dispensing, Operations Team Consultant 

22. Mass Dispensing, Patient Intake/Line Flow Consultant 

23. Mass Dispensing, Public Information Consultant 

24. Mass Dispensing, Vaccinator 

25. Patient Care Technician 

26. Pharmacist 

27. Pharmacy Technician 

28. Phlebotomist 

29. Physician 

30. Physician Assistant 

31. Public Health Disaster Assessor 

32. Public Health Information Technology Specialist 

33. Radiologic Technician 

34. RSS Distribution Leader 

35. RSS Finance and Administrative Team Lead 

36. RSS Logistics Team Lead 

37. RSS Operations Team Lead 

38. RSS Tactical Communications Leader 

39. RSS Task Force Leader 

40. Registered Nurse 

41. Respiratory Therapist 

42. Shelter Team Leader 

43. Surgical Technician 

       
Definitions  AAB   American Association of Bioanalysts ADA   American Dietetic Association Agency  An administrative unit of government  AHJ   Authority Having Jurisdiction AMT   American Medical Technologists APRN   Advanced Practice Registered Nurse APT   Association of Phlebotomy Technicians ARRT   American Registry of Radiologic Technologists ASCP   American Society for Clinical Pathology CADE Commission on Accreditation for Dietetics Education of the American Dietetic Association CBRNE Chemical, biological, radiological, nuclear, and high-yield explosives CDA   Certified Dental Assistant Certification Designation granted by AHJ that an individual has met requirements and achieved specific knowledge, skills, and abilities CFA   Certified First Assistant CRT   Certified Respiratory Therapist CST   Certified Surgical Technologist DANB   Dental Assisting National Board DEA   Drug Enforcement Administration  Education Formal instruction based on a curriculum that prepares an individual with the core knowledge and skill for entry into a discipline and for performing a job function EFDA  Expanded Function Dental Assistant Experience Time required functioning in a job title for an individual to attain proficiency in applying knowledge, skills, and abilities. Commensurate relates to a particular specialty for which the individual is being deployed-- such as a clinical (ie emergency, critical care, medical/surgical, operating room, etc) or community practice setting rather than an expectation that practitioner will have previous MCI experience FEMA   Federal Emergency Management Agency HazMat  Hazardous Materials ICS   Incident Command System IS   Independent Study Licensing Legal designation granted by AHJ that an individual has met the necessary legal requirements to function in a job title MCI  Mass casualty incident NCA  National Credentialing Agency for laboratory personnel NIMS  National Incident Management System NPA  National Phlebotomy Association NCCPA  National Commission on Certification of Physician Assistants OJT  On the job training OSHA  Occupational Safety and Health Administration POD  Point of Dispersing RD  Registered Dietician RDA  Registered Dental Assistant RN  Registered Nurse 
RRT  Registered Respiratory Therapist RSS  Receiving, Staging and Storage Service   Non-government, private sector organization  SNS  Strategic National Stockpile Training Instruction and/or activities that enhance an individual.s core knowledge, increase a skill set and proficiency, and strengthen and augment abilities TS-C  Technician in Surgery-Certified                                              
1. Advanced Practice Registered Nurse 

 
DESCRIPTION: 

 The primary purpose of an advanced practice registered nurse is to function as a health care professional licensed to diagnose and treat a range of health problems, working either independently or in collaboration with a physician or other licensed independent practitioner. 
 

Table 1-1: Required Criteria  
EDUCATION: 

 Graduate of an accredited nursing program with graduate (masters or above) level advanced education and clinical training as an advanced practice registered nurse or nurse practitioner  
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100:  Introduction to ICS 

2. ICS-200:  Basic ICS 

3. FEMA IS-700:  NIMS, An Introduction 

4. OSHA 1910.120 HazMat Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI 

 
EXPERIENCE: 

 1. Ongoing, active participation with an established health care related providing entity such as a hospital, health system, agency, or service   

2. Minimum of 2 years of experience in a clinical setting commensurate with the mission assignment 

 
CERTIFICATION: 

 1. Nationally recognized board certification1 

2. Current DEA registration if granted prescriptive privileges by the state of primary registration 

 
LICENSING: 

 Active status of legal authority to function as an advanced practice nurse, nurse practitioner, CRNA, or midwife granted by a state, the District of Columbia, or U.S. territory 
 
COMMENTS: 

 1 Variance between licensure requires confirmation of level or practice capability.  Some states require both RN and APRN licensure while others require only RN licensure with additional credentials. APRNs specialize and most become certified in such areas as anesthesia, emergency care, pediatrics, geriatrics, family, obstetrics, psychiatry and acute care. 
 

                
2. Assessment Team Leader 

 
DESCRIPTION: 
 The primary purpose of the Assessment Team Leader is to lead the assessment of public health and medical impacts and the countermeasures and priorities required to restore a basic level of public health and medical services following a disaster or other catastrophic event.  The leader will advise the requesting authority on sustained capacities for full assessment operations and recommended reassessment operations. 

Specific Duties will include: Developing and implementing the Team Tactical Action Plan aligned with corresponding Incident Action Plans. Addressing the coordination, management, and supervision of all assessment team members. Address Logistical and Operational requirements of the assessment team through the authority having jurisdiction, including adjusting its size and capabilities to meet the assessment expectations. Supervising the Public Health Assessor and Medical Assessor Act as liaison to the authority having jurisdiction 
 

Table 2-1: Required Criteria  
EDUCATION: 

 Bachelors degree 
 
TRAINING: 

 

 Completion of the following courses/ curricula or equivalent experience (knowledge of select areas such as water rescue may be provided by knowledge of other team members if relevant to the operation): 
1. ICS 100 

2. ICS 200 

3. ICS 300 

4. ICS 400 

5. IS-700, NIMS 

6. Position Specific Planning Section Course 

7. OSHA 1910.120 HazMat Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI  

8. Basic Risk Communication 

9. First Responder Operations Level for Hazardous Materials as per OSHA Standard 29 CFR 1910.120 

10. Hazardous Waste Operations and Emergency Response 

11. Respiratory Protection training and quantitative fit test per 29 CFR 1910.134 (OPTIONAL?) 

12. DOJ Emergency Response to Terrorism, Basic Concepts or equivalent. 

13. OPERATIONS Level training per NFPA 1670 including;  

14. Water Rescue Operations 

15. Structural Collapse Operations 

16. Hazardous Materials Operations 

17. : GPS Awareness Level course (Garmin V or comparable) 

18. Safety Officer Training Federal or equivalent 

19. Communications level: Awareness 

20. Critical Incident Stress Training: Federal or equivalent 

Completed the DHS/FEMA Task Force Leaders. course or equivalent 
 

EXPERIENCE: 

 1. Five years in a management position in public health or hospitals (including familiarity with environmental health, disease investigation, infection control, and hospital and public health operations) and one of the following: 

2. Two previous federal deployments to an event of National Significance 

3. Four command position activations or deployments state or local events involving a regional or multi-jurisdictional response  

4. Above must include assessment, analysis, and presentation of incident situation and forecasted situation as Situation or Advanced Planning Unit Leader, Planning Section Chief, or an Operations assessment team 

5. Five years of experience applying ICS and national, regional, and local response plan organizational structures, operating procedures, safety practices, terminology, and communications protocols 

 
CERTIFICATION: 

 Current Hazwoper certification Certified Emergency Manager as recognized by national, state, or professional governing body or extensive disaster operational experience leading assessment activities 
 
LICENSING: 

 None required 
 

 Table 2-2: Recommended Criteria  
CERTIFICATION: 

 Advanced degree recommended 
 

                       
3. Behavioral Health Specialist 

 
Description 
 The primary purpose of a behavioral health specialist is to function as a mental health professional trained in psychotherapy and family systems. A behavioral health specialist is qualified to diagnose and treat mental and emotional disorders within the context of various family systems. 
 

Table 3-1: Required Criteria  
EDUCATION: 

 Completion of a Master's or Doctoral degree in behavioral health, mental health, or its equivalent from an accredited college or university 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100:  Introduction to ICS 

2. ICS-200:  Basic ICS 

3. FEMA IS-700:  NIMS, An Introduction 

4. OSHA 1910.120 HazMat Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI 

5. Behavioral Health Crisis Intervention and Disaster Mental Health Training 

 
EXPERIENCE: 

 1. Ongoing, active participation with an established health care related providing entity such as a hospital, health system, agency, or service  

2. Minimum of 2 years of experience in a clinical setting commensurate with the mission assignment 

 
CERTIFICATION: 

 DEA registration as needed1 
 
LICENSING: 

 Active status of legal authority to function as a Behavioral Health Specialist2, 3 granted by a state, the District of Columbia, or U.S. territory 
 
COMMENTS: 

 1 Psychologists have prescriptive privileges in a limited number of States and Territories. 2 Examples of Behavioral Health Specialist titles (i.e. psychologist, therapist, and counselor) include, but are not limited to, clinical social worker, marriage and family therapists, psychoanalyst, professional counselor or mental health counselor, advanced practice registered nurse, registered art therapist, and doctor of ministry. 3 As of March 2006, California and Nevada do not license or recognize mental health counseling. Guam and the Virgin Islands also do not license the profession. 
 

 Table 3-2: Recommended Criteria  
CERTIFICATION: 

 Certification or registration in specialties commensurate with the mission assignment   
 

    
4. Clinical Social Worker 

 
DESCRIPTION: 

 The primary purpose of a clinical social worker is to provide assessment, treatment, and referral recommendations to address a range of psychosocial and environmental needs. The main tasks of clinical social workers include case management (linking clients with agencies and programs), medical social work, counseling (psychotherapy), human services management, community organizing, advocacy, and patient education. Their goal is to enhance and maintain their patients. physical, psychological, and social function1. 
 

Table 4-1: Required Criteria  
EDUCATION: 

 Graduate of an accredited social work program 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100:  Introduction to ICS 

2. ICS-200:  Basic ICS 

3. FEMA IS-700:  NIMS, An Introduction 

4. OSHA 1910.120 HazMat Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI 

 
EXPERIENCE: 

 1. Ongoing, active participation with an established health care related providing entity such as a hospital, health system, agency, or service  

2. Minimum of 2 years of experience in a clinical setting commensurate with the mission assignment 

 
LICENSING: 

 Active status of legal authority to function as a Licensed Clinical Social Worker (LCSW) granted by a state, the District of Columbia, or U.S. territory.  
 
COMMENTS: 

  1 Please see criteria for Behavioral Health Specialist if the primary mission assignment for this clinician includes an expectation for behavioral health services. 
 

Table 4-2: Recommended Criteria  
CERTIFICATION: 

 

 Certification or registration in specialties commensurate with the mission assignment.  This is not limited to but may include case management, children and families, gerontology, crisis intervention, or disaster mental health. 
 

  
5. Dental Assistant/Hygienist 

 
DESCRIPTION: 

 The primary focus is serving in to assist dentists and oral surgeons to manage acute dental problems and assist with exams and procedures. The Dental Assistant or Hygienist:  
1. Functions within the practitioner.s (home state dental commission) scope of duties as a dental assistant or hygienist. 

2. Possesses basic and advanced skills to include: 

a. hand instruments and materials to dentists, use of suction or other devices;  

b. sterilize and disinfect instruments and equipment, prepare tray setups for dental procedures, and instruct patients on postoperative and general oral health care;  

c. radiographic techniques; darkroom and processing techniques; and film mounting; expose radiographs and process dental x-ray film as directed by a dentist; 

d. prepare materials for making impressions and restorations 

 

Table 5-1: Required Criteria  
EDUCATION: 

 Successful completion of state recognized course of instruction or completion of an accredited dental assistant program or dental hygiene program  
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100:  Introduction to ICS. 

2. ICS-200:  Basic ICS. 

3. FEMA IS-700:  NIMS, An Introduction. 

4. OSHA 1910.120 HazMat Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI. 

 
EXPERIENCE: 

 1. Ongoing, active participation with a providing entity such as an established health care institution, system, agency, or service. 2. Minimum of 2 years of experience in a clinical setting commensurate with the mission assignment within the past five years 
 
CERTIFICATION: 

 Successful completion of one of the following: 1. State-approved certification at this level  2. RDH, EFDA, CDA, or RDA certification if required by the state of primary registration. 3. Radiation Health and Safety examination offered by the DANB or state approved course in radiology. 
 
LICENSING: 

 Active status of legal authority to function as a dental assistant or dental hygienist granted by a state, the District of Columbia, or U.S. territory 
 

       
6. Dentist 

 
DESCRIPTION: 

 A dentist is an independent health care professional trained in oral health promotion, disease prevention and comprehensive oral health care.  
 

Table 6-1: Required Criteria  
EDUCATION: 

 Graduate of an accredited dental school 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100:  Introduction to ICS. 

2. ICS-200:  Basic ICS. 

3. FEMA IS-700:  NIMS, An Introduction. 

4. OSHA 1910.120 HazMat Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI. 

 
EXPERIENCE: 

 1. Ongoing, active participation with an established health care related providing entity such as a hospital, health system, agency, or service   

2.  Minimum of 2 years of experience in a practice setting commensurate with the mission assignment. 

 
LICENSING: 

 Active status of legal authority to function as a doctor of dental surgery or doctor of medical dentistry granted by a state, commonwealth, the District of Columbia, or U.S. territory.   
 

 Table 6-2: Recommended Criteria  
CERTIFICATION: 

 Certification or registration in specialty as needed to support the mission 
 

                
7. Dialysis Technician 

 
DESCRIPTION: 

 The primary focus is serving in an assistive role to physicians and registered nurses in multiple roles, which include dialyzer setup and reuse, equipment maintenance and repair, water treatment monitoring, and direct patient care.  
 

Table 7-1: Required Criteria  
EDUCATION: 

 High school diploma or equivalency 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100:  Introduction to ICS. 

2. ICS-200:  Basic ICS. 

3. FEMA IS-700:  NIMS, An Introduction. 

4. OSHA 1910.120 HazMat Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI. 

 
EXPERIENCE: 

 1. Ongoing, active participation with a providing entity such as an established health care  institution, system, agency, or service  2. Minimum of 2 years of experience functioning in a dialysis unit within the past five years 
 
CERTIFICATION: 

 Certification in nephrology technology 
 

Table 7-2: Recommended Criteria  
CERTIFICATION: 

 Certified Medical Technician or other Patient Care Technician recognition 
 

                  
8. Dietician/Nutritionist 

 
DESCRIPTION: 

 The primary role of the dietician/nutritionist is to plan and conduct food service or nutritional programs to assist in the promotion of health and control of disease. May supervise activities of a department providing quantity food services or counsel individuals and families. 
 

Table 8-1: Required Criteria  
EDUCATION: 

 Baccalaureate degree in dietetics, food, nutrition, food service management, institution management, or related science in accordance with the qualifying requirements established by the ADA  
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100:  Introduction to ICS 

2. ICS-200:  Basic ICS 

3. FEMA IS-700:  NIMS, An Introduction 

4. OSHA 1910.120 HAZMAT Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI 

 
EXPERIENCE: 

 1. Ongoing, active participation with a providing entity such as an established health care institution, system, agency, or service  

2. Minimum of 2 years of experience in a practice setting commensurate with the mission assignment 

 
CERTIFICATION: 

 RD Certification  
 
LICENSING: 

 Active legal authority to function as a dietitian/nutritionist granted by a state, commonwealth, the District of Columbia, or U.S. territory.   
 

 Table 8-2: Recommended Criteria  
CERTIFICATION: 

 Certification or registration in specialty as needed to support the mission 
 

         
9. Disease Control Specialist 

 
DESCRIPTION: 

 The primary purpose of the Disease Control Specialist is the prevention of communicable disease exposure to protect a population.  This person communicates guides and advises other healthcare providers on procedures related to quarantine and isolation, clinical inclusion and exclusion criteria and case definitions. This person participates as part of a team to conduct quarantine operations and understand regulatory issues and due process regarding quarantine and isolation. 
 

Table 9-1: Required Criteria  
EDUCATION: 

 A Doctor of Medicine, Doctor of Osteopathy or equivalent degree or A Master.s Degree in Public Health, a Doctor of Public Health Degree, or an equivalent Master.s or Doctorate Degree including or supplemented by graduate credits in epidemiology and biostatistics or  A Bachelors of Nursing supplemented by additional course work in public health 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100: Introduction to ICS 

2. ICS-200: Basic ICS 

3. FEMA IS-700:NIMS, An Introduction 

4. OSHA 1910.1030 Blood Borne Pathogen Training 

5. OSHA 1910.134 compliant medical clearance for respirator use and respirator fit testing and training within the past year 

 
EXPERIENCE: 

 At least two years of public health work experience, including satisfactory experience in public health capacity with planning or response duties related to isolation, quarantine, or other outbreak control measures within the past two years 
 
CERTIFICATION: 

 Valid board certification issued by the American Board of Preventive Medicine 
 
LICENSING: 

 Active status of legal authority to function as a licensed or certified professional without restrictions, granted by sending state, the District of Columbia, or U.S. territory as required for the individual.s discipline 
 
COMMENTS: 

 Current Hepatitis B Vaccination 

TB skin test or chest x-ray within the past year 

 

       
10. Environmental Health Sanitarian 
 
DESCRIPTION: 

 The primary purpose of the Environmental Health Sanitarian is to independently inspect any onsite food or sewage location, facility or portion of that facility to measure threat or risks to air, food, water, waste, vector, toxics and radiation with knowledge of how to alleviate situation and implementation plans to correct problem 

 

Table 10-1: Required Criteria  
EDUCATION: 

 Graduate of an accredited environmental health program with a master.s  or bachelors degree 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100: Introduction to ICS 

2. ICS-200: Basic ICS 

3. FEMA IS-700: NIMS, An Introduction 

4. OSHA 1910.120 HAZMAT Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI 

5. Bureau of Radiation Control First Responder training 

6. Forensic Epidemiology 

7. Exposure Assessment 

 
EXPERIENCE: 

 More than 2 years experience in Environmental Health or equivalent  or  Supervisor.s Recommendation 
 
CERTIFICATION: 

 Certified Environmental Health Professional in Food and Onsite Sewage plus one of the following: 
1. On the job training in water and wells, plus relevant program area trainings  

2. MS in Environmental Health or Sciences with 2 years experience 

 
LICENSING: 

 Active status of legal authority to function as a [licensed or certified professional] without restrictions granted by sending state, the District of Columbia, or U.S. territory as required for the individual.s discipline 
 

                
11. Environmental Health Specialist 
 
DESCRIPTION: 

 The primary purpose of the Environmental Health Specialist, depending upon the incident, is to provide professional guidance on specific areas such as environmental epidemiology, toxicology, exposure assessment/risk analysis, radiation training and response 
 

Table 11-1: Required Criteria  
EDUCATION: 

 Specialized education in environmental epidemiology, toxicology, exposure assessment/risk analysis, radiation training and response plus one of the following: 
1. Bachelor.s Degree with at least 5 years experience  

2. Master.s Degree with at least 2 years experience 

 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100: Introduction to ICS 

2. ICS-200: Basic ICS 

3. FEMA IS-700: NIMS, an Introduction 

4. OSHA 1910.120 HAZMAT Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI 

 
EXPERIENCE: 

 1. Specialized, current experience in the above sectors 

2. Event response experience 

 
CERTIFICATION: 

 If pertinent, certification within specialty 
 
LICENSING: 

 If pertinent, licensure within specialty 
 

                      
12. Environmental Health Team Leader 
 
DESCRIPTION: 

 Manages and provides professional guidance for team of individuals conducting environmental health duties during a disaster. Interfaces with environmental agencies, other public health disciplines and laboratories. 
 

Table 12-1: Required Criteria  
EDUCATION: 

 Graduate of an accredited Environmental Health Program with a Master.s Degree in Environmental Science or related field  or Bachelor.s degree in environmental health related field plus at least 3 years supervisory experience in environmental health at the program level 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100: Introduction to ICS 

2. ICS-200: Basic ICS 

3. ICS-300: Intermediate ICS 

4. ICS-400: Advanced ICS 

5. FEMA IS-700: NIMS, an Introduction 

6. OSHA 1910.120 HAZMAT Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI 

7. Behavioral Health 

8. Basic Risk Communication 

9. First Aid/CPR 

10. If Emergency involves Radiation: Bureau of Radiation Control First Responder Training 

11. Command staff specific training 

12. OSHA 1910.1030 Blood Borne Pathogen Training 

 
EXPERIENCE: 

 1. Experience leading a team during a disaster response or disaster response drill 

2. Minimum of 5 years field experience EH including at least 2 years at a supervisory level 

3. Experience working with Emergency Response Agencies, e.g. LEPCs, and State EMAs,  and EMACs 

 
CERTIFICATION: 

 None required 
 
LICENSING: 

 Active status of legal authority to function as a [licensed or certified professional] without restrictions granted by sending state, the District of Columbia, or U.S. territory as required for the individual.s discipline 
 

               
 
13. Epidemiologist 
 
DESCRIPTION: 

 The primary purpose of an epidemiologist is to manage and provide professional guidance for a team of individuals conducting environmental health duties during a disaster. An epidemiologist interfaces with environmental agencies, other public health disciplines and laboratories. 
 

Table 13-1: Required Criteria  
EDUCATION: 

 Newly graduated Master.s degree with minimal experience but from a Master.s program with a focus on epidemiology and/or analysis and assessment or  Bachelor.s or other non-epidemiology professional degree or certification (e.g., RN, MD/DO, DDS/DMD, DVM, PhD, DrPh RS) without formal academic epidemiology training and with at least 2 years. experience performing epidemiology work   
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100: Introduction to ICS 

2. ICS-200: Basic ICS 

3. FEMA IS-700: NIMS, an Introduction 

4. Forensic Epi  

 
EXPERIENCE: 

 Public health experience participating in at least one major outbreak investigation 
 
CERTIFICATION: 

 None required 
 
LICENSING: 

 Active status of legal authority to function as a [licensed or certified professional] without restrictions granted by sending state, the District of Columbia, or U.S. territory as required for the individual.s discipline 
 
COMMENTS: 

 AHJ must specify type of outbreak in order to appropriately match skill set of epidemiologist 
 

 Table 13-2: Recommended Criteria  
CERTIFICATION: 

 ICS-300: Intermediate ICS and Basic Risk Communication are recommended 
 

           
14. Epidemiology Data Entry Staff 
 
DESCRIPTION: 

 The primary purpose of epidemiology data entry staff is to function administratively and to have knowledge of epidemiological software and the ability to input epidemiological data in an understandable format using the appropriate software. 
 

Table 14-1: Required Criteria  
EDUCATION: 

 1. Associates Degree 

2. Training in use of Epidemiological software such as Epi Info or Access 

 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-200: Basic ICS 

2. OSHA 1910.120 HazMat Awareness Training or equivalent 

 
EXPERIENCE: 

 1. Familiarity with Microsoft Excel, Word, and Access and other public health data systems 

2. One year of experience inputting epidemiological data in a public health setting such as recording infectious disease reports, entering immunization, vital statistics or other registry data 

 
CERTIFICATION: 

 None required 
 
LICENSING: 

 None required 
 

                     
15. Epidemiology Interviewer 
 
DESCRIPTION: 

 The primary purpose of the epidemiology interviewer is to interview individuals with communicable diseases and their contacts or potential contacts to determine if individuals have been exposed to or exposed others to a communicable disease. Examples of interviewers include Infectious Disease Epidemiologists, Public Health Nurses, and Environmental Health Professionals. 
 

Table 15-1: Required Criteria  
EDUCATION: 

 1. Bachelor.s Degree 

2. Training and experience conducting case contact investigations 

 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100: Introduction to ICS 

2. FEMA IS-700: NIMS, an Introduction 

3. OSHA 1910.120 HazMat Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI 

 
EXPERIENCE: 

 1. 2 or more years of work experience in field epidemiology involving interviewing, preferably in a public health agency 

2. Working experience in case finding, surveillance, case interviews, case-based disease control measures, or outbreak control measures 

 
CERTIFICATION: 

 None required 
 
LICENSING: 

 Active status of legal authority to function as a licensed or certified professional without restrictions granted by sending state, the District of Columbia, or U.S. territory as required for the individual.s discipline 
 

                 
16. Epidemiology Team Leader 
 
DESCRIPTION: 

 The primary purpose of the Epidemiology Team Leader is to manage and provide professional guidance for team of individuals conducting surveillance and investigation and/or isolation and quarantine activities during a disease outbreak.  This person interfaces with environmental health teams, other public health disciplines and laboratories 
 

Table 16-1: Required Criteria  
EDUCATION: 

 Tier 2 Epidemiologist as Defined by County, State, and Territorial Epidemiologists (CSTE) and one of the following: 
1. Master.s degree with a focus in epidemiology with 2 or more years. work experience in epidemiology in a public health agency;  

2. Doctoral-level epidemiologist 

3. Other nonepidemiology professional degree or certification (e.g., RN, MD/DO, DDS/DMD, DVM, PhD, RS) with specific  epidemiology training (e.g., MPH degree, CDC Epidemic Intelligence Service program) or at least 4 years. experience performing epidemiologic work under the guidance of a tier 3 epidemiologist 

 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100: Introduction to Incident Command System 

2. ICS-200: Basic Incident Command System 

3. ICS-300: Intermediate Incident Command System 

4. ICS-400: Advanced Incident Command System 

5. FEMA IS-700: NIMS, an Introduction 

6. OSHA 1910.120 HazMat Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI 

7. Basic Risk Communication 

8. Applied Epi, Forensic Epi or Command staff specific training 

 
EXPERIENCE: 

 1. Greater than 4 years epidemiology field experience  

2. Experienced supervisor  

3. Experience working with Emergency Response Agencies, e.g. LEPCs, and State EMAs 

 
CERTIFICATION: 

 Appropriate for Education 
 
LICENSING: 

 Active status of legal authority to function as a licensed or certified professional] without restrictions, granted by sending state, the District of Columbia, or U.S. territory as required for the individual.s discipline 
 

   
17. Laboratory Technologist/Technician 
 
DESCRIPTION: 

 Medical/Laboratory technicians perform routine medical laboratory tests for the diagnosis, treatment, and prevention of disease, sometimes working under the supervision of a medical technologist.   The medical or clinical laboratory technologists are sometimes more specialized than the medical/clinical laboratory technicians.  In general, they perform laboratory procedures on human tissue and fluids to help physicians identify disease or determine the health of patients.  The technologists are also qualified to analyze, evaluate and interpret results, integrate data, solve problems, consult, conduct research, and develop new test methods. In some cases the technologist will supervise the technician but it is not uncommon for the technician to function independently in the core lab setting. 
 

Table 17-1: Required Criteria  
EDUCATION: 

 TECHNOLOGIST:  Bachelor.s Degree in Medical Technology or related science from an accredited college or university.  TECHNICIAN:  Some combination of the above based upon current employment: 
. High school graduate or equivalent with a minimum of 2 years training in a school for medical technicians.   OR 

. Completion of Associate.s Degree Program for Medical Technicians  OR 

. 3-5 year OJT in an accredited hospital setting. 

 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100:  Introduction to ICS. 

2. ICS-200:  Basic ICS. 

3. FEMA IS-700:  NIMS, An Introduction. 

4. OSHA 1910.120 HazMat Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI. 

 
EXPERIENCE: 

 1. Ongoing, active participation with an established health care related providing entity such as a hospital, health system, agency, or service  

2. Minimum of 2 years of experience in a clinical setting commensurate with the mission  assignment 

 
CERTIFICATION: 

 TECHNOLOGIST:  All states except those requiring licensure are required to verify certification/registration through a national accreditation or certification board1.    TECHNICIAN:  Certification/registration requirements are variable within states requiring certification/ registration of technologists and will defer to individual state requirements. 
 
LICENSING: 

 Active status of legal authority to function as a laboratory technologist or laboratory technician granted by a state, the District of Columbia, or U.S. territory 
 
FOOTNOTES: 

 1 These may include but are not limited to: AAB, ASCP, AMT, or NCA. 
 

   
18. Mass Dispensing Team Leader 
 
DESCRIPTION: 

 The primary purpose of the Mass Dispensing Team Leader is to function as the senior staff member at the Point of Dispensing (POD) and to serve as a consultant to advise the authority having jurisdiction to set up sites.  Could also run the site if necessary.   
 

Table 18-1: Required Criteria  
EDUCATION: 

 Graduate of an accredited medicine program 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100: Introduction to ICS 

2. ICS-200: Basic ICS 

3. FEMA IS-700: NIMS, an Introduction 

4. CDC POD Managers Training 

5. Annual POD set-up and management training in home jurisdiction and/or in Authority Having Jurisdiction 

 
EXPERIENCE: 

 1. Prior experience serving as Team Leader in a POD 

2. Mid-to high-level manager in public health agency 

 
CERTIFICATION: 

 None required 
 
LICENSING: 

 Active status of legal authority to function as a [licensed or certified professional] without restrictions granted by sending state, the District of Columbia, or U.S. territory as required for the individual.s discipline 
 
COMMENTS: 

 Reports to the Mass Dispensing System Chief of the authority having jurisdiction 
 

                     
19. Mass Dispensing, Consultant 
 
DESCRIPTION: 

 The primary purpose of the Dispensing Team Consultant is to oversee the proper dispensing station set-up and implementation of protocols to dispense prophylactic antibiotics to patients in the Points of Dispensing (POD). 
 

Table 19-1: Required Criteria  
EDUCATION: 

 Graduate of an accredited nursing or physician assistant program 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS 100, 200, 700 

2. Annual POD set-up and management training in home jurisdiction and/or in AHJ 

 
EXPERIENCE: 

 Prior experience serving in the Dispensing Station in a POD 
 
CERTIFICATION: 

 None required 
 
LICENSING: 

 Active status of legal authority to function as a [licensed or certified professional] without restrictions granted by sending state, the District of Columbia, or U.S. territory as required for the individual.s discipline 
 

                          
20. Mass Dispensing, Dispenser 
 
DESCRIPTION: 

 The primary purpose of the Dispenser is to dispense prophylactic antibiotics or vaccinations to patients in the Points of Dispensing (POD) 
 

Table 20-1: Required Criteria  
EDUCATION: 

 High School Diploma 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. Just in Time. (on site) training 

2. ICS 100 strongly recommended 

 
EXPERIENCE: 

 Dispensing experience preferred. 
 
CERTIFICATION: 

 None required 
 
LICENSING: 

 None required 
 

    
21. Mass Dispensing, Operations Team Consultant 
 
DESCRIPTION: 

 The primary purpose of the Operations Team Consultant is to oversee the Points of Dispensing (POD) functions pertaining to the dispensing of medication, such as screening, dispensing, medical evaluation, pharmacy, and/or mental health 
 

Table 21-1: Required Criteria  
EDUCATION: 

 None required 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS 100, 200, 700 

2. CDC POD Managers Training 

Annual POD set-up and management training in home jurisdiction and/or in AHJ 
 
EXPERIENCE: 

 Prior experience serving as Team Leader or Operations Leader in a POD Mid-to high-level manager in public health agency 
 
CERTIFICATION: 

 None required 
 
LICENSING: 

 May or may not be medical position 
 
COMMENTS: 

 This position is the back-up to the team leader/second in command in the POD for a type I team 
 

   
22. Mass Dispensing, Patient Intake/ Line Flow Consultant 
 
DESCRIPTION: 

 The primary purpose of the Line Flow Consultant is to manage the flow going through all stations in the Points of Dispensing (POD) and to perform customer service tasks related to line management in order to supplement security efforts at keeping order. This person ensures that families are kept together and that assistance is provided to those who require it (e.g., patients with wheelchairs, non-English speakers, etc.) 
 

Table 22-1: Required Criteria  
EDUCATION: 

 None required 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS 100, 200, 700 

2. Annual POD set-up and management training in home jurisdiction and/or in Athority Having Jurisdiction. 

 
EXPERIENCE: 

 Prior experience working in a POD 
 
CERTIFICATION: 

 None required 
 
LICENSING: 

 None required 
 

                         
23. Mass Dispensing, Public Information Consultant 
 
DESCRIPTION: 

 The primary purpose of the Public Information Consultant is to be the lead spokesperson for the POD 
 

Table 23-1: Required Criteria  
EDUCATION: 

 None required 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS 100, 200, 700 

2. Annual POD set-up and management training in home jurisdiction and/or in AHJ 

3. Annual Risk Communication and Mental Health Risk Communication Training 

 
EXPERIENCE: 

 1. Prior experience serving as a Public Health Risk Communicator and/or Public Information Officer 

2. Prior participation in a POD training or exercise 

 
CERTIFICATION: 

 None required 
 
LICENSING: 

 None required 
 

                          
24. Mass Dispensing, Vaccinator 
 
DESCRIPTION: 

 The primary purpose of the vaccinator is to administer vaccinations to patients in the POD 
 

Table 24-1: Required Criteria  
EDUCATION: 

 Graduate of an accredited nursing program 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 1. ICS 100: Introduction to ICS 2. OSHA 1910.1030 Blood Borne Pathogen Training 3. Annual vaccination training or demonstrated vaccination experience on an annual basis as part of routine clinical work 
 
CERTIFICATION: 

 None required 
 
LICENSING: 

 Active status of legal authority to function as a [licensed or certified professional] without restrictions granted by sending state, the District of Columbia, or U.S. territory as required for the individual.s discipline 
 
COMMENTS: 

 1. Current Hepatitis B Vaccination. 

2. TB skin test or chest x-ray within the past year 

 

 Table 24-2: Recommended Criteria  
EXPERIENCE: 

 Vaccination experience in current practice strongly preferred 
 

                 
25. Patient Care Technician 
 
DESCRIPTION: 

 The primary focus is assisting in direct patient care, planning and assessments including documentation of vital signs, height, weight, input and output, collection of specimens, report and record patient conditions and treatments, and assists with patient mobility, positioning and transfers under the supervision of the nursing staff.  
 

Table 25-1: Required Criteria  
EDUCATION: 

 Completion of a state-approved training program for certified nursing assistants 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100:  Introduction to ICS 

2. ICS-200:  Basic ICS 

3. FEMA IS-700:  NIMS, an Introduction 

4. OSHA 1910.120 HazMat Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI 

 
EXPERIENCE: 

 1. Ongoing, active participation with a providing entity such as an established health care institution, system, agency, or service  

2. Minimum of 2 years of experience functioning on a clinical unit within the past five years 

 
CERTIFICATION: 

 Certified Nursing Assistant or equivalent certification approved by the state. 
 
LICENSING: 

 Active status of legal authority to function as a Certified Nursing Assistant granted by a state, the District of Columbia, or U.S. territory 
 

                    
26. Pharmacist 
 
DESCRIPTION: 

 The primary role of the pharmacist is to dispense medications after verifying the appropriateness of the therapy including correct patient, correct drug, correct dose, correct route, correct frequency, drug-drug interactions, allergies, contraindications. The pharmacist may advise health care practitioners on medication selection, dosing and adverse effects. The pharmacist may also provide education to the patients regarding their medication. 
 

Table 26-1: Required Criteria  
EDUCATION: 

 Graduate of an accredited pharmacy program 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100:  Introduction to ICS 

2. ICS-200:  Basic ICS 

3. FEMA IS-700:  NIMS, an Introduction 

4. OSHA 1910.120 HazMat Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI 

5. Ongoing training in the management and care of patients involved in MCIs 

 
EXPERIENCE: 

 1. Ongoing, active participation with an established health care related providing entity or public health entity such as a hospital, health system, agency, or service  

2. Minimum of 2 years of experience in a practice setting commensurate with the mission assignment within the past five years 

 
LICENSING: 

 Active status of legal authority to function as a Registered Pharmacist granted by a state, the District of Columbia, or U.S. territory  
 

                    
27. Pharmacy Technician 
 
DESCRIPTION: 

 Prepare medications under the direction and supervision of a pharmacist. May measure, mix, count and, label medication in preparation for dispensing by a pharmacist. 
 

Table 27-1: Required Criteria  
EDUCATION: 

 High school diploma, certificate or equivalent 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100:  Introduction to ICS 

2. ICS-200:  Basic ICS 

3. FEMA IS-700:  NIMS, an Introduction 

4. OSHA 1910.120 HazMat Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI 

 
EXPERIENCE: 

 1. Ongoing, active participation with an established health care related providing entity such as a hospital, health system, agency, or service  

2. Minimum of 2 years of experience in a clinical setting commensurate with the mission assignment within the past five years 

 

Table 27-2: Recommended Criteria 
CERTIFICATION: 

 Successful completion of: 
1. State approved program at this level 

2. National Pharmacy Technician  

 

                  
28. Phlebotomist 
 
DESCRIPTION: 

 The primary role of a phlebotomist is collecting blood specimens by venipuncture or finger stick methods for testing as well as assisting medical technologists in the handling of laboratory specimens.   
 

Table 28-1: Required Criteria  
EDUCATION: 

 High school diploma or equivalency 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100:  Introduction to ICS 

2. ICS-200:  Basic ICS 

3. FEMA IS-700:  NIMS, an Introduction 

4. OSHA 1910.120 HAZMAT Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI 

 
EXPERIENCE: 

 1. Ongoing, active participation with a providing entity such as an established health care institution, system, agency, or service  

2. Minimum of 2 years of experience functioning as a phlebotomist within the past five years 

 

 Table 28-2: Recommended Criteria  
CERTIFICATION: 

 Successful completion of one of the following certifications: 
1. State-approved program at this level  

2. NPA  

3. ASCP 

4. APT 

 

              
29. Physician 
 
DESCRIPTION: 

 A physician is an independent health care professional trained in health promotion, disease prevention and comprehensive health care. 
 

Table 29-1: Required Criteria  
EDUCATION: 

 Graduate of an accredited medical school and completion of an accredited residency program. 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100:  Introduction to ICS 

2. ICS-200:  Basic ICS 

3. FEMA IS-700:  NIMS, an Introduction 

4. OSHA 1910.120 HazMat Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI 

 
EXPERIENCE: 

 1. Ongoing, active participation with an established health care related providing entity such as a hospital, health system, agency, or service  

2. Minimum of 2 years of experience in a clinical setting commensurate with the mission assignment  

 
CERTIFICATION: 

 Successful completion of the following: 
1. Board certification or board-eligible in a medical or surgical specialty  

2. Current DEA Registration. 

 
LICENSING: 

 Active status of legal authority to function as an allopathic or osteopathic physician granted by a state, commonwealth, the District of Columbia, or U.S. territory.   
 

 Table 29-2: Recommended Criteria  
CERTIFICATION: 

 Board certification or board-eligible in the medical or surgical specialty that is commensurate with the mission assignment. Specialty Board certification includes but is not limited to emergency medicine, critical care, pediatrics, trauma surgery, general surgery, etc. 
 

           
30. Physician Assistant 
 
DESCRIPTION: 

 A physician assistant is a health care professional trained in health promotion, disease prevention and comprehensive health care in collaboration with licensed independent providers. 
 

Table 30-1: Required Criteria  
EDUCATION: 

 Graduate of an accredited or state-recognized physician assistant program  
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100:  Introduction to ICS 

2. ICS-200:  Basic ICS 

3. FEMA IS-700:  NIMS, an Introduction 

4. OSHA 1910.120 HazMat Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI 

 
EXPERIENCE: 

 1. Ongoing, active participation with an established health care related providing entity such as a hospital, health system, agency, or service 

2. Minimum of 2 years of experience in a clinical setting commensurate with the mission assignment 

 
CERTIFICATION: 

 Active NCCPA certification  
 
LICENSING: 

 Active status of legal authority to function as a Physician Assistant granted by a state, the District of Columbia, or U.S. territory. 
 

                    
31. Public Health Disaster Assessor 
 
DESCRIPTION: 

 The primary purpose of the Public Health Disaster Assessor is to provide the expertise necessary to assess, advise and recommend resources necessary to lessen the impact, and to provide sustained capacities for reassessment, and continued support to the authority having jurisdiction. 
 

Table 31-1: Required Criteria  
EDUCATION: 

 PhDN, MD/DO, PHD, DVM  or Emergency Management- CEM with associated corresponding medical training EMT-P, BSN, MD, DO, DVM 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100: Introduction to ICS 

2. ICS-200: Basic ICS 

3. ICS-300: Intermediate ICS 

4. ICS-400: Advanced ICS 

5. FEMA IS-700, NIMS, an Introduction 

6. OSHA 1910.120 HazMat Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI 

7. Basic Risk Communication 

8. Applied Epi, Forensic Epi 

Command staff specific training 
1. First Responder Operations Level for Hazardous Materials as per OSHA Standard 29 CFR 1910.120 Hazardous Waste Operations and Emergency Response 

2. Respiratory Protection training  

3. DOJ Emergency Response to Terrorism, Basic Concepts or equivalent. 

 
EXPERIENCE: 

 At least 5 yrs in public health 
 
CERTIFICATION: 

 None required 
 
LICENSING: 

 Active status of legal authority to function as a [licensed or certified professional] without restrictions granted by sending state, the District of Columbia, or U.S. territory as required for the individual.s discipline (see education) 
 
COMMENTS: 

 Quantitative fit test per 29 CFR 1910.134 
 

 Table 31-2: Recommended Criteria  
EDUCATION: 

 Post graduate, fellowship, education, board certification, or subspecialty certification or credentials in Disaster Medicine or Public Heath Preparedness 
 
TRAINING: 

 Awareness Level training per NFPA 1670 including: Water Rescue Operations, Structural Collapse Operations, GPS Awareness Level course (Garmin V or comparable) 
 

   
32. Public Health Information Technology Specialist 
 
DESCRIPTION: 

 The primary purpose of the Public Health Information Technology Specialist is to set up and manage epidemiological hardware and software applications and to have the ability to interface with laboratories 
 

Table 32-1: Required Criteria  
EDUCATION: 

 Bachelor.s Degree with formal education in information technology 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100: Introduction to ICS 

2. FEMA IS-700: NIMS, an Introduction  

3. OSHA 1910.120 HazMat Awareness Training or equivalent 

 
EXPERIENCE: 

 1. Familiarity with public health databases and software such as Excel, MS Word, and Access, GIS, and Epi Info 

2. Experience inputting and analyzing surveillance data in a Public Health Setting 

3. Familiarity and experience in using available online public health databases 

 
CERTIFICATION: 

 None required 
 
LICENSING: 

 None required 
 

                  
33. Radiologic Technician 
 
DESCRIPTION: 

 The primary focus is to produce films (radiographs) of parts of the human body for use in diagnosing medical problems. The Radiologic Technician demonstrates:  
1. Methods and techniques involved in the operation of x-ray equipment 

2. Methods and techniques used in the processing of x-ray film 

3. Safety procedures employed with radiation hazards 

4. Considerable knowledge of human anatomy and the proper positioning of patients to secure desired radiographs 

5. General knowledge of the operating principles of x-ray equipment 

 

Table 33-1: Required Criteria  
EDUCATION: 

 Successful completion of state recognized course of instruction or completion of an accredited radiologic technologist or radiologic technicians program  
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100:  Introduction to ICS 

2. ICS-200:  Basic ICS 

3. FEMA IS-700:  NIMS, an Introduction. 

4. OSHA 1910.120 HazMat Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI. 

5. Ongoing training in the management and care of patients involved in MCIs 

 
EXPERIENCE: 

 1. Ongoing, active participation with a providing entity such as an established health care institution, system, agency, or service  

2. Minimum of 2 years of experience in a clinical setting commensurate with the mission assignment within the past five years 

 
LICENSING: 

 Active status of legal authority to function as a radiologic technician without restrictions granted by a state, the District of Columbia, or U.S. territory 
 
COMMENTS: 

 Currently, 84% of states have regulatory or licensure provisions for radiologic personnel 
 

 Table 33-2: Recommended Criteria  
CERTIFICATION: 

 ARRT Certification 
 

         
34. Receiving Staging & Storage (RSS), Distribution Leader 
 
DESCRIPTION: 

 The primary purpose of the RSS Distribution Leader is to supervise work at the loading dock and to assure the quality and accuracy of loads for shipping 
 

Table 34-1: Required Criteria  
EDUCATION: 

 None required 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100: Introduction to ICS 

2. ICS-200: Basic ICS 

3. ICS-300: Intermediate ICS 

4. ICS-400: Advanced ICS 

5. Has received SNS orientation and training for the position of RSS Distribution Leader as determined by the authority willing to offer this individual.s services 

6. Is specifically trained about the safe operation of a pallet jack and all forms of loading docks and dock plates 

 
EXPERIENCE: 

 Participation in at least one full-scale RSS, SNS exercise serving as distribution lead 
 
CERTIFICATION: 

 None required 
 
LICENSING: 

 None required 
 

                        
35. Receiving Staging & Storage (RSS), Finance and Administrative Team Lead 
 
DESCRIPTION: 

 The primary purpose of the RSS Finance and Administrative Team Lead is to lead, organize and direct the administrative section to assure that the section meets the need for the financial, cost tracking  and  personnel time tracking for the RSS site 
 

Table 35-1: Required Criteria  
EDUCATION: 

 None required 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100: Introduction to ICS 

2. ICS-200: Basic ICS 

3. ICS-300: Intermediate ICS 

4. ICS-400: Advanced ICS 

5. FEMA IS-700: NIMS, an Introduction 

6. Has received SNS orientation and training for the position of RSS Administrative Team Lead (or RSS Administrative Chief) as determined by the authority willing to offer this individual.s services 

 
EXPERIENCE: 

 Participation in at least one full-scale RSS, SNS Exercise serving as an RSS Administrative Team Lead (or RSS Administrative Chief) 
 
CERTIFICATION: 

 None required 
 
LICENSING: 

 None required 
 

                        
36. Receiving Staging & Storage (RSS), Logistics Team Lead 
 
DESCRIPTION: 

 The primary purpose of the RSS Logistics Team Lead is to lead, organize and direct the logistics section to assure that the section meets support needs for the RSS site   
 

Table 36-1: Required Criteria  
EDUCATION: 

 None required 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100: Introduction to ICS 

2. ICS-200: Basic ICS 

3. ICS-300: Intermediate ICS 

4. ICS-400: Advanced ICS 

5. FEMA IS-700: NIMS, an Introduction 

6. Has received SNS orientation and training for the position of RSS Logistics Team Lead (or Logistics Chief) as determined by the authority willing to offer this individual.s services 

 
EXPERIENCE: 

 Participation in at least one full-scale RSS, Strategic National Stockpile (SNS) Exercise serving as an RSS Logistics Team Lead or RSS Logistics Chief 
 
CERTIFICATION: 

 Not Required 
 
LICENSING: 

 Not Required 
 

                          
37. Receiving Staging & Storage (RSS), Operations Team Leader 
 
DESCRIPTION: 

 The primary purpose of the RSS Operations Team Leader is to lead, organize and direct the operations section to assure that SNS supplies are received, tracked, picked and shipped. 
 

Table 37-1: Required Criteria  
EDUCATION: 

 None required 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100: Introduction to ICS 

2. ICS-200: Basic ICS 

3. ICS-300: Intermediate ICS 

4. ICS-400: Advanced ICS 

5. FEMA IS-700: NIMS, an Introduction    

6. Has received SNS orientation and training for the position of RSS Operations Team Lead (or Operations Chief) as determined by the authority willing to offer this individual.s services. 

 
EXPERIENCE: 

 Participation in at least one full-scale RSS, SNS Exercise serving as an RSS Operations Team Lead (or RSS Operations Chief) 
 
CERTIFICATION: 

 None required 
 
LICENSING: 

 None required 
 

                       
38. Receiving Staging & Storage (RSS), Tactical Communications Leader 
 
DESCRIPTION: 

 The primary purpose of the RSS tactical communications leader is to establish and maintain internal and external RSS communications including radios, phones, and computers. The RSS tactical communications leader has the ability to run telephone extensions, crimp connectors, and is able to verify phone lines are active. 
 

Table 38-1: Required Criteria  
EDUCATION: 

 A degree in computer science or five years experience working to install and maintain information technology systems.  
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100: Introduction to ICS 

2. ICS-200: Basic ICS 

3. ICS-300: Intermediate ICS 

4. ICS-400: Advanced ICS 

5. Has received SNS orientation and training for the position of RSS Tactical Communications Lead as determined by the authority willing to offer this individual.s services 

 
EXPERIENCE: 

 1. Participation in at least one full-scale RSS, Strategic National Stockpile (SNS) Exercise serving as RSS Communications Lead 

2. At least two years of experience working with different types of hand-held radios, radio base stations and repeaters  

3. Has demonstrated a basic knowledge of electronics for at least five years 

 
CERTIFICATION: 

 None required 
 
LICENSING: 

 None required 
 

                     
39. Receiving Staging & Storage (RSS) Task Force Leader 
 
DESCRIPTION: 

 The primary purpose of the RSS task force leader is to be responsible for overall management of a SNS RSS Site 
 

Table 39-1: Required Criteria  
EDUCATION: 

 None required 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100: Introduction to ICS 

2. ICS-200: Basic ICS 

3. ICS-300: Intermediate ICS 

4. ICS-400: Advanced ICS 

5. FEMA IS-700: NIMS, an Introduction 

6. Has received SNS orientation and training for the position of Task Force Leader (or RSS Site Commander) or RSS Operations Team Lead (or Operations Chief) as determined by the authority willing to offer this individual.s services 

 
EXPERIENCE: 

 Participation in at least one full-scale RSS, SNS Exercise serving as an RSS Task Force Leader (or RSS Site Commander) or as RSS Operations Team Lead (or Operations Chief) 
 
CERTIFICATION: 

 Not Required 
 
LICENSING: 

 Not Required 
 

                     
40. Registered Nurse 
 
DESCRIPTION: 

 The primary role of the RN is to provide health care to individuals, families, and communities. The RN provides services designed to promote health, prevent illness, and achieve optimal recovery from or adaptation to health problems. These services may include but are not limited to assessment of the patient.s and family.s health status and needs (physical, emotional, psychological and social), clinical treatment, teaching, counseling, coordination of multidisciplinary care, and other patient care needs as assigned in a functional or degraded environment in a variety of settings or assessment and intervention at a community level. The RN possesses the education and experience in the practice setting commensurate with the mission assignment. 
 

Table 40-1: Required Criteria  
EDUCATION: 

 Graduate of an accredited nursing program 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100:  Introduction to ICS 

2. ICS-200:  Basic ICS 

3. FEMA IS-700:  NIMS, an Introduction 

4. OSHA 1910.120 HazMat Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI 

 
EXPERIENCE: 

 1. Ongoing, active participation with an established health care related providing entity or public health entity such as a hospital, health system, agency, or service 

2. Minimum of 2 years of experience in a practice setting commensurate with the mission assignment  

 
LICENSING: 

 Active status of legal authority to function as a registered nurse granted by a state, the District of Columbia, or U.S. territory  
 

Table 40-2: Recommended Criteria  
CERTIFICATION: 

 Active Specialty Certification in the clinical area/specialty requested. 
 

           
41. Respiratory Therapist 
 
DESCRIPTION: 

 The primary role of the respiratory therapist is to initiate, perform complex respiratory care treatments, services and provides monitoring of patients and equipment.  The respiratory therapist possesses the education and experience in areas of patient care commensurate with the patient care mission. 
 

Table 41-1: Required Criteria  
EDUCATION: 

 Graduate of an accredited Respiratory Care Program 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100:  Introduction to ICS 

2. ICS-200:  Basic ICS 

3. FEMA IS-700:  NIMS, An Introduction 

4. OSHA 1910.120 HazMat Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI 

 
EXPERIENCE: 

 1. Ongoing, active participation with an established health care related providing entity such as a hospital, health system, agency, or service 

2. Minimum of 2 years of experience in a clinical setting commensurate with the mission assignment 

 
CERTIFICATION: 

 Successful completion of one of the following professional certifications: 
1. RRT      

2. CRT 

 
LICENSING: 

 Active status of legal authority to function as a Respiratory Therapist granted by a state, the District of Columbia, or U.S. territory  
 

               
42. Shelter Team Leader 
 
DESCRIPTION: 

 The primary purpose of the Medical/Public Health Shelter Team Leader is to coordinate all medical and public health activities for congregate shelters.  This includes the implementation of  plans, policies, and procedures for provision of primary and secondary preventative care of mass shelter community and the supervision of community health assessment (initial and ongoing) in mass shelters  and the integration of team operations into the mass care site. 
 

Table 42-1: Required Criteria  
EDUCATION: 

 None required 
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100: Introduction to ICS     

2. ICS-200: Basic ICS 

3. ICS-300: Intermediate ICS 

4. ICS-400: Advanced ICS 

5. FEMA IS-700:  NIMS, an Introduction 

6. OSHA 1910.120 HazMat Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI 

 
EXPERIENCE: 

 1. Completion of Successful deployment or approved field exercise in past 12 months 

2. Experience in managing at least one component of a disaster shelter in an actual disaster  or running a disaster shelter in a field exercise or in an actual disaster 

 
CERTIFICATION: 

 None required 
 
LICENSING: 

 Active status of legal authority to function as a [licensed or certified professional] without restrictions granted by sending state, the District of Columbia, or U.S. territory as required for the individual.s discipline 
 

            
43. Surgical Technician/Technologist 
 
DESCRIPTION: 

 The primary focus is serving in an assistive role to surgeons, anesthesiologists, and other operating room staff to prepare patients for and assist during operative procedures. The Surgical Technologist:  
1. Functions under the direct supervision of a surgeon, anesthesiologist, or registered nurse 

2. Prepares surgical instruments before and after procedures  

3. Assists with surgical counts with the registered nurse or circulator 

4. Assists the surgical team to maintain a sterile field during each procedure 

5. Prepares and transports patients safely to and from the operating room 

6. Passes instruments, retracts tissues to help better visualize the area of the patient where the surgical team is working 

7. Assists in the operation and sterilization of operative equipment 

 

Table 43-1: Required Criteria  
EDUCATION: 

 Successful completion of state recognized course of instruction or completion of an accredited surgical technologist/technician  program  
 
TRAINING: 

 

 Completion of the following courses/ curricula: 
1. ICS-100:  Introduction to ICS. 

2. ICS-200:  Basic ICS. 

3. FEMA IS-700:  NIMS, an Introduction. 

4. OSHA 1910.120 HazMat Awareness Training or equivalent basic instruction on responding to and operating in a CBRNE MCI. 

 
EXPERIENCE: 

 1. Ongoing, active participation with a providing entity such as an established health care institution, system, agency, or service 

2. Minimum of 2 years of experience in a operative setting commensurate with the mission assignment within the past five years 

 
CERTIFICATION: 

 Successful completion of one of the following professional certifications: 
1. CST 

2. TS-C 

3. CFA