2011 National Capital Region Full-Scale Exercise Volunteer Form

Exercise is October the 19th

Location – Montgomery County Fire/EMS Training Academy

9710 Great Seneca Highway

Rockville, MD 20852

Time – 7:30 am to 2:30 pm 

The National Capital Region (NCR) is hosting a full scale exercise to test the capabilities of area hospitals in a critical care medical surge event.  Thirteen Maryland hospitals will be using a terrorist attack scenario to exercise their capacity to care for critically injured patients.

In order to evaluate these capabilities, volunteers are needed to play as victims in the exercise.  Mock victims will be asked to act out as if they were injured, and may be applied with moulage (application of mock injuries using make-up and latex).  Volunteers will be triaged and (I) transported to an area hospital and/or (II) processed through decontamination. (I) If transported to an area hospital, volunteers will be transported back to the volunteer staging area.  (II) If processed through decontamination, it will include your being washed and then re-clothed. Please wear a bathing suit, shorts and T-shirt or other outfit under your clothing and bring a change of clothes and towel.  Wearing old clothing is recommended as it may be dirtied or ruined by moulage and/or washing. We would appreciate your wearing loose fitting, easily removable shoes. It is recommended that jewelry not be worn.  Jewelry and personal items will be removed during the decontamination process, bagged and given to you to carry as you go through the decontamination line.

Before the event, you will be given a complete orientation to the incident site, the type of injury or symptoms you should simulate and what actions are expected of you. If you would like to volunteer for this exercise, please answer the following questions and click "Submit."

Additionally, please print and sign the attached waiver and bring it with you to the exercise on the 19th.

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