The Daily Item: Geisinger anesthetist chosen for National Disaster Medical System team

By Eric Scicchitano | escicchitano@dailyitem.com

December 19, 2021

Christopher Heiss, an anesthetist with Geisinger, has been chosen to join the National Disaster Medical System’s Trauma and Critical Care Team. He’ll be sworn in this January. Christopher Heiss, an anesthetist with Geisinger, has been chosen to join the National Disaster Medical System’s Trauma and Critical Care Team. He’ll be sworn in this January. 📷: courtesy of Geisinger

Christopher Heiss, an anesthetist with Geisinger, long desired to serve the U.S. in a uniformed capacity but his career in medicine ultimately kept him from joining the military.

However, Heiss, 32, of Bloomsburg, eyed serving with a distinguished federal medical unit and after several tries, has been chosen to join the National Disaster Medical System’s Trauma and Critical Care Team. He’ll be sworn in this January.

“For me, it’s me playing a part that I grew up around,” Heiss said, referring to relatives who served the armed forces. “It just so happens the service I would provide is very unique to the skill set that I have. Everything I’ve learned throughout my career, it’s all right there.”

Heiss’s career began as an emergency medical technician. He then studied to become a paramedic and later worked as a flight paramedic in Western Pennsylvania. In time, he earned a degree as a registered nurse. He served as an intensive care unit nurse at Geisinger before becoming a certified registered nurse anesthetist in 2019.

In 2020, Heiss, a husband and father of one, helped develop an intubation shield deployed throughout Geisinger’s system to help protect frontline workers from contracting COVID-19.

Over the years, Heiss said he tried to catch the attention of the National Disaster Medical System (NDMS), which is operated through the U.S. Department of Health & Human Services. About 80 health care professionals belong to the NDMS Trauma and Critical Care Team (TCCT). The size and credentials necessary make it a difficult job to obtain.

Members of the National Disaster Medical System are deployed to national and international emergencies like natural disasters, public health emergencies and terrorist attacks. They lead or supplement medical care and other emergency services when resources are stressed or compromised.

Along with TCCTs, NDMS consists of Disaster Medical Assistance Teams (DMAT) — several of which recently deployed following deadly tornadoes in Kentucky and elsewhere in the Midwest — along with Disaster Mortuary Operations Response Teams, Victim Information Center Teams and National Veterinary Response Teams.

TCCT team members include physicians in critical care and emergency medicine, surgeons, physician assistants, nurse practitioners, registered nurses, nurse anesthetists, paramedics, respiratory therapists, radiology technologists, surgical technologists and pharmacists.

“The first-in people who could care for critically ill and injured people,” as Heiss described them.

“We are strictly a federal asset. We serve the president, the vice president and any associated diplomats,” Heiss said, noting that despite being federal assets, they work with state and local professionals.

Teams range from 9 to 48 members each. They’re tasked to conduct specific trauma-related tasks at field hospitals and established facilities such as providing critical care, surgery, advanced trauma life support and much more.

Heiss once felt like he’d never join the TCCT. In February 2020, he and two other Geisinger professionals published a scholarly article in the American Association of Nurse Anesthesiology Journal. It caught the attention of a TCCT member who reached out to Heiss. In time, doubts washed away as Heiss was invited to join.

“Geisinger is committed to supporting all our employees while volunteering in the Uniformed Services. We’re proud that our benefits make it easy for employees to serve both our community and nation,” said Chris Grill, program manager for military and veteran affairs for Geisinger.

There are eight CRNA’s on the TCCT and, Heiss believes, just two in Pennsylvania. He’ll remain employed with Geisinger and leaves for up to two weeks at a time when assigned a deployment.

Heiss said his diverse career portfolio prepared him for this. He’s worked in the streets and in hospital settings, handling sometimes uncontrolled and chaotic situations and remaining calm and on task. He said he feels prepared to join TCCT and thanked Geisinger for its support.

“It’s not really a matter of if but when some type of global event occurs and I need to leave suddenly,” Heiss said.

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Christopher Heiss, who has worked for more than 10 years at Geisinger Medical Center in Danville, Pa., has been a flight nurse, a flight paramedic, and even the developer of a protective intubation shield, or the Barrier for Respiratory Aerosolization (BRA), equipment that protected frontline hospital workers and ambulance personnel during the COVID-19 pandemic.

And now, after years of trying, he can finally add one more major achievement to his already impressive resume: Heiss has been named to the exclusive U.S. Department of Health & Human Services (US HHS) National Disaster Medical System (NDMS) Trauma Critical Care Team (TCCT).

TCCT is the United States’ special operations medical force that is called on within the first 24 to 48 hours of natural and man-made disasters and public health emergencies to set up field hospitals or augment health systems to provide critical, operative, and emergency care to people in need.

TCCT members are medical professionals who are deployed at the request of local authorities to supplement federal, state, local, tribal and territorial resources, and the only component of the NDMS that is international, going anywhere in the world on a moment’s notice to respond to the crisis and then coordinate with the NDMS Patient Movement System to get U.S. citizen evacuated home or to a safe location for care.

While each state has at least one or multiple Disaster Medical Assistance Teams, with thousands of members nationwide, all working under the umbrella of Health & Human Services’ NDMS, TCCT is an elite operation, even serving at every presidential inauguration and State of the Union address. The United States has just one TCCT with 70 to 80 members spread across the country --- and Heiss is one of them.

“This is something I’ve always wanted to do, something that has been a long-time goal of mine,” Heiss said. “It’s incredibly humbling.”

Heiss applied in August 2020 and more than a year later finally was interviewed by a TCCT pioneer who was on the scene after earthquakes in Haiti and Iran, during flooding from Hurricane Katrina, and at ground zero after the 911 terrorist attacks on the United States. Just like crises emerge without warning, so did that interview. The trauma surgeon called one random Sunday afternoon asking him if he could talk “right now.” Yes, of course he could, he said.

Heiss was offered the position in October and takes his oath in January.

Heiss will continue to work for Geisinger. Like other TCCT members, he will keep his civilian job but have periods when he is on call for deployments and must serve out his mission before returning home.

As excited as he is about fulfilling this dream, Heiss says he is excited that eventually he will be able to serve the TCCT as a CRNA from Pennsylvania --- something that simply would not have been possible without Act 60 of 2021.

Before the enactment of that law on June 30, Pennsylvania had been one of just two states that failed to recognize “certified registered nurse anesthetist” in some form. With no definition for nurse anesthetists under the state’s Professional Nursing Law, CRNAs were recognized only as registered nurses.

That means Heiss had to secure credentials from another state to serve on the TCCT as a CRNA, which he did. By granting formal title recognition to nurse anesthetists, Act 60 changes all that --- for him and thousands of other CRNAs in Pennsylvania.

Heiss is already providing lifesaving and life-sustaining care to people where he lives and works. But now, through TCCT, whether it is deploying in the wake of a tornado or responding to a terrorist attack, he can put those same skills to work to help people across the United States and around the world.

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