Cha Hics 5 Basics Final 0

8/9/2019 Cha Hics 5 Basics Final 0

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1

Hospital IncidentCommand System

Updated with May 2014 HICS Revisions

This material has been developed for training purposes; do not share, distribute, transmit or reproduce without prior written consent of California Hospital Association This course was

developed by the CHA Hospital Preparedness Program with grant funds provided by the U.. !epartment of Health " Human ervices Assistant ecretary for Preparedness "#esponse Hospital Preparedness Program and awarded by the California !epartment of Public Health. $o part of this course or its materials shall be copied or utili%ed for monetary

gain.

HICS Basics Part 1

Manaement Systemand !ools "or #vents


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2

$%&ectives

• Learn the principal concepts and features

of the Hospital Incident Command System

• Understand the roles and relationships ofthe Hospital Incident Management Team

• Understand the principles of Incident

Action lanning


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!

HICS $verview

• Assists in emergency management planning"

response" and reco#ery capa$ilities for

unplanned and planned e#ents

• Consistent %ith ICS and the &ational Incident

Management System '&IMS( principles

Logical management structure

)efined responsi$ilities

Clear reporting channels

Common nomenclature


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*

'hat HICS is (ot

HICS is not)

• HICS does not replace or supplant dailyhospital operations

• The HICS +uide$oo, does not replace

the hospital-s .mergency /perationslan


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0

HICS *eat+res

• Hospital Incident Management Team Chart

• All haard approach

• Incident Action lanning• o$ Action Sheet

• Incident lanning +uides

• Incident 3esponse +uides• HICS 4orms

• romotes 3eco#ery


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5

'here do I "ind HICS in"ormation,

• %%%6emsa6ca6go#7disaster8medical8ser#ices8di#ision8hospital8incident8command8system

• %%%6calhospitalprepare6org

• %%%6hicscenter6org

HICS Reso+rces

http://www.emsa.ca.gov/disaster_medical_services_division_hospital_incident_command_systemhttp://www.emsa.ca.gov/disaster_medical_services_division_hospital_incident_command_systemhttp://www.emsa.ca.gov/disaster_medical_services_division_hospital_incident_command_systemhttp://www.calhospitalprepare.org/http://www.hicscenter.org/http://www.hicscenter.org/http://www.calhospitalprepare.org/http://www.emsa.ca.gov/disaster_medical_services_division_hospital_incident_command_systemhttp://www.emsa.ca.gov/disaster_medical_services_division_hospital_incident_command_systemhttp://www.emsa.ca.gov/disaster_medical_services_division_hospital_incident_command_system


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Basic Incident CommandStr+ct+re

Modular /rganiation:4unctional Sections Acti#ated as &eeded

Incident

Commander

Plannin

Section

Chie"

-oistics

Section Chie"

$perations

Section Chie"

*inance.

/dministration

Section Chie"

P+%licIn"ormation

$""icer

-iaison

$""icer

Medical.

!echnical

Specialists

Sa"ety

$""icer


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Hospital Incident CommandSystem

The system is scala%le so that

more or fewer positions


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=

Command

Command "+nctions

• Maintain o#erall management of the incident

• Sets incident o$>ecti#es and priorities

• )e#ise and appro#e strategies

• .nsure mission completion

Command consists o")

• Incident Commander

• Command Staff


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1?

Command

Incident

Commander

P+%lic

In"ormation

$""icer

-iaison

$""icer

Medical.

!echnical

Specialists

Sa"ety

$""icer

•Chemical

•Clinic Administration

•@iological7Infectious

)isease

•Hospital Administration

•Legal Affairs

•Medical .thicist

•Medical Staff

•ediatric Care

•3adiological

•3is, Management


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Incident Commander

escription.+ties)

• )etermine scope and magnitude of e#entand facility impact

• Acti#ate and direct the Hospital CommandCenter

• +i#e o#erall strategic direction for thehospital

• Initiate and appro#e the Incident Action lan

• Authorie total facility e#acuation if%arranted

• /nly position al%ays acti#ated


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P+%lic In"ormation $""icer

escription.+ties)

• Communicate %ith internal and eternalsta,eholders including:

Staff

Visitors and family Media

• )etermine information to $e released

• Colla$orate %ith local community officials 'ointInformation Center( for consistent content

• /$tains Incident Commander appro#al on allmessages

Reports to) Incident Commander


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Sa"ety $""icer

escription.+ties)

• .nsure safety of staff" patients and #isitors

• Monitor and ha#e authority o#er the safety ofrescue operations and haardous conditions

• )etermine safety ris,s

• Initiate correcti#e7protecti#e actions

• Completes the HICS form 210A" Incident Action lan Safety Analysis

• Has authority to halt any operation that posesimmediate threat to life and health



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-iaison $""icer

escription.+ties)

• Hospital Command Center contact for

supporting agencies and organiations

• Ma,e facility needs and reBuests forassistance and resources



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10

escription.+ties)

Medical.!echnical Specialist

• Su$>ect matter eperts that ad#ise the IncidentCommander and7or assigned section6

• May $e assigned as technical ad#isor in theHospital Command Center

• May $e assigned to ad#ise and o#erseespecific hospital operations

• #3ample) )econtamination operations duringa chemical eposure situation



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• @iological

• Infectious )isease• Chemical

• 3adiological

• Legal Affairs

• 3is, Management


#3amples Incl+de)

Medical.!echnical Specialist

• Medical Staff

• ediatric Care

• Medical .thicist

• Clinical Administration

• Hospital Administration


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Command Review

!he Incident Commander is responsi%le "or)

• Management of the Incident

• Acti#ities %ithin the Hospital Command Center

• Continuing as Incident Commander until authority isdelegated to another

!he Command Sta"" consists o")

• u$lic Information /fficer 'I/(

• Liaison /fficer • Safety /fficer

• Medical7Technical Specialist's(


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Sections

$perationsSection Chie"

Plannin

Section Chie"

*inance .

/dministration

Section Chie"

Incident

Commander

P+%lic

In"ormation

$""icer

-iaison

$""icer

Medical.

!echnical

Specialists

Sa"ety

$""icer

-oistics

Section Chie"


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Sections incl+de)

/perations

lanning

Logistics

4inance7Administration

• Sections are led $y a Chief

• Section Chiefs are called +eneral Staff

Sections


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$perations


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$perations Section Mission)

Manage tactical operations

)irect all tactical resources

Carry out the mission and

Incident Action lan

• )irects all tactical resources

• Led $y a Section Chief

$perations Section


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!he Section incl+des)

• Staging Area

•Medical Care @ranch• atient 4amily Assistance@ranch

• Infrastructure @ranch

• HaMat @ranch

• Security @ranch

• @usiness Continuity @ranch

$perations Section


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2!

Stain Manaer

• /rganie and manage the deployment of

supplementary resources" including personnel"

#ehicles" eBuipment" supplies" and medications

Mission)


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Mission)

• /rganie and manage the deli#ery of emergency"

inpatient" outpatient" and casualty care" and

clinical support ser#ices

+ties)

• Address pro#ision of acute and continuous care

• or, %ith Logistics for resource acBuisition• or, %ith Staging Manager for deli#ery of

resources to areas

Medical Care Branch irector


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S+pervises)

• Inpatient Unit Leader 'all inpatient units(

• /utpatient Unit Leader 'all outpatient ser#ices(• Casualty Care Unit Leader '.mergency

)epartment(

• @eha#ioral Health Unit Leader

• Clinical Support Unit Leader 'i6e6" La$")iagnostic Imaging" harmacy" Morgue" @lood)onor(

• atient 3egistration Unit Leader

Medical Care Branch irector


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Mission)

• /rganie and manage the ser#ices reBuired to

sustain and repair the hospital’s infrastructure

operations

+ties)

• Maintain o#erall facility operations and

operating capacity• Identify and fies utility ser#ice


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S+pervises)

• o%er7Lighting Unit Leader

• ater7Se%er Unit Leader

• HDAC Unit Leader

• @uilding7+rounds Unit Leader

• Medical +ases Unit Leader

In"rastr+ct+re Branch irector


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Mission)

• Coordinate acti#ities related to internal and eternalpersonnel and facility security

+ties)• Implement facility security measures

• .nsure security and access control of the HospitalCommand Center

• Liaison %ith responding la% enforcement• /#ersee search and rescue operations

Sec+rity Branch irector


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S+pervises)

• Access Control Unit Leader

• Cro%d Control Unit Leader

• Traffic Control Unit Leader

• Search Unit Leader

• La% .nforcement Interface Unit Leader

Sec+rity Branch irector


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Mission)

• /rganie and direct haardous material incidentresponse acti#ities

• Technical" and emergency decontaminationE andfacility and eBuipment decontamination

+ties)

• /#ersee hamat e#ent

Decontamination of victims, staff, facility Safe and appropriate use of PPE Clean up operations

• Colla$orates %ith Medical Care @ranch )irector

HaMat Branch irector


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!1

S+pervises)

• )etection and Monitoring Unit Leader

• Spill 3esponse Team Unit Leader

• Dictim )econtamination Unit Leader

• 4acility7.Buipment )econtamination

Unit Leader

HaMat Branch irector


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!2

Mission)

• .nsure $usiness functions are maintained"restored or augmented

+ties)

• 4acilitate acBuisition and access to essentialreco#ery resources" including $usiness records

• Coordinate IT ser#ices %ith Logistics Section• Assist @ranches and impacted areas to restore

normal operations

B+siness Contin+ity

Branch irector


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!!

S+pervises)

• IT Systems and Applications UnitLeader

• Ser#ice Continuity Unit Leader

• 3ecords Management Unit Leader

B+siness Contin+ity

Branch irector


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Patient *amily /ssistance

Branch irector Mission)• /rganie and manage assistance for patient family care

needs" including communication" lodging" food" healthcare" spiritual" and emotional needs that arise during theincident6

+ties)

• .nsure patient family assistance resources

• Coordinate eternal community resource reBuests

• .nsure 4amily reunification" Social Ser#ice" Cultural and

Spiritual needs

• Communication %ith la%" go#ernment and non<go#ernmental agencies" and media through the Liaison/fficer and u$lic Information /fficer


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S+pervises)

• Social Ser#ices Unit Leader

• 4amily 3eunification Unit Leader

Patient *amily /ssistance Branch

irector


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$perations Section Review

!he $perations Section is responsi%le "or)

The tactical o$>ecti#es and organiation

All tactical operations )irecting all tactical resources

• /perations is led $y a Chief

• /perations positions are acti#atedas needed $y the incident


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!9

-oistics


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Section Mission)

• /rganie and direct maintenance of the physical

en#ironment F pro#iding human resources" material"

and ser#ices to support the incident6

• ro#ides support ( stuff ) to other sections

• AcBuires resources from internal and eternal

sources

• Through Liaison" lin,s to local .mergency

/perations Center for resource reBuests

• Led $y a Section Chief

-oistics Section


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Scope and Responsi%ilities overlap

• Logistics Supply Unit and /perations-Infrastructure @ranch

• La$or ool and Credentialing Unit and Staging

ManagerF ersonnel Trac,ing Manager

-oistics and $perations are closely

lin5ed and m+st wor5 colla%oratively

• Logistics Section are the Ggetters

• /perations Section are the Gdoers

-oistics and $perations


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-oistics Section

!he Section incl+des)

• Ser#ice @ranch

• Support @ranch


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Mission)

• /rganie and manage ser#ices to maintain

hospital communication" food and %ater supply

and information technology and systems

Service Branch irector

• Communications Unit Leader

• IT7IS and .Buipment Unit Leader

• 4ood Ser#ices Unit Leader

$versees)


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Mission)

• Manage supplies" facilities" transportation" and

la$or pool6 ro#ide logistical" psychological" and

medical support to hospital staff and theirdependents

$versees)

• .mployee Health and ell


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!he -oistics Section is responsi%le "or)

Organiing and directing internal and e!ternal

resources to support t"e incident

Providing support to ot"er sections•Logistics supports the incident resource

reBuirements

-oistics has two %ranches)

Support

Service

•Logistics is led $y a Chief %ho %or,s closely %ith

the /perations Section

-oistics Section Review


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Plannin Section


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Mission)

• Collect" e#aluate" and disseminate

incident action information andintelligence to Incident Commander

• repare status report

• )e#elop the Incident Action lan• Led $y a Section Chief

Plannin Section


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S+pervises)

• 3esources Unit Leader

Personnel #rac$ing

Materiel #rac$ing

• Situation Unit Leader

Patient #rac$ing

%ed #rac$ing

• )ocumentation Unit Leader

• )emo$iliation Unit Leader

Plannin Section Chie"


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!he Plannin Section is responsi%le "or)

• Collecting" e#aluating and disseminating incident

situation information to the Hospital Command

Center

• Maintaining resource status

• )e#eloping the Incident Action lan 'IA( and

o$taining Incident Commander appro#al on IA

• Archi#ing response and reco#ery documentation

• Assisting %ith After


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*;

*inance Section


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*inance./dministration

Section Chie"

Mission)

• Monitor the utiliation of financial

assets and the accounting forfinancial ependitures6

• Super#ise the documentation of

ependitures and costreim$ursement6


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S+pervises)

• Time Unit Leader

• rocurement Unit Leader

• Compensation7Claims Unit Leader

• Cost Unit Leader

*inance./dministration

Section Chie"


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01

P+ttin it all toether) Choosin the

Hospital Incident Manaement !eam)

• Incident Commander is the only position

that must $e included

• The Incident Commander chooses do%n

to the Chief Le#el

• .ach Chief appoints positions in their

section needed to complete the mission

$ased on a#aila$le personnel

!he Hospital Incident

Manaement !eam


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02

6+estions,


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7o% /ction Sheets

Series of action steps to Gprompt team

mem$ers to ta,e needed actions related

to their roles and responsi$ilities

• /ne for each position

•Includes title" mission7function and duties

• Ad>usted to meet hospital needs

• 3efers to supporting forms


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$perations Section Chie"

Mission))e#elop and implement strategies and tactics to carry out the

o$>ecti#es esta$lished $y the Incident Commander6 /rganie" assign"

and super#ise the resources of the Staging Area" the Medical Care"

Infrastructure" Security" Haardous Materials 'HaMat(" @usiness

Continuity" and atient 4amily Assistance @ranches6

7o% /ction Sheet *ormat


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/ction Steps and Considerations

• o$ Action Sheet pro#ides position action steps and

considerations

/ctions listed %y Response !ime Periods

• Immediate ? F 2 hours

• Intermediate 2 F 12 hours

• .tended @eyond 12 hours

• )emo$iliation7

System 3eco#ery


Immediate Response 0 2 Ho+rs Time Initial


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Immediate Response 082 Ho+rs Time Initial

Receive appointment/$tain a $riefing from the Incident Commander on:o Sie and compleity of the incidento .pectations of the Incident Commander

o Incident o$>ecti#eso In#ol#ement of outside agencies" sta,eholders" and organiationso The situation" incident acti#ities" and any special concerns Assume the role of /perations Section Chief3e#ie% this o$ Action Sheetut on position identification 'e6g6" position #est(&otify your usual super#isor of your assignment

/ssess the operational sit+ation/$tain information and status from the Staging Manager" and theMedical Care" Infrastructure" Security" Haardous Materials 'HaMat("@usiness Continuity" and atient 4amily Assistance @ranch )irectorsro#ide information to the Incident Commander on the operationalsituation including capa$ilities and limitations

etermine the incident o%&ectives9 tactics9 andassinments)etermine %hich /perations Section functions need to $eacti#ated


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09

oc+ments.!ools)

• A listing of pertinent HICS forms this position is

responsi$le for using

&orms noted in 'o ction S"eet action steps

• /ther tools that %ill help them fulfill their role and

responsi$ilities

Hospital plans, policies and procedures

#ec"nology tools

Ot"er ad*uncts



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oc+ments.!ools)

$perations Chie" oc+ments.!ools

HICS 2?! < /rganiation Assignment List HICS 2?* < Assignment List

HICS 2?0A < Communications List

HICS 21! < +eneral Message 4orm

HICS 21* < Acti#ity Log HICS 210A < Incident Action lan 'IA( Safety Analysis

HICS 221 < )emo$iliation Chec,


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7o% /ction Sheet Use

• 7o% /ction Sheets are +sed

contin+o+sly

ctions in all operational periodss"ould e continued and monitored

• 7o% /ction Sheets sho+ld trans"er to

yo+r replacement and actions

contin+ed

+pon s"ift c"ange or position

c"ange


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7o% /ction Sheet Section Review

!he 7o% /ction Sheets are)

• An incident management tool

• A series of actions to meet the incident response

• Are di#ided in response time periods: mmediate- . / 0 "ours

ntermediate- 0 / 10 "ours

E!tended - 2reater t"an 10 "ours

Demoiliation3System 4ecovery

• Standardied to facilitate interagency response

• Customia$le for the uniBue facility needs7roles


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6+estions,


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Hospital Incident /ction Plannin

:ey to #""ectiveResponse and Recovery


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16 Assess the Situation

26 Set the /perational eriod

!6 )etermine Safety riorities and .sta$lish

Incident /$>ecti#es*6 )etermine @ranch7Section /$>ecti#es

06 )etermine Strategies and Tactics

56 )etermine &eeded 3esources

96 Issue Assignments

;6 Implement Actions

=6 3eassess Ad>ust lans

Hospital Incident /ction Plannin


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• Type" location" magnitude" possi$le duration

• /n


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/n $perational Period is)

• The time period scheduled for eecution of

tactical actions in the Incident Action lan

• Set $y the Incident Commander

!he $perational Period is +s+ally set in

ho+rs

•)oes not ha#e to conform to shift times

• Can $e long or short" depending on the intensity

of the incident

;2 Set the $perational Period


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ecti#es that are

foundational and do not change during

response and reco#eryE not limited to anoperational period

#3amples)

• ro#ide adeBuate care to all patients %ho

present as a result of the incident

• ro#ide for the safety of hospital personnel

;> etermine Sa"ety Priorities ? #sta%lish Incident$%&ectives


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Individ+al Section.Branch $%&ectives

• More specific @ranch7Section o$>ecti#es to achie#e

o#erall Incident /$>ecti#es

• Steps during the defined /perational eriod

• Should $e tangi$le and measura$le

#3ample)

• ro#ide prophylais to 90J of direct patient care

staff %ithin 2 hours

• )econtaminate 0? #ictims %ithin 1 hour

;4 etermine Individ+al Section.Branch $%&ective

;@ t i St t i d


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;@ etermine Strateies andetermine Strateies and !actics

Stratey de"ined)

• The general direction selected to accomplish

incident o$>ecti#es

• The approach to achie#ing the o$>ecti#es

!actics de"ined)

• Specific actions" seBuence of actions"

procedures" tas,s" assignments to meet

strategies and o$>ecti#es

• The G$oots on the ground or Gdoers


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• Tactical resources may include: Personnel

E8uipment

Supplies

P"armaceuticals

Ve"icles

• A#aila$le and needed resources to meet the

o$>ecti#es must $e identified

;A etermine (eeded Reso+rces


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• Hospital Command Center positions areacti#ated according to incident needs

• Staff are assigned to conduct incident specific

operations:

Evacuation Decontamination

#riage and treatment

Safety measures

$nce the o%&ectives and needed reso+rces

are identi"ied9 assinments are iss+ed)

; Iss+e /ssinments


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!he Plannin Meetin

!he Plannin Meetin is)

• Led $y the lanning Section Chief

• )efines and finalies operational period

o$>ecti#es" strategies" tactics" and

resources as determined $y each

section for the net operational period


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!he Plannin Meetin

!he Plannin Meetin is cond+cted

a"ter)

ncident Commander "as provided an

incident riefing and determined t"encident O*ectives and identified t"e

Operational Period

Sections "ave met to discuss t"eir

response priorities and identifiedSection3%ranc" o*ectives


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/t the end o" the Plannin Meetin)

#"e Section C"iefs sumit completed HCS

&orm 0.9 ssignment 6ist

#"e Safety Officer sumits completed HCS

&orm 01: ncident ction Plan Safety

nalysis

!he Plannin Meetin


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9*

irect9 monitor and eval+ate response)

• Constant monitoring of strategies and tactics for

effecti#eness

• Assess the @ranch7Section /$>ecti#es re t"e o*ectives eing ac"ieved;

s t"e strategy3tactics safe;

s t"e strategy3tactics effective;

Evaluation is an ongoing process throughout

response and recovery

; Implement /ctions


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;D #val+ate and Revise Plans

Cond+ct a c+rrent sit+ation assessment

+pdate situation3incident information

ssess t"e impact on t"e "ospital

6engt" and duration of incident 4esource availaility

• Assess the Incident /$>ecti#es

• Assure o$>ecti#es are achie#ed in a safe andtimely manner

• 3e#ise o$>ecti#es" strategies" tactics andresource needs for the upcoming operationalperiod

Incident /ction Plan


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Incident /ction PlanResponsi%ilities

!he Incident Commander

• ro#ides o#erall Incident /$>ecti#es 'HICS 2?2(

• Sets the /perational eriod• )e#elops ma>or strategies 'priorities(

• Acti#ates Hospital Incident Management Team

• .sta$lishes policy for resource orders

• Appro#es initial actions and the completed

Incident Action lan



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!he Sa"ety $""icer

• Ad#ises the Incident Commander and

Section Chiefs on safety issues andmeasures

• )e#elops the Safety lan 'HICS 210A(

• /#ersees the safety of operations and

tactics




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!he $perations Section Chie"

• )etermines7assesses areas of operation

• Ad#ises Incident Commander of acti#ated/perations positions and %or, assignments

• )etermines tactics 'HICS 2?*(

• )etermines resource reBuirements 'HICS2?*( and communicates needs %ith Logistics




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!he Plannin Section Chie"

• repares for the lanning Meetings

2at"ers information for t"e ncident ctionPlan (HCS 0.1, 0.0, 0.7, 0.9s and 01:)

Develops demoiliation plans

• Conducts the lanning Meeting

• Coordinates and su$mits the Incident Actionlan to the Incident Commander for appro#al

• )isseminates the Incident Action lan




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!he -oistics Section Chie" • )etermine tactics and resource reBuirement

'HICS 2?*(

• Ad#ises acti#ated Logistics positions

• .nsures resources to support Incident Action

lan

• )e#elops plans that support the Incident Action

lan

Communications Plans

#ransportation Plans




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;1

!he *inance./dministration Section

Chie"

• )etermine tactics and resource reBuirement

'HICS 2?*(

• ro#ides cost implications of the Incident

/$>ecti#es

• .nsures the Incident Action lan is %ithin cost

limitations

• Ad#ises the Incident Commander on

4inance7Admin acti#ated positions




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;2

!he Incident /ction Plan

• ro#ides Hospital Incident Management Team%ith direction for the /perational eriod

• Uses the elements of Management $y/$>ecti#es

• )e#eloped $y Command" +eneral Staff pro#ideinput

• .ssential for effecti#e response and reco#ery



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6+estions,


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emo%iliation and Recovery


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Preparation "or emo%iliation

emo%iliation•The )emo$iliation lan is created $y the)emo$iliation Unit Leader and appro#ed $ythe lanning Section Chief and IncidentCommander

• )emo$iliation $egins

s incident o*ectives are met

&ollo

#"e demoiliation of resources no longer

?eeded s"ould occur rapidly and efficiently


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;5

emo%iliation Considerations

• )emo$iliing must $e a part of the Incident Actionlan

• Managing pu$lic perception

• .Buipment reha$ and restoc,ing

• 4inancial restoration

• Addressing hospital personnel concerns

Preparation "or emo%iliation


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;9

• 3eco#ery follo%s response and focuses uponreturning the hospital to $aseline le#el offunctioning

• The starting point for reco#ery $egins early inthe response

• Transition from response to reco#ery is rarelyo$#ious

• 3eco#ery may etend o#er a long time" from%ee,s to years

Recovery


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;;

The reco#ery plan includes principles of

organiational learning and impro#ement:

• After Action 3eport and Impro#ement lan

• .#aluate hospital response7reco#ery operations

• Identify strengths" %ea,nesses" and strategies

to:

6essen future vulneraility mprove aility to respond to future incidents

4evise t"e Emergency Operations Plan

$raniational -earnin


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Section Review

• )emo$iliation and 3eco#ery should $e

planned early

• )emo$iliation and 3eco#ery is the return to

Gnormal" or Gne%


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6+estions,

Scenarios9 Incident Plannin


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9 E+ides and Incident ResponseE+ides

• Acti#e Shooter

• Chemical Incident

• .arthBua,e

• .#acuation" Shelter


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Scenarios

• Information Technology 'IT( 4ailure

• Mass Casualty Incident

• Missing erson

• 3adiation Incident• Se#ere eather %ith arning

• Staff Shortage

• Tornado

• Utility 4ailure

• ildland 4ire


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Incident Plannin E+ides

Incident lanning +uides assist hospitals %ith

e#aluating eisting plans or %riting needed

plans

• They address 1; scenarios• They are intended to identify actions or

strategies to prepare for identified haards

• Assess current plans and identify gaps

• )e#elop e#ent


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=*

Provides Incident Speci"ic)• )irections

• Incident /$>ecti#es

• Management tas,s $y function andtimeframes

• Sample Hospital Incident Management Teams

Sho+ld compliment)

• .mergency /perations lan and o$ ActionSheets

Can %e +sed as doc+mentation

Incident Response E+ides


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Section Review

Incident Plannin E+ides and IncidentResponse E+ides

• Are incident


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6+estions,


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HICS *orms


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=;

• Ser#es as a road map in response:e#eryone acting from the same plan

• Ser#es as foundation for correcti#e action

• .nsures consistency and compliance %ithregulatory guidelines

• Complies %ith documentation for 4.MAreim$ursement

!he Fal+e o" Usin HICS *orms


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==

(oG (ame Responsi%le

2?? Incident Action lan Co#er Sheet lanning Section Chief

2?1 Incident @riefing Incident Commander

2?2 Incident /$>ecti#es Section Chiefs

2?! /rganiational Assignment List 3esource Unit Leader

2?* Assignment List @ranch )irectors

2?0 Communications Log Communications Unit Leader

2?5 Staff Medical lan Support @ranch )irector

2?9 /rganiation Chart Incident Commander

21! Incident Message 4orm All ositions

21* /perational Log All HIMT Staff

210a Incident Action lan Safety Analysis Safety /fficer

IA KS IA Kuic,Start Incident Commander andlanning

HICS *orms


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1??

(oG (ame Responsi%le

221 )emo$iliation Chec,


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1?1

HICS *orms 200)

Incident Action Plan Sheet • P+rpose) ro#ides a co#er sheet and achec,list for HICS 4orms and other documents

included in the operational period Incident

Action lan

• $riination) Incident Commander or lanning

Section Chief

• Copies to) Command and +eneral Staff and

)ocumentation Unit Leader

• Help"+l !ips) Additions may $e made to the

form to meet the organiation-s needs

HICS *orm 201)


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1?2

HICS *orm 201)

Incident Briefing

• P+rpose) )ocuments initial response information

actions at start


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1?!

HICS *orm 201)

Incident Briefing

HICS *orm 202)


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1?*

• P+rpose) )efines incident o$>ecti#es

• Instr+ctions) Include

@eat"er3Environmental mplications

2eneral Safety3Safety Messages

ttac"ments

Prepared y Planning Section C"ief

/pproved %y) Incident Commander

HICS *orm 202)

Incident Objectives

HICS *orm 202)


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1?0

HICS *orm 202)Incident Objectives

HICS *orm 20>)


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1?5

• P+rpose) To document Hospital Command Center

staffing

• $riination) lanning Section Chief or designee

'3esources Unit Leader(

• Copies to)

Command Staff and 2eneral Staff

%ranc" Directors and gency Staff

Documentation +nit 6eader

Organization Assignment ist

HICS *orm 20>)


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1?9

Organization Assignment ist

HICS *orm 204)


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1?;

• P+rpose) )ocument $ranch assignments"

o$>ecti#es" strategies7tactics and resource needs

• $riination) Section Chief or @ranch )irector

• Copies to) Command" +eneral Staff and

)ocumentation Unit Leader

• 'hen to complete) At the start of each

operational period

Assignment ist

HICS *orm 204)


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1?=

Assignment ist !page "#

HICS *orm 204)


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11?

Assignment ist !page $#

HICS *orm 21@/)


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111

Incident /ction Plan Sa"ety /nalysis

• P+rpose) )ocument haards and mitigation

• $riination) Safety /fficer

• Copies to) Command and +eneral Staff" Sections" and

@ranches

• Prepared %y) Safety /fficer

• /pproved %y) Incident Commander

• 'hen to complete) rior to safety $riefing during the

operations $riefing and at transfer of roles

HICS *orm 21@/)


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112

Incident /ction Plan Sa"ety /nalysis

HICS *$RM 21>)


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11!

P+rpose) ro#ide standardied message recording

Instr+ctions)

Response re+ired) Indicate a reply %asreBuested and to %hom reply addressed

• Priority) Indicate le#el of urgency

• Messae)

Aeep all messages3re8uests rief, to t"e

point, and very specific #ranscrie complete, concise, and specific

content of messageB

• /ction !a5en 'if any(

%eneral &essage 'orm

HICS *$RM 21>)


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11*

%eneral &essage 'orm

HICS *$RM 214)


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110

• P+rpose) )ocument

ncident issues encountered

Decisions made

?otifications conveyed

• $riination) Command and +eneral Staff

• 'hen to complete)

Continuously, from activation t"roug"

demoiliation

Activity og

HICS *$RM 214)


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115

Activity og


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119

P+rpose) A short form com$ining forms

2?1" 2?2" 2?!" 2?* and 210A6 May $e used

in place of full forms to document initial

actions or short incidents" and can epandto the full forms as needed6

$riination) Incident Commander or

lanning Section Chief

HICS *orm I/P 6+ic5 Start)



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11;

!page "#



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11=

!page $#

S ti R i


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12?

Section Review

!he HICS "orms)

• ro#ide the Hospital Incident Management

Team %ith documents needed to manage aresponse

• Assist in communication %ith eternal agencies

• Assist in communication %ith hospital staff

• )ocuments response and reco#ery

HICS +rin $"" Ho+rs and

S


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121

Small and R+ral Hospitals

!he same principles "or lare hospitals is +sedat smaller hospitals or o"" ho+rs9 holidays and

wee5ends at all sie hospitals

• Acti#ate needed Hospital Incident Management

Team mem$ers

• hen not enough staff" it may $e necessary to

$lend >o$ roles into a single o$ Action Sheet

&or e!ample, t"e ncident Commander may assumet"e role of t"e Pulic nformation Officer and even

t"e 6iaison Officer B

$ ti li i HICS


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$perationaliin HICS

• Assign an indi#idual in charge of implementation

• /$tain support from the C./7senior leadership

• Ma,e it high priority for administrators and staff

• ro#ide $udgets support

• .sta$lish training reBuirements7competencies

• romote integration into the community response

• ro#ide training of HICS and the .mergency /perationslan

• .ercise the plan and use of HICS

6 ti ,


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12!

6+estions,


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HICS Basics Part 1

Manaement System and

!ools "or #vents

de#eloped $y theCalifornia Hospital Association-sHospital reparedness rogram

%%%6calhospitalprepare6org

Updated with May 2014 HICS Revisions
http://www.calhospitalprepare.org/http://www.calhospitalprepare.org/

Cha Hics 5 Basics Final 0

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