INCIDENT RESPONSE BOOK - Mansfield & Ashfield View · Triage Running Total 13 Useful Information 14...
Transcript of INCIDENT RESPONSE BOOK - Mansfield & Ashfield View · Triage Running Total 13 Useful Information 14...
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INCIDENT RESPONSE BOOK Please complete with black pen.
By (Print Name) Date Time
Type and Nature of Incident
Index Page
C4 Cycle 2
METHANE Report 3
SBAR Communication 4
Joint Decision Making Model 5
Staffordshire Communications Checklist 6
Shropshire Communications Checklist 7
Nottinghamshire Communications Checklist 8
Derbyshire Communications Checklist 9
SITREP 10-11
Asset Register 12
Triage Running Total 13
Useful Information 14
Working with the Media 15
Abbreviations 16
Incident Response Book Number
Of
This Incident Response Book Closed:
By (Print Name) Date Time
Upon Completion copy and submit to [email protected] for NHS England (North Midlands) EPRR Team.
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C4 CYCLE (Command, Control, Coordination and Communication)
4. ICC Management
Complete asset
register (page 12)
Managing the
ICC/IMT, refer to IRP
(Section 7)
If stood down,
complete another full
cycle then debrief (see
IRP)
3. Incident Briefing
Once in session, use the METHANE/SBAR Report to brief IMT and HETCG
Use the JDMM to set objectives (page 5)
Set Battle Rhythm (meeting frequency, objectives and task core roles) and ensure all decisions are entered into the Log.
1. Incident Evaluation
Type of incident - see IRP (page 4)
Consider JDMM (page 5)
Complete METHANE (page 3) or SBAR (page 4)
If incident, use relevant comm’s checklist (pages 6-9)
2. Information Handling
Set up ICC and issue boxes to core roles
Complete Triage Running Total where necessary (page 13)
Use SITREP when necessary (pages 10-11)
Consider Working with Media (page 15)
30 Mins 45 Mins
15 Mins 0 Mins
See abbreviations on page 16
SCENE
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METHANE REPORT
Name:
Date/Time:
Time of Incident:
M
Major Incident Declared or Standby
E
Exact Location of Incident
T
Type of Incident i.e. HAZMAT/CBRN, RTC, Structural Collapse, Rail
H
Hazards Actual and Potential
A
RVP/ Access Best routes to scene from scene/ egress if known
N
Number of Casualties Approximate numbers, priorities and types of injuries
E
Emergency Services on Scene
Print additional copies as required.
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SBAR COMMUNICATION
Name:
Date/Time:
Conversation with:
Telephone Number:
Email:
SITUATION
Describe situation/incident that has occurred
BACKGROUND
Explain history and impact of incident on services/patient safety
ASSESSMENT
Confirm your understanding of the issues involved
RECOMMENDATION
Explain what you need, clarify expectations and what you would like to happen
Print additional copies as required.
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JOINT DECISION MAKING MODEL (JDMM)
Examples/Considerations
METHANE/SBAR/SITREP / HETCG / SCG / TCG / maps / local knowledge / source of intelligence and credibility / single/multiple
incident
Hazards present / stop/control/mitigate/transfer / ICC / IMT / multi-
agency response
Local/regional/national legislation / statute / guidance / wider
health and non-health informed Proportionate and necessary / time critical response / mutual aid Implement objectives / actions and review and amend as required
The above examples/considerations are not a definitive list.
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STAFFORDSHIRE COMMUNICATIONS CHECKLIST (Following the declaration of a Major Incident)
Actions (to contact and/or brief) Date/Time
NHS England Director On Call (to contact Regional Director On Call)
NHS England Senior Manager On Call
EPRR Team (Head of EPRR and Operations and Delivery Coordinators for EPRR)
Decision Loggist
CCG On Call (North and South)
Acute Providers University Hospital North Midlands NHS Trust (Royal Stoke
University Hospital and County Hospital) Queen’s Hospital Burton
Community Providers Staffordshire and Stoke on Trent Partnership NHS Trust
South Staffordshire and Shropshire Healthcare NHS Foundation Trust
North Staffordshire Combined Healthcare NHS Trust
NHS Communications Team (Local to contact Regional)
SRF (24/7 CCU Duty Officer)
West Midlands Ambulance Service NHS Foundation Trust (Emergency Operations Centre)
Use On Call and IMT Contacts Directory for the above. Once connected ask for the responsible individual’s direct number and record below for future use. NHS England to request a HETCG and set time. Pass the following Teleconference details to the responsible person with a date/time that you require them to dial in. Dial in: 0800 917 1950 Chair: 18853950# Participant: 10514896#
Name Contact Number
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
NHS England to contact
CCG to contact
NHS England and CCG to contact
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SHROPSHIRE COMMUNICATIONS CHECKLIST (Following the declaration of a Major Incident)
Actions (to contact and/or brief) Date/Time
NHS England Director On Call (to contact Regional Director On Call)
NHS England Senior Manager On Call
EPRR Team (Head of EPRR and Operations and Delivery Coordinators for EPRR)
Decision Loggist
CCG On Call (Combined On Call Rota)
Acute Providers Shrewsbury and Telford Hospitals NHS Trust (Princess Royal
Hospital and Royal Shrewsbury Hospital)
Community Providers Shropshire Community Health NHS Trust
Robert Jones & Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
South Staffordshire and Shropshire Healthcare NHS Foundation Trust
NHS Communications Team (Local to contact Regional)
LRF (24/7)
West Midlands Ambulance Service NHS Foundation Trust (Emergency Operations Centre)
Use On Call and IMT Contacts Directory for the above. Once connected ask for the responsible individual’s direct number and record below for future use. NHS England to request a HETCG and set time. Pass the following Teleconference details to the responsible person with a date/time that you require them to dial in. Dial in: 0800 917 1950 Chair: 18853950# Participant: 10514896#
Name Contact Number
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
NHS England to contact
CCG to contact
NHS England and CCG to contact
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NOTTINGHAMSHIRE COMMUNICATIONS CHECKLIST (Following the declaration of a Major Incident)
Actions (to contact and/or brief) Date/Time
NHS England Director On Call (to contact Regional Director On Call)
NHS England Senior Manager On Call
EPRR Team (Head of EPRR and Operations and Delivery Coordinators for EPRR)
Decision Loggist
CCG On Call (Combined On Call Rota)
Acute Providers Nottingham University Hospitals NHS Trust (Queen’s Medical
Centre and Nottingham City Hospital) Sherwood Forest Hospitals NHS Foundation Trust (King’s Mill
Hospital and Newark Hospital)
Community Providers Nottingham City Care Partnerships
Nottinghamshire Healthcare NHS Trust
NHS Communications Team (Local to contact Regional)
LRF (24/7)
East Midlands Ambulance Service NHS Trust (Emergency Operations Centre)
Use On Call and IMT Contacts Directory for the above. Once connected ask for the responsible individual’s direct number and record below for future use. NHS England to request a HETCG and set time. Pass the following Teleconference details to the responsible person with a date/time that you require them to dial in. Dial in: 0800 917 1950 Chair: 18853950# Participant: 10514896#
Name Contact Number
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
NHS England to contact
CCG to contact
NHS England and CCG to contact
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DERBYSHIRE COMMUNICATIONS CHECKLIST (Following the declaration of a Major Incident)
Actions (to contact and/or brief) Date/Time
NHS England Director On Call (to contact Regional Director On Call)
NHS England Senior Manager On Call
EPRR Team (Head of EPRR and Operations and Delivery Coordinators for EPRR)
Decision Loggist
CCG On Call (Combined On Call Rota)
Acute Providers Derby Teaching Hospitals NHS Foundation Trust (Royal Derby
Hospital) Chesterfield Royal Hospital NHS Foundation Trust
Community Providers Derbyshire Healthcare NHS Foundation Trust
Derbyshire Community Health Services NHS Foundation Trust
NHS Communications Team (Local to contact Regional)
LRF (24/7)
East Midlands Ambulance Service NHS Trust (Emergency Operations Centre)
Use On Call and IMT Contacts Directory for the above. Once connected ask for the responsible individual’s direct number and record below for future use. NHS England to request a HETCG and set time. Pass the following Teleconference details to the responsible person with a date/time that you require them to dial in. Dial in: 0800 917 1950 Chair: 18853950# Participant: 10514896#
Name Contact Number
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
NHS England to contact
CCG to contact
NHS England and CCG to contact
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SITREP
Note: If there is nothing to report, or the information request is not applicable, insert NIL or N/A.
Date:(dd/mm/yyyy)
Time: (24hr clock)
Telephone number:
Email address:
Authorised for release by (name & role):
Major Incident Declared or Stand By
Exact Location of Incident
Type of Incident
Hazards known
Access issues (i.e. road closures)
Number of casualties/fatalities (if known)
Emergency services / organisations that have already been contacted
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Organisations reporting serious operational difficulties
Impact/potential impact of incident on services / critical functions and patients
Impact on other health and social care service providers
Mitigating actions for the above impacts
Impact of business continuity arrangements
Media interest expected/received
Mutual Aid requested (Y/N) and what resources agreed and who with?
Additional comments/ Other issues
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ASSET REGISTER
Senior Manager On Call/Incident
Manager. Write Name
Director On Call/ Incident Director.
Write name (as necessary may be at SCG)
EPRR Advisor
Write Name
CCG Director On Call Write Name (as necessary may
be at TCG)
CCG Senior Manager On Call
Write Name
Operations Facilitator
Write Name
NHS England Communications
Lead Write Name
Decision Loggist
Write Name (List of names in MI Box)
ICC Administrator
Write Name
ICC Administrator
Write Name
General Loggist (As needed)
Write Name
General Loggist (As needed)
Write Name
Other Role Write Name
Other Role Write Name
Other Role Write Name
Other Role Write Name
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TRIAGE RUNNING TOTAL
Time
Time
Time
Time
Time
Time
Time
Time
P1
P2
P3
P4
Dead
Running Count
P1 P2 P3 P4 Dead
Triage Categories P1 - Intervention needed <1 Hour P2 - Intervention needed 2-4 Hours P3 - Safely delayed up to 4 Hours P4 - Injury of such severity that treatment would compromise care of others Dead - Deceased on Scene
Please use a METHANE Report to collect triage information and then add to the above Triage Running Total.
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USEFUL INFORMATION
CBRNE/HAZMAT
Step 1, 2, 3 +
Step 1 ONE casualty no obvious reason
Proceed normally
Step 2 TWO Casualties No
obvious reason Approach with
caution
Step 3
Three or more casualties in close proximity with no obvious reason. Advise Trust to activate CBRNe
Plan and utilise IOR if necessary
Evacuate/Communicate/Disrobe/Decontaminate
IED
IED Safe Distances (Recommended min cordon distances)
100m Smaller items e.g. Rucksacks or briefcases
200m Medium objects, suitcases, wheelie bins or cars
400m Large objects, vans or lorries
Useful Notes:
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WORKING WITH THE MEDIA
Before any interview you need to plan:
What do you want from the interview?
What are your key messages that you want to get over?
Be sure to establish NHS England’s role
Do not be evasive Practical tips
Relax, take your time and make eye contact
Have a maximum of three key messages
Maintain eye contact
Ask as much as possible about the line of questioning beforehand but still be prepared for surprises!
If you need to redirect use phrases like “the key issue here is…” or “What we really must get across is….”
If you don’t know something, say so. You can tell them you’ll get back to them later
The really difficult question will usually come last!
Avoid saying “No comment”
Avoid jargon and never use acronyms
Take time to prepare, read over your key messages in your mind
Prompt sheets or cue cards are not advised, you can lose compassion or credibility if you are seen to be simply reading from a script
Use examples to help illustrate your message and make it understandable Body language
Open palms rather than clenched fists
Think about your facial expressions, even before the camera is rolling to make sure you’re being sensitive to the subject
No crossed arms Reflexive language
If the journalist says “are you disappointed?” it is natural to agree and say “yes it is disappointing but…” Beware, this can be edited!
Instead say something like “we have learned from this and we are making improvements….”
Common mistakes
Not being clear on your key messages can lead to confusion or speculation
Being led by the interviewer; you must try and retain control
Don’t guess an answer; Be honest and say if you don’t know
Don’t give “sound bites” that can be isolated or edited Things to avoid
Not making eye contact
Appearing tense
Reading from a script (or appearing to do so)
Reflexive language What not to wear for TV
White tops can make you look pale
Stripes/checks/jazzy patterns are distracting for the viewers
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ABBREVIATIONS
BCI Business Continuity Incident
BCM Business Continuity Management
CBRNe Chemical Biological Radiological Nuclear Explosive
C2 and C4 Command and Control Structure in the NHS
CCA Civil Contingencies Act
CCG Clinical Commissioning Groups
CI Critical Incident
COBR Cabinet Office Briefing Rooms
COMAH Control of Major Accident Hazards
DCO Directorate of Commissioning Operations - NHS England Local Team
DH Department of Health
DIM Detection, Identification and Monitoring Teams (linked to Fire Service)
DPH Director of Public Health
ED Emergency Department
EOC Emergency Operations Centre
EOD Explosive Ordnance Disposal
EPO Emergency Planning Officer
EPRR Emergency Preparedness, Resilience and Response
ETA Estimated Time of Arrival
HETCG Health Economy Tactical Coordinating Group
HAZMAT Hazardous Materials
HART Hazardous Area Response Team (Ambulance)
ICC Incident Coordination Centre
IED Improvised Explosive Devise
IMT Incident Management Team
IRP Incident Response Plan
JDM Joint Decision Making Model
JESIP Joint Emergency Services Interoperability Partnership
LGD Lead Government Department
LHRP Local Health Resilience Partnership
LRF Local Resilience Forum
METHANE Pneumonic Tool used for reporting a Major Incident
MI Major Incident
NHS National Health Service
PHE Public Health England
RCMT Regional Capacity Management Team
RED Regional Emergency Division
RTC Road Traffic Collision
SAGE Scientific Advice to Government in Emergencies
SBAR Situation, Background, Assessment, Recommendations
SCG Strategic Coordinating Group (Multiagency Gold Command)
SITREP Situation Report
SRF Staffordshire Resilience Forum
STAC Scientific and Technical Advice Cell
TCG Tactical Coordinating Group