Using the HICS Tools in Incident Action Planning - The 2012 ...

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BRANCH ASSIGNMENT LIST 1. INCIDENT NAME 2. SECTION 3. BRANCH 4. OPERATIONAL PERIOD DATE/TIME 5. PERSONNEL Section Chief Branch Director 6. UNITS ASSIGNED THIS PERIOD Name Name Name Name Name Name Leader Leader Leader Leader Leader Leader Location Location Location Location Location Location Objective Objective Objective Objective Objective Objective Members Members Members Members Members Members 7. KEY OBJECTIVES 8. SPECIAL INFORMATION / CONSIDERATION 9. PREPARED BY (BRANCH DIRECTOR) 10. APPROVED BY (PLANNING SECTION CHIEF) 11. DATE 12. TIME 13. FACILITY NAME PURPOSE: DOCUMENT ASSIGNMENTS WITHIN BRANCH. ORIGINATION: BRANCH DIRECTOR. HICS 204 COPIES TO: COMMAND STAFF, GENERAL STAFF, AND DOCUMENTATION UNIT LEADER. PAGE ___ OF ___
HICS 207 – ORGANIZATION CHART PURPOSE: DOCUMENT HICS POSITIONS ASSIGNED. ORIGINATION: INCIDENT COMMANDER. COPIES TO: COMMAND STAFF, GENERAL STAFF, BRANCH DIRECTORS, UNIT LEADERS, AND DOCUMENTATION UNIT LEADER. INSTRUCTIONS: Print legibly, and enter complete information. 1. INCIDENT NAME If the incident is internal to the hospital, the name may be given by the hospital’s Incident Commander. If the incident affects the larger community, the name may be given by a local authority (e.g., fire department, local EOC, etc.). 2. DATE PREPARED Use the international standard date notation YYYY-MM-DD, where YYYY is the year, MM is the month of the year between 01 (January) and 12 (December), and DD is the day of the month between 01 and 31. For example, the fourteenth day of February in the year 2006 is written as 2006-02-14. 3. TIME PREPARED Use the international standard notation hh:mm, where hh is the number of complete hours that have passed since midnight (00-24), and mm is the number of complete minutes that have passed since the start of the hour (00-59). For example, 5:04 PM is written as 17:04. Use local time. 4. OPERATIONAL PERIOD DATE/TIME Identify the operational period during which this information applies. This is the time period established by the hospital’s Incident Commander, during which current objectives are to be accomplished and at the end of which they are evaluated. For example, a 12-hour operational period might be 2006-08-16 18:00 to 2006-08-17 06:00. 5. ORGANIZATION CHART Use proper names to identify personnel assigned to positions. Refer to information recorded in HICS 203, Organization Assignment List, as available. 6. FACILITY NAME Use when transmitting the form outside of the hospital. WHEN TO COMPLETE: Whenever possible prior to an event, at the start of each operational period, and as changes are made. HELPFUL TIPS: This form identifies personnel with predefined responsibilities, establishing ideal reporting and communication lines. Display this form prominently in a central location within the Hospital Command Center.
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Using the HICS Tools in Incident Ac
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HICS Form 214: Operational Log HICS
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Importance of Planning • Maximize
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Step 1 1. Understanding the hospita
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Management by Objectives Command a
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Objectives Tactical Objectives ›
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Command and Control Objective: Prov
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Ongoing Evaluation and Revision •
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Implement Corrective Actions Corre
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Incident Response Guides Specific
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External IRG: Severe weather Missio
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Immediate Actions (Operational Peri
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Other Points About Incident Respons
Page 31 and 32: IRG planning tool: HCC staffing Pub
Page 33 and 34: Incident Response Guides • Kick s
Page 35 and 36: HICS Forms • FEMA forms used by e
Page 37 and 38: What They Have in Common • Form n
Page 39 and 40: HICS Forms No. Name Responsible 252
Page 41: Complete the 201 • Incident Name:
Page 45 and 46: What Other Forms Should be Initiall
Page 47 and 48: • 252 Section Personnel Time Shee
Page 49 and 50: Exercise #1: Internal Event Today i
Page 51 and 52: What Else • What do we know; what
Page 53 and 54: Who is the Team and What are They D
Page 55 and 56: Its Coming Up on Shift Change • W
Page 57 and 58: Hospital Incident Command System Th
Page 59 and 60: HICS Today • Revision project com
Page 61 and 62: Survey Results • Participant Demo
Page 63 and 64: Use of ICS in the Hospital • Does
Page 65 and 66: Scenarios • 62.5% of respondents
Page 67 and 68: Use of the Incident Planning and Re
Page 69 and 70: Job Action Sheets • 92.9% of resp
Page 71 and 72: Center for HICS Education and Train
Page 73 and 74: Summary • HICS continues to be ap
Page 75 and 76: INCIDENT BRIEFING 1. INCIDENT NAME
Page 77 and 78: HICS 202 - INCIDENT OBJECTIVES PURP
Page 79 and 80: HICS 203 - ORGANIZATION ASSIGNMENT
Page 81: HICS 204 - BRANCH ASSIGNMENT LIST P
Page 85 and 86: HICS 213 - INCIDENT MESSAGE FORM PU
Page 87 and 88: HICS 214 - OPERATIONAL LOG PURPOSE:
Page 89 and 90: HICS 261 - INCIDENT ACTION PLAN SAF
Page 91 and 92: INCIDENT BRIEFING G] HOSPITAL I NCI
Page 93 and 94: ORGANIZATION ASSIGNMENT LIST 1. INC
Page 95 and 96: OPERATIONAL LOG mHOSP ITAL INCIDENT
Page 97: Would you recommend this program to
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Using the HICS Tools in Incident Action Planning - The 2012 ...

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