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

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ORGANIZATION CHART 1. INCIDENT NAME 2.DATE PREPARED 3. TIME PREPARED 4. OPERATIONAL PERIOD DATE/TIME 5. ORGANIZATIONAL CHART INCIDENT COMMANDER PUBLIC INFORMATION OFFICER LIAISON OFFICER SAFETY OFFICER MEDICAL/TECHNICAL SPECIALIST(S) Biological/Infectious Disease Chemical Radiological Clinic Administration Hospital Administration Legal Affairs Risk Management Medical Staff Pediatric Care Medical Ethicist OPERATIONS SECTION CHIEF PLANNING SECTION CHIEF LOGISTICS SECTION CHIEF FINANCE/ADMINISTRATION SECTION CHIEF STAGING MANAGER RESOURCE UNIT LEADER SERVICE BRANCH DIRECTOR TIME UNIT LEADER Personnel Staging Team Vehicle Staging Team Equipment/Supply Staging Team Medication Staging Team MEDICAL CARE BRANCH DIRECTOR Inpatient Unit Outpatient Unit Casualty Care Unit Clinical Support Services Unit Mental Health Unit Patient Registration Unit INFRASTRUCTURE BRANCH DIRECTOR Personnal Tracking Material Tracking SITUATION UNIT LEADER Patient Tracking Bed Tracking DOCUMENTATION UNIT LEADER DEMOBILIZATION UNIT LEADER Communications Unit IT/IS Unit Staff Food & Water Unit SUPPORT BRANCH DIRECTOR Employee Health & Well-Being Unit Family Care Unit Supply Unit Facilities Unit Transportation Unit Labor Pool & Credentialing Unit PROCUREMENT UNIT LEADER COMPENSATION/CLAIMS UNIT LEADER COST UNIT LEADER Power/Lighting Unit Water/Sewer Unit HVAC Unit Building/Grounds Damage Unit Medical Gases Unit Medical Devices Unit Environmental Services Unit Food Services Unit HAZMAT BRANCH DIRECTOR Detection and Monitoring Unit Spill Response Unit Victim Decontamination Unit Facility/Equipment Decontamination Unit SECURITY BRANCH DIRECTOR Access Control Unit Crowd Control Unit Traffic Control Unit Search Unit Law Enforcement Interface Unit BUSINESS CONTINUITY BRANCH DIRECTOR Information Technology Unit Service Continuity Unit Records Preservation Unit Business Function Relocation Unit 6. FACILITY NAME PURPOSE: DOCUMENT HICS POSITIONS ASSIGNED. ORIGINATION: INCIDENT COMMANDER. COPIES TO: COMMAND STAFF, GENERAL STAFF, BRANCH DIRECTORS, UNIT LEADERS, AND DOCUMENTATION UNIT LEADER. HICS 207
HICS 213 – INCIDENT MESSAGE FORM PURPOSE: PROVIDE STANDARDIZED METHOD FOR RECORDING MESSAGES RECEIVED BY PHONE OR RADIO. ORIGINATION: ALL POSITIONS. ORIGINAL TO: RECEIVER. COPIES TO: DOCUMENTATION UNIT LEADER AND MESSAGE TAKER. INSTRUCTIONS: Print legibly, and enter complete information. 1. FROM (SENDER) Use proper name to identify who is sending the message. Include title and agency as appropriate. 2. TO (RECEIVER) Use proper name and/or HICS position title as appropriate to identify for whom the message is intended. 3. DATE RECEIVED 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. 4. TIME RECEIVED 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. 5. RECEIVED VIA Indicate communication system. 6. REPLY REQUESTED Indicate whether a reply was requested and to whom reply should be addressed, if different from Sender. 7. PRIORITY Indicate level of urgency of the message. 8. MESSAGE (KEEP ALL MESSAGES/REQUESTS BRIEF, TO THE POINT, AND VERY SPECIFIC) Transcribe complete, concise, and specific content of message. 9. ACTION TAKEN (IF ANY) Note any action taken in response to message. When message is routed to any additional recipient, indicate who received, time received, action taken or other comments, and next person to whom message was forwarded. 10. FACILITY NAME Use when transmitting the form outside of the hospital. WHEN TO COMPLETE: When intended Receiver is unavailable to speak with the sender or when a communication includes specific details which accuracy needs to be ensured. HELPFUL TIPS: This form is suitable for duplication using carbonless copy paper.
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Using the HICS Tools in Incident Ac
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HICS Form 214: Operational Log HICS
Page 5 and 6:
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
Page 29 and 30:
Other Points About Incident Respons
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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 and 82: HICS 204 - BRANCH ASSIGNMENT LIST P
Page 83: HICS 207 - ORGANIZATION CHART PURPO
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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