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

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HOSPITAL INCIDENT COMMAND INCIDENT OBJECTIVES r:J 1 SYSTEM 1. INC IDENT NAM E Wll-t , - 6:-wEATHER / r;,NVIRO NMENTAL IMPLICATIONS FOR PERIOD (INCLUDE AS APPROPRIATE: FORECAST. WIND SPEED/DIRECTION, DAYLIGHT) ~ t; 3 tI - 3tJ I /h;~--/f 't1t!+. W~&f - --'I~ll --=--;tJ7u --l""'M/;fir-I7JM1th(/o/------2&AJIO~ 7. GENERAL SAFETY / STAFF MESSAGES TO BE GIVEN Examples: pe~on;1 Protective Eq Uipment (PPE!. Precautions, Case Definitions (refer t HICS 261 Incident Action Plan Safety Analysis) ~aMd -~IlL= - t1TLflj)dIL .~~ ... ~~ t -~ ()AI /tt;~-4#-fj/Jf-c:itt¢r-11AJtlAIN~ =~)u;JVI___ j7J/V t1rtf;-=-avl1Ct ~~;7 _- U IMlZf:1P·····_---=-_ _ 8. ATTACHMENTS (MARK IF ATTACHED) .~ICS 203 - Organization ASSignment List o HICS 206 - Medical Plan 0 Traffic Plan ~ICS 204 - Branch ASSignment List o HICS 251 - Facility System Status Report 0 InCident Map o HICS 205 -Incident Communications Plan o HICS 261 - Incident Action Plan Safety Analysis 0 Other 9.PRf}AAE~ANNING SECTION CHIEF) f--- 'J IM 11. FACILITY NAME J1J /-ft/ PURPOSE: DEFIN E OB,.E CTIVES A \JD ISS UES FOR O P E RAT IONA~ PER IOD ORIGINATION: PLANNING SECTION CHIEF. COPIES TO: COMMAND STAFF. GENERAL STA FF, AND DOCUM ENTATION UNIT LEADER. Hies 202
ORGANIZATION ASSIGNMENT LIST 1. INCIDENT NAME ,... j11J )f~ 1-7!l£ --3 ~~IM .T ~ E~~~ P R E~-~~------------------- PA R E D 2. DATE PREPARED 4. OPERATI ONAL PERIOD DATEfTlME PosmON 3/t1!U/I 5. INCIDENT COMMANDER AND STAFF Incident Commander Public Information Off ice r L,a lson Officer Safety Officer MedicalfTechnlcal Special ist IType) Medica lfTechnlcal Special.st (Type) MedicalfTedlnlcal Specialist IType) MedlcalfTechnlcal Specialist (Type) Medical/Technical Specialist (Type) MedicallTecl,nical SpeciaHst (Type ) 7 NAME/AGENCY /JOtJ- 19{)CJ Cl HOSPITAL INCIDENT COMMAND SYSTEM 6. OPERATIONS SECTION Chief Staging Manager Medical Care Branch Infrastr ucture Bra nch HalMat Br anch Security Branch Busin ess Continuity Branch (Other) Branch 7. PLANNING SECTION Chief Resources Unit Situatioll Urll t Docu mentation Unit Demobilization Unit 8. LOGISTICS SECTION Chi ef Service Bronch Support Bra nch 9. FINANCE/ADMINISTRATION SECTION Chie f . .--r ~ J~5.fL'AJtMVA/lr Procuremelll Unit Compe nsa tion/ Claims Unit Cost Unit 10. AGENCY REPRESENTATIVE liN HOSPITAL COMMAND CENTER) ;VA- 11 . HOSPITAL REPRESENTATIVE liN EXTERNAL EOC ) Name _______________ ~~--~--~~-__--~~~1~3.~FA~~~1 I_ ._ N::E Ext ernal Location L{/Ifc/ i D DCCUMENTATION UN IT LEADER . Hies 203
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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
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IRG planning tool: HCC staffing Pub
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Incident Response Guides • Kick s
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HICS Forms • FEMA forms used by e
Page 37 and 38:
What They Have in Common • Form n
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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 and 84: HICS 207 - ORGANIZATION CHART PURPO
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: INCIDENT BRIEFING G] HOSPITAL I NCI
Page 95 and 96: OPERATIONAL LOG mHOSP ITAL INCIDENT
Page 97: Would you recommend this program to
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