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

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mHOSPITAL I CIDENT CO MMAND BRANCH ASSIGNMENT LIST _ S Y.§TEM 1. INCIDENT NAME lAJlk h!l£ /3tJtJ/' /900 1lzti1.'t'· ,/ blStJid3fY 5. PERSONNEL-~ - - I J t;bvAi/ )tF(!J'---- Section Chief jZ; "I MA/tJ£!Il/ Branch Director 2. SECTI0ttJ '._ 3. BRANCH 4. OPERATIONAL PERIOD DATE{TIME 6. UNITSn.,IGNED THIS PERIOD Name 't2Y!!4t#Jl1!h~ Name Namp Leader jJ. S'D ~ilt Jl;teader Leader Leader .:rS4IlA Location Location Location Loca ti02d.." I/"" ~ltltJt;;- Local,on d/ ~6 --- ~ je c ti vtJet1dRjJ.. ~ Oblec tlve Oblective Oblective De.-llllg flAJ) M embers M embers M embe rs Members 7. KEY OBJECTIVES /') (i) UIbVAtfC LA/&IlttfL~ f}!)UJPtIrJ$_ L_U//eq (}$)JJf[j'~. eJ :oeviJ F / TIllI tefi;fqJ.!1f!e1l/.JC/J§A~ -- ft1pJ ~ Itt:r!. 1J" JJ J m-~/I~70.Z OZ'tllJtlEA/$-1kT!£lIJfr!t:1 j;;/I - /AlCi'~1f)r t:/ . .. '/ ~/)£E - 'a.CLn)lTL__ q -- -- . (J; /;(j&ttt-- .0JL btJ6t1!ZS7fi(flMz:e-;;;;(;~J'i/ka;f/)f/77AJtf/ Jtecdjr) .. .. 2 t4zvtY/.A£q 9. PREPARED BY (BRANCH DIRECTOR) Y I~ING SECTION CHIEF) 11. DATE 12 . TIME 13 FACILITY NAME tv WI' 7 Jt/AUtL- 3}12&t- /5i.fo PURPOSE: DOCUMENT ASSIG MENTS WITH IN BRANCH . ORIGINATION: BRAN CH DIRECTOR . I ICS 204 COPIES TO: CO MMAND STAFF, GENEIlAL SIA FF. AND DOCUM ENTATION UNI r L EoADI: PAGE _ OF_
OPERATIONAL LOG mHOSP ITAL INCIDENT COMMAND SvSrEM 1 INCIDENT NAME 2. DATE PREPA RED 3. OPERATIONAL PERIOD DATEfTlME 4. SECTION / BRANCH 5. POSITION 6. ACTIVITY LOG Time Malor Events. Decisions Made. and Notifications Given 7. PREPARED BY (SIGN AND PRINT) 8. FACILITY NAME PURPOSE: DOCUME' iT INCIDENT ISSUES ENCOUNTERE D, DECISIO S MADE, AND NOTIFICATION S COW EYED ORIGINATION: COMIllAN D STAFF AND GENERAL STAFF. COPIES TO : INCIDENT CJV'MANDE , P,-AN \J I G SECTION CHIEF. AND DOC UMENTATIO N t.: NI T LEAD E'l HI S 21 4 P ·~GE OF
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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
Page 7 and 8:
Step 1 1. Understanding the hospita
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Page 11 and 12:
Page 13 and 14:
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
Page 39 and 40:
HICS Forms No. Name Responsible 252
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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 and 92: INCIDENT BRIEFING G] HOSPITAL I NCI
Page 93: ORGANIZATION ASSIGNMENT LIST 1. INC
Page 97: Would you recommend this program to
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