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Hospital IncidentCommand System
Updated with May 2014 HICS Revisions
This material has been developed for training purposes; do not share, distribute, transmit or reproduce without prior written consent of California Hospital Association This course was
developed by the CHA Hospital Preparedness Program with grant funds provided by the U.. !epartment of Health " Human ervices Assistant ecretary for Preparedness "#esponse Hospital Preparedness Program and awarded by the California !epartment of Public Health. $o part of this course or its materials shall be copied or utili%ed for monetary
gain.
HICS Basics Part 1
Manaement Systemand !ools "or #vents
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2
$%&ectives
• Learn the principal concepts and features
of the Hospital Incident Command System
• Understand the roles and relationships ofthe Hospital Incident Management Team
• Understand the principles of Incident
Action lanning
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!
HICS $verview
• Assists in emergency management planning"
response" and reco#ery capa$ilities for
unplanned and planned e#ents
• Consistent %ith ICS and the &ational Incident
Management System '&IMS( principles
Logical management structure
)efined responsi$ilities
Clear reporting channels
Common nomenclature
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*
'hat HICS is (ot
HICS is not)
• HICS does not replace or supplant dailyhospital operations
• The HICS +uide$oo, does not replace
the hospital-s .mergency /perationslan
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HICS *eat+res
• Hospital Incident Management Team Chart
• All haard approach
• Incident Action lanning• o$ Action Sheet
• Incident lanning +uides
• Incident 3esponse +uides• HICS 4orms
• romotes 3eco#ery
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'here do I "ind HICS in"ormation,
• %%%6emsa6ca6go#7disaster8medical8ser#ices8di#ision8hospital8incident8command8system
• %%%6calhospitalprepare6org
• %%%6hicscenter6org
HICS Reso+rces
http://www.emsa.ca.gov/disaster_medical_services_division_hospital_incident_command_systemhttp://www.emsa.ca.gov/disaster_medical_services_division_hospital_incident_command_systemhttp://www.emsa.ca.gov/disaster_medical_services_division_hospital_incident_command_systemhttp://www.calhospitalprepare.org/http://www.hicscenter.org/http://www.hicscenter.org/http://www.calhospitalprepare.org/http://www.emsa.ca.gov/disaster_medical_services_division_hospital_incident_command_systemhttp://www.emsa.ca.gov/disaster_medical_services_division_hospital_incident_command_systemhttp://www.emsa.ca.gov/disaster_medical_services_division_hospital_incident_command_system
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Basic Incident CommandStr+ct+re
Modular /rganiation:4unctional Sections Acti#ated as &eeded
Incident
Commander
Plannin
Section
Chie"
-oistics
Section Chie"
$perations
Section Chie"
*inance.
/dministration
Section Chie"
P+%licIn"ormation
$""icer
-iaison
$""icer
Medical.
!echnical
Specialists
Sa"ety
$""icer
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Hospital Incident CommandSystem
The system is scala%le so that
more or fewer positions
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Command
Command "+nctions
• Maintain o#erall management of the incident
• Sets incident o$>ecti#es and priorities
• )e#ise and appro#e strategies
• .nsure mission completion
Command consists o")
• Incident Commander
• Command Staff
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Command
Incident
Commander
P+%lic
In"ormation
$""icer
-iaison
$""icer
Medical.
!echnical
Specialists
Sa"ety
$""icer
•Chemical
•Clinic Administration
•@iological7Infectious
)isease
•Hospital Administration
•Legal Affairs
•Medical .thicist
•Medical Staff
•ediatric Care
•3adiological
•3is, Management
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Incident Commander
escription.+ties)
• )etermine scope and magnitude of e#entand facility impact
• Acti#ate and direct the Hospital CommandCenter
• +i#e o#erall strategic direction for thehospital
• Initiate and appro#e the Incident Action lan
• Authorie total facility e#acuation if%arranted
• /nly position al%ays acti#ated
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P+%lic In"ormation $""icer
escription.+ties)
• Communicate %ith internal and eternalsta,eholders including:
Staff
Visitors and family Media
• )etermine information to $e released
• Colla$orate %ith local community officials 'ointInformation Center( for consistent content
• /$tains Incident Commander appro#al on allmessages
Reports to) Incident Commander
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1!
Sa"ety $""icer
escription.+ties)
• .nsure safety of staff" patients and #isitors
• Monitor and ha#e authority o#er the safety ofrescue operations and haardous conditions
• )etermine safety ris,s
• Initiate correcti#e7protecti#e actions
• Completes the HICS form 210A" Incident Action lan Safety Analysis
• Has authority to halt any operation that posesimmediate threat to life and health
Reports to) Incident Commander
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1*
-iaison $""icer
escription.+ties)
• Hospital Command Center contact for
supporting agencies and organiations
• Ma,e facility needs and reBuests forassistance and resources
Reports to) Incident Commander
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10
escription.+ties)
Medical.!echnical Specialist
• Su$>ect matter eperts that ad#ise the IncidentCommander and7or assigned section6
• May $e assigned as technical ad#isor in theHospital Command Center
• May $e assigned to ad#ise and o#erseespecific hospital operations
• #3ample) )econtamination operations duringa chemical eposure situation
Reports to) Incident Commander
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• @iological
• Infectious )isease• Chemical
• 3adiological
• Legal Affairs
• 3is, Management
Reports to) Incident Commander
#3amples Incl+de)
Medical.!echnical Specialist
• Medical Staff
• ediatric Care
• Medical .thicist
• Clinical Administration
• Hospital Administration
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Command Review
!he Incident Commander is responsi%le "or)
• Management of the Incident
• Acti#ities %ithin the Hospital Command Center
• Continuing as Incident Commander until authority isdelegated to another
!he Command Sta"" consists o")
• u$lic Information /fficer 'I/(
• Liaison /fficer • Safety /fficer
• Medical7Technical Specialist's(
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1;
Sections
$perationsSection Chie"
Plannin
Section Chie"
*inance .
/dministration
Section Chie"
Incident
Commander
P+%lic
In"ormation
$""icer
-iaison
$""icer
Medical.
!echnical
Specialists
Sa"ety
$""icer
-oistics
Section Chie"
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Sections incl+de)
/perations
lanning
Logistics
4inance7Administration
• Sections are led $y a Chief
• Section Chiefs are called +eneral Staff
Sections
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$perations
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$perations Section Mission)
Manage tactical operations
)irect all tactical resources
Carry out the mission and
Incident Action lan
• )irects all tactical resources
• Led $y a Section Chief
$perations Section
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!he Section incl+des)
• Staging Area
•Medical Care @ranch• atient 4amily Assistance@ranch
• Infrastructure @ranch
• HaMat @ranch
• Security @ranch
• @usiness Continuity @ranch
$perations Section
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2!
Stain Manaer
• /rganie and manage the deployment of
supplementary resources" including personnel"
#ehicles" eBuipment" supplies" and medications
Mission)
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2*
Mission)
• /rganie and manage the deli#ery of emergency"
inpatient" outpatient" and casualty care" and
clinical support ser#ices
+ties)
• Address pro#ision of acute and continuous care
• or, %ith Logistics for resource acBuisition• or, %ith Staging Manager for deli#ery of
resources to areas
Medical Care Branch irector
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S+pervises)
• Inpatient Unit Leader 'all inpatient units(
• /utpatient Unit Leader 'all outpatient ser#ices(• Casualty Care Unit Leader '.mergency
)epartment(
• @eha#ioral Health Unit Leader
• Clinical Support Unit Leader 'i6e6" La$")iagnostic Imaging" harmacy" Morgue" @lood)onor(
• atient 3egistration Unit Leader
Medical Care Branch irector
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Mission)
• /rganie and manage the ser#ices reBuired to
sustain and repair the hospital’s infrastructure
operations
+ties)
• Maintain o#erall facility operations and
operating capacity• Identify and fies utility ser#ice
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S+pervises)
• o%er7Lighting Unit Leader
• ater7Se%er Unit Leader
• HDAC Unit Leader
• @uilding7+rounds Unit Leader
• Medical +ases Unit Leader
In"rastr+ct+re Branch irector
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Mission)
• Coordinate acti#ities related to internal and eternalpersonnel and facility security
+ties)• Implement facility security measures
• .nsure security and access control of the HospitalCommand Center
• Liaison %ith responding la% enforcement• /#ersee search and rescue operations
Sec+rity Branch irector
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2=
S+pervises)
• Access Control Unit Leader
• Cro%d Control Unit Leader
• Traffic Control Unit Leader
• Search Unit Leader
• La% .nforcement Interface Unit Leader
Sec+rity Branch irector
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!?
Mission)
• /rganie and direct haardous material incidentresponse acti#ities
• Technical" and emergency decontaminationE andfacility and eBuipment decontamination
+ties)
• /#ersee hamat e#ent
Decontamination of victims, staff, facility Safe and appropriate use of PPE Clean up operations
• Colla$orates %ith Medical Care @ranch )irector
HaMat Branch irector
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!1
S+pervises)
• )etection and Monitoring Unit Leader
• Spill 3esponse Team Unit Leader
• Dictim )econtamination Unit Leader
• 4acility7.Buipment )econtamination
Unit Leader
HaMat Branch irector
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!2
Mission)
• .nsure $usiness functions are maintained"restored or augmented
+ties)
• 4acilitate acBuisition and access to essentialreco#ery resources" including $usiness records
• Coordinate IT ser#ices %ith Logistics Section• Assist @ranches and impacted areas to restore
normal operations
B+siness Contin+ity
Branch irector
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!!
S+pervises)
• IT Systems and Applications UnitLeader
• Ser#ice Continuity Unit Leader
• 3ecords Management Unit Leader
B+siness Contin+ity
Branch irector
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!*
Patient *amily /ssistance
Branch irector Mission)• /rganie and manage assistance for patient family care
needs" including communication" lodging" food" healthcare" spiritual" and emotional needs that arise during theincident6
+ties)
• .nsure patient family assistance resources
• Coordinate eternal community resource reBuests
• .nsure 4amily reunification" Social Ser#ice" Cultural and
Spiritual needs
• Communication %ith la%" go#ernment and non<go#ernmental agencies" and media through the Liaison/fficer and u$lic Information /fficer
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!0
S+pervises)
• Social Ser#ices Unit Leader
• 4amily 3eunification Unit Leader
Patient *amily /ssistance Branch
irector
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!5
$perations Section Review
!he $perations Section is responsi%le "or)
The tactical o$>ecti#es and organiation
All tactical operations )irecting all tactical resources
• /perations is led $y a Chief
• /perations positions are acti#atedas needed $y the incident
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!9
-oistics
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!;
Section Mission)
• /rganie and direct maintenance of the physical
en#ironment F pro#iding human resources" material"
and ser#ices to support the incident6
• ro#ides support ( stuff ) to other sections
• AcBuires resources from internal and eternal
sources
• Through Liaison" lin,s to local .mergency
/perations Center for resource reBuests
• Led $y a Section Chief
-oistics Section
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!=
Scope and Responsi%ilities overlap
• Logistics Supply Unit and /perations-Infrastructure @ranch
• La$or ool and Credentialing Unit and Staging
ManagerF ersonnel Trac,ing Manager
-oistics and $perations are closely
lin5ed and m+st wor5 colla%oratively
• Logistics Section are the Ggetters
• /perations Section are the Gdoers
-oistics and $perations
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-oistics Section
!he Section incl+des)
• Ser#ice @ranch
• Support @ranch
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*1
Mission)
• /rganie and manage ser#ices to maintain
hospital communication" food and %ater supply
and information technology and systems
Service Branch irector
• Communications Unit Leader
• IT7IS and .Buipment Unit Leader
• 4ood Ser#ices Unit Leader
$versees)
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*2
Mission)
• Manage supplies" facilities" transportation" and
la$or pool6 ro#ide logistical" psychological" and
medical support to hospital staff and theirdependents
$versees)
• .mployee Health and ell
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!he -oistics Section is responsi%le "or)
Organiing and directing internal and e!ternal
resources to support t"e incident
Providing support to ot"er sections•Logistics supports the incident resource
reBuirements
-oistics has two %ranches)
Support
Service
•Logistics is led $y a Chief %ho %or,s closely %ith
the /perations Section
-oistics Section Review
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**
Plannin Section
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Mission)
• Collect" e#aluate" and disseminate
incident action information andintelligence to Incident Commander
• repare status report
• )e#elop the Incident Action lan• Led $y a Section Chief
Plannin Section
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*5
S+pervises)
• 3esources Unit Leader
Personnel #rac$ing
Materiel #rac$ing
• Situation Unit Leader
Patient #rac$ing
%ed #rac$ing
• )ocumentation Unit Leader
• )emo$iliation Unit Leader
Plannin Section Chie"
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*9
!he Plannin Section is responsi%le "or)
• Collecting" e#aluating and disseminating incident
situation information to the Hospital Command
Center
• Maintaining resource status
• )e#eloping the Incident Action lan 'IA( and
o$taining Incident Commander appro#al on IA
• Archi#ing response and reco#ery documentation
• Assisting %ith After
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*;
*inance Section
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*=
*inance./dministration
Section Chie"
Mission)
• Monitor the utiliation of financial
assets and the accounting forfinancial ependitures6
• Super#ise the documentation of
ependitures and costreim$ursement6
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0?
S+pervises)
• Time Unit Leader
• rocurement Unit Leader
• Compensation7Claims Unit Leader
• Cost Unit Leader
*inance./dministration
Section Chie"
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01
P+ttin it all toether) Choosin the
Hospital Incident Manaement !eam)
• Incident Commander is the only position
that must $e included
• The Incident Commander chooses do%n
to the Chief Le#el
• .ach Chief appoints positions in their
section needed to complete the mission
$ased on a#aila$le personnel
!he Hospital Incident
Manaement !eam
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02
6+estions,
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7o% /ction Sheets
Series of action steps to Gprompt team
mem$ers to ta,e needed actions related
to their roles and responsi$ilities
• /ne for each position
•Includes title" mission7function and duties
• Ad>usted to meet hospital needs
• 3efers to supporting forms
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0*
$perations Section Chie"
Mission))e#elop and implement strategies and tactics to carry out the
o$>ecti#es esta$lished $y the Incident Commander6 /rganie" assign"
and super#ise the resources of the Staging Area" the Medical Care"
Infrastructure" Security" Haardous Materials 'HaMat(" @usiness
Continuity" and atient 4amily Assistance @ranches6
7o% /ction Sheet *ormat
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00
/ction Steps and Considerations
• o$ Action Sheet pro#ides position action steps and
considerations
/ctions listed %y Response !ime Periods
• Immediate ? F 2 hours
• Intermediate 2 F 12 hours
• .tended @eyond 12 hours
• )emo$iliation7
System 3eco#ery
7o% /ction Sheet *ormat
Immediate Response 0 2 Ho+rs Time Initial
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05
Immediate Response 082 Ho+rs Time Initial
Receive appointment/$tain a $riefing from the Incident Commander on:o Sie and compleity of the incidento .pectations of the Incident Commander
o Incident o$>ecti#eso In#ol#ement of outside agencies" sta,eholders" and organiationso The situation" incident acti#ities" and any special concerns Assume the role of /perations Section Chief3e#ie% this o$ Action Sheetut on position identification 'e6g6" position #est(&otify your usual super#isor of your assignment
/ssess the operational sit+ation/$tain information and status from the Staging Manager" and theMedical Care" Infrastructure" Security" Haardous Materials 'HaMat("@usiness Continuity" and atient 4amily Assistance @ranch )irectorsro#ide information to the Incident Commander on the operationalsituation including capa$ilities and limitations
etermine the incident o%&ectives9 tactics9 andassinments)etermine %hich /perations Section functions need to $eacti#ated
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09
oc+ments.!ools)
• A listing of pertinent HICS forms this position is
responsi$le for using
&orms noted in 'o ction S"eet action steps
• /ther tools that %ill help them fulfill their role and
responsi$ilities
Hospital plans, policies and procedures
#ec"nology tools
Ot"er ad*uncts
7o% /ction Sheet *ormat
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0;
oc+ments.!ools)
$perations Chie" oc+ments.!ools
HICS 2?! < /rganiation Assignment List HICS 2?* < Assignment List
HICS 2?0A < Communications List
HICS 21! < +eneral Message 4orm
HICS 21* < Acti#ity Log HICS 210A < Incident Action lan 'IA( Safety Analysis
HICS 221 < )emo$iliation Chec,
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7o% /ction Sheet Use
• 7o% /ction Sheets are +sed
contin+o+sly
ctions in all operational periodss"ould e continued and monitored
• 7o% /ction Sheets sho+ld trans"er to
yo+r replacement and actions
contin+ed
+pon s"ift c"ange or position
c"ange
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5?
7o% /ction Sheet Section Review
!he 7o% /ction Sheets are)
• An incident management tool
• A series of actions to meet the incident response
• Are di#ided in response time periods: mmediate- . / 0 "ours
ntermediate- 0 / 10 "ours
E!tended - 2reater t"an 10 "ours
Demoiliation3System 4ecovery
• Standardied to facilitate interagency response
• Customia$le for the uniBue facility needs7roles
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6+estions,
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Hospital Incident /ction Plannin
:ey to #""ectiveResponse and Recovery
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5!
16 Assess the Situation
26 Set the /perational eriod
!6 )etermine Safety riorities and .sta$lish
Incident /$>ecti#es*6 )etermine @ranch7Section /$>ecti#es
06 )etermine Strategies and Tactics
56 )etermine &eeded 3esources
96 Issue Assignments
;6 Implement Actions
=6 3eassess Ad>ust lans
Hospital Incident /ction Plannin
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5*
• Type" location" magnitude" possi$le duration
• /n
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50
/n $perational Period is)
• The time period scheduled for eecution of
tactical actions in the Incident Action lan
• Set $y the Incident Commander
!he $perational Period is +s+ally set in
ho+rs
•)oes not ha#e to conform to shift times
• Can $e long or short" depending on the intensity
of the incident
;2 Set the $perational Period
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55
ecti#es that are
foundational and do not change during
response and reco#eryE not limited to anoperational period
#3amples)
• ro#ide adeBuate care to all patients %ho
present as a result of the incident
• ro#ide for the safety of hospital personnel
;> etermine Sa"ety Priorities ? #sta%lish Incident$%&ectives
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Individ+al Section.Branch $%&ectives
• More specific @ranch7Section o$>ecti#es to achie#e
o#erall Incident /$>ecti#es
• Steps during the defined /perational eriod
• Should $e tangi$le and measura$le
#3ample)
• ro#ide prophylais to 90J of direct patient care
staff %ithin 2 hours
• )econtaminate 0? #ictims %ithin 1 hour
;4 etermine Individ+al Section.Branch $%&ective
;@ t i St t i d
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5;
;@ etermine Strateies andetermine Strateies and !actics
Stratey de"ined)
• The general direction selected to accomplish
incident o$>ecti#es
• The approach to achie#ing the o$>ecti#es
!actics de"ined)
• Specific actions" seBuence of actions"
procedures" tas,s" assignments to meet
strategies and o$>ecti#es
• The G$oots on the ground or Gdoers
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5=
• Tactical resources may include: Personnel
E8uipment
Supplies
P"armaceuticals
Ve"icles
• A#aila$le and needed resources to meet the
o$>ecti#es must $e identified
;A etermine (eeded Reso+rces
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9?
• Hospital Command Center positions areacti#ated according to incident needs
• Staff are assigned to conduct incident specific
operations:
Evacuation Decontamination
#riage and treatment
Safety measures
$nce the o%&ectives and needed reso+rces
are identi"ied9 assinments are iss+ed)
; Iss+e /ssinments
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91
!he Plannin Meetin
!he Plannin Meetin is)
• Led $y the lanning Section Chief
• )efines and finalies operational period
o$>ecti#es" strategies" tactics" and
resources as determined $y each
section for the net operational period
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92
!he Plannin Meetin
!he Plannin Meetin is cond+cted
a"ter)
ncident Commander "as provided an
incident riefing and determined t"encident O*ectives and identified t"e
Operational Period
Sections "ave met to discuss t"eir
response priorities and identifiedSection3%ranc" o*ectives
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9!
/t the end o" the Plannin Meetin)
#"e Section C"iefs sumit completed HCS
&orm 0.9 ssignment 6ist
#"e Safety Officer sumits completed HCS
&orm 01: ncident ction Plan Safety
nalysis
!he Plannin Meetin
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9*
irect9 monitor and eval+ate response)
• Constant monitoring of strategies and tactics for
effecti#eness
• Assess the @ranch7Section /$>ecti#es re t"e o*ectives eing ac"ieved;
s t"e strategy3tactics safe;
s t"e strategy3tactics effective;
Evaluation is an ongoing process throughout
response and recovery
; Implement /ctions
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90
;D #val+ate and Revise Plans
Cond+ct a c+rrent sit+ation assessment
+pdate situation3incident information
ssess t"e impact on t"e "ospital
6engt" and duration of incident 4esource availaility
• Assess the Incident /$>ecti#es
• Assure o$>ecti#es are achie#ed in a safe andtimely manner
• 3e#ise o$>ecti#es" strategies" tactics andresource needs for the upcoming operationalperiod
Incident /ction Plan
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Incident /ction PlanResponsi%ilities
!he Incident Commander
• ro#ides o#erall Incident /$>ecti#es 'HICS 2?2(
• Sets the /perational eriod• )e#elops ma>or strategies 'priorities(
• Acti#ates Hospital Incident Management Team
• .sta$lishes policy for resource orders
• Appro#es initial actions and the completed
Incident Action lan
Incident /ction Plan
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99
!he Sa"ety $""icer
• Ad#ises the Incident Commander and
Section Chiefs on safety issues andmeasures
• )e#elops the Safety lan 'HICS 210A(
• /#ersees the safety of operations and
tactics
Incident /ction PlanResponsi%ilities
Incident /ction Plan
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!he $perations Section Chie"
• )etermines7assesses areas of operation
• Ad#ises Incident Commander of acti#ated/perations positions and %or, assignments
• )etermines tactics 'HICS 2?*(
• )etermines resource reBuirements 'HICS2?*( and communicates needs %ith Logistics
Incident /ction PlanResponsi%ilities
Incident /ction Plan
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9=
!he Plannin Section Chie"
• repares for the lanning Meetings
2at"ers information for t"e ncident ctionPlan (HCS 0.1, 0.0, 0.7, 0.9s and 01:)
Develops demoiliation plans
• Conducts the lanning Meeting
• Coordinates and su$mits the Incident Actionlan to the Incident Commander for appro#al
• )isseminates the Incident Action lan
Incident /ction PlanResponsi%ilities
Incident /ction Plan
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;?
!he -oistics Section Chie" • )etermine tactics and resource reBuirement
'HICS 2?*(
• Ad#ises acti#ated Logistics positions
• .nsures resources to support Incident Action
lan
• )e#elops plans that support the Incident Action
lan
Communications Plans
#ransportation Plans
Incident /ction PlanResponsi%ilities
Incident /ction Plan
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;1
!he *inance./dministration Section
Chie"
• )etermine tactics and resource reBuirement
'HICS 2?*(
• ro#ides cost implications of the Incident
/$>ecti#es
• .nsures the Incident Action lan is %ithin cost
limitations
• Ad#ises the Incident Commander on
4inance7Admin acti#ated positions
Incident /ction PlanResponsi%ilities
Incident /ction Plan
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;2
!he Incident /ction Plan
• ro#ides Hospital Incident Management Team%ith direction for the /perational eriod
• Uses the elements of Management $y/$>ecti#es
• )e#eloped $y Command" +eneral Staff pro#ideinput
• .ssential for effecti#e response and reco#ery
Incident /ction PlanResponsi%ilities
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6+estions,
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;*
emo%iliation and Recovery
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;0
Preparation "or emo%iliation
emo%iliation•The )emo$iliation lan is created $y the)emo$iliation Unit Leader and appro#ed $ythe lanning Section Chief and IncidentCommander
• )emo$iliation $egins
s incident o*ectives are met
&ollo
#"e demoiliation of resources no longer
?eeded s"ould occur rapidly and efficiently
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;5
emo%iliation Considerations
• )emo$iliing must $e a part of the Incident Actionlan
• Managing pu$lic perception
• .Buipment reha$ and restoc,ing
• 4inancial restoration
• Addressing hospital personnel concerns
Preparation "or emo%iliation
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;9
• 3eco#ery follo%s response and focuses uponreturning the hospital to $aseline le#el offunctioning
• The starting point for reco#ery $egins early inthe response
• Transition from response to reco#ery is rarelyo$#ious
• 3eco#ery may etend o#er a long time" from%ee,s to years
Recovery
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;;
The reco#ery plan includes principles of
organiational learning and impro#ement:
• After Action 3eport and Impro#ement lan
• .#aluate hospital response7reco#ery operations
• Identify strengths" %ea,nesses" and strategies
to:
6essen future vulneraility mprove aility to respond to future incidents
4evise t"e Emergency Operations Plan
$raniational -earnin
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;=
Section Review
• )emo$iliation and 3eco#ery should $e
planned early
• )emo$iliation and 3eco#ery is the return to
Gnormal" or Gne%
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=?
6+estions,
Scenarios9 Incident Plannin
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9 E+ides and Incident ResponseE+ides
• Acti#e Shooter
• Chemical Incident
• .arthBua,e
• .#acuation" Shelter
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=2
Scenarios
• Information Technology 'IT( 4ailure
• Mass Casualty Incident
• Missing erson
• 3adiation Incident• Se#ere eather %ith arning
• Staff Shortage
• Tornado
• Utility 4ailure
• ildland 4ire
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=!
Incident Plannin E+ides
Incident lanning +uides assist hospitals %ith
e#aluating eisting plans or %riting needed
plans
• They address 1; scenarios• They are intended to identify actions or
strategies to prepare for identified haards
• Assess current plans and identify gaps
• )e#elop e#ent
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=*
Provides Incident Speci"ic)• )irections
• Incident /$>ecti#es
• Management tas,s $y function andtimeframes
• Sample Hospital Incident Management Teams
Sho+ld compliment)
• .mergency /perations lan and o$ ActionSheets
Can %e +sed as doc+mentation
Incident Response E+ides
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=0
Section Review
Incident Plannin E+ides and IncidentResponse E+ides
• Are incident
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=5
6+estions,
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=9
HICS *orms
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=;
• Ser#es as a road map in response:e#eryone acting from the same plan
• Ser#es as foundation for correcti#e action
• .nsures consistency and compliance %ithregulatory guidelines
• Complies %ith documentation for 4.MAreim$ursement
!he Fal+e o" Usin HICS *orms
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==
(oG (ame Responsi%le
2?? Incident Action lan Co#er Sheet lanning Section Chief
2?1 Incident @riefing Incident Commander
2?2 Incident /$>ecti#es Section Chiefs
2?! /rganiational Assignment List 3esource Unit Leader
2?* Assignment List @ranch )irectors
2?0 Communications Log Communications Unit Leader
2?5 Staff Medical lan Support @ranch )irector
2?9 /rganiation Chart Incident Commander
21! Incident Message 4orm All ositions
21* /perational Log All HIMT Staff
210a Incident Action lan Safety Analysis Safety /fficer
IA KS IA Kuic,Start Incident Commander andlanning
HICS *orms
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1??
(oG (ame Responsi%le
221 )emo$iliation Chec,
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1?1
HICS *orms 200)
Incident Action Plan Sheet • P+rpose) ro#ides a co#er sheet and achec,list for HICS 4orms and other documents
included in the operational period Incident
Action lan
• $riination) Incident Commander or lanning
Section Chief
• Copies to) Command and +eneral Staff and
)ocumentation Unit Leader
• Help"+l !ips) Additions may $e made to the
form to meet the organiation-s needs
HICS *orm 201)
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1?2
HICS *orm 201)
Incident Briefing
• P+rpose) )ocuments initial response information
actions at start
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1?!
HICS *orm 201)
Incident Briefing
HICS *orm 202)
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1?*
• P+rpose) )efines incident o$>ecti#es
• Instr+ctions) Include
@eat"er3Environmental mplications
2eneral Safety3Safety Messages
ttac"ments
Prepared y Planning Section C"ief
/pproved %y) Incident Commander
HICS *orm 202)
Incident Objectives
HICS *orm 202)
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1?0
HICS *orm 202)Incident Objectives
HICS *orm 20>)
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1?5
• P+rpose) To document Hospital Command Center
staffing
• $riination) lanning Section Chief or designee
'3esources Unit Leader(
• Copies to)
Command Staff and 2eneral Staff
%ranc" Directors and gency Staff
Documentation +nit 6eader
Organization Assignment ist
HICS *orm 20>)
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1?9
Organization Assignment ist
HICS *orm 204)
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1?;
• P+rpose) )ocument $ranch assignments"
o$>ecti#es" strategies7tactics and resource needs
• $riination) Section Chief or @ranch )irector
• Copies to) Command" +eneral Staff and
)ocumentation Unit Leader
• 'hen to complete) At the start of each
operational period
Assignment ist
HICS *orm 204)
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1?=
Assignment ist !page "#
HICS *orm 204)
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11?
Assignment ist !page $#
HICS *orm 21@/)
-
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111
Incident /ction Plan Sa"ety /nalysis
• P+rpose) )ocument haards and mitigation
• $riination) Safety /fficer
• Copies to) Command and +eneral Staff" Sections" and
@ranches
• Prepared %y) Safety /fficer
• /pproved %y) Incident Commander
• 'hen to complete) rior to safety $riefing during the
operations $riefing and at transfer of roles
HICS *orm 21@/)
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112
Incident /ction Plan Sa"ety /nalysis
HICS *$RM 21>)
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11!
P+rpose) ro#ide standardied message recording
Instr+ctions)
Response re+ired) Indicate a reply %asreBuested and to %hom reply addressed
• Priority) Indicate le#el of urgency
• Messae)
Aeep all messages3re8uests rief, to t"e
point, and very specific #ranscrie complete, concise, and specific
content of messageB
• /ction !a5en 'if any(
%eneral &essage 'orm
HICS *$RM 21>)
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11*
%eneral &essage 'orm
HICS *$RM 214)
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110
• P+rpose) )ocument
ncident issues encountered
Decisions made
?otifications conveyed
• $riination) Command and +eneral Staff
• 'hen to complete)
Continuously, from activation t"roug"
demoiliation
Activity og
HICS *$RM 214)
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115
Activity og
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119
P+rpose) A short form com$ining forms
2?1" 2?2" 2?!" 2?* and 210A6 May $e used
in place of full forms to document initial
actions or short incidents" and can epandto the full forms as needed6
$riination) Incident Commander or
lanning Section Chief
HICS *orm I/P 6+ic5 Start)
HICS *orm I/P 6+ic5 Start)
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11;
!page "#
HICS *orm I/P 6+ic5 Start)
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11=
!page $#
S ti R i
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12?
Section Review
!he HICS "orms)
• ro#ide the Hospital Incident Management
Team %ith documents needed to manage aresponse
• Assist in communication %ith eternal agencies
• Assist in communication %ith hospital staff
• )ocuments response and reco#ery
HICS +rin $"" Ho+rs and
S
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121
Small and R+ral Hospitals
!he same principles "or lare hospitals is +sedat smaller hospitals or o"" ho+rs9 holidays and
wee5ends at all sie hospitals
• Acti#ate needed Hospital Incident Management
Team mem$ers
• hen not enough staff" it may $e necessary to
$lend >o$ roles into a single o$ Action Sheet
&or e!ample, t"e ncident Commander may assumet"e role of t"e Pulic nformation Officer and even
t"e 6iaison Officer B
$ ti li i HICS
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122
$perationaliin HICS
• Assign an indi#idual in charge of implementation
• /$tain support from the C./7senior leadership
• Ma,e it high priority for administrators and staff
• ro#ide $udgets support
• .sta$lish training reBuirements7competencies
• romote integration into the community response
• ro#ide training of HICS and the .mergency /perationslan
• .ercise the plan and use of HICS
6 ti ,
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12!
6+estions,
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HICS Basics Part 1
Manaement System and
!ools "or #vents
de#eloped $y theCalifornia Hospital Association-sHospital reparedness rogram
%%%6calhospitalprepare6org
Updated with May 2014 HICS Revisions
http://www.calhospitalprepare.org/http://www.calhospitalprepare.org/
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