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    1

    Application ofIncident Action Plan and

    Forms – Improvised

    Explosive Device (IED)

    Hospital IncidentCommand System

    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 monetarygain.

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    2

    • Demonstrate the Incident Action PlanningProcess

    • Demonstrate the use of HICS Forms

    • Implement the use of the Incident Response

    Guides

    O !ectives

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    Scenario "ased Implementation

    • Discuss and rehearse practical implementationof the Incident Action Planning process utili!ingHICS forms and the Incident Response Guides

    • "tili!e a #$a%le $op& learning process

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    '

    Incident Action Plannin#

    1( Assess the Situation

    2( Set the )perational Period

    ( Determine Safet* Priorities + ,sta%lish Incident )%-ecti.es

    '( Determine /ranch0Section )%-ecti.es

    ( Determine Strategies + $actics

    ( Determine 3eeded Resources

    4( Issue Assignments

    5( Implement Actions

    6( Reassess + Ad-ust Plans

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    Scenario

    • $he "ni.ersal Ad.ersar* terrorist group hasdetonated a .ehicle %om% in the par7ing lot ofthe communit*8s largest pu%lic %uilding during%usiness hours

    • $he %uilding is currentl* hosting a con.ention9ith a large num%er attendees at the e.ent

    • Part of the structure has collapsed: fires are%urning throughout the facilit* and there isse.ere %last and fire damage to the surrounding%uildings

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    • ;our hospital is the closest 1'??• =eather> Clear: 4 @ F: ight 9inds

    Scenario

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    • Bictims and unin-ured %egin arri.ing at thefacilit* 9ithin 1 minutes of the %last

    • 3um%er of .ictims e pected to arri.e> "n7no9nIs this an incident=hat are *our first actions=ho is in charge

    First Actions

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    6

    • "se HICS form 21'> )perational og

    • Complete HICS form 2?1> Incident /riefing,.ent Histor* and Current Actions Summar*

    • /egin form 2?2> Incident )%-ecti.es=eather0en.ironmental implications for period

    Step $% Assess t&e Sit'ation

    Incident Action Plannin#

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    1?

    &ic& Positions to Activate

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    11

    Immediate *ime Period

    Position Immedi

    ate

    Intermed

    iate

    Exten

    ded

    Recovery

    Incident Commander X X X XPublic Information O cer X X X XLiaison O cer X X X XSafety O cer X X X X Operations Section Chief X X X XMedical Care Branch Director X X X XInfrastructure Branch Director X X X XSecurity Branch Director X X X XLaw nforcement Interface!nit Leader

    X X X X

    "a#Mat Branch Director X X X X

    Planning Section Chief X X X X$esources !nit Leader X X X XSituation !nit Leader X X X X

    Documentation !nit Leader X

    Logistics Section Chief X X X XSer%ice Branch Director X X X XSu&&ort Branch Director X X X X

    Finance /AdministrationSection Chief

    X X X

    'ime !nit Leader X X X

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    • $he Incident Commander names theincident

    • If the incident is a communit*E%asedincident: the appropriate -urisdiction 9illname the incident e(g(: count*: cit*: ,

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    • HICS form 2?2> Incident )%-ecti.es

    Operational Period Date/Time• Incident Commander sets the )perational Period

    • /ased on num%er of simultaneous acti.ities

    • Ho9 uic7l* the situation is changing• An )perational Period %rea7s the incident do9n

    into managea%le timeframes

    Step ,% Set t&e Operational Period

    Incident Action Plannin#

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    1'

    • Identif* Command + Control )%-ecti.es theseare the o.erarching o%-ecti.es that 9ill lastthroughout the 9hole response

    • HICS form 2?2> Incident )%-ecti.es

    Step -% Determine Safety Priorities. Incident O !ectives

    Incident Action Plannin#

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    1

    • It has %een ? minutes since the e plosion

    • $he ,D has recei.ed 2 critical %urn0traumapatients %* pri.ate car

    • 2? .ictims ha.e %een triaged2 immediate2 dela*ed1 minor

    • ,D estimates 2? .ictims 9aiting for triage

    • ,

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    • Assess the Safet* issues

    • =hat ha!ards e ist and 9hat precautions need

    to %e ta7enSecurit* 3eeds e(g(: increased sur.eillance:secondar* de.ice: cro9d control

    • Complete form 21 A Incident Action Plan

    Safet* Anal*sis

    Side +ote%Safety Officer *as7s

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    • Prepare a statement for the media

    • Prepare a statement for the staff: patients and.isitors e(g(: situation: status: safet*precautions: ne t update time

    • $he statements need appro.al from theIncident Commander

    • Coordinate consistent messaging 9ith theJoint Information Center JIC

    Side +ote%P' lic Information Officer *as7s

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    2?

    • "tili!e HICS forms

    • Form 21' E )perational og

    Side +ote%Doc'mentin# yo'r Actions

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    • Document on HICS 2?' Assignment ist

    • $he* are %ased on the Incident )%-ecti.es

    • $hese are %ased on 9hat is desired to %eachie.ed %* the Section in that operationalperiod

    • )%-ecti.es need to %e S

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    2

    • Strategies + tactics are ho9 *our /ranch0Sectionis going to achie.e the o%-ecti.es

    • =hat actions do *ou need to ta7e

    • "se *our facilit* response plans and IncidentResponse Guides

    • Record strategies + tactics on form 2?' /ranch Assignment ist

    Incident Action Plannin#Step ;% Determine Strate#ies . *actics

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    2'

    • =hat units0space needs to %e acti.ated

    • =hat personnel resources do *ou need• =hat e uipment and0or supplies do *ou need

    • Do *ou need transport resources

    • Document resource acti.ities> Resources assigned form 2?' Resource re uests form 21 Actions ta7en to utili!e and o%tain resources form 21'

    Step

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    2

    • =ho 9ill %e assigned to the units

    • Fill in the assignments on form 2?' Assignment ist

    • Are there other %ranches that need acti.ated

    Step =% Iss'e Assi#nments

    Incident Action Plannin#

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    2

    • For the first )perational Period the Incident Action Plan should %e

    done 9ithin ?E' minutes

    • =hat ma7es up the Incident Action Plan Form 2?1 E Incident /riefing

    Form 2?2 E Incident )%-ecti.es Form 2? E Incident Assignments Form 2?' E /ranch Assignments Form 21 A E Incident Action Plan Safet* Anal*sis

    • $he Planning Section compiles the forms to create the Incident ActionPlans

    Incident Action Plannin#

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    IAP Cover S&eet

    • Can %e used for the IAP Kuic7 Start or fullIncident Action Plan forms

    • Can ma7e different colors if *ou 9ant todifferentiate )perational Periods

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    • Put *our acti.ities 0 plans into action

    • =hat are some of these acti.ities

    Step ?% Implement Actions

    Incident Action Plannin#

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    Step @% 1eassess . Ad!'st Plans

    • $o9ards the end of the operational period: *ou 9illneed to e.aluate status

    • Repeat steps 1E5

    • "pdate the forms

    • ,.aluate and0or update *our /ranch0Section)%-ecti.es

    • $his creates *our Incident Action Plan game planfor the ne t operational period

    Incident Action Plannin#

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    2

    • It is no9 ' hours into the incident

    • All .ictims ha.e %een transported or ha.e left

    the scene• "ni.ersal Ad.ersar* has claimed responsi%ilit*

    for the %om%ing and claims a secondar* de.iceis in place

    • =hat issues should %e considered

    Scenario /pdate 6-

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    de.eloped %* theCalifornia Hospital Association8sHospital Preparedness Program

    999(calhospitalprepare(org

    HICS "asics Part ,Application of

    Incident Action Plan and FormsImprovised Explosive Device

    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 ecretaryf P d " # H i l P d P d d d b h C lif i ! f P bli H l h $ f hi i i l h ll b