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INCIDENT COMMAND SYSTEM MULTI-CASUALTY TREATMENT DISPATCH MANAGER AND MEDICAL COMMUNICATIONS COORDINATOR I-MC-237 JANUARY, 1990 Revised March, 1993

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INCIDENT COMMAND SYSTEM

MULTI-CASUALTY

TREATMENT DISPATCH MANAGER AND

MEDICAL COMMUNICATIONS COORDINATOR

I-MC-237

JANUARY, 1990 Revised March, 1993

January 1990 (Rev. 3/93) I-MC-237

CONTENTS

Contents..........................................................................................................................................1 Course Outline ..............................................................................................................................2 Unit 1 Lesson Plan: Introduction ...............................................................................................3 Unit 2 Lesson Plan: Organizing and Staffing...........................................................................6 Unit 3 Lesson Plan: Responsibilities of the Treatment Dispatch Manager..........................9 Unit 4 Lesson Plan: Responsibilities of the Medical Communications Coordinator .......13 Unit 5 Lesson Plan: Demobilization of the Treatment Dispatch Manager ........................18 and Medical Communications Coordinator Positions Unit 6- Group Exercise Final Exam....................................................................................................................................21 Appendix A: Handouts and Viewgraphs............................................................................ A-1

1

January 1990 (Rev. 3/93) I-MC-237

COURSE OUTLINE COURSE TITLE: I-MC-237 Treatment Dispatch Manager and Medical

Communications Coordinator Time: 16 Hours COURSE OBJECTIVES:

1. Provide trainees with the organizational structure and operation of the positions of Treatment Dispatch Manager and Medical Communication Coordinator.

2. Teach trainees how to staff, organize and equip units under their command. 3. Provide trainees with knowledge regarding the duties and responsibilities of the

Treatment Dispatch Manager. 4. Provide trainees with knowledge regarding the duties and responsibilities of the

Medical Communications Coordinator. 5. Teach trainees how to effectively demobilize the Treatment Dispatch and

Medical Communications Units. 6. Provide trainees an opportunity to apply their knowledge through

demonstrations. COURSE CONTENT: Unit 1: Introduction to I-MC-237 Treatment Dispatch Manager and 1 hour Medical Communications Coordinator Unit 2: Organization and staffing your unit 1 hour Unit 3: Responsibilities of the Treatment Dispatch Manager 2 hours Unit 4: Responsibilities of the Medical Communication Coordinator 3 hours Unit 5: Demobilization of the Treatment Dispatch Manager and 1 hour Medical Communications Coordinator Positions Unit 6: Group Exercises (position role play) 8 hours TOTAL: 16 HOURS

2

January 1990 (Rev. 3/93) I-MC-237

UNIT 1: LESSON PLAN

TOPIC: Introduction to I-MC-237 Treatment Dispatch Manager, and Medical

Communications Coordinator LEVEL: I TIME: 1 Hour BEHAVIORAL OBJECTIVES:

Given: Simulated role play exercises and a written exam. Performance: Each trainee will be able to identify the

organizational structure and general goals of the Treatment Dispatch Manager and Medical Communications Coordinator positions.

Standard: By performance in role play exercises in accordance

with the standards described in the Multi-Casualty position manuals; and passing of a multiple-choice written exam with a minimum of 70% accuracy.

REFERENCES: ICS-MC-222-7, 222-4 Position Manuals, ICS 420-1 Field Operations Guide

MATERIALS NEEDED: Handouts, chalkboard, flip chart, marker pens, overhead projector, viewgraphs

MOTIVATION/PREPARATION: Whenever a disaster strikes, confusion and panic severely hamper the efforts of those trying to organize the rescue teams. It is critical that you assume the leadership role and quickly begin functioning in an organized manner and accomplishing the tasks at hand.

3

January 1990 (Rev. 3/93) I-MC-237

Unit 1: Introduction to I-MC-237 Treatment Dispatch Manager, Medical Communications Coordinator

PRESENTATION APPLICATION Introduction of trainees and instructors Administrative details:

1. Parking 2. Ground rules 3. Facilities 4. Meal schedules 5. Use of telephones 6. Other pertinent points

Where does the Treatment Dispatch Manager position fall in the ICS organizational structure?

01-01-I-MC-237-HO 01-01-I-MC-237-VG

A function of the Treatment Unit Leader position

Where does the Medical Communications Coordinator position fall in the ICS organizational structure?

01-02-I-MC-237-HO 01-02-I-MC-237-VG

A function of the Patient Transportation Group Supervisor position

What do these two positions have in common?

Both deal with the transportation of patients (lead discussion)

Why is it important that the Treatment Dispatch Manager establish and maintain good communications with the Medical Communications Coordinator?

Each relies on information that the other has in order to make the system function smoothly.

4

January 1990 (Rev. 3/93) I-MC-237

SUMMARY: In summary, we have reviewed the positions of Treatment Dispatch Manager and Medical Communications Coordinator in relation to the organizational structure of the Multi-Casualty Branch.

EVALUATION: Each trainee will be required to demonstrate the ability to

apply principles learned in role play simulations. Each trainee will also pass a written, multiple-choice exam with a minimum of 70% accuracy at the end of the course.

ASSIGNMENT: Review all handouts, trainee manuals, and notes

5

January 1990 (Rev. 3/93) I-MC-237

UNIT 2: LESSON PLAN TOPIC: Organizing and Staffing your unit LEVEL: I TIME: 1 Hour BEHAVIORAL OBJECTIVES:

Given: Simulated role play exercises and a written exam

Performance: Each trainee will be able to determine the

organizational and staffing requirements of the Treatment Dispatch Manager and Medical Communications Coordinator positions, based on the size and complexity of the incident

Standard: By performance in role play exercises in

accordance with the standards described in the Multi-Casualty position manuals; and passing of a multiple-choice written exam with a minimum of 70% accuracy.

REFERENCES: ICS-MC-222-4, 222-7 Position Manuals MATERIALS NEEDED: Handouts, chalkboard, flip chart, marker

pens, overhead projector, and viewgraphs MOTIVATION/PREPARATION: Depending on the number of victims and/or the complexity of the incident, the Treatment Dispatch Manager and Medical Communications Coordinator have to make the determination of how to most effectively use available resources and whether to request additional personnel. In this class, we will examine the basic function of each position and discuss the need for additional personnel to assist in accomplishing the task at hand.

6

January 1990 (Rev. 3/93) I-MC-237

UNIT 2: Organizing and Staffing Your Unit PRESENTATION APPLICATION 02-01-I-MC-237-HO 02-01-I-MC-237-VG

What is the basic function of the Treatment Dispatch Manager?

Coordination of transportation of patients out of the Treatment area

What is the basic function of the Medical Communications Coordinator?

02-02-I-MC-237-HO 02-02-I-MC-237-VG Maintain communications with medical facilities and assure proper patient transportation and destination

As the size and complexity of the incident grows, at what point will the Medical Communications Coordinator require assistants?

(Recorder(s) assigned as needed to maintain accurate records)

When is it necessary for the Treatment Dispatch Manager to utilize an assistant?

(Recorder(s) assigned as needed to maintain accurate records)

Why is the Medical Communications Coordinator position usually filled prior to the Patient Transportation Group Supervisor?

Critical to have communications established with medical facilities and transportation

7

January 1990 (Rev. 3/93) I-MC-237

SUMMARY: To review, we have examined the basic functions and staffing requirements of the Treatment Dispatch and the Medical Communications positions. It is advisable for Recorders to be assigned to both of these positions in order to maintain accurate records regarding the transportation of patients.

EVALUATION: Each trainee will be required to demonstrate the ability to apply

principles learned in role play simulations. Each trainee will also pass a written, multiple-choice exam with a minimum of 70% accuracy at the end of the course.

ASSIGNMENT: Review all handouts, trainee manuals, and notes.

8

January 1990 (Rev. 3/93) I-MC-237

UNIT 3: LESSON PLAN TOPIC: Responsibilities of the Treatment Dispatch Manager LEVEL: I TIME: 2 Hours BEHAVIORAL OBJECTIVES:

Given: Simulated role play exercises and a written exam

Performance: Each trainee will be able to identify and perform the duties and responsibilities required of the position of Treatment Dispatch Manager

Standard: By performance in role play exercises in accordance

with the standards described in the Multi-Casualty position manuals; and passing of a multiple-choice written exam with a minimum of 70% accuracy.

REFERENCES: ICS-MC-222-4 Position Manual MATERIALS NEEDED: Handouts, chalkboard, flip chart, marker pens,

overhead projector, viewgraphs MOTIVATION/PREPARATION: You have been assigned the role of Treatment Dispatch Manager. The Treatment Areas are filling up with patients ready for transport and ambulances are lined up waiting to be utilized. You are thinking to yourself, "What do I do first?" Don't panic. With a little organization and communication skills on your part, the transportation process will begin to take shape. This class should provide you with the knowledge necessary to successfully carry out your mission.

9

January 1990 (Rev. 3/93) I-MC-237

UNIT 3: Responsibilities of the Treatment Dispatch Manager PRESENTATION APPLICATION What are the duties of the Treatment

Dispatch Manager? 03-01-I-MC-237-HO 03-01-I-MC-237-VG

1. Obtain briefing from Treatment Unit Leader

What specific information might be in the briefing?

Incident objectives, special hazards, communication instructions, current status

2. Establish communications with the Immediate, Delayed, and Minor Treatment Managers

Why is it important to maintain good communications with the Treatment Managers?

Necessary for prioritization of patient transportation (lead discussion)

3. Establish communication with Patient Transportation Supervisor.

Why is this necessary? Imperative for coordination of transportation process

4. Assure that patients are prioritized for transportation

What criteria should be used to prioritize patients for transportation?

Based on need for hospital treatment established by Treatment Unit Leader or Treatment Managers

5. Advise Medical Communications Coordinator of patient priority for transportation

Why is it important for the Medical Communications Coordinator to be informed of the patient priority?

10

January 1990 (Rev. 3/93) I-MC-237

PRESENTATION APPLICATION Needs information in order to determine mode of transportation and appropriate medical facility for the type of injury

6. Coordinate transportation of patients with the Medical Communication Coordinator

7. Assure that appropriate patient information is recorded

How is this done? 03-02-I-MC-237-HO 03-02-I-MC-237-VG

8. Coordinate ambulance loading with Treatment Manager and ambulance personnel

Why is this necessary? Keep records accurate; make sure most critical patients ready for transport are transported first

What resource needs should be assessed by the Treatment Dispatch Manager?

1. Communications 2. Equipment and Supplies 3. Recorders and other assistants

(lead discussion and examine prerequisites for recorders)

11

January 1990 (Rev. 3/93) I-MC-237

SUMMARY: In summary, we have taken a close look at the duties of the

Treatment Dispatch Manager, which focus mainly on the coordination of the transportation of patients out of the Treatment Area.

EVALUATION: Each trainee will be required to demonstrate the ability to apply

principles learned in role play simulation. Each trainee will also pass a written, multiple-choice exam with a minimum of 70% accuracy at the end of the course.

ASSIGNMENT: Review all handouts, trainee manuals, and notes.

12

January 1990 (Rev. 3/93) I-MC-237

UNIT 4: LESSON PLAN

TOPIC: Responsibilities of the Medical Communications Coordinator LEVEL: I TIME: 3 Hours BEHAVIORAL OBJECTIVES:

Given: Simulated role play exercises and a written exam.

Performance: Each trainee will be able to identify and

perform the duties and responsibilities required of the position of Medical Communications Coordinator.

Standard: By performance in role play exercises in

accordance with the standards described in the Multi-Casualty position manuals; and passing of a multiple-choice written exam with a minimum of 70% accuracy.

REFERENCES: ICS-MC-222-7 Position Manual

MATERIALS NEEDED: Handouts, chalkboard, flip chart, marker pens, overhead projector, viewgraphs

MOTIVATION/PREPARATION: The position of Medical Communications Coordinator is one of the most important positions in the Multi-Casualty Branch. Without the communication links and coordination provided by this position, the organization could not function in an efficient manner. Upon receiving your assignment, it should become apparent that the survival of many disaster victims rests on your ability to expedite their transportation to an appropriate medical facility, whether by air or by ground ambulance.

13

January 1990 (Rev. 3/93) I-MC-237

UNIT 4: Responsibilities of the Medical Communications Coordinator PRESENTATION APPLICATION What are the duties of the Medical

Communications Coordinator? 04-01-I-MC-237-HO 04-01-I-MC-237-VG

1. Check in and receive briefing from Transportation Group Supervisor.

Is it likely that this position was filled prior to the assignment of the Transportation Group Supervisor's position?

Yes, (lead discussion) Why is it advisable that this position be

filled immediately? Importance of getting communications established with medical facilities transportation agencies

2. Establish communications link with hospital alert system and/or other medical facility.

How is this accomplished? Depends on local systems in place (discuss)

3. Determine and maintain current status of hospital availability and capability

How is this information recorded? 04-02-I-MC-237-HO�04-02-I-MC-237-VG 4. Receive basic patient information and

injury status from Treatment Dispatch Manager

Why is this information important to your position?

Priority and nature of injury affects mode of transportation and type of facility designated.

14

January 1990 (Rev. 3/93) I-MC-237

PRESENTATION APPLICATION 5. Communicate appropriate hospital

availability to Treatment Dispatch Manager.

Why does the Treatment Dispatch Manager need to know which hospitals are available?

Helps in the prioritization process; record keeping

6. Coordinate patient off-incident destination with the hospital alert system.

Why is this necessary? Allows medical facilities to prepare for the arrival of patients.

7. Communicate patient transportation needs to Ambulance Coordinators based upon requests from Treatment Dispatch Manager.

8. Maintain appropriate records Hospital Resource Availability ICS-MC-308 Would it be appropriate for the Medical

Communications Coordinator to maintain a Unit Log (ICS 214)?

04-03-I-MC-237-HO 04-03-I-MC-237-VG (Review use of Communications Log or ICS 214 Unit Log if no Communication Log is available)

(Lead discussion about agency specific forms)

Why is it important that close coordination of efforts and liaison be maintained with the Treatment Dispatch Manager?

15

January 1990 (Rev. 3/93) I-MC-237

PRESENTATION APPLICATION Each position relies on information supplied from the other (discuss).

What are some operational considerations which accompany the position of Medical Communications Coordinator?

1. Medical input into the decision making process

2. Standing orders (jurisdictional) 3. Anticipating potential patient

numbers, considering the request for additional hospital emergency response teams

16

January 1990 (Rev. 3/93) I-MC-237

SUMMARY: In summary, we have taken an in-depth look at the duties of the Medical Communications Coordinator, which center around maintaining communications with medical facilities and assuring proper patient transportation and destination.

EVALUATION: Each trainee will be required to demonstrate the ability to

apply principles learned in role play simulations. Each trainee will also pass a written, multiple-choice exam with a minimum of 70% accuracy at the end of the course.

ASSIGNMENT: Review all handouts, trainee manuals, and notes.

17

January 1990 (Rev. 3/93) I-MC-237

UNIT 5: LESSON PLAN

TOPIC: Demobilization of the Treatment Dispatch Manager and Medical Communications Coordinator Positions

LEVEL: I TIME: 1 Hour

BEHAVIORAL OBJECTIVES:

Given: Simulated role play exercises and a written exam

Performance: Each trainee will be able to describe the demobilization procedures for the Treatment Dispatch Manager and Medical Communications Coordinator's positions.

Standard: By performance in role play exercises in

accordance with the standards described in the Multi-Casualty position manuals; and passing of a multiple-choice written exam with a minimum of 70% accuracy.

REFERENCES: ICS-MC-222-4, 222-7 Position Manuals

MATERIALS NEEDED: Handouts, chalkboard, flip chart, marker pens,

overhead projector, viewgraphs

MOTIVATION/PREPARATION: The patients have all been transported, but your job is not over yet. Many important records and documents have been generated by your unit which need to be carefully organized and forwarded to the appropriate section. It is important that you complete all documentation so that no loose ends are left hanging after the incident.

18

January 1990 (Rev. 3/93) I-MC-237

UNIT 5: Demobilization of the Treatment Dispatch Manager and Medical Communications Coordinator Positions

PRESENTATION APPLICATION Why is it important that demobilization

be carried out in an organized manner? More than completing documentation. (Discuss coordination with the Incident Demobilization Plan.)

What factors should be considered by the Medical Communications Coordinator when preparing for demobilization?

Make sure all paperwork is complete. Copies made for back-up file.

What factors should be considered by the Treatment Dispatch Manager when preparing for demobilization?

Make sure all paperwork is complete. Copies made for back-up file.

To who are records submitted? Documentation Unit What if there is no Documentation Unit? Give them to your Supervisor, Agency Representative, or appropriate authority

Who ultimately receives your documents? Agency in charge of incident.

19

January 1990 (Rev. 3/93) I-MC-237

SUMMARY: To summarize, demobilization of the Treatment Dispatch Manager and Medical Communications Coordinator Positions involves the completion of all records and submittal of those records to the Documentation Unit, as well as coordination with the Incident Demobilization Plan.

EVALUATION: Each trainee will be required to demonstrate the ability to apply

principles learned in role play simulations. Each trainee will also pass a written, multiple-choice exam with a minimum of 70% accuracy at the end of the course.

ASSIGNMENT: Review all handouts, trainee manuals, and notes.

20

January 1990 (Rev. 3/93) I-MC-237

Final Examination I-MC-237 Treatment Dispatch Manager and Medical Communications Coordinator

DIRECTIONS: The following questions are multiple-choice. Select the one best

answer for each of the following questions or statements and indicate whether your choice is A, B, C, or D.

1. The Treatment Dispatch Manager falls under which one of the following elements

of the ICS organization? A. Triage Unit Leader B. Medical Communications Coordinator C. Treatment Unit Leader D. Patient Transportation Group Supervisor 2. Which of the following statements most accurately describes the basic function of

the Medical Communications Coordinator? A. Implement, direct and supervise the treatment of patients B. Manage Ambulance Staging Area and dispatch ambulances as required C. Triage management and movement of patients from the triage area

D. Maintain communications with medical facilities and assure proper patient transportation and destination

3. Which one of the following positions is usually filled first in the Patient

Transportation Group? A. Medical Communications Coordinator B. Patient Transportation Group Supervisor C. Ground Ambulance Staging Manager D. Air Ambulance Staging Manager 4. Which of the following statements most accurately describes the basic function of

the Treatment Dispatch Manager? A. Implement, direct, and supervise the treatment of patients B. Coordination of transportation of patients out of the Treatment Area

C. Maintain communications with medical facilities and assure proper patient transportation and destination

D. Manage Ambulance Staging Area and dispatch ambulances as required

21

January 1990 (Rev. 3/93) I-MC-237

5. At which one of the following response levels in a multi-casualty incident is the Treatment Dispatch Manager position usually filled?

A. Full Branch Response Level B. Re-Inforced Response Level C. Multi-Leader Response Level D. Initial Response Level 6. Why is it important for the Treatment Dispatch Manager to have an assistant? A. In order to acquire needed supplies B. In order to maintain accurate records C. To help out as litter bearers D. Maintain communication with the Ambulance Staging Manager 7. When prioritizing patients for transportation, the Treatment Dispatch Manager

should use criteria based on: A. Available transportation B. Availability of medical facilities C. Proximity and travel distance to medical facilities D. Need for treatment established by Treatment Unit 8. Why is it imperative that the Treatment Dispatch Manager coordinate ambulance

loading with the Treatment Manager and ambulance personnel? A. Ensure that most critical patients ready for transport are transported first

B. So that hospital destinations may be assigned when patient is picked up from Treatment Area

C. Ensure that Delayed patients are transported before Immediate patients D. Ensure that the right patients go to the correct medical facility 9. The Medical Communications Coordinator uses the Injury Status Report from the

Treatment Dispatch Manger as a basis upon which to: A. Order more medical caches B. Divert manpower to Treatment Area C. Release equipment not needed D. Designate type of medical facility

22

January 1990 (Rev. 3/93) I-MC-237

10. Upon conclusion of the incident, documents are to be submitted to whom? A. Incident Commander B. Resource Unit Leader C. Documentation Unit D. Timekeeper 11. Which one of the following types of information is usually not obtained in the

initial briefing? A. Initial instructions, incident objectives B. Communications frequencies C. Current status, Action Plan (if available) D. Total number of resources committed to incident 12. Why is it necessary for the Treatment Dispatch Manager to maintain

communication with the Patient Transportation Group Supervisor? A. Allows for maximum coordination of the transportation process B. Permits Treatment Dispatch Manger to select hospital facility C. Permits Treatment Dispatch Manger to select mode of transportation

D. Allows Patient Transportation Group Supervisor to help in prioritization of patients

13. What form is used by the Treatment Dispatch Manager to record pertinent

information? A. Multi-Casualty Branch Worksheet B. Multi-Casualty Recorder Worksheet C. Multi-Casualty Hospital Resource Availability Worksheet D. Multi-Casualty Ambulance Staging Resource Status Worksheet 14. What is the primary responsibility of the Medical Communications Coordinator?

A. Establish communications with medical facilities and transportation agencies B. Establish patient treatment areas C. Coordinate staging of ambulances D. Request additional resources to staff unit

23

January 1990 (Rev. 3/93) I-MC-237

15. What form is used by the Medical Communications Coordinator to record

pertinent information? A. Multi-Casualty Branch Worksheet B. Multi-Casualty Recorder Worksheet C. Multi-Casualty Hospital Resource Availability Worksheet D. Multi-Casualty Ambulance Staging Resource Status Worksheet

24

January 1990 (Rev. 3/93) I-MC-237

Keyed Final Examination I-MC-237 Treatment Dispatch Manager and Medical Communications Coordinator

DIRECTIONS: The following questions are multiple-choice. Select the one best

answer for each of the following questions or statements and indicate whether your choice is A, B, C, or D.

1. The Treatment Dispatch Manager falls under which one of the following elements

of the ICS organization? A. Triage Unit Leader B. Medical Communications Coordinator C. Treatment Unit Leader D. Patient Transportation Group Supervisor 2. Which of the following statements most accurately describes the basic function of

the Medical Communications Coordinator? A. Implement, direct and supervise the treatment of patients B. Manage Ambulance Staging Area and dispatch ambulances as required C. Triage management and movement of patients from the triage area

D. Maintain communications with medical facilities and assure proper patient transportation and destination

3. Which one of the following positions is usually filled first in the Patient

Transportation Group? A. Medical Communications Coordinator B. Patient Transportation Group Supervisor C. Ground Ambulance Staging Manager D. Air Ambulance Staging Manager 4. Which of the following statements most accurately describes the basic function of

the Treatment Dispatch Manager? A. Implement, direct, and supervise the treatment of patients

B. Coordination of transportation of patients out of the Treatment Area

C. Maintain communications with medical facilities and assure proper patient transportation and destination

D. Manage Ambulance Staging Area and dispatch ambulances as required

25

January 1990 (Rev. 3/93) I-MC-237

5. At which one of the following response levels in a multi-casualty incident is the Treatment Dispatch Manager position usually filled?

A. Full Branch Response Level B. Re-Inforced Response Level C. Multi-Leader Response Level D. Initial Response Level 6. Why is it important for the Treatment Dispatch Manager to have an assistant? A. In order to acquire needed supplies B. In order to maintain accurate records C. To help out as litter bearers D. Maintain communication with the Ambulance Staging Manager 7. When prioritizing patients for transportation, the Treatment Dispatch Manager

should use criteria based on: A. Available transportation B. Availability of medical facilities C. Proximity and travel distance to medical facilities D. Need for treatment established by Treatment Unit 8. Why is it imperative that the Treatment Dispatch Manager coordinate ambulance

loading with the Treatment Manager and ambulance personnel? A. Ensure that most critical patients ready for transport are transported first

B. So that hospital destinations may be assigned when patient is picked up from Treatment Area

C. Ensure that Delayed patients are transported before Immediate patients D. Ensure that the right patients go to the correct medical facility

9. The Medical Communications Coordinator uses the Injury Status Report from the

Treatment Dispatch Manger as a basis upon which to: A. Order more medical caches B. Divert manpower to Treatment Area C. Release equipment not needed D. Designate type of medical facility

26

January 1990 (Rev. 3/93) I-MC-237

10. Upon conclusion of the incident, documents are to be submitted to whom? A. Incident Commander B. Resource Unit Leader C. Documentation Unit D. Timekeeper 11. Which one of the following types of information is usually not obtained in the

initial briefing? A. Initial instructions, incident objectives B. Communications frequencies C. Current status, Action Plan (if available) D. Total number of resources committed to incident 12. Why is it necessary for the Treatment Dispatch Manager to maintain

communication with the Patient Transportation Group Supervisor?

A. Allows for maximum coordination of the transportation process B. Permits Treatment Dispatch Manger to select hospital facility C. Permits Treatment Dispatch Manger to select mode of transportation

D. Allows Patient Transportation Group Supervisor to help in prioritization of patients

13. What form is used by the Treatment Dispatch Manager to record pertinent

information? A. Multi-Casualty Branch Worksheet B. Multi-Casualty Recorder Worksheet C. Multi-Casualty Hospital Resource Availability Worksheet D. Multi-Casualty Ambulance Staging Resource Status Worksheet 14. What is the primary responsibility of the Medical Communications Coordinator?

A. Establish communications with medical facilities and transportation agencies

B. Establish patient treatment areas C. Coordinate staging of ambulances D. Request additional resources to staff unit

27

January 1990 (Rev. 3/93) I-MC-237

28

15. What form is used by the Medical Communications Coordinator to record

pertinent information? A. Multi-Casualty Branch Worksheet B. Multi-Casualty Recorder Worksheet C. Multi-Casualty Hospital Resource Availability Worksheet D. Multi-Casualty Ambulance Staging Resource Status Worksheet

January 1990 (Rev. 3/93) I-MC-237

APPENDIX A HANDOUTS AND VIEWGRAPHS

A-1

January 1990 (Rev. 3/93) I-MC-237

INCIDENT COMMAND ORGANIZATIONAL CHART FOR A MULTI-CASUALTY BRANCH FULL BRANCH RESPONSE LEVEL

Operations Section Chief *Air Operations is shown for reference only Staging Multi-Casualty Branch Director Air Operations Branch Director

Medical Group/ Division Supervisor

Patient Transportation Group Supervisor

Air Support Supervisor

Air Attack Supervisor

Medical Supply

Coordinator Medical Communications

Coordinator Helibase Manager

Helicopter Coordinator

Air Ambulance Coordinator

Treatment Unit Leader Helispot Manager

Air Tanker Coordinator Triage

Unit Leader Treatment Dispatch Manager

Ground Ambulance Coordinator

Triage Personnel Immediate Treatment Manager Organizational Lines

Fixed Wing Base

Manager Delayed Treatment Manager

Morgue Manager Communication Lines

Minor Treatment Manager 01-01-I-MC-237-HO/VG

A-2

January 1990 (Rev. 3/93) I-MC-237

A-3

INCIDENT COMMAND ORGANIZATIONAL CHART FOR A MULTI-CASUALTY BRANCH FULL BRANCH RESPONSE LEVEL

Operations Section Chief *Air Operations is shown for reference only Staging Multi-Casualty Branch Director Air Operations Branch Director

Medical Group/ Division Supervisor

Patient Transportation Group Supervisor

Air Support Supervisor

Air Attack Supervisor

Medical Supply

Coordinator Medical Communications

Coordinator Helibase Manager

Helicopter Coordinator

Air Ambulance Coordinator

Treatment Unit Leader Helispot Manager

Air Tanker Coordinator Triage

Unit Leader Treatment Dispatch Manager

Ground Ambulance Coordinator

Triage Personnel Immediate Treatment Manager Organizational Lines

Fixed Wing Base

Manager Delayed Treatment Manager

Morgue Manager Communication Lines

Minor Treatment Manager 01-02-I-MC-237-HO/VG

January 1990 (Rev. 3/93) I-MC-237

TREATMENT DISPATCH MANAGER

Functions: Responsible for coordinating with Patient

Transportation Group the transportation of patients out of the Treatment Area.

02-01-I-MC-237-HO/VG

A-4

January 1990 (Rev. 3/93) I-MC-237

MEDICAL COMMUNICATIONS COORDINATOR

Basic Functions: Maintain communications with medical

facilities. Assure proper patient transportation and destination.

02-02-I-MC-237-HO/VG

A-5

January 1990 (Rev. 3/93) I-MC-237

DUTIES OF TREATMENT DISPATCH MANAGER

1. Check in and obtain briefing from Treatment Unit Leader.

2. Establish communications with the Immediate, Delayed, and Minor

Treatment Managers.

3. Establish communications with Patient Transportation Group.

4. Verify that patients are prioritized for transportation.

5. Advise Medical Communications Coordinator of patient readiness and priority for dispatch.

6. Coordinate transportation of patients with Medical Communications

Coordinator.

7. Assure that appropriate patient tracking information is recorded.

8. Coordinate ambulance loading with Treatment Manager and ambulance personnel.

03-01-I-MC-237-HO/VG

A-6

January 1990 (Rev. 3/93) I-MC-237

MULTI-CASUALTY

RECORDER WORKSHEET Ambulance Company

Ambulance ID Number

Patient Triage Tag Number

Patient Status

Hospital Destination

Off Scene Time

(I) (D) (M) ____: ____

(I) (D) (M) ____: ____

(I) (D) (M) ____: ____

(I) (D) (M) ____: ____

(I) (D) (M) ____: ____

(I) (D) (M) ____: ____

(I) (D) (M) ____: ____

(I) (D) (M) ____: ____

(I) (D) (M) ____: ____

(I) (D) (M) ____: ____

(I) (D) (M) ____: ____

(I) (D) (M) ____: ____

(I) (D) (M) ____: ____

(I) (D) (M) ____: ____

(I) (D) (M) ____: ____

(I) (D) (M) ____: ____

(I) (D) (M) ____: ____

(I) (D) (M) ____: ____

(I) (D) (M) ____: ____

(I) (D) (M) ____: ____

(I) (D) (M) ____: ____

(I) (D) (M) ____: ____

ICS-MC-306 (12/89) 03-02-I-MC-237-HO/VG

A-7

January 1990 (Rev. 3/93) I-MC-237

DUTIES OF MEDICAL COMMUNICATIONS COORDINATOR

1. Check in and obtain briefing from Patient Transportation Group

Supervisor.

2. Establish communications with hospital alert system.

3. Determine and maintain current status of hospital/medical facility availability and capability.

4. Receive basic patient information and injury status from Treatment

Dispatch Manager.

5. Communicate hospital availability to Treatment Dispatch Manager.

6. Coordinate patient off-incident destination with the hospital alert system.

7. Communicate patient transportation needs to Ambulance

Coordinators based upon requests from Treatment Dispatch Manager.

8. Maintain appropriate records.

04-01-I-MC-237-HO/VG

A-8

January 1990 (Rev. 3/93) I-MC-237

MULTI-CASUALTY

HOSPITAL RESOURCE AVAILABILITY HOSPITAL CRITICAL NON-CRITICAL

A

U

A

U

A

U

A

U

A

U

A

U

A

U

A

U

A

U

A=AVAILABLE U=USED ICS-MC-308 (12/89) 04-02-I-MC-237-HO/VG

A-9

January 1990 (Rev. 3/93) I-MC-237

A-10

ICS-214 UNIT LOG 03/2007

1. Incident Name 2. Date Prepared 3. Time Prepared

4. Unit Name/Designator 5. Unit Leader (Name and Position

6. Operational Period

7. Roster of Assigned Personnel NAME ICS POSITION HOME BASE

8. Activity Log TIME MAJOR EVENT

9. Prepared By (Name and Position) 04-03-I-MC-237-HO/VG