Emergency Medical Services Incident Response Plan History The

Emergency Medical Services Incident Response Plan

History � The first IRP. �Discuss common operational issues �Establish better working relations � Developing an Incident Response Plan › Representatives from all Hennepin County EMS Services were invited to participate �Allina, Edina, HCMC-EMS, North Memorial, Ridgeview 2

Achievements �A single response plan for all EMS agencies that is simple to follow, simple to execute. � A plan that mimics daily paramedic practices and expedites patient transport. � A plan that follows IMS standards and can integrate with local, Regional, State, and Federal plans. 3

Training Changes Optimal Response Review Implementation

This plan is based on the principles and guidelines of the National Incident Management System (NIMS) and assumes responders have a working knowledge of the Incident Command System (ICS) and the positions it utilizes.

www. training. fema. gov/is

• The command structure presented in this plan may require expansion to meet the needs of larger or more incidents. • Refercomplex to agency specific guidelines for special incidents: Haz. Mat, Police Tactical Operation, Fire Standby, Water Rescue, etc. • • FIRST ARRIVING CREW: Refer towill Panels &B. The agency communication center notify. A MRCC • every 2 nd IN or they LATE ARRIVING Refer time use an ETACAMBULANCES: talkgroup. • to. Do NOTC. respond unless requested! Panel • Operational Considerations

• Upon arrival at the scene, the role of EMS Command will be assumed by an individual and announced on the radio. (Example: will be Command. ”) Any change in • The EMS “[name] Commander is EMS responsible for all positions within the person filling the role must alsountil be announced. the Incident Response Plan delegated. • Radio discipline on scene is(IRP) maintained by allowing only the EMS Commander to interface with the Communication Center. • To manage complex incidents, the EMS Commander may appoint staff to serve asmust Assistants. • The EMS Commander provide regular Situation Reports (Sitreps).

EMS System Advisory � It means mass notifications – and that’s okay – don’t be shy. Err on the side of good information sharing. � Big Picture – understand there is more going on than just your scene. � They want information. It effects both staffing decisions (Internal Orange Alert), and patient treatment options.

The category descriptions below serve only as guidelines and should not preclude medical personnel from categorizing a patient based on experience or other clinical findings.

• Organize medical care in treatment • Establish staging area and keep area. entry/exit routes open. • Determine need for supplies and staff treatment area. • Respond to requests for resources in from the EMS Command • Provide for medical need of all “walking wounded. ” or designee. • Direct Firstthe Responders when caringtofor multiple patients. • Assign appropriate resource meet request. • Provide requested resources with location of assignment, talkgroup, and any special instructions. • Keep EMS Command updated on resources in staging.

• Report to Operations Supervisor. • Coordinate the rapid loading of transporting vehicles. • Record the triage color and number of patients transported by each vehicle. Record names if possible. • Keep entry/exit routes open.

1. Go to assigned radio tactical talkgroup. 2. the Communication Center of the agency 4. Contact Upon arrival at assigned area, contact EMS Command, or controlling the incident for instructions. Staging Supervisor if established. 5. responders will identify themselves using the following 3. All Approach scene using designated route to avoid hazards. format: Dept Name, Type of Resource, and Radio #. • Stay inside the vehicle until assigned a duty. • Remember other vehicles, do not block entry/exit routes. 1. Quickly load patients and provide treatment enroute! 2. Notify EMS Command, or Transportation Supervisor if 3. Immediately contact MRCC/Medical Control by radio on the established, of the number of patients being transported. MRCC talkgroup. Give radio ID, Center destination, age, gender, 4. Contact your Communication and advise them of patient name, triage color, and chief-complaint. your status. 5. Before clearing hospital, crews are encouraged to contact MRCC/Medical Control and give patient names and/or identification if not given previously.

• In large or widely scattered scenes, Divisions or Groups may be established to provide better control of the incident. • A Division represents a geographic location. Division Supervisors may be identified by their geographic location. • Groups are resources assembled to perform a special function. • Divisions operate independent from one another. Division Supervisors report to the EMS Command. • Requests for resources (vehicles, talkgroups, personnel, etc. ) must be made through EMS Command.

Questions?