Hospital Incident Command System Application of Incident Action

  • Slides: 33
Download presentation
Hospital Incident Command System Application of Incident Action Plan and Forms: Loss of Power

Hospital Incident Command System Application of Incident Action Plan and Forms: Loss of Power 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. S. Department of Health & Human Services Assistant Secretary for Preparedness & Response Hospital Preparedness Program and awarded by the California Department of Public Health. No part of this course or its materials shall be copied or utilized for monetary gain. 1

Objectives • Demonstrate the Incident Action Planning Process • Demonstrate the use of HICS

Objectives • Demonstrate the Incident Action Planning Process • Demonstrate the use of HICS Forms • Implement the use of the Incident Response Guides 2

Scenario Based Implementation • Discuss and rehearse practical implementation of the Incident Action Planning

Scenario Based Implementation • Discuss and rehearse practical implementation of the Incident Action Planning process utilizing HICS forms and the Incident Response Guides • Utilize a “Table Top” learning process 3

Incident Action Planning 1. Assess the Situation 2. Set the Operational Period 3. Determine

Incident Action Planning 1. Assess the Situation 2. Set the Operational Period 3. Determine Safety Priorities & Establish Incident Objectives 4. Determine Branch/Section Objectives 5. Determine Strategies & Tactics 6. Determine Needed Resources 7. Issue Assignments 8. Implement Actions 9. Reassess & Adjust Plans 4

Scenario 1 • Setting: Mid-August • Weather: A heat wave with higher than average

Scenario 1 • Setting: Mid-August • Weather: A heat wave with higher than average temperatures (108) for 8 days • Reported heat related illnesses • Isolated losses of power • Time: 4: 00 p. m. 5

The Power is Disrupted but the Generators are Functioning Power has been off for

The Power is Disrupted but the Generators are Functioning Power has been off for 30 minutes. You learn that a transformer in the area has blown out. Time until repaired: Unknown. • Is this an incident? • What are your first actions? • Who is in charge? 6

Incident Action Planning Step 1: Assess the Situation • Use HICS form 214: Operational

Incident Action Planning Step 1: Assess the Situation • Use HICS form 214: Operational Log • Complete HICS form 201: Incident Briefing ü Event History and Current Actions Summary • Begin form 202: Incident Objectives ü Weather/environmental implications for period 7

Which Positions to Activate? 8

Which Positions to Activate? 8

Immediate Time Period Position Immediate Intermediate Extended Recovery Incident Commander Public Information Officer Liaison

Immediate Time Period Position Immediate Intermediate Extended Recovery Incident Commander Public Information Officer Liaison Officer Safety Officer X X X X Operations Section Chief Medical Care Branch Director Infrastructure Branch Director Security Branch Director Business Continuity Branch Director Patient Family Assistance Branch Dir. X X X X X Planning Section Chief Resources Unit Leader Situation Unit Leader Documentation Unit Leader Demobilization Unit Leader X X X X X Logistics Section Chief Service Branch Director Support Branch Director X X X Finance /Administration Section Chief Time Unit Leader Procurement Unit Leader Compensation/Claims Unit Leader Cost Unit Leader X X X X 9

Naming the Incident • The Incident Commander names the incident • If the incident

Naming the Incident • The Incident Commander names the incident • If the incident is a community-based incident, the appropriate jurisdiction will name the incident (e. g. , county, city, EMS) • The incident name should be documented on all forms 10

Incident Action Planning Step 2: Set the Operational Period • HICS form 202: Incident

Incident Action Planning Step 2: Set the Operational Period • HICS form 202: Incident Objectives ü Operational Period Date/Time • Incident Commander sets the Operational Period: ü Based on number of simultaneous activities ü How quickly the situation is changing • An Operational Period breaks the incident down into manageable timeframes 11

Incident Action Planning Step 3: Determine Safety Priorities & Establish Incident Objectives • Identify

Incident Action Planning Step 3: Determine Safety Priorities & Establish Incident Objectives • Identify the Incident Objectives (these are the broad objectives that will last throughout the response or are the priorities) • HICS form 202: Incident Objectives 12

Incident Objectives Utilize the Incident Response Guide Utility Failure: • Identify extent of outage

Incident Objectives Utilize the Incident Response Guide Utility Failure: • Identify extent of outage and consider evacuation • Maintain patient care capabilities • Minimize impact on hospital operations and clinical services • Communicate the situation status to patients, staff, and the public 13

Scenario Update #1 • The municipal power company states that it may be at

Scenario Update #1 • The municipal power company states that it may be at least 6 hours before they can replace the transformer; they have to wait for a large crane • It has been 45 minutes since the outage • Patients are complaining of being hot • The lab states their equipment is getting too hot 14

Side Note: Safety Officer Tasks • Assess the Safety issues • What hazards exist

Side Note: Safety Officer Tasks • Assess the Safety issues • What hazards exist and what precautions need to be taken • Complete the 215 A – Incident Action Plan Safety Analysis 15

Side Note: Public Information Officer task • Prepare a statement for the media •

Side Note: Public Information Officer task • Prepare a statement for the media • Prepare a statement for the staff, patients and visitors (e. g. , situation, status, safety precautions, next update time) • The statements need approval from the Incident Commander • Coordinate consistent messaging with the Joint Information Center (JIC) 16

Side Note: Liaison Officer • Make contact with the Power Company directly, or through

Side Note: Liaison Officer • Make contact with the Power Company directly, or through the local EOC (MHOAC) if activated • Who should be notified? • Who is the source of resources in your local plan? (e. g. , local EMS Department Operations Center, PHD Department Operations Center, County/City Emergency Operations Center) • These contacts/processes should be identified prior to any incident 17

Side Note: Documenting your Actions • Utilize HICS forms • 214 - Operational Log

Side Note: Documenting your Actions • Utilize HICS forms • 214 - Operational Log 18

Incident Action Planning Step 4: Determine Branch/Section Objectives • Document on HICS 204 –

Incident Action Planning Step 4: Determine Branch/Section Objectives • Document on HICS 204 – Assignment List • They are based on the Incident Objectives • These are based on what is desired to be achieved by the Branch/Section in that operational period • Objectives need to be SMART (Simple, Measurable, Achievable, Realistic, Time Sensitive & Task Oriented) 19

Branch/Section Objectives • A common problem during exercises is that Branches/Sections don’t develop their

Branch/Section Objectives • A common problem during exercises is that Branches/Sections don’t develop their objectives promptly • Report top 3 objectives 20

Incident Action Planning Step 5: Determine Strategies & Tactics • Strategies & tactics are

Incident Action Planning Step 5: Determine Strategies & Tactics • Strategies & tactics are how your Branch/Section is going to achieve the objectives • What actions do you need to take? • Use your facility response plans and Incident Response Guides • Record strategies & tactics on form 204 – Branch Assignment List 21

Incident Action Planning Step 6: Determine Needed Resources • Where can patients be moved

Incident Action Planning Step 6: Determine Needed Resources • Where can patients be moved to? • What personnel resources do you need? • What equipment and/or supplies do you need? • What resources do you need in the patient collection/holding area? • What transport resources do you need? • Document resource activities: ü ü ü Resources assigned (form 204) Resource requests (form 213) Actions taken to utilize and obtain resources (form 214) 22

Incident Action Planning Step 7: Issue Assignments • Who will be assigned to the

Incident Action Planning Step 7: Issue Assignments • Who will be assigned to the units? • Fill in assignments on form 204 – Assignment List • Are there other branches or units that need activated? 23

Incident Action Planning • For the first Operational Period the Incident Action Plan should

Incident Action Planning • For the first Operational Period the Incident Action Plan should be done within 30 -45 minutes • What makes up the Incident Action Plan? ü ü ü 201 - Incident Briefing 202 - Incident Objectives 203 - Incident Assignments 204 - Branch Assignments 215 A - Incident Action Plan Safety Analysis • The Planning Section compiles the forms to create the Incident Action Plans 24

IAP Quick Start • New form • Can be used for small incidents •

IAP Quick Start • New form • Can be used for small incidents • Or for a rapid start to a large incident and then expand out on individual HICS forms • Great for smaller pre-planned events 25

IAP Cover Sheet • Can be used for the IAP Quick Start or full

IAP Cover Sheet • Can be used for the IAP Quick Start or full Incident Action Plan forms • Can make different colors if you want to differentiate Operational Periods 26

Incident Action Planning Step 8: Implement Actions • Put your activities / plans into

Incident Action Planning Step 8: Implement Actions • Put your activities / plans into action • What are some of these activities? 27

Scenario Update #2 • It is now 1730 – 1. 5 hrs into the

Scenario Update #2 • It is now 1730 – 1. 5 hrs into the incident • Power is still out • What are your major concerns? 28

Incident Action Planning Step 9: Reassess & Adjust Plans • Towards the end of

Incident Action Planning Step 9: Reassess & Adjust Plans • Towards the end of the operational period, you will need to evaluate status • Repeat steps 1 -8 • Update the forms • Evaluate and/or update your Branch/Section Objectives • This creates your Incident Action Plan (game plan) for the next operational period 29

Scenario Update #3 • It is now 4 hours into the incident • Power

Scenario Update #3 • It is now 4 hours into the incident • Power remains off, Power Company has had set backs, not sure when repairs will be made • What are some of the issues to consider? 30

How are we doing? What are things we need to remember to do? ü

How are we doing? What are things we need to remember to do? ü Share information ü Recovery / Restoration ü After Action Report ü Corrective Actions Plan 31

Questions? 32

Questions? 32

HICS Basics Part 2: Application of Incident Action Plan and Forms Loss of Power

HICS Basics Part 2: Application of Incident Action Plan and Forms Loss of Power developed by the California Hospital Association’s Hospital Preparedness Program www. calhospitalprepare. org 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. S. Department of Health & Human Services Assistant Secretary for Preparedness & Response Hospital Preparedness Program and awarded by the California Department of Public Health. No part of this course or its materials shall be copied or utilized for monetary gain. 33