Hospital Incident Command System HICS Basics Part 1
Hospital Incident Command System HICS Basics Part 1 Management System and Tools for Events 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. 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 • Learn the principal concepts and features of the Hospital Incident Command System • Understand the roles and relationships of the Hospital Incident Management Team • Understand the principles of Incident Action Planning 2
HICS Overview • Assists in emergency management planning, response, and recovery capabilities for unplanned and planned events • Consistent with ICS and the National Incident Management System (NIMS) principles ü Logical management structure ü Defined responsibilities ü Clear reporting channels ü Common nomenclature 3
What HICS is Not HICS is not: • HICS does not replace or supplant daily hospital operations • The HICS Guidebook does not replace the hospital’s Emergency Operations Plan 4
HICS Features • Hospital Incident Management Team Chart • All hazard approach • Incident Action Planning • Job Action Sheet • Incident Planning Guides • Incident Response Guides • HICS Forms • Promotes Recovery 5
HICS Resources Where do I find HICS information? • www. emsa. ca. gov/disaster_medical_ser vices_division_hospital_incident_comma nd_system • www. calhospitalprepare. org • www. hicscenter. org 6
Basic Incident Command Structure Incident Commander Operations Section Chief Public Information Officer Safety Officer Liaison Officer Medical/ Technical Specialist(s) Planning Section Chief Logistics Section Chief Finance/ Administration Section Chief Modular Organization: Functional Sections Activated as Needed 7
Hospital Incident Command System The system is scalable so that more or fewer positions-depending on the emergency--may be implemented 8
Command functions • • Maintain overall management of the incident Sets incident objectives and priorities Devise and approve strategies Ensure mission completion Command consists of: • Incident Commander • Command Staff 9
Command • Chemical Incident Commander • Clinic Administration • Biological/Infectious Disease Public Information Officer • Hospital Administration Safety Officer • Legal Affairs • Medical Ethicist • Medical Staff Liaison Officer Medical/ Technical Specialist(s) • Pediatric Care • Radiological • Risk Management 10
Incident Commander Description/Duties: • Determine scope and magnitude of event and facility impact • Activate and direct the Hospital Command Center • Give overall strategic direction for the hospital • Initiate and approve the Incident Action Plan • Authorize total facility evacuation if warranted • Only position always activated 11
Public Information Officer Description/Duties: • Communicate with internal and external stakeholders including: ü Staff ü Visitors and family ü Media • Determine information to be released • Collaborate with local community officials (Joint Information Center) for consistent content • Obtains Incident Commander approval on all messages Reports to: Incident Commander 12
Safety Officer Description/Duties: • Ensure safety of staff, patients and visitors • Monitor and have authority over the safety of rescue operations and hazardous conditions • Determine safety risks • Initiate corrective/protective actions • Completes the HICS form 215 A, Incident Action Plan Safety Analysis • Has authority to halt any operation that poses immediate threat to life and health Reports to: Incident Commander 13
Liaison Officer Description/Duties: • Hospital Command Center contact for supporting agencies and organizations • Make facility needs and requests for assistance and resources Reports to: Incident Commander 14
Medical/Technical Specialist Description/Duties: • Subject matter experts that advise the Incident Commander and/or assigned section. • May be assigned as technical advisor in the Hospital Command Center • May be assigned to advise and oversee specific hospital operations • Example: Decontamination operations during a chemical exposure situation Reports to: Incident Commander 15
Medical/Technical Specialist Examples Include: • • • Biological Infectious Disease Chemical Radiological Legal Affairs Risk Management • • • Medical Staff Pediatric Care Medical Ethicist Clinical Administration Hospital Administration Reports to: Incident Commander 16
Command Review The Incident Commander is responsible for: • Management of the Incident • Activities within the Hospital Command Center • Continuing as Incident Commander until authority is delegated to another The Command Staff consists of: • Public Information Officer (PIO) • Liaison Officer • Safety Officer • Medical/Technical Specialist(s) 17
Sections Incident Commander Operations Section Chief Public Information Officer Safety Officer Liaison Officer Medical/ Technical Specialist(s) Planning Section Chief Logistics Section Chief Finance / Administration Section Chief 18
Sections include: ü ü Operations Planning Logistics Finance/Administration • Sections are led by a Chief • Section Chiefs are called General Staff 19
Operations 20
Operations Section Mission: ü Manage tactical operations ü Direct all tactical resources ü Carry out the mission and Incident Action Plan • Directs all tactical resources • Led by a Section Chief 21
Operations Section The Section includes: • Staging Area • Medical Care Branch • Patient Family Assistance Branch • Infrastructure Branch • Haz. Mat Branch • Security Branch • Business Continuity Branch 22
Staging Manager Mission: • Organize and manage the deployment of supplementary resources, including personnel, vehicles, equipment, supplies, and medications 23
Medical Care Branch Director Mission: • Organize and manage the delivery of emergency, inpatient, outpatient, and casualty care, and clinical support services Duties: • Address provision of acute and continuous care • Work with Logistics for resource acquisition • Work with Staging Manager for delivery of resources to areas 24
Medical Care Branch Director Supervises: • Inpatient Unit Leader (all inpatient units) • Outpatient Unit Leader (all outpatient services) • Casualty Care Unit Leader (Emergency Department) • Behavioral Health Unit Leader • Clinical Support Unit Leader (i. e. , Lab, Diagnostic Imaging, Pharmacy, Morgue, Blood Donor) • Patient Registration Unit Leader 25
Infrastructure Branch Director Mission: • Organize and manage the services required to sustain and repair the hospital’s infrastructure operations Duties: • Maintain overall facility operations and operating capacity • Identify and fixes utility service-delivery failures • Assign personnel to address damage 26
Infrastructure Branch Director Supervises: • Power/Lighting Unit Leader • Water/Sewer Unit Leader • HVAC Unit Leader • Building/Grounds Unit Leader • Medical Gases Unit Leader 27
Security Branch Director Mission: • Coordinate activities related to internal and external personnel and facility security Duties: • Implement facility security measures • Ensure security and access control of the Hospital Command Center • Liaison with responding law enforcement • Oversee search and rescue operations 28
Security Branch Director Supervises: • Access Control Unit Leader • Crowd Control Unit Leader • Traffic Control Unit Leader • Search Unit Leader • Law Enforcement Interface Unit Leader 29
Haz. Mat Branch Director Mission: • Organize and direct hazardous material incident response activities • Technical, and emergency decontamination; and facility and equipment decontamination Duties: • Oversee hazmat event ü Decontamination of victims, staff, facility ü Safe and appropriate use of PPE ü Clean up operations • Collaborates with Medical Care Branch Director 30
Haz. Mat Branch Director Supervises: • Detection and Monitoring Unit Leader • Spill Response Team Unit Leader • Victim Decontamination Unit Leader • Facility/Equipment Decontamination Unit Leader 31
Business Continuity Branch Director Mission: • Ensure business functions are maintained, restored or augmented Duties: • Facilitate acquisition and access to essential recovery resources, including business records • Coordinate IT services with Logistics Section • Assist Branches and impacted areas to restore normal operations 32
Business Continuity Branch Director Supervises: • IT Systems and Applications Unit Leader • Service Continuity Unit Leader • Records Management Unit Leader 33
Patient Family Assistance Branch Director Mission: • Organize and manage assistance for patient family care needs, including communication, lodging, food, health care, spiritual, and emotional needs that arise during the incident. Duties: • Ensure patient family assistance resources • Coordinate external community resource requests • Ensure Family reunification, Social Service, Cultural and Spiritual needs • Communication with law, government and nongovernmental agencies, and media through the Liaison Officer and Public Information Officer 34
Patient Family Assistance Branch Director Supervises: • Social Services Unit Leader • Family Reunification Unit Leader 35
Operations Section Review The Operations Section is responsible for: ü The tactical objectives and organization ü All tactical operations ü Directing all tactical resources • Operations is led by a Chief • Operations positions are activated as needed by the incident 36
Logistics 37
Logistics Section Mission: • Organize and direct maintenance of the physical environment – providing human resources, material, and services to support the incident. • Provides support (stuff) to other sections • Acquires resources from internal and external sources • Through Liaison, links to local Emergency Operations Center for resource requests • Led by a Section Chief 38
Logistics and Operations are closely linked and must work collaboratively • Logistics Section are the “getters” • Operations Section are the “doers” Scope and Responsibilities overlap • Logistics Supply Unit and Operations’ Infrastructure Branch • Labor Pool and Credentialing Unit and Staging Manager– Personnel Tracking Manager 39
Logistics Section The Section includes: • Service Branch • Support Branch 40
Service Branch Director Mission: • Organize and manage services to maintain hospital communication, food and water supply and information technology and systems Oversees: • Communications Unit Leader • IT/IS and Equipment Unit Leader • Food Services Unit Leader 41
Support Branch Director Mission: • Manage supplies, facilities, transportation, and labor pool. Provide logistical, psychological, and medical support to hospital staff and their dependents Oversees: • • • Employee Health and Well-Being Unit Leader Employee Family Care Unit Leader Supply Unit Leader Transportation Unit Leader Labor Pool and Credentialing Unit Leader 42
Logistics Section Review The Logistics Section is responsible for: ü Organizing and directing internal and external resources to support the incident ü Providing support to other sections • Logistics supports the incident resource requirements Logistics has two branches: ü Support ü Service • Logistics is led by a Chief who works closely with the Operations Section 43
Planning Section 44
Planning Section Mission: • Collect, evaluate, and disseminate incident action information and intelligence to Incident Commander • Prepare status report • Develop the Incident Action Plan • Led by a Section Chief 45
Planning Section Chief Supervises: • Resources Unit Leader ü Personnel Tracking ü Materiel Tracking • Situation Unit Leader ü Patient Tracking ü Bed Tracking • Documentation Unit Leader • Demobilization Unit Leader 46
Planning Section Chief The Planning Section is responsible for: • Collecting, evaluating and disseminating incident situation information to the Hospital Command Center • Maintaining resource status • Developing the Incident Action Plan (IAP) and obtaining Incident Commander approval on IAP • Archiving response and recovery documentation • Assisting with After-Action Report development 47
Finance Section 48
Finance/Administration Section Chief Mission: • Monitor the utilization of financial assets and the accounting for financial expenditures. • Supervise the documentation of expenditures and cost reimbursement. 49
Finance/Administration Section Chief Supervises: • Time Unit Leader • Procurement Unit Leader • Compensation/Claims Unit Leader • Cost Unit Leader 50
The Hospital Incident Management Team Putting it all together: Choosing the Hospital Incident Management Team: • Incident Commander is the only position that must be included • The Incident Commander chooses down to the Chief Level • Each Chief appoints positions in their section needed to complete the mission based on available personnel 51
Questions? 52
Job Action Sheets Series of action steps to “prompt” team members to take needed actions related to their roles and responsibilities • One for each position • Includes title, mission/function and duties • Adjusted to meet hospital needs • Refers to supporting forms 53
Job Action Sheet Format Operations Section Chief Mission: Develop and implement strategies and tactics to carry out the objectives established by the Incident Commander. Organize, assign, and supervise the resources of the Staging Area, the Medical Care, Infrastructure, Security, Hazardous Materials (Haz. Mat), Business Continuity, and Patient Family Assistance Branches. 54
Job Action Sheet Format Action Steps and Considerations • Job Action Sheet provides position action steps and considerations Actions listed by Response Time Periods • Immediate 0 – 2 hours • Intermediate 2 – 12 hours • Extended Beyond 12 hours • Demobilization/ System Recovery 55
Immediate Response (0 -2 Hours) Time Initial Receive appointment Obtain a briefing from the Incident Commander on: o Size and complexity of the incident o Expectations of the Incident Commander o Incident objectives o Involvement of outside agencies, stakeholders, and organizations o The situation, incident activities, and any special concerns Assume the role of Operations Section Chief Review this Job Action Sheet Put on position identification (e. g. , position vest) Notify your usual supervisor of your assignment Assess the operational situation Obtain information and status from the Staging Manager, and the Medical Care, Infrastructure, Security, Hazardous Materials (Haz. Mat), Business Continuity, and Patient Family Assistance Branch Directors Provide information to the Incident Commander on the operational situation including capabilities and limitations Determine the incident objectives, tactics, and assignments Determine which Operations Section functions need to be activated 56
Job Action Sheet Format Documents/Tools: • A listing of pertinent HICS forms this position is responsible for using ü Forms noted in Job Action Sheet action steps • Other tools that will help them fulfill their role and responsibilities ü Hospital plans, policies and procedures ü Technology tools ü Other adjuncts 57
Documents/Tools: Operations Chief Documents/Tools HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 205 A - Communications List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215 A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 251 - Facility System Status Report HICS 252 - Section Personnel Time Sheet HICS 254 - Disaster Victim/Patient Tracking HICS 255 - Master Patient Evacuation Tracking HICS 257 - Resource Accounting Record HICS 259 - Hospital Casualty/Fatality Report HICS 260 - Patient Evacuation Tracking Hospital Emergency Operations Plan Incident Specific Plans or Annexes Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2 -way radio 58
Job Action Sheet Use • Job Action Sheets are used continuously ü Actions in all operational periods should be continued and monitored • Job Action Sheets should transfer to your replacement and actions continued ü Upon shift change or position change 59
Job Action Sheet Section Review The Job Action Sheets are: • An incident management tool • A series of actions to meet the incident response • Are divided in response time periods: ü Immediate: 0 – 2 hours ü Intermediate: 2 – 12 hours ü Extended : Greater than 12 hours ü Demobilization/System Recovery • Standardized to facilitate interagency response • Customizable for the unique facility needs/roles 60
Questions? 61
Hospital Incident Action Planning Key to Effective Response and Recovery 62
Hospital Incident Action Planning 1. Assess the Situation 2. Set the Operational Period 3. Determine Safety Priorities and Establish Incident Objectives 4. Determine Branch/Section Objectives 5. Determine Strategies and Tactics 6. Determine Needed Resources 7. Issue Assignments 8. Implement Actions 9. Reassess & Adjust Plans 63
#1 Assess the Situation The Incident Commander conducts the initial incident assessment: • Type, location, magnitude, possible duration • On-going hazards and safety concerns • Determine initial priorities based on: 1 - Life saving 2 - Incident stabilization 3 - Property preservation • Establishes the Hospital Command Center • Sets the initial “Operational Period” 64
#2 Set the Operational Period An Operational Period is: • The time period scheduled for execution of tactical actions in the Incident Action Plan • Set by the Incident Commander The Operational Period is usually set in hours • Does not have to conform to shift times • Can be long or short, depending on the intensity of the incident 65
#3 Determine Safety Priorities & Establish Incident Objectives “Incident Objectives” • Broad organizational objectives that are foundational and do not change during response and recovery; not limited to an operational period Examples: • Provide adequate care to all patients who present as a result of the incident • Provide for the safety of hospital personnel 66
#4 Determine Individual Section/Branch Objectives • More specific Branch/Section objectives to achieve overall Incident Objectives • Steps during the defined Operational Period • Should be tangible and measurable Example: • Provide prophylaxis to 75% of direct patient care staff within 2 hours • Decontaminate 50 victims within 1 hour 67
#5 Determine Strategies and Tactics Strategy defined: • The general direction selected to accomplish incident objectives • The approach to achieving the objectives Tactics defined: • Specific actions, sequence of actions, procedures, tasks, assignments to meet strategies and objectives • The “boots on the ground” or “doers” 68
#6 Determine Needed Resources • Available and needed resources to meet the objectives must be identified • Tactical resources may include: ü Personnel ü Equipment ü Supplies ü Pharmaceuticals ü Vehicles 69
#7 Issue Assignments Once the objectives and needed resources are identified, assignments are issued: • Hospital Command Center positions are activated according to incident needs • Staff are assigned to conduct incident specific operations: ü Evacuation ü Decontamination ü Triage and treatment ü Safety measures 70
The Planning Meeting is: • Led by the Planning Section Chief • Defines and finalizes operational period objectives, strategies, tactics, and resources as determined by each section for the next operational period 71
The Planning Meeting is conducted after: ü Incident Commander has provided an incident briefing and determined the Incident Objectives and identified the Operational Period ü Sections have met to discuss their response priorities and identified Section/Branch objectives 72
The Planning Meeting At the end of the Planning Meeting: ü The Section Chiefs submit completed HICS Form 204 Assignment List ü The Safety Officer submits completed HICS Form 215 A Incident Action Plan Safety Analysis 73
#8 Implement Actions Direct, monitor and evaluate response: • Constant monitoring of strategies and tactics for effectiveness • Assess the Branch/Section Objectives ü Are the objectives being achieved? ü Is the strategy/tactics safe? ü Is the strategy/tactics effective? Evaluation is an ongoing process throughout response and recovery 74
#9 Evaluate and Revise Plans Conduct a current situation assessment ü ü Update situation/incident information Assess the impact on the hospital Length and duration of incident Resource availability • Assess the Incident Objectives • Assure objectives are achieved in a safe and timely manner • Revise objectives, strategies, tactics and resource needs for the upcoming operational period 75
Incident Action Plan Responsibilities The Incident Commander • Provides overall Incident Objectives (HICS 202) • Sets the Operational Period • Develops major strategies (priorities) • Activates Hospital Incident Management Team • Establishes policy for resource orders • Approves initial actions and the completed Incident Action Plan 76
Incident Action Plan Responsibilities The Safety Officer • Advises the Incident Commander and Section Chiefs on safety issues and measures • Develops the Safety Plan (HICS 215 A) • Oversees the safety of operations and tactics 77
Incident Action Plan Responsibilities The Operations Section Chief • Determines/assesses areas of operation • Advises Incident Commander of activated Operations positions and work assignments • Determines tactics (HICS 204) • Determines resource requirements (HICS 204) and communicates needs with Logistics 78
Incident Action Plan Responsibilities The Planning Section Chief • Prepares for the Planning Meetings ü Gathers information for the Incident Action Plan (HICS 201, 202, 203, 204 s and 215 A) ü Develops demobilization plans • Conducts the Planning Meeting • Coordinates and submits the Incident Action Plan to the Incident Commander for approval • Disseminates the Incident Action Plan 79
Incident Action Plan Responsibilities The Logistics Section Chief • Determine tactics and resource requirement (HICS 204) • Advises activated Logistics positions • Ensures resources to support Incident Action Plan • Develops plans that support the Incident Action Plan ü Communications Plans ü Transportation Plans 80
Incident Action Plan Responsibilities The Finance/Administration Section Chief • Determine tactics and resource requirement (HICS 204) • Provides cost implications of the Incident Objectives • Ensures the Incident Action Plan is within cost limitations • Advises the Incident Commander on Finance/Admin activated positions 81
Incident Action Plan Responsibilities The Incident Action Plan • Provides Hospital Incident Management Team with direction for the Operational Period • Uses the elements of Management by Objectives • Developed by Command, General Staff provide input • Essential for effective response and recovery 82
Questions? 83
Demobilization and Recovery 84
Preparation for Demobilization • The Demobilization Plan is created by the Demobilization Unit Leader and approved by the Planning Section Chief and Incident Commander • Demobilization begins ü As incident objectives are met ü Follow-on objectives are more focused upon recovery and returning to “normal” ü The demobilization of resources no longer Needed should occur rapidly and efficiently 85
Preparation for Demobilization Considerations • Demobilizing must be a part of the Incident Action Plan • Managing public perception • Equipment rehab and restocking • Financial restoration • Addressing hospital personnel concerns 86
Recovery • Recovery follows response and focuses upon returning the hospital to baseline level of functioning • The starting point for recovery begins early in the response • Transition from response to recovery is rarely obvious • Recovery may extend over a long time, from weeks to years 87
Organizational Learning The recovery plan includes principles of organizational learning and improvement: • After Action Report and Improvement Plan • Evaluate hospital response/recovery operations • Identify strengths, weaknesses, and strategies to: ü Lessen future vulnerability ü Improve ability to respond to future incidents ü Revise the Emergency Operations Plan 88
Section Review • Demobilization and Recovery should be planned early • Demobilization and Recovery is the return to “normal, ” or “new-normal” • Demobilization is managed by the Planning Section • The development of a Demobilization Plan by the Demobilization Unit Leader 89
Questions? 90
Scenarios, Incident Planning Guides and Incident Response Guides There are 16 Scenario/Incident Planning and Response Guides to assist in planning and training: • Active Shooter • Chemical Incident • Earthquake • Evacuation, Shelter-in-Place, & Hospital Abandonment • Explosive Incident • Hostage or Barricade Incident • Infectious Disease 91
Scenarios • Information Technology (IT) Failure • Mass Casualty Incident • Missing Person • Radiation Incident • Severe Weather with Warning • Staff Shortage • Tornado • Utility Failure • Wildland Fire 92
Incident Planning Guides assist hospitals with evaluating existing plans or writing needed plans • They address 16 scenarios • They are intended to identify actions or strategies to prepare for identified hazards • Assess current plans and identify gaps • Develop event-specific response guides 93
Incident Response Guides Provides Incident Specific: • Directions • Incident Objectives • Management tasks by function and timeframes • Sample Hospital Incident Management Teams Should compliment: • Emergency Operations Plan and Job Action Sheets Can be used as documentation 94
Section Review Incident Planning Guides and Incident Response Guides • Are incident-specific tools to assist with planning, training and response/recovery • Assist in meeting regulatory requirements • Guide Command General Staff with decision-making and actions • Should be consistent with the Emergency Operations Plan • Do not replace the Job Action Sheets 95
Questions? 96
HICS Forms 97
The Value of Using HICS Forms • Serves as a road map in response: everyone acting from the same plan • Serves as foundation for corrective action • Ensures consistency and compliance with regulatory guidelines • Complies with documentation for FEMA reimbursement 98
HICS Forms No. Name Responsible 200 Incident Action Plan Cover Sheet Planning Section Chief 201 Incident Briefing Incident Commander 202 Incident Objectives Section Chiefs 203 Organizational Assignment List Resource Unit Leader 204 Assignment List Branch Directors 205 Communications Log Communications Unit Leader 206 Staff Medical Plan Support Branch Director 207 Organization Chart Incident Commander 213 Incident Message Form All Positions 214 Operational Log All HIMT Staff 215 a Incident Action Plan Safety Analysis Safety Officer IAP QS IAP Quick. Start Incident Commander and Planning 99
HICS Forms No. Name Responsible 221 Demobilization Check-Out Demobilization Unit Leader 251 Facility System Status Report Infrastructure Branch Director 252 Section Personnel Time Sheet Section Chiefs 253 Volunteer Staff Registration Labor Pool and Credentailiting Unit Leader 254 Disaster Victim / Patient Tracking Manager 255 Master Patient Evacuation Tracking Patient Tracking Manager 256 Procurement Summary Report Procurement Unit Leader 257 Resource Accounting Record Section Chiefs 258 Hospital Resource Directory Resource Unit Leader 259 Hospital Casualty / Fatality Report Patient Tracking Manager 260 Patient Evacuation Tracking Form Inpatient Unit Leader Outpatient Unit Leader, Casualty Care Unit Leader 100
HICS Forms 200: Incident Action Plan Sheet • Purpose: Provides a cover sheet and a checklist for HICS Forms and other documents included in the operational period Incident Action Plan • Origination: Incident Commander or Planning Section Chief • Copies to: Command General Staff and Documentation Unit Leader • Helpful Tips: Additions may be made to the form to meet the organization’s needs 101
HICS Form 201: Incident Briefing • Purpose: Documents initial response information & actions at start-up • Origination: Incident Commander • Copies to: Command Staff, Section Chiefs, and Documentation Unit Leader • When to Complete: Prior to briefing the current operational period • Helpful Tips: Distribute to all staff before initial briefing 102
HICS Form 201: Incident Briefing 103
HICS Form 202: Incident Objectives • Purpose: Defines incident objectives • Instructions: Include ü Weather/Environmental Implications ü General Safety/Safety Messages ü Attachments ü Prepared by Planning Section Chief Approved by: Incident Commander 104
HICS Form 202: Incident Objectives 105
HICS Form 203: Organization Assignment List • Purpose: To document Hospital Command Center staffing • Origination: Planning Section Chief or designee (Resources Unit Leader) • Copies to: ü Command Staff and General Staff ü Branch Directors and Agency Staff ü Documentation Unit Leader 106
HICS Form 203: Organization Assignment List 107
HICS Form 204: Assignment List • Purpose: Document branch assignments, objectives, strategies/tactics and resource needs • Origination: Section Chief or Branch Director • Copies to: Command, General Staff and Documentation Unit Leader • When to complete: At the start of each operational period 108
HICS Form 204: Assignment List (page 1) 109
HICS Form 204: Assignment List (page 2) 110
HICS Form 215 A: Incident Action Plan Safety Analysis • Purpose: Document hazards and mitigation • Origination: Safety Officer • Copies to: Command General Staff, Sections, and Branches • Prepared by: Safety Officer • Approved by: Incident Commander • When to complete: Prior to safety briefing during the operations briefing and at transfer of roles 111
HICS Form 215 A: Incident Action Plan Safety Analysis 112
HICS FORM 213: General Message Form Purpose: Provide standardized message recording Instructions: Response required: Indicate a reply was requested and to whom reply addressed • Priority: Indicate level of urgency • Message: ü Keep all messages/requests brief, to the point, and very specific ü Transcribe complete, concise, and specific content of message. • Action Taken (if any) 113
HICS FORM 213: General Message Form 114
HICS FORM 214: Activity Log • Purpose: Document ü Incident issues encountered ü Decisions made ü Notifications conveyed • Origination: Command General Staff • When to complete: ü Continuously, from activation through demobilization 115
HICS FORM 214: Activity Log 116
HICS Form IAP Quick Start: Purpose: A short form combining forms 201, 202, 203, 204 and 215 A. May be used in place of full forms to document initial actions or short incidents, and can expand to the full forms as needed. Origination: Incident Commander or Planning Section Chief 117
HICS Form IAP Quick Start: (page 1) 118
HICS Form IAP Quick Start: (page 2) 119
Section Review The HICS forms: • Provide the Hospital Incident Management Team with documents needed to manage a response • Assist in communication with external agencies • Assist in communication with hospital staff • Documents response and recovery 120
HICS During Off Hours and Small and Rural Hospitals The same principles for large hospitals is used at smaller hospitals or off hours, holidays and weekends at all size hospitals • Activate needed Hospital Incident Management Team members • When not enough staff, it may be necessary to blend job roles into a single Job Action Sheet For example, the Incident Commander may assume the role of the Public Information Officer and even the Liaison Officer. 121
Operationalizing HICS • Assign an individual in charge of implementation • Obtain support from the CEO/senior leadership • Make it high priority for administrators and staff • Provide budgets support • Establish training requirements/competencies • Promote integration into the community response • Provide training of HICS and the Emergency Operations Plan • Exercise the plan and use of HICS 122
Questions? 123
HICS Basics Part 1 Management System and Tools for Events Updated with May 2014 HICS Revisions 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. 124
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