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HOSPITAL INCIDENT COMMAND SYSTEM

HOSPITAL INCIDENT COMMAND SYSTEM. Incident Action Planning.

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HOSPITAL INCIDENT COMMAND SYSTEM

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  1. HOSPITAL INCIDENT COMMAND SYSTEM Incident Action Planning 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.

  2. OBJECTIVES Understand the 9 steps of the Incident Action Planning process Identify Incident Action Plan components Exercise the development of an Incident Action Plan

  3. INCIDENT MANAGEMENT: TEAM REVIEW Incident Commander Public Information Officer Safety Officer Medical/ Technical Specialist(s) Liaison Officer Finance / Administration Section Chief Operations Section Chief Planning Section Chief Logistics Section Chief

  4. HOSPITAL INCIDENT ACTION PLANNING Key to Effective Response and Recovery

  5. Assess the Situation Set the Operational Period Determine Safety Priorities & Establish Incident Objectives Determine Branch/Section Objectives Determine Strategies & Tactics Determine Needed Resources Issue Assignments Implement Actions Reassess & Adjust Plans INCIDENT ACTION PLANNING

  6. 1) ASSESS THE SITUATION • Type of incident, location, magnitude, and possible duration • Ongoing hazards and safety concerns • Determines initial priorities based on: 1) Life saving 2) Incident stabilization 3) Property preservation • Establishes the Hospital Command Center The Incident Commander conducts the initial incident assessment from the information gathered:

  7. An Operational Period is: The period of time scheduled for execution of a given set 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 or amount of information available 2) SET THE OPERATIONAL PERIOD

  8. General Command Objectives are: Broad organizational objectives that are foundational and do not change during response and recovery. These objectives define where the system wants to be at the end of the response 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 staff, patients and visitors 3) DETERMINE SAFETY PRIORITIES & ESTABLISH INCIDENT OBJECTIVES

  9. Section/Branch Objectives are: More specific objectives to achieve overall incident objectives Steps during the defined Operational Period Should be tangible and measurable Example: Provide prophylaxis to 75% of hospital staff in this operational period Decontaminate 25 victims in 2 hours 4) DETERMINE SECTION/BRANCH OBJECTIVES

  10. 5) DETERMINE STRATEGIES AND TACTICS Strategy Defined: • The general direction selected to accomplish incident objectives (NIMS) • 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”

  11. 6) DETERMINE NEEDED RESOURCES • Tactical resources may include: • Personnel • Equipment • Supplies • Pharmaceuticals • Vehicles • Available and needed resources to meet the tactical objectives must be identified

  12. 7) ISSUE ASSIGNMENTS • Additional HICS positions are activated according to incident needs • Staff are assigned to conduct incident specific operations: • Evacuation • Decontamination • Triage and treatment • Safety measures Once the tactical objectives and necessary resources are identified, assignments are issued:

  13. THE INCIDENT ACTION PLANNING MEETING The Incident Action Planning Meeting is: • Led by the Planning Chief • Defines and finalizes branch/section objectives, strategies, tactics, and resources as determined by each section for the next operational period • The Section Chiefs submit completed HICS Form 204 Branch Assignment List and the Safety Officer submits completed HICS Form 215A IAP Safety Analysis

  14. 8) IMPLEMENT ACTIONS Direct, monitor and evaluate response efforts: • Constant monitoring of strategies and tactics for effectiveness • Assess the Operational Period Objectives • Are the objectives being achieved? • Is the strategy/tactics safe? • Is the strategy/tactics effective? • Evaluation is an ongoing process throughout response and recovery

  15. 9) REASSESS & ADJUST PLANS Conduct a Current Situation Assessment: • Update situation/incident information • Assess the impact on the hospital • Length and duration of continued/resolving incident • Resource availability • Assess the Incident Objectives • Make sure they are achieved in a safe and timely manner • Revise objectives, strategies, tactics and resource needs for the upcoming operational period

  16. INCIDENT ACTION PLAN RESPONSIBILITIES The Incident Commander: Provides general Command and Control Objectives (HICS 202 Incident Objectives) Sets the Operational Period Develops major strategies (priorities) Activates Incident Management Team positions Establishes policy for resource orders Approves initial actions and the completed Incident Action Plan

  17. The Safety Officer: Advises the Incident Commander and Section Chiefs on safety issues and measures Develops the Safety Plan (HICS 215A Incident Action Safety Plan Analysis) Oversees the safety of operations and tactics INCIDENT ACTION PLAN RESPONSIBILITIES

  18. The Planning Section Chief: Prepares for the Planning Meetings Gathers information for the Incident Action Plan (HICS 201, 202, 203, 204’s and 215A) Develops demobilization plan Conducts the Planning Meeting Coordinates and submits the Incident Action Plan to the Incident Commander for approval Disseminates the Incident Action Plan INCIDENT ACTION PLAN RESPONSIBILITIES

  19. 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 INCIDENT ACTION PLAN RESPONSIBILITIES

  20. The Logistics Section Chief: Ensures resource ordering meets the needs Advises Incident Commander on activated Logistics positions Ensures resources to support the Incident Action Plan Develops plans that support the Incident Action Plan Communications Plans Transportation Plans INCIDENT ACTION PLAN RESPONSIBILITIES

  21. The Finance/Administration Section Chief: Provides cost implications of the Command and Control, and Operational Period Objectives Ensures the Incident Action Plan is within cost limitations Advises the Incident Commander on Finance/Admin activated positions INCIDENT ACTION PLAN RESPONSIBILITIES

  22. The Incident Action Plan: Provides Incident Management Team personnel with direction for the Operational Period Incident Action Planning is a process of Management by Objectives Essential for effective response and recovery INCIDENT ACTION PLAN SECTION REVIEW

  23. QUESTIONS?

  24. Incident Response Guides Active Shooter  Chemical Incident Earthquake  Evacuation, Shelter-in-Place, & Hospital Abandonment Explosive Incident Hostage or Barricade Incident Infectious Disease There are 16 Scenario-based Incident Response Guides :

  25. Incident Response Guides (continued) Information Technology (IT) Failure  Mass Casualty Incident Missing Person  Radiation Incident  Severe Weather with Warning Staff Shortage  Tornado  Utility Failure  Wildland Fire

  26. 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

  27. HICS FORMS USED IN THE INCIDENT ACTION PLAN

  28. HICS Form 200Incident Action Plan Cover 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 and General Staff and Documentation Unit Leader Helpful Tips: Additions may be made to the form to meet the organization’s needs

  29. 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

  30. HICS Form 201Incident Briefing

  31. HICS Form 202 Incident Objectives Purpose:Defines incident objectives Instructions: Include - Weather/Environmental Implications General Safety/Safety Messages Attachments Prepared by Planning Section Chief Approved by: Incident Commander

  32. HICS Form 202 Incident Objectives

  33. Purpose: To document Hospital Command Center staffing Origination: The Planning Section Chief or designee (Resources Unit Leader) Copies to: Command Staff and General Staff Branch Directors and Agency Staff Documentation Unit Leader HICS Form 203:Organizational Assignment List

  34. HICS Form 203:Organization Assignment List

  35. 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 Prepared by: Branch Director When to complete: At the start of each operational period HICS Form 204: Assignment List

  36. HICS Form 204: Assignment List

  37. HICS Form 215A: Incident Action Plan Safety Plan Analysis • Purpose: Document hazards and mitigation • Origination: Safety Officer • Copies to: Command and 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 role

  38. HICS Form 215A: Incident Action Plan Safety Plan Analysis

  39. Purpose: Document Incident issues encountered Decisions made Notifications conveyed Origination: Command and General Staff When to complete: Continuously, from activation through demobilization HICS Form 214:Activity Log

  40. HICS Form 214:Operational Log

  41. Purpose: A short form combining forms 201, 202, 203, 204 and 215A. 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 HICS Form IAP Quick Start

  42. HICS Form IAP Quick Start

  43. Application of Incident Action Plan – Infectious Disease Hospital Incident Command 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.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.

  44. Incident Action Planning Assess the Situation Set the Operational Period Determine Safety Priorities & Establish Incident Objectives Determine Branch/Section Objectives Determine Strategies & Tactics Determine Needed Resources Issue Assignments Implement Actions Reassess & Adjust Plans

  45. Scenario • Influenza season has begun and hospitals and primary care see an increase in the number of influenza-like illness (ILI) cases presenting for care including a family of 5 with symptoms of ILI. •  Emergency departments and community health centers see a surge in ILI cases presenting, and admissions increase over 10% with acute respiratory illnesses. • PHD is stating there is evidence of an emerging infectious disease with respiratory spread and that hospitals should prepare for significant surge.

  46. First Actions • Time: 0900 • Weather: Clear, 68º F, no winds • Is this an incident? • What are your first actions? • Who is in charge?

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

  48. Which Positions to Activate?

  49. Immediate Time Period

  50. 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

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