8/9/2019 Hics Basics Part 2 Eq
1/35
1
Application of
Incident Action Plan andForms – Earthquake
Hospital IncidentCommand 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.. !epartment of Health " Human ervices Assistant
ecretary for Preparedness " #esponse Hospital Preparedness Program and awarded by the California !epartment of Public Health. $o part of this course or itsmaterials shall be copied or utili%ed for monetary gain.
8/9/2019 Hics Basics Part 2 Eq
2/35
2
• Demonstrate the Incident Action PlanningProcess
• Demonstrate the use of HICS Forms
• Implement the use of the Incident Response
Guides
Obecti!es
8/9/2019 Hics Basics Part 2 Eq
3/35
Scenario "ased Implementation
• Discuss and rehearse practicalimplementation of the Incident Action
Planning process utili!ing HICS forms and
the Incident Response Guides
• "tili!e a #$a%le $op& learning process
8/9/2019 Hics Basics Part 2 Eq
4/35
'
Incident Action Plannin#
1( Assess the Situation
2( Set the )perational Period
( Determine Safet* Priorities + ,sta%lish Incident )%-ecti.es
'( Determine /ranch0Section )%-ecti.es
( Determine Strategies + $actics
( Determine 3eeded Resources
4( Issue Assignments5( Implement Actions
6( Reassess + Ad-ust Plans
8/9/2019 Hics Basics Part 2 Eq
5/35
Scenario
• A 4(57magnitude earth8ua9e occurs along a fault !one: miles from *our hospital( Ground sha9ing occurs
impacting a count* region( ;oderate to ma-or
damage is reported for 2:: s8uare miles( ;ultiple
se.ere aftershoc9s are e
8/9/2019 Hics Basics Part 2 Eq
6/35
• >our hospital has sustained moderate to se.eredamage(
• $he ,mergenc* Department and outpatientsurger* are non7functional due to damage and
must %e relocated(
•;ain =ater and po=er ser.ices are disrupted?
ho=e.er emergenc* po=er @generators is
functioning( $elephone and internet ser.ice is
do=n(
Scenario
8/9/2019 Hics Basics Part 2 Eq
7/354
Scenario• $imeB :5:
• eatherB Clear? 5 F? no =inds• ithin 1 minutes large num%ers of in-ured are
presenting to the hospital for care( ;an* =ho
are not in-ured see9 shelter and reassurance
from medical pro.iders(
8/9/2019 Hics Basics Part 2 Eq
8/35
5
• $ime until restoration of main po=er? =ater?phone? internetB "n9no=n
Is this an incidentE
hat are *our first actionsE
ho is in chargeE
First Actions
8/9/2019 Hics Basics Part 2 Eq
9/35
6
• "se HICS form 21'B )perational og
• Complete HICS form 2:1B Incident /riefing ,.ent Histor* and Current Actions Summar*
• /egin form 2:2B Incident )%-ecti.es eather0en.ironmental implications for period
Step $% Assess the Situation
Incident Action Plannin#
8/9/2019 Hics Basics Part 2 Eq
10/35
1:
&hich Positions to Acti!ate'
8/9/2019 Hics Basics Part 2 Eq
11/35
11
Immediate (ime Period
Position Immedi
ate
Intermed
iate
Exten
ded
Recovery
Incident Commander X X X XPublic Information Ocer X X X X
Liaison Ocer X X X XSafety Ocer X X X XMedical-Technical Specialist:
Seismic or Structural Enineer
X X
Operations Section Chief X X X XMedical "are #ranch $irector X X X XInfrastructure #ranch $irector X X X XSecurity #ranch $irector X X X X
#usiness "ontinuity #ranch$irector
X
Patient %amily &ssistance
#ranch $ir'
X X X
Planning Section Chief X X X X(esources )nit Leader X X X X
Situation )nit Leader X X X X$ocumentation )nit Leader X X$emobili*ation )nit Leader X X
Logistics Section Chief X X X XSer+ice #ranch $irector X X X XSupport #ranch $irector X X X X
Finance /Administration
Section Chief
X X X X
Time )nit Leader X X X
Procurement )nit Leader X X X"ompensation,"laims )nit
Leader
X X X
"ost )nit Leader X X X
8/9/2019 Hics Basics Part 2 Eq
12/35
12
• $he Incident Commander names theincident
• If the incident is a communit*7%asedincident? the appropriate -urisdiction =illname the incident @e(g(? count*? cit*? ,;S
• $he incident name should %e documentedon all forms
)amin# the Incident
8/9/2019 Hics Basics Part 2 Eq
13/35
1
• HICS form 2:2B Incident )%-ecti.es )perational Period Date0$ime
• Incident Commander sets the )perationalPeriodo /ased on num%er of simultaneous acti.itieso Ho= 8uic9l* the situation is changing
• An )perational Period %rea9s the incidentdo=n into managea%le timeframes
Step *% Set the Operational Period
Incident Action Plannin#
8/9/2019 Hics Basics Part 2 Eq
14/35
1'
• Identif* Incident )%-ecti.es @these arethe o.erarching o%-ecti.es that =ill lastthroughout the =hole response
• HICS form 2:2B Incident )%-ecti.es
Step +% ,etermine Safety Priorities -Incident Obecti!es
Incident Action Plannin#
8/9/2019 Hics Basics Part 2 Eq
15/35
1
.tili/e the Incident 0esponse 1uide
Earthquake:
Pro!ide for patient care and mana#ement
Pro!ide for the safety of patients2 staff2families2 and !isitors
Pro!ide for continuin# operational status ofthe hospital or safe e!acuation from thehospital
Control Obecti!es
8/9/2019 Hics Basics Part 2 Eq
16/35
1
• It has %een : minutes since the incident(
• $here ha.e %een multiple aftershoc9s
• $he emergenc* department and outpatientsurger* ha.e %een determined to %e unsafe andmust %e e.acuated
• )ther areas of the hospital are underassessment? ho=e.er structural damage is note
8/9/2019 Hics Basics Part 2 Eq
17/35
14
• Assess the Safet* issues
• hat ha!ards e
8/9/2019 Hics Basics Part 2 Eq
18/35
15
• Prepare a statement for the media
• Prepare a statement for the staff? patients and.isitors @e(g(? situation? status? safet* precautions?ne
8/9/2019 Hics Basics Part 2 Eq
19/35
16
• ho or =hat entit* operates as the count* contact0;H)AC?and ho= do *ou ma9e contactE
• ho else should %e notified of the situationE
• ho should %e notified of hospital statusE /ed statusE Ho=E
• ho is the source of go.ernment resources in *our local planE@e(g(? local ,;S Department )perations Center @D)C? PHD
D)C? Count*0Cit* ,mergenc* )perations Center
• e* contacts should %e determined prior to the incident
Side )ote%4iaison Officer
8/9/2019 Hics Basics Part 2 Eq
20/35
2:
• "tili!e HICS forms
•Form 21' 7 )perational og
Side )ote%,ocumentin# your Actions
8/9/2019 Hics Basics Part 2 Eq
21/35
21
• Document on HICS 2:' Assignment ist
• $he* are %ased on the Incident )%-ecti.es
• $hese are %ased on =hat is desired to %eachie.ed %* the Section in that operational period
• )%-ecti.es need to %e S;AR$ @Simple?;easura%le? Achie.a%le? Realistic? $ime Sensiti.e
+ $as9 )riented
Incident Action Plannin#
Step 5% ,etermine "ranch6Section Obecti!es
8/9/2019 Hics Basics Part 2 Eq
22/35
22
• A common pro%lem during e
8/9/2019 Hics Basics Part 2 Eq
23/35
2
• Strategies + tactics are ho= *our /ranch0Section isgoing to achie.e the o%-ecti.es
• hat actions do *ou need to ta9eE
• "se *our facilit* response plans and IncidentResponse Guides
• Record strategies + tactics on form 2:' /ranch Assignment ist
Incident Action Plannin#Step 7% ,etermine Strate#ies - (actics
8/9/2019 Hics Basics Part 2 Eq
24/35
2'
• here can patients %e mo.ed toE• hat personnel resources do *ou needE
• hat e8uipment and0or supplies do *ou needE• hat resources do *ou need in the patient
collection0holding areaE
• hat communication de.ices do *ou needE• Document resource acti.itiesB Resources assigned @form 2:' Resource re8uests @form 21 Actions ta9en to utili!e and o%tain resources @form 21'
Step 8% ,etermine )eeded 0esources
Incident Action Plannin#
8/9/2019 Hics Basics Part 2 Eq
25/35
2
• ho =ill %e assigned to the unitsE
• Fill in the assignments on form 2:' Assignment ist
• Are there other %ranches that need acti.atedE
Step 9% Issue Assi#nments
Incident Action Plannin#
8/9/2019 Hics Basics Part 2 Eq
26/35
2
• For the first )perational Period the Incident Action Plan should %edone =ithin :7' minutes
• hat ma9es up the Incident Action PlanE Form 2:1 7 Incident /riefing
Form 2:2 7 Incident )%-ecti.es Form 2: 7 Incident Assignments Form 2:' 7 /ranch Assignments Form 21A 7 Incident Action Plan Safet* Anal*sis
• $he Planning Section compiles the forms to create the Incident ActionPlans
Incident Action Plannin#
8/9/2019 Hics Basics Part 2 Eq
27/35
24
IAP :uick Start
• 3e= form
• Can %e used for small incidents
• )r for a rapid start to a large incident andthen e
8/9/2019 Hics Basics Part 2 Eq
28/35
25
IAP Co!er Sheet
• Can %e used for the IAP Kuic9 Start or fullIncident Action Plan forms
• Can ma9e different colors if *ou =ant todifferentiate )perational Periods
8/9/2019 Hics Basics Part 2 Eq
29/35
26
• Put *our acti.ities 0 plans into action
• hat are some of these acti.itiesE
Step ;% Implement Actions
Incident Action Plannin#
8/9/2019 Hics Basics Part 2 Eq
30/35
:
• It is no= 1::: 1( hrs into the incident
• "tilit* =or9ers e
8/9/2019 Hics Basics Part 2 Eq
31/35
1
• $o=ards the end of the operational period? *ou=ill need to e.aluate status
• Repeat steps 175
• "pdate the forms
•,.aluate and0or update *our /ranch0Section)%-ecti.es
• $his creates *our Incident Action Plan @gameplan for the ne
8/9/2019 Hics Basics Part 2 Eq
32/35
2
• It is no= ' hours into the incident
• "tilit* repair personnel ha.e encounteredcomplications and report main po=er ma* not%e restored for da*s? potentiall* outlasting
*our generator fuel stores
•hat issues should %e consideredE
Scenario .pdate 3+
8/9/2019 Hics Basics Part 2 Eq
33/35
hat are things =e need to remem%er to doE
Share information
Reco.er* 0 Restoration After Action Report
Correcti.e Actions Plan
Ho= are =e doin#'
8/9/2019 Hics Basics Part 2 Eq
34/35
'
:uestions'
8/9/2019 Hics Basics Part 2 Eq
35/35