8/9/2019 Hics Basics Part 2 Lossofwater
1/34
1
Application ofIncident Action Plan andForms – Loss of Water
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 AssociationThis course was developed by the CHA Hospital Preparedness Program with grant funds provided by the U. . !epartment of Health " Human ervices Assistant ecretaryfor Preparedness " #esponse Hospital Preparedness Program and awarded by the California !epartment of Public Health. $o part of this course or its materials shall becopied or utili%ed for monetary gain.
8/9/2019 Hics Basics Part 2 Lossofwater
2/34
2
• Demonstrate the Incident Action PlanningProcess
• Demonstrate the use of HICS Forms
• Implement the use of the Incident Response
Guides
Objectives
8/9/2019 Hics Basics Part 2 Lossofwater
3/34
Scenario Based Implementation
• Discuss and rehearse practical implementationof the Incident Action Planning process utili!ingHICS forms and the Incident Response Guides
• "tili!e a #$a%le $op& learning process
8/9/2019 Hics Basics Part 2 Lossofwater
4/34
'
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 Lossofwater
5/34
Scenario
• 7ithout 8arning9 the main 8ater suppl* line to thehospital %rea:s9 disrupting 8ater ser.ice to theentire facilit*
• $he hospital;s 8ater s*stems9 including pota%le8ater suppl* are nonno hospital flooding?
8/9/2019 Hics Basics Part 2 Lossofwater
6/34
• Ser.ices9 including food and radiolog* aredisrupted
• $oilets and hand 8ashing areas are notfunctioning and alternate methods must %epro.ided
• $ime@ 2• 7eather@ Clear9 5B F9 no 8inds
Scenario
8/9/2019 Hics Basics Part 2 Lossofwater
7/344
• 7ater has %een disrupted for 1 minutes
• $ime until repaired@ "n:no8n
Is this an incident7hat are *our first actions7ho is in charge
First Actions
8/9/2019 Hics Basics Part 2 Lossofwater
8/345
• "se HICS form 21'@ )perational =og
• Complete HICS form 2 1@ Incident /riefing,.ent Histor* and Current Actions Summar*
• /egin form 2 2@ Incident )%-ecti.es7eather0en.ironmental implications for period
Step !" Assess t#e Sit$ation
Incident Action Plannin
8/9/2019 Hics Basics Part 2 Lossofwater
9/34
6
W#ic# Positions to Activate%
8/9/2019 Hics Basics Part 2 Lossofwater
10/34
1
Immediate &ime Period
Position Immediate
Intermediate
Extended
Recovery
Incident Commander X X X XPublic Information O cer X X X XLiaison O cer X X X XSafety O cer X X X X Operations Section Chief X X X XMedical Care Branch Director X X X XInfrastructure Branch Director X X X XSecurity Branch Director X X X X
Business Continuity BranchDirector
X
Patient Family ssistance BranchDir!
X
Planning Section Chief X X X X"esources #nit Leader X X X XSituation #nit Leader X X X XDocumentation #nit Leader X X XDemobili$ation #nit Leader X X
Logistics Section Chief X X X XSer%ice Branch Director X X X XSu&&ort Branch Director X X X X
Finance /AdministrationSection Chief
X X X X
'ime #nit Leader X X XProcurement #nit Leader X X XCom&ensation(Claims #nitLeader
X
Cost #nit Leader X X X
8/9/2019 Hics Basics Part 2 Lossofwater
11/34
11
• $he Incident Commander names theincident
• If the incident is a communit*e(g(9 count*9 cit*9 , S?
• $he incident name should %e documentedon all forms
'amin t#e Incident
8/9/2019 Hics Basics Part 2 Lossofwater
12/34
12
• HICS form 2 2@ Incident )%-ecti.es
Operational Period Date/Time• Incident Commander sets the )perational Period
• /ased on num%er of simultaneous acti.ities
• Ho8 Euic:l* the situation is changing• An )perational Period %rea:s the incident do8n
into managea%le timeframes
Step (" Set t#e Operational Period
Incident Action Plannin
8/9/2019 Hics Basics Part 2 Lossofwater
13/34
1
• Identif* Command + Control )%-ecti.es >theseare the o.erarching o%-ecti.es that 8ill lastthroughout the 8hole response?
• HICS form 2 2@ Incident )%-ecti.es
Step )" *etermine Safety Priorities+ Incident Objectives
Incident Action Plannin
8/9/2019 Hics Basics Part 2 Lossofwater
14/34
1'
,tili-e t#e Incident .esponse /$ide
Utility Loss:
Identify e)tent of outa*e and consider e%acuationMaintain &atient care ca&abilitiesMinimi$e im&act on hos&ital o&erations and clinicalser%icesCommunicate the situation status to &atients+ sta,+
and the &ublic
Control Objectives
8/9/2019 Hics Basics Part 2 Lossofwater
15/34
1
• It has %een minutes since the 8ater main%rea:
• $he hospital is onl* accessi%le to emergenc*.ehicles
Scenario ,pdate 0 !
8/9/2019 Hics Basics Part 2 Lossofwater
16/34
1
• Assess the Safet* issues
• 7hat ha!ards e ist and 8hat precautions need to%e ta:en
,nsure safe entr*0e it of essential personnel to and fromhospital
,nsure safet* of patients9 .isitors9 staff in non
8/9/2019 Hics Basics Part 2 Lossofwater
17/34
14
• Prepare a statement for the media
• Prepare a statement for the staff9 patients and.isitors >e(g(9 situation9 status9 safet*precautions9 ne t update time?
• $he statements need appro.al from the IncidentCommander
• Coordinate consistent messaging 8ith the ointInformation Center > IC? or 8ith la8enforcement PI)
Side 'ote"P$blic Information Officer &as1s
8/9/2019 Hics Basics Part 2 Lossofwater
18/34
15
• 7ho or 8hat entit* operates as the count* contact0 H)AC9and ho8 do *ou contact
• 7ho should %e notified of the situation
• 7ho should %e notified of hospital status /ed statusHo8
• 7ho is the source of resources in *our local plan >e(g(9local , S Department )perations Center9 PHD Department)perations Center9 Count*0Cit* ,mergenc* )perations
Center?• 3eeds should %e determined prior to the incident
Side 'ote"Liaison Officer
8/9/2019 Hics Basics Part 2 Lossofwater
19/34
16
• "tili!e HICS forms
• Form 21' < )perational =og
Side 'ote"*oc$mentin yo$r Actions
8/9/2019 Hics Basics Part 2 Lossofwater
20/34
2
• Document on HICS 2 ' Assignment =ist
• $he* are %ased on the Incident )%-ecti.es
• $hese are %ased on 8hat is desired to %eachie.ed %* the Section in that operationalperiod
• )%-ecti.es need to %e S AR$ >Simple9easura%le9 Achie.a%le9 Realistic9 $ime
Sensiti.e + $as: )riented?
Incident Action Plannin
Step 2" *etermine Branc#3Section Objectives
8/9/2019 Hics Basics Part 2 Lossofwater
21/34
21
• A common pro%lem during e ercises is thatSections0/ranches don;t de.elop theiro%-ecti.es promptl*
• Report top o%-ecti.es
Branc#3Section Objectives
8/9/2019 Hics Basics Part 2 Lossofwater
22/34
22
• Strategies + tactics are ho8 *our /ranch0Sectionis going to achie.e the o%-ecti.es
• 7hat actions do *ou need to ta:e
• "se *our facilit* response plans and IncidentResponse Guides
• Record strategies + tactics on form 2 ' /ranch Assignment =ist
Incident Action PlanninStep 4" *etermine Strate ies + &actics
8/9/2019 Hics Basics Part 2 Lossofwater
23/34
2
• 7hat eEuipment and0or supplies do *ou need
• 7hat personnel resources do *ou need
• Do *ou need transport resources
• Document resource acti.ities@ Resources assigned >form 2 '? Resource reEuests >form 21 ? Actions ta:en to utili!e and o%tain resources >form 21'?
Step 5" *etermine 'eeded .eso$rces
Incident Action Plannin
8/9/2019 Hics Basics Part 2 Lossofwater
24/34
2'
• 7ho 8ill %e assigned to the units
• Fill in the assignments on form 2 ' Assignment =ist
• Are there other %ranches that need acti.ated
Step 6" Iss$e Assi nments
Incident Action Plannin
8/9/2019 Hics Basics Part 2 Lossofwater
25/34
2
• For the first )perational Period the Incident Action Plan should %e
done 8ithin
8/9/2019 Hics Basics Part 2 Lossofwater
26/34
2
IAP 7$ic1 Start
• 3e8 form
• Can %e used for small incidents
• )r for a rapid start to a large incident andthen e pand out on indi.idual HICS forms
• Great for smaller pre
8/9/2019 Hics Basics Part 2 Lossofwater
27/34
24
IAP Cover S#eet
• Can %e used for the IAP uic: Start or fullIncident Action Plan forms
• Can ma:e different colors if *ou 8ant todifferentiate )perational Periods
8/9/2019 Hics Basics Part 2 Lossofwater
28/34
25
• Put *our acti.ities 0 plans into action
• 7hat are some of these acti.ities
Step 8" Implement Actions
Incident Action Plannin
8/9/2019 Hics Basics Part 2 Lossofwater
29/34
26
• It is no8 1( hrs into the incident
• "tilit* 8or:ers e pect to repair the damage andrestore 8ater ser.ice to the hospital 8ithin 1 12 hours
• 7hat are *our ma-or concerns
Scenario ,pdate 0(
8/9/2019 Hics Basics Part 2 Lossofwater
30/34
• $o8ards the end of the operational period9 *ou 8illneed to e.aluate status
• Repeat steps 1
8/9/2019 Hics Basics Part 2 Lossofwater
31/34
1
• It is no8 ' hours into the incident
• "tilit* repair personnel ha.e encountered
complications and report 8ater ma* not %erestored for da*s
• 7hat issues should %e considered
Scenario ,pdate 0)
8/9/2019 Hics Basics Part 2 Lossofwater
32/34
2
7hat are things 8e need to remem%er to doShare information
Reco.er* 0 Restoration After Action ReportCorrecti.e Actions Plan
Ho: are :e doin %
8/9/2019 Hics Basics Part 2 Lossofwater
33/34
7$estions%
8/9/2019 Hics Basics Part 2 Lossofwater
34/34
'
de.eloped %* theCalifornia Hospital Association;sHospital Preparedness Program
888(calhospitalprepare(org
HICS Basics Part (Application of
Incident Action Plan and FormsLoss of Water
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 ecretaryf P d " # H it l P d P d d d b th C lif i ! t t f P bli H lth $ t f thi it t i l h ll b