Incident Command & Planning

1. Incident Command & Planning OVERVIEWBasic Disaster Life Support

2. Lesson Objectives • Understand disaster command structures • NIMS • Incident Command System (ICS) • HEICS • Recognize need for planning • Discuss aspects of documentation Incident Command & Planning

3. Decontamination Plan • Is there one? • Where is it located? • Do you know what it contains? • Does it integrate with that of other hospitals & agencies? • What are your specific responsibilities? • Has it been tested? Incident Command & Planning

4. What is NIMS? • National Incident Management System • A comprehensive, national approach to disaster management • Applicable at all jurisdictional levels and across disciplines • Required as of October 1, 2004 Incident Command & Planning

5. Why Do We Need NIMS? Lessons learned have shown the need for: • A coordinated response • Standardization • Interoperability Incident Command & Planning

6. NIMS Concepts and Principles NIMS is: • Flexible to enable all responding organizations to work together. • Standardized to improve overall response and interoperability. Incident Command & Planning

7. Preparedness • Planning, training, and exercises • Personnel qualification and certification • Equipment acquisition and certification • Publication management • Mutual aid/Emergency Management Assistance Compacts Incident Command & Planning

8. Resource Management Includes standardized: • Descriptions • Inventories • Mobilization • Dispatch • Tracking • Recovery Incident Command & Planning

9. Communications/Information Management NIMS identifies requirements for: • Communications • Information management • Information sharing Incident Command & Planning

10. NIMS Standard Structures • Multi-agency Coordination Systems • Public Information Systems • Incident Command System (ICS) Incident Command & Planning

11. ICS • Proven, on-scene, all-hazards concept • Interdisciplinary • Organizationally flexible • Appropriate for all types of incidents Incident Command & Planning

12. ICS Features • Common terminology • Organizational resources • Manageable span of control • Organizational facilities • Use of position titles • Reliance on an Incident Action Plan • Integrated communications • Accountability Incident Command & Planning

13. Hospitals Face Many Types of Disasters… Incident Command & Planning

14. A timely, well thought out response is a cost effective one!Keep your doors open, costs down, and employees safe Incident Command & Planning

15. Incident Command & Planning

16. What Is HEICS ? • Organizational Core for your Emergency Response Plan • Lends Focus and Direction • Organizational Chart • Standardized Job Descriptions, Checklists and Supporting Forms • Common Language Incident Command & Planning

17. Chain of Command Common Language Flexible Activation Job Action Sheets Organized Documentation Integrates with community ICS Corporate Benefits from Common Plan Benefit to the “Traveling” Employee HEICS Attributes… Incident Command & Planning

18. HEICS Implementation It is a Flexible Process • Must Be Adapted • Policy/Procedure to Support • Annexes to Address Specific Emergencies Incident Command & Planning

19. Basic ICS Structure Incident Command & Planning

20. Incident Commander • Key Person – In-charge at the Incident • May Have One or More Deputy Incident Commanders • May Assign Personnel for Command Staff & General Staff . . . is a manager, and may not be the person with the most operational experience! Incident Command & Planning

21. 5 Basic Functions • Incident Command • Finance • Operations • Logistics • Planning Incident Command & Planning

22. Unity of Command……Chain of Command • Organizational Chart helps to organize communication • Establishes a chain of command • Promotes effective communications • Establishes span of control Incident Command & Planning

23. Safety Officer Incident Commander • Monitors safety situation • Authorization to stop unsafe acts or situations • Required by OSHA for HazMat Safety Officer Incident Command & Planning

24. Liaison Officer Incident Commander • Point of contact for assisting/cooperating agencies • Red Cross & other NGOs, public works, engineering organizations, families, etc. Liaison Officer Incident Command & Planning

25. Information Officer Incident Commander • Releases accident/incident information • Media and other appropriate agencies Information Officer Incident Command & Planning

26. Who's involved Where they are What they are doing How they are doing Planning Section Tracks the following: PLANNING SECTION • Assists command with management decisions • Provides info to measure progress toward goals and objectives • Information used to develop incident action plan • Provides info for accident/incident review Incident Command & Planning

27. Logistics Section • Sustains emergency operations • Provides support & services for incident operations • Responsible for obtaining: • Personnel • Supplies • Resource Support Logistics Section Incident Command & Planning

28. Finance Section • Responsible for the following: • Costs associated with the operation • Cost analysis • Financial aspects Finance Section • Normally the last section to be added • Used mainly in major accidents/incidents Incident Command & Planning

29. Operations Section OPERATIONS SECTION • Responsible for all operations • Includes Decontamination Team • Directed by Incident Action Plan Incident Command & Planning

30. Operations Section Incident Command & Planning

31. Operations Section OUT PATIENT MEDICAL BRANCH Triage Unit leader • Oversees Decon operations • Site set-up • Team safety • Victim handling • Requests support Incident Command & Planning

32. Decontamination Organizational Chart Incident Command & Planning

33. Job Action Sheets (JAS) • Position Duties • Chiefs and front line personnel • Mission with focused objectives • Prioritized activity list • Customized to the organization and role Incident Command & Planning

34. Job Action Sheet • One for Each Position • Embodies Title, Mission/Function and Duties • Adjusted to Meet Hospital Needs Incident Command & Planning

35. Decon Team Actions Detection of Event & Activation Initial = Set up and donning PPE Intermediate = Decontamination Operation Extended = Site Breakdown & Recovery Incident Command & Planning

36. HEICS Implementation… This is a slow, methodical process! Allow some time for success!! Incident Command & Planning

37. Documentation • OSHA requirements for workers • Training records • Health monitoring • Medical records for patients • Cost recovery • Evidence for lawsuits, investigations, etc. • After-action review Incident Command & Planning

38. Documentation Tools • Event Description Form • Team Health Monitoring Forms • Pre- & Post-event status + Any problems • Activity Logs • Inventory Sheets • Personal Effects Logs Supplement with Photos and Diagrams! Incident Command & Planning

39. Worker Exposure Records • Keep exposure records! • Employer must keep for 30 years post employment!! • All responders should get copies Incident Command & Planning

40. After Action Review • Personnel issues • Equipment issues • Site issues • Command issues • Environmental concerns • Incorporate into future planning Incident Command & Planning

41. Summary • Preplanning is essential • Test your plans periodically • You need a chain of command • Know your role • Prioritization of duties via Job Action Sheets • Organized documentation is essential Incident Command & Planning

42. Thank you!Questions? OVERVIEWBasic Disaster Life Support