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Internal Disaster Plan Page 3 of 27 (Code Orange)
CHAIN OF SUCCESSION This plan supersedes all previous versions of the KFNCCC section in the Internal Disaster Plan
Chain of Succession King Fahad National Children Cancer Centre Emergency Operations Center: King Fahad National Children Cancer Centre (KFNCCC) Emergency Operations Plan (EOP) delegates the Administrator, Eyad Ibrahim Al Shaya’s authority to specific individuals in the event that he is unavailable. The chain of succession in a major emergency or disaster is as follows:
2. UMD‐CCC Head
3. Chief Guard Force, KFNCCC Safety & Security
King Faisal Specialist Hospital and Research Centre – Gen. Org: King Faisal Specialist Hospital and Research Centre (KFSH&RC) Emergency Operations Plan (EOP) delegates the CEO, Qasim Al Qasabi’s authority to specific individuals in the event that he is unavailable. The chain of succession in a major emergency or disaster is as follows:
2. Chief Operating Officer
3. MCA Executive
4. MCA Deputy Executive
Internal Disaster Plan Page 4 of 27 (Code Orange)
TABLE OF CONTENTS SECTION PAGE SECTION 1: The Basic Plan Purpose ........................................................................................................................................... 5 The Scope ........................................................................................................................................ 5 Situation Overview .......................................................................................................................... 5 Emergency Preparedness Committee (EPC) ................................................................................... 5 Department Sub‐Plans .................................................................................................................... 5 Concept of Operations .................................................................................................................... 6 ‐Activation (Figure 1) ................................................................................................................ 6 ‐Evacuation (Figure 2) ............................................................................................................... 7 ‐Evacuation Map (Figure 3) ...................................................................................................... 8 ‐START Triage System (Figure 4) ............................................................................................... 9 SECTION 2: Functional Annexes Emergency Operations Center (EOC) ............................................................................................ 10 Incident Command Post (ICP) ....................................................................................................... 12 Triage Site ..................................................................................................................................... 13 Incident Command System (ICS) ................................................................................................... 14 Stand Down & Recovery Phase ..................................................................................................... 16 SECTION 3: Appendices Appendix 1 .................................................................................................................................... 17
PBX Emergency Messages to EOC/ICP Disaster Coordinators Contact Numbers
Appendix 2 .................................................................................................................................... 18 Assembly Points List and Description Evacuation Assembly Points Map Appendix 3 ................................................................................................................................... 20 Acronyms Important Definitions Appendix 4 ................................................................................................................................... 22 Start Triage Algorithm Appendix 5 ................................................................................................................................... 23 Departmental Sub‐Plan Template Departmental Sub‐Plan Example Appendix 6 .................................................................................................................................... 25 Action Card Template Action Cards APPROVAL SIGNATORY Approval Signatory ....................................................................................................................... 27
Internal Disaster Plan Page 5 of 27 (Code Orange)
SECTION 1: THE BASIC PLAN – Purpose & Scope PURPOSE: The purpose of the Emergency Operations Plan (EOP): Code Orange is to facilitate a fully integrated multidisciplinary response in the event of an Internal Disaster. An Internal Disaster is any event occurring or affecting the Hospital within or near the perimeter, which creates disruption, isolation and/or danger to patients, visitors, staff and contract workers. This emergency will have direct impact on the health, safety and/or property of the Hospital. Note: This plan presents the broad picture of Code Orange response and management. For specific in‐depth details, consult the Departmental Sub Plans. SCOPE: The scope of this EOP ensures the continuity of operations for King Fahad National Children Cancer Centre (KFNCCC) while managing resources in the event of an Internal Disaster. This plan applies to all Hospital staff and participating agencies within. SITUATION OVERVIEW: There are many different internal/external events which may trigger a Code Orange. This plan encompasses all such threats. Note: Response for Decontamination/HAZMAT will be determined through Main EOC EMERGENCY PREPAREDNESS COMMITTEE (EPC):
1. The EPC through the Hospital Safety Committee (HSC) is responsible for: 1.1 The annual review and periodic update of the Emergency Operations Plan
(EOP): Code Orange KFNCCC 1.2 Ensuring that each Departmental sub‐plan includes the department’s
responsibilities and that they do not possess contradictory information to other sub‐plans or with the Emergency Operations Plan (EOP): Code Orange
DEPARTMENT SUB‐PLANS:
2. The Hospital Code Orange (Internal Disaster) Plan and departmental sub‐plans should be available and accessible to all staff. The Chairmen and Department Heads must:
2.1 Ensure staff are trained and ready to implement their Department’s sub‐plan 2.2 Ensure that their Department’s sub‐plan is updated. The sub plan shall include
action cards for each position in the Department that is required when a Code Orange is activated. The sub plan shall be approved by the chairman of the Emergency Preparedness Committee (EPC)
2.3 Use Code Orange sub‐plan template in APPENDIX 5 to develop a sub plan and action cards template in APPENDIX 6
2.4 Forward the original signed copy of the sub‐plan to the office of the Chairman of the Hospital Safety Committee (HSC) to be kept in a central file
2.5 Maintain an updated contact number list of its employees which is reviewed monthly and revised as necessary
2.6 Ensure that their department sub‐plan is tested through conduction of internal departmental drills (biannually)
Internal Disaster Plan Page 6 of 27 (Code Orange)
Head of Safety and Security
Call PBXPBX Shift Supervisor
Activate ICP/EOC
Main/KFNCCC EOC's
KFNCCC ICP
Activate Sub Plans
SECTION 1: THE BASIC PLAN – Concept of Ops & Activation (Fig 1)
ACTIVATION:
1. The recommendation of Code Orange activation may be made by either Safety and/or Ambulance (Paramedics) representatives. (Details available in the departmental sub plans)
2. The representatives will communicate with the Head of Safety and Security. Note: After business hours the Security Supervisor will be the contact
3. The Head of Safety and Security shall notify the KFNCCC Administrator or his/her
designee. With the approval from the Administrator, the Head of Safety and Security shall activate the Code Orange by calling the PBX Shift Supervisor Extension 2222. (Note: After business hours the Security Supervisor shall contact the Administrator on Duty (AOD) for approval to activate the Code Orange.)
3.1 Request activation of the Internal Disaster (Code Orange) & specify the location of the Disaster site and the Emergency Operations Center (EOC) 3.2 PBX shift supervisor shall send Code Orange activation messages to the EOC members (Main Hospital & KFNCCC) (Refer to APPENDIX 1 for messages details)
4. Emergency Operations Center (EOC) and Incident Command Post (ICP) members upon receiving the Code Orange activation messages shall activate their departmental sub‐plans that includes but not limited to: 4.1 Medical and Clinical Affairs 4.2 Nursing Affairs 4.3 Ambulance Services 4.4 Patient Services 4.5 Respiratory Therapy Services 4.6 HITA 4.7 Safety and Security 4.8 Supply Chain Management 4.9 Social services 4.10 Patient Relations Department 4.11 Support Services including Environmental and Transportation 4.12 Utilities and Maintenance 4.13 Infection Control and Hospital Epidemiology
(FIGURE 1: ACTIVATION)
Internal Disaster Plan Page 7 of 27 (Code Orange)
Victims Triage site
Red ClosestHospital
Yellow Main /ClosestHospital
Green Safety & Security Area
DischargeHome
Black Designated Morgue
SECTION 1: THE BASIC PLAN–Concept of Ops & Evacuation(Fig 2)
EVACUATION: Note: Evacuation order will be made through the KFNCCC Emergency Operations Center (EOC) Note: Evacuation shall be done horizontally unless a vertical evacuation is deemed necessary
2. Non ‐ Injured Persons and In‐Patients: 2.1 Nursing staff shall play an important role in leading, initiating and managing patient’s evacuation 2.2 Evacuation will be based on Patients priority determined by nursing staff 2.3 Non‐Injured Hospital staff, patients, family members and visitors shall be evacuated to one or more of the pre‐designated Assembly Areas 1, 2 or 3, (Refer to Page 8 Figure 3 or APPENDIX 2) 2.4 Evacuation of outpatient areas shall be done without delay upon activation of the Code Orange or fire alarm. The Emergency reporting procedures’ posters distributed throughout KFNCCC Hospital shall be followed 2.5 The Mosque shall be utilized for Patients of a critical nature, who are not Disaster victims, but who have been evacuated (Patients in beds requiring care or monitoring) Note: Temporary shelters will be erected at Assembly Points to protect patients from direct sunlight (See Maintenance Sub Plan)
3. Injured Persons: 3.1 Injured staff, patients, family members and visitors shall be triaged at a location designated by the Incident and Deputy Incident Commanders, near the Disaster site Note: Minor (Green) victims will be sent to Safety/Security Area by Main Gate 3.3 Administrative Coordinator/Assistant will be responsible for tracking patient transfers within, or outside of KFNCCC facility (FIGURE 2: EVACUATION)
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SECTION 1:THE BASIC PLAN – Concept of Ops – EVAC Map (Fig 3)
(FIGURE 3: EVACUATION MAP)
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SECTION 1:THE BASIC PLAN– Concept of Ops & Start Triage (Fig 4)
START TRIAGE: Note: For In‐depth Simple Triage and Rapid Assessment Algorithm see APPENDIX 4
The ONLY TREATMENT during START Triage is: • Open the Airway • Insert an OPA if needed (Oropharyngeal Airway) • Stop the Bleeding
Immediate care ‐ Victim can be helped by immediate intervention/transport Delayed care ‐ Includes serious and potentially life‐threatening injuries, but status not expected to deteriorate significantly over several hours Minor cases (walking wounded) ‐ Victims with relatively minor injuries. Status unlikely to deteriorate over days Deceased/Terminal ‐ Victim unlikely to survive given severity of injuries, level of available care, or both
(FIGURE 4: START Triage)
Note: Victims with burns/trauma should be transferred to King Abdulaziz Medical City or King Fahad National Guard Hospital. Victims who require Hospitalization, including intensive care, should be transferred to Kingdom Hospital (Reference, MCO Memo: MCO‐ED/1962/36)
Yellow
Green
Black
RED
Internal Disaster Plan Page 10 of 27 (Code Orange)
SECTION 2: FUNCTIONAL ANNEXES – EOC
KFNCCC Emergency Operations Center (EOC): Note: EOC was previously known as the “Command Centre”
1. KFNCCC Medical Staff Conference Room will be used as the Emergency Operations Center (EOC). If for any reason the Staff Conference Room is unusable the KFNCCC UMD Head Office will act as the secondary “backup” location.
KFNCCC EOC Members: Position ICS Assignment
Administrator EOC Director Chairman of Pediatric Hematology/ Oncology
Operations Chief
Head of Utilities and Maintenance Division (UMD)
Supporting Services Chief (i.e. Logistics Chief)
Nursing Program Director Planning Chief Head of Safety & Security Safety Officer Administrator Secretary Public Information Officer (PIO) Supervisor, Communications Section Provides Communications support Supervisor, Environmental Services Provides Environmental support Supervisor, Housing Services Provides Housing support Supervisor, Food Services Provides Food Services support Supervisor, Social Services Provides Social Services support Manager, Supply Chain Provides Supply Chain support
Note: More detailed information including alternate staffing can be found in CCC EOC Sub Plan 2. The KFNCCC EOC is Responsible for:
2.1 Direct operations of departments/agencies responding to the event 2.2 Authorize the halting of Hospital services or relocation to other pre‐identified areas 2.3 Contact Primary Disaster Coordinators as required (Refer to APPENDIX 1) 2.4 Provide support to the members of the Incident Command Post (ICP) as required 2.5 Assign responsible employees with expertise and training to critical functions 2.6 Manage deployment of appropriate resources to the relevant areas 2.7 Authorize the establishment of Patient Discharge Area, Holding Center and Joint Information Center (JIC) to coordinate information releases to the media through the Main Hospital EOC 2.8 Provide regular status update to main Hospital Emergency Operations Center (EOC) Note: The Senior Hospital Assistant of KFNCCC Administrator shall provide, on a monthly basis, KFNCCC PBX with updated contact list (i.e. Names, Extension Number, MCD Number and Mobile Number) of the KFNCCC EOC and Disaster ICP members
Internal Disaster Plan Page 11 of 27 (Code Orange)
SECTION 2: FUNCTIONAL ANNEXES – MAIN EOC
Main Hospital Emergency Operations Center (EOC): (CEO Boardroom located in the main Hospital, 3rd floor) 1. The purpose of the activation of the Main EOC is to provide logistical support to the KFNCCC.
Main Hospital Emergency Operations Center (EOC) Membership: Chief Executive Officer (CEO)
Chief Operations Officer (COO)
Deputy Chief Executive Officer
Chief Administrative Officer
Executive Director, Medical & Clinical Affairs
Deputy Executive Director, Medical & Clinical Affairs
Executive Director, Nursing Affairs
Assistant Chief of Nursing Affairs
Director, Clinical Services
Director, Safety & Security
Director, Patient Services
Head, Case Management
Chairman, Hospital Safety Committee
Coordinator, Hospital Safety Committee
Executive Director, Medical & Clinical Affairs Secretary or designee
Disaster Clinical Coordinator, Quality Management
Note: More detailed information including alternate staffing can be found in Main EOC Sub Plan
2. Main EOC Responsibility’s:
2.1 Support KFNCCC EOC logistical needs 2.2 Coordinate required services from Main Hospital to support KFNCCC 2.3 Manage deployment of required needs to KFNCCC 2.4 Authorize and manage release of information to media 2.5 Receive reports/requests from KFNCCC EOC
Internal Disaster Plan Page 12 of 27 (Code Orange)
SECTION 2: FUNCTIONAL ANNEXES – ICP Incident Command Post (ICP):
1. Departments vital to the establishment of the Incident Command Post (ICP):
1.1 Security – Activate sub plan 1.2 Safety ‐ Activate sub plan 1.3 Transportation department – Activate sub plan 1.4 Maintenance ‐ Activate sub plan 1.5 Ambulance Services – Activate sub plan
2. Incident Command Post (ICP):
2.1 The location is chosen by Incident Commander (IC) and the Deputy Incident Commander who will notify the EOC of the location once determined. 2.2 All Members of the ICP to proceed directly to ICP location (will be either at the scene of the Disaster or as close as safety/logistics permits)
Incident Command Post Members Position ICS Assignment
Safety Section Representative Incident Commander Team Leader, Ambulance Services CCC Deputy Incident Commander Pediatric Hematology Oncology (PHO) MD Triage Officer Administrative Coordinator/Assistant To supply support when needed Administrative Coordinator To supply support when needed Assistant Head of Utilities/Maintenance To supply support when needed Patient Relations Representative/Translator To supply support when needed Manager, Transportation To supply support when needed Infection Control/Hospital Epidemiology Senior Coord. To supply support when needed
Note: More detailed information including alternate staffing can be found in ICP Sub Plan 3. The Incident command post (ICP):
3.1 Give updates to EOC 3.2 Requests additional resources 3.3 Maintain accountability of first responders
4. Incident Commander (IC) 4.1 Manage the incident location including Triage on an operation level 4.2 Requests additional resources and works with Deputy IC 5. Deputy Incident Commander (Deputy IC)
5.1 Assist the Incident Commander (IC) 5.2 Undertakes any assignment from the Incident Commander (IC) 5.3 Maintains communications with the EOC and Ambulance Dispatch
6. Triage Officer: Oversees all patient assessment, triaging/tagging during the event
Internal Disaster Plan Page 13 of 27 (Code Orange)
SECTION 2: FUNCTIONAL ANNEXES – Triage Site
Triage Site:
The Triage Site shall be as close to the incident site as possible while ensuring victim and first responder safety. Ideally the KFNCCC triage site and ICP locations should be directly adjacent to each other if the conditions permit. The site choice is the decision of both the Incident Commander (IC) and the Deputy Incident Commander (Deputy IC), who will notify the EOC of the actual physical location once the determination is made.
1. Triage Site should be: 1.1 Safe 1.2 Easily accessible by Ambulance/Vehicles (Avoiding one‐way “bottlenecks”) 1.3 If Hazardous materials or other contaminants are involved in the incident, the triage site should be uphill and upwind from the incident location 1.4 Communicated with the EOC 1.5 As close to ICP as safety and logistic permit
Note: When picking a Triage Site the location should be as near to the Disaster site as safety permits. This is to prevent logistical bottle necks when moving victims from the Disaster location to the triage area.
Internal Disaster Plan Page 14 of 27 (Code Orange)
SECTION 2: FUNCTIONAL ANNEXES – ICS
Incident Command System (ICS):
The Incident Command System (ICS) is a standardized on‐scene approach to incident management that:
• Enables a coordinated response among various jurisdictions, agencies and departments.
• Establishes common processes for planning and managing resources.
• Allows for the integration of facilities, equipment, personnel, procedures, and communications operating within a common organizational structure.
Incident Command System Positions and Functions:
1. Emergency Operations Center (EOC) ICS Roles:
1.1 Director: Responsible for overall response. Lead personnel in the Emergency Operations Center (EOC)
1.2 Safety Officer: To develop and recommend measures to the EOC for assuring personnel health and safety and to assess and/or anticipate current or developing hazardous and unsafe situations. The Safety Officer provides timely, complete, specific, and accurate assessment of hazards and required controls
1.3 Operations Chief: Responsible for all operations directly applicable to the primary mission of the response, including direct contact with the ICP (I.e. The tactics that will be used to respond to the Disaster) Note: This is the only person who should be in contact or contacting the Incident Command Post (ICP)
1.4 Planning Chief: Responsible for collecting, evaluating, and disseminating the tactical information related to the incident, and for preparing and documenting Incident Action Plans (IAP's)
1.5 Logistics Chief: Responsible for providing facilities, services, and materials for the incident response
1.6 Public Information Officer (PIO): To develop and release information about the incident to the news media, incident personnel, and other appropriate agencies and organizations by direct request from the Main Hospital EOC
Internal Disaster Plan Page 15 of 27 (Code Orange)
SECTION 2: FUNCTIONAL ANNEXES – ICS 2. Incident Command Post (ICP) ICS Roles:
2.1 Incident Commander (IC): The IC is the oversight of the ICP. The IC has responsibility for conducting incident operations and is responsible for the management of all incident operations at the ICP/Triage site
2.2 Deputy Incident Commander: Performs specific tasks as requested by the Incident Commander. Performs the incident command function in a relief capacity. The Deputy IC reports directly to the Emergency Operations Center (EOC) for situation updates and resource requests and also maintains contact with Ambulance Dispatch
2.3 Triage Officer: Oversees all patient assessment, triaging/tagging during the event. Ensures proper and consistent tagging while keeping updated numbers of victims to provide to the Deputy IC for updates to the EOC and requests for resources
Internal Disaster Plan Page 16 of 27 (Code Orange)
SECTION 2: FUNCTIONAL ANNEXES – Stand Down & Recovery
Stand Down and Recovery:
Once it is determined that there is no longer a threat to patients, staff and other persons on KFNCCC grounds, a Stand Down (De‐escalation) will be issued. 1. Stand Down:
1.1 The KFNCCC EOC, with the guidance of Main Hospital EOC, will determine when the incident is no longer a threat to patients, staff and other persons and issue an “All Clear” 1.2 KFNCCC EOC will communicate with PBX Operators to issue the “All Clear” through Hospital communication systems (Refer to APPENDIX 1 for messages details) 1.3 Once the all clear is issued the ICP will stand down and all non‐essential staff will be de‐activated 1.4 The KFNCCC EOC will stay active until excused by CCC Administrator with the guidance of Main Hospital EOC
2. Recovery Phase:
2.1 The KFNCCC EOC will draft a Recovery Plan to address any damage caused by the disaster: 2.1.1 Depletion of critical supply’s 2.1.2 Damage to Hospital facilities/equipment
2.1.3 Critical Stress Incident Debriefing (CSID) and counselling for Post‐Traumatic Stress induced by the incident
2.2 Depending on the scope of the incident the KFNCCC EOC may discontinue services and/or functions of the facility in order to safely restore full functionality to KFNCCC grounds/facilities
2.3 After the completion of this phase a detailed After Actions Report (AAR) will be completed to address the incident, the response effort and “lessons learned” that can aid in future responses
2.3.1 The AAR will have a section to address mitigations which can be done to prevent the incident from repeating in the future
Internal Disaster Plan Page 17 of 27 (Code Orange)
APPENDIX 1: PBX Messages/Disaster Coordinators
Activation Messages:
KFNCCC Emergency Operations Center (EOC) Members: Code Orange – Please Report to KFNCCC Emergency Operations Center (EOC) in the Medical Staff Conference Room or UMD Head Office. This is not a drill. Main Hospital Emergency Operations Center Members: Code Orange in KFNCCC – Please report to the Emergency Operations Center (EOC) in the Chief Executive Officer Board Room. This is not a drill. Incident Command Post Members: Code Orange in KFNCCC – Please report to Incident Command Post (ICP). This is not a drill. Contact PBX #2222 for location.
Stand Down Messages:
All Clear Message Hospital wide including; KFNCCC EOC, Main Hospital EOC, ICP etc: Attention all staff, All Clear, All Clear, All Clear. The Code Orange has been de‐activated. All Clear. Contact your Supervisor for further instructions.
List of KFNCCC Primary Disaster Coordinators Contact Numbers: Emergency Emergency Coordinator Department MCD Contact Number
Fire Head, Safety SS&C 48362 0503299158 Explosion Head, Safety SS&C SS&C 48362 0503299158 Bomb Head, Guard Force SS&C SS&C 48362 0503299158 Loss of Utilities Head, Utilities UMD UMD 43399 0500008448 Flood Head, Utilities UMD UMD 43399 0500008448 Medical Gas System Emergency and Failure
Head, Utilities UMD Medical Gas System
UMD 43399 0500008448
Internal Communication Failure
PABX Communication Supervisor HITA 48750
55154
Supervisor , Telecommunications HITA 49500 55155 If the main Telephone System is down. Back up Red Telephone System can be used and the
PBX Operator can be easily reached by dialing EXT: 55156
Chemical spills Lab Safety Officer , KFNCCC DPLM 45585 0504114947 Medical Equipment Failure
Head, Clinical Engineering Clinical Engineering
47700 0505452961
Environment related emergencies
Manager , Environmental Services Environmental Services
48678 05553111898
Internal Disaster Plan Page 18 of 27 (Code Orange)
APPENDIX 2: KFNCCC Assembly Points
Internal Disaster Plan Page 19 of 27 (Code Orange)
APPENDIX 2: KFNCCC Evacuation Assembly Points Map
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APPENDIX 3: Acronyms and Definitions
WORD / ACRONYM/ ABBREVIATION DEFINITION
AAR After Actions Report A&FS Administrative and Financial Services ACEO Assistant, Chief Executive Officer CEO Chief Executive Officer CISD Critical Incident Stress Debriefing COO Chief Operating Officer Code Orange Code word for the Internal Disaster in the EOP CSSD Central Sterilization Supply & Distribution DCED Deputy Chief Executive Director DED Deputy Executive Director DEM Department of Emergency Medicine EOC Emergency Operations Center
(Previously known as the Command Centre) ED Executive Director EOD Executive On Duty EOP Emergency Operations Plan ER Emergency Room ERP 1 Senior Emergency Room Physician on duty ES Environmental Services IC Incident Commander ICIS Integrated Clinical Information System ICP Incident Command Post ICS Incident Command System ICU Intensive Care Unit HITA Health Information Technology Affairs JIC Joint Information Center KFNCCC King Fahad National Centre for Children’s Cancer MCA Medical & Clinical Affairs MICU Medical Intensive Care Unit OR Operating Room PBX Private Branch Exchange – Communications Section PICU Pediatric Intensive Care Unit RN Registered Nurse START Stands for Simple Triage And Rapid Treatment (Triage
System) UMD Utilities and Maintenance Department
Internal Disaster Plan Page 21 of 27 (Code Orange)
APPENDIX 3: Acronyms and Definitions cont.
IMPORTANT DEFINITIONS: Emergency Operations Center (EOC): The EOC is a specially designed and equipped room, where designated members of the Hospital management, supported by a specialized staff, assemble to manage the disaster response activities for both limited and full disasters. (Previously referred to as “Command Centre”) Patient Discharge and Holding Center: An area used to hold patients being transferred to other Hospitals, or who are awaiting discharge. These are the same as the Evacuation Points located on page 22.
Joint Information Center (JIC): An area used to provide victims information from the EOC will be provided to family members and for dissemination to media pending approval of the Main EOC. Incident Command Post (ICP): The field location at which the primary tactical‐level, on‐scene incident command functions are performed. The ICP reports to the EOC for; situations updates and resource requests. Incident Command System (ICS): A standardized on‐scene emergency management construct specifically designed to provide for the adoption of an integrated organizational structure that reflects the complexity and demands of single or multiple incidents, without being hindered by jurisdictional boundaries. ICS is the combination of facilities, equipment, personnel, procedures, and communications operating within a common organizational structure, designed to aid in the management of resources during incidents. It is used for all kinds of emergencies and is applicable to small as well as large and complex incidents. ICS is used by various jurisdictions and functional agencies, both public and private, to organize field‐level incident management operations. Critical Incident Stress Debriefing (CISD): a facilitator‐led group process conducted soon after a traumatic event with individuals considered to be under stress from trauma exposure. CSID is designed to assist others in dealing with the physical or psychological symptoms that are generally associated with trauma exposure. Debriefing allows those involved with the incident to process the event and reflect on its impact.
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APPENDIX 4: START Triage Algorithm
Adapted from www.Start-Triage.com For pediatrics consult JumpStart algorithm
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APPENDIX 5: Department Sub Plan Template
Note: Editable Template Available at: Disaster Coordinator MCD:44369
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APPENDIX 5: Department Sub Plan Example
Note: This is just the example Sub‐Plan for Ambulance and does not reflect the actual Sub‐Plan
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APPENDIX 6: Action Card Template The Action Card is designed to guide personnel through the Code Orange. In a high stress situation this is a valuable tool which will remind the person of what is expected and how to accomplish the tasks. This action card is designed to be printed in “Landscape” orientation. The card will then be folded in half horizontally and laminated. This card will be worn by the person around their neck during the Disaster with lanyards provided to your department. Note: Mandatory for all personal who play a leadership role in the Code Orange.
Editable Template Available at: Disaster Coordinator MCD:44369
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Note: This is an example and does not reflect the actual Action Card for Administrator
APPENDIX 6: Action Card Examples
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