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COVID-19 2020 Incident Action Plan
Planning Schedule 1000 Command and General Staff: for the Incident Commander (IC), IC assistant, Medical Specialist, Public
Information Officer (PIO), Safety Officer, Section Chiefs and Public Liaison Officer -- solve problems within the current OP and begin planning for the next Operational Period
1100 Operations: Section Chief, Unit Leaders and Physician Liaison: within each section, discuss current the current Operational Period and begin planning for next Operational Period
1200 Planning and Logistics: Section Chief and Unit Leaders: within each section, discuss current the current Operational Period and begin planning for next Operational Period
1300 Finance Section: Section Chief and Unit Leaders: within each section, discuss current the current Operational Period and begin planning for next Operational Period
1400 Tactics and Pre-Plan Meeting: for the Section Chiefs and Liaison Offer to determine how to meet goals and objectives for the next Operational Period
1600 Due: Statistics, Forms 203, 204, 213, 214 Safety and Human Resource Reports 1700 Planning Meeting: for the Section Chiefs, Safety Officers, Unit Leaders and Public Information Officer to finalize
the plan for the next Operational Period 2100 Incident Action Plan (IAP) Disseminated MRH Overall Goal: Objectives:
MRH Situation to Date as of
COVID tests Pending Positive Acute Care ICU Ventilator
PPE Inventory and Five Day Consumption Rate as of
PPE Inventory as of Start of Operational Period
(units)
MRH Consumption Rate (units per day based on
the last 5 days)
Masks - N95
Masks - Adult
Masks - Pediatric
Goggles
Gowns Priorities for today as of 0900
Daily Briefing Updates
MEDICAL TECHNICAL BRIEF
OPERATIONS
PLANNING
LOGISTICS
FINANCE
COMMUNICATIONS/MEDIA
OTHER
ORGANIZATION ASSIGNMENT LIST (ICS 203)
1. Incident Name: COVID-19 2020 2. Operational Period: Date From: Date To: Time From: Time To:
3. Incident Commander(s)/ Agency Incident Coordinator and Command Staff: (include location)
7. Operations Section:
IC Jen Sadoff Chief Annie Relph
IC Vicki Gigliotti Chief Darci Miller
IC Assistant Jesse Bosh Chief Jimmy Walling
Medical Specialist Dr. Cole / Dr. Alexander Chief Michelle Peterson
Safety Officer Misty Kovacs / Tina Marshall Unit Leader Physician Liaison
Public Info. Officer Christy Calvin / Carolyn Wagner Medical Branch Dr. Cole / Dr. Alexander
Liaison Officer Doug Caylor Hotline/Tent/Entrance/Clinic Anna / Tammy T. Dr. Kathy Williams/Dr. Mack
4. Agency/Organization Representatives: Emergency Room Joe C. / Georgia R. Dr. Reay / Dr Scherer
Agency/Organization Name ICU Jeanette B. / Gayle A Dr. Brandau/Dr. Johnson/Laird C.
Non-ICU Anna C. / Tina K. Dr. Mack / Dr. Munger
OB Connie W. / Naomi H. Dr. Ken Williams
Ancillary Services Jimmy W. / Cindy H. Dr. Scherer / Dr. Kopell
Imaging Jimmy W. / Cindy H
Lab Carrie M / Sandy K. Dr. Hardy
Cardio Jechelle M. / Janet
5. Planning Section: Security/Buildings Nick A / JJ A
Chief Ronnie Boongaling Business Clinda L.
Chief Zach Wojcieszek Admissions Christina Z.
Resources Unit Tracie C. / Christina Z. Billing Ashlee J.
Situation Unit Sam B. / Marianne B.
Documentation Unit Haeli A. / Andrea F. 8. Finance/Administration Section:
Demobilization Unit Ian M. / Scott W. Chief Rick W.
Chief Johna L.
6. Logistics Section: Time Unit Corinne L.
Chief Ronnie Boongaling Comp/Claims Unit Johna L
Chief Zach Wojcieszek Cost Unit Blair M. / Jennifer D.
Family Services Ashton P. / Mitch C
Medication Jeremy O. / Janelle M.
Food and Water Unit Janel A. / Jeremiah W.
IT Unit Mike F. / Tyler M.
Supply Dawn R. / Kristy R.
Labor Pool Katherine S. / Cayla M.
Credentialing Cayla M. / Michaela I.
9. Prepared by: Name: Position/Title: Situation Unit Leader Signature:
ICS 203 IAP Page __1___ Date/Time:
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
Coronavirus 4/21/20 4/23/20
0900 0900
Annie Relph, Darci Miller,
Anna Curtis, RN 4/21
Anna Curtis, 435-851-9894
Operations
Medical
Respiratory Tent
Hannah/Tammy Anna Curtis
Angie Herrera Anna Curtis
09-20 720-383-0989/435-469-1504 RN wear full PPE
09-20 239-470-5215 MA on call. wear full PPE
1 RN staffed all day. 1 MA on call for busier times. Please obtain Covid-19 nasopharyngeal swab while wearing goggles, N95 mask, face shield andgloves in any person with fever, cough or shortness of breath. Face shields should be cleaned after each patient and re-used.2- see green book for standing orders and operating set up/take down
-Tent staff need to escort patients to ER for transfer or have ER nurse meet them at the door, make sure patient does not enter ER without a mask.- Text Ronnie ((916) 807-8218, Anna Curtis (435) 851-9894 and Tracie Carroll (435) 260-9614 the numbers at the end of the shift.-Get updates from Green binder-Staff need to clock in under COVID and not your regular department- Please also keep track of # PPE used through out shift
ER RN
MRH
MRH ext 3570
Lab ext 3409
Radiology ext 3412
ext 3997
MRH
COVID line
Anna Curtis RN
4/20/20 1200
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
Coronavirus 4/21/20 4/23/20
0900 0900
Annie Relph, Darci Miller,
Anna Curtis, RN 4/22
Anna Curtis, 435-851-9894
Operations
Medical
Respiratory Tent
Hannah Bodenhammer Anna Curtis
Angie Herrera Anna Curtis
09-20 720-383-0989 RN wear full PPE
09-20 239-470-5215 MA on call. wear full PPE
1 RN staffed all day. 1 MA on call for busier times. Please obtain Covid-19 nasopharyngeal swab while wearing goggles, N95 mask, face shield andgloves in any person with fever, cough or shortness of breath. Face shields should be cleaned after each patient and re-used.2- see green book for standing orders and operating set up/take down
-Tent staff need to escort patients to ER for transfer or have ER nurse meet them at the door, make sure patient does not enter ER without a mask.- Text Ronnie ((916) 807-8218, Anna Curtis (435) 851-9894 and Tracie Carroll (435) 260-9614 the numbers at the end of the shift.-Get updates from Green binder-Staff need to clock in under COVID and not your regular department- Please also keep track of # PPE used through out shift
ER RN
MRH
MRH ext 3570
Lab ext 3409
Radiology ext 3412
ext 3997
MRH
COVID line
Anna Curtis RN
4/20/20 1200
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
Coronavirus 4/21/20 4/23/20
0900 0900
Annie Relph, Darci Miller,
Anna Curtis, RN 4/23
Anna Curtis, 435-851-9894
Operations
Medical
Respiratory Tent
Anna Curtis
Tiff White Anna Curtis
09-20 RN wear full PPE
09-20 309-333-6892 MA on call. wear full PPE
1 RN staffed all day. 1 MA on call for busier times. Please obtain Covid-19 nasopharyngeal swab while wearing goggles, N95 mask, face shield andgloves in any person with fever, cough or shortness of breath. Face shields should be cleaned after each patient and re-used.2- see green book for standing orders and operating set up/take down
-Tent staff need to escort patients to ER for transfer or have ER nurse meet them at the door, make sure patient does not enter ER without a mask.- Text Ronnie ((916) 807-8218, Anna Curtis (435) 851-9894 and Tracie Carroll (435) 260-9614 the numbers at the end of the shift.-Get updates from Green binder-Staff need to clock in under COVID and not your regular department- Please also keep track of # PPE used through out shift
ER RN
MRH
MRH ext 3570
Lab ext 3409
Radiology ext 3412
ext 3997
MRH
COVID line
Anna Curtis RN
4/20/20 1200
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
Coronavirus 4/21/2020 4/23/2020
0900 0900
Annie Relph, Darci Miller,
Anna Curtis 4/21
Anna Curtis, RN 435-851-9894
Medical
Operations
Green
GREEN- Clinics
Mel Sakrison Float
Paula Kelley Munger Clinic
08-17 435-259-5532 MRHC
08-17 435-260-1626 MRHC
Abbie Sitton Mack Clinic 08-17 970-712-6266 MRHC
Beata W Eve Clinic 12-20 847-691-4419 MRHC
Angie Hererra Keely/Des/Cole/ oc Tent 08-17 239-470-5215 MRHC
Janet Gay Johnson Clinic 08-17 918-510-5804 MRHC
Jeanette Kopell Brandau 08-17 435-260-8948 MRHC
Courtney Williams Quinn Clinic 08-17 435-210-4001 MRHC
08-17 MRHC
Tammy Tucker CM, RET 1400-2000 12-20 435-469-1504 MRHC
Front Table-0530-1300: Lindsey Shurtleff 435-260-08291300-2000: Mary Frothingham 435-259-1570
Continue to practice MRHC COVID Protocol.Ensure that at least one clinical staff member stays in the Clinic until 1700 to support provider for Urgent Care patient visits.
ManagerAnna Curtis 435-851-9894
Anna Curtis MRHC Manager
4/20/2020 1200
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
Coronavirus 4/21/2020 4/23/2020
0900 0900
Annie Relph, Darci Miller,
Anna Curtis 4/22
Anna Curtis, RN 435-851-9894
Medical
Operations
Green
GREEN- Clinics
Mel Sakrison Float
Paula Kelley Munger Clinic
08-17 435-259-5532 MRHC
08-17 435-260-1626 MRHC
Abbie Sitton Mack Clinic 08-17 970-712-6266 MRHC
Beata W Eve Clinic 08-17 847-691-4419 MRHC
Angie Hererra Keely/Des/Cole/ oc Tent 08-17 239-470-5215 MRHC
Janet Gay Johnson Clinic 08-17 918-510-5804 MRHC
08-17 435-260-8948 MRHC
Courtney Williams Franke Clinic 08-17 435-210-4001 MRHC
Chris Mathe Kathy Clinic 08-17 603-667-8209 MRHC
Tammy Tucker CM, ICS, Staffing, Table 08-17 435-469-1504 MRHC
Front Table-0530-1300: Lindsey Shurtleff 435-260-08291300-2000: Misty Kovacs 716-4445-3046
Continue to practice MRHC COVID Protocol.Ensure that at least one clinical staff member stays in the Clinic until 1700 to support provider for Urgent Care patient visits.
ManagerAnna Curtis 435-851-9894
Anna Curtis MRHC Manager
4/20/2020 1200
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
Coronavirus 4/21/2020 4/23/2020
0900 0900
Annie Relph, Darci Miller,
Anna Curtis 4/23
Anna Curtis, RN 435-851-9894
Medical
Operations
Green
GREEN- Clinics
Mel Sakrison Float 08-17 435-259-5532 MRHC
08-17 MRHC
Abbie Sitton Mack Clinic 08-17 970-712-6266 MRHC
Beata W Eve Clinic 08-17 847-691-4419 MRHC
Angie Hererra Keely/Des/Cole/ oc Tent 08-17 239-470-5215 MRHC
Janet Gay Johnson Clinic 08-17 918-510-5804 MRHC
08-17 435-260-8948 MRHC
Courtney Williams Quinn Clinic 08-17 435-210-4001 MRHC
Chris Mathe Kathy Clinic 08-17 603-667-8209 MRHC
Tammy Tucker CM, ICS, Staffing, Table 08-17 435-469-1504 MRHC
Front Table-0530-1300: Tracie Jones 435-260-86901300-2000: Chris Mathe 603-667-8209
Continue to practice MRHC COVID Protocol.Ensure that at least one clinical staff member stays in the Clinic until 1700 to support provider for Urgent Care patient visits.
ManagerAnna Curtis 435-851-9894
Anna Curtis MRHC Manager
4/20/2020 1200
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
April 21, 2020 April 23, 2020
0900 0900
Annie Relph RN,
Tammy Tucker RN 4/21/20
Anna Curtis RN, 435-851-9894 Tammy Tucker RN 435-469-1504
MEDICAL
OPERATIONS
RED
Hotline
Nina Ross Hotline
Margie Swenson Hotline
0700-070 435-210-4168 Home-cell
0700-070 435-260-1662 Home-cell
Becca Dennis Hotline 0700-070 831-600-6145 Home-cell
Nurses and MA's to answer hotlines. Take questions regarding the COVID-19 and screen for signs and symptoms. Refer to respiratory tent or stayhome and isolate and monitor. Help patients navigate appointments, call ins for medications, payments and answer general health questions. Callahead to the tent and ER and let them know who you are sending. Have patient self register prior to arriving.
Remember to text call numbers to Tammy and Anna by 7:30am following your shift.
Tammy Tucker RN, BSN Unit Leader
1 04.20/2020 0900
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
April 21, 2020 April 23, 2020
0900 0900
Annie Relp RN, Darci Miller RN
Tammy Tucker RN 4/22/20
Anna Curtis RN, 435-851-9894 Tammy Tucker RN 435-469-1504
MEDICAL
OPERATIONS
RED
Hotline
Michele Lesoine Hotline
Ryan Huels Hotline
0700-070 385-404-0118 Home-cell
0700-070 303-829-9764 Home-cell
Scott Brockmeir Hotline 0700-070 919-260-0532 Home-cell
Nurses and MA's to answer hotlines. Take questions regarding the COVID-19 and screen for signs and symptoms. Refer to respiratory tent or stayhome and isolate and monitor. Help patients navigate appointments, call ins for medications, payments and answer general health questions. Callahead to the tent and ER and let them know who you are sending. Have patient self register prior to arriving.
Remember to text call numbers to Tammy and Anna by 7:30am following your shift.
Tammy Tucker RN, BSN Unit Leader
1 04.20/2020 0900
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
April 21, 2020 April 23, 2020
0900 0900
Annie Relph RN,
Tammy Tucker RN 4/23/20
Anna Curtis RN, 435-851-9894 Tammy Tucker RN 435-469-1504
MEDICAL
OPERATIONS
RED
Hotline
Will Hurley Hotline
Abbie Sitton Hotline
0700-070 719-849-8069 Home-cell
0700-070 970-712-6266 Home-cell
Courtney Williams Hotline 0700-070 435-210-4001 Home-cell
Nurses and MA's to answer hotlines. Take questions regarding the COVID-19 and screen for signs and symptoms. Refer to respiratory tent or stayhome and isolate and monitor. Help patients navigate appointments, call ins for medications, payments and answer general health questions. Callahead to the tent and ER and let them know who you are sending. Have patient self register prior to arriving.
Remember to text call numbers to Tammy and Anna by 7:30am following your shift.
Tammy Tucker RN, BSN Unit Leader
1 04.20/2020 0900
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
Coronavirus/COVID 19 21 APR 2020 22 APR 2020
0900 0900
Annie Relph, RN Darci Miller, RN
Dr. Paul Reay
Joe Christman, RN 435.773.1003 Georgia Russell APRN 435.260.6008
MEDICAL
OPERATIONS
RED
EMERGENCY DEPT.
Mike K, RN Joe Christman
Rochelle S, RN Joe Christman
06-18 Ext. 3570 ED - Dirty
06-18 Ext. 3570 ED
Scott C, RN Joe Christman 18-06 Ext. 3570 ED - Dirty
Karen F, RN Joe Christman 18-06 Ext. 3570 ED
Dr. Scherer AM Ext 3572 ED
Dr. Alexander PM Ext 3572 ED
Angela Mercier APRN 12-22 Ext 3588 ED
Enter Front Desk for temp check at start of shift Two RN's staffing Emergency Department 24/7. One RN designated each shift as "dirty" nurse to takeHigh Risk patients and when Respiratory Evaluation tent not staffed. COVID virus binder to be reviewed and signed by all staff at beginning of shift.Face mask issued to staff beginning work week. Frequent hand washing and NO face touching reminders. One ER physician for 24 hour shift and oneAPRN for a 12 hour shift No Visitor policy to be strictly enforced in Emergency Department GOGGLES AND MASKS REQUIRED . Clean all hard, flatsurfaces and door handles hourly with "pink" spray. Stock Rooms, PPE carts and put away laundered scrubs.
No patient signature required on discharge papers Put patient in a GOWN for imaging, as appropriate. If in doubt, put in GOWN.Effective this operational period the voluntary employee COVID testing at the Respiratory Evaluation tent is in progress.
0600-1800
Karen F
Mike K RN 259-5171
1800-0600 801.556.6969
Unit Leader 435.773.1003
435.260.600
Joe Christman
Georgia Russell APRN 1200 -2200
Joe Christman RN ER Manager
1 4.20. 2020 1300
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
Coronavirus/COVID 19 22 APR 2020 23 APR 2020
0900 0900
Annie Relph, RN Darci Miller, RN
Dr. Paul Reay
Joe Christman, RN 435.773.1003 Georgia Russell APRN 435.260.6008
MEDICAL
OPERATIONS
RED
EMERGENCY DEPT.
Mike K,RN Joe Christman
Sabrina P, RN Joe Christman
06-18 Ext. 3570 ED
06-18 Ext. 3570 ED
Matt B., RN Joe Christman 18-06 Ext. 3570 ED - Dirty
Brandi P., RN Joe Christman 18-06 Ext. 3570 ED
Dr. Scherer AM Ext 3572 ED
Dr. Alexander PM Ext 3572 ED
Georgia Russell, APRN 12-22 Ext 3588 ED
Kelley L., RN Joe Christman 06-18 EXT. 3570 ED -Dirty (Orientatition)
Enter Front Desk for temp check at start of shift Two RN's staffing Emergency Department 24/7. One RN designated each shift as "dirty" nurse to takeHigh Risk patients and when Respiratory Evaluation tent not staffed. COVID virus binder to be reviewed and signed by all staff at beginning of shift.Face mask issued to staff beginning work week. Frequent hand washing and NO face touching reminders. One ER physician for 24 hour shift and oneAPRN for a 12 hour shift No Visitor policy to be strictly enforced in Emergency Department GOGGLES AND MASKS REQUIRED . Clean all hard, flatsurfaces and door handles hourly with "pink" spray. Stock Rooms, PPE carts and put away laundered scrubs. One RN orienting
No patient signature required on discharge papers Put patient in a GOWN for imaging, as appropriate. If in doubt, put in GOWN.Effective this operational period the voluntary employee COVID testing at the Respiratory Evaluation tent is in progress. ER staff to assist as schedule
0600-1800
Brandi P, RN
Mike K,RN 259-5171
1800-0600 801.556.6969
Unit Leader 435.773.1003
435.260.600
Joe Christman
Georgia Russell APRN 1200 -2200
Joe Christman RN ER Manager
1 4.120 2020 1310
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
Coronavirus/COVID 19 23 APR 2020 24 APR 2020
0900 0900
Annie Relph, RN Darci Miller, RN
Dr. Paul Reay
Joe Christman, RN 435.773.1003 Georgia Russell APRN 435.260.6008
MEDICAL
OPERATIONS
RED
EMERGENCY DEPT.
Sabrina P, RN Joe Christman
Kelley L., RN Joe Christman
06-18 Ext. 3570 ED - Dirty
06-18 Ext. 3570 ED
Matt B, RN Joe Christman 18-06 Ext. 3570 ED - Dirty
Brandi P., RN Joe Christman 18-06 Ext. 3570 ED
Dr. Scherer AM Ext 3572 ED
Dr. Alexander PM Ext 3572 ED
Georgia Russell, APRN 12-22 Ext 3588 ED
Enter Front Desk for temp check at start of shift Two RN's staffing Emergency Department 24/7. One RN designated each shift as "dirty" nurse to takeHigh Risk patients and when Respiratory Evaluation tent not staffed. COVID virus binder to be reviewed and signed by all staff at beginning of shift.Face mask issued to staff beginning work week. Frequent hand washing and NO face touching reminders. One ER physician for 24 hour shift and oneAPRN for a 12 hour shift No Visitor policy to be strictly enforced in Emergency Department GOGGLES AND MASKS REQUIRED . Clean all hard, flatsurfaces and door handles hourly with "pink" spray. Stock Rooms, PPE carts and put away laundered scrubs. One RN orienting
No patient signature required on discharge papers Put patient in a GOWN for imaging, as appropriate. If in doubt, put in GOWN.Effective this operational period the voluntary employee COVID testing at the Respiratory Evaluation tent is in progress. ER staff to assist as schedule
0600-1800
Brandi P, RN
Sabrina P, RN 970.376.6705
1800-0600 801.556.6969
Unit Leader 435.773.1003
435.260.600
Joe Christman
Georgia Russell APRN 1200 -2200
Joe Christman RN ER Manager
1 4. 20. 2020 1310
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
Coronavirus 4/21/2020 4/22/2020
0800 0800
Annie Relph, RN 435-260-1485 / Darci Miller, RN 435-260-8625
Dr. Cole 435-260-8771 / Dr. Angie Alexander
Jeanette Badger, RN 970-623-3637 / Gayle Audenried RN 435-260-0356 YELLOW-MS
Traci Jones, RN Charge, NRP
Will Hurley, RN Dirty
06-18 435-260-8690 MS
06-18 719-849-8069 MS
Daysha Talbert, RN (O) Clean 06-18 801-702-7971 MS
Mark Weisinger, RN (O) non-covid dirty 06-18 928-380-0882 MS
Stephanie Hales, CNA clean 06-18 435-820-0848 MS
Tina Kelch, RN HS, Charge 18-06 435-260-8423 MS
Jessica Kozan, RN NRP, clean 18-06 970-581-8516 MS
Wade Miller, RN dirty 18-06 406-399-0813 MS
Cortnie Jarman,CNA clean 18-06 435-260-8746 MS
Patients admitted with Respiratory symptoms will go into rooms 113-117.All staff will wear proper PPE according to patient diagnosis.
Main Phone
MS
MS 435-719-3670
Charge Portable 435-719-3672
Jeanette Badger, RN M/S manager
4/20/2020 1400
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
Coronavirus 4/22/2020 4/23/2020
0800 0800
Annie Relph, RN 435-260-1485 / Darci Miller, RN 435-260-8625
Dr. Cole 435-260-8771 / Dr. Angie Alexander
Jeanette Badger, RN 970-623-3637 / Gayle Audenried RN 435-260-0356 YELLOW-MS
Sam McLaughlin, RN Charge, dirty
Rosanne Lewis, RN NRP, clean
06-18 435-260-1387 MS
06-18 435-210-1347 MS
Mikenna Clokey, RN clean 06-18 303-517-2892 MS
Garrett Gordon, CNA clean 06-18 435-260-1731 MS
Jessica Bohannon, RN Charge, NRP 18-06 435-260-0134 MS
Will Hurley, RN Dirty 18-06 719-849-8069 MS
Sami Coylar, CNA Clean 18-06 435-260-2212 MS
Patients admitted with Respiratory symptoms will go into rooms 113-117.All staff will wear proper PPE according to patient diagnosis.
Main Phone
MS
MS 435-719-3670
Charge Portable 435-719-3672
Jeanette Badger, RN M/S manager
4/20/2020 1400
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
Coronavirus 4/23/2020 4/24/2020
0800 0800
Annie Relph, RN 435-260-1485 / Darci Miller, RN 435-260-8625
Dr. Cole 435-260-8771 / Dr. Angie Alexander
Jeanette Badger, RN 970-623-3637 / Gayle Audenried RN 435-260-0356 YELLOW-MS
Sam McLaughlin, RN Charge, NRP, clean
Rosanne Lewis, RN clean
06-18 435-260-1387 MS
06-18 435-210-1347 MS
Baxter Forrest, RN dirty 06-18 207-779-8402 MS
Garrett Gordon, CNA clean 06-18 435-260-1731 MS
Scott Brockmeier, RN Charge, clean 18-06 919-260-0532 MS
Ryan Huels, RN Charge 18-06 303-829-9764 MS
Sami Coylar clean 18-06 435-260-2212 MS
Patients admitted with Respiratory symptoms will go into rooms 113-117.All staff will wear proper PPE according to patient diagnosis.
Main Phone
MS
MS 435-719-3670
Charge Portable 435-719-3672
Jeanette Badger, RN M/S manager
4/20/2020 1400
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
Covid 19 4/21/20 4/22/20
0900 0900
Operations Chiefs
Naomi Helquist (435) 210-0895 or Connie Wilson (435)260-0153
L&D
MRH
Naomi Helquist Naomi Helquist 06-18 (435) 210-0895 Will return OB related calls from
Covid hotline
Kathy Standifird Naomi Heqluist 06-18 (970) 640-6985 On call for OB pt care >20 weeks
with OB concern/dx (day)
Avery Black Naomi Helquist 06-18 (801)318-6714 orientation as above with Kathy
Tiffany Butler Naomi Helquist 18-06 (435) 650-3054 On call for patient care and return
Covid hotline calls OB (night)
OB RN care and return of OB related calls coming into Covid hotline for patients > 20 weeks gestation
Use of aerosolizing precautions during appropriate times as listed in L&D protocol. Limit extra staff in L&D rooms during periods of aerosolization asmuch as possible to reduce PPE use and potential exposure of staff to Covid 19. Use iPad as much as possible to facilitate virtual support from familyand/or doula once available.
cell phones as above
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
Covid 19 4/22/20 4/23/20
0900 0900
Operations Chiefs
Naomi Helquist (435) 210-0895 or Connie Wilson (435)260-0153
L&D
MRH
Naomi Helquist Naomi Helquist 06-18 (435) 210-0895 Will return OB related calls from
Covid hotline
Kathy Standifird Naomi Heqluist 06-18 (970) 640-6985 On call for OB pt care >20 weeks
with OB concern/dx (day)
Avery Black Naomi Helquist 06-18 (801)318-6714 orientation as above with Kathy
Tiffany Butler Naomi Helquist 18-06 (435) 650-3054 On call for patient care and return
Covid hotline calls OB (night)
OB RN care and return of OB related calls coming into Covid hotline for patients > 20 weeks gestation
Use of aerosolizing precautions during appropriate times as listed in L&D protocol. Limit extra staff in L&D rooms during periods of aerosolization asmuch as possible to reduce PPE use and potential exposure of staff to Covid 19. Use iPad as much as possible to facilitate virtual support from familyand/or doula once available.
cell phones as above
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
Covid 19 4/23/20 4/24/20
0900 0900
Operations Chiefs
Naomi Helquist (435) 210-0895 or Connie Wilson (435)260-0153
L&D
MRH
Naomi Helquist Naomi Helquist 06-18 (435) 210-0895 Will return OB related calls from
Covid hotline. off 4/23/20 at 1800
Kathy Standifird Naomi Heqluist 06-18 (970) 640-6985 On call for OB pt care >20 weeks
with OB concern/dx (day)
Connie Wilson Connie Wilson 18-06 (435) 260-0153 off call 4/24/20 @ 06 On call patient care OB r/t concern
>20 weeks gest, will return OB
Covid hotline calls
Rachel Parker Connie Wilson 24 hr (435)210-4309 Starts call @ 0600 4/24 for 14 hour
pt care OB. Return hotline calls OB
Avery Black Connie Wilson 06-18 (801) 318-6714 orientation with Rachel (day shift)
OB RN care and return of OB related calls coming into Covid hotline for patients > 20 weeks gestation
Use of aerosolizing precautions during appropriate times as listed in L&D protocol. Limit extra staff in L&D rooms during periods of aerosolization asmuch as possible to reduce PPE use and potential exposure of staff to Covid 19. Use iPad as much as possible to facilitate virtual support from familyand/or doula once available.
cell phones as above
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
Coronavirus/COVID-19 4/21/2020 4/24/2020
0900 0900
Darci Miller RN (435) 260-8625
Dr. Katherine Williams, MD (435)260-8121
Margy Swenson, RN/Jessica Walsh, RN
Margy Swenson, RN
Nina Ross, RN
09-09* (435) 260-1662 Hospice on call, Unit Leader
09-09* (435) 210-4168 Hospice patient care and on call
Barb Crossan, RN 09-09* (435) 209-7576 Hospice patient care and on call
Jessica Walsh, RN 09-09* (435) 210-0522 Hospice admin
Nina has 2 hospice patients. 1 in the community, 1 at the CCC. Nina has experience at MRH in Urgent Care, MS and in the OR. She will need to stayclean through out the entire incident. Nina is responsible for keeping the temperature log for hospice. During this period Nina has scheduled patientvisits, and is taking hospice call and the corona hotline.Barb has 3 hospice patients, 2 in the community and one at CCC. One of Barb's community patients is living at Rock Ridge. Barb also works for RockyMountain Care. Barb will need to stay clean through out the entire incident. During this period Barb has scheduled patient visits, and is taking hospicecall.Margy is one of the Unit Leaders for hospice. She has ER and MS experience as well as EMS, Search and Rescue and Incident Commandexperience. Margy will be acting unit leader. She will also be taking hospice call and the Corona hotline.Jessica administrative responsibilities, communication. Working remotely when appropriate. Jessica and Margy will meet to practice donning/doffing.Staffing will adjust to needs as they present. Prepared to move RNs where appropriate.Hospice staff will have a Zoom IDG meeting on 4/22 at 1200.*Our hours are flexible and do not always follow the 09-17 schedule. The nurses aresalaried and work when necessary and have breaks when they can. Please feel free to contact Margy with any needs.
Staff will be working remotely as much as possible. Implementing necessary and appropriate infection control precautions. Will enter admissions whenentering the hospital for temperature screen. Will self-monitor temp and report to Nina Ross, when doing pt visits. Will wear goggles and masks inhospital. Will eat only in hospice private offices.
Main Phone
Hospice
Hospice (435)719-3772
Basement Office (435)719-3778
24 On Call RN (435)260-7070
(435)260-0522
Hospice
Hospice Jessie's Cell
Margy Swenson GCH Case Manager Margy SwensonDigitally signed by Margy Swenson DN: cn=Margy Swenson, o=Grand County Hospice, ou=Hospice, [email protected], c=US Date: 2020.04.11 11:58:23 -06'00'
4/20/2020 1259
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
COVID-19 04/21/2020 04/22/2020
0900 0900
Annie R./ Darci M./Jimmy W./ Michelle P.
JIMMY WALLING Imaging Services
Cindy H. Jimmy Walling
Heidi E. Jimmy Walling
07-1730
07-2030
Beth R. Jimmy Walling 0900-21
Jordan J. Jimmy Walling 09-2100
Jimmy Walling 0830-180
Ivy M. Jimmy Walling 2030-07
Med surge in-pts we round and chart on, including charges and administering orders. EKG's in ED and OP. Restock pyxis for RT supplies used byMed Surge. Edit EKG's in ED and SDS machines, transmit EKG's uploaded to charts and charged for procedures. Received conf EKG's back from St.Mary's Hospital, RT uploaded and put copies in providers boxes, faxed to out side entities and filed in patient charts. RT to set up and train staff onrespiratory equipment, and researching alternitive ventilation ideas and equipment needed.RT will continue to cover the ED, Med surge and out patients as the providers will allocate which out patient orders will be scheduled and which oneswill wait until further notice. RT will be available 24 hours with call in the evenings.ER states that they will limit calls to RT for EKG's, etc for ER patients in the De-con room.
Additional N-95 masks handed out. Storage of PPE implemented. Limited reopening of outpatient exams began on 4-20-2020.
Jimmy Walling
04/20/2020 16:00
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
COVID-19 04/21/2020 04/23/20200900 0900
Annie R./ Darci M./Jimmy W./ Michelle P.
JIMMY WALLING Imaging Services
Courtney R Jimmy Walling
Heidi E. Jimmy Walling
07-1730
07-1300
Beth R. Jimmy Walling 07-1300
Rachel M. Jimmy Walling 1300-21
2300-21
Mindy B Jimmy Walling
Jimmy Walling 0830-18
Ivy M. Jimmy Walling 2030-07
Med surge in-pts we round and chart on, including charges and administering orders. EKG's in ED and OP. Restock pyxis for RT supplies used byMed Surge. Edit EKG's in ED and SDS machines, transmit EKG's uploaded to charts and charged for procedures. Received conf EKG's back from St.Mary's Hospital, RT uploaded and put copies in providers boxes, faxed to out side entities and filed in patient charts. RT to set up and train staff onrespiratory equipment, and researching alternitive ventilation ideas and equipment needed.RT will continue to cover the ED, Med surge and out patients as the providers will allocate which out patient orders will be scheduled and which oneswill wait until further notice. RT will be available 24 hours with call in the evenings.ER states that they will limit calls to RT for EKG's, etc for ER patients in the De-con room.
Additional N-95 masks handed out. Storage of PPE implemented. Limited reopening of outpatient exams began on 4-20-2020.
Jimmy Walling
04/20/2020 16:00
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
COVID-19 04/23/2020 04/24/20200900 0900
Annie R./ Darci M./Jimmy W./ Michelle P.
JIMMY WALLING Imaging Services
Cindy H. Jimmy Walling
Heidi E. Jimmy Walling
07-1730
07-2030
Beth R. Jimmy Walling 0900-21
Jordan J. Jimmy Walling 09-2100
Jimmy Walling 0830-180
Ivy M. Jimmy Walling 2030-07
Med surge in-pts we round and chart on, including charges and administering orders. EKG's in ED and OP. Restock pyxis for RT supplies used byMed Surge. Edit EKG's in ED and SDS machines, transmit EKG's uploaded to charts and charged for procedures. Received conf EKG's back from St.Mary's Hospital, RT uploaded and put copies in providers boxes, faxed to out side entities and filed in patient charts. RT to set up and train staff onrespiratory equipment, and researching alternitive ventilation ideas and equipment needed.RT will continue to cover the ED, Med surge and out patients as the providers will allocate which out patient orders will be scheduled and which oneswill wait until further notice. RT will be available 24 hours with call in the evenings.ER states that they will limit calls to RT for EKG's, etc for ER patients in the De-con room.
Additional N-95 masks handed out. Storage of PPE implemented. Limited reopening of outpatient exams began on 4-20-2020.
Jimmy Walling
04/20/2020 16:00
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
Coronavirus 4/21/2020 4/22/2020
0900 0859
Darci Miller, Annie Relph, Jimmy Walling, Michelle Peterson
Dr. Mack
Carrie McCune
Lab
Sandy Knecht Med Tech
Aaron Lovato Med Tech
8 435-719-3630 Lab
12 435-719-3630 Lab
Sam Cunningham Med Tech 6 435-719-3630 Lab
Sandra Carreon Med Tech 10 435-719-3630 Lab
Toni Negley Sample Processing 8 435-719-3630 Lab
Dailey LaFevre Sample Processing 8 435-719-3630 Lab
Carrie McCune Lab Manager 8 435-719-3633 Lab
All Personnel to wear masks, goggles, and gloves.
Carrie McCune 435-260-2435
Carrie McCune Med Tech
4/20/2020 @0925
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
Coronavirus 4/22/2020 4/23/2020
0900 0859
Darci Miller, Annie Relph, Jimmy Walling, Michelle Peterson
Dr. Mack
Carrie McCune
Lab
Catherine Nagle Med Tech
Aaron Lovato Med Tech
10 435-719-3630 Lab
12 435-719-3630 Lab
Paula Fleenor Med Tech 6 435-719-3630 Lab
Sandra Carreon Med Tech 10 435-719-3630 Lab
Toni Negley Sample Processing 8 435-719-3630 Lab
Dailey LaFevre Sample Processing 8 435-719-3630 Lab
Carrie McCune Lab Manager 8 435-719-3633 Lab
All Personnel to wear masks, goggles, and gloves.
Carrie McCune 435-260-2435
Carrie McCune Med Tech
4/20/2020 @0925
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
Coronavirus 4/23/2020 4/24/2020
0900 0859
Darci Miller, Annie Relph, Jimmy Walling, Michelle Peterson
Dr. Mack
Carrie McCune
Lab
Catherine Nagle Med Tech
Aaron Lovato Med Tech
10 435-719-3630 Lab
12 435-719-3630 Lab
Paula Fleenor Med Tech 6 435-719-3630 Lab
Sandra Carreon Med Tech 10 435-719-3630 Lab
Toni Negley Sample Processing 8 435-719-3630 Lab
Dailey LaFevre Sample Processing 8 435-719-3630 Lab
Carrie McCune Lab Manager 8 435-719-3633 Lab
All Personnel to wear masks, goggles, and gloves.
Carrie McCune 435-260-2435
Carrie McCune Med Tech
4/20/2020 @0925
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
COVID-19 04/21/2020 04/22/2020
0900 0900
Annie R./ Darci M./Jimmy W./ Michelle P.
DR. WHITNEY MACK
JIMMY WALLING CARDIOPULMON
Richens, Ray STAFF THERAPIST
Mays, JeChelle RT Manager
07-1930 435-650-1885 (cell) 719.3550 CP portable ER, OP, MED SURGE
08-1700 435-260-0469(cell) 719-3552 desktop ER, OP. MS, Equipment, ordering
meetings, forms
Med surge in-pts we round and chart on, including charges and administering orders. EKG's in ED and OP. Restock pyxis for RT supplies used byMed Surge. Edit EKG's in ED and SDS machines, transmit EKG's uploaded to charts and charged for procedures. Received conf EKG's back from St.Mary's Hospital, RT uploaded and put copies in providers boxes, faxed to out side entities and filed in patient charts. RT to set up and train staff onrespiratory equipment, and researching alternitive ventilation ideas and equipment needed.RT will continue to cover the ED, Med surge and out patients as the providers will allocate which out patient orders will be scheduled and which oneswill wait until further notice. RT will be available 24 hours with call in the evenings.ER states that they will limit calls to RT for EKG's, etc for ER patients in the De-con room.
CONSERVE PPE; WEAR MASK AND GOGGLES AT ALL TIMES, AND MAINTAIN A COMFORTABLE DISTANCE BETWEEN COWORKES. SEEJECHELLE FOR MASK AND EYE PROTECTION. MEAL REQUESTS SLIPS AVAILABLE, TEMP UPON ENTERING MRH AT START OF SHIFT. RTTO WEAR STREET CLOTHES TO WORK, CHANGE INTO SCRUBS AT WORK, WEAR GOGGLES AND MASK AT ALL TIMES. CHANGE OUT OFSCRUBS UPON END OF SHIFT.
Ray Richens
RT
RT 435-719-3550 portable (cell) 435-650-1885
JeChelle Mays 435-719-3552 desktop (cell) 435-260-0469
Ray Richens 435-650-1885ON CALL RT
JeChelle Mays RT Manager
04/20/2020 16:00
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
COVID-19 04/22/2020 04/23/2020
0900 0900
Annie R./ Darci M./Jimmy W./ Michelle P.
DR. WHITNEY MACK
JIMMY WALLING CARDIOPULMON
Richens, Ray STAFF THERAPIST
Mays, JeChelle RT Manager
07-1930 435-650-1885 (cell) 719.3550 CP portable ER, OP, MED SURGE
08-1700 435-260-0469(cell) 719-3552 desktop ER, OP. MS, Equipment, ordering
meetings, forms
Med surge in-pts we round and chart on, including charges and administering orders. EKG's in ED and OP. Restock pyxis for RT supplies used byMed Surge. Edit EKG's in ED and SDS machines, transmit EKG's uploaded to charts and charged for procedures. Received conf EKG's back from St.Mary's Hospital, RT uploaded and put copies in providers boxes, faxed to out side entities and filed in patient charts. RT to set up and train staff onrespiratory equipment, and researching alternitive ventilation ideas and equipment needed.RT will continue to cover the ED, Med surge and out patients as the providers will allocate which out patient orders will be scheduled and which oneswill wait until further notice. RT will be available 24 hours with call in the evenings.ER states that they will limit calls to RT for EKG's, etc for ER patients in the De-con room.
CONSERVE PPE; WEAR MASK AND GOGGLES AT ALL TIMES, AND MAINTAIN A COMFORTABLE DISTANCE BETWEEN COWORKES. SEEJECHELLE FOR MASK AND EYE PROTECTION. MEAL REQUESTS SLIPS AVAILABLE, TEMP UPON ENTERING MRH AT START OF SHIFT. RTTO WEAR STREET CLOTHES TO WORK, CHANGE INTO SCRUBS AT WORK, WEAR GOGGLES AND MASK AT ALL TIMES. CHANGE OUT OFSCRUBS UPON END OF SHIFT.
Ray Richens
RT
RT 435-719-3550 portable (cell) 435-650-1885
JeChelle Mays 435-719-3552 desktop (cell) 435-260-0469
JeChelle Mays 435-260-0469ON CALL RT
JeChelle Mays RT Manager
04/20/2020 16:00
AASSIGNMENT LIST (ICS 204) 1. Incident Name:
2. Operational Period: Date From: Date To: Time From: Time To:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
3.
Branch: 1 Division: 1 Group: 1 Staging Area: 1
5. Resources Assigned:
Resource Identifier Leader # o
f P
erso
ns
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment): Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel) / / / /
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
COVID-19 04/23/2020 04/24/2020
0900 0900
Annie R./ Darci M./Jimmy W./ Michelle P.
DR. WHITNEY MACK
JIMMY WALLING CARDIOPULMON
Carter, Janet STAFF THERAPIST
Mays, JeChelle RT Manager
07-1930 949-310-0251 (cell) 719.3550 CP portable ER, OP, MED SURGE
08-1700 435-260-0469(cell) 719-3552 desktop ER, OP. MS, Equipment, ordering
meetings, forms
Med surge in-pts we round and chart on, including charges and administering orders. EKG's in ED and OP. Restock pyxis for RT supplies used byMed Surge. Edit EKG's in ED and SDS machines, transmit EKG's uploaded to charts and charged for procedures. Received conf EKG's back from St.Mary's Hospital, RT uploaded and put copies in providers boxes, faxed to out side entities and filed in patient charts. RT to set up and train staff onrespiratory equipment, and researching alternitive ventilation ideas and equipment needed.RT will continue to cover the ED, Med surge and out patients as the providers will allocate which out patient orders will be scheduled and which oneswill wait until further notice. RT will be available 24 hours with call in the evenings.ER states that they will limit calls to RT for EKG's, etc for ER patients in the De-con room.
CONSERVE PPE; WEAR MASK AND GOGGLES AT ALL TIMES, AND MAINTAIN A COMFORTABLE DISTANCE BETWEEN COWORKES. SEEJECHELLE FOR MASK AND EYE PROTECTION. MEAL REQUESTS SLIPS AVAILABLE, TEMP UPON ENTERING MRH AT START OF SHIFT. RTTO WEAR STREET CLOTHES TO WORK, CHANGE INTO SCRUBS AT WORK, WEAR GOGGLES AND MASK AT ALL TIMES. CHANGE OUT OFSCRUBS UPON END OF SHIFT.
Janet Carter
RT
RT 435-719-3550 portable (cell) 949-310-0251
JeChelle Mays 435-719-3552 desktop (cell) 435-260-0469
JeChelle Mays 435-260-0469ON CALL RT
JeChelle Mays RT Manager
04/20/2020 16:00
SAFETY MESSAGE
PAPR USE Care and Storage
There are 10 PAPR devices available: 4 on the Medical Surgical Unit, 5 in the Emergency Department, 1 in Cardiopulmonary.
Head covers can be reused by the same employee as long as it is clean and not torn.
Inspect before and after each use and replace if stained or torn.
Disinfect hood with hospital approved germicidal wipes after each use.
Store in a clean dry place, labeled with user name (such as a hook on the wall outside of the patient room). Do not store in patient
room.
Call for replacement unit and/or hood if airflow is inadequate, the PAPR malfunctions, or there are cracks in the airflow tube or
hood.
Reconnect PAPR battery to the charger when not in use.
Battery Use and Life
Batteries should operate for a minimum period of 4 hours each.
Battery life, as well as airflow status, should be checked prior to use, after 4 hours, and then every 2 hours, thereafter.
When to Don
PAPR should be used when healthcare provider has NOT passed fit testing OR N95 supply has been depleted while caring for a patient who is being ventilated or is being treated with aerosolizing procedure. During intubation, PAPR may be used instead of N95
by provider performing intubation, nurse assisting with intubation, and the respiratory therapist.
PAPR will be used with ALL appropriate PPE, including, but not limited to: gown, gloves, etc.
PAPR hoods will be used by one health care provider (labeled with name and date), until soiled or no longer passes airflow testing.
Device will be cleaned/sterilized with hospital approved germicidal.
N95 Use and Sterilization
Decontamination of N95’s is not recommended by the CDC (methods tested according to CDC recommendations seen in tables
below); however, the FDA has approved the Battelle Decontamination System (Vaporous Hydrogen Peroxide) for decontaminating
N95 masks. Ultraviolet Germicidal Irradiation is also an acceptable method of decontaminating N95 masks as a crisis capacity
strategy.
Designated staff members will be allotted a number of N95 masks (subject to supply availability) to cycle though on a regular
schedule, then store in a paper bag or breathable container to “decontaminate by rest” for a minimum of five (5) days. If mask is
removed for a break, a new mask from allotment should be donned. If personal allotment is exhausted, contact department
manager for another mask.
N95 masks will be prioritized to staff members providing direct patient care to suspected or positive COVID‐19 patients during
aerosolizing procedures. Staff members not providing direct care in these high risk settings should wear surgical masks or approved
alternative.
N95’s should be discarded when visibly contaminated or in disrepair. To extend the life of the N95, wear a surgical mask or face
shield over the N95 during aerosolizing procedures, then discard or swap the surgical mask or clean the face shield and continue
wearing the N95.
Check the fit and seal over the face before each re‐use. Discard mask, if fit and/or seal is compromised.
Masks will be stored per department policy after Safety Officer approval.
Hand hygiene is to be performed prior to and after donning and doffing N95s and surgical masks. Refrain from touching external
surfaces of the mask.
Decontamination and Reuse of Filtering Facepiece Respirators (N95s)
Disposable filtering facepiece respirators (FFRs) are not approved for routine decontamination and reuse as standard of care. However, FFR
decontamination and reuse may need to be considered as a crisis capacity strategy to ensure continued availability. Based on the limited
research available, ultraviolet germicidal irradiation, vaporous hydrogen peroxide, and moist heat showed the most promise as potential
methods to decontaminate FFRs (CDC, 2019).
Table 1. Summary of crisis standards of care decontamination recommendations
Method
Manufacturer or third-party guidance
or procedures available
Recommendation for use after decontamination Additional use considerations
Ultraviolet germicidal irradiation (UVGI)
Yes Can be worn for any patient care activities
Clean hands with soap and water or an alcohol-based hand sanitizer before and after touching or adjusting the FFR.
Avoid touching the inside of the FFR. Use a pair of clean (non-sterile) gloves
when donning and performing a user seal check.
Visually inspect the FFR to determine if its integrity has been compromised.
Check that components such as the straps, nose bridge, and nose foam material did not degrade, which can affect the quality of the fit, and seal.
If the integrity of any part of the FFR is compromised, or if a successful user seal check cannot be performed, discard the FFR and try another FFR.
Users should perform a user seal check immediately after they don each FFR and should not use an FFR on which they cannot perform a successful user seal check.
Vaporous hydrogen peroxide (VHP) Moist heat Ultraviolet germicidal irradiation (UVGI)
No Can be worn for patient care activities except when performing or present for an aerosol generating procedure
Vaporous hydrogen peroxide (VHP) Moist heat
Table 2. Summary of the decontamination method and effect on FFR performance
Method Treatment level FFR filtration performance
FFR fit performance
Other observations References
Vaporous hydrogen peroxide (VHP)
Battelle report: Bioquell Clarus C HPV generator: The HPV cycle included a 10 min conditioning phase, 20 min gassing phase at 2 g/min, 150 min dwell phase at 0.5 g/min, and 300 min of aeration. Bergman et. al.: Room Bio-Decontamination Service (RBDS™, BIOQUELL UK Ltd, Andover, UK), which utilizes four portable modules: the Clarus® R HPV generator (utilizing 30% H2O2), the Clarus R20 aeration unit, an instrumentation module and a control computer. Room concentration = 8 g/m3, 15 min dwell, 125 min total cycle time.
Passed FFR fit was shown to be unaffected for up to 20 VHP treatments cycles using a head form
Degradation of straps after 30 cycles (Battelle report)
3, 4
Ultraviolet germicidal irradiation (UVGI)
0.5–950 J/cm2 Passed 90–100% passing rate after 3 cycles depending on model
2, 3, 7, 8, 9, 10
Microwave generated steam
1100–1250 W microwave models (range: 40 sec to 2 min)
All models passed filtration evaluation for 1 or 20 treatment cycles as per test
95–100% passing rate after 3 and 20 cycles for all models tested
9, 10, 14
Microwave steam bags
1100 W, 90 sec (bags filled with 60 mL tap water)
Passed Not evaluated 15
Moist heat incubation
15 min–30 min (60°C, 80% RH) 6 of 6 models passed after 3 cycles of contamination
Passed 3, 9, 10
Method Treatment level FFR filtration performance
FFR fit performance
Other observations References
Liquid hydrogen peroxide
1 sec to 30 min (range: 3–6%) Passed Not evaluated 3, 7
Ethylene oxide
1 hour at 55°C; conc. range: 725–833/L Passed Not evaluated 2, 3, 7
Table 3. Summary of decontamination method antimicrobial efficacy
Method Treatment level Microbe tested Antimicrobial
efficacy ReferencesVaporous hydrogen peroxide (VHP)
Battelle report: Bioquell Clarus C HPV generator: The HPV cycle included a 10 min conditioning phase, 20 min gassing phase at 2 g/min, 150 min dwell phase at 0.5 g/min, and 300 min of aeration. Bergman et. al.: Room Bio-Decontamination Service (RBDS™, BIOQUELL UK Ltd, Andover, UK), which utilizes four portable modules: the Clarus® R HPV generator (utilizing 30% H2O2), the Clarus R20 aeration unit, an instrumentation module and a control computer. Room concentration = 8 g/m3, 15 min dwell, 125-min total cycle time. Kenney personal communication: Bioquell BQ-50 generator: The HPV cycle included a 10 minute conditioning phase, 30–40 min gassing phase at 16 g/min, 25 min dwell phase, and a 150 min aeration phase.
Geobacillus stearothermophilus spores T1, T7, and phi-6 bacteriophages
>99.999% 3, 4, 6
Ultraviolet germicidal irradiation (UVGI)
0.5–950 J/cm2 Influenza A (H1N1)Avian influenza A virus (H5N1), low pathogenic Influenza A (H7N9),A/Anhui/1/2013
99.9% for all tested viruses
12, 13, 14
Method Treatment level Microbe tested Antimicrobial
efficacy ReferencesInfluenza A (H7N9),A/Shanghai/1/2013 MERS-CoV SARS-CoV H1N1 Influenza A/PR/8/34MS2 bacteriophage
Microwave generated steam
1100–1250 W microwave models (range: 40 sec to 2 min)
H1N1 influenza A/PR/8/34
99.9% 14
Microwave steam bags
1100 W, 90 sec (bags filled with 60 mL tap water) MS2 bacteriophage 99.9% 15
Moist heat incubation
15–30 min (60°C, 80% RH) H1N1 influenza A/PR/8/34
99.99% 14
Liquid hydrogen peroxide
1 sec to 30 min (range: 3–6%) Not evaluated Not evaluated
Ethylene oxide 1 hour at 55°C; conc. range: 725–833 mg/L Not evaluated Not evaluated
(CDC,2019. https://www.cdc.gov/coronavirus/2019‐ncov/hcp/ppe‐strategy/decontamination‐reuse‐respirators.html)
HUMAN RESOURCE (HR) MESSAGE
EMPLOYEE RIGHTSPAID SICK LEAVE AND EXPANDED FAMILY AND MEDICAL LEAVE UNDER THE FAMILIES FIRST CORONAVIRUS RESPONSE ACT
WAGE AND HOUR DIVISIONUNITED STATES DEPARTMENT OF LABOR
WH1422 REV 03/20
For additional information or to file a complaint:1-866-487-9243
TTY: 1-877-889-5627dol.gov/agencies/whd
1. is subject to a Federal, State, or local quarantine or isolation order related to COVID-19;
2. has been advised by a health care provider to self-quarantine related to COVID-19;
3. is experiencing COVID-19 symptoms and is seeking a medical diagnosis;
4. is caring for an individual subject to an order described in (1) or self-quarantine as described in (2);
► ENFORCEMENTThe U.S. Department of Labor’s Wage and Hour Division (WHD) has the authority to investigate and enforce compliance with the FFCRA. Employers may not discharge, discipline, or otherwise discriminate against any employee who lawfully takes paid sick leave or expanded family and medical leave under the FFCRA, files a complaint, or institutes a proceeding under or related to this Act. Employers in violation of the provisions of the FFCRA will be subject to penalties and enforcement by WHD.
5. is caring for his or her child whose school or place of care is closed (or child care provider is unavailable) due to COVID-19 related reasons; or
6. is experiencing any other substantially-similar condition specified by the U.S. Department of Health and Human Services.
The Families First Coronavirus Response Act (FFCRA or Act) requires certain employers to provide their employees with paid sick leave and expanded family and medical leave for specified reasons related to COVID-19. These provisions will apply from April 1, 2020 through December 31, 2020.
► PAID LEAVE ENTITLEMENTSGenerally, employers covered under the Act must provide employees: Up to two weeks (80 hours, or a part-time employee’s two-week equivalent) of paid sick leave based on the higher of their regular rate of pay, or the applicable state or Federal minimum wage, paid at:
• 100% for qualifying reasons #1-3 below, up to $511 daily and $5,110 total;
• 2/3 for qualifying reasons #4 and 6 below, up to $200 daily and $2,000 total; and
• Up to 12 weeks of paid sick leave and expanded family and medical leave paid at 2/3 for qualifying reason #5 below for up to $200 daily and $12,000 total.
A part-time employee is eligible for leave for the number of hours that the employee is normally scheduled to work over that period.
► ELIGIBLE EMPLOYEESIn general, employees of private sector employers with fewer than 500 employees, and certain public sector employers, are eligible for up to two weeks of fully or partially paid sick leave for COVID-19 related reasons (see below). Employees who have been employed for at least 30 days prior to their leave request may be eligible for up to an additional 10 weeks of partially paid expanded family and medical leave for reason #5 below.
► QUALIFYING REASONS FOR LEAVE RELATED TO COVID-19 An employee is entitled to take leave related to COVID-19 if the employee is unable to work, including unable to telework, because the employee:
DERECHOS DEL EMPLEADOLICENCIA POR ENFERMEDAD PAGADA Y EXPANSION DE LICENCIA FAMILIAR Y POR ENFERMEDAD BAJO LEY FAMILIAS PRIMERO DE RESPUESTA AL CORONAVIRUS
DIVISION DE HORAS Y SALARIOSDEPARTAMENTO DE TRABAJO DE ESTADOS UNIDOS
WH1422 SPA REV 03/20
Para información adicional o para presentar una queja:
1-866-487-9243TTY: 1-877-889-5627
dol.gov/agencies/whd
1. está sujeto a orden de cuarentena o aislamiento Federal, Estatal, o local relacionada al COVID-19;
2. ha sido instruido por un proveedor de salud que se ponga en auto-cuarentena por COVID-19;
3. está experimentando síntomas de COVID-19 y está solicitando diagnóstico médico;
4. está cuidando a una persona sujeta a una orden descrita en (1) o en auto-cuarentena descrita en (2);
► CUMPLIMIENTOLa División de Horas y Salarios (WHD) del Departamento de Trabajo de EE.UU. tiene la autoridad de investigar y hacer que se cumpla la FFCRA. Los empleadores no podrán expulsar, disciplinar, o discriminar de ningún modo a un empleado que legalmente hace uso de su derecho a licencia laboral pagada o a extensión de licencia familiar y por enfermedad bajo FFCRA, presenta una queja, o inicia un procedimiento bajo o relativo a esta Ley. Los empleadores que violen las provisiones de la FFCRA serán objeto de multas y medidas de cumplimiento por la WHD.
5. está cuidando a un hijo cuya escuela o lugar de cuidados está cerrado (o cuidados infantiles no están disponibles) por razones de COVID-19; o
6. está experimentando otras condiciones sustancialmente similares a las especificadas por el Secretario de Salud y Servicios Humanos.
La Ley Familias Primero de Respuesta al Coronavirus (FFCRA o Ley) requiere que ciertos empleadores den a empleados licencias laboral pagadas o expansión de licencia familiar y por enfermedad por razones relativas al COVID-19. Estas provisiones aplicarán desde abril 1 hasta diciembre 31 del 2020.
► DERECHOS A LICENCIA LABORAL PAGADAEn general, los empleadores cubiertos bajo la Ley deben proveer a empleados: Hasta 2 semanas (80 horas, o el equivalente de dos semanas de un empleado a tiempo parcial) de licencia por enfermedad pagada en base a su mayor tasa regular de pago, o el salario mínimo estatal o federal aplicable, de la siguiente manera:
• 100% para razones calificables #1-3 (ver abajo), hasta $511 por día y $5,110 total;
• 2/3 para razones calificables #4 and 6, hasta $200 por día y $2,000 total; y
• Hasta 12 semanas de licencia por enfermedad pagada y expansión de licencia familiar y por enfermedad pagada a 2/3 para razones calificables #5 de hasta $200 por día y $12,000 total.
Un empleado a tiempo parcial es elegible a licencia por las horas que trabajaría durante ese periodo.
► EMPLEADOS ELEGIBLESEn general, empleados de empleadores del sector privado con menos de 500 trabajadores, y de ciertos empleadores del sector público, son elegibles a hasta dos semanas de licencia pagada total o parcialmente por enfermedad por razones de COVID-19 (ver abajo). Empleados que hayan estado en nómina al menos 30 días anteriores a su solicitud de licencia podrán ser elegibles a hasta 10 semanas adicionales de expansión pagada parcialmente de licencia familiar y por enfermedad por razón #5.
► RAZONES CALIFICABLES A LICENCIA RELACIONADA A COVID-19Un empleado tiene derecho a tomar licencia laboral relacionada a COVID-19 si no le es posible trabajar, incluyendo imposibilidad de hacer teletrabajo, porque el empleado:
IC ASSISTANT
Jesse Bosh
PUBLIC INFO OFFICER Christy Calvin
Carolyn Wagner
SAFETY OFFICER Misty Kovacs Tina Marshall
MEDICAL SPECIALIST
Dr. Cole Dr. Alexander
LIAISON OFFICER Doug Caylor
EMERGENCY DEPT.
Joe Christman Georgia Russell
COVID ACUTE CARE UNIT (CACU)
Jeanette Badger Gayle Audenried
MED SURG
Karen Fallon Tina Kelch
OB
Connie Wilson Naomi Helquist
SECURITY/BUILDING
Nick Auxier JJ Ashurst
BUSINESS
Clinda Lasater
BILLING
Ashlee Jones
REGISTRATION
Genna Delnicki
IMAGING
Jimmy Walling Cindy Hirschfeld
ANCILLARY SERVICES
Jimmy Walling Cindy Hirschfeld
PHYSICIAN LIAISON
Dr. Scherer Dr. Kopell
LABORATORY
Carrie McCune
CARIOPULMONARY
JeChelle Mays
MEDICAL BRANCH
Dr. Cole Dr. Alexander
PHYSICIAN LIAISON
Dr. Ken Williams Dr. Mack
PHYSICIAN LIASISON
Dr. Mack Dr. Munger
PHYSICIAN LIAISON
Dr. Brandau Dr. Scherer
HOTLINE & TENT ENTRANCE & CLINIC
Anna Curtis Tammy Tucker
PHYSICIAN LIAISON
Dr. Kathy Williams Dr. Johnson
PHYSICIAN LIAISON
Dr. Reay Dr. Kueber
LOGISTICS AND PLANNING
Ronnie Boongaling Zach Wojcieszek
FAMILY SERVICES
Ashton Page Mitch Carroll
MEDICATIONS
Jeremy Olsen Janelle McElhaney
IT UNIT
Mike Foster Tyler McCollum
FOOD & WATER
Janel Arbon Jeremiah Windsor
SUPPLY & PROCUREMENT Dawn Reynolds
Kristy Roush
LABOR POOL
Katherine Sullivan Cayla Mihon
CREDENTIALING
Cayla Milhon Michaela Ingelby
RESOURCES
Tracie Carroll Angelic Herrera
SITUATION
Sam Bus’sard Marianne Becnel
DOCUMENTATION
Haeli Auxier Andrea French
DEMOBILIZATION
Ian Mitchard Scott Wojcieszek
FINANCE
Rick White John Lederhouse
TIME Corinne Litsue
COMPENSATION & CLAIM
Johna Lederhouse
COST
Blair Menlove Jennifer D.
OPERATIONS Annie Relph Darci Miller
Jimmy Walling Michelle Peterson
MOAB REGIONAL HOSPITAL
INCIDENT COMMAND SYSTEM ORGANIZATIONAL CHART 04.10.2020
INCIDENT COMMAND
Jen Sadoff Vicki Gigliotti
HOSPICE
Jessie Walsh Margy Swenson
PHYSICIAN LIAISON
Dr. Kathy Williams Dr. Cole
SECTION CHIEFS
UNIT LEADERS
BIOETHICS
COMMITTEE
EVS Justin Usery
Steven Mason
SURGERY
Michelle Peterson
PHYSICIAN LIASON Dr. Quinn Dr. Franke
The MASTER IC Team Schedule is located in the ED: Please notate all changes on the MASTER Schedule.Revised on 04/15/2020 by Jesse Bosh
21‐Apr 22‐Apr 23‐Apr 24‐Apr
Tue Wed Thur Fri
Incident Command JEN SADOFF 719-4076
X X
Incident Command VICKI GIGLIOTTI 260-1705/ 259-8630
X X
IC Assistant JESSE BOSH 260-0971
X X X X
Medical Specialist Dr. Alexander 260-8024Medical Specialist DR. COLE 260-8771
X X X X
Public Information Officer CHRISTY CALVIN 801-518-9182
X X X
Public Information Officer CAROLYN WAGNER 518-505-3087
X
Liaison Officer Doug Caylor 435-260-6049
X X X X
Safety Officer MISTY KOVACS 716-445-3046
X X
Safety Officer TINA MARSHALL 615-364-8437
X X
Operations ANNIE RELPH 260-1485Operations DARCI MILLER 260-8625
x x x
Operations Michelle Peterson 260-1373
x
Operations Jimmy Walling 260-8412Logistics/Planning RONNIE BOONGALING 916-807-8218
x x x x
Logistics/Planning ZACH WOJCIESZEK 858-705-0412Finance RICK WHITE 520-709-2350
X
Finance JOHNA LEDERHOUSE 620-224-7523
X X X
COVID‐19 IC TEAM SCHEDULE 03/20/2020 ‐ 04/15/2020
