Hics Basics Part 2 Evacuation

8/9/2019 Hics Basics Part 2 Evacuation

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Application of

Incident Action Plan andForms – Evacuation

Hospital IncidentCommand System

This material has been developed for training purposes; do not share, distribute, transmit or reproduce without prior written consent of California Hospital Association This course was

developed by the CHA Hospital Preparedness Program with grant funds provided by the U.. !epartment of Health " Human ervices Assistant ecretary for Preparedness "#esponse Hospital Preparedness Program and awarded by the California !epartment of Public Health. $o part of this course or its materials shall be copied or utili%ed for monetary

gain.


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• Demonstrate the Incident Action Planning

Process

• Demonstrate the use of HICS Forms

• Implement the use of the Incident Response

Guides

Objectives


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Scenario Based Implementation

• Discuss and rehearse practical implementation

of the Incident Action Planning process utili!ing

HICS forms and the Incident Response Guides

• "tili!e a #$a%le $op& learning process


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Scenario

• During a construction pro(ect) *or+ers se,er a

*ater main in the %asement

• $he t*o emergenc- generators are in a flooded

section of the %asement and ha,e %eenrendered unusa%le

• All po*er to the %uilding has %een interrupted)

and the electric compan- has said it *ill %e

t*el,e or more hours %efore e,en partial

restoration of ser,ices can %e accomplished


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Incident Action Plannin

1/ Assess the Situation

2/ Set the 0perational Period

/ Determine Safet- Priorities sta%lish Incident 0%(ecti,es

'/ Determine 3ranch4Section 0%(ecti,es

./ Determine Strategies $actics

5/ Determine 6eeded Resources

7/ Issue Assignments8/ Implement Actions

9/ Reassess Ad(ust Plans


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• Pharmac- ser,ices and the la% are located in the %asement and

cannot pro,ide ser,ice due to flooding

•Patients on :ife Support are %eing manuall-supported and some on %atter- %ac+up

• $otal e,acuation of the facilit- must occur immediatel-

• Current census is at 8.;

• $ime< 1===

• >eather< Clear) 7.? F) no *inds

Scenario


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•$ime until repaired< "n+no*n

Is this an incident@

>hat are -our first actions@

>ho is in charge@

First Actions


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• "se HICS form 21'< 0perational :og

• Complete HICS form 2=1< Incident 3riefing

,ent Histor- and Current Actions Summar-

• 3egin form 2=2< Incident 0%(ecti,es

>eather4en,ironmental implications for period

Step !" Assess t#e Situation



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$#ic# Positions to Activate%


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Immediate $ime Period

Position Immedi

ate

Intermedi

ate

Extend

ed

Recovery

Incident Commander X X X XPublic Information Ocer X X X XLiaison Ocer X X X XSafety Ocer X X X X Operations Section Chief X X X XMedical Care Branch Director X X X XInfrastructure Branch Director X X X XSecurity Branch Director X X X X

Business Continuity BranchDirector

X X X X

Patient Family ssistance Branch

Dir!

X X X X

Planning Section Chief X X X X"esources #nit Leader X X XSituation #nit Leader X X X XDocumentation #nit Leader X X X XDemobili$ation #nit Leader X X X

Logistics Section Chief X X X XSer%ice Branch Director X X X XSu&&ort Branch Director X X X X

Finance /Administration

Section Chief

X X X X

'ime #nit Leader X X X XProcurement #nit Leader X X XCom&ensation(Claims #nit

Leader

X X X

Cost #nit Leader X X X


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• $he Incident Commander names theincident

• If the incident is a communit-%asedincident) the appropriate (urisdiction *illname the incident Be/g/) count-) cit-) S

• $he incident name should %e documentedon all forms

&amin t#e Incident


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• HICS form 2=2< Incident 0%(ecti,es

Operational Period Date/Time

• Incident Commander sets the 0perational Period

• 3ased on num%er of simultaneous acti,ities

• Ho* Euic+l- the situation is changing

• An 0perational Period %rea+s the incident do*ninto managea%le timeframes

Step '" Settin t#e Operational Period



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• Identif- the Incident 0%(ecti,es Bthese are theo,erarching o%(ecti,es that *ill last throughoutthe response

• HICS form 2=2< Incident 0%(ecti,es

Step (" )etermine Safety Priorities* Incident Objectives



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+tili,e t#e Incident -esponse .uide

Evacuation:

Provide for t#e safety of patients/ staff/visitors/ and families

Provide for patient care and manaement

Conduct safe and rapid evacuation or s#elter0

in0place of t#e #ospital

Plan for safe patient and staff repatriation andservice restoration

Control Objectives


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Scenario +pdate 1!

• IC" has 1= patients on ,entilators

• PIC" has ' patients on ,entilators

• 6IC" 8 patients on ,entilators) 2 onC0) 5 additional patients inincu%ators

• 8 patients in surger-


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• Assess the Safet- issues

• >hat ha!ards eist and *hat precautions need to%e ta+en

onitor the immediate sta%ili!ation of the facilit- and%asement flooding

nsure safe mo,ement4egress of patients) ,isitors andstaff from facilit-

nsure e,acuation holding areas are safe4secure

• Complete form 21.A Incident Action Plan Safet- Anal-sis

Side &ote"Safety Officer 2as3s


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• Prepare a statement for the media

• Prepare a statement for the staff) patients and

,isitors Be/g/) situation) status) safet-precautions) net update time

• $he statements need appro,al from theIncident Commander

• Coordinate consistent messaging *ith theoint Information Center BIC or *ith la*enforcement PI0

Side &ote"Public Information Officer 2as3s


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• >ho or *hat entit- operates as the count-contact4H0AC) and ho* do -ou contact@

• >ho should %e notified of the situation@

• >ho should %e notified of hospital status@ Ho*@

• >ho is the source of resources in -our local plan@Be/g/) local S Department 0perations Center) PHDDepartment 0perations Center) Count-4Cit- mergenc-0perations Center

• 6eeds should %e determined prior to the incident

Side &ote"4iaison Officer


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• "tili!e HICS forms

• Form 21' 0perational :og

Side &ote")ocumentin your Actions


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• Document on HICS 2=' Assignment :ist

• $he- are %ased on the Incident 0%(ecti,es

• $hese are %ased on *hat is desired to %eachie,ed %- the Section in that operationalperiod

• 0%(ecti,es need to %e SAR$ BSimple)easura%le) Achie,a%le) Realistic) $imeSensiti,e $as+ 0riented


Step 5" )etermine Branc#6Section Objectives


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• A common pro%lem during eercises is thatSections43ranches dont de,elop theiro%(ecti,es promptl-

• Report top o%(ecti,es

Branc# Section Objectives


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• Strategies tactics are ho* -our 3ranch4Sectionis going to achie,e the o%(ecti,es

• >hat actions do -ou need to ta+e@

• "se -our facilit- response plans and IncidentResponse Guides

• Record strategies tactics on form 2=' 3ranch Assignment :ist

Incident Action PlanninStep 7" )etermine Strateies * 2actics


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• >here can patients %e mo,ed to@

• >hat personnel resources do -ou need@

• >hat eEuipment and4or supplies do -ou need@

• >hat resources do -ou need in the patientcollection4holding area@

• >hat transport resources do -ou need@

• Document resource acti,ities<

Resources assigned Bform 2='

Resource reEuests Bform 21 Actions ta+en to utili!e and o%tain resources Bform 21'

Step 8" )etermine &eeded -esources



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• >ho *ill %e assigned to the units@

• Fill in the assignments on form 2=' Assignment :ist

• Are there other %ranches that need acti,ated@

Step 9" Issue Assinments



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• For the first 0perational Period the Incident Action Plan should %e done*ithin ='. minutes

• >hat ma+es up the Incident Action Plan@

Form 2=1 Incident 3riefing

Form 2=2 Incident 0%(ecti,es Form 2= Incident Assignments Form 2=' 3ranch Assignments Form 21.A Incident Action Plan Safet- Anal-sis

• $he Planning Section compiles the forms to create the Incident ActionPlans



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IAP :uic3 Start

• 6e* form

• Can %e used for small incidents

• 0r for a rapid start to a large incident andthen epand out on indi,idual HICS forms

• Great for smaller preplanned e,ents


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IAP Cover S#eet

• Can %e used for the IAP Juic+ Start or fullIncident Action Plan forms

• Can ma+e different colors if -ou *ant todifferentiate 0perational Periods


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• Put -our acti,ities 4 plans into action

• >hat are some of these acti,ities@

Step ;" Implement Actions



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• It is no* 11= 1/. hrs into the incident

• IC" patients) ' 6IC" patients ha,e %eentransferred to 2 other hospitals in to*n

• Continuing to arrange transfer of criticalpatients out of the facilit-

• 1= patients ha,e %een discharged home

• >hat are -our ma(or concerns@

Scenario +pdate 1'


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• $o*ards the end of the operational period) -ou *illneed to e,aluate status

• Repeat steps 18

• "pdate the forms

• ,aluate and4or update -our 3ranch4Section0%(ecti,es

• $his creates -our Incident Action Plan Bgame planfor the net operational period

Step


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• It is no* ' hours into the incident

• All critical patients ha,e %een transferred out

• Surger- patients ha,e %een transferred

• :arge porta%le generator has %een hoo+ed upand emergenc- po*er is restored

• >hat are some of the issues to consider@

Scenario +pdate 1(


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>hat are things *e need to remem%er to do@

Share information

Reco,er- 4 Restoration

After Action Report

Correcti,e Actions Plan

Ho= are =e doin%


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:uestions%


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de,eloped %- the

California Hospital Associations

Hospital Preparedness Program

***/calhospitalprepare/org

HICS Basics Part '

Application of

Incident Action Plan and Forms

Evacuation

This material has been developed for training purposes; do not share, distribute, transmit or reproduce without prior written consent of California Hospital Association

This course was developed by the CHA Hospital Preparedness Program with grant funds provided by the U.. !epartment of Health " Human ervices Assistant ecretaryfor Preparedness " #esponse Hospital Preparedness Program and awarded by the California !epartment of Public Health $o part of this course or its materials shall be

Documents

Hics Basics Part 2 Evacuation