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    1

    Application of Incident

    Action Plan and Forms:Loss of Power 

    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 monetarygain.

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    2

    • 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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    '

    Incident Action Plannin

    1( Assess the Situation

    2( Set the )perational Period

    ( Determine Safet* Priorities + ,sta%lish Incident )%-ecti.es

    '( Determine /ranch0Section )%-ecti.es

    ( Determine Strategies + $actics

    ( Determine 3eeded Resources

    4( Issue Assignments5( Implement Actions

    6( Reassess + Ad-ust Plans

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    • Setting7 8id9August

    • :eather7 A heat ;a.e ;ith higher than

    a.erage temperatures for 5 da*s

    • Reported heat related illnesses

    • Isolated losses of po;er 

    • $ime7 '7== p(m(

    Scenario !

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    Po;er has %een off for = minutes( ?ou learnthat a transformer in the area has %lo;n out(

    $ime until repaired7 "n@no;n(

    • Is this an incident?

    • What are your first actions?

    • Who is in charge?

    "#e Power is $isr%pted b%t t#e&enerators are F%nctionin

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    • "se HICS form 21'7 )perational og

    • Complete HICS form 2=17 Incident /riefing

    ,.ent Histor* and Current Actions Summar*

    • /egin form 2=27 Incident )%-ecti.es

    :eather0en.ironmental implications for period

    Step !: Assess t#e Sit%ation

    Incident Action Plannin

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    5

     '#ic# Positions to Activate(

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    Immediate "ime PeriodPosition Immediat

    e

    Intermedia

    te

    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 XBusiness Continuity Branch

    Director

    X

    Patient Family Assistance Branch

    Dir

    X

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

    Logistics Section Chief  X X X X

    Ser$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 XProcurement "nit Leader X X XCom%ensation'Claims "nit Leader XCost "nit Leader X X X

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    1=

     

    • $he Incident Commander names theincident

    • If the incident is a communit*9%asedincidentB the appropriate -urisdiction ;illname the incident

    • $he incident name should %e documented

    on all forms

    )amin t#e Incident

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    • HICS form 2=27 Incident )%-ecti.es

    Operational Period Date/Time

    • Incident Commander sets the )perationalPeriod7

    Based on number of simultaneous activities

    Ho !uic"ly the situation is changing 

    •  An )perational Period %rea@s the incidentdo;n into managea%le timeframes

    Step *: Set t#e Operational Period

    Incident Action Plannin

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    • Identif* the Incident )%-ecti.es

    • HICS form 2=27 Incident )%-ecti.es

    Step +: $etermine Safety Priorities ,-stablis# Incident Objectives

    Incident Action Plannin

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    1

     

    .tili/e t#e Incident 0esponse &%ide

    .tility Fail%re:

    • Identif* etent of outage and considere.acuation

    •  8aintain patient care capa%ilities

    • 8inimi!e impact on hospital operations andclinical ser.ices

    • Communicate the situation status to patientsBstaffB and the pu%lic

    Incident Objectives

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    •  Assess the Safet* issues

    • :hat ha!ards eist and ;hat precautions

    need to %e ta@en• Complete the 21A Incident Action Plan

    Safet* Anal*sis

    Side )ote:Safety Officer "as2s

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    1

     

    • Prepare a statement for the media

    • Prepare a statement for the staffB patients

    and .isitors

    • $he statements need appro.al from theIncident Commander 

    • Coordinate consistent messaging ;ith theoint Information Center

    Side )ote:P%blic Information Officer tas2

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    14

     

    • 8a@e contact ;ith the Po;er Compan*directl*B or through the local ,)C ifacti.ated

    • :ho should %e notified

    • :ho is the source of resources in *our localplan

    • $hese contacts0processes should %eidentified prior to an* incident

    Side )ote:Liaison Officer 

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    • "tili!e HICS forms

    • 21' 9 )perational og

    Side )ote:$oc%mentin yo%r Actions

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    • Document on HICS 2=' Assignment ist

    • $he* are %ased on the Incident )%-ecti.es

    • $hese are %ased on ;hat is desired to %eachie.ed %* the /ranch0Section in thatoperational period

    • )%-ecti.es need to %e S8AR$

    Incident Action Plannin

    Step 3: $etermine Branc#4SectionObjectives

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    2=

     

    •  A common pro%lem during eercises isthat /ranches0Sections dont de.eloptheir o%-ecti.es promptl*

    • Report top o%-ecti.es

    Branc#4Section Objectives

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    Incident Action PlanninStep 5: $etermine Strateies , "actics

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    • :here can patients %e mo.ed to

    • :hat personnel resources do *ou need

    • :hat eEuipment and0or supplies do *ou need

    • :hat resources do *ou need in the patientcollection0holding area

    • :hat transport resources do *ou need• Document resource acti.ities7  Resources assigned

    Step 6: $etermine )eeded 0eso%rces

    Incident Action Plannin

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    2

     

    • :ho ;ill %e assigned to the units

    • Fill in assignments on form 2='  Assignment ist

    •  Are there other %ranches or units that needacti.ated

    Step 7: Iss%e Assinments

    Incident Action Plannin

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    • For the first )perational Period the Incident Action Plan should %e done ;ithin =9'minutes

    • :hat ma@es up the Incident Action Plan  2=1 9 Incident /riefing  2=2 9 Incident )%-ecti.es  2= 9 Incident Assignments

     2=' 9 /ranch Assignments  21A 9 Incident Action Plan Safet* Anal*sis

    • $he Planning Section compiles the forms tocreate the Incident Action Plans

    Incident Action Plannin

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    2

    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 )perational Periods

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    • Put *our acti.ities 0 plans into action

    • :hat are some of these acti.ities

    Step 9: Implement Actions

    Incident Action Plannin

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    • It is no; 14= 1( hrs into the incident

    • Po;er is still out

    • :hat are *our ma-or concerns

    Scenario .pdate 1*

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    • $o;ards the end of the operational periodB*ou ;ill need to e.aluate status

    • Repeat steps 195

    • "pdate the forms

    • ,.aluate and0or update *our /ranch0Section)%-ecti.es

    • $his creates *our Incident Action Plan for the net operational period

    Step : 0eassess , Adj%st Plans

    Incident Action Plannin

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    =

     

    • It is no; ' hours into the incident

    •Po;er remains offB Po;er Compan* hashad set %ac@sB not sure ;hen repairs ;ill%e made

    • :hat are some of the issues to consider

    Scenario .pdate 1+

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    1

     

    :hat are things ;e need to remem%er to do

    Share information

    Reco.er* 0 Restoration

     After Action Report

    Correcti.e Actions Plan

    How are we doin(

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    2

    8%estions(

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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

    Loss of Power 

    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 bei d tili d f t i