Post on 17-May-2015
description
Incident Management TeamsIncident Management TeamsIn Colorado In Colorado
Daniel Hatlestad, ParamedicEMS Captain
Inter-Canyon Fire/Rescue
Information Officer, Type 2Jefferson County IMT
Colorado Team 1
EMSAC November 2011
Southwest Colorado
IMT
IMTs in Colorado
Incident Command System Structure
IMTs in Colorado
National Incident Management System
History Of the Incident Command System
EMS and ICS: Working with IMTsObj
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NIMS
National Incident Management System
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National Response Plan (NRP)
Issued February 28, 2003, Homeland Security Presidential Directive 5 (HSPD-5), called for the creation of a National Response Plan (NRP) to “integrate Federal Government domestic prevention, preparedness, response, and recovery plans into one all-discipline, all-hazards plan”.
The purpose of the NRP is to enhance the ability of the United States to prepare for and to manage domestic incidents by establishing a single, comprehensive national approach.
National Incident Management System (NIMS)
Under the NRP, a National Incident Management System (NIMS) will be developed to provide a consistent nationwide framework to standardize incident management practices and procedures to ensure that Federal, State, and local governments can work effectively and efficiently together to prepare for, respond to, and recover from domestic incidents, regardless of cause, size, or complexity.
NIMS adopted the basic tenets of the Incident Command System (ICS) as its foundation.
History of ICS
History Of the Incident Command System
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Incident Command System
ICS is a well organized, team approach for managing critical incidents. It has the following hallmarks:
1. Manageable Span of Control
2. Common Terminology
3. Modular/Scalable Organization
4. Integrated Communications
5. Unified Command Structure
6. Consolidated Action Plans
7. Pre-designated Command Centers
8. Comprehensive Resource Management
Incident Command System History
The Incident command System (ICS) was developed in response to a series of fires in Southern California in the early 1970s by an interagency effort called FIRESCOPE.
ICS Based in Wildfire
ICS was designed to manage rapidly moving wildfires and to address reoccurring problems:
Too many people reporting to one supervisor
Different emergency response organizational structure
Lack of reliable incident information
Inadequate and incompatible communications
While the ICS was designed to manage rapidly moving wildfires, the system has been widely adopted by many public service agencies/NIMS/FEMA for response to disasters of all kinds
ICS Adaptation
ICS Structure
Incident Command System Structure
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ICS Essential Requirements
The designers of ICS had four essential requirements:
1. The system must be organizationally flexible to meet the needs of incidents of any kind and size.
2. Agencies must be able to use the system on a day-to-day basis as well as for major emergencies.
3. The system must be sufficiently standardized to allow personnel from a variety of agencies and diverse geographic locations to rapidly meld into a common management structure.
4. The system must be cost effective.
Goals of ICS
Local, state, federal cooperationInteragency coordinationEnhanced communicationInteroperabilityUnified commandPersonnel accountabilityOperational effectivenessCitizen and Responder safetyUse existing capabilities/competencies
Incident Command System – Modular Organization
Organizational structure…
Develops top-down, from first-in unit.
Is based on incident’s management needs.
Is always staffed with a designated IC; other functions staffed as needed.
Capable of rapid expansion to meet the needs of the authorizing agency.
Incident Command System
IncidentCommander Command
Information
Safety
LiaisonCommandStaff
Operations Planning Logistics Finance
GeneralStaff
COMMAND• Has incident responsibility
event• Command Staff includes
Information, Safety & Liaison
OPERATIONS• Directs all resources• Conducts tactical
operationsPLANNING• Develops the action plan
to accomplish the objective
LOGISTICS• Provides support to meet
incident needsFINANCE/ADMINISTRATION• Monitors costs, time and
procurement related to incident
ICS Organization
BRANCH
DIVISIONS & GROUPS
BRANCH
GROUP
STRIKE TEAMS & TASK FORCES
RESOURCES UNIT
SITUATION UNIT
DEMOBILIZATION UNIT
DOCUMENTATION UNIT
INTELLIGENCE AND INFORMATION UNIT
TECHNICAL SPECIALISTS
TIME UNIT
PROCUREMENT UNIT
COMPENSATION
COST UNIT
SERVICE BRANCH
COMMUNICATIONS
MEDICAL
FOOD
SUPPORT BRANCH
SUPPLY
FACILITIES
GROUND SUPPORT
COMMAND
OPERATIONS LOGISTICS PLANNING FINANCE
PIO
SAFETY
LIAISON
RESOURCES
The Incident Management Team
An IMT is an overhead team consisting of the Command and General Staff positions of the ICS organization. A scalable group of specially trained & experienced individuals who work with the existing organization for the command, control, coordination, support and/or management of the incident organization & resources with maximum effectiveness, efficiency, and safety.
Need: Any incident which exceeds the capabilities of local resources Any incident expanding beyond Operations Any incident lasting longer than one operational period
Incident/Threat
Notification
Initial Response & Assessment
Agency Administrator Briefing (If Appropriate)
Incident Briefing ICS 201
Initial UC Meeting (If Unified
Command)
IC/UC Sets Initial Incident
Objectives
Initial Strategy Meeting &
Information Sharing
Info
rmat
ion
Gat
her
ing
&
Sh
arin
g
Init
ial R
esp
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IC/UC Validate or
Adjust Objectives
Strategy Meeting If Objectives Adjusted
Execute Plan &
Assess Progress
Begin Operational
Period
Operational Period
Briefing
IAP Preparation & Approval
Planning Meeting
Preparing for Planning Meeting
Tactics Meeting
Information Gathering and Sharing
Information Gathering and Sharing
The Planning “P”
• Command manages the organization whereas Operations manages the incident.
• Subsequently, the IMT focuses on assisting with the management of the organization.
• Planning for each operational period (typically 12 hours) is a critical function of the IMT.
• The Plans group produces the Incident Action Plan (IAP).
The Incident Action Plan
Step 1: Understand agency policy and direction.Step 2: Assess incident situation.Step 3: Establish incident objectives.Step 4: Select appropriate strategy or strategies to achieve objectives.Step 5: Perform tactical direction (applying tactics appropriate to the
strategy, assigning the resources, and monitoring performance).Step 6: Provide necessary followup (changing strategy or tactics, adding or
subtracting resources, etc.).
Management by ObjectivesAll levels of a growing ICS organization must have a clear understanding of the functional actions required to manage the incident. Management by objectives is an approach used to communicate actions throughout the entire ICS organization. It can be accomplished through the Incident Action Plan, which includes the following steps:
National or State levelNational or State level
National or State levelNational or State level
State or metro area levelState or metro area level
City or county levelCity or county level
Single incident levelSingle incident level
Incident Management Team Types
Types 1 IMTs – 35-50 members
A self-contained, all-hazard or wildland team recognized at the National and State level, coordinated through the State, Geographic Area Coordination Center, or National Interagency Fire Center.
Multiple operational periods
Written Incident Action Plan
Incident Personnel > 500• California (5)• Pacific NW (2)• Alaska• Northern Rockies (2)• Great Basin (2)
• Rocky Mountain• Southwest (2)• Southern (2)• NIMO (2)
Type 2 IMTs – 20-35 members
A self-contained, all-hazard or wildland team recognized at the National and State level, coordinated through the State, Geographic Area Coordination Center, or National Interagency Fire Center.
Multiple operational periods
Written IAP
Incident Personnel < 500
Approximately 35 Nationally certified Type 2 teams in the U.S.
Type 3 IMTs – 12-20 members
State or Regional multi-agency/ multi-jurisdiction team for extended incidents
May be used at incidents such as a tornado touchdown, wildfires, earthquake, flood, multi-day hostage/standoff situation, or at large planned events.
2+ operational periods
Written IAP
Colorado currently has three certified Type 3 teams and additional teams are working toward certification by the state.
Type 4 IMT – 7-10 members
A single and/or multi-agency team for expanded incidents, typically formed and managed at the city, township or county level or by a pre-determined local or regional entity.
1 operational period
No written Incident Action Plan
Commonly formed during mutual aid responses with Command staff from many organizations.
Type 5 IMTs – 2-5 members
Often a discipline specific response (i.e. fire, law) of 2-5 command level officers that provide the Incident Commander with support (command mutual aid). 1 operational period
No written Incident Action Plan
Type 5 teams typically take shape when an individual identifies themselves as Incident Command.
What is an All-Hazards Incident Management Team?
Designed to serve not only in wildfires, but in all major incidents, an AHIMT is a team comprised of:
Personnel from single or multiple agencies and jurisdictions Community resources Law enforcement, fire, EMS, public health, schools
heathcare facilities, industry
When to begin thinking about calling the IMT
You may run into a second operational period You have more resources than you normally manage or
feel comfortable safely managing. You have heavy media attention. You are activating multiple mutual aid operational assets,
you automatically have: • Commensurate overhead needs• Increased resource accountability demand• Increased communication demands• Increased documentation requirements• Increased risks
May be used in…
• Planned events
• Emergencies
• Disasters (natural, human-made, etc.)
• Classified / Sensitive / High Visibility situations
When can an IMT be used?
Tornado
2,000+ Injured…
600 Structures destroyed, including the local hospital, 1500+ homes and businesses damaged
Neighboring Counties also damaged – mutual aid not available.
Hazardous Materials
Is your system prepared to:
Operate for 5-10 days?
Evacuate 3,000+ citizens?
Support 20+ Mutual Aid Fire Departments, ambulances, Haz-Mat units for several days?
Supply 300+ gallons of fuel per hour?
Assemble 50+ EMS units?
Floods
200+ Injured…
300 Structures destroyed, including the fire station, police department, 1500+ homes and businesses damaged
Neighboring Counties also damaged – mutual aid not available.
Major Building Collapse
Do you have a Plan…
First 5 minutes?
First 3 hours?
First 6 hours?
Multiple operational periods for search, rescue and recovery?
MCI with prolonged Operations
How many responders can you How many responders can you quickly assemble?quickly assemble?
Could you request 30 - 50 Could you request 30 - 50 ambulances?ambulances?
Disease Outbreak
Cannot be managed with local resources Multiple patients Special hazards
• Chemical• Radiological• Biological
Mass Immunizations Evacuations Prolonged recovery
Blizzards
Local resources may be unable to respond Evacuation of healthcare facilities Transport
• Food• Fuel• Medication
Animal feeding Mobilization of state resources Snow removal
IMTs in Colorado
IMTs in Colorado
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Colorado Type III IMTs
Type 3 IMTs in Colorado:1.Are certified by the Colorado Division of Fire Safety2.Have multiple staff in each position3.Have members qualified at Type 3, 2 and 1 positions4.Work together to staff large incidents5.Are deployed to assist other states with large incidents
Colorado Type III IMTs
This initiative is designed to:Strategically locate teams throughout the state.Provide incident management for state level disasters. Management of an incident until arrival of Type 1 or 2 team.Prepare team personnel for all-hazard incidents. Deploy IMT personnel when local jurisdictions are overwhelmed or incidents with a prolonged operational periods.
Colorado IMTs
Colorado is a recognized national leader in the development and utilization of Type III All-Hazards Incident Management Teams. The teams include members from law enforcement, EMS, fire, public health, school systems, and industry. The teams have in-depth coverage of all command positions - allowing for prolonged assignments. The teams have been deployed during the blizzards in SE Colorado, Alamosa Salmonella outbreak, Windsor tornado, DNC convention, the Rainbow Family gathering on U.S.F.S. property and various wildland fires throughout Colorado.Southwest
Colorado IMT
Activation of the Colorado IMTs
Activation of the IMT by local agency - Contact CDEM•Type of Incident•Support needed•Location of incident•Extent of incident•Contact names, phone numbers
Confirmation of team response within minutes
What will the IMT want from me?
ICS 201-type information What resources are on the scene Where are the resources What is the current organization What is the current situation
• Objectives & Strategies Scene sketch, if available
The IMT will want to know who it works for (AHJ) and what its assignments are (Delegation of Authority).
The Delegation of Authority is critical as it outlines resources, finances, goals, limitations, and constraints. The Delegation of Authority requires politicians.
Transition to the IMT
The IMT responds with:•Overhead management team with trained and skilled multi-service Command and General staff.•Communications equipment and van for multi-system radio links.•Self-supporting offices.
What will the IMT do upon arrival?
Immediate ActionsCheck in with Incident Commander
Receive briefing from Incident Command
The IMT will brief and assign their staff
Establish IMT objectives that support the mission as assigned by the IC
• Support & fortify Resources Management
• Support & fortify Communications
• Support & Fortify Responder Health & Safety
• Support & fortify the Planning Cycle
Transition from Local to IMT
Transition is the most challenging and dangerous timeDelegation of Authority from Agency Having Jurisdiction (AJD)Identification of Resources in the field and at the Incident Command PostCommunications planIntegration of IMT with local resources
Transfer of command occurs when: Typically at the beginning of an
Operational Period The incident situation changes
over time, resulting in a legal requirement to change command.
There is normal turnover of personnel on extended incidents.
The incident response is concluded and responsibility is transferred to the home agency.
Transfer of Command
Command Structures
Single Command One commander for
entire incident Works well for:
• Short duration incidents
• Limited jurisdictions Does not work well for:
• Overlapping responsibilities
• Overlapping jurisdictions
• Incidents that evolve over time
Unified Command Agency command
personnel unify Right agency at right
time Stimulates cooperation Provides for balanced
decision-making Maintains
• Adequate span of control
• Unity of command
Unified Command – Local and IMT
Enables all responsible agencies to manage an incident together by establishing a common set of incident objectives and strategies.
Allows Incident Commanders to make joint decisions by establishing a single command structure.
Maintains unity of command. Each employee only reports to one supervisor.
Incident Command Post
Agency 1 Agency 2 Agency 3
Agency 1 Incident
Commander
Agency 2 Incident
Commander
Agency 3 Incident
Commander
EMS and ICS
EMS and ICS: Working with IMTsObj
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Our World Has Changed!
Are You Prepared To Meet These New Challenges !
Shanksville, a small community in western Pennsylvania, was also impacted on 9/11
New York City has robust EMS, fire, and MCI capability. NYC used multiple IMTs in the days following 9/11
EMS In Major Incidents
Effective C3 begins with first unit Establish command Do NOT treat patients START Triage
EMS in ICS Organization
BranchesBranches Air OpsBranchAir OpsBranch
DivisionsDivisions GroupsGroups
Operations SectionOperations Section
Single ResourceSingle Resource
Task ForceTask Force
Strike TeamStrike Team
ResourcesUnitResourcesUnit
Planning SectionPlanning Section
Demob.UnitDemob.Unit
SituationUnitSituationUnit
Doc.UnitDoc.Unit
Logistics SectionLogistics Section Finance/Admin.SectionFinance/Admin.Section
TimeUnitTimeUnit
CompensationClaims UnitCompensationClaims Unit
ProcurementUnitProcurementUnit
Cost UnitCost Unit
Incident CommanderIncident Commander
Public InformationOfficerPublic InformationOfficer
LiaisonOfficerLiaisonOfficer
SafetyOfficerSafetyOfficer
Commun.UnitCommun.Unit
MedicalUnitMedicalUnit
FoodUnitFoodUnit
ServiceBranchServiceBranch
SupportBranchSupportBranch
SupplyUnitSupplyUnit
FacilitiesUnitFacilitiesUnit
GroundSupportUnit
GroundSupportUnit
2-28/31
EMS in Medical Unit
EMS in ICS Organization
BranchesBranches Air OpsBranchAir OpsBranch
DivisionsDivisions GroupsGroups
Operations SectionOperations Section
Single ResourceSingle Resource
Task ForceTask Force
Strike TeamStrike Team
ResourcesUnitResourcesUnit
Planning SectionPlanning Section
Demob.UnitDemob.Unit
SituationUnitSituationUnit
Doc.UnitDoc.Unit
Logistics SectionLogistics Section Finance/Admin.SectionFinance/Admin.Section
TimeUnitTimeUnit
CompensationClaims UnitCompensationClaims Unit
ProcurementUnitProcurementUnit
Cost UnitCost Unit
Incident CommanderIncident Commander
Public InformationOfficerPublic InformationOfficer
LiaisonOfficerLiaisonOfficer
SafetyOfficerSafetyOfficer
Commun.UnitCommun.Unit
MedicalUnitMedicalUnit
FoodUnitFoodUnit
ServiceBranchServiceBranch
SupportBranchSupportBranch
SupplyUnitSupplyUnit
FacilitiesUnitFacilitiesUnit
GroundSupportUnit
GroundSupportUnit
EMS in Operations
ICS – EMS in Operations
L aw E n forcem en t B ran ch
S tag in g
Triag e S ou th
Trea tm en t S ou th
Tran sp ort S ou th
D ep u ty S ou th
Triag e C en tra l
Trea tm en t C en tra l
Tran sp ort C en tra l
D ep u ty C en tra l
Triag e N orth
Trea tm en t N orth
Tran sp ort N orth
D ep u ty N orth
E M S B ran ch F ireR escu e B ran ch
O p era tion s
C om m an d
IMS Terminology
Division = A geographical subdivision of an incident (North Division, Interior Division)
Group = A functional subdivision of an incident (Suppression Group, Rescue Group, EMS Group, Ventilation Group)
Division vs. Group
IMS Terminology
Single Resource = One of anything (ambulance, fire engine, rescue truck) plus required staff
Task Force = Combination of single resources assembled for specific mission (battalion chief, EMS supervisor, engine, truck, heavy rescue, ambulance)
Strike Team = Set of single resources of same kind plus leader in vehicle (EMS supervisor and 5 ambulances)
EMS Branch Director
Declare major incident Perform size-up Priorities
Life Safety Incident Stabilization (stable vs. unstable) Property Conservation
Request appropriate assistance – consider IMT Designate staging area Designate treatment area(s) Coordinate with other agencies as Unified Command Direct EMS activities until relieved
Triage
Coordinate patient removal from danger with rescue/extrication personnel
Provide Command with updates Identify/correct life-threats without slowing triage Assess, categorize, tag Coordinate “hazard zone” activities Continuously retriage
Staging
Identify safe location for vehicle staging Assure access routes Assure orderly parking, traffic flow Categorize units, capabilities Assign units as requested Inform Command of status
Treatment
Locate treatment areas, advise Command and Triage Evaluate resources needed for treatment Assign, coordinate treatment personnel Maintain Morgue, Rehab units as needed Inform Command of status Inform Command of available staff
Transport
Establish transport area(s) Request ambulances from staging Coordinate transport of patients with dispatch or command
hospital Direct transport to appropriate facilities Main records of patient destinations Inform Command of status
Incident Command System - EMS
EMSBranch Director
StagingOfficer
TransportOfficer
TreatmentOfficer
TriageOfficer
Hospitals
Dispatch
Movement
Communication
IMTs in Colorado
Incident Command System Structure
IMTs in Colorado
National Incident Management System
History Of the Incident Command System
EMS and ICS: Working with IMTsObj
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I’m with the IMT and I’m Here to Help… No really, I am
Incident Management TeamsIncident Management TeamsIn Colorado In Colorado
Daniel Hatlestad
daniel.hatlestad@gmail.com720-232-5926
EMSAC November 2011
Southwest Colorado
IMT