Hospital Incident Command System Module 11 Incident Planning and Incident Response Scenarios.
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Hospital Incident Command System Module 11 Incident Planning and Incident Response Scenarios
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Transcript of Hospital Incident Command System Module 11 Incident Planning and Incident Response Scenarios.
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Module 11
Incident Planning and Incident Response Scenarios
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m Module 11: Objectives
• Discuss how scenarios can be applied to emergency operations planning and training
• Identify the elements of the scenario-specific– Incident Planning Guides (IPG)– Incident Response Guides (IRG)
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m Scenarios
• Threat scenarios are useful tools for anticipating impacts to operations and validating emergency operations plans
• The Department of Homeland Security has disseminated National Planning Scenarios for use by state and local communities to promote integrated preparedness
• HICS materials include 14 relevant National Planning Scenarios (external) and 13 internal hospital disaster scenarios
• Provided to assist with hospital planning and training efforts, as indicated by their hazard vulnerability assessment
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m External Scenarios
1. Nuclear Detonation—10-Kiloton Improvised Nuclear Device
2. Biological Attack—Aerosol Anthrax3. Biological Disease Outbreak—Pandemic Influenza4. Biological Attack—Plague5. Chemical Attack—Blister Agent6. Chemical Attack—Toxic Industrial Chemicals7. Chemical Attack—Nerve Agent8. Chemical Attack—Chlorine Tank Explosion9. Natural Disaster—Major Earthquake10. Natural Disaster—Major Hurricane11. Radiological Attack—Radiological Dispersal Devices12. Explosives Attack—Bombing Using Improvised
Explosive Device13. Biological Attack—Food Contamination14. Cyber Attack
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m Internal Scenarios
1. Bomb Threat2. Evacuation, Complete or Partial Facility3. Fire4. Hazardous Material Spill5. Hospital Overload6. Hostage/Barricade7. Infant/Child Abduction8. Internal Flooding9. Loss of Heating/Ventilation/Air Conditioning10. Loss of Power11. Loss of Water12. Severe Weather13. Work Stoppage
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m Use of Scenarios
• To assist hospitals in reviewing or developing their Emergency Operations Plan (EOP)– In conjunction with IPG– Revise EOP as needed
• To use as a framework to pose questions or provide additional detail– During a facilitated discussion– For a table top exercise– As a basis for planning functional
exercises
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m Scenario and Incident Planning Guide
• Scenarios– Description of incident– Description of impacts– May be revised based on local capability
and need
• Incident Planning Guides– Planning considerations presented in
question format– Mitigation and preparedness issues included– Response and recovery issues both
addressed
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Sample Scenario and Incident Planning Guide
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m Incident Response Guide (1)
• Mission• Directions• Objectives• Tasks by management function within
timeframes– Immediate: 0 to 2 hours– Intermediate: 2 to 12 hours– Extended: Greater than 12 hours– Demobilization/System Recovery
• Examples of activated HICS positions by timeframe
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m Incident Response Guide (2)
• Provides the Incident Commander with a concise outline of response issues likely to be encountered
• Does not take the place of a hospital’s Emergency Operations Plan or its accompanying appendices
• Lists fundamental considerations of managing situation by specific timeframe
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Sample Incident Response Guides
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m Sample Scenario-Specific “Build Outs”
Incident Commander
PlanningSection Chief
LogisticsSection Chief
Operations Section Chief
Finance/Administration Section Chief
LiaisonOfficer
Medical/Technical Specialist
SafetyOfficer
Public Information
Officer
ProcurementUnit Leader
Compensation/Claims
Unit Leader
TimeUnit Leader
CostUnit Leader
ServiceBranch Director
SupportBranch Director
ResourcesUnit Leader
SituationUnit Leader
Documentation Unit Leader
Demobilization Unit Leader
Staging Manager
Medical Care Branch Director
Infrastructure Branch Director
HazMatBranch Director
SecurityBranch Director
Business Continuity
Branch Director
Power/Lighting UnitWater/Sewer UnitHVAC UnitBuilding/Grounds Damage UnitMedical Gases UnitMedical Devices UnitEnvironmental Services UnitFood Services Unit
Inpatient UnitOutpatient UnitCasualty Care UnitMental Health UnitClinical Support Services UnitPatient Registration Unit
Detection and Monitoring UnitSpill Response UnitVictim Decontamination UnitFacility/Equipment Decontamination Unit
Access Control UnitCrowd Control UnitTraffic Control UnitSearch UnitLaw Enforcement Interface Unit
Information Technology UnitService Continuity UnitRecords Preservation UnitBusiness Function Relocation Unit
PersonnelVehicleEquipment/SupplyMedication Personnel Tracking
Materiel Tracking
Patient TrackingBed Tracking
Communications UnitIT/IS UnitStaff Food & Water Unit
Employee Health & Well-Being UnitFamily Care UnitSupply UnitFacilities UnitTransportation UnitLabor Pool & Credentialing Unit
Biological/Infectious DiseaseChemicalRadiologicalClinic AdministrationHospital AdministrationLegal AffairsRisk ManagementMedical StaffPediatric CareMedical Ethicist
Legend
Activated Position
LogisticsSection Chief
ProcurementUnit Leader
Compensation/Claims
Unit Leader
TimeUnit Leader
CostUnit Leader
ServiceBranch Director
SupportBranch Director
Incident Commander
PlanningSection Chief
LogisticsSection Chief
Operations Section Chief
Finance/Administration Section Chief
LiaisonOfficer
Medical/Technical Specialist
SafetyOfficer
Public Information
Officer
ProcurementUnit Leader
Compensation/Claims
Unit Leader
TimeUnit Leader
CostUnit Leader
ServiceBranch Director
SupportBranch Director
ResourcesUnit Leader
SituationUnit Leader
Documentation Unit Leader
Demobilization Unit Leader
Staging Manager
Medical Care Branch Director
Infrastructure Branch Director
HazMatBranch Director
SecurityBranch Director
Business Continuity
Branch Director
Power/Lighting UnitWater/Sewer UnitHVAC UnitBuilding/Grounds Damage UnitMedical Gases UnitMedical Devices UnitEnvironmental Services UnitFood Services Unit
Inpatient UnitOutpatient UnitCasualty Care UnitMental Health UnitClinical Support Services UnitPatient Registration Unit
Detection and Monitoring UnitSpill Response UnitVictim Decontamination UnitFacility/Equipment Decontamination Unit
Access Control UnitCrowd Control UnitTraffic Control UnitSearch UnitLaw Enforcement Interface Unit
Information Technology UnitService Continuity UnitRecords Preservation UnitBusiness Function Relocation Unit
PersonnelVehicleEquipment/SupplyMedication Personnel Tracking
Materiel Tracking
Patient TrackingBed Tracking
Communications UnitIT/IS UnitStaff Food & Water Unit
Employee Health & Well-Being UnitFamily Care UnitSupply UnitFacilities UnitTransportation UnitLabor Pool & Credentialing Unit
Biological/Infectious DiseaseChemicalRadiologicalClinic AdministrationHospital AdministrationLegal AffairsRisk ManagementMedical StaffPediatric CareMedical Ethicist
Legend
Activated Position
LogisticsSection Chief
ProcurementUnit Leader
Compensation/Claims
Unit Leader
TimeUnit Leader
CostUnit Leader
ServiceBranch Director
SupportBranch Director
Immediate Extended
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m Review: Module 11Key Points
• Scenarios can be applied to emergency operations planning
• Scenario-specific Incident Planning Guides (IPG) and Incident Response Guides (IRG) contain elements that assist with planning and training
• Materials can be revised as needed based on hospital assessment of their circumstances
