Page 1 of 32 DMC Incident Command System Incident Command System for Hospitals Emergency Management...

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DMC Incident Command System

Incident Command System for HospitalsIncident Command

System for Hospitals

Emergency Management DepartmentEmergency Management Leadership Task ForceRevised: January, 2009

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1. Increase awareness of the Incident Command System in hospitals.

2. Understand reasons why we use the Incident Command System.

3. Name the management functions of the Incident Command System.

4. Identify when the Incident Command System is used.

Objectives:

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• The Incident Command System (ICS) is a structured system to manage all emergencies.

• It is used to assist hospital operations during a time of crisis.

ICS provides a means of organizing and using staff, resources and communications.

Introduction - to the Incident Command System (ICS):

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The DMC has adopted an Incident Command System (ICS) to manage all emergency situations that may occur in our hospitals and facilities.

CODE REDCODE BLACK CODE YELLOW

CODE ORANGECODE VIOLET

Introduction - to the ICS: – continued

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Why does the DMC use the Incident Command System?

ICS provides for. . .

Why Use ICS:

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• Dependable - Chain of Command

• Orderly - Ranking of management positions

• Clear - Lines of authority and supervision

Chain of Command:

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Because the Incident Command System is used by police and fire departments, ICS provides us with a common management system for communicating with response agencies.

Communications:

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• In the 1980's local, State and Federal agencies worked together to develop a common organizational system which fire protection agencies could use in response to a very large event, as well as smaller day-to-day events. This process, known as FIRESCOPE is utilized by most fire departments in the country.

• The DMC Incident Command System (ICS) incorporates many elements of FIRESCOPE.

History of the Incident Command System:

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Incident Command can be applied in a wide variety of emergency and non-emergency situations such as:

• Tornados• Mass casualty incidents, such as a plane crash• Fire• Bomb threats• HAZMAT spills• Acts of domestic terrorism

It can also be used in large planned events, like the Detroit Auto Show.

Applications of ICS – When Is It Used:

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OperationsOperationsOperationsOperations

PlanningPlanningPlanningPlanning

LogisticsLogisticsLogisticsLogistics

FinanceFinanceFinanceFinance

CommandCommandCommandCommand

Five Primary ICS Management Functions:

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The organizational chart represents lines of authority and communication.

Safety O fficer Liaison Officer

Public Inform ation O fficer

Logistics Chief P lanning Chief Finance Chief O perations Chief

Incident Com m ander





Management Team

Command Staff

The Organizational Chart:

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L o g is tics C h ie f P la n n in g C h ie f F in a nce Ch ie f O p e ra tio n s C h ie f


L o g is tics C h ie f P la n n in g C h ie f F in a nce Ch ie f O p e ra tio n s C h ie f

Incident Com m ander • Has overall responsibility

Incident Commander:

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Safety O fficer


Safety O fficer

Incident Com m ander• Anticipate, detect, and correct unsafe situations

• Has emergency authority to stop unsafe acts

Command Function:

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Public Inform ation Officer




• Central point for information dissemination

Command Function: - continued

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Liaison Officer


Liaison Officer


• Contact point for representatives of assisting and cooperating agencies

Command Function: - continued

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.

• Maintains levels of: Food, Shelter and Supplies to support the medical objectives



Logistics Chief




Logistics Chief


Logistics Function:

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Planning Chief




Planning Chief


• Prepares Action Plan and Situation Status

• Information collection, evaluation, distribution

Planning Function:

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Finance Chief




Finance Chief


• Tracks all costs

• Arranges for staff and resources and monitors their use

Finance Function:

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• Coordinates and manages operations

• Plans and projects patient care needs



O perations Chief




O perations Chief


Operations Function:

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Safety Officer Liaison Officer


Logistics Chief P lanning Chief Finance Chief Operations Chief




Logistics Chief P lanning Chief Finance Chief Operations Chief


Depending on the size and type of incident or event, additional positions can be added under each section as needed.

Organizational Structure:

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• Job Action Sheets consist of a checklist of tasks that the assigned person will perform. This makes it easy for anyone to assume that role and perform the necessary duties.

• The Job Action Sheets are found in the Emergency Command Center.

• Job Action Sheets are distributed by the Incident Commander or Section Chief and immediate supervisors.

Job Action Sheets:

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• Each of the positions found on the organizational chart has a prioritized Job Action Sheet written to describe the important duties of each role.

• Every Job Action Sheet begins with the job title, the supervising officer and a mission statement to define the position responsibility.

Job Action Sheets: - continued

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D a m ag e A sse ssm e nt a n d C o ntro l O ff ice r

S a n ita tio n S ys tem s O ffice r

Facility Unit LeaderSite Manager, Facility Engineering and Construction

L o g is tics C h ie f

Incident Com m anderHospital President

• Job titles in ICS are matched, or cross-walked, to the most similar position in the hospital. Staff assume a position in the ICS that is similar to their usual job.

• For example, the position of Facility Unit Leader could be filled by the DMC position of Site Manager, Facility Services. Incident Commander may be filled by the Hospital President, if available.

Crosswalk Job Titles:

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Nutritional Supply Unit Leader

Position Assigned to:

You Report to:

=

DMC Emergency Department Triage RN

DMC Director, Food & Nutrition Services

=

Triage Unit Leader

Mission: Organize food and water stores for preparation and rationing during periods of anticipated or actualshortage.

Immediate: Estimate the number of meals which can be served utilizing existing food stores; implement rationing, if situation dictates.

Intermediate:

Extended:

Mission: Sort casualties according toPriority of injuries and assure their Disposition to the proper treatmentArea.

Immediate: Establish patient TriageArea; consult with Transportation UnitLeader to designate the ambulance Off-loading area.

Assist the In-patient Area SupervisorWith triage of internal hospital patients;If requested by Treatment Area”s Supervisor.

Intermediate:=

Crosswalk Job Titles: - continued

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A disaster that occurs when staff is at a minimum, such as in the early AM hours, would only allow minimum activation of the ICS.

Safety O fficer

Operations Chief


Safety O fficer

Operations Chief


Flexibility of Response:

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A larger incident or when more staff is available would allow for more staff to be involved in the incident.









Flexibility of Response: - continued

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A person might be required to perform more than one job until more staff arrives.

Flexibility of Response: - continued

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Patient Tracking Sheet

ICS Action Plan

1.

2.

3.

Activity Log

Standardized documentation forms assist in the documentation of all activities,

and help with financial tracking and resource recovery.

Documentation Forms:

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• Clear lines of authority and supervision and

• Improved communication with other agencies, like fire, EMS and police.

The DMC has adopted the Incident Command System because it provides for:

DMC Incident Command System Summary:

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Important features of the Incident Command System include:

• The Organizational Chart

• Job Action Sheets

• Documentation Forms

Incident Command System provides for:

• Flexibility in response based on the size of the event.

• Job titles that will closely match your usual job.

ICS Summary: - continued

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The success of our response to a disaster is dependent on each individual playing their role.

Information on the DMC Incident Command System can be found in your Environment of Care Manual, Policy EC 42.

Information on your specific roles/responsibilities can be found in your site’s emergency plans also located in the Environment of Care Manual.

Contact your site safety officer if you have any questions.

Your Role in the DMC ICS:

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