You, Me and ICS · 2018. 12. 6. · ICS Implementation Milestones TB Weekly Planning Meetings April...

You, Me and ICS Tuberculosis Screening &

Incident Command System

Jennifer Jaquez, B.S.

Elaine Darnall, RN, BSN, CIC

Tuberculosis is…

• An airborne infectious disease

• Spread from person to person through the air

• A public health priority

• A reportable disease by law

• A treatable and preventable disease

• A leading cause of death worldwide

• A disease with much stigma

Apr 2007

X

Oct 2009

Jan 2010

Feb

Mar

Apr

May

Jun

Jul

Nov

Dec

1

Cases Pending Genotyping Results

Culture Negative Clinical Case

Case Matches Genotype Cluster IL_214

2

3

Shelter A

0

January 2010

Apr 2007

X

Oct 2009

Jan 2010

Feb

Mar

Apr

May

Jun

Jul

Nov

Dec

1




2

3

4

5

6

Shelter A

0

February

Apr 2007

X

Oct 2009

Jan 2010

Feb

Mar

Apr

May

Jun

Jul

Nov

Dec

1




2

3

4

5

6

8

7

Shelter A

0

March

Apr 2007

X

Oct 2009

Jan 2010

Feb

Mar

Apr

May

Jun

Jul

Nov

Dec

1




2

3

4

5

6

8

7

9

Shelter A

Jail A

10

11

12

0

April

Apr 2007

X

Oct 2009

Jan 2010

Feb

Mar

Apr

May

Jun

Jul

Nov

Dec

1




2

3

4

5

6

8

7

9

Shelter A

Jail A

Bar A

10

11

12

13

14

0

May

Apr 2007

X

Oct 2009

Jan 2010

Feb

Mar

Apr

May

Jun

Jul

Nov

Dec

1




2

3

4

5

6

8

7

9

Shelter A

Jail A

Bar A

10

11

12

15

16

13

14

0

0 June

Apr 2007

X

Oct 2009

Jan 2010

Feb

Mar

Apr

May

Jun

Jul

Nov

Dec

1




2

3

4

5

6

8

7

9

Shelter A

Jail A

Bar A

10

11

12

15

16

13

14

17

0

18?

July 0

Apr 2007

X

Jan 2010

Feb

Mar

Apr

May

Jun

Jul

Nov 2009

Dec

1




Shelter A

0

Oct

Aug

Sep Oct

Nov

4

6

5

2

3

7 9

11

10

8

12

13

14

15 Bar A

Jail A

16

17*

*Note 1 case counted in July 2010 linked to this outbreak was counted in downstate county.

18

ICS Implementation Milestones

TB Weekly Planning

Meetings

April 28- May 24, 2010

CDC Outbreak Response

Team Arrives March 21 &

Clinic Moves March 8

2nd Mass

Screening

August 5

ALERT

3 Guests With

TB

Jan 12, 2010

1st Mass

Screening

May 26

3rd Mass

Screening

Nov 3

November 2009

January 2010

March July November January 2011

February May September April

TB Weekly Planning

Meetings

July 16-August 4, 2010

TB Weekly Planning

Meetings

October 5-November 2, 2010

Multi Activity throughout the TB Response

Normal Day to Day Activity

TB Investigation Activity

Planning Activity Planning Activity Planning Activity Planning Activity 1 2 3 4

ICS 207 TB Mass Screening III Organization Chart

November 2, 2010

ICS Form 202

Incident Action Plan (IAP)

• TB Incident Action Plan included: – Incident Briefing (ICS 201)

– Incident Objectives (ICS 202)

– Organizational Chart (ICS 207)

– TB Mass Screening Layout

– Emergency Contact

– Incident Status Report (ICS 209)

Planning P

Guidelines for Setting Goals and Objectives

Here are three important guidelines: 1. Goals and objectives must be clearly stated

and measurable so the Incident Management Team can determine how much was accomplished during the current planning process.

2. Goals and objectives must be attainable given the people, equipment, and supplies available during that planning process.

3. Goals and objectives must be broad and flexible enough for Incident Management Team to achieve them the best way possible.

Lessons Learned

• No right or wrong way of using ICS-JUST DO IT

• Use ICS to justify more staff and resources

• Identifying essential roles early on (e.g. Finance, Lab Liaison)

• Training in NIMS is essential but not enough, need to understand ICS tools/form

• Visual reminder of objectives and structure

• Someone to implement and sustain ICS.

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