3 Rescue Incident Management

3 Objectives (1 of 4) Describe the characteristics of the Incident Command System (ICS) and the functions of positions within this system. Describe the function of, and list the components of, an incident action plan.

3 Objectives (2 of 4) Describe the administrative and operational aspects of an organization health and safety program. List and describe the components of an incident response plan.

3 Objectives (3 of 4) Describe the components of an operational risk/benefit analysis. Describe the purpose and benefits of standard operating procedures (SOPs). Describe the purpose, components, and benefits of performing a needs analysis.

3 Objectives (4 of 4) List various methods of personnel and equipment accountability, and describe the importance of having accountability systems.

3 Skills Objectives (1 of 2) Demonstrate an understanding of the Incident Command System (ICS) and its functional areas as they relate to rescue. Perform a needs assessment for your response area.

3 Skills Objectives (2 of 2) Perform a hazard and risk assessment for a given incident.

3 Incident Command System (ICS) (1 of 2) Management structure based on business management principles that provides standard approach and structure to managing operations Identifies roles and responsibilities

3 Incident Command System (ICS) (2 of 2) Allows team to function properly Must meet NIMS requirements

3 ICS Features (1 of 3) Jurisdictional Authority All-Risk and All-Hazard System Unity of Command Span of Control Modular Organization Common Terminology

3 ICS Features (2 of 3) © Steven Townsend/Code 3 Images

3 ICS Features (3 of 3) Integrated Communications Consolidated Incident Action Plans Designated Incident Facilities Resource Management

3 ICS Organization (1 of 4) Incident commander (IC): –Management of all incident operations –Requires understanding of ICS –Communicates with command staff (Public Information Officer, Safety Officer, Liaison Officer)

3 ICS Organization (2 of 4) Public information officer (PIO): –Single point of contact for incident-related information Safety officer: –Ensures personnel safety –May bypass chain of command when necessary Liaison officer

3 ICS Organization (3 of 4) Four ICS sections include: –Operations –Planning –Logistics –Finance/administration

3 ICS Organization (4 of 4)

3 Operations Section Development, direction, coordination of all tactical operations conducted in accordance with IAP: –Stabilizing scene –Rescuing trapped individuals –Treating patients –Establishing staging area

3 Planning Section Collection, evaluation, dissemination, use of information and intelligence Anticipates potential problems and needs Develops and updates IAP Performs initial management of technical experts at incident site

3 Logistics Section Support requirements are needed to facilitate effective and efficient incident management. Includes providing supplies, services, facilities, materials

3 Finance/Administration Section Responsible for accounting, financial, and legal aspects of incident; includes: –Time unit –Procurement unit –Compensation/claims unit –Cost unit

3 Additional ICS Terminology Single resources Crew Task force Strike team

3 Needs Assessment Concentrate on emergencies that are a priority in response district Includes actual need, cost, personnel requirements, political climate Components include analyses of hazards, organization, risk/benefits, level of response

3 Hazard Analysis Identifying situations/conditions that may injure people or damage property, environment Nine Major categories Determines possibility/probability of various types of incidents occurring within jurisdiction

3 Organizational Analysis (1 of 2) Can organization establish, maintain capability and comply with rules, regulations, laws, standards Personnel requirements related types/levels of technical rescue Training and resource requirements

3 Organizational Analysis (2 of 2) Courtesy of Captain David Jackson, Saginaw Township Fire Department

3 Risk/Benefit Analysis (1 of 2) Assessment of risk to rescuers compared to potential benefits from rescue: –Probable/possible danger to rescuers? –Are victims likely to be salvageable?

3 Risk/Benefit Analysis (2 of 2) Courtesy of Robert Rhea

3 Level of Response Analysis Level of service provided based on evaluation of hazard, organizational, risk/benefit analysis Three-level system outlined in NFPA 1670: –Awareness (or basic) –Operations (or medium) –Technician (or heavy)

3 Technical Rescue Operations (1 of 10) Step-by-step approach; 10 step process Step 1: Preparation: –Understand training requirements, standards, resources Step 2: Response: –Includes medical care, notifying utility companies

3 Technical Rescue Operations (2 of 10) Step 3: Arrival, assessment, planning, size-up: –First-arriving unit takes command –Skill Drill 3-1 –Review preplan –Rescue versus recovery

3 Technical Rescue Operations (3 of 10) Step 3: (continued) –Determination of hazards and risk versus benefits –Development of Incident Action Plan (IAP)

3 Technical Rescue Operations (4 of 10) Courtesy of Robert Rhea

3 Technical Rescue Operations (5 of 10)

3 Technical Rescue Operations (6 of 10) Step 4: Stabilization –Establish rescue area with three controlled zones –Lockout/tagout systems Step 5: Gaining access Step 6: Disentanglement –Allow EMS access to victim

3 Technical Rescue Operations (7 of 10)

3 Technical Rescue Operations (8 of 10) Step 7: Victim packaging and removal Step 8: Transport Step 9: Incident termination Step 10: Postincident debriefing and analysis

3 Technical Rescue Operations (9 of 10) © Jones and Bartlett Publishers. Photographed by Glen E. Ellman.

3 Technical Rescue Operations (10 of 10) Courtesy of Robert Rhea

3 Resource Management (1 of 2) Personnel accountability system: –Tracks personnel on scene, including responders’ identities, assignments, locations Equipment inventory and tracking systems: –Maintain records on purchase, maintenance, and use of equipment during incident

3 Resource Management (2 of 2) Courtesy of NIMS/FEMA

3 Long-Term Operations Technical rescue incidents can be long and complex. IC must consider immediate and anticipated need for all phases of incident. Expanded ICS system assists with planning and functioning.

3 Safety Health and safety of personnel is of the highest importance NFPA 1500, Standard on Fire Department Occupational Safety and Health Program: –Development of response plans, SOPs, risk assessments –Review relevant chapters

3 Response Planning (1 of 2) Preplan provides framework for response to possible incident. Problem identification based on needs assessment Resource identification and allocation: –Mutual aid agreements –Review annually

3 Response Planning (2 of 2) Operational procedures: –Resource deployment –Possible scenarios –Test and retest plan

3 Standard Operating Procedures (1 of 3) An organizational directive providing written guidelines explaining what is expected and required of emergency services personnel while performing their jobs

3 Standard Operating Procedures (2 of 3) Provide mechanism to document intentions and strategies and comply with regulatory requirements. Improve accountability and operational efficiency and reduce liability. Also called SOGs

3 Standard Operating Procedures (3 of 3)

3 SOG Contents Development and maintenance Compatibility with regulations and standards Organizational needs Training and competence Ability to monitor performance, ensure compliance

3 SOPs for Technical Rescue Identify the operational level for each category of rescue to which personnel are required to respond. –Awareness level –Operations level –Technician level AHJ: training documentation and review

3 Perform Assessment of Necessary SOPs Management and administration Prevention/special programs Emergency operations Emergency operations related to technical rescue

3 Summary (1 of 2) ICS provides a standard approach to managing operations and ensures coordination, safety, and effectiveness. Organization should consider multiple factors before committing to providing technical rescue services. ICS uses a 10-step process when responding to rescue incidents.

3 Summary (2 of 2) An IAP is essential to the continuing collective planning activities of incident management teams. A health and safety program, based on NFPA standards, provides tools to running a safe, effective organization.