Page 1 of 32 DMC Incident Command System Incident Command System for Hospitals Emergency Management Department Emergency Management Leadership Task Force.

of 32 DMC Incident Command System Incident Command System for Hospitals Emergency Management Department Emergency Management Leadership Task Force Revised: January, 2009

of 32 DMC Incident Command System 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:

of 32 DMC Incident Command System 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):

of 32 DMC Incident Command System The DMC has adopted an Incident Command System (ICS) to manage all emergency situations that may occur in our hospitals and facilities. CODE RED CODE BLACK CODE YELLOW CODE ORANGE CODE VIOLET Introduction - to the ICS: – continued

of 32 DMC Incident Command System Why does the DMC use the Incident Command System? ICS provides for... Why Use ICS:

of 32 DMC Incident Command System Dependable - Chain of Command Orderly - Ranking of management positions Clear - Lines of authority and supervision Chain of Command:

of 32 DMC Incident Command System 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:

of 32 DMC Incident Command System 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:

of 32 DMC Incident Command System 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:

of 32 DMC Incident Command System OperationsOperations PlanningPlanning LogisticsLogistics FinanceFinance CommandCommand Five Primary ICS Management Functions:

of 32 DMC Incident Command System The organizational chart represents lines of authority and communication. Management Team Command Staff The Organizational Chart:

of 32 DMC Incident Command System Has overall responsibility Incident Commander:

of 32 DMC Incident Command System Anticipate, detect, and correct unsafe situations Has emergency authority to stop unsafe acts Command Function:

of 32 DMC Incident Command System Central point for information dissemination Command Function: - continued

of 32 DMC Incident Command System Contact point for representatives of assisting and cooperating agencies Command Function: - continued

of 32 DMC Incident Command System. Maintains levels of: Food, Shelter and Supplies to support the medical objectives Logistics Function:

of 32 DMC Incident Command System Prepares Action Plan and Situation Status Information collection, evaluation, distribution Planning Function:

of 32 DMC Incident Command System Tracks all costs Arranges for staff and resources and monitors their use Finance Function:

of 32 DMC Incident Command System Coordinates and manages operations Plans and projects patient care needs Operations Function:

of 32 DMC Incident Command System Depending on the size and type of incident or event, additional positions can be added under each section as needed. Organizational Structure:

of 32 DMC Incident Command System 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:

of 32 DMC Incident Command System 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

of 32 DMC Incident Command System 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:

of 32 DMC Incident Command System 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 actual shortage. 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 to Priority of injuries and assure their Disposition to the proper treatment Area. Immediate: Establish patient Triage Area; consult with Transportation Unit Leader to designate the ambulance Off-loading area. Assist the In-patient Area Supervisor With triage of internal hospital patients; If requested by Treatment Area”s Supervisor. Intermediate: = Crosswalk Job Titles: - continued

of 32 DMC Incident Command System 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. Flexibility of Response:

of 32 DMC Incident Command System A larger incident or when more staff is available would allow for more staff to be involved in the incident. Flexibility of Response: - continued

of 32 DMC Incident Command System A person might be required to perform more than one job until more staff arrives. Flexibility of Response: - continued

of 32 DMC Incident Command System 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:

of 32 DMC Incident Command System 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:

of 32 DMC Incident Command System 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

of 32 DMC Incident Command System 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:

of 32 DMC Incident Command System We hope this NetLearning course has been both informative and helpful. Feel free to review this course until you are confident about your knowledge of the material presented. Click any of the following menu selections located on the left side of the screen: Take Test button to complete the requirements for this course My Records button to return to your CBL Courses to Complete list Exit button to close the Student Interface Summary:

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Page 1 of 32 DMC Incident Command System Incident Command System for Hospitals Emergency Management Department Emergency Management Leadership Task Force.

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