Question

1
Question
What problem is most commonly identified after
exercises or real events in the hotwash or After
Action Report?
2
Module One Communications
3
Implementing the Communications Plan (Group
Discussion)

• Do you have a communications plan?
• What are your Dispatch Procedures responder
  notification?
• How is the Hospital Notified?
• How does On-Scene Command Communicate with the
  Hospital?
• How do you Communicate with other hospitals that
  may be impacted by the incident or impact the
  incident?

4
Keys to Clear Communications

• Key microphone 2 seconds before speaking on a
  repeater based radio system
• Say who you want to talk to first then say who
  you are.
• Use clear text (plain language)
• Speak slowly and clearly (practice this)
• Repeat back communications to acknowledge receipt
  of message
• Assume messages not acknowledged were not heard
  and repeat initial message
• Develop/refine and practice your communications
  plan

5

I am 10-23 at a 10-50. 10-52 times two and a
10-51.
911 HP 1 I am on scene at a car crash with
casualties. I need 2 ambulances and a wrecker.
6

Hospital Medic 1 Enroute to your facility with
a TBI. 2 min LOC and GMS with GCS of 9. ETA 2
min.
Hospital Medic 1 Transporting Pt. 3 triaged
as red/immediate, due to head injury with
respiratory rate of 40, radial pulse present, and
responds to pain only.
7
Establish Command-Overview

• Initial contact scene/situation size-up
• Safety
• Assume/Announce Command
• Request Resources
• Identify location, access and positioning
• Assign/Allocate Resources
• Plan for Demobilization

8
Scene/situation size-up

• First responsibility is a walk around
  assessment of the scene or situation
• Goal is to determine the extent of the problem
• Initial communications should include the nature
  and scope of the incident and initial tactical
  objectives

9
Assume/Announce Command

• Responsibility of the first arriving unit is to
  establish command by announcing the name of the
  incident, incident commander and the location of
  the command post
• Command may be passed to another person once they
  are in a position to assume control

10
Request Resources

• Resources adequate to resolve the problem should
  be requested and dispatched as they become
  available.
• They should be told where to report how to
  access the scene
• If coming in a vehicle, where should it be
  positioned?

11
Assign/Allocate/Reassign Resources

• Individuals or resources should be assigned
• Someone to report to (supervisor).
• A tactical objective to accomplish.
• A location to work.
• Once the assignment has been completed, the
  individual or team needs to know where to report
  for another assignment or demobilization.

12
Group Activity

• Photo/description of MCI Incident
• Divide into groups (Pre-hospital/Hospital)
• Play act initial establishment of command for
  each area and communication between groups

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