Hospital%20Incident%20Command%20System

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Hospital Incident Command System

• HICS
• Management System Tools for Events

This material has been developed for training
purposes do not share, distribute, transmit or
reproduce without prior written consent of
California Hospital Association This course was
developed by the CHA Hospital Preparedness
Program with grant funds provided by the U.S.
Department of Health Human Services Assistant
Secretary for Preparedness Response Hospital
Preparedness Program and awarded by the
California Department of Public Health. No part
of this course or its materials shall be copied
or utilized for monetary gain.
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Objectives

• Learn the principal concepts and features of the
  Hospital Incident Command System
• Understand the roles and relationships of the
  Incident Management Team
• Understand the principles of Incident Action
  Planning

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HICS
Incident Command System that helps improve
coordination and response between hospitals and
emergency responders by using

• Logical management structure
• Defined responsibilities
• Clear reporting channels
• A common nomenclature

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HICS Features

• Incident Management Team Chart
• All hazard approach
• Incident Action Planning
• Job Action Sheet
• Incident Planning Guides
• Incident Response Guides
• HICS Forms
• Promotes Recovery

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HICS Resources

• Where do I find HICS information?
• www.calhospitalprepare.org
• www.emsa.ca.gov/hics/hics.asp
• www.hicscenter.org

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Basic Incident Command Structure
Modular Organization Functional Sections
Activated as Needed
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HICS

• The system is scalable so that more or fewer
  positions--depending on the emergency--may be
  implemented

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Command

• Command functions
• Maintain overall management of the incident
• Sets Control Objectives and priorities
• Devise and approve strategies
• Ensure mission completion
• Command consists of
• Incident Commander
• Command Staff

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Command

• Biological/Infectious
• Disease
• Chemical
• Radiological
• Clinic Administration
• Hospital Administration
• Legal Affairs
• Risk Management
• Medical Staff
• Pediatric Care
• Medical Ethicist

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Incident Commander

• Description / Duties
• Determine scope and magnitude of event and
  facility impact
• Activate and direct the Hospital Command Center
  (HCC)
• Give overall strategic direction for the hospital
• Initiate and approve the Incident Action Plan
• Authorize total facility evacuation if warranted
• Only position always activated

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Public Information Officer

• Description / Duties
• Communicate with internal and external
  stakeholders including
• Staff
• Visitors and family
• Media
• Determine information to be released
• Collaborate with local community officials (Joint
  Information Center) on messages for consistent
  content
• Obtains Incident Commander approval on all
  messages

Reports to Incident Commander
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Safety Officer

• Description / Duties
• Ensure safety of staff, patients and visitors
• Monitor and have authority over the safety of
  rescue operations and hazardous conditions
• Determine safety risks of the incident to
  personnel, the hospital facility, and the
  environment
• Initiate corrective/protective actions for safety
  issues
• Completes the HICS form 261, Incident Action Plan
  Safety Analysis
• Has authority to halt any operation that poses
  immediate threat to life and health

Reports to Incident Commander
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Liaison Officer

• Description / Duties
• Hospital Command Center contact for supporting
  agencies and organizations
• Make facility needs and requests for assistance
  and resources

Reports to Incident Commander
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Medical / Technical Specialist

• Description/Duties

• Subject matter experts that advise the Incident
  Commander and/or assigned section.
• May be assigned as technical advisor in the
  Hospital Command Center
• May be assigned to advise and oversee specific
  hospital operations
• Example Decontamination operations during a
  chemical exposure situation

Reports to Incident Commander
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Medical / Technical Specialist
Can Include

• Biological
• Infectious Disease
• Chemical
• Radiological
• Legal Affairs
• Risk Management

• Medical Staff
• Pediatric Care
• Medical Ethicist
• Clinical Administration
• Hospital Administration

Reports to Incident Commander
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Command Review

• The IC is the only position ALWAYS activated
• The Incident Commander is responsible for
• Management of the Incident
• Activities within the Hospital Command Center
• Continuing as Incident Commander until authority
  is delegated to another
• The Command Staff consists of
• Public Information Officer (PIO)
• Liaison Officer
• Safety Officer
• Medical / Technical Specialist(s)

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Sections
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Sections

• Sections include
• Operations
• Planning
• Logistics
• Finance/Administration
• Sections are led by a Chief
• Section Chiefs are called General Staff

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Operations Section
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Operations Section

• Operations Section Mission
• Manage tactical operations
• Direct all tactical resources
• Carry out the mission and
• Incident Action Plan

• Directs all tactical resources
• Led by a Section Chief

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Operations Section

• The Section includes
• Staging Area
• Medical Care Branch
• Infrastructure Branch
• HazMat Branch
• Security Branch
• Business Continuity Branch

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Staging Manager
Mission

• Organize and manage the deployment of
  supplementary resources, including personnel,
  vehicles, equipment, supplies, and medications

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Medical Care Branch Director

• Mission
• Organize and manage the delivery of emergency,
  inpatient, outpatient, and casualty care, and
  clinical support services
• Duties
• Address provision of acute continuous care
• Work with Logistics for resource acquisition
• Work with Staging Manager for delivery of
  resources to areas

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Medical Care Branch Director

• Supervises
• Inpatient Unit Leader (all inpatient units)
• Outpatient Unit Leader (all outpatient services)
• Casualty Care Unit Leader (Emergency Department)
• Behavioral/Mental Health Unit Leader
• Clinical Support Unit Leader (Lab, Diagnostic
  Imaging, Pharmacy, Morgue, Blood Donor)
• Patient Registration Unit Leader

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Infrastructure Branch Director

• Mission
• Organize and manage the services required to
  sustain and repair the hospitals infrastructure
  operations
• Duties
• Maintain overall facility operations and
  operating capacity
• Identify and fixes utility service-delivery
  failures
• Assign a strike team to address damage

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Infrastructure Branch Director

• Supervises
• Power/Lighting Unit Leader
• Water/Sewer Unit Leader
• HVAC Unit Leader
• Building/Grounds Unit Leader
• Medical Gases/Medical Devices Unit Leader
• Environmental Services Unit Leader
• Food Services Unit Leader (for inpatients)

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Hazmat Branch Director

• Mission
• Organize and direct hazardous material incident
  response activities
• Technical, and emergency decontamination and
  facility and equipment decontamination
• Duties
• Oversee hazmat event
• Decontamination of victims, staff, facility
• Safe and appropriate use of PPE
• Clean up operations
• Collaborates with Medical Care Branch Director

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Hazmat Branch Director

• Supervises
• Detection and Monitoring Unit Leader
• Spill Response Team Unit Leader
• Victim Decontamination Unit Leader
• Facility / Equipment Decontamination Unit Leader

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Security Branch Director

• Mission
• Coordinate activities related to internal and
  external personnel and facility security
• Duties
• Implement facility security measures
• Ensure security and access control of the
  Hospital Command Center
• Liaison with responding law enforcement
• Oversee search and rescue operations

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Security Branch Director

• Supervises
• Access Control Unit Leader
• Crowd Control Unit Leader
• Traffic Control Unit Leader
• Search Unit Leader
• Law Enforcement Interface Unit Leader

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Business Continuity Branch Director

• Mission
• Ensure business functions are maintained,
  restored or augmented
• Duties
• Facilitate acquisition and access to essential
  recovery resources, including business records
• Coordinate IT services with Logistics Section
• Assist Branches and impacted areas to restore
  normal operations

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Business Continuity Branch Director

• Supervises
• Information Technology Unit Leader
• Service Continuity Unit Leader
• Records Preservation Unit Leader
• Business Function Relocation Unit Leader

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Operations Section Review

• The Operations Section is responsible for
• The tactical objectives and organization
• All tactical operations
• Directing all tactical resources

• Operations is led by a Chief
• Operations positions are activated as needed by
  the incident

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Logistics
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Logistics

• Section Mission
• Organize and direct maintenance of the physical
  environment providing human resources,
  material, and services to support the incident.
• Provides support (stuff) to other sections
• Acquires resources from internal and external
  sources
• Through Liaison, links to local Emergency
  Operations Center (EOC) for resource requests
• Led by a Section Chief

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Logistics and Operations

• Logistics and Operations are closely linked and
  must work collaboratively

• Logistics Section are the getters
• Operations Section are the doers

• Scope and Responsibilities overlap
• Logistics Supply Unit and Operations
  Infrastructure Branch
• Labor Pool and Credentialing Unit and Staging
  Manager Personnel Team Leader

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Logistics

• The Section includes
• Service Branch
• Support Branch

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Service Branch Director

• Mission
• Organize and manage services to maintain hospital
  communication, food and water supply and
  information technology and systems

Oversees

• Communications Unit Leader
• IT/IS Unit Leader
• Food and Water Unit Leader

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Support Branch Director

• Mission
• Manage supplies, facilities, transportation, and
  labor pool. Provide logistical, psychological,
  and medical support to hospital staff and their
  dependents
• Oversees
• Employee Health and Well-Being Unit Leader
• Family Care Unit Leader
• Supply Unit Leader
• Facility Unit Leader
• Transportation Unit Leader
• Labor Pool and Credentialing Unit Leader

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Logistics Section Review

• The Logistics Section is responsible for
• Organizing and directing internal and external
  resources to support the incident
• Providing support to other sections
• Logistics supports the incident resource
  requirements
• Logistics has two branches
• Support
• Service
• Logistics is led by a Chief who works closely
  with the Operations Section

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Planning Section
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Planning Section

• Mission
• Collect, evaluate, and disseminate incident
  action information and intelligence to Incident
  Commander
• Prepare status report
• Develop the Incident Action Plan (IAP)
• Led by a Section Chief

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Planning Section Chief

• Supervises
• Resources Unit Leader
• Personnel Tracking
• Material Tracking
• Situation Unit Leader
• Patient Tracking
• Bed Tracking
• Documentation Unit Leader
• Demobilization Unit Leader

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Planning Section Review

• The Planning Section is responsible for
• Collecting, evaluating and disseminating incident
  situation information to the Hospital Command
  Center
• Maintaining resource status
• Developing the Incident Action Plan (IAP) and
  obtaining Incident Commander approval on IAP
• Archiving response and recovery documentation
• Assisting with After-Action Report development

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Finance
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Finance / AdministrationSection Chief

• Mission
• Monitor the utilization of financial assets and
  the accounting for financial expenditures.
• Supervise the documentation of expenditures and
  cost reimbursement.

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Finance / AdministrationSection Chief

• Supervises
• Time Unit Leader
• Procurement Unit Leader
• Compensation/ Claims Unit Leader
• Cost Unit Leader

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Questions?
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Job Action Sheet

• Series of action steps to prompt team members
  to take needed actions related to their roles and
  responsibilities
• One for each position
• Includes title, mission/function and duties
• Adjusted to meet hospital needs
• Refers to supporting forms

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Job Action Sheet Format
OPERATIONS SECTION CHIEF Mission Develop and
implement strategy and tactics to carry out the
objectives established by the Incident Commander.
Organize, assign, and supervise Staging, Medical
Care, Infrastructure, Security, Hazardous
Materials, and Business Continuity Branch
resources.
Date Start
End Position Assigned to
Initial __ Position Reports to
Incident Commander Signature
__ Hospital
Command Center (HCC) Location
Telephone
Fax Other Contact
Info Radio Title
__
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Job Action Sheet Format

• Action Steps and Considerations
• Job Action Sheet provides position action steps
  and considerations
• Actions listed by Operational Periods
• Immediate 02 hours
• Intermediate 212 hours
• Extended Beyond 12 hours
• Demobilization/System Recovery

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Immediate (Operational Period 0-2 Hours) Time Initial
Receive appointment and briefing from the Incident Commander. Obtain packet containing Operations Section Job Action Sheets.
Read this entire Job Action Sheet and review organization chart (HICS Form 207). Put on position identification.
Notify your usual supervisor of your HICS assignment.
Determine need to appoint Staging Manager, Branch Directors, and Unit Leaders in Operations Section distribute corresponding Job Action Sheets and position identification. Complete the Branch Assignment List (HICS Form 204).
Brief Operations Section Branch Directors and Staging Manager on current situation and incident objectives develop response strategy and tactics outline Section action plan and designate time for next briefing.
Participate in Incident Action Plan preparation, briefings, and meetings as needed assist in identifying strategies determine tactics, work assignments, and resource requirements.
Obtain information and updates regularly from Operations Section Branch Directors and Staging Manager maintain current status of all areas inform Situation Unit Leader of status information.
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Job Action Sheet Format

• Documents/Tools
• A listing of pertinent HICS forms this position
  is responsible for using
• Forms noted in Job Action Sheet action steps
• Other tools that will help them fulfill their
  role and responsibilities
• Hospital plans, policies and procedures
• Technology tools
• Other adjuncts

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Documents / Tools Operations Chief
Documents/Tools
Incident Action Plan HICS Form 204 Branch Assignment Sheet HICS Form 213 Incident Message Form HICS Form 214 Operational Log HICS Form 257 Resource Accounting Record Hospital Emergency Operations Plan Hospital organization chart Hospital telephone directory Radio/satellite phone
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Job Action Sheet Use

• Job Action Sheets are used continuously
• Actions in all operational periods should be
  continued and monitored
• Job Action Sheets should transfer to your
  replacement and actions continued
• Upon shift change or position change

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Job Action Sheet Section Review

• The Job Action Sheets are
• An incident management tool
• A series of actions to meet the incident response
• Are divided in time phases
• Immediate 0-2 hours
• Intermediate 2-12 hours
• Extended Greater than 12 hours
• Demobilization/System Recovery
• Standardized to facilitate interagency response
• Customizable for the unique facility needs/roles

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Questions?
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Hospital Incident Action Planning

• Key to Effective
• Response and Recovery

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Incident Action Planning

• Assess the Situation
• Set the Operational Period
• Determine Safety Priorities Establish Control
  Objectives
• Determine Operational Period Objectives
• Determine Strategies Tactics
• Determine Needed Resources
• Issue Assignments
• Implement Actions
• Reassess Adjust Plans

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1 Assess the Situation

• It is essential to understand the situation
• Gather and analyze information
• Hazard/incident type
• Impact of the hazard/incident on the hospital
• Expected duration of the incident
• Incident Commander is responsible for gathering
  the information from sources (ie-Planning
  Section, other section chiefs, etc.)
• The situation must be assessed regularly
  throughout the response and recovery process

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1 Assess the Situation
The Incident Commander conducts the initial
incident assessment

• Type of incident, location, magnitude, possible
  duration
• On-going hazards and safety concerns
• Determine initial priorities based on
• 1 - Life saving
• 2 - Incident stabilization
• 3 - Property preservation
• Establishes the Hospital Command Center
• Sets the initial Operational Period

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2 Set the Operational Period

• An Operational Period is
• The period of time scheduled for execution of a
  given set of tactical actions in the Incident
  Action Plan
• Set by the Incident Commander
• The Operational Period is usually set in hours
• Does not have to conform to shift times
• Can be long or short, depending on the intensity
  of the incident

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3 Determine Safety Priorities Establish
Control Objectives

• General Command and Control Objectives
• Broad organizational objectives that are
  foundational and do not change during response
  and recovery--where the system wants to be at the
  end of the response
• Not limited to an operational period
• Examples
• Provide adequate care to all patients who present
  as a result of the incident
• Provide for the safety of hospital personnel

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4 Determine Operational Period Objectives

• Operational Period Objectives
• More specific objectives to achieve Command and
  Control Objectives
• Steps during the defined Operational Period
• Should be tangible and measurable
• Example
• Provide prophylaxis to hospital staff
• Conduct decontamination of victims

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5 Determine Strategies Tactics

• Strategy defined
• The general direction selected to accomplish
  incident objectives (NIMS)
• The approach to achieving the objectives
• Tactics defined
• Specific actions, sequence of actions,
  procedures, tasks, assignments to meet strategies
  and objectives
• The boots on the ground or doers

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6 Determine Needed Resources

• Available and needed resources to meet the
  tactical objectives must be identified

• Tactical resources may include
• Personnel
• Equipment
• Supplies
• Pharmaceuticals
• Vehicles

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7 Issue Assignments
Once the tactical objectives and needed resources
are identified, assignments are issued

• Hospital Command Center positions are activated
  according to incident needs
• Staff are assigned to conduct incident specific
  operations
• Evacuation
• Decontamination
• Triage and treatment
• Safety measures

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8 Implement Actions

• Direct, monitor and evaluate response efforts
• Constant monitoring of strategies and tactics for
  effectiveness
• Assess the Operational Period Objectives
• Are the objectives being achieved?
• Is the strategy/tactics safe?
• Is the strategy/tactics effective?
• Evaluation is an ongoing process throughout
  response and recovery

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9 Reassess Adjust Plans

• Conduct a current situation assessment
• Update situation/incident information
• Assess the impact on the hospital
• Length and duration of continued/resolving
  incident
• Resource availability
• Assess the Operational Period Objectives
• Assure they are achieved in a safe and timely
  manner
• Revise objectives, strategies, tactics and
  resource needs for the upcoming operational
  period

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Incident Action Plan Responsibilities

• The Incident Commander
• Provides general Command and Control Objectives
  (HICS 202)
• Sets the Operational Period
• Develops major strategies (priorities)
• Activates Incident Management Team positions
• Establishes policy for resource orders
• Approves initial actions and the completed
  Incident Action Plan

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Incident Action Plan Responsibilities

• The Safety Officer
• Advises the Incident Commander and Section Chiefs
  on safety issues and measures
• Develops the Safety Plan (HICS 261)
• Oversees the safety of operations and tactics

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Incident Action Plan Responsibilities

• The Planning Section Chief
• Prepares for the Planning Meetings
• Gathers information for the Incident Action Plan
  (HICS 201, 202, 203,204s and 261)
• Develops demobilization and contingency plans
• Conducts the Planning Meeting
• Coordinates and submits the Incident Action Plan
  to the Incident Commander for approval
• Disseminates the Incident Action Plan to all
  Hospital Command Center personnel

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Incident Action Plan Responsibilities

• The Operations Section Chief
• Determines/assesses areas of operation
• Advises Incident Commander of activated
  Operations positions and work assignments
• Determines tactics (HICS 204)
• Determines resource requirements (HICS 204) and
  communicates needs with Logistics

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Incident Action Plan Responsibilities

• The Logistics Section Chief
• Ensures resource ordering meets the needs
• Advises Incident Commander on activated Logistics
  positions
• Ensures resources to support the Incident Action
  Plan
• Develops plans that support the Incident Action
  Plan
• Communications Plans
• Transportation Plans

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Incident Action Plan Responsibilities

• The Finance/Administration Section Chief
• Provides cost implications of the Control and
  Operational Period Objectives
• Ensures the Incident Action Plan is within cost
  limitations
• Advises the Incident Commander on Finance/Admin
  activated positions

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Incident Action Plan Section Review

• The Incident Action Plan
• Provides Incident Management Team personnel with
  direction for the Operational Period
• Incident Action Planning uses the elements of
  Management by Objectives
• General Command and Control Objectives vs.
  Operational Period Objectives
• Developed by Command, General Staff provide input
• Essential for effective response and recovery

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Questions?
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• Demobilization Recovery

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Preparation for Demobilization

• Demobilization
• The Demobilization Plan is created by the
  Demobilization Unit Leader
• Demobilization begins
• As incident objectives are met
• Follow-on objectives are more focused upon
  recovery and returning to normal
• The demobilization of resources no longer Needed
  should occur rapidly and efficiently

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Preparation for Demobilization

• Demobilization Considerations
• Demobilizing must be a part of the Incident
  Action Plan (the decision to demobilize isnt
  part of the plan)
• Managing public perception
• Equipment rehab and restocking
• Financial restoration
• Addressing hospital personnel concerns

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Recovery

• Recovery follows response and focuses upon
  returning the hospital to baseline level of
  functioning
• The starting point for recovery begins early in
  the response
• Transition from response to recovery is rarely
  obvious
• Recovery may extend over a long time, from weeks
  to years

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Organizational Learning

• The Recovery plan includes principles of
  organizational learning and improvement
• After Action Report Corrective Improvement Plan
• Evaluate hospital response/recovery operations
• Identify strengths, weaknesses, and strategies
  to
• Lessen future vulnerability
• Improve ability to respond to future incidents
• Revise the Emergency Operations Plan

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Section Review

• Demobilization Recovery should be planned early
  
• Demobilization Recovery is the return to
  normal or new-normal in the hospital
• Demobilization is managed by the Planning Section
• The development of a Demobilization Plan by the
  Demobilization Unit Leader
• Approved by the Planning Section Chief/Incident
  Commander

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Questions?
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Scenarios External
Considering the Hazard Vulnerability Analysis
there are 14 National Planning Scenarios
(External) to assist in planning and training

• Nuclear Detonation, Radiological Attack
• Bio Attack (Anthrax, Food Contamination)
• Pandemic
• Chemical Attack (Blister, Toxic, Nerve Agent, and
  Chlorine)
• Natural Disaster (Earthquake and Hurricane)
• Explosives
• Cyber Attack

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Scenarios Internal
Considering the Hazard Vulnerability Analysis
there are 13 Internal Scenarios to assist in
planning and training

• Bomb Threat
• Evacuation
• Fire
• HazMat Spill
• Hospital Overload
• Infant/Child Abduction
• Internal Flooding

• Loss of HVAC
• Loss of Power
• Loss of Water
• Severe Weather
• Hostage/Barricade
• Work Stoppage

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Incident Planning Guides (IPGs)

• Incident Planning Guides assist hospitals with
  evaluating existing plans or writing needed plans
  
• The IPGs address the 27 scenarios
• They are intended to promote more thorough plans

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Incident Response Guides

• Provides Incident Specific
• Directions
• Objectives
• Management tasks by function according to
  timeframes
• Sample Incident Management Teams
• Should complement
• Emergency Operations Plan
• Job Action Sheets
• Can be used as documentation

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Section Review

• Incident Planning Guides and Incident Response
  Guides
• Are incident-specific tools to assist with
  planning, training and response/recovery
• Assist in meeting regulatory requirements
• Guide Command and General Staff with
  decision-making and actions
• Should be consistent with the Emergency
  Operations Plan
• Do not replace the Job Action Sheets

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Questions?
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• HICS Forms

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The Value of Using HICS Forms

• Serves as a road map in response everyone acting
  from the same plan
• Serves as foundation for corrective action
• Ensures consistency and compliance with
  regulatory guidelines
• Complies with documentation for FEMA
  reimbursement

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HICS Forms
No. Name Responsible
201 Incident Briefing Incident Commander
202 Incident Objectives Section Chiefs
203 Organizational Assignment List Resource Unit Leader
204 Branch Assignment List Branch Directors
205 Communications Log Communications Unit Leader
206 Staff Medical Plan Support Branch Director
207 Organization Chart Incident Commander
213 Incident Message Form All Positions
214 Operational Log Command Staff, General Staff, and Branch Directors
251 Facility System Status Report Infrastructure Branch Director
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HICS Forms
No. Name Responsible
252 Section Personnel Time Sheet Section Chiefs
253 Volunteer Staff Registration Labor Pool Credentailiting Unit Leader
254 Disaster Victim / Pt Tracking Patient Tracking Manager
255 Master Pt Evacuation Tracking Patient Tracking Manager
256 Procurement Summary Report Procurement Unit Leader
257 Resource Accounting Record Section Chiefs
258 Hospital Resource Directory Resource Unit Leader
259 Hospital Casualty / Fatality Report Patient Tracking Manager
260 Patient Evacuation Tracking Form Inpt Unit Leader Outpt Unit Leader, Casualty Care Unit Leader
261 Incident Action Plan Safety Analysis Safety Officer
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HICS Form 201Incident Briefing

• Purpose Documents initial response information
  actions at start-up
• Origination Incident Commander
• Copies to Command staff, Section Chiefs, and
  Documentation Unit Leader
• When to Complete Prior to briefing the current
  operational period
• Helpful Tips Distribute to all staff before
  initial briefing

96
(No Transcript)
97
(No Transcript)
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HICS Form 202 Incident Objectives

• Purpose Defines objectives and issues for
  operational period
• Instructions General Command and Control
  Objectives for the Incident
• Weather/Environmental Implications for the Period
• General Safety/Safety Messages
• Attachments
• Prepared by Planning Chief

• Approved by Incident Commander

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(No Transcript)
100
(No Transcript)
101
HICS Form 203Organization Assignment List

• Purpose To document Hospital Command Center
  staffing
• Origination Resources Unit Leader
• Copies to
• Command Staff and General Staff
• Branch Directors and Agency Staff
• Documentation Unit Leader

102
100
103
(No Transcript)
104
HICS Form 204Branch Assignment List

• Purpose Document branch assignments, operational
  period objectives, strategies/tactics and
  resource needs
• Origination Branch Director
• Copies to Command, General Staff Documentation
  Unit Leader
• Prepared by Branch Director
• Approved by Planning Section Chief
• When to complete At the start of each
  operational period

105
7a. Operational Period Objectives
7b. Strategies/Tactics
7c. Resources Available
106
(No Transcript)
107
HICS Form 261 Incident Action Plan Safety
Analysis

• Purpose Document hazards and define mitigation
• Origination Safety Officer
• Copies to Command General Staff, Sections
  Branches
• Prepared by Safety Officer
• Approved by Incident Commander
• When to complete Prior to safety briefing

108
HICS Form 261
109
HICS Form 213 Incident Message Form

• Purpose Provide standardized method of recording
  messages received by phone, radio or verbally
• Instructions
• Reply requested Indicate whether a reply was
  requested and to whom reply should be addressed
• Priority Indicate level of urgency of the
  message
• Message
• Keep all messages/requests brief, to the point,
  and very specific
• Transcribe complete, concise, and specific
  content of message.
• Action Taken (if any)

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(No Transcript)
111
(No Transcript)
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HICS FORM 214Operational Log

• Purpose Document
• Incident issues encountered
• Decisions made
• Notifications conveyed
• Origination Command and General Staff
• When to complete
• Continuously, from activation through
  demobilization

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(No Transcript)
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Section Review

• The HICS forms
• Provide the Incident Management Team with the
  documents needed to manage a response
• Assist in communication with external agencies
  and resources
• Assist in communication with hospital staff
• Provide documentation for response and recovery
  activities

115
Questions?
116

• HICS Basics Part 1
• Management System Tools for Events

developed by the California Hospital
Associations Hospital Preparedness
Program www.calhospitalprepare.org
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purposes do not share, distribute, transmit or
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developed by the CHA Hospital Preparedness
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Preparedness Program and awarded by the
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