Hics Basics Part 2 Hostage

8/9/2019 Hics Basics Part 2 Hostage

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1

Application of

Incident Action Plan andForms –

Hostage/Barricade

Hospital IncidentCommand System

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.. !epartment of Health " Human ervices Assistant ecretary for Preparedness "#esponse Hospital Preparedness Program and awarded by the California !epartment of Public Health. $o part of this course or its materials shall be copied or utili%ed for monetary

gain.


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2

• Demonstrate the Incident Action Planning

Process

• Demonstrate the use of HICS Forms

• Implement the use of the Incident Response

Guides

Objectives


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Scenario Based Implementation

• Discuss and rehearse practical implementation

of the Incident Action Planning process utili!ing

HICS forms and the Incident Response Guides

• "tili!e a #$a%le $op& learning process


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Incident Action Planning

1( Assess the Situation

2( Set the )perational Period

( Determine Safet* Priorities + ,sta%lish Incident )%-ecti.es

'( Determine /ranch0Section )%-ecti.es

( De.elop Strategies + $actics

( Determine 3eeded Resources

4( Issue Assignments

5( Implement Actions

6( Reassess + Ad-ust Plans


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Scenario

• A patient7s son has %een .er* upset a%out his

mothers condition( She is in IC" and ma* die(

)n each .isit8 he is increasingl* agitated and

demands information from the staff(

• )n toda*7s .isit the son seems calmer(

Ho9e.er8 upon seeing his mother he %ecomes

agitated8 demanding to see the doctor( $he

nurses are attempting to calm him8 %ut he%ecomes increasingl* agitated(


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• He pulls 2 handguns from his -ac:et and fires t9ice

into the ceiling( A securit* guard rushes into the

unit and the gunman shoots him in the leg(

• $he gunman demands that staff mo.e e;uipmentand %eds to %arricade the doors and announces

that he 9ill :ill an*one 9ho gets in his 9a* and

demands to see his mother7s ph*sician(

• $he IC" is full and there are .isitors at the

%edsides(

Scenario


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• An emplo*ee escapes from the IC" and notifies

securit*

• Po9er and communications ser.ices arefunctioning normall* in the area

• $ime< 1'==

• >eather< Clear8 4? F8 no 9inds

Scenario


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• @ocal la9 enforcement is immediatel* notified

Is this an incident

>hat are *our first actions

>ho is in charge

First Actions


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• "se HICS form 21'< )perational @og

• Complete HICS form 2=1< Incident /riefing

,.ent Histor* and Current Actions Summar*

• /egin form 2=2< Incident )%-ecti.es

>eather0en.ironmental implications for period

Step ! Assess t"e Sit#ation



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1=

$"ic" Positions to Activate%


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Immediate &ime Period

Position Immediate

Intermediate

Extended

Recovery

Incident Commander X X X XPublic Information Ocer X X X XLiaison Ocer X X X XSafety Ocer X X X X Operations Section Chief X X X XMedical Care Branch Director X X X XSecurity Branch Director X X X XLaw nforcement Interface !nit

Leader

X X X X

Patient "amily #ssistance

Branch Dir$

X X X

Planning Section Chief X X X X%esources !nit Leader X X XSituation !nit Leader X X X XDocumentation !nit Leader X X X XDemobili&ation !nit Leader X X X

Logistics Section Chief X X X XSu''ort Branch Director X X X X

Finance /Administration

Section Chief

X X X X

(ime !nit Leader X X XProcurement !nit Leader X XCom'ensation)Claims !nit

Leader

X

Cost !nit Leader X X X X


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• $he Incident Commander names theincident

• If the incident is a communit*B%asedincident8 the appropriate -urisdiction 9illname the incident e(g(8 count*8 cit*8 ,SE

• $he incident name should %e documentedon all forms

'aming t"e Incident


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1

• HICS form 2=2< Incident )%-ecti.es

Operational Period Date/Time

• Incident Commander sets the )perational Period

• /ased on num%er of simultaneous acti.ities

• Ho9 ;uic:l* the situation is changing

• An )perational Period %rea:s the incident do9ninto managea%le timeframes

Step (! Set t"e Operational Period



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• Identif* Command + Control )%-ecti.es theseare the o.erarching o%-ecti.es that 9ill lastthroughout the 9hole responseE

• HICS form 2=2< Incident )%-ecti.es

Step )! *etermine Safety Priorities +,stablis" Incident Objectives



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1

-tili.e t"e Incident esponse 0#ide

Hostage/Barricade:

• nsure the safety of 'atients* sta+* and

,isitors

• Maintain communications with sta+*

'atients* ,isitors* and the media

• Coordinate res'onse* release ofinformation* and on-oin- o'erations with

law enforcement

• Pro,ide beha,ioral health su''ort and

stress mana-ement ser,ices to 'atients*

Control Objectives


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1

• It has %een 2= minutes since the gunman%arricaded the IC"

• @a9 enforcement has arri.ed at the hospital and

is in communication 9ith the IC"

• S>A$ team is responding

Scenario -pdate 1


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• Assess the Safet* issues

• >hat ha!ards eist and 9hat precautions need to%e ta:en

,nsure safe e.acuation of immediate area surroundingthe unit

,nsure safet* of patients8 .isitors8 staff in nonBimpactedareas

itigate panic

• Complete form 21A Incident Action Plan Safet* Anal*sis

Side 'ote!Safety Officer &as2s


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• Prepare a statement for the media

• Prepare a statement for the staff8 patients and

.isitors e(g(8 situation8 status8 safet*precautions8 net update timeE

• $he statements need appro.al from the IncidentCommander

• Coordinate consistent messaging 9ith the ointInformation Center ICE or 9ith la9enforcement PI)

Side 'ote!P#blic Information Officer &as2s


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• >ho or 9hat entit* operates as the count*contact0H)AC8 and ho9 do *ou contact

• >ho should %e notified of the situation

• >ho should %e notified of hospital status /edstatus Ho9

• >ho is the source of resources in *our local plane(g(8 local ,S D)C8 PHD D)C8 Count*0Cit* ,)CE

• 3eeds should %e determined prior to the incident

Side 'ote!3iaison Officer


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2=

• "tili!e HICS forms

• Form 21' B )perational @og

Side 'ote!*oc#menting yo#r Actions


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• Document on HICS 2=' Assignment @ist

• $he* are %ased on the Incident )%-ecti.es

• $hese are %ased on 9hat is desired to %eachie.ed %* the Section in that operational

period• )%-ecti.es need to %e SAR$ Simple8

easura%le8 Achie.a%le8 Realistic8 $imeSensiti.e + $as: )rientedE


Step 4! *etermine Branc"/SectionObjectives


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• A common pro%lem during eercises is thatSections0/ranches don7t de.elop theiro%-ecti.es promptl*

Branc"/Section Objectives


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• Strategies + $actics are ho9 *our /ranch0Sectionis going to achie.e the o%-ecti.es

• >hat actions do *ou need to ta:e

• "se *our facilit* response plans and IncidentResponse Guides

• Record Strategies + $actics on form 2=' /ranch Assignment @ist

Incident Action PlanningStep 5! *etermine Strategies + &actics


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2'

• >hat units0space needs to %e acti.ated

• >hat personnel resources do *ou need• >hat e;uipment and0or supplies do *ou need

• Do *ou need transport resources

• Document Identified 3eeds< Resources assigned form 2='E Resource re;uests messages on form 21E Actions ta:en to o%tain and utili!e resources form 21'E

Step 6! *etermine 'eeded eso#rces



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• >ho 9ill %e assigned to the units

• Fill in the assignments on form 2=' Assignment @ist

• Are there other %ranches that need acti.ated

Step 7! Iss#e Assignments



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• For the first )perational Period the Incident Action Plan should %edone 9ithin =B' minutes

• >hat ma:es up the Incident Action Plan

Form 2=1 B Incident /riefing

Form 2=2 B Incident )%-ecti.es Form 2= B Incident Assignments Form 2=' B /ranch Assignments Form 21A B Incident Action Plan Safet* Anal*sis

• $he Planning Section compiles the forms to create the Incident ActionPlans



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IAP 8#ic2 Start

• 3e9 form

• Can %e used for small incidents

• )r for a rapid start to a large incident andthen epand out on indi.idual HICS forms

• Great for smaller preBplanned e.ents


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IAP Cover S"eet

• Can %e used for the IAP uic: Start or fullIncident Action Plan forms

• Can ma:e different colors if *ou 9ant todifferentiate )perational Periods


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• Put *our acti.ities 0 plans into action

• >hat are some of these acti.ities

Step 9! Implement Actions



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• It is no9 1= 1( hrs into the incident

• $he gunman has released the 9oundedsecurit* guard( He has %een recei.ed in the,mergenc* Department(

• 3o other hostages ha.e %een released

• >hat are *our ma-or concerns

Scenario -pdate 1(


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• $o9ards the end of the operational period8 *ou 9illneed to e.aluate status

• Repeat steps 1B5

• "pdate the forms

• ,.aluate and0or update *our /ranch0Section)%-ecti.es

• $his creates *our Incident Action Plan game planEfor the net operational period

Step :! eassess + Adj#st Plans



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• It is no9 ' hours into the incident

• $he gunman has surrendered to la9

enforcement

• All hostages are released and safe

• >hat issues should %e considered

Scenario -pdate 1)


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>hat are things 9e need to remem%er to do

Share information

Reco.er* 0 Restoration After Action Report

Correcti.e Actions Plan

Ho; are ;e doing%


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8#estions%


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de.eloped %* the

California Hospital Association7s

Hospital Preparedness Program

999(calhospitalprepare(org

HICS Basics Part (

Application of

Incident Action Plan and Forms

Hostage/Barricade

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.. !epartment of Health " Human ervices Assistant ecretaryfor Preparedness " #esponse Hospital Preparedness Program and awarded by the California !epartment of Public Health. $o part of this course or its materials shall be

copied or utili%ed for monetary gain.


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IAP 8#ic2 Start

• 3e9 form

• Can %e used for small incidents

• )r for a rapid start to a large incident andthen epand out on indi.idual HICS forms

• Great for smaller preBplanned e.ents


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4

IAP Cover S"eet

• Can %e used for the IAP uic: Start or fullIncident Action Plan forms

• Can ma:e different colors if *ou 9ant todifferentiate )perational Periods

Hics Basics Part 2 Hostage

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Transcript of Hics Basics Part 2 Hostage