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Application ofIncident Action Plan andForms – Loss of Water

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 AssociationThis 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 becopied or utili%ed for monetary gain.

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• Demonstrate the Incident Action PlanningProcess

• 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 implementationof the Incident Action Planning process utili!ingHICS forms and the Incident Response Guides

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

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Incident Action Plannin

1( Assess the Situation

2( Set the )perational Period

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

'( Determine /ranch0Section )%-ecti.es

( Determine Strategies + $actics

( Determine 3eeded Resources

4( Issue Assignments5( Implement Actions

6( Reassess + Ad-ust Plans

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Scenario

• 7ithout 8arning9 the main 8ater suppl* line to thehospital %rea:s9 disrupting 8ater ser.ice to theentire facilit*

• $he hospital;s 8ater s*stems9 including pota%le8ater suppl* are nonno hospital flooding?

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• Ser.ices9 including food and radiolog* aredisrupted

• $oilets and hand 8ashing areas are notfunctioning and alternate methods must %epro.ided

• $ime@ 2• 7eather@ Clear9 5B F9 no 8inds

Scenario

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• 7ater has %een disrupted for 1 minutes

• $ime until repaired@ "n:no8n

Is this an incident7hat are *our first actions7ho 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.es7eather0en.ironmental implications for period

Step !" Assess t#e Sit$ation

Incident Action Plannin

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W#ic# Positions to Activate%

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Immediate &ime Period

Position Immediate

Intermediate

Extended

Recovery

Incident Commander X X X XPublic Information O cer X X X XLiaison O cer X X X XSafety O cer X X X X Operations Section Chief X X X XMedical Care Branch Director X X X XInfrastructure Branch Director X X X XSecurity Branch Director X X X X

Business Continuity BranchDirector

X

Patient Family ssistance BranchDir!

X

Planning Section Chief X X X X"esources #nit Leader X X X XSituation #nit Leader X X X XDocumentation #nit Leader X X XDemobili$ation #nit Leader X X

Logistics Section Chief X X X XSer%ice Branch Director X X X XSu&&ort Branch Director X X X X

Finance /AdministrationSection Chief

X X X X

'ime #nit Leader X X XProcurement #nit Leader X X XCom&ensation(Claims #nitLeader

X

Cost #nit Leader X X X

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• $he Incident Commander names theincident

• If the incident is a communit*e(g(9 count*9 cit*9 , S?

• $he incident name should %e documentedon all forms

'amin t#e Incident

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• 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

• Ho8 Euic:l* the situation is changing• An )perational Period %rea:s the incident do8n

into managea%le timeframes

Step (" Set t#e Operational Period

Incident Action Plannin

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1

• Identif* Command + Control )%-ecti.es >theseare the o.erarching o%-ecti.es that 8ill lastthroughout the 8hole response?

• HICS form 2 2@ Incident )%-ecti.es

Step )" *etermine Safety Priorities+ Incident Objectives

Incident Action Plannin

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,tili-e t#e Incident .esponse /$ide

Utility Loss:

Identify e)tent of outa*e and consider e%acuationMaintain &atient care ca&abilitiesMinimi$e im&act on hos&ital o&erations and clinicalser%icesCommunicate the situation status to &atients+ sta,+

and the &ublic

Control Objectives

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1

• It has %een minutes since the 8ater main%rea:

• $he hospital is onl* accessi%le to emergenc*.ehicles

Scenario ,pdate 0 !

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1

• Assess the Safet* issues

• 7hat ha!ards e ist and 8hat precautions need to%e ta:en

,nsure safe entr*0e it of essential personnel to and fromhospital

,nsure safet* of patients9 .isitors9 staff in non

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• Prepare a statement for the media

• Prepare a statement for the staff9 patients and.isitors >e(g(9 situation9 status9 safet*precautions9 ne t update time?

• $he statements need appro.al from the IncidentCommander

• Coordinate consistent messaging 8ith the ointInformation Center > IC? or 8ith la8enforcement PI)

Side 'ote"P$blic Information Officer &as1s

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• 7ho or 8hat entit* operates as the count* contact0 H)AC9and ho8 do *ou contact

• 7ho should %e notified of the situation

• 7ho should %e notified of hospital status /ed statusHo8

• 7ho is the source of resources in *our local plan >e(g(9local , S Department )perations Center9 PHD Department)perations Center9 Count*0Cit* ,mergenc* )perations

Center?• 3eeds should %e determined prior to the incident

Side 'ote"Liaison Officer

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• "tili!e HICS forms

• Form 21' < )perational =og

Side 'ote"*oc$mentin yo$r Actions

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• Document on HICS 2 ' Assignment =ist

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

• $hese are %ased on 8hat is desired to %eachie.ed %* the Section in that operationalperiod

• )%-ecti.es need to %e S AR$ >Simple9easura%le9 Achie.a%le9 Realistic9 $ime

Sensiti.e + $as: )riented?

Incident Action Plannin

Step 2" *etermine Branc#3Section Objectives

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• A common pro%lem during e ercises is thatSections0/ranches don;t de.elop theiro%-ecti.es promptl*

• Report top o%-ecti.es

Branc#3Section Objectives

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• Strategies + tactics are ho8 *our /ranch0Sectionis going to achie.e the o%-ecti.es

• 7hat actions do *ou need to ta:e

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

• Record strategies + tactics on form 2 ' /ranch Assignment =ist

Incident Action PlanninStep 4" *etermine Strate ies + &actics

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• 7hat eEuipment and0or supplies do *ou need

• 7hat personnel resources do *ou need

• Do *ou need transport resources

• Document resource acti.ities@ Resources assigned >form 2 '? Resource reEuests >form 21 ? Actions ta:en to utili!e and o%tain resources >form 21'?

Step 5" *etermine 'eeded .eso$rces

Incident Action Plannin

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• 7ho 8ill %e assigned to the units

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

• Are there other %ranches that need acti.ated

Step 6" Iss$e Assi nments

Incident Action Plannin

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• For the first )perational Period the Incident Action Plan should %e

done 8ithin

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IAP 7$ic1 Start

• 3e8 form

• Can %e used for small incidents

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

• Great for smaller pre

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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 8ant todifferentiate )perational Periods

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• Put *our acti.ities 0 plans into action

• 7hat are some of these acti.ities

Step 8" Implement Actions

Incident Action Plannin

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• It is no8 1( hrs into the incident

• "tilit* 8or:ers e pect to repair the damage andrestore 8ater ser.ice to the hospital 8ithin 1 12 hours

• 7hat are *our ma-or concerns

Scenario ,pdate 0(

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• $o8ards the end of the operational period9 *ou 8illneed to e.aluate status

• Repeat steps 1

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1

• It is no8 ' hours into the incident

• "tilit* repair personnel ha.e encountered

complications and report 8ater ma* not %erestored for da*s

• 7hat issues should %e considered

Scenario ,pdate 0)

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7hat are things 8e need to remem%er to doShare information

Reco.er* 0 Restoration After Action ReportCorrecti.e Actions Plan

Ho: are :e doin %

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7$estions%

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de.eloped %* theCalifornia Hospital Association;sHospital Preparedness Program

888(calhospitalprepare(org

HICS Basics Part (Application of

Incident Action Plan and FormsLoss of Water

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 ecretaryf P d " # H it l P d P d d d b th C lif i ! t t f P bli H lth $ t f thi it t i l h ll b