??ࡱ?>?? ??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? ??]-bjbjcTcT .?>>?$????????????ggg????{{{8?,?T{'Jt33III?:?\'0zI|I|I|I|I|I|I?K?=Nl|Ig1%QQ@1%1%|I??II?I"?)?)?)1%??I?RIzI?)1%zI?)?)zF?E"?HI?????????{?&^FGfI?It'J`G??N'??N4?H?Ng?H?Wm4?)? ?e"?WWW|I|I?(?WWW'J1%1%1%1%?????????????????????????????????????????????????????????????????????NWWWWWWWWW? ?: INCIDENT COMMANDERMission: Organize and direct the Hospital Command Center (HCC). Give overall strategic direction for hospital incident management and support activities, including emergency response and recovery. Authorize total facility evacuation if warranted.Date: Start: End: Position Assigned to: Signature: Initial: Hospital Command Center (HCC) Location: Telephone: Fax: Other Contact Info: Radio Title: Immediate (Operational Period 0-2 Hours)TimeInitialAssume role of Incident Commander and activate the Hospital Incident Command System (HICS).Read this entire Job Action Sheet and put on position identification.Notify your usual supervisor and the hospital CEO, or designee, of the incident, activation of HICS and your HICS assignment.Initiate the Incident Briefing Form (HICS Form 201) and include the following information:Nature of the problem (incident type, victim count, injury/illness type, etc.)Safety of staff, patients and visitorsRisks to personnel and need for protective equipmentRisks to the facilityNeed for decontaminationEstimated duration of incidentNeed for modifying daily operationsHICS team required to manage the incidentNeed to open up the HCCOverall community response actions being takenStatus of local, county, and state Emergency Operations Centers (EOC)Contact hospital operator and initiate hospital?s emergency operations plan.Determine need for and appropriately appoint Command Staff and Section Chiefs, or Branch/Unit/Team leaders and Medical/Technical Specialists as needed; distribute corresponding Job Action Sheets and position identification. Assign or complete the Branch Assignment List (HICS Form 204), as appropriate. Brief all appointed staff of the nature of the problem, immediate critical issues and initial plan of action. Designate time for next briefing.Assign one of more clerical personnel from current staffing or make a request for staff to the Labor Pool and Credentialing Unit Leader, if activated, to function as the HCC recorder(s). Distribute the Section Personnel Time Sheet (HICS Form 252) to Command Staff and Medical/Technical Specialist assigned to Command, and ensure time is recorded appropriately. Submit the Section Personnel Time Sheet to the Finance/Administration Section?s Time Unit Leader at the completion of a shift or at the end of each operational period. Initiate the Incident Action Plan Safety Analysis (HICS Form 261) to document hazards and define mitigation. Receive status reports from and develop an Incident Action Plan with Section Chiefs and Command Staff to determine appropriate response and recovery levels. During initial briefing/status reports, discover the following:If applicable, receive initial facility damage survey report from Logistics Section Chief and evaluate the need for evacuation.If applicable, obtain patient census and status from Planning Section Chief, and request a hospital-wide projection report for 4, 8, 12, 24 & 48 hours from time of incident onset. Adjust projections as necessary.Identify the operational period and HCC shift change.If additional beds are needed, authorize a patient prioritization assessment for the purposes of designating appropriate early discharge.Ensure that appropriate contact with outside agencies has been established and facility status and resource information provided through the Liaison Officer.Seek information from Section Chiefs regarding current ?on-hand? resources of medical equipment, supplies, medications, food, and water as indicated by the incident.Review security and facility surge capacity and capability plans as appropriate.Document all key activities, actions, and decisions in an Operational Log (HICS Form 214) on a continual basis.Document all communications (internal and external) on an Incident Message Form (HICS Form 213). Provide a copy of the Incident Message Form to the Documentation Unit.Intermediate (Operational Period 2-12 Hours)TimeInitialAuthorize resources as needed or requested by Command Staff.Designate regular briefings with Command Staff/Section Chiefs to identify and plan for: Update of current situation/response and status of other area hospitals, emergency management/local emergency operation centers, and public health officials and other community response agenciesDeploying a Liaison Officer to local EOC Deploying a PIO to the local Joint Information CenterCritical facility and patient care issuesHospital operational support issuesRisk communication and situation updates to staffImplementation of hospital surge capacity and capability plansEnsure patient tracking system established and linked with appropriate outside agencies and/or local EOCFamily Support Center operationsPublic information, risk communication and education needsAppropriate use and activation of safety practices and proceduresEnhanced staff protection measures as appropriatePublic information and education needsMedia relations and briefingsStaff and family supportDevelopment, review, and/or revision of the Incident Action Plan, or elements of the Incident Action PlanOversee and approve revision of the Incident Action Plan developed by the Planning Section Chief. Ensure that the approved plan is communicated to all Command Staff and Section Chiefs.Communicate facility and incident status and the Incident Action Plan to CEO or designee, or to other executives and/or Board of Directors members on a need-to-know basis.Extended (Operational Period Beyond 12 Hours)TimeInitialEnsure staff, patient, and media briefings are being conducted regularly.Review and revise the Incident Action Plan Safety Analysis (HICS Form 261) and implement correction or mitigation strategies. Evaluate/re-evaluate need for deploying a Liaison Officer to the local EOC.Evaluate/re-evaluate need for deploying a PIO to the local Joint Information Center.Ensure incident action planning for each operational period and a reporting of the Incident Action Plan at each shift change and briefing. Evaluate overall hospital operational status, and ensure critical issues are addressed.Review /revise the Incident Action Plan with the Planning Section Chief for each operational period.Ensure continued communications with local, regional, and state response coordination centers and other HCCs through the Liaison Officer and others.Ensure your physical readiness, and that of the Command Staff and Section Chiefs, through proper nutrition, water intake, rest periods and relief, and stress management techniques.Observe all staff and volunteers for signs of stress and inappropriate behavior. Report concerns to the Employee Health & Well-Being Unit Leader. Upon shift change, brief your replacement on the status of all ongoing operations, critical issues, relevant incident information and Incident Action Plan for the next operational period.Demobilization/System RecoveryTimeInitialAssess the plan developed by the Demobilization Unit Leader and approved by the Planning Section Chief for the gradual demobilization of the HCC and emergency operations according to the progression of the incident and facility/hospital status. Demobilize positions in the HCC and return personnel to their normal jobs as appropriate until the incident is resolved and there is a return to normal operations. Briefing staff, administration, and Board of DirectorsApprove announcement of ?ALL CLEAR? when incident is no longer a critical safety threat or can be managed using normal hospital operationsEnsure outside agencies are aware of status changeDeclare hospital/facility safetyEnsure demobilization of the HCC and restocking of supplies, as appropriate including:Return of borrowed equipment to appropriate locationReplacement of broken or lost itemsCleaning of HCC and facilityRestock of HCC supplies and equipment;Environmental clean-up as warrantedEnsure that after-action activities are coordinated and completed including:Collection of all HCC documentation by the Planning Section ChiefCoordination and submission of response and recovery costs, and reimbursement documentation by the Finance/Administration and Planning Section ChiefsConduct of staff debriefings to identify accomplishments, response and improvement issuesIdentify needed revisions to the Emergency Management Plan, Emergency Operations Plan, Job Action Sheets, operational procedures, records, and/or other related itemsWriting the facility/hospital After Action Report and Improvement PlanParticipation in external (community and governmental) meetings and other post-incident discussion and after-action activitiesPost-incident media briefings and facility/hospital status updatesPost-incident public education and informationStress management activities and services for staffDocuments/ToolsIncident Action PlanHICS Form 201 ? Incident Briefing FormHICS Form 204 ? Branch Assignment ListHICS Form 207 ? Incident Management Team ChartHICS Form 213 ? Incident Message FormHICS Form 214 ? Operational LogHICS Form 252 ? Section Personnel Time SheetHICS Form 261 ? Incident Action Plan Safety AnalysisHospital emergency operations plan Hospital organization chartHospital telephone directoryRadio/satellite phoneJob Action Sheet Command INCIDENT COMMANDER Page  PAGE 1 August 2006Job Action Sheet COMMAND August 2006  ? ? ? ? ? ? W X ? ? ! " ST????????Ŷ?????pbVPVPVPVPVPC?Ch?10h?gWCJ^JaJ h?gW^Jh?gW@???CJ^JaJhu#?h?gW5?CJ^JaJhN ah?gW5?@???CJ^JaJhu#?h?gW5?@???CJ^JaJh2j?h?gWCJ^JaJh2j?h?gW@???CJ^JaJh?gWCJ^JaJhp?h?gW@???CJ^JaJh?gW@???CJ^JaJh?gWCJ^JaJh?gW5?CJ^JaJh?6Ah?gW;?CJaJh?gW@? 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