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Date: Start: End: Position Assigned to: Initial: Position Reports to: Situation Unit Leader Signature: Hospital Command Center (HCC) Location: Telephone: Fax: Other Contact Info: Radio Title: Immediate (Operational Period 0-2 Hours)TimeInitialReceive appointment and briefing from the Situation Unit Leader. Read this entire Job Action Sheet and review incident management team chart (HICS Form 207). Put on position identification.Notify your usual supervisor of your HICS assignment.Document all key activities, actions, and decisions in an Operational Log (HICS Form 214) on a continual basis.Appoint Patient Tracking team members and complete the Branch Assignment List (HICS Form 204). Brief team members on current situation; outline team action plan and designate time for next briefing.Obtain current in-patient census from Admitting personnel and/or other sources. Implement a system, using the Disaster/Victim Patient Tracking Form (HICS Form 254)?to track and display patient arrivals, discharges, transfers, locations and dispositions. Initiate the Hospital Casualty/Fatality Report (HICS Form 259), in conjunction with Operations Section?s Patient Registration Unit Leader.Determine patient/victim tracking mechanism utilized by field providers and establish method to ensure integration and continuity with hospital patient tracking systems.If evacuation of the facility is required or is in progress, initiate the Master Patient Evacuation Tracking Sheet (HICS Form 255).Contact the Situation Unit Leader and Labor Pool & Credentialing Unit Leader for additional staffing. 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)TimeInitialMeet regularly with Public Information Officer, Liaison Officer and Patient Registration Unit Leader to update and exchange patient tracking information (within HIPAA and local guidelines) and census data.Track patient movement outside of the facility with local authorities and other health systems through Liaison Officer and Staging Manager.?Continue to track and display patient location and time of arrival for all patients; regularly report status to the Situation Unit Leader. Develop and submit an action plan to the Situation Unit Leader when requested.Advise the Situation Unit Leader immediately of any operational issue you are not able to correct or resolve.Extended (Operational Period Beyond 12 Hours)TimeInitialContinue to monitor the Patient Tracking team?s ability to meet workload demands, staff health and safety, resource needs, and documentation practices.Ensure your physical readiness through proper nutrition, water intake, rest, and stress management techniques.Observe all staff and volunteers for signs of stress and inappropriate behavior. Report concerns to appropriate Employee Health & Well Being Unit Leader. Provide for staff rest periods and relief.Upon shift change, brief your replacement on the status of all ongoing operations, issues, and other relevant incident information.Demobilization/System RecoveryTimeInitialAs needs for the Patient Tracking staff decrease, return staff to their usual jobs and combine or deactivate positions in a phased manner.Compile and finalize the Disaster/Victim Patient Tracking Form (HICS Form 254) and submit copies to the Finance/Administration Section Chief for patient billing/collections. Ensure return/retrieval of equipment and supplies and return all assigned incident command equipment.If IT systems were offline due to the incident, assure appropriate information from Disaster/Victim Patient Tracking Form (HICS Form 254) is transferred into the normal patient tracking systems.Debrief staff on lessons learned and procedural/equipment changes needed.Upon deactivation of your position, ensure all documentation and Operational Logs (HICS Form 214) are submitted to the Situation Unit Leader or Planning Section Chief, as appropriate.Upon deactivation of your position, brief the Situation Unit Leader or Planning Section Chief, as appropriate, on current problems, outstanding issues, and follow-up requirements.Submit comments to the Situation Unit Leader for discussion and possible inclusion in the after-action report; topics include:Review of pertinent position descriptions and operational checklistsRecommendations for procedure changesSection accomplishments and issuesParticipate in stress management and after-action debriefings. 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