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DMC Incident Command System

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DMC Corporate Audit and Compliance DepartmentDetroit Medical Center©Revised: January, 2010

Incident Command System for Hospitals


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Objectives

In this module you will learn about:

The Incident Command System in hospitals.

The reasons why we use the Incident Command System.

The management functions of the Incident Command System.

When the Incident Command System is used.


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The Incident Command System (ICS) is a structured system to manage all emergencies. It is used to assist hospital operations during a time of crisis.

The ICS provides a means of organizing and using staff, resources and communications.

Introduction to the Incident Command System (ICS)


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Introduction to the ICS

The DMC has adopted an Incident Command System to manage all emergency situations that may occur in our hospitals and facilities.

CODE REDCODE BLACK CODE YELLOW

CODE ORANGECODE VIOLET


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Why Does the DMC Use the Incident Command System?

The ICS provides for: A dependable Chain of Command

An orderly ranking of management positions

A clear lines of authority and supervision


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Communications

Because the Incident Command System is used by police and fire departments, it provides us with a common management system for communicating with response agencies.


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A Brief History of the ICS

In the 1980's local, State and Federal agencies worked together to develop a common organizational system that fire protection agencies could use in response to a very large event, as well as smaller day-to-day events. This process, known as Firescope, is utilized by most fire departments.

The DMC ICS incorporates many elements of Firescope.


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When Is ICS Used?

Incident Command can be applied in a wide variety of emergency and non-emergency situations such as: Tornados Mass casualty incidents, such as a plane crash Fire Bomb threats HAZMAT spills Acts of domestic terrorism

It can also be used in large planned events, like the Detroit Auto Show.


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The Five Primary ICS Management Functions

OperationsOperationsOperationsOperations

PlanningPlanningPlanningPlanning

LogisticsLogisticsLogisticsLogistics

FinanceFinanceFinanceFinance

CommandCommandCommandCommand


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Organizational Chart

This chart represents the paths of authority and communication for ICS

Safety O fficer Liaison Officer

Public Inform ation O fficer

Logistics Chief P lanning Chief Finance Chief O perations Chief

Incident Com m ander





Management Team


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The Incident Commander Has Overall Responsibility










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Command Function: Safety Officer









Safety Officer

Anticipates, detects, and corrects unsafe situations

Has the emergency authority to stop unsafe acts


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Command Function: Public Information Officer









Public Information Officer

The central person for information dissemination


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Command Function: Public Information Officer









Liaison Officer

The contact person for representatives of assisting and cooperating agencies


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Logistics Function









Logistics Chief

Maintains levels of food, shelter and supplies to support the medical objectives


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Planning Function









Planning Chief

Prepares Action Plan and Situation Status

Information collection, evaluation, distribution


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Finance Function









Finance Chief

Tracks all costs

Arranges for staff and resources and monitors their use


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Operations Function

Coordinates and manages operations

Plans and projects patient care needs

Incident Commander

Safety Officer Liaison Officer

Public Information Officer

Logistics Chief Planning Chief Finance Chief Operations ChiefOperations Chief


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Public Inform ation Officer

Logistics Chief P lanning Chief Finance Chief Operations Chief



Public Inform ation Officer

Logistics Chief P lanning Chief Finance Chief Operations Chief


Extended Organizational Structure

Depending on the size and type of incident or event, additional positions can be added under each section as needed.


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Job Action Sheets

Job Action Sheets are a checklist of tasks that the assigned person will perform. This makes it easy for anyone to assume that role and perform the necessary duties.

These sheets are found in the Emergency Command Center.

The Job Action Sheets are distributed by the Incident Commander, or Section Chief, and immediate supervisors.

ICS Action Plan

1.

2.

3.

ICS Action Plan

1.

2.

3.

ICS Action Plan

1.

2.

3.

ICS Action Plan

1.

2.

3.


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Job Action Sheets

Each of the positions found on the organizational chart has a prioritized Job Action Sheet that describes the important duties of each role.

Every Job Action Sheet begins with the job title, the supervising officer and a mission statement to define the position responsibility.

ICS Action Plan

1.

2.

3.

ICS Action Plan

1.

2.

3.

ICS Action Plan

1.

2.

3.

ICS Action Plan

1.

2.

3.


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Crosswalk Job Titles

Job titles in ICS are matched, or cross-walked, to the most similar position in the hospital.

Staff assume a position in the ICS

that is similar to their usual job.

These sheets are found in the Emergency Command Center.

For example, the position of Facility Unit Leader could be filled by the DMC position of Site Manager, Facility Services. The Incident Commander may be filled by the Hospital President, if available.

D a m ag e A sse ssm e nt a n d C o ntro l O ff ice r

S a n ita tio n S ys tem s O ffice r

Facility Unit LeaderSite Manager, Facility Engineering and Construction

L o g is tics C h ie f

Incident Com m anderHospital President


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Crosswalk Job Titles

Nutritional Supply Unit Leader

Position Assigned to:

You Report to:

=

DMC Emergency Department Triage RN

DMC Director, Food & Nutrition Services

=

Triage Unit Leader

Mission: Organize food and water stores for preparation and rationing during periods of anticipated or actualshortage.

Immediate: Estimate the number of meals which can be served utilizing existing food stores; implement rationing, if situation dictates.

Intermediate:

Extended:

Mission: Sort casualties according toPriority of injuries and assure their Disposition to the proper treatmentArea.

Immediate: Establish patient TriageArea; consult with Transportation UnitLeader to designate the ambulance Off-loading area.

Assist the In-patient Area SupervisorWith triage of internal hospital patients;If requested by Treatment Area”s Supervisor.

Intermediate:=


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A disaster that occurs when staff is at a minimum, such as in the early morning hours, would only allow minimum activation of the ICS.

Safety O fficer

Operations Chief


Safety O fficer

Operations Chief


Flexibility of Response


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A larger incident or when more staff is available would allow for more staff to be involved in the incident.


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A person might be required to perform more than one job until more staff arrives.


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Documentation Forms

\

Standardized documentation forms assist in the documentation of all activities, and help with financial tracking and resource recovery.

ICS Action Plan1.

2.

3.

Patient Tracking Sheet

Activity Log


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DMC ISC Summary

The DMC has adopted the Incident Command System because it provides for:

Clear lines of authority and supervision

Improved communication with other agencies, like fire, EMS and police


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DMC ISC Summary

Important features of the Incident Command System include:

The Organizational Chart

Job Action Sheets

Documentation Forms

Incident Command System provides for: Flexibility in response based on the size of the event.

Job titles that will closely match your usual job.


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Your Role in the DMC ICS

The success of our response to a disaster is dependent on everybody playing their role.

Information on the DMC Incident Command System can be found in your Environment of Care Manual, Policy EC 42.

Information on your specific roles/responsibilities can be found in your site’s emergency plans also located in the Environment of Care Manual.

Contact your site safety officer if you have any questions.


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Thank You

We hope this NetLearning course has been both informative and helpful. Please feel free to review this course until you are confident about your knowledge of the material presented.

Click the Take Test button, located on the left side of the screen, to complete the requirements for this course.

For future reference this module is available on the NetLearning Library under the 2010 Core Compliance category. The NetLearning Library link is found on the DMC Intraweb screen under the NetLearning drop-down list.

dmc incident command system page 1 of 31 dmc corporate audit and compliance department detroit...

Documents

command function

dmc ics

structured system

incident commander

common management system

dependable chain of

common organizational

ics management team