Definition/ Authority to Anticipated Activation Level Notifications Parameters Activate HICS Activation An actual situation or event that is having a minor unusual impact on facility operations. Administrator on Call Assigned as Emergency Department and Clinical Factors Emergency Department needed 10 actual patients, or 3 patients Charge Nurse Patients from single requiring immediate ICU or OR Emergency event Incident services Management 2 Commander ED waiting time Greater than 4 hours Coordinator Operations Increase in ED Greater than 50 percent above normal Environmental Services Section Chief patient census over 8 hours Supervisor Command Increase in Facilities Engineering 1-10 patients admitted above licensed Staff as census Supervisor bed count needed (surge) Health System or Liaison Incident Network EOC Logistical Factors Officer Commander Nursing Office Physical plant or utility disruption that Safety Minor Safety Officer is limited, contained, and/or has a Officer Security Supervisor Facilities minor impact on operations (e.g., a Public Telecommunications partial system failure; failure of a Information Impact Other departments/ system) Officer units/managers as 15 percent of staff not available for Branches / Staff conditions warrant duty divisions / Local government/ groups / units / Actual or projected supply shortage of public safety/ public individual Supplies/Materiel non-critical items, or 48 hours supply health / EOC (if resources as remaining of critical items services, support, or needed Need for horizontal evacuation of information needed) Internal occupancy patients/visitors/staff from an area of a building Recommended Resources Actions Hospital Beds Activate medical surge plans, procedures and protocols Additional Clinical Staff Consider early discharge of in-patients Bed Management staff to provide tracking and movement of patients Mobilize non-medical support staff (Activate Labor Pool)
Activation Level Definition/ Parameters Authority to Activate Anticipated HICS Activation Notifications 2 Minor Impact An actual situation or event that is having a minor unusual impact on facility operations. Incident Commander Assigned as needed Incident Commander Operations Section Chief Command Staff as needed Liaison Officer Safety Officer Public Information Officer Branches / divisions / groups / units / individual resources as needed Administrator on Call Emergency Department Charge Nurse Emergency Management Coordinator Environmental Services Supervisor Facilities Engineering Supervisor Health System or Network EOC Nursing Office Safety Officer Security Supervisor Telecommunications Other departments/ units/managers as conditions warrant Local government/ public safety/ public health / EOC (if services, support, or information needed) Emergency Department and Clinical Factors Patients from single event 10 actual patients, or 3 patients requiring immediate ICU or OR services ED waiting time Greater than 4 hours Increase in ED patient census Greater than 50 percent above normal over 8 hours Increase in census (surge) 1-10 patients admitted above licensed bed count Logistical Factors Facilities Physical plant or utility disruption that is limited, contained, and/or has a minor impact on operations (e.g., a partial system failure; failure of a system) Staff 15 percent of staff not available for duty Supplies/Materiel Actual or projected supply shortage of non-critical items, or 48 hours supply remaining of critical items Internal occupancy Need for horizontal evacuation of patients/visitors/staff from an area of a building Recommended Resources Hospital Beds Additional Clinical Staff Bed Management staff to provide tracking and movement of patients Mobilize non-medical support staff (Activate Labor Pool) Actions Activate medical surge plans, procedures and protocols Consider early discharge of in-patients
Final-Hospital-Surge-Plan-Checklist-and-Resources-5-28.docx