Authority Anticipated Definition/ Activation Level to HICS Notifications Parameters Activate Activation An actual situation or event that is having a moderate unusual Incident impact on facility operations. Commander Operations Emergency Department and Clinical Factors Section Chief 20 actual patients, or 5 patients Administrator on Call Patients from single Logistics requiring immediate ICU or OR Emergency Department event Section Chief services Charge Nurse Command Staff ED waiting time Greater than 8 hours Emergency Liaison Management Increase in ED Greater than 100 percent above Officer Coordinator 3 patient census normal over 8 hours Safety Environmental Services Increase in Officer 11-30 patients admitted above Supervisor census licensed bed count Public Facilities Engineering (surge) Information Supervisor Logistical Factors Officer Health System or Physical plant or utility disruption Medical / Incident Network EOC affecting a major or mission-critical Technical Commander Nursing Office Facilities area or system, or affecting general Specialists Safety Officer operations as needed Security Supervisor Moderate Planning 25 percent of staff not available for Staff Telecommunications Section Chief duty Impact Other departments/ as needed Actual or projected supply shortage of units/managers as Supplies/ Finance/ critical items, or 24 hours supply conditions warrant Materiel Administration remaining of critical items Local government/ Section Chief Need for vertical evacuation of public safety/ public as needed Internal occupancy patients/visitors/staff from one floor of health / EOC (if Branches / a building services, support, or divisions / information needed) groups / units / Level 2 event lasting greater than 8 individual Event duration hours resources as needed Recommended Resources IN ADDITION TO LEVEL 2 RESOURCES Actions Assess initial and ongoing need for medical specialists and use as needed Activate alternate care sites within the facility and overflow
Activation Level Definition/ Parameters Authority to Activate Anticipated HICS Activation Notifications 3 Moderate Impact An actual situation or event that is having a moderate unusual impact on facility operations. Incident Commander Incident Commander Operations Section Chief Logistics Section Chief Command Staff Liaison Officer Safety Officer Public Information Officer Medical / Technical Specialists as needed Planning Section Chief as needed Finance/ Administration Section Chief as needed 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 20 actual patients, or 5 patients requiring immediate ICU or OR services ED waiting time Greater than 8 hours Increase in ED patient census Greater than 100 percent above normal over 8 hours Increase in census (surge) 11-30 patients admitted above licensed bed count Logistical Factors Facilities Physical plant or utility disruption affecting a major or mission-critical area or system, or affecting general operations Staff 25 percent of staff not available for duty Supplies/ Materiel Actual or projected supply shortage of critical items, or 24 hours supply remaining of critical items Internal occupancy Need for vertical evacuation of patients/visitors/staff from one floor of a building Event duration Level 2 event lasting greater than 8 hours Recommended Resources IN ADDITION TO LEVEL 2 RESOURCES Assess initial and ongoing need for medical specialists and use as needed Actions Activate alternate care sites within the facility and overflow
Final-Hospital-Surge-Plan-Checklist-and-Resources-5-28.docx