emergency care facilities to manage hospital surge capacity Ensure adequacy of medical equipment and supplies for restocking supplies and equipment requested Complete early discharges Consider transfer of some patients to other facilities. Authority Anticipated Definition/ Activation Level to HICS Notifications Parameters Activate Activation An actual situation or event that is having a major unusual Incident impact on facility operations. Commander Operations Emergency Department and Clinical Factors Administrator on Call Section Chief Patients from single Emergency Department 50 actual patients Logistics event Charge Nurse Section Chief ED waiting time Greater than 12 hours Emergency Planning Increase in ED Greater than 200 percent above Management Section Chief patient census normal over 8 hours Coordinator 4 Finance/ Increase in Environmental Services 31-50 patients admitted above Administration census Supervisor licensed bed count Section Chief (surge) Facilities Engineering Command Staff Supervisor Incident Logistical Factors Liaison Physical plant or utility disruption Commander, Health System or Facilities Officer affecting multiple areas or systems in Network EOC Safety consultation 40 percent of staff not available for Nursing Office Staff Officer with duty Safety Officer Public hospital CEO Supplies/ Security Supervisor Major Critical shortage of essential items Information Materiel Telecommunications Officer Complete evacuation of a patient care Impact Other departments/ Internal occupancy Medical / building units/managers as Technical conditions warrant Specialists Local government/ as needed public safety/ public Branches / health / EOC (if Level 3 event lasting greater than 24 divisions / Event duration services, support, or hours groups / units / information needed) individual resources as needed
Ensure adequacy of medical equipment and supplies for restocking supplies and equipment requested emergency care facilities to manage hospital surge capacity Complete early discharges Consider transfer of some patients to other facilities. Activation Level Definition/ Parameters Authority to Activate Anticipated HICS Activation Notifications 4 Major Impact An actual situation or event that is having a major unusual impact on facility operations. Incident Commander, in consultation with hospital CEO Incident Commander Operations Section Chief Logistics Section Chief Planning Section Chief Finance/ Administration Section Chief Command Staff Liaison Officer Safety Officer Public Information Officer Medical / Technical Specialists 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 50 actual patients ED waiting time Greater than 12 hours Increase in ED patient census Greater than 200 percent above normal over 8 hours Increase in census (surge) 31-50 patients admitted above licensed bed count Logistical Factors Facilities Physical plant or utility disruption affecting multiple areas or systems Staff 40 percent of staff not available for duty Supplies/ Materiel Critical shortage of essential items Internal occupancy Complete evacuation of a patient care building Event duration Level 3 event lasting greater than 24 hours
Final-Hospital-Surge-Plan-Checklist-and-Resources-5-28.docx