Maintain patient tracking Registration initiate patient HICS 254, registration forms Registration tracking on HICS 254 and submit copies to HCC every 10 minutes Provide continuity of care for Diversion discharge, diversion for ED patients ED for non incident related Rapid Discharge Case Management patients, discharge staging area Maintain communications with Provide Sheriff with HMNH Give Critical Incident kit to Security Branch Director healthcare and public safety response critical information law enforcement. HMNH 2 partners way radio on IC 1 channel, master key, maps/floor plans, location of security CCTV monitoring room, phone/contact list of key hospital personnel, location of HCC, copy of notification sent to staff Ensure the safety of patients, staff, Notification of patients and Traffic barriers, Security Branch and visitors visitors Coordinate the hospital response with See safety plan above HMNH radio channel for Security Branch the law enforcement incident Sheriff command system Traffic barriers and signage Security directing traffic Return to normal operations as Demobilization triggers may Communication to all unit All Unit Leaders quickly as possible include: leaders from the HCC that transition to normal Patient inflow has reached within operations will begin. 5%-10% of the day-to-day average Incident Commander Schedule a debrief Hospital no longer needs to transfer patients to other hospitals and can fully handle patient inflow internally Incident has stabilized and no additional incident-related patients are arriving at the hospital All remaining incident-related patients have been diverted to another facility PRINT NAME: ____________________________________________ SIGNATURE: ______________________________________________________ 7. Prepared by DATE/TIME: ______________________________________________ facility: _________________________________________________________
Maintain patient tracking Registration initiate patient tracking on HICS 254 and submit copies to HCC every 10 minutes HICS 254, registration forms Registration Provide continuity of care for patients Diversion Rapid Discharge discharge, diversion for ED for non incident related patients, discharge staging area ED Case Management Maintain communications with healthcare and public safety response partners Provide Sheriff with HMNH critical information Give Critical Incident kit to law enforcement. HMNH 2 way radio on IC 1 channel, master key, maps/floor plans, location of security CCTV monitoring room, phone/contact list of key hospital personnel, location of HCC, copy of notification sent to staff Security Branch Director Ensure the safety of patients, staff, and visitors Notification of patients and visitors Traffic barriers, Security Branch Coordinate the hospital response with the law enforcement incident command system See safety plan above HMNH radio channel for Sheriff Traffic barriers and signage Security directing traffic Security Branch Return to normal operations as quickly as possible Demobilization triggers may include: Patient inflow has reached within 5%-10% of the day-to-day average Hospital no longer needs to transfer patients to other hospitals and can fully handle patient inflow internally Incident has stabilized and no additional incident-related patients are arriving at the hospital All remaining incident-related patients have been diverted to another facility Communication to all unit leaders from the HCC that transition to normal operations will begin. Schedule a debrief All Unit Leaders Incident Commander 7. Prepared by PRINT NAME: ____________________________________________ DATE/TIME: ______________________________________________ SIGNATURE: ______________________________________________________ facility: _________________________________________________________
Sample_MCI_Incident_Action_Plan_IAP.docx