County MCI Plan - Oswego County EMS

Oswego County

EMS

Multiple-Casualty

Incident Plan

Revised December 2013

2

IF this is an actual MCI

THEN go directly to the checklist section on page 14.

3

Index

1. Purpose…………………………………………………………………………………………………………………………… 4

2. Objectives……………………………………………………………………………………………………………………… 4

3. Responsibilities……………………………………………………………………………………………………………… 4

4. Incident Phases…………………………………………………………………………………………………………….. 5

5. Operational Concepts……………………………………………………………………………………………………. 7

6. Approvals…………………………………………………………………………………………………………………………12

Checklists……………………………………………………………………………………………………………………………… 14

4

1. Purpose

The intent of the Plan is to provide for effective Multi-Casualty Incident (MCI) response within

Oswego County.

2. Objectives

Establish a common organizational management structure for the coordination of

emergency response to a MCI

Establish a dynamic emergency medical response capability

Establish triage, care and transportation methods that will ensure the survival of the

greatest number of casualties

3. Responsibilities

3.1. EMS

Establishing and maintaining communication with the Resource Hospital

Patient Triage

Patient Transportation

Patient care management

3.2. Fire Service

Incident Command (IC) (provide IC or participate in unified command)

Patient Triage

Patient care management

Organization and coordination of rescue efforts

Hazard control (safety)

Disentanglement and extrication

Fire suppression

Helispot coordination (aircraft)

3.3. E911 Center

Initial dispatch of medical resources and personnel

Maintenance of normal day-to-day EMS response

Ambulance dispatch to incident, zone coverage

Ambulance mutual aid

Oswego County EMS MCI Plan (revised December 2013) 5

3.4. Law Enforcement

Incident Command (participate in unified command)

Scene protection and security

Investigation

Traffic control

3.5. Resource Hospital

Hospital availability determination

Communication with the on scene EMS personnel

Planning for patient distribution with EMS scene command and receiving hospitals

Patient identification/location coordination

3.6. Receiving Hospitals

Advise coordinating Resource Hospital of availabilities and capabilities

Provide definitive patient medical care

Assist the Resource Hospital with patient identification

4. Incident Phases

4.1. Initial Response

Possible MCI occurs and is reported to County E911 Center

E911 dispatches first responder(s) (EMS, Law and Fire)

4.2. Activation of the Plan

4.2.1. First EMS responder on the scene

Establishes Incident Command

Identifies hazards and ensures scene safety

Determines number of patients

Declares and MCI if appropriate

Notifies E911 of the number of patients

Begins triage

4.2.2. E911 notifies additional responding units of:

Incident description including number of patients

Incident location and/or staging area and best access routes

Incident name and tactical frequency(s), if assigned

Unusual circumstances/hazardous conditions


4.2.3. E911

Sends additional ambulances

Notifies other ambulance providers and helicopters as needed

Performs move-up coverage as needed

4.2.4. First In Ambulance at the scene (2 people)

Assumes roles of EMS Operations and Triage Officer (unless already filled)

Notifies Resource Hospital of MCI including location, description of incident, and

number of patients

Ensures that triage is underway

Maintains communication with the Resource Hospital and updates them with the

number of patients and triage category

Receives report on hospital resource availability from Resource Hospital.

In coordination with the Resource Hospital directs patient destination(s)

Leaves the scene only after notifying the Incident Commander and Resource Hospital

and all patients have been transported or the functions of EMS Operations and Triage

Branch Director are transferred to another qualified party

4.2.5. Resource Hospital

Assesses in-house capability and activates internal emergency plans, if appropriate

Polls closest potential receiving hospitals and trauma centers both in and out of county,

if necessary

Advises EMS Operations at the incident scene of receiving facility patient capabilities

In coordination with the EMS Operations, determine patient destination

Contact receiving facilities with number and type of patients they are to receive and

their estimated arrival time

4.2.6. Transporting Ambulances

Report to Transportation Branch Director or Staging Director

Crews stay with their ambulance and assist with loading unless otherwise directed

Off load supplies that are not needed during patient transport for use in treatment

areas if requested

Transport patients to destination as specified by the Transportation Branch Director

Provide patient care during transport

Avoid contacting receiving hospital via radio unless significant patient change warrants it


4.3. Deactivation

The Incident Commander terminates the MCI and notifies E911

The EMS Operations notifies base hospital that the incident is terminated

Review of the Incident

An After Action Review is a scheduled meeting called to evaluate the actions,

accomplishments, and difficulties encountered by the MCI participants. It

should be held for any MCI that involves multiple agencies

The review is normally organized by the Incident Commander’s agency, but it

may also be conducted by the County EMS Coordinator

The review should be held within 5 days of the incident

If a Critical Incident Stress Debriefing is being conducted, it should occur before

the review

Findings of the review should be sent to all participants

Individual department/company policies as well as the MCI Plan should be

evaluated and amended as appropriate to reflect recommendations made

subsequent to the MCI review

Recommendations for changes to the MCI Plan should be sent to the Oswego

County EMS Coordinator

5. Operational Concepts

5.1. Introduction

The Operational Concepts section of this Plan covers incident authority, Incident

Command System utilization, medical operations, and communications

5.2. Organization and Command

MCIs shall be managed by using the National Incident Management System (NIMS)

5.3. Jurisdictional Authority

Ultimately the incident authority will lie with the agency or jurisdiction that has

response responsibility as established via the processes found in New York State

Health Law Article 30. Until that agency is present and has assumed the role of

incident command, it is the responsibility of those agencies on scene to take

command and mitigate the incident.


5.4. Unified Command

When the incident is multi-jurisdictional or when the scope of the functional areas of

responsibility exceed that of a single agency, a unified command structure or a

mutually agreed upon command structure may be used. The command structure

must adequately reflect the policy and needs of all the participating agencies and

shall be established in accordance with NIMS concepts.

5.5. Incident Commander

The individual serving as the Incident Commander will generally be the highest

ranking officer from EMS, Law Enforcement or Fire having jurisdictional authority.

The type of incident should determine the choice of what agency will provide the

incident commander.

5.6. Agency Liaison

When the MCI Plan has been implemented to assist an industrial, commercial,

educational or government facility or other large entity, a representative from that

entity shall function as agency liaison at the Command Post.

5.7. Incident Expandability

The degree and level of implementation of the ICS-MCI module will be determined

by the Incident Commander based on the scope of the incident and the availability of

staff.

5.8. Establish Command

The first arriving unit of any agency having jurisdictional or functional authority shall

establish the Incident Command by designating the Incident Commander (IC) until

the role can be relinquished to a more qualified individual.

5.9. Medical Operations

ALS and BLS providers have responsibility and authority for individual patient

management under the authority of the New York State Health Law Article 30.

5.10 Medical Triage

All MCI patients shall be initially evaluated using the START method of medical triage.

(See Triage Protocols and Procedures) Primary triage needs to be completed as soon

as possible so that a more reliable number of total patients and their status

categories will be available.


5.10. Treatment Areas

Once primary triage is completed, patients may be moved by Triage teams to safe,

secure and easily accessible treatment areas for secondary triage, treatment and

transport. Treatment areas will only be established if the number of patients ready

for transport exceeds available transport resources.

5.11. Separate Treatment Areas

The EMS Operations shall direct the establishment of separate treatment areas, if

required. Separate the Minor Treatment Area from the Immediate and Delayed

Treatment Areas and isolate the Morgue to a secure area. Colored tarps, flags or

other identifiers should be used to clearly delineate treatment areas.

5.12 Treatment Area Supervisors

Treatment Area Supervisors must be assigned by the EMS Operations as soon as

treatment areas are established to ensure that secondary and ongoing triage is

begun in a timely manner. When available, ALS first responder personnel should be

assigned to these positions. All treatment rendered should be recorded on the triage

tag.

5.12. Immediate Category

“Immediate” patients (red tag) will be moved as quickly as possible with minimal

stabilization to designated areas for secondary triage, further stabilization and

preparation for transport.

5.13. Delayed Category

“Delayed” patients (yellow tag) will be moved to the Delayed Treatment Area for

secondary triage, treatment and preparation for transport. The move should take

place after Immediates and Minors have been relocated.

5.14. Minor Category

“Minor” patients (green tag) will be moved as quickly as possible to the Minor

Treatment Area for secondary triage, treatment and relocation from the scene. Note:

In some instances "minor" patients may remain to assist with moving seriously

injured patients.

5.15. Deceased Category

Deceased patients (black tag) will not be moved unless:

The Morgue Supervisor so directs

It is necessary to facilitate rescue work

It is necessary to protect the health and safety of others

All other casualties have received care


5.16. Medical Direction/Control

Certified EMS personnel are to function under New York State and Central New York

EMS standing orders. Paramedics responding from outside the region will function

under protocols from their home regions.

5.17. Communications

On-scene communication between disciplines is critical to the success of the

management of a MCI. The Incident Commander or E911 will designate a command

channel. The command channel will be used to facilitate communication between

the IC and the various group Branch Directors. All ambulance and first responder

agencies should have the following frequencies available to them for possible use as

the command channel.

EMS Dispatch

EMS Ops 3

EMS Ops 4

EMS Ops 5

EMS Talk 6 (non-network)

EMS Talk 7 (non-network)

EMS Incident

EMS EWide

Unless otherwise specified by the IC, communication within groups should be on the

frequencies normally utilized by them.

5.18. Communications – Scene to Hospital

The EMS Operations must maintain communications with the Resource Hospital. This

communication may take place via radio or cell phone.

5.19. Quality Improvement

All MCIs shall be reviewed by the responding EMS agencies and Oswego County CQI.

5.20. Medical Supplies

Medical supplies will be managed by the EMS Operations or designee. Medical

supplies may be augmented by the hospitals, using ambulances to transport supplies

on their return to the incident. MCI trailers (Med Trailer North or Med Trailer West)

should be requested immediately upon recognition of a major MCI due to the

transportation time involved in getting them to the scene.


5.21. Reinforced Organizational Principles

As additional resources arrive, additional components of the MCI Plan may be put in

place. Priorities vary based on the situation unique to each incident.

The following principles should be used as guidelines.

Ensure that hazards are identified and mitigated.

Complete initial "START" (primary) triage with BLS trained personnel.

Utilize ALS trained personnel to staff the Treatment Unit, giving priority to

“Immediate” patients. Recognize that ALS providers are critical resources and

should primarily function as ALS providers, not Branch Directors.

Prioritize extrication needs and sequences and assign Extrication Teams

appropriately.

Utilize personnel with Branch Directory experience to staff Branch Directory

positions within the overall organization.

Maintain a reasonable span of control and create Branch Directory positions as

needed.

When assignment is complete, check with your Branch Director for new

assignment.

Any responder that is without assignment shall report to the Staging area for

assignment.

13 Oswego County EMS MCI Plan (revised December 2013)

Checklists

Checklist 0: Minor Incidents

Checklist 1: Incident Command

Checklist 2: EMS Operations

Checklist 3: Triage Branch Director

Checklist 4: Treatment Branch Director

Checklist 4A: Red Treatment Supervisor

Checklist 4B: Yellow Treatment Supervisor

Checklist 4C: Green Treatment Supervisor

Checklist 4D: Black Treatment Supervisor

Checklist 5: Transportation Branch Director

Checklist 5A: Staging Director

Checklist 6: E911 Center

Checklist 6A: 5-10 patients

Checklist 6B: 11-20 patients

Checklist 6C:21-50 patients

Checklist 6D: 51-150 patients

Checklist 7: Oswego Hospital

Checklist 8: Law Enforcement

Attachments

Attachment 1: Organization Chart

Attachment 2: Resource and Patient Tracking


Checklist 0: ALL Incidents

1. First arriving EMS unit (ambulance or rescue):

a. Establish Incident Command (always, regardless of the number of patients or call

priority) unless this position is already in place.

b. Establish EMS Operations (always, regardless of the number of patients or call priority)

unless this position is already in place.

c. Assess scene and personnel safety and correct issues as much as possible.

d. Provide a scene report to Dispatch including Mechanism of Injury, scene or personnel

safety issues, number of known patients and request for resources and

e. Declare an MCI if there are 5 or more patients requiring transport

IF and MCI has been declared, then If the incident is NOT and MCI, then

Obtain the Oswego County MCI Plan Perform triage

Determine how many EMS management

personnel will be needed using

Attachment 1

Request additional resources as needed

Provide the appropriate checklist for

each EMS management position assigned

Turn over to Incident Command when appropriate

Implement Incident Command Checklist 1

unless that position is filled.

Implement EMS Operations Checklist 2

2. Other arriving EMS: Respond to EMS Operations

ALL INCIDENTS START HERE


Checklist 1: Incident Command

Notes:

1. Radio ID: COMMAND

2. Do NOT begin triage or treatment until incident management is set up.

Item

Action

Check when done

Establish Incident Command Post (ICP)

Inform 911 of the ICP location

Establish a radio channel to manage the incident

Request a Fireground channel if one has not yet been assigned

Don Incident Command vest

Rapidly assess the incident AND report approximate number of injured to 911

Declare an MCI if there are 5 or more patients requiring transport

Assign personnel positions using Attachment 1 as a guide

Assign the following first, as required by the situation:

EMS Operations (assign this to the first arriving EMS person (EMT or higher))

Fire Branch Director (may be the Incident Commander)

Operations Section Chief

Staging Area Supervisor

Rescue/Extrication Group Branch Director

Inform EMS Operations of

Safety issues

Assigned radio channel(s)

Requested resources

Results of any scene assessments to date, including number of patients

Consider need for Critical Incident Stress Management of personnel

For large incidents or those with a lengthy operational period, consider:

Development of an Operational Plan (ICS Form 202)

Relief shifts (ICS Form 203)

Use of an Activity Log (ICS 214)

Announce termination/downgrade of incident as appropriate


Checklist 2: EMS Operations

Notes:


2. Radio ID: EMS Operations

Item

Action

Check when done

Establish or report to Command Post

Don EMS Operations or EMS Command vest

CAUTION

Prior to dispatching ANY EMS staff to the field, VERIFY:

Each person knows their assignment

If applicable each person has their checklist(s) from this procedure

Each person knows the means by which they will talk to their Branch Director (verbal, radio,

phone)

Declare an MCI if there are 5 or more patients requiring transport

Assign ICS positions as EMS personnel arrive on the scene, by completing Attachment

1 or ICS 207

Note: All positions in Attachment 1 have to have name assigned, even if it the same

person.

Assign the following first, if the situation requires:

Triage Branch Director

Treatment Branch Director

Transport Branch Director

Continued


Checklist 2: EMS Operations (continued)

Item

Action

Check when done

Establish communication with (options: face-to-face, EMS 4 or 5, EMS Talk 6 or 7 or

EWide)

Incident Commander (should be face-to-face, or use assigned Fire Ground or

Talk channel)

Incoming ambulances (use EWide)

EMS Directors (use EMS 4 or (if that does not work) Talk 6)

IF the incident is small enough that only a Triage Branch Director will be assigned

then direct the Triage Branch Director to conduct initial triage AND report

approximate number of injured to EMS Operations

Establish location of Triage, Treatment and Transport areas

Inform EMS personnel of the locations of the above areas

Verify with 911

What resources are coming to the scene

What additional resources are required (consider: ambulances, buses,

helicopters, MCI trailers, EMS Coordination, physicians)

Establish contact with Resource Hospital using phone (315-435-1600), Med 10 or

MMRS A or B

Track resources using Attachment 2 Resource and Patient Tracking or ICS-218

Continuously obtain updates from all Branch Directors

Continuously keep the IC informed of changes to scene safety, scene size, numbers of

patients and requested Resource Hospitals

Continuously reevaluate resources available and required

Consider need to rehabilitate EMS personnel

Consider the need for Critical Incident Stress Management personnel

For extended incidents consider transfer of command and relief for all EMS

personnel

Develop and utilize a demobilization plan using ICS-221

Announce termination/downgrade of incident as appropriate


Checklist 3: Triage Branch Director

Notes:


2. Radio ID: Triage Branch Director

Item

Action

Check when done

Report to Command Post / EMS Operations

Request needed support personnel/equipment/supplies from EMS Operations

Establish Triage Sector based on scene safety and accessibility to resources

Don Triage Officer vest


EWide)

EMS Operations (use EMS 4 or (if that does not work) Talk 6)

Treatment, Transport or Staging Directors (use EMS 4 or (if that does not

work) Talk 6)

Perform initial Triage of patients

Inform EMS Operations of number and type (by color) of patients

Request that the EMS Operations appoint Triage support personnel to assist as

needed, based on the size and nature of the incident

Continuously re-perform triage of patients in or arriving to the treatment area

Advise EMS Operations or Treatment Branch Director (if assigned) of number and

type (color) of patients

Transfer patients by priority to appropriate treatment area (Red, Yellow, Green or

Black)

Release EMS personnel to Staging Director as they become available.

Advise EMS Operations when initial triaging operations are complete.


Checklist 4: Treatment Branch Director

Notes:

1. Radio ID: TREATMENT

Item

Action

Check when done

Report to Command Post / EMS Operations

Request equipment and personnel from EMS Operations

Establish Primary Treatment Area (s)

Don Treatment Officer vest


EWide)


Triage, Transport or Staging Directors (use EMS 4 or (if that does not work)

Talk 6)

Treatment Supervisors (use EMS 5 or (if that does not work) Talk 7)

Assign personnel to Treatment Areas:

Red – Priority 1 - Immediate

Yellow – Priority 2 - Delayed

Green – Priority 3 - Minor

Black - Dead

When informed of the number and acuity of patients from Treatment Supervisors,

inform the Transport Director

Request additional help from the EMS Operations and/or utilize “green” patients to

assist

Consider the sheltering needs of patients and responders during inclement weather.

Direct patients to appropriate treatment area

Continuously advise Transportation Branch Director when patients are prepared for

transport

Advise EMS Operations when treatment operations are complete

Relieve/reduce staff as necessary


Checklist 4A: ‘Red’ Treatment Supervisor

Notes:

1. Radio ID: RED TREATMENT

Item

Action

Check when done

Identify Treatment Area

Lay out red tarp

Identify needed equipment/supplies

Establish communication with Treatment Director (options: face-to-face, EMS 4 or 5,

EMS Talk 6 or 7 or EWide)

Treatment Director (use EMS 5 or (if that does not work) Talk 7)

Communicate with Treatment Director and provide an approximate number of

patients to expect

Identify available transportation

Direct patients to appropriate Treatment Area

Re-evaluate patients, and re-direct to appropriate Treatment Area, if needed

Complete Treatment Log as patients pass through Treatment Area

Advise Transportation Branch Director when patients are prepared for transport

Continuously re-evaluate resources on hand, required, available.

Request additional supplies/personnel, as needed.

Advise Treatment Branch Director when treatment operations are complete.


Checklist 4B: ‘Yellow’ Treatment Supervisor

Notes:

1. Radio ID: YELLOW TREATMENT

Item

Action

Check when done


Lay out yellow tarp






patients to expect










Checklist 4C: ‘Green’ Treatment Supervisor

Notes:

1. Radio ID: GREEN TREATMENT

Item

Action

Check when done


Lay out green tarp






patients to expect










Checklist 4D: ‘Black’ Treatment Supervisor

Notes:

2. Radio ID: BLACK TREATMENT

Item

Action

Check when done

Identify Treatment Area (keep separate from other treatment areas)

Lay out black tarp





Communicate with Treatment Director and provide an approximate number of dead

to be housed or transported


Provide palliative care to patients as appropriate

Work with Law and Health officials to establish Morgue




Checklist 5: Transportation Branch Director

Notes:

1. Radio ID: TRANSPORTATION

Item

Action

Check when done

Report to Command Post / EMS Command

Establish Transportation Sector

Don Transportation Officer vest


EWide)


Triage, Treatment or Staging Directors (use EMS 4 or (if that does not work)

Talk 6)

Receive patient number and acuity reports from Treatment Director

Request appropriate ambulances/transport vehicles and personnel from Staging

Director as needed based on the above information

If necessary, coordinate with Incident Commander regarding the appropriate location

for a Helispot AND advise EMS Operations of location

Determine current capacity of each hospital from EMS Operations

Consider specialty services or limitations of each hospital

Maintain contact with Resource Hospital, and advise them of patient count

Report patient information to Resource Hospital

Coordinate routing of patients to proper ambulances

Complete Attachment 2 Resource and Patient Tracking as patients are loaded and

transported

Advise EMS Operations and Resource Hospital when transportation operations are

complete

Relive/reduce staffing as needed


Checklist 5A: Staging Director

Notes:

1. Radio ID: STAGING

Item

Action

Check when done

Report to EMS Command

Establish Staging Area

Don Staging Officer vest


EWide)


Triage, Transport or Staging Directors (use EMS 4 or (if that does not work)

Talk 6)

Incoming ambulances (use EWide)

Request EMS Operations to request the following as needed:

Ambulances

Buses

Helicopters

EMT’s

Act as the point of contact for incoming ambulances on EWide and direct them to the

staging area

Communicate with Transportation Branch Director to determine the location of

ambulance loading zone, and the best route to the zone

Appoint Staging support personnel to assist as needed

Send proper number and types of units (with appropriate manpower) to

ambulance loading zone when requested by the Transportation Officer

Monitor number of EMS units in Staging Area, as number of units decreases,

advise EMS Command of possible need to request additional units

Consider needs of personnel at long-term incidents AND inform EMS Operations of

such (food, shelter, sanitary needs, clothing)

Document all available and requested Resource Hospitals

Advise EMS Operations when initial Staging operations are complete

Relieve / reduce staff as needed


Checklist 6A: E911 Center –MCI: 5-10 patients

Notes:

1. The E911 Center will receive an assessment of the situation from the first unit arriving on the

scene.

2. The E911 Center will receive a patient count from the Incident Commander after the initial

triage.

3. Implement this checklist ONLY IF and MCI has been declared by EMS Operations or Incident

Command.

Item

Action

Check when done

Dispatch a total of FIVE ALS ambulances to the scene along with appropriate fire and

law enforcement resources.

Notify the County EMS Coordinator of the incident

Notify University Hospital of the incident.

Communicate with the Incident Commander and request if the MCI trailer is

required

Contact the Clearinghouse and request ONE helicopter to the scene AND dispatch

mutual aid engine company to helispot.

Put nearest fire departments on standby per request of the Incident Commander.

Ask the Incident Commander if a bus is needed for patient transport.

Ask the Incident Commander if the Chem Pak is needed

Notify the Battalion Deputy Coordinator, Fire Coordinator, and law enforcement .

Notify the Oswego County Emergency Management Office Director of the incident.


Checklist 6B E911 Center – MCI: 11-20 patients

Note:

1. If 11 or more patients have been reported, then implement this checklist.

Item

Action

Check when done

Dispatch a total of TEN ALS ambulances and THREE BLS ambulances to the scene

along with appropriate fire and law enforcement Resource Hospitals.

Page the ambulance All Call and request all available personnel to man their station

Notify Resource Hospital of the incident

Notify the County EMS Coordinator of the incident

Communicate with the Incident Commander and dispatch the closest MCI trailer.

Contact the Clearinghouse and request TWO helicopters to the scene AND dispatch

mutual aid engine company to helispot(s).

Ask the Incident Commander if a bus is needed for patient transport.


Notify the Battalion Deputy Coordinator, Fire Coordinator, and law enforcement .

Notify adjacent Fire Departments to stand by their station for possible move to the

scene


Consider notification (only) of neighboring counties of the incident.


Checklist 6: E911 Center – MCI: 21-50 patients

Note:


Item

Action

Check when done

Dispatch a total of FIFTEEN ALS ambulances and FIVE BLS ambulances to the scene

along with appropriate fire and law enforcement Resource Hospitals.

Page the ambulance All Call and request all available personnel to man their station

Notify Resource Hospital of the incident.

Communicate with the Incident Commander and dispatch the closest MCI trailer.

Contact the Clearinghouse and request FOUR helicopters to the scene AND dispatch

mutual aid engine company to helispot(s).

Secure ONE large bus and dispatch to the scene.


Notify the Battalion Deputy Coordinator, Fire Coordinator, and law enforcement.

Notify adjacent Fire Departments to stand by their station for possible move to the

scene


Request resources from neighboring counties as required


Checklist 6D: E911 Center – MCI: 51-150 patients

Note:


Item

Action

Check when done

Dispatch a total of TWENTY ALS ambulances and TWENTY BLS ambulances to the scene along with appropriate fire and law enforcement resources.

Notify Resource Hospital of the incident.

Communicate with the Incident Commander and dispatch BOTH MCI trailers.

Contact the Clearinghouse and request SIX helicopters to the scene AND dispatch mutual aid engine company to helispot(s).

Secure one large bus per 50 patients and dispatch to the scene


Notify the Battalion Deputy Coordinator, Fire Coordinator, and law enforcement.

Notify ALL Fire Departments to stand by their station for possible move to the scene


Alert potentially affected neighboring counties of the incident.


Checklist 7: Oswego Hospital

Notes:

1. When a MCI occurs, the E911 Center will notify the Emergency Department. The on-duty charge

nurse will immediately notify the hospital administration.

Item

Action

Check when done

Decide whether to activate the internal disaster plan and the disaster call system.

Notify central supply and environmental services for additional supplies.

Assess current patients and determine whether they can be discharged or moved to

another unit.

Assign someone to monitor the EMS radio and communicate with the EMS

Transportation Officer.

Use the MCI Log Sheet to record information regarding patients received from the

scene.

Provide updates to the Transportation Officer every 30 minutes as to the hospital’s

capability to continue to receive patients.

After all patients have been treated and stabilized, the MCI operations have been

officially terminated.

Gather charts from all patients and compare to the MCI Log Sheet to verify that

information is accurate and complete.


Checklist 8: Law Enforcement

Notes: None

Item

Action

Check when done

Coordinate police operations

Assist Incident Commander at Command Post

Assign member of the force to tactical police activities

Scene Security and Perimeter Control

Set up and mark incident perimeter lines

Supervise security of perimeter

Establish appropriate traffic control (road blocks, street closings)

Investigations

Investigate incident

May be patrol division or CID

Public Information Officer

Gather information

Release information approved by Incident Commander

Minimize negative impact of the incident

· Traffic routing information

· Evacuation and evacuation routes

· Family reception stations


Attachment 1: Organization Chart for EMS

Note: This Organization Chart only depicts the EMS management structure. The IC may utilize ICS Form 207 to depict

the entire organization for the incident.

Operations Chief

EMS Operations

Triage Director Treatment Director

Transport Director

Red Treatment

Supervisor

Yellow Treatment

Supervisor

Green Treatment

Supervisor

Black Treatment

Supervisor

Staging Director

Incident Commander


Attachment 2: Resource and Patient Tracking

Resource Time requested

Time at Scene

Patient name or Tag #/DOB or Age Destination

McFee 1

McFee 2

McFee 3

McFee 4

Menter 1

Menter 2

Menter 3

Menter 4

Menter 5

Menter 6

Menter 7

Menter 8

Menter 9

Menter 10

Menter 11

Menter 12

North Shore 1

North Shore 2

NOCA 1

NOCA 2

NOCA 3

NOCA 4

Oswego 1

Oswego 2


Resource Time requested

Time at Scene

Patient name or Tag #/DOB or Age Destination

Oswego 3

Oswego 4

Oswego 5

Oswego 6

SOVAC 1

SOVAC 2

SOVAC 3

SOVAC 4

SAVAC 1

Documents

County MCI Plan - Oswego County EMS