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Application of Incident
Action Plan and Forms:Loss of Power
Hospital IncidentCommand System
This material has been developed for training purposes; do not share, distribute, transmit or reproduce without prior written consent of California Hospital Association This course was
developed by the CHA Hospital Preparedness Program with grant funds provided by the U.. !epartment of Health " Human ervices Assistant ecretary for Preparedness "
#esponse Hospital Preparedness Program and awarded by the California !epartment of Public Health. $o part of this course or its materials shall be copied or utili%ed for monetarygain.
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• Demonstrate the Incident Action Planning
Process
• Demonstrate the use of HICS Forms
• Implement the use of the Incident Response
Guides
Objectives
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Scenario Based Implementation
• Discuss and rehearse practical
implementation of the Incident Action
Planning process utili!ing HICS forms and
the Incident Response Guides
• "tili!e a #$a%le $op& learning process
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'
Incident Action Plannin
1( Assess the Situation
2( Set the )perational Period
( Determine Safet* Priorities + ,sta%lish Incident )%-ecti.es
'( Determine /ranch0Section )%-ecti.es
( Determine Strategies + $actics
( Determine 3eeded Resources
4( Issue Assignments5( Implement Actions
6( Reassess + Ad-ust Plans
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• Setting7 8id9August
• :eather7 A heat ;a.e ;ith higher than
a.erage temperatures for 5 da*s
• Reported heat related illnesses
• Isolated losses of po;er
• $ime7 '7== p(m(
Scenario !
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Po;er has %een off for = minutes( ?ou learnthat a transformer in the area has %lo;n out(
$ime until repaired7 "n@no;n(
• Is this an incident?
• What are your first actions?
• Who is in charge?
"#e Power is $isr%pted b%t t#e&enerators are F%nctionin
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• "se HICS form 21'7 )perational og
• Complete HICS form 2=17 Incident /riefing
,.ent Histor* and Current Actions Summar*
• /egin form 2=27 Incident )%-ecti.es
:eather0en.ironmental implications for period
Step !: Assess t#e Sit%ation
Incident Action Plannin
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'#ic# Positions to Activate(
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Immediate "ime PeriodPosition Immediat
e
Intermedia
te
Extend
ed
Recovery
Incident Commander X X X XPublic Information Ocer X X X XLiaison Ocer X X X XSafety Ocer X X X X
Operations Section Chief X X X XMedical Care Branch Director X X X XInfrastructure Branch Director X X X XSecurity Branch Director X X X XBusiness Continuity Branch
Director
X
Patient Family Assistance Branch
Dir
X
Planning Section Chief X X X X!esources "nit Leader X X X XSituation "nit Leader X X X XDocumentation "nit Leader X X XDemobili#ation "nit Leader X X
Logistics Section Chief X X X X
Ser$ice Branch Director X X X XSu%%ort Branch Director X X X X
Finance /Administration
Section Chief
X X X X
&ime "nit Leader X X XProcurement "nit Leader X X XCom%ensation'Claims "nit Leader XCost "nit Leader X X X
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• $he Incident Commander names theincident
• If the incident is a communit*9%asedincidentB the appropriate -urisdiction ;illname the incident
• $he incident name should %e documented
on all forms
)amin t#e Incident
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• HICS form 2=27 Incident )%-ecti.es
Operational Period Date/Time
• Incident Commander sets the )perationalPeriod7
Based on number of simultaneous activities
Ho !uic"ly the situation is changing
• An )perational Period %rea@s the incidentdo;n into managea%le timeframes
Step *: Set t#e Operational Period
Incident Action Plannin
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• Identif* the Incident )%-ecti.es
• HICS form 2=27 Incident )%-ecti.es
Step +: $etermine Safety Priorities ,-stablis# Incident Objectives
Incident Action Plannin
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.tili/e t#e Incident 0esponse &%ide
.tility Fail%re:
• Identif* etent of outage and considere.acuation
• 8aintain patient care capa%ilities
• 8inimi!e impact on hospital operations andclinical ser.ices
• Communicate the situation status to patientsBstaffB and the pu%lic
Incident Objectives
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• Assess the Safet* issues
• :hat ha!ards eist and ;hat precautions
need to %e ta@en• Complete the 21A Incident Action Plan
Safet* Anal*sis
Side )ote:Safety Officer "as2s
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• Prepare a statement for the media
• Prepare a statement for the staffB patients
and .isitors
• $he statements need appro.al from theIncident Commander
• Coordinate consistent messaging ;ith theoint Information Center
Side )ote:P%blic Information Officer tas2
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• 8a@e contact ;ith the Po;er Compan*directl*B or through the local ,)C ifacti.ated
• :ho should %e notified
• :ho is the source of resources in *our localplan
• $hese contacts0processes should %eidentified prior to an* incident
Side )ote:Liaison Officer
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• "tili!e HICS forms
• 21' 9 )perational og
Side )ote:$oc%mentin yo%r Actions
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• Document on HICS 2=' Assignment ist
• $he* are %ased on the Incident )%-ecti.es
• $hese are %ased on ;hat is desired to %eachie.ed %* the /ranch0Section in thatoperational period
• )%-ecti.es need to %e S8AR$
Incident Action Plannin
Step 3: $etermine Branc#4SectionObjectives
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• A common pro%lem during eercises isthat /ranches0Sections dont de.eloptheir o%-ecti.es promptl*
• Report top o%-ecti.es
Branc#4Section Objectives
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Incident Action PlanninStep 5: $etermine Strateies , "actics
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• :here can patients %e mo.ed to
• :hat personnel resources do *ou need
• :hat eEuipment and0or supplies do *ou need
• :hat resources do *ou need in the patientcollection0holding area
• :hat transport resources do *ou need• Document resource acti.ities7 Resources assigned
Step 6: $etermine )eeded 0eso%rces
Incident Action Plannin
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• :ho ;ill %e assigned to the units
• Fill in assignments on form 2=' Assignment ist
• Are there other %ranches or units that needacti.ated
Step 7: Iss%e Assinments
Incident Action Plannin
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• For the first )perational Period the Incident Action Plan should %e done ;ithin =9'minutes
• :hat ma@es up the Incident Action Plan 2=1 9 Incident /riefing 2=2 9 Incident )%-ecti.es 2= 9 Incident Assignments
2=' 9 /ranch Assignments 21A 9 Incident Action Plan Safet* Anal*sis
• $he Planning Section compiles the forms tocreate the Incident Action Plans
Incident Action Plannin
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IAP Cover S#eet
• Can %e used for the IAP Juic@ Start or fullIncident Action Plan forms
• Can ma@e different colors if *ou ;ant todifferentiate )perational Periods
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• Put *our acti.ities 0 plans into action
• :hat are some of these acti.ities
Step 9: Implement Actions
Incident Action Plannin
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• It is no; 14= 1( hrs into the incident
• Po;er is still out
• :hat are *our ma-or concerns
Scenario .pdate 1*
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• $o;ards the end of the operational periodB*ou ;ill need to e.aluate status
• Repeat steps 195
• "pdate the forms
• ,.aluate and0or update *our /ranch0Section)%-ecti.es
• $his creates *our Incident Action Plan for the net operational period
Step : 0eassess , Adj%st Plans
Incident Action Plannin
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=
• It is no; ' hours into the incident
•Po;er remains offB Po;er Compan* hashad set %ac@sB not sure ;hen repairs ;ill%e made
• :hat are some of the issues to consider
Scenario .pdate 1+
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:hat are things ;e need to remem%er to do
Share information
Reco.er* 0 Restoration
After Action Report
Correcti.e Actions Plan
How are we doin(
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8%estions(
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de.eloped %* the
California Hospital Associations
Hospital Preparedness Program
;;;(calhospitalprepare(org
HICS Basics Part *:Application of
Incident Action Plan and Forms
Loss of Power
This material has been developed for training purposes; do not share, distribute, transmit or reproduce without prior written consent of California Hospital Association
This course was developed by the CHA Hospital Preparedness Program with grant funds provided by the U.. !epartment of Health " Human ervices Assistant ecretary
for Preparedness " #esponse Hospital Preparedness Program and awarded by the California !epartment of Public Health. $o part of this course or its materials shall bei d tili d f t i