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ICS Review & Response
- 1. Review of the Incident Command System & Response Measures David Wood, Safety/Emergency Management Officer Cook Children’s Northeast Hospital August 2010
- 44. Questions?
Notes de l'éditeur
- ICS began out of necessity in the 1970’s when several wildfires in California caused millions in damage and several people died. Local, state and federal fire authorities collaborated to form FIRESCOPE (Firefighting Resources of California Organized for Potential Emergencies). FIRESCOPE looked at recent wildfire responses, and discovered that poor incident management was to blame, not a lack of resources. Problems that were identified were: Nonstandard terminology Lack of organizational flexibility to expand and contract Nonstandard and nonintegrated communications Lack of consolidated action plans Lack of designated facilities ICS was developed to overcome these 5 problems. Today, incidents demand so many resources and skills that one local, state or federal agency couldn't possibly provide them, so ICS provides a way for many agencies to work together smoothly under one management system.
- Common Terminology Incident Commander, Chain of Command, Staging Area Flexible and Modular organization Incident Command structure is organized in such a way as to expand and contract as needed by the incident scope, resources and hazards. Command is established in a top-down fashion, with the most important and authoritative positions established first. For example, Incident Command is established by the first arriving unit. Unity of command Each individual participating in the operation reports to only one supervisor. This eliminates the potential for individuals to receive conflicting orders from a variety of supervisors, thus increasing accountability, preventing freelancing, improving the flow of information, helping with the coordination of operational efforts, and enhancing operational safety. This concept is fundamental to the ICS chain of command structure Unified Command Incident Commanders representing agencies or jurisdictions that share responsibility for the incident manage the response from a single Incident Command Post
- Every incident requires a certain number of incident functions to be performed The problem must be identified and assessed A plan must be developed and implemented The necessary resources must be provided
- Span of control is extremely important in incidents or events where safety and accountability are top priorities
- Understand the Emergency Operation Plan
- Manage High profile surgeries, parades, weddings, or terrorism Clear chain of command means wearing your ICS vest Eliminates duplication by assigning roles with job action sheets
- History tells us that 80% - 85% of trauma patients will walk, take a car or taxi to the nearest hospital. They will not wait for an ambulance. Tokyo – Subway OK, City – Bombing Madrid Spain – Train bombing Russia - Subway
- The hospital may become part of the crime scene. In the case of an intentional explosion, the patients are witnesses and may have parts of the bomb material on their clothes which is evidence. The hospital will be full of police, FBI, ATF and other officers
- Simple to complex. Code blue called in the electrical room in post-op. On arrival you find 5 adult men have been electrocuted.
- What do we want to do? Who is going to do it? How will we communicate?