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1 Staging Officer Assigned to Report to Communications channel Staging Area Location Unit Staging Log Unit ID/ Radio Time Time Officer in # of personnel Time sent to Agency Chan/Freq (ALS/BLS) Requested Arrived Charge available Loading Zone

2 Staging Officer Assigned to Report to Communications channel Staging Area Location Unit Staging Log Unit ID/ Radio Time Time Officer in # of personnel Time sent to Agency Chan/Freq (ALS/BLS) Requested Arrived Charge available Loading Zone

3 Transport Officer Assigned to Report to Communications channel HOSPITAL TRANSPORTATION LOG Patient Name Triage Tag #, if Age/ Tag Tag Tag Tag Hospital Destination Unit instructed Time Transport (If Known) Color Tape not used Sex Color Color Color Color To Return. Y or N OUT Unit Transport Officer

4 Hospital Automatic Patient Load Hospital Name ACS Traum a HOSPITAL TRANSPORTATION LOG NOTES # of High Acuity Pts. * Beaumont-RO 1 2 Beaumont-Troy 2 2 Beaumont-Farmington Hills 2 2 Crittenton Hospital 3 2 Genesys Regional Medical Center 2 2 Medical Center-WB 2 Huron Valley-Sinai 2 McLaren Clarkston 2 McLaren Hospital-Oakland 2 2 Providence Hospital-Novi 2 Providence Hospital-Southfield 2 2 St John Oakland 2 St Joseph Mercy-Oakland 2 2 Out-of-county Trauma Centers # of Trauma Bays McLaren-Lapeer 2 Hurley 1 University of Michigan 1 C. S. Mott Children s Hospital 1 St. Joseph-Ann Arbor DMC Receiving 1 Children s Hospital of Michigan 1 St. John, Detroit McLaren-Macomb 2 -Macomb After report from Communications Officer. Number of patients Hospital can treat. Total sent all categories Number of patients sent by triage category. Scratch mark tally.

5 Communications Officer Assigned to Report to Communications channel HOSPITAL CAPABILITY & PATIENT TALLY SHEET Hospital Automatic Patient Load ACS Trauma # of High Acuity Pts. * Hospital Name Provisional Beaumont-RO 1 2 Beaumont-Troy 2 2 Beaumont-Farmington Hills 2 2 Crittenton Hospital 3 2 Genesys Regional Medical Center 2 2 Medical Center-WB 2 Huron Valley-Sinai 2 McLaren Clarkston 2 McLaren Hospital-Oakland 2 2 Providence Hospital-Novi 2 Providence Hospital-Southfield 2 2 St John Oakland 2 St Joseph Mercy-Oakland 2 2 After individual Hospital contact. Number of patients Hospital can treat. Total sent all categories Number of patients sent by triage category. Scratch mark tally. See reverse side of sheet for out of County area Hospital Capability & Tally Sheet

6 Communications Officer HOSPITAL CAPABILITY & PATIENT TALLY SHEET Hospital Automatic Patient Load Out-of-county Trauma Centers ACS Trauma Provisional McLaren-Lapeer 2 # of Trauma Bays After individual Hospital contact. Number of patients Hospital can treat. Total sent all categories Number of patients sent by triage category. Scratch mark tally. Hurley 1 University of Michigan 1 C. S. Mott Children s Hospital 1 St. Joseph-Ann Arbor DMC Receiving 1 Children s Hospital of Michigan 1 St. John, Detroit McLaren-Macomb 2 -Macomb

7 Incident Command 800MHz Staging 800MHz to command 800MHz or VHF to incoming units Triage Treatment Transport CommunicaSons 800MHz, VHF or Face to Face 800MHz, VHF, or Face to Face 800MHz, VHF or Face to Face 800MHz, VHF or Face to Face PEDIATRIC - START Triage - PEDIATRIC ASSESS - TAG - MOVE ON WALKING WOUNDED NO BREATHING (after head tilt and rescue breaths) RESP. <15 or >45 CAP REFILL < 2 sec. or no radial pulse MENTAL STATUS CHANGE OTHER Initial treatments allowed Opening airway, rescue breaths and bleeding control START Triage ASSESS - TAG - MOVE ON WALKING WOUNDED NO BREATHING (after head tilt) RESP. <10 or >30 CAP REFILL < 2 sec. or no radial pulse MENTAL STATUS CHANGE OTHER Initial treatments allowed Opening airway and bleeding control