Oswego County EMS. Multiple-Casualty Incident Plan
|
|
- Jocelyn Daniels
- 5 years ago
- Views:
Transcription
1 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. 2
3 Index 1. Purpose 4 2. Objectives 4 3. Responsibilities 4 4. Incident Phases Operational Concepts Approvals 12 Checklists 14 3
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 4
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 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 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 5
6 E911 Sends additional ambulances Notifies other ambulance providers and helicopters as needed Performs move-up coverage as needed 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 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 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 6
7 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. 7
8 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 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 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 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 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 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 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. 8
9 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 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 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 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 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 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 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 9
10 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 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 Communications Scene to Hospital The EMS Operations must maintain communications with the Resource Hospital. This communication may take place via radio or cell phone Quality Improvement All MCIs shall be reviewed by the responding EMS agencies and Oswego County CQI 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. 10
11 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. 11
12
13 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: patients Checklist 6C:21-50 patients Checklist 6D: patients Checklist 7: Oswego Hospital Checklist 8: Law Enforcement Attachments Attachment 1: Organization Chart Attachment 2: Resource and Patient Tracking 13
14 Checklist 0: ALL Incidents ALL INCIDENTS START HERE 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 Obtain the Oswego County MCI Plan Determine how many EMS management personnel will be needed using Attachment 1 Provide the appropriate checklist for each EMS management position assigned If the incident is NOT and MCI, then Perform triage Request additional resources as needed 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 14
15 Checklist 1: Incident Command Notes: 1. Radio ID: COMMAND 2. Do NOT begin triage or treatment until incident management is set up. Item Action 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 Check when done 15
16 Checklist 2: EMS Operations Notes: 1. Do NOT begin triage or treatment until incident management is set up. 2. Radio ID: EMS Operations Item Establish or report to Command Post Action Don EMS Operations or EMS Command vest Check when done 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 16
17 Checklist 2: EMS Operations (continued) Item Action 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) Check when done Establish contact with Resource Hospital using phone ( ), 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 17
18 Checklist 3: Triage Branch Director Notes: 1. Do NOT begin triage or treatment until incident management is set up. 2. Radio ID: Triage Branch Director Item Action 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 Establish communication with (options: face-to-face, EMS 4 or 5, EMS Talk 6 or 7 or 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. Check when done 18
19 Checklist 4: Treatment Branch Director Notes: 1. Radio ID: TREATMENT Item Action Report to Command Post / EMS Operations Request equipment and personnel from EMS Operations Establish Primary Treatment Area (s) Don Treatment Officer vest Establish communication with (options: face-to-face, EMS 4 or 5, EMS Talk 6 or 7 or EWide) EMS Operations (use EMS 4 or (if that does not work) Talk 6) 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 Check when done 19
20 Checklist 4A: Red Treatment Supervisor Notes: 1. Radio ID: RED TREATMENT Item Identify Treatment Area Lay out red tarp Identify needed equipment/supplies Action 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. Check when done 20
21 Checklist 4B: Yellow Treatment Supervisor Notes: 1. Radio ID: YELLOW TREATMENT Item Identify Treatment Area Lay out yellow tarp Identify needed equipment/supplies Action 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. Check when done 21
22 Checklist 4C: Green Treatment Supervisor Notes: 1. Radio ID: GREEN TREATMENT Item Identify Treatment Area Lay out green tarp Identify needed equipment/supplies Action 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. Check when done 22
23 Checklist 4D: Black Treatment Supervisor Notes: 2. Radio ID: BLACK TREATMENT Item Action Identify Treatment Area (keep separate from other treatment areas) Lay out black 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 dead to be housed or transported Direct patients to appropriate Treatment Area Provide palliative care to patients as appropriate Work with Law and Health officials to establish Morgue Request additional supplies/personnel, as needed. Advise Treatment Branch Director when treatment operations are complete. Check when done 23
24 Checklist 5: Transportation Branch Director Notes: 1. Radio ID: TRANSPORTATION Item Report to Command Post / EMS Command Establish Transportation Sector Don Transportation Officer vest Action Establish communication with (options: face-to-face, EMS 4 or 5, EMS Talk 6 or 7 or EWide) EMS Operations (use EMS 4 or (if that does not work) Talk 6) 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 Check when done 24
25 Checklist 5A: Staging Director Notes: 1. Radio ID: STAGING Item Report to EMS Command Establish Staging Area Don Staging Officer vest Action Establish communication with (options: face-to-face, EMS 4 or 5, EMS Talk 6 or 7 or EWide) EMS Operations (use EMS 4 or (if that does not work) Talk 6) 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 Check when done 25
26 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 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. Check when done 26
27 Checklist 6B E911 Center MCI: patients Note: 1. If 11 or more patients have been reported, then implement this checklist. Item Action 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. Ask the Incident Commander if the Chem Pak is needed 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 Notify the Oswego County Emergency Management Office Director of the incident. Consider notification (only) of neighboring counties of the incident. Check when done 27
28 Checklist 6: E911 Center MCI: patients Note: 1. If 21 or more patients have been reported, then implement this checklist. Item Action 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. Ask the Incident Commander if the Chem Pak is needed 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 Notify the Oswego County Emergency Management Office Director of the incident. Request resources from neighboring counties as required Check when done 28
29 Checklist 6D: E911 Center MCI: patients Note: 1. If 51 or more patients have been reported, then implement this checklist. Item Action 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 Ask the Incident Commander if the Chem Pak is needed 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 Notify the Oswego County Emergency Management Office Director of the incident. Alert potentially affected neighboring counties of the incident. Check when done 29
30 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 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. Check when done 30
31 Checklist 8: Law Enforcement Notes: None Item Coordinate police operations Action Assist Incident Commander at Command Post Assign member of the force to tactical police activities Scene Security and Perimeter Control Check when done 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 31
32 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. Incident Commander Operations Chief EMS Operations Staging Director Treatment Director Transport Director Triage Director Green Treatment Supervisor Red Treatment Supervisor Black Treatment Supervisor Yellow Treatment Supervisor 32
33 Attachment 2: Resource and Patient Tracking Resource McFee 1 Time requested Time at Scene Patient name or Tag #/DOB or Age Destination 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 33
34 Resource Oswego 3 Time requested Time at Scene Patient name or Tag #/DOB or Age Destination Oswego 4 Oswego 5 Oswego 6 SOVAC 1 SOVAC 2 SOVAC 3 SOVAC 4 SAVAC 1 34
SAN LUIS OBISPO CITY FIRE EMERGENCY OPERATIONS MANUAL E.O MULTI-CASUALTY INCIDENTS Revised: 8/14/2015 Page 1 of 10. Purpose.
Revised: 8/14/2015 Page 1 of 10 Purpose The establishment of these procedures is designed to provide an organized, coordinated and expandable resource management approach to be utilized by the numerous
More informationThis Annex describes the emergency medical service protocol to guide and coordinate actions during initial mass casualty medical response activities.
A N N E X C : M A S S C A S U A L T Y E M S P R O T O C O L This Annex describes the emergency medical service protocol to guide and coordinate actions during initial mass casualty medical response activities.
More informationMultiple Patient Management Plan
2018 [NAME OF PLAN] Multiple Patient Management Plan Marin County Health & Human Services Emergency Medical Services Agency Supports the Marin County Operational Area Emergency Operations Plan and Medical
More informationCENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health
CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health Manual: Subject: Emergency Medical Services Administrative Policies and Procedures Multi-Casualty
More informationMulti-Casualty Incident Response Plan County of San Luis Obispo Emergency Medical Services Agency Policy # /15/2017
Multi-Casualty Incident Response Plan County of San Luis Obispo Emergency Medical Services Agency Policy # 210 04/15/2017 - i - TABLE OF CONTENTS SECTION 1.0: MCI PLAN ADMINISTRATIVE ELEMENT 1.1 Scope
More informationCENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health
CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health Manual: Subject: Emergency Medical Services Administrative Policies and Procedures Multi-Casualty
More informationChelan & Douglas County Mass Casualty Incident Management Plan
Chelan & Douglas County Mass Casualty Incident Management Plan Updated 6/2016 1.0 Purpose 2.0 Scope 3.0 Definitions 4.0 MCI Management Principles 4.1 MCI Emergency Response Standards 4.2 MCI START System
More informationATTACHMENT 4 MCI Checklist FIRST UNIT ON SCENE CHECKLIST
ATTACHMENT 4 MCI Checklist FIRST UNIT ON SCENE CHECKLIST 1) CONSIDER: a) Safety Needs Full Personal Protective Clothing b) Decontamination c) Secondary Devices 2) MASS CASUALTY INCIDENT PLAN: a) Type of
More informationCortland County. Department of Fire and Emergency Management. Fire / EMS. Mass Casualty Incident MCI Plan
Page 1 of 22 Cortland County Department of Fire and Emergency Management Fire / EMS Mass Casualty Incident MCI Plan Revised May 1 st, 2010 Page 2 of 22 INTRODUCTION FOREWORD The rationale for a consolidated
More informationMass Casualty Incident (MCI)
Mass Casualty Incident (MCI) This Mass Casualty Incident (MCI) procedure is to be used for any incident when the number of injured exceed the capabilities of the first arriving units to efficiently triage,
More informationContra Costa County. Emergency Medical Services Multi-Casualty Incident Plan
Contra Costa County Emergency Medical Services Plan July 1, 2007 Contra Costa County Health Services Department Emergency Medical Services Agency Plan Table of Contents Plan Scope 2 Plan Objectives
More informationMarin County EMS Agency
Marin County EMS Agency Multiple Patient Management Plan Excellent Care Every Patient, Every Time July 2013 899 Northgate Drive #104, San Rafael, CA 94903 ph. 415-473-6871 fax 415-473-3747 www.marinems.org
More informationBenton Franklin Counties MCI PLAN MASS CASUALTY INCIDENT PLAN
Benton Franklin Counties MCI PLAN MASS CASUALTY INCIDENT PLAN Adopted January 2000 Revised February 2008 TABLE OF CONTENTS 1.0 Purpose 2.0 Policy 3.0 Definitions 4.0 Organizations Affected 5.0 Standard
More informationSANTA BARBARA COUNTY
SANTA BARBARA COUNTY MULTI-CASUALTY INCIDENT (MCI) RESPONSE PLAN Santa Barbara County Emergency Medical Services Agency Updated August 22, 2013 - i - Santa Barbara County MCI Plan TABLE OF CONTENTS Page
More informationMASS CASUALTY INCIDENT S.O.P January 15, 2006 Page 1 of 13
January 15, 2006 Page 1 of 13 INTRODUCTION This plan establishes a standard structure and guidelines for the management of fire and E.M.S. Operations in a multi-casualty emergency medical situation. This
More informationTown of Brookfield, Connecticut Mass Casualty Incident Plan
Town of Brookfield, Connecticut Mass Casualty Incident Plan 1.0 Definition Of Mass Casualty Incident: A Mass Casualty Incident is an incident having multiple patients that would exceed the amount Brookfield
More informationSan Joaquin County Emergency Medical Services Agency. Active Threat Plan
San Joaquin County Emergency Medical Services Agency Active Threat Plan An Integrated Response for Law Enforcement and Multi-Casualty Branch Operations Page 1 of 13 Acknowledgments This plan is based on
More informationOKALOOSA COUNTY EMERGENCY MEDICAL SERVICES STANDARD OPERATING PROCEDURE Medical Incident Command Policy:
Title: Medical Incident Command Policy: 429.00 Purpose: Policy: This standard operating procedure (SOP) identifies the procedure to be employed when establishing EMS Command. It also designates responsibility
More informationARLINGTON COUNTY FIRE DEPARTMENT STANDARD OPERATING PROCEDURES
R SUBJECT: ARLINGTON COUNTY FIRE DEPARTMENT STANDARD OPERATING PROCEDURES Rescue Task Force Response SOP# A.* * /Cat * Initiated APPROVED: James Schw artz Fire Chief Revised A. PURPOSE To establish policies
More informationAnnex 6: Lewis County Mass Casualty Incident Plan
Annex 6: Lewis County Mass Casualty Incident Plan Approved by the Lewis County EMS Council 11/21/06 Reviewed by Lewis County LEPC 11/27/06 and Fire Advisory on 12/20/06 Approved by the Lewis County 911
More informationMCI PLAN MASS CASUALTY INCIDENT PLAN
Pierce County Fire Chiefs Association MCI PLAN MASS CASUALTY INCIDENT PLAN Adopted 1998 Revised May 2003 TABLE OF CONTENTS 1.0 Purpose 2.0 Policy 3.0 Definitions 4.0 Organization Affected 5.0 Standard
More informationINCIDENT COMMAND SYSTEM MULTI-CASUALTY
INCIDENT COMMAND SYSTEM MULTI-CASUALTY Treatment Unit Leader November, 1990 Revised March, 1993 CONTENTS Contents...1 Course Outline...2 Unit 1 Lesson Plan: Introduction...3 Unit 2 Lesson Plan: Staffing
More informationAppendix H Incident Command Structure. Draft
Dane County/Madison Metropolitan Area Evacuation Plan Appendix H Incident Command Structure Version 2.0 1 INCIDENT COMMAND SYSTEM STRUCTURE FOR EVACUATION This section describes the incident command system
More informationCOMMAND MCI PROCEDURE FOG #1
COMMAND MCI PROCEDURE FOG #1 Don the appropriate vest and use the radio designation COMMAND. Establish the Command Post in a safe, visible and fixed location uphill and upwind. Consider assigning an aide.
More informationINCIDENT COMMAND SYSTEM MULTI-CASUALTY TREATMENT MANAGER I-MC-238. COURSE ADMINISTRATOR S GUIDE AND TRAINEE WORKBOOK Self-Paced Instruction
INCIDENT COMMAND SYSTEM MULTI-CASUALTY TREATMENT MANAGER COURSE ADMINISTRATOR S GUIDE AND TRAINEE WORKBOOK Self-Paced Instruction NOVEMBER 1990 Revised March 1993 This document contains information relative
More informationJackson Hole Fire/EMS Operations Manual
Jackson Hole Fire/EMS Operations Manual Approved by: Title: Mass Casualty Incident Willy Watsabãgh, Chief Plan Division: 20 Approved by: 1,-# Article: 1 Will Sni i,m1mical Director Revised: May 2016 Pages:
More informationPalm Beach County Fire Rescue
Palm Beach County Fire Rescue MCI Dispatch Protocol Revisions The following packet contains the changes to the MCI Dispatch Protocol along with a brief review of Scene Size Up involving an MCI, Declaration
More informationWake County Department of Public Safety
Wake County Department of Public Safety Multiple Patient Incident Management Plan Prepared for: Wake County Department of Public Safety Wake County, North Carolina March 2006 Table of Contents TABLE OF
More informationRead the scenario below, and refer to it to answer questions 1 through 13.
Instructions: This test will help you to determine topics in the course with which you are familiar and those that you must pay careful attention to as you complete this Independent Study. When you have
More informationTILLAMOOK COUNTY, OREGON EMERGENCY OPERATIONS PLAN ANNEX R EARTHQUAKE & TSUNAMI
TILLAMOOK COUNTY, OREGON EMERGENCY OPERATIONS PLAN ANNEX R EARTHQUAKE & TSUNAMI I. PURPOSE A. Tillamook coastal communities are at risk to both earthquakes and tsunamis. Tsunamis are sea waves produced
More informationResource classification Personnel. 6 NIMS (3 of 3) Major NIMS components: Command and management
1 Chapter 38 Incident Management and Triage 2 Incident Command System (1 of 2) ICS=An organized approach for dealing with operations. ICS is used to help control, direct, and coordinate resources. It ensures
More informationTHE CODE 1000 PLAN. for ST. LOUIS COUNTY AND MUNICIPAL LAW ENFORCEMENT AGENCIES. January 2013
THE CODE 1000 PLAN for ST. LOUIS COUNTY AND MUNICIPAL LAW ENFORCEMENT AGENCIES January 2013 1 of 12 Table of Contents SECTION 1.0 GENERAL... 1 1.1 Definition - Purpose - Applicability...1 1.2 Authority...1
More informationMCI PLAN MASS CASUALTY INCIDENT PLAN
Pierce County Fire Chiefs Association MCI PLAN MASS CASUALTY INCIDENT PLAN Adopted 1998 Revised May 2003 TABLE OF CONTENTS 1.0 Purpose 2.0 Policy 3.0 Definitions 4.0 Organization Affected 5.0 Standard
More informationE S F 8 : Public Health and Medical Servi c e s
E S F 8 : Public Health and Medical Servi c e s Primary Agency Fire Agencies Pacific County Public Health & Human Services Pacific County Prosecutor s Office Pacific County Department of Community Development
More informationSouth Central Region EMS & Trauma Care Council Patient Care Procedures
South Central Region EMS & Trauma Care Council Patient Care s Table of Contents PCP #1 Dispatch PCP #2 Response Times PCP #3 Triage and Transport PCP #4 Inter-Facility Transfer PCP #5 Medical Command at
More informationActive Shooter Guideline
1. Purpose: This procedure establishes guidelines for Monterey County Public Safety Personnel who respond to Active Shooter Incidents (ASI). The goal is to provide effective rescue and treatment procedures,
More informationESCAMBIA COUNTY FIRE-RESCUE
Patrick T Grace, Fire Chief Page 1 of 7 PURPOSE: To create a standard of operation to which all members of Escambia County Public Safety will operate at the scene of incidents involving a mass shooting
More informationColdspring Excelsior Fire and Rescue Standard Operating Policies 6565 County Road 612 NE Kalkaska, MI Section 4.13 INCIDENT COMMAND MANAGEMENT
Coldspring Excelsior Fire and Rescue Standard Operating Policies 6565 County Road 612 NE Kalkaska, MI 49646 Section 4.13 INCIDENT COMMAND MANAGEMENT The purpose of an Incident Command Management System
More informationEMS Group Supervisor
CI Resource Guide ES Group Supervisor Operations Chief ES Branch Director ES Group Supervisor Triage Unit Leader edical Supplies anager Treatment Unit Leader orgue anager Transportation Unit Leader Report
More informationINCIDENT COMMAND STANDARD OPERATING GUIDELINE
INCIDENT COMMAND STANDARD OPERATING GUIDELINE I. Scope This standard establishes guidelines for the management of fire and rescue incidents. II. General A. It shall be the policy to implement the incident
More information9/10/2012. Chapter 62. Learning Objectives. Learning Objectives (Cont d) EMS Operations Command and Control
Chapter 62 EMS Operations Command and Control 1 Learning Objectives Explain the need for an incident management system and an incident command system in managing EMS incidents Compare command procedures
More informationMULTIPLE CASUALTY INCIDENT (MCI) RESPONSE PLAN
MULTIPLE CASUALTY INCIDENT (MCI) RESPONSE PLAN September 1, 2009 TABLE OF CONTENTS Page SECTION 1.0: MCI PLAN ADMINISTRATIVE ELEMENT 1 1.1 Scope 1 1.2 Objectives 1 1.3 Definitions 1 1.4 An MCI differs
More informationWelcome to the self-study Introductory Course of the:
Welcome to the self-study Introductory Course of the: Standardized Emergency Management System (SEMS) and the National Incident Management System (NIMS) A project sponsored by the California EMS Authority
More informationCITY OF HAMILTON EMERGENCY PLAN. Enacted Under: Emergency Management Program By-law, 2017
CITY OF HAMILTON EMERGENCY PLAN Enacted Under: Emergency Management Program By-law, 2017 REVISED: October 27, 2017 October 2017 2 TABLE OF CONTENTS 1. Introduction... 7 1.1. Purpose... 7 1.2. Legal Authorities...
More informationMEDICAL CARE BRANCH DIRECTOR
Mission: Organize and manage the delivery of emergency, inpatient, outpatient, casualty care, behavioral health, and clinical support services. Position Reports to: Operations Section Chief Command Location:
More informationCASUALTY CARE UNIT LEADER
Mission: Organize and coordinate the delivery of emergency care to arriving patients. Position Reports to: Medical Care Branch Director Command Location: Position Contact Information: Phone: ( ) - Radio
More informationThe Israeli Experience
E.M.S Response To Terrorism The Israeli Experience GUY CASPI Chief MCI Instructor and Director of Exercises and Operational Training MAGEN DAVID ADOM IN ISRAEL Israel National EMS and Blood Services guyc@mda.org.il
More informationUNIT 6: CERT ORGANIZATION
In this unit you will learn about: CERT Organization: How to organize and deploy CERT resources according to CERT organizational principles. Rescuer Safety: How to protect your own safety and your buddy
More informationModel Policy. Active Shooter. Updated: April 2018 PURPOSE
Model Policy Active Shooter Updated: April 2018 I. PURPOSE Hot Zone: A geographic area, consisting of the immediate incident location, with a direct and immediate threat to personal safety or health. All
More informationICS 100: Introduction to Incident Command. What Is an Incident? What is ICS? 2/4/2014
ICS 100: Introduction to Incident Command What Is an Incident? An incident is...... an occurrence, either caused by human or natural phenomena, that requires response actions to prevent or minimize loss
More informationINCIDENT COMMAND SYSTEM POSITION MANUAL TRIAGE UNIT LEADER ICS-MC DECEMBER, 1989
INCIDENT COMMAND SYSTEM POSITION MANUAL TRIAGE UNIT LEADER DECEMBER, 1989 Revised March, 1993 CONTENTS Page 1.1 CHECKLIST USE...1 1.2 TRIAGE UNIT LEADER'S CHECKLIST...1 1.3 MORGUE MANAGER'S CHECKLIST...1
More informationEmergency Response Plan Appendix A, ICS Position Checklist
Emergency Response Plan Appendix A, ICS Position Checklist Allen County Preparedness System Planning Frameworks - Response Support Annex Allen County Office of Homeland Security 1 East Main Street, Room
More informationMAJOR INCIDENT RESPONSE
HELICOPTER OPERATING PROCEDURE MAJOR INCIDENT RESPONSE HOP No: C/17 Issued: April 2012 Page: 1 of 7 Revision No: TRIM No: 09/300 Document No: D12/6739 Distribution: Sydney x Illawarra x Orange x Helicopter
More informationMajor Incident Plan Emergency Operating Center American Fork Fire Department 96 North Center American Fork, Utah
Major Incident Plan Emergency Operating Center American Fork Fire Department 96 North Center American Fork, Utah 84003 801-763-3045 2017 Major Incident Plan Lead Department: The Department that has the
More informationBURLINGTON COUNTY TECHNICAL RESCUE TASK FORCE OPERATING MANUAL
BURLINGTON COUNTY TECHNICAL RESCUE TASK FORCE OPERATING MANUAL 1 I. Burlington County Technical Rescue Task Force Mission Statement The Mission of the Burlington County Technical Rescue Task Force shall
More informationEvCC Emergency Management Plan ANNEX #02 Emergency Operations Center
1. INTRODUCTION The Emergency Operations Center (EOC) is the pre-established, central location where designated leaders converge to coordinate emergency response, recovery, communication, and documentation
More informationOn February 28, 2003, President Bush issued Homeland Security Presidential Directive 5 (HSPD 5). HSPD 5 directed the Secretary of Homeland Security
On February 28, 2003, President Bush issued Homeland Security Presidential Directive 5 (HSPD 5). HSPD 5 directed the Secretary of Homeland Security to develop and administer a National Incident Management
More informationOperational Area EOC. Medical/Health. Branch
Operational Area EOC Medical/Health Branch Developed through federal block grant funds. Sponsored by the California EMS Authority - Special Project #EMS-7023 TABLE OF CONTENTS i. INTRODUCTION I. ORGANIZATIONAL
More informationIn County Mutual Aid Plan
1. Introduction To Mutual Aid In County Mutual Aid Plan A. Fire jurisdictions are generally funded and staffed to mitigate routine types of emergency incidents. Larger and complex incidents often require
More informationChapter 44. Objectives. Objectives 01/09/2013. Multiple-Casualty Incidents and Incident Management
Chapter 44 Multiple-Casualty Incidents and Incident Management Prehospital Emergency Care, Ninth Edition Joseph J. Mistovich Keith J. Karren Copyright 2010 by Pearson Education, Inc. All rights reserved.
More informationMed-Care Ambulance Service. Mass Casualty Plan
Med-Care Ambulance Service Mass Casualty Plan 273 Main Street Mexico, Maine 04257 (207) 364-8748 Fax: (207) 369-0635 Web Site: www.med-careambulance.com Med-Care Ambulance MCI Plan Record of Updates/Revisions
More informationMonroe County Medical Control Authority System Protocols MASS CASUALTY INCIDENTS Date: April 2010 Page 1 of 9
Date: April 2010 Page 1 of 9 The purpose of this protocol is to provide a uniform initial response to a Mass Casualty Incident (MCI). 1. Pre-hospital care providers will operate in accordance with medical
More informationESF 13 Public Safety and Security
ESF 13 Public Safety and Security Purpose This ESF Annex provides guidance for the organization of law enforcement resources in Sumner County to respond to emergency situations exceeding normal law enforcement
More information4 ESF 4 Firefighting
4 ESF 4 Firefighting THIS PAGE LEFT BLANK INTENTIONALLY Table of Contents 1 Introduction... 1 1.1 Purpose and Scope... 1 1.2 Relationship to Other ESFs... 1 1.3 Policies and Agreements... 1 2 Situation
More informationMASS CASUALTY INCIDENTS. Daniel Dunham
MASS CASUALTY INCIDENTS Daniel Dunham WHAT IS A MASS CASUALTY INCIDENT? Any time resources required exceed the resources available. The number of patients is not necessarily large or small, and may be
More informationICS MANUAL CHAPTER 2 EMS OGP March 23, 2006 ICS POSITION DESCRIPTION AND RESPONSIBILITIES
ICS MANUAL CHAPTER 2 EMS OGP 112-02 ICS POSITION DESCRIPTION AND RESPONSIBILITIES 1. POSITION DESCRIPTION AND RESPONSIBILITIES 1.1 Incident Command Organization The Incident Command System (ICS) is a combination
More informationFIREFIGHTING EMERGENCY SUPPORT FUNCTION (ESF #4) FORMERLLY FIRE SERVICES OFFICER
NIMS Category: Operations Responsible for the coordination of firefighting, rescue and route alerting functions Reports to the emergency management coordinator DATE OF ACTIVATION: REASON FOR ACTIVATION:
More informationEvCC Emergency Management Plan ANNEX #01 Incident Command System
1. INTRODUCTION The Incident Command System (ICS) is universally recognized by emergency personnel as one of the most important features of effective emergency management. The system is designed to expand
More informationCITY OF SAULT STE. MARIE EMERGENCY RESPONSE PLAN
CITY OF SAULT STE. MARIE EMERGENCY RESPONSE PLAN 12/13/2017 Fire Service, Emergency Management Division Schedule A to By-law 2017-236 Page 1 CONTENTS 1. INTRODUCTION... 3 2. PURPOSE... 3 3. SCOPE... 3
More informationMULTI CASUALTY INCIDENT PLAN
Approved: 10/14/2015 Revised: 7/1/16 EL DORADO COUNTY EMS AGENCY MULTI CASUALTY INCIDENT PLAN TABLE OF CONTENTS Policy Statement 2 Key Points 3 ICS Chart 5 Roles and Responsibilities Division Supervisor/Medical
More informationESF 5. Emergency Management
1. Purpose and Scope Emergency Support Function (ESF) 5 provides information for coordinating management, direction, and control of emergency operations in Coos County for all hazards. This ESF 5 describes
More informationEMERGENCY SUPPORT FUNCTION 1 TRANSPORTATION
59 Iberville Parish Office of Homeland Security And Emergency Preparedness EMERGENCY SUPPORT FUNCTION 1 TRANSPORTATION I. PURPOSE: ESF 1 provides for the acquisition, provision and coordination of transportation
More informationTHIS PAGE LEFT BLANK INTENTIONALLY
ESF 4 Firefighting THIS PAGE LEFT BLANK INTENTIONALLY Table of Contents 1 Introduction... ESF 4-1 1.1 Purpose... ESF 4-1 1.2 Scope... ESF 4-1 1.3 Policies and Authorities... ESF 4-1 2 Situation and Assumptions...
More informationNUMBER: UNIV University Administration. Emergency Management Team. DATE: October 31, REVISION February 16, I.
NUMBER: UNIV 3.00 SECTION: SUBJECT: University Administration Emergency Management Team DATE: October 31, 2011 REVISION February 16, 2016 Policy for: Procedure for: Authorized by: Issued by: Columbia Campus
More informationSnohomish County Fire Chief's Association. Recommended Standard Operating Procedures Snohomish County MCI Plan The Multiple Casualty Incident Plan
Snohomish County Fire Chief's Association Recommended Standard Operating Procedures Snohomish County MCI Plan The Multiple Casualty Incident Plan March 2002 ACKNOWLEDGEMENTS The Snohomish County MCI plan
More information7 IA 7 Hazardous Materials. (Accidental Release)
7 IA 7 Hazardous Materials (Accidental Release) THIS PAGE LEFT BLANK INTENTIONALLY PRE-INCIDENT PHASE Have personnel participate in necessary training and exercises, as determined by County Emergency Management,
More informationSanoca Rural Fire District, Inc. STANDARD OPERATING PROCEDURES Emergency Operations
Sanoca Rural Fire District, Inc. STANDARD OPERATING PROCEDURES Emergency Operations Fire Company Operations Subject: Incident Command Revised: May 04, 2003 INCIDENT COMMAND SYSTEM PURPOSE: The purpose
More informationCITY OF VIRGINIA BEACH DEPARTMENT OF EMERGENCY MEDICAL SERVICES
DEPARTMENT OF EMERGENCY MEDICAL SERVICES (757)-385-1999 FAX (757) 431-3019 477 VIKING DRIVE, SUITE 130 VIRGINIA BEACH, VA 23452 CITY OF VIRGINIA BEACH DEPARTMENT OF EMERGENCY MEDICAL SERVICES OPERATIONAL
More informationPlane crash exercise Kuusamo
Plane crash exercise Kuusamo Reporter Incident location Dr. Lasse Raatiniemi Role in incident: Treatment officer Co-authors Tommi pekanoja Role in incident: Observer, Field supervisor Pasi Lehto Role in
More informationAppendix C MCI and Disaster Management The EMS Perspective
Appendix C MCI and Disaster Management The EMS Perspective 1 Purpose The Suffolk County Department of Health Services, Division of EMS, in its role as the Regional Program Agency, has developed this plan
More informationGUERNSEY COUNTY EOP, ESF # 4 FIREFIGHTING, EMS & RESCUE
GUERNSEY COUNTY EOP, ESF # 4 FIREFIGHTING, EMS & RESCUE COORDINATING AGENCY: PRIMARY AGENCIES: Guernsey County Firefighter s Association Antrim Vol. Fire Department Byesville Vol. Fire Department Cambridge
More information3. Situation 3.1 Emergency/Disaster Conditions and Hazards Refer to the Coos County Hazard Analysis report.
1. General Information 1.1 Purpose To provide for the effective utilization of search and rescue resources and for the control and coordination of various types of search and rescue operations involving
More informationNEW JERSEY TRANSIT POLICE DEPARTMENT
NEW JERSEY TRANSIT POLICE DEPARTMENT 2014 EMERGENCY OPERATIONS ANNEX Version 2 RECORD OF CHANGES Changes listed below have been made to the New Jersey Transit Police Department Emergency Operations Annex
More informationICS-200: ICS for Single Resources and Initial Action Incidents
1) means that each individual involved in incident operations will be assigned to only one supervisor. (a) Span of Control (b) Unity of Command (c) Supervisor Authority (d) Unified Command 2) Select the
More informationSan Joaquin County Emergency Medical Services Agency
Long Term Care Facility Evacuation Plan Training Welcome Introductions Objective: Provide participants with an understanding of the LTCF Evacuation Plan, and their role in the plan. At the conclusion of
More informationMONTGOMERY COUNTY, KANSAS EMERGENCY OPERATIONS PLAN. ESF13-Public Safety
MONTGOMERY COUNTY, KANSAS EMERGENCY OPERATIONS PLAN ESF13-Public Safety Planning Team State Agency Kansas Highway Patrol - Troop H 1/15/2009 3:02:55 PM Page 1 of 8 Purpose This ESF Annex provides guidance
More informationAdministrative Procedure
Administrative Procedure Number: 408 Effective: Interim Supersedes: 07/28/1998 Page: 1 of 7 Subject: EMERGENCY ACTION PLAN 1.0. PURPOSE: To establish procedures for the evacuation of University buildings
More informationMass Casualty Incident Response Plan
Mass Casualty Incident Response Plan Annex to the Cuyahoga County EOP Revised: 1/2016 Approval This plan was developed in collaboration between the Cuyahoga County Office of Emergency Management and the
More informationREGION III ALERT STATUS SYSTEM
Approved by the Region III EMS Advisory Council December 7, 1994 Tentative Implementation Date April 1, 1995 Revised on July 27, 2005 "The Region III EMS Advisory Council has established a goal to have
More informationPATIENT TRACKING MANAGER
PLANNING SECTION Mission: Monitor and document the location of patients at all times within the hospital's patient care system, and track the destination of all patients departing the facility. Date: Start:
More informationMULTI-CASUALTY INCIDENT FIELD OPERATIONS
California Governor s Office of Emergency Services REGION III MCI PLAN (Manual 1) MULTI-CASUALTY INCIDENT FIELD OPERATIONS Revised: 3/15/13 TABLE OF CONTENTS PURPOSE OF THE FIELD OPERATIONS MANUAL... 1
More informationSECTION 1: SURGE PLAN
Placer County Surge Plan D. Community Surge Plan. 1 E. Hospital Surge Template. 14 SECTION 1: SURGE PLAN Section I: Page 1 of 33 COMMUNITY SURGE PLAN A. DEFINITIONS 1. Control Facility is the facility
More informationPalm Beach County Fire Rescue Standard Operating Guideline
Palm Beach County Fire Rescue Standard Operating Guideline Operational Procedure for the Protective Element Medical Team Effective Date /DRAFT Revised Date DRAFT SCOPE: PURPOSE: AUTHORITY: This guideline
More informationPart 1.3 PHASES OF EMERGENCY MANAGEMENT
Part 1.3 PHASES OF EMERGENCY MANAGEMENT Four primary phases of emergency management are outlined below, relating to campus mitigation, preparedness, response and recovery activities occurring before, during,
More informationANNEX R SEARCH & RESCUE
ANNEX R SEARCH & RESCUE Hunt County, Texas Jurisdiction Ver. 2.0 APPROVAL & IMPLEMENTATION Annex R Search & Rescue NOTE: The signature(s) will be based upon local administrative practices. Typically, the
More information8 IA 8 Public Health Incident
8 IA 8 Public Health Incident THIS PAGE LEFT BLANK INTENTIONALLY PRE-INCIDENT PHASE Have personnel participate in training and exercises, as determined by County Emergency Management and/or the Shasta
More informationMISSION BASE STAFF REFERENCE TEXT
MISSION BASE STAFF REFERENCE TEXT VOLUME I: ICS DEVELOPED AS PART OF THE EMERGENCY SERVICES CURRICULUM PROJECT MAY 2003 Table of Contents Chapter 1 Principals and Features of ICS...Page 1 Chapter 2 ICS
More informationUnderstand the history of school shootings Understand the motivation and similarities regarding school shootings Improve understanding of the
April, 2015 Understand the history of school shootings Understand the motivation and similarities regarding school shootings Improve understanding of the planning, training, and equipment required to manage
More informationICS-200.b: ICS for Single Resources and Initial Action Incidents Final Exam
1) These levels of the ICS organization may have Deputy positions: Branch Incident Commander (a) Staging Area (b) Group (c) Division (d) Section 2) Resources within the Staging Areas: (a) Are managed by
More informationCOMMAND OFFICER OPERATIONS
FIRE AND RESCUE DEPARTMENTS OF NORTHERN VIRGINIA FIREFIGHTING AND EMERGENCY OPERATIONS MANUAL COMMAND OFFICER OPERATIONS Third Edition Issued: February 2005 Revised: January 2013 ACKNOWLEDGEMENTS The Command
More information