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Missin: Oversee all incident related data gathering and analysis regarding incident peratins and resurce management; develp alternatives fr tactical peratins; initiate lng range planning; cnduct planning meetings; and prepare the Incident Actin Plan (IAP) fr each peratinal perid. Psitin Reprts t: Incident Cmmander Cmmand Lcatin: Psitin Cntact Infrmatin: Phne: ( ) - Radi Channel: Hspital Cmmand Center (HCC): Phne: ( ) - Fax: ( ) - Psitin Assigned t: Date: / / Start: : hrs. Psitin Assigned t: Date: / / Start: : hrs. Psitin Assigned t: Date: / / Start: : hrs. Immediate Respnse (0 2 hurs) Time Initial Receive appintment Obtain briefing frm the Incident Cmmander n: Size and cmplexity f the incident Expectatins f the Incident Cmmander Incident bjectives Invlvement f utside agencies, stakehlders, and rganizatins The situatin, incident activities, and any special cncerns Assume the rle f Planning Sectin Chief Review this Jb Actin Sheet Put n psitin identificatin (e.g., psitin vest) Ntify yur usual supervisr f yur assignment Assess the peratinal situatin Obtain infrmatin and status frm the Operatins and Lgistics Sectin Chiefs t ensure the accurate tracking f persnnel and resurces by the Persnnel Tracking and Materiel Tracking Managers, if appinted, r the respective Sectin Chiefs if nt Prvide infrmatin t the Incident Cmmander n the Planning Sectin peratinal situatin including capabilities and limitatins Determine the incident bjectives, tactics, and assignments Determine which Planning Sectin Units need t be activated: Resurces Unit Situatin Unit Dcumentatin Unit Dembilizatin Unit Make assignments and distribute crrespnding Jb Actin Sheets and psitin identificatin Determine strategies and hw the tactics will be accmplished Determine needed resurces HICS 2014 Page 1 f 5

Brief sectin persnnel n the situatin, strategies, and tactics, and designate a time fr the next briefing Ensure a bed reprt, staffing reprt, and current patient census and status are being prepared fr the Incident Cmmander Prepare and cnduct a planning meeting t develp and validate the incident bjectives fr the next peratinal perid Crdinate the preparatin, dcumentatin, and apprval f the Incident Actin Plan (IAP) and distribute cpies t the Incident Cmmander and Sectin Chiefs Obtain and prvide key infrmatin fr peratinal and supprt activities, including the impact n affected departments Gather additinal infrmatin frm the Liaisn Officer Cllabrate with apprpriate Medical-Technical Specialists as needed Obtain infrmatin and updates regularly frm Planning Sectin Unit Leaders Maintain current status f all areas Infrm the Situatin Unit Leader f status infrmatin Cmmunicate with the Operatins and Lgistics Sectins fr resurce needs and prjected activities Infrm Planning Sectin persnnel f activities that have ccurred; keep updates f status and utilizatin f resurces Cmmunicate with the Finance/Administratin Sectin fr persnnel time recrds, ptential cmpensatin and claims, and canceled surgeries and prcedures Activate Incident Specific Plans r Annexes as directed by the Incident Cmmander Dcumentatin HICS 200: Cnsider use f the Incident Actin Plan (IAP) Cver sheet HICS 201: Draft Incident Briefing fr Incident Cmmander as directed HICS 202: Draft Incident Objectives fr Incident Cmmander apprval HICS 203: Prepare Organizatin as part f the IAP HICS 204: Dcument assignments and peratinal perid bjectives n HICS 205A: Distribute the Cmmunicatins List apprpriately HICS 213: Dcument all cmmunicatins n a General Message Frm HICS 214: Dcument all key activities, actins, and decisins in an Activity Lg n a cntinual basis HICS 215A: Obtain cmpleted Incident Actin Plan (IAP) Safety Analysis frm the Safety Officer fr inclusin in the IAP HICS 252: Distribute the Sectin Persnnel Time Sheet t sectin persnnel and ensure time is recrded apprpriately HICS 257: Track equipment used during the respnse n the Resurce Accunting Recrd Resurces Determine equipment and supply needs; request them frm the Lgistics Sectin Supply Unit Leader Assess issues and needs in sectin areas; crdinate fr resurce planning Make requests fr external assistance, as needed, in crdinatin with the Liaisn Officer Cmmunicatin Hspital t cmplete: Insert cmmunicatins technlgy, instructins fr use and prtcls fr interface with external partners HICS 2014 Page 2 f 5

Ensure that all sectin persnnel cmply with safety prcedures and instructins Intermediate Respnse (2 12 hurs) Time Initial Transfer the Planning Sectin Chief rle, if apprpriate Cnduct a transitin meeting t brief yur replacement n the current situatin, respnse actins, available resurces, and the rle f external agencies in supprt f the hspital Address any health, medical, and safety cncerns Address plitical sensitivities, when apprpriate Instruct yur replacement t cmplete the apprpriate dcumentatin and ensure that apprpriate persnnel are prperly briefed n respnse issues and bjectives (see HICS Frms 203, 204, 214, and 215A) Ensure the fllwing are being addressed: Sectin persnnel health and safety Update the Incident Actin Plan (IAP) with each peratinal perid Shrt and lng term planning Ensure that the Planning Sectin is adequately staffed and supplied Wrk with the Incident Cmmander and ther Sectin Chiefs t identify shrt and lng term issues with financial implicatins; establish needed plicies and prcedures Cmmunicate regularly with Hspital Incident Management Team (HIMT) staff Brief the Incident Cmmander, Public Infrmatin Officer, and Liaisn Officer regularly n the status f the Planning Sectin Designate a time fr briefing and updates with Planning Sectin leadership t update the IAP Dcumentatin HICS 204: Dcument assignments and peratinal perid bjectives n HICS 213: Dcument all cmmunicatins n a General Message Frm HICS 214: Dcument actins, decisins, and infrmatin received n Activity Lg HICS 257: Track equipment used during the respnse n the Resurce Accunting Recrd Resurces Ensure equipment, supplies, and persnal prtective equipment (PPE) are replaced as needed, crdinating with the Operatins and the Lgistics Sectin Chiefs Cmmunicatin Hspital t cmplete: Insert cmmunicatins technlgy, instructins fr use and prtcls fr interface with external partners Review persnnel prtectin practices; revise as needed Ensure staff health and safety issues are being addressed; reprt issues t the Safety Officer and the Lgistics Sectin Emplyee Health and Well-Being Unit Extended Respnse (greater than 12 hurs) Time Initial Transfer the Planning Sectin Chief rle, if apprpriate HICS 2014 Page 3 f 5

Cnduct a transitin meeting t brief yur replacement n the current situatin, respnse actins, available resurces, and the rle f external agencies in supprt f the hspital Address any health, medical, and safety cncerns Address plitical sensitivities, when apprpriate Instruct yur replacement t cmplete the apprpriate dcumentatin and ensure that apprpriate persnnel are prperly briefed n respnse issues and bjectives (see HICS Frms 203, 204, 214, and 215A) Cntinue t mnitr the ability f Planning Sectin persnnel t meet wrklad demands, persnnel health and safety, resurce needs, and dcumentatin practices Cntinue t receive prjected activity reprts frm Sectin Chiefs and Planning Sectin Unit Leaders at designated intervals t prepare status reprts and update the Incident Actin Plan (IAP) Ensure the Dembilizatin Unit Leader assesses the ability t deactivate psitins, as apprpriate, in cllabratin with Sectin Chiefs and develps and implements a Dembilizatin Plan Ensure the Dcumentatin Unit Leader is receiving and rganizing all dcumentatin, including HICS 214: Activity Lgs and HICS 213: General Message Frm Cmmunicate regularly with Hspital Incident Management Team (HIMT) staff Brief the Incident Cmmander, Public Infrmatin Officer, and Liaisn Officer regularly n the status f the Planning Sectin Designate a time fr a briefing and updates with the Planning Sectin leadership t update the IAP Dcumentatin HICS 204: Dcument assignments and peratinal perid bjectives n HICS 213: Dcument all cmmunicatins n a General Message Frm HICS 214: Dcument actins, decisins, and infrmatin received n Activity Lg HICS 257: Track equipment used during the respnse n the Resurce Accunting Recrd Resurces Mnitr the levels f all supplies and equipment, and cllabrate n needs with the Lgistics Sectin Supply Unit Leader Cmmunicatin Hspital t cmplete: Insert cmmunicatins technlgy, instructins fr use and prtcls fr interface with external partners Observe all staff and vlunteers fr signs f stress and inapprpriate behavir and reprt cncerns t the Safety Officer and the Lgistics Sectin Emplyee Health and Well-Being Unit Leader Prvide fr persnnel rest perids and relief Ensure yur physical readiness thrugh prper nutritin, water intake, rest, and stress management techniques Dembilizatin/System Recvery Time Initial Transfer the Planning Sectin Chief rle, if apprpriate HICS 2014 Page 4 f 5

Cnduct a transitin meeting t brief yur replacement n the current situatin, dembilizatin actins, available resurces, and the rle f external agencies in supprt f the hspital Address any health, medical, and safety cncerns Address plitical sensitivities, when apprpriate Instruct yur replacement t cmplete the apprpriate dcumentatin and ensure that apprpriate persnnel are prperly briefed n respnse issues and bjectives (see HICS Frms 203, 204, 214, and 215A) As bjectives are met and needs decrease, return Planning Sectin persnnel t their usual jbs and cmbine r deactivate psitins in a phased manner, in crdinatin with the Dembilizatin Unit Leader Assist Sectin Chiefs in restring the hspital t nrmal peratins Debrief sectin persnnel n lessns learned and prcedural r equipment changes needed Participate in ther briefings and meetings as required Crdinate the final reprting f patient infrmatin with external agencies thrugh the Liaisn Officer and the Public Infrmatin Officer Wrk with Finance/Administratin Sectin t cmplete cst data infrmatin Begin the develpment f the After Actin Reprt and Crrective Actin and Imprvement Plan and assign staff t cmplete sectins f the reprt. Tpics include: Review f pertinent psitin descriptins and peratinal checklists Recmmendatins fr prcedure changes Accmplishments and issues Participate in stress management and after actin debriefings Dcumentatin HICS 221: Cllect and Distribute the Dembilizatin Check-Out frm fr Incident Cmmander apprval Ensure all dcumentatin is submitted t the Dcumentatin Unit Dcuments/Tls Incident Actin Plan (IAP) Quick Start HICS 200 - Incident Actin Plan (IAP) Cver Sheet HICS 201 - Incident Briefing HICS 202 - Incident Objectives HICS 203 - Organizatin HICS 204 - HICS 205A - Cmmunicatins List HICS 213 - General Message Frm HICS 214 - Activity Lg HICS 215A - Incident Actin Plan (IAP) Safety Analysis HICS 221 - Dembilizatin Check-Out HICS 252 - Sectin Persnnel Time Sheet HICS 254 - Disaster Victim/Patient Tracking HICS 255 - Master Patient Evacuatin Tracking HICS 256 - Prcurement Summary Reprt HICS 257 - Resurce Accunting Recrd Hspital Emergency Operatins Plan Incident Specific Plans r Annexes Hspital rganizatin chart Hspital telephne directry Telephne/cell phne/satellite phne/internet/amateur radi/2-way radi fr cmmunicatin HICS 2014 Page 5 f 5