Biomedical Engineering Reference
In-Depth Information
Mission:
Organize and direct Emergency Operations Center (EOC). Give overall direction for hospital
operations and if needed, authorize evacuation.
Immediate
____ Initiate the Hospital Emergency Incident Command System by assuming role of Emergency
Incident Commander.
____ Read this entire Job Action Sheet.
____ Put on position identification vest.
____ Appoint all Section Chiefs and the Medical Staff Director positions; distribute the four section
packets which contain:
•
Job Action Sheets for each position
•
Identification vest for each position
•
Forms pertinent to Section & positions
____ Appoint Public Information Officer, Liaison Officer, and Safety and Security Officer; distribute
Job Action Sheets. (May be pre-established.)
____ Announce a status/action plan meeting of all Section Chiefs and Medical Staff Director to be
held within 5-10 minutes.
____ Assign someone as Documentation Recorder/Aide.
____ Receive status report and discuss an initial action plan with Section Chiefs and Medical Staff
Director. Determine appropriate level of service during immediate aftermath.
____ Receive initial facility damage survey report from Logistics Chief, if applicable, evaluate the
need for evacuation.
____ Obtain patient census and status from Planning Section Chief. Emphasize proactive actions
within the Planning Section. Call for a hospital-wide projection report for 4, 8, 24 & 48 hours
from time of incident onset. Adjust projections as necessary.
____ Authorize a patient prioritization assessment for the purposes of designating appropriate
early discharge, if additional beds needed.
____ Assure that contact and resource information has been established with outside agencies
through the Liaison Officer.
Intermediate
____ Authorize resources as needed or requested by Section Chiefs.
____ Designate routine briefings with Section Chiefs to receive status reports and update the
action plan regarding the continuance and termination of the action plan.
____ Communicate status to chairperson of the Hospital Board of Directors or the designee.
____ Consult with Section Chiefs on needs for staff, physician, and volunteer responder food and
shelter. Consider needs for dependents. Authorize plan of action.
Extended
____ Approve media releases submitted by P.I.O.
____ Observe all staff, volunteers and patients for signs of stress and inappropriate behavior.
Report concerns to Psychological Support Unit Leader. Provide for staff rest periods and
relief.
____ Other concerns:
Figure 22.4
Emergency incident commander job action sheet (http://www.heics.com/).
Once the incident command center is estab-
lished and the positions have been determined
then the incident commander in conjunction with
the other positions in the matrix will make deci-
sions to appropriately manage the disaster. The
incident commander for the hospital EOC also
sends representatives out to local and state emer-
gency operations centers to act as liaisons and
to communicate information between incident
command centers. This representative is essential
for the hospital and for the community as he/she
will facilitate the sharing of resources to assist
both entities.
The Large Scale Hospital drill is an excellent
opportunity to identify the available resources in
the surrounding community and involve them in
the exercise process. One of the primary “Lessons
Learned” frommost large-scale hospital drills is that
the hospital is unable to sustain operations without
the assistance from the community resources. The
ability to communicate with these resources and to
plan inadvanceviaacommunitywideMemorandum
