Healthcare Emergency Management Midterm
Questions and Answers
Healthcare Emergency Management Activities
• Communication (Intra & Inter Agency)
• Surge capacity planning
• Volunteer management and credentialing
• Security
• Hazmat/CBRNE preparedness
• Public health emergency readiness
• Education and training of personnel
• Maintenance of equipment and supplies
• Worker health & safety concerns
• Planning and facilitating drills and exercises
• Coordinating hospital disaster operations and incident management
Role of Hospital/Healthcare Emergency Manager
•The role of this position is to coordinate the emergency management functions of the
hospital
•The specific duties may vary largely by the location, size and type of facility, and the
local threats that are present.
• Performance of a hazard and vulnerability analysis of the facility
• Drafting and revision of the facility comprehensive emergency management plan
• Training and education of staff in emergency functions and procedures
• Coordination and facilitation of drills and exercises
• Representation of the hospital or health system on local and regional emergency
planning committees and workgroups
• Maintenance of relationships with local emergency response agencies
• Assurance of compliance with all regulatory and accreditation requirements for
emergency preparedness and response
• Advising senior hospital administrators before, during and after an event
,• Managing the hospital's emergency operations center (EOC) or hospital command
center (HCC) during an incident
• Applying for and administering preparedness grants from federal and state agencies
History of Incident Command Systems
• Modern incident command grew from the experience of firefighters in combating the
California wildfires of the mid 1970s.
FIRESCOPE
Firefighting Resources of California Organized for Potential Emergencies
FIRESCOPE's Core Purpose
To provide a standardized, on scene, all-hazard incident management system that
allowed its users to quickly implement an integrated organizational structure that was
not impeded by jurisdiction boundaries, and was flexible and scalable enough to match
the needs and resources for single, expanding, multiple, and complex incidents despite
their special circumstances and unique demands.
The purposes of ICS are to:
1. Ensure the safety of responders and others;
2. Achieve tactical objectives;
3. The efficient use of resources.
ICS has been adopted as a required practice by several federal agencies
including...
EPA, OSHA, DHS
Adaptation of ICS for Hospitals
• The California Emergency Medical Services Authority adapted the public safety
version of ICS for use in the management of disasters involving hospitals
• This system is called the Hospital Incident Command System or (HICS) and is now
used by most hospitals in America to be compliant with the federal government's
requirements for agencies to manage disasters using an ICS structure.
Standard ICS Structure
• Command Staff:
- Incident Commander
• Liaison Officer
, • Public Information Officer (PIO)
• Safety Officer
• General Staff:
- Operations Section
- Logistics Section
- Planning Section
- Finance and Administration Section
Span of Control
Individuals who supervise other functional roles within an ICS structure should only
have between 3-7 direct reports; ideally 5
Unity of Command
Each individual working within an ICS structure only reports to one boss
Clarity of text
Simple language communications
Interoperability
Compatibility of equipment and resources across agencies and jurisdictions
Emergency
Can be handled with local resources only
Disaster
Needs exceed local resources
Multiple casualty incidents (MCIs)
5 or more patients; Resources strained not overwhelmed
Mass casualty events (MCEs)
20 or more patients; may require additional medical assets
Catastrophic medical disasters/Complex Humanitarian Emergencies (CHEs)
500 or more patients per million population; Effects public as well as personal health;
medical assets exceeded locally and regionally
Trauma system
A comprehensive network of resources, integrated with the local public health system,
that work together to coordinate and deliver optimal patient care to injured victims.
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