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dSystem

NursingHomeIncidentCommandSystem

Module2IntroductiontotheIncident

CommandSystem

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dSystem 2017LongTermCareEmergencyPreparednessDistrict

RoundtableTraining

Fundingforthisconferencewasmadepossible(inpart)bytheCentersforDiseaseControlandPrevention.TheviewsexpressedinwrittenconferencematerialsorpublicationsandbyspeakersandmoderatorsdonotnecessarilyreflecttheofficialpoliciesoftheDepartmentofHealthandHumanServices,nordoesthementionoftradenames,commercialpractices,ororganizationsimplyendorsementbytheU.S.Government.

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dSystem ModuleObjectives

• DiscussICSandthethreepurposesoftheIncidentCommandSystem(ICS)

• OutlinethefundamentalfeaturesofICS• Describethefivemanagementfunctions• DefineICSterminology• Describethesixstepsoftheincidentplanningprocess

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dSystem WhatisICS?

• Astandardized,all-hazardapproachtoincidentmanagement;usabletomanagealltypesofemergencies,routineorplannedevents,byestablishingaclearchainofcommand

• ICSensures• Safetyofrespondersandothers• Achievementoftacticalobjectives• Effectiveuseofresources

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dSystem FundamentalFeaturesofICS

• Commonterminology• Modularorganization• Managementbyobjectives• RelianceonanIncidentActionPlan(IAP)• Manageablespanofcontrol• Pre-designatedincidentlocations/facilities• Resourcemanagement• Integratedcommunications• Commoncommandstructure

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dSystem ManagementFunctions

• Command• Operations(Doers)• Planning(Planners)• Logistics(Getters)• Finance/Administration(Payers)

Command

Operations Planning Logistics Finance/Administration

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dSystem Command

• Onlypositionalwaysactivatedinanincidentregardlessofitsnature

• Setstheobjectives,devisesstrategiesandpriorities

• Maintainsoverallresponsibilityformanagingtheincident

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dSystem Operations

• Conductsthetactical(“doing”)operations• Carriesouttheplanusingdefinedobjectives

• Directsallneededresources

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dSystem Planning

• Collectsandevaluatesinformationfordecisionsupport

• Maintainsresourcestatus• PreparesdocumentssuchastheIncidentActionPlan

• Maintainsdocumentationforincidentreports

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dSystem LogisticsandFinance/Administration

• Logistics– Providessupport,resources,andotheressentialservicestomeettheoperationalobjectives

• Finance/Administration–Monitorscostsrelatedtotheincident– Providingaccounting,procurement,timerecording,andcostanalyses

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dSystem CommonTerminology

• Providesforaclearmessageandsharingofinformation

• Avoidsuseofcodes,slang,and/ordisciplinespecificnomenclature

• Definesthecommonorganizationalstructure

• Facilitatestheabilitytoshareresources

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dSystem ModularOrganization

• ICSstructurebeginsfromthetopandexpandsasneededbytheevent

• Positionswithinthestructureareactivatedasdictatedbytheincidentsizeandcomplexity

• Onlythosefunctionsorpositionsnecessaryfortheincidentareactivated

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dSystem ManagementbyObjectives

• IncidentCommanderinitiatestheresponseandsetstheoverallcommandandcontrolobjectives

• Objectivesareestablishedafteranassessmentoftheincidentandresourceneedsarecompleted

• Clearlydefinedobjectivesallowstafftofocusontheresponseandavoidduplicationofeffort

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dSystem IncidentActionPlanning

• DevelopmentofobjectivesisdocumentedintheIncidentActionPlan(IAP)

• Reflectstheoverallstrategyforincidentmanagement

• FormstailoredfornursinghomestosupporttheIAPprocess

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dSystem ManageableSpanofControl

• Maintainsaspanofcontrolwhichiseffectiveandmanageable

• Optimumspanofcontrolis1supervisorto5reportingpersonnel

1

2

3

4

5

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dSystem

Pre-designatedIncidentLocations/Facilities

• Locationofresponseandcoordinationsitesshouldbepre-planned

• PlannerswithinthenursinghomeshouldidentifysitesforICSmanagement,stagingareasforthereceiptofsuppliesandequipment,andevacuationsitesifrequired

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dSystem ResourceManagement

• Resourcesusedarecategorizedastacticalandsupport– Tactical;includespersonnel,majorequipmentavailableorpotentiallyavailable

– Support;thoseitemswhichsupporttheincident,suchasfood,equipment,communications,supplies,vehicles

– Knowledgeoftheavailabletacticalandsupportresourcesiscriticaltothesuccessoftheresponse

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dSystem IntegratedCommunication

• Threeelementswithinintegratedcommunications:– Modes:hardwaresystemsthattransferinformation,i.e.radios,cellphones,pagers,etc.

– Plans:shouldbedevelopedinadvanceonhowtobestusetheavailableresources

– Networks:shouldbeidentifiedinternalandexternaltothenursinghome• Thiswilldeterminetheproceduresandprocessesfortransferringinformationinternallyandexternally

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dSystem

CommonCommandStructure

• Structurethatidentifiesthecoreprinciplesforanefficientchainofcommand– UnityofCommandstatesthateachpersonwithintheresponsereportstoonlyonesupervisor

– SingleCommandexistswhenonlyasingleagencyordisciplineresponds

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dSystem SixStepstotheIncidentPlanning

Process• Understandthepolicyanddirection• Assessingthesituation• Establishingincidentobjectives• Determiningappropriatestrategiestoachievethe

objectives• Providingtacticaldirectionandensuringthatitis

followed– Example:Thecorrectresourcesassignedtocompleteataskand

theirperformancemonitored• Providingnecessaryback-up

– Assigningmoreorfewerresources– Changingtactics

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dSystem KeyPointsReview

• BenefitsofICSare:– Managesroutineorplannedevents– Establishesaclearchainofcommand– Providesacommonstructureandcommonterminology– Ensureskeyfunctionsarecoveredandeliminatesduplication

– Manageableandscalabletothescopeandmagnitudeoftheincident• IncidentCommander- alwaysactivated• Otherpositions- activatedasneeded

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dSystem Module2- SelfEvaluationQuestions

1. TheIncidentCommandStructure____

a. isonlyapplicableingovernmentalsettings.b. isastandardized,all-hazardapproachto

incidentmanagement.c. canonlybeusedinlargefacilitiesand

institutions.d. isonlyusedonlargeevents

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dSystem Module2- Questions

2.WhichofthefollowingisNOTapurposeofICS?a.Safetyofrespondersandothersb.Achievementoftacticalobjectivesc.Effectiveuseofresourcesd.Awaytolearnanewjob

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dSystem Module2- Questions

3.FundamentalfeaturesofICSinclude:a. Commonterminology,managementby

objectives,commoncommandstructureb. Commonterminology,managementby

objectives,stafffunctioninnormaldailyrolesc. Managementbyobjectives,common

commandstructure,largeorganizationalchartwhereallrolesmustbefilled

d. Shortphrases,smallnumberofpositions

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dSystem Module2- Questions

4.ThefivemanagementfunctionsofICSare:a.Administrator,DON,Admitting,Dietary,Environmental

b.FireChief,EMSChief,DOH,Mayor,HospitalAdministrator

c.Command,Operations,Logistics,Planning,andFinance/Administration

d.Command,Operations,DON,Planning,Finance

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dSystem Module2- Questions

5.Whichisnotpartofthesix-stepincidentplanningprocess?a. Assessingthesituationb. Establishingincidentobjectivesc. Determiningappropriatestrategiestoachieve

theobjectivesd. Determiningwhichrestaurantdelivers

afterhourse. Providingtacticaldirection