Ambulance Victoria State Emergency Response Plan Field Emergency Medical Officer Program October 2009 v1.0

AV Emergency Response Plan Two Volumes 1.Overview 2009 “Thin booklet” General Principles 2.Specifications 2008 Detailed actions for each key role Based on normal business role Focuses on actions required in an incident References Operational Procedures

AV Response Plan Aims Ensure an appropriate response to major incidents Minimize impact on “normal” business operations Whole of organisation approach

AV Concept of Operations

AV Four Key Principles 1.Escalation process 2.Triggers for escalation 3.Notifications 4.Management Structure

AV Stages of an Incident Notification –From time of call to first crew at scene –Determine level of escalation –Escalate and notify –Some pre-emptive deployment (Health Commander) Response –From time of first SITREP to last AV resource at scene –Confirm level of escalation –Resource as required Recovery –May start at Response –Peer / stores / fleet –Operational debriefing

AV Process

AV Response Matrix

AV Risk Assessment

AV Triage Officer (old CCO) Primary Role Triage and assess the number and type of patients. Applies triage tags. Allocates the clinical priority for patients. Secondary Roles Takes on role as Health Commander until the appointment of a manager who will assume the role. Establishes a Casualty Clearing Post. Liaison with the Transport Officer and initially DTM/SCO). Takes direction from the Health Commander or the relevant Ambulance commander/ supervisor. Provides direction for on scene paramedics. Additional Triage Officers may be appointed for each incident sector and/or casualty clearing post

AV Transport Officer (old TCO) Primary Role Coordination of transport vehicles to ensure appropriate transfer of patients. Maintain Casualty Movement Log regarding transport or outcome of all patients. Provide Situation Reports in ETHANE format. Secondary Roles Liaison with the Triage Officer and initially DTMs. Takes direction from the Health Commander or the relevant Ambulance commander/supervisor. Ensure appropriate access and egress for responding vehicles. Establish an ambulance loading point in consultation with the Triage Officer. Apply a patient number to the Triage Tag of each victim prior to transport, ensure that the number on the tag corresponds to the number used on the Casualty Movement Log.

Triage Sieve

Triage Sort

SMART TAG TM Triage Tags

Situation Reports

AV Notifications - Green Regional Critical Incident Manager –Advises State Critical Incident Manager Health Commander Hospitals Other Emergency Service Agencies Peer Support AV Media

AV Notifications – Orange & Red Orange and Red: State Health Incident Coordinator Field Emerg Med Coordinator First Aid Sub Plan Agencies All other Group Managers Additional managers (SO/TM) WX 1 Notification Air Ambulance Victoria Adult Retrieval Victoria Non Emerg Services Manager (x2) Clinic Transport Manager (metro) AV Media HS&W / Safety Officer Peer Support Fleet & Equipment Coordinator (metro) Rosters (x2) General Manager – Regional Services General Manager – Specialist Services General Manager - QES Regional General Managers Operations Managers (Metro) Red Only: Fleet Manager (regional) Human Resources Commercial Services Property Finance Subset during Notification Full list during Response Automated via SMS and

AV Co-ordination Structure

AV Use of Specifications

AV Management Structure

HIMT Health Incident Management Team

Patient Flow / Skill Mix

State Arrangements (EMMV Part 3) Designated Control Agency = Controller Victoria Police = Coordinator Three layers of management for Control and Coordination: Incident = EMT, MECC Health Represented by Sector Health Commander Area of Operations = AofO EMT, RERCC Health Represented by Health Commander State = SEMT, SERCC Health Represented by State Health Incident Coordinator Ambulance Represented by State Critical Incident Manager

Command and Control Chain of Command –Hierarchy –Span of control 1:3 to 1:7 Incident Management System –Control –Planning –Operations –Logistics –Intelligence –Information –Investigation –Finance –Administration

IMS Emergency Response Levels Level 1 - characterised by being able to be resolved through the use of local or initial response resources only. Level 2 - More complex emergency response: either in size, resources or risk. Level 2 response is characterised by the need for: –deployment of resources beyond initial response –sectorisation of the emergency –the establishment of functional sections due to the levels of complexity –a combination of the above. Level 3 - Characterised by degrees of complexity that may require a more substantial establishment for management of the situation. These emergencies will usually involve delegation of all functions.

SHERP-ICS

EMT Practice Note (OESC)

Questions? Emergency Management Unit