1. PHYSICIAN ROLES AT THE HOSPITAL IN A DISASTER

2. (Insert Facility Name) PHYSICIAN ROLES IN THE HOSPITAL IN A DISASTER OBJECTIVES: 1.Discuss the physician role in HICS 2.Discuss the principal concepts and features of the Hospital Incident Command System 3.Discuss how the hospital is part of the community response

3. (Insert Facility Name) PHYSICIAN ROLES IN THE HOSPITAL IN A DISASTER WHAT DO WE NEED TO PLAN FOR: What are the risks we face daily? What is on our Hazard Vulnerability Assessment list?

4. (Insert Facility Name) PHYSICIAN ROLES IN THE HOSPITAL IN A DISASTER WHO IS RESPONSIBLE FOR EMERGENCY PREPAREDNESS AT (Insert Facility): Emergency Management Committee Environment of Care Committee (Insert specific methodology used)

5. (Insert Facility Name) PHYSICIAN ROLES IN THE HOSPITAL IN A DISASTER HOW IS AN EMERGENCY RESPONSE DIFFERENT FROM DAY-TO-DAY? Emergency Operations Plan Emergency Codes Hospital Incident Command System

6. (Insert Facility Name) PHYSICIAN ROLES IN THE HOSPITAL IN A DISASTER HOSPITAL INCIDENT COMMAND SYSTEM: Helps improve hospital response and coordination between hospitals and other responders using: Defined responsibilities Clear reporting channels A common nomenclature HICS does not replace or supplant daily hospital operations

7. BASIC INCIDENT COMMAND STRUCTURE Modular Organization: Functional Sections Activated as Needed Incident Commander Planning Section Chief Logistics Section Chief Operations Section Chief Finance/ Administration Section Chief Public Information Officer Liaison Officer Medical/ Technical Specialist(s) Safety Officer

8. (Insert Facility Name) PHYSICIAN ROLES IN THE HOSPITAL IN A DISASTER FLEXIBLE The system is scalable so that more or fewer positions--depending on the emergency--may be implemented

9. (Insert Facility Name) PHYSICIAN ROLES IN THE HOSPITAL IN A DISASTER ACTIVATING THE PLAN: The hospital Emergency Operations Plan is activated by: (Insert method such as; administrator on call authorizing the hospital’s emergency codes)

10. (Insert Facility Name) PHYSICIAN ROLES IN THE HOSPITAL IN A DISASTER HOW DO YOU KNOW THE PLAN IS ACTIVATED?: The hospital communicates that the plan is activated by: Overhead Page Email/Alerts Pager System

11. (Insert Facility Name) PHYSICIAN ROLES IN THE HOSPITAL IN A DISASTER MANAGEMENT ROLES IN AN ACTIVATION : Command and General Staff

12. COMMAND Incident Commander Public Information Officer Liaison Officer Medical/ Technical Specialist(s) Safety Officer Chemical Clinic Administration Communicable Disease Hospital Administration Legal Affairs Medical Ethicist Medical Staff Pediatric Care Radiological Risk Management

13. (Insert Facility Name) COMMAND STAFF: Incident Commander: Gives overall strategic direction for the hospital Public Information Officer: Communicate with internal and external stakeholders including: Staff, Visitors, and Media Safety Officer: Ensure safety of staff, patients and visitors Liaison Officer: Hospital Command Center contact for supporting agencies and organizations Medical Technical Specialist: Subject matter experts that advise the Incident Commander and/or assigned section

14. Biological Infectious Disease Chemical Radiological Legal Affairs Risk Management Examples Include: MEDICAL/TECHNICAL SPECIALIST Medical Staff Pediatric Care Medical Ethicist Clinical Administration Hospital Administration

15. GENERAL STAFF: SECTIONS Operations Section Chief Planning Section Chief Logistics Section Chief Finance / Administration Section Chief Incident Commander Public Information Officer Liaison Officer Medical/ Technical Specialist(s) Safety Officer

16. (Insert Facility Name) PHYSICIAN ROLES IN THE HOSPITAL IN A DISASTER SECTIONS INCLUDE: Operations Planning Logistics Finance/Administra tion

17. (Insert Facility Name ) PHYSICIAN ROLES IN THE HOSPITAL IN A DISASTER OPERATIONS SECTION MISSION: Manage tactical operations Direct all tactical resources Carry out the mission and Incident Action Plan

18. (Insert Facility Name) PHYSICIAN ROLES IN THE HOSPITAL IN A DISASTER OPERATIONS: Some of the Operations Section Branches you may be assigned to: Medical Care Branch Patient Family Assistance Branch HazMat Branch

19. MEDICAL CARE BRANCH DIRECTOR Supervises: Inpatient Unit Leader (all inpatient units) Outpatient Unit Leader (all outpatient services) Casualty Care Unit Leader (Treatment Areas including: Immediate, delayed, minor, and deceased) Behavioral/Mental Health Unit Leader Clinical Support Unit Leader (Lab, Diagnostic Imaging, Pharmacy, Morgue, Blood Donor) Patient Registration Unit Leader

20. (Insert Facility Name) PHYSICIAN ROLES IN THE HOSPITAL IN A DISASTER OTHER SECTIONS: Logistics: Organize and maintain the physical environment – providing human resources, material, and services to support the incident. Planning: Collect, evaluate, and disseminate information and develops the Incident Action Plan Finance: Monitors financial assets and accounting

21. (Insert Facility Name) PHYSICIAN ROLES IN THE HOSPITAL IN A DISASTER HOW DO I GET MY ASSIGNMENT: Depending on the facility’s Emergency Operations Plan, you can respond to the Labor Pool for assignment If you are not on staff and show up to help, the Medical Staff Office may handle the credentialing process (insert facility process for credentialing)

22. (Insert Facility Name) PHYSICIAN ROLES IN THE HOSPITAL IN A DISASTER YOUR PART IN IMPROVING THE HOSPITAL’S RESPONSE: Hotwash and Debriefs

23. (Insert Facility Name) PHYSICIAN ROLES IN THE HOSPITAL IN A DISASTER INCIDENT RESPONSE GUIDES: Active Shooter Chemical Incident Earthquake Evacuation, Shelter-in-Place, and Hospital Abandonment Explosive Incident Hostage or Barricade Infectious Disease

24. (Insert Facility Name) PHYSICIAN ROLES IN THE HOSPITAL IN A DISASTER INCIDENT RESPONSE GUIDES: Mass Casualty Incident Missing Person Radiation Incident Severe Weather Staff Shortage Utility Failure Wildland Fire

25. (Insert Facility Name) PHYSICIAN ROLES IN THE HOSPITAL IN A DISASTER DOCUMENTATION: How is documentation different in an emergency response: HICS Forms START Triage Tags How does the EMR Change in a Surge? Do we still follow HIPAA?

26. (Insert Facility Name) NATIONAL INCIDENT MANAGEMENT SYSTEM COMMUNITY RESPONSE: We are part of the national system: Individual Hospital Hospital System Community/County State Federal International

27. PHYSICIAN ROLES IN THE HOSPITAL IN A DISASTER WHAT IF I DON’T GET A HICS ASSIGNMENT?: How do I handle my current patients? Review and evaluate for early discharge Review and evaluate more acute patients for transfer to other service areas or other facilities Evaluate for cancellation of elective surgery and procedures Be prepared to receive patients transferred from an affected area such as another county or state Be prepared to be assigned to a treatment area

28. (Insert Facility Name) PHYSICIAN ROLES IN THE HOSPITAL IN A DISASTER ALTERED STANDARDS OF CARE: California Department of Public Health Standards and Guidelines for Healthcare Surge During Emergencies Available at www.bepreparedcalifornia.ca.govwww.bepreparedcalifornia.ca.gov

29. (Insert Facility Name) PHYSICIAN ROLES IN THE HOSPITAL IN A DISASTER PERSONAL PLANS: Family Plans Pet Plans

30. THANK YOU QUESTIONS