ICS FINALS

• ICN CORE COMPETENCIES IN DISASTER NURSING

  • GENERAL PROFESSIONAL NURSE
  • ADVANCED OR SPECIALIZED NURSE
• Concept of Disaster Management

  
• Phases of Disaster Management/ Disaster Management Continuum

  • Mitigation
  • Preparedness
  • Response
  • Recovery

  
• Mitigation


  Involves steps to reduce vulnerability to disaster impacts such as injuries and loss of life and property. This might involve changes in local building codes to fortify buildings; revised zoning and land use management; strengthening of public infrastructure; and other efforts to make the community more resilient to a catastrophic event.
• Preparedness


  Focuses on understanding how a disaster might impact the community and how education, outreach and training can build capacity to respond to and recover from a disaster. This may include engaging the business community, pre-disaster strategic planning, and other logistical readiness activities.

  
• Response


  Addresses immediate threats presented by the disaster, including saving lives, meeting humanitarian needs (food, shelter, clothing, public health and safety), clean-up, damage assessment, and the start of resource distribution.
• Recovery


  The restoration of all aspects of the disaster's impact on a community and the return of the local economy to some sense of normalcy. The short-term phase typically lasts from six months to at least one year and involves delivering immediate services to businesses. The long-term phase, which can range up to decades, requires thoughtful strategic planning and action to address more serious or permanent impacts of a disaster.

  
• Triage Levels and Color-Coding

  • Red Triage Tag ("Immediate" or T1 or Priority 1): Patients whose lives are in immediate danger and who require immediate treatment
  • Yellow Triage Tag ("Delayed" or T2 or Priority 2): Patients whose lives are not in immediate danger and who will require urgent, not immediate, medical care
  • Green Triage Tag ("Minimal" or T3 or Priority 3): Patients with minor injuries who will eventually require treatment
  • Black Triage Tag ("Expectant" or No Priority): Patients who are either dead or who have such extensive injuries that they can not be saved with the limited resources available
• When does a scene become a Mass Casualty Incident?


  • When the number of patients exceeds available resources
  • There are greater than 3 yellow patients
  • When there aren't enough paramedics for the scene
• Mass Casualty Incident (sometimes called a Multiple Casualty Incident)


  When the number of patients and the severity of their injuries exceed the capacity of area medical systems and facilities
• A Mass Casualty Incident that overwhelms resources both on scene and at receiving facilities. Infrastructure collapses. Most challenging situations. Overwhelming - Large number of patients, Lack of specialized equipment and/or adequate help.
• Factors having bearing on extent of MCI


  • Number of patients
  • Severity / Acuity
  • Resources available
  • Rescue Operations
  • Special operations needed
  • Environment
  • Injuries may be secondary to medical issue, trauma or both
• When the number of patients exceeds available resources, the scene becomes a Mass Casualty Incident.
• Incident Command System (ICS)


  A standard on scene, all-hazard incident management concept that can be used by all response groups. ICS allows users to adopt an integrate organizational structure for response. A tool to communicate Incident Action Plan, objectives to all ICS organizations.

  
• Designed to


  • Create a clear chain of command
  • Establish Incident Command Structure (ICS) which has common terminology
  • Establish common structure
  • Establish consistent approach for National, local and other organizations working together
  • Provide an orderly and systematic planning processes with flexible management structure
  • Ensure Safety of the Responders and others
  • Achieve Tactical Objectives
  • Ensure efficient use of Resources
• Benefits of ICS

  • Meet needs of any kind or size of incident
  • Allow rapid melding of different personnel
  • Provide accountability
  • Provide logistic and admin support
  • Be cost-effective
• Principles and Features of ICS

  • Common Terminology
• Incident Command System (ICS)


  A standard on scene, all-hazard incident management concept that can be used by all response groups

  
• ICS


  • Allows users to adopt an integrate organizational structure for response
  • A tool to communicate Incident Action Plan, objectives to all ICS organizations
• Designed to

  1. Create a clear chain of command

  2. Establish Incident Command Structure (ICS) which has common terminology

  3. Establish common structure

  4. Establish consistent approach for National, local and other organizations working together

  5. Provide an orderly and systematic planning processes with flexible management structure
• Objectives of ICS

  • Safety of the Responders and others
  • Achievement of Tactical Objectives
  • Efficient use of Resources
• Benefits of ICS

  • Meet needs of any kind or size of incident
  • Allows rapid melding of different personnel
  • Provide accountability
  • Provide logistic and admin support
  • Cost-effective
• Common Terminology


  Applies to Organizational Chart, Resources Description, Facilities, Position Titles
• Use clear text (plain language), do not use radio codes, agency-specific codes, acronyms, or other jargons
• Modular Organization


  • Structure that can expand or contract depending on the incident requirements
  • Is flexible and modular
  • Develop in the top-down fashion
• Incident Action Plan


  Used to communicate response goals, objectives and support activities throughout the ICS organization

  
• Span of Control


  Ideal span of control for any supervision is 3 to 7 subordinates; BEST of 5
• Do not combine functions for one organization unit
• Incident Facilities and Locations


  Established based on the requirements and complexity of the incident
• Resource Management


  Processes for Categorizing, Ordering, Dispatching, Tracking, Recovering, reimbursement resources (as appropriate)
• Integrated Communications


  Every incident needs communications plan, including Command Net, Tactical Net, Support Net, Ground-to-air, Air-to-Air
• Establishment and transfer of Command


  Command must be clearly established from the beginning of response, and may be transferred depending on the situation
• Chain of Command


  Orderly ranking of management positions in the line of authority objectives and strategies
• Accountability


  • All responders must CHECK-IN, Outline action in an INCIDENT ACTION PLAN, Observe Unity Command, Maintain SPAN OF CONTROL, TRACK RESOURCES and record changes
• Dispatch and Deployment

  Respond ONLY when REQUESTED or DIDPATCHED by an appropriate authority, receive deployment briefing
• Information and Intelligence Management


  Establish process for gathering, sharing and managing information and intelligence
• ICS Form and Tools


  The ICS has variety of tool, including forms, to help standardized procedures and documentation
• Eight concepts to NIMS

  • Command is established early
  • Clear chain of command & unity of command
  • Incident Action Plan objectives
  • Transfer of command
  • Span of control – 3-7 people
  • Common Terminology
  • NIMS designated Titles
  • Integrated communications between all agencies
• ICS Organization is built around five (5) Major functions, and only those parts of the organization required are filled
• ICS Position Titles

  • Incident Commander
  • Deputy
  • Public Information Officer
  • Liason Officer
  • Safety Officer
  • Operation Section Chief
  • Planning Section Chief
  • Logistic Section Chief
  • Finance Admin. Section Chief