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CreativeNIMSCompliance

Buildingincidentmanagementteamstosupport

longtermoperationsGregSantaMariaEmergencyPreparednessManagerSanfordHealthSystemSiouxFalls,SD

TheSanfordHealthSystem24hospitalsMostlycriticalaccess105clinics4statesRURALSERVICEAREASHowitallbeganMedicalCentermaincampusupdate-2004HEICSUpdatesTabletopsDeconTrainingRandomnetworkhospitalrequestsEmergingpatternsWhattheheckisaCriticalAccessHospital?Startingout–theinitialprojectsHEICStrainingSimplescenariosRealisticeventsWebsterElevatedawarenessoflocalhazardsLargegatheringsHAZMATSTheburningquestions Howdoesacriticalaccesshospitalwithalimitednumberofemployeesandresourcesrespondtoalargeincidentintheircommunity? Howdotheymaintainoperationsovermultipleoperationalperiods?HowdoesthisalsoapplytoruralfireandEMS?FirstThingsFirst

EffectiveICSTrainingInternetvsclassroomWhoismonitoringcomprehension?AdvancedICSWhataboutpracticalapplications?Ifyouneededsurgeryandyourdoctorwaslicensedthroughanonlinecourse,wouldyouputyourlifeinhishands?WhyIncidentCommand?WalkingtheTalkICSNIMSFiveyearNIMStrainingplanExercisesPlanningAteamisbornWouldn’titbecoolif………Justlikewildlandfirefighting

,wecoulddevelopseasonedandconfidentincidentmanagersandusethemtocreateincidentmanagementteamsforourHealthSystemandthenbeyond…….SanfordHealth

IncidentManagementTeamProjectJobDescriptionPlanningSectionChiefNiceVest!!!HospitaluseofICSislimitedICSisstill“new〞tohospitalsStillHCCConfusiononrolesStandardsarestaggeredFewhavetakenICS300/400SanfordHealth

IncidentManagementTeamProjectDisasterscostmoneyWhy?LongtermoperationsstressstaffLackofreplacementstaffOtherissuesWhataboutincidentcommandersWhoreplacesthem?Deconteams?DisasterBusinessNowisthetimeNationwideEmergencyManagementExpectationsTheJointCommissionEMStandardsHospitalOpsmaylastlongerthansceneOpsSanfordHealth

IncidentManagementTeamProjectScenario1–Pre-IMTDisasterinWinner,SDIsolatedlocationFinitestaffMultiperiodeventwillstresslocalresourcesSystemplanactivationTakesICfocusfromlocaltosystemcommunicationMaydelaylocaldecisionmakingandIAPSanfordHealth

IncidentManagementTeamProjectScenario2-HIMTDisasterinWinnerDisasterresponsebeginsMultiperioddisasteridentifiedLocalSHfacilitiesdeployHIMTsupportstaffOnCallTeamleadernotifiedInitialSituationAssessmentcompletedIfapplicable,systemplanactivatedTeammembersactasliaisonstolocalaswellassystemresourcesCommunicationslinkwithLocalEMestablishedActivationPullingtheTriggerWhatbarrierstoactivationexist?PersonalAdministrativePolicyOther“TheOrwellSyndrome〞ActivationLevelsofActivationSanfordHealth

IncidentManagementTeamProject

ProjectDescriptionDevelopasystemwideteamofrespondersDeployabletoanysystemlocationTrainedtoassessadisastersituationandcoachaCommandcenter–EOCmanagerDeconteamOncallandonsiteteamleadersthatinitiatethesystemresponseTrainedtocoordinateeffortswithlocalemergencymanagersSanfordHealth

IncidentManagementTeamProjectTheconceptOnlocationsupportIncreasesmoraleReducesbusinesslossesIncreasesresponseeffectivenessovermultipleoperationalperiodsDoesNOTrelievelocalcommanderofresponsibilityManagerrole(notcommander)SanfordHealth

IncidentManagementTeamProjectTheconceptLiaisonbetweensystemandaffectedfacilityEnhancescommunicationCreateseaseofresourcemanagementRemovesthe“distant〞r(shí)esponsibilitiessoICcanfocusonlocaleventAllowslocalstafftomaintaincontinuityofoperationsSanfordHealth

IncidentManagementTeamProjectTheconceptLiaisonbetweenaffectedfacilityandlocalEMEstablishes“trained〞liaisonEnsuresappropriateuseoflocalresourceReducespotentialforduplicationofservicesKnowswhotocallandwhen/wheretocallthemSanfordHealth

IncidentManagementTeamProjectTheconceptBringneededsupportstafftoaffectedfacilityDeconEOC“coach〞IncidentmanagersSanfordHealth

IncidentManagementTeamProjectIncidentsstartlocallyThisisnotonlyabout“thebigone〞WebsterSD–LakeAreaHospital–HAZMATCanbeusedforIceStormsBlizzardsTornadoAnyincidentthatwillresultinmultipleoperationalperiods(8+hours)SanfordHealthIncidentManagementTeamProjectCurrentoutreachprogramsPreparednessevaluationICS/NIMSclassroomtrainingTabletopsandfunctionalexercisesDecontraining(OSHA1910.120)AdvancedICSofferingsSanfordHealthIncidentManagementTeamProjectCoordinationofmultiagencyexercisesWinnerChamberlainBasicStepsICSTrainingSimpletabletopDecontrainingMultiagencytrainingMultiagencyexerciseMultifacilityexercisesIncreasingcomplexitiesSanfordHealth

IncidentManagementTeamProjectSanfordHIMTTrainingFourlevelsHAZMAToperationstechnicianHAZMATgroupsupervisorHospitalincidentmanagerHospitalincidentmanagementspecialistLevel1Level2Level3Level4TrainingCanbemodularCanbeanimmersionprogramRequiresaninternshipatthehighestlevelIsindevelopmentstagesandrequirementsmayincreaseorcontentmaychangeSanfordHealth

IncidentManagementTeamProjectTeamLeadersBecometrainersTraintheirfacilityandother“l(fā)ocal〞r(shí)egionalfacilitiesDevelopHVAandpreparednessassessmentsInitiate,scriptandfacilitatelocalandmulti-agencydrillsAreourdisasterplanningliaisonstoResponderagenciesHealthsystemsEmergencymanagementresourcesSanfordHealth

IncidentManagementTeamProjectLevelsofActivation(notdefined)Level12Managersand1SpecialistLevel22Managersand1SpecialistwithsystemEPplanactivationandmaincampusliaisonLevel3ManagementteamwithdeconsupportLevel4ManagementteamwithareacommandactivationWhatwillweaccomplishSystemwideconsistentresponseIncidentcommandDecontaminationHVA–DrilldevelopmentNIMSComplianceTheJointCommissionemergencymanagementfocusEnhancedBusinessContinuityReductionofoperationallossesduetolargeeventsThegoodnews…..a“valueadded〞serviceTeammembersexistinmostlocationsSafetyofficersBTcoordinatorsVolunteerFireChiefsandOfficersEmergencyManagersEMSSupervisorsIdentifyingTeamMembersAtleastonefromeachfacilityrequiredThisisstatedas“expectedparticipation〞Atleastonelevel3ateachlocationUptofouractiveparticipantsperfacilityThiswillbeanactiveparticipationprojectNobodyjust“says〞theyareparticipatingUtilizationinExercisesAreacommandconceptEncouragescommunicationbetweenAffectedfacilitiesSystemcommandcenterLocalemergencymanagementAreaCommandConceptAreaCommandWebster

ClearLakeLuverneSiouxFallsCantonPIOLiaisonSafetyExpertPlanningOperationsLogisticsFinancePlanningLogisticsFinanceCommandCenterTooleSponderICSResourceToolCommunicationToolPreparednessisnotjustmeetinga“standard〞ItsISAchievingcomfortlevelsGainingknowledgeandexperienceDenyingcomplacencyaplacetogrowMotivatingthenotsointerested

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