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1、Creative NIMS Compliance Building incident management teams to support long term operations,Greg Santa Maria Emergency Preparedness Manager Sanford Health System Sioux Falls, SD,The Sanford Health System,24 hospitals Mostly critical access 105 clinics 4 states RURAL SERVICE AREAS,How it all began,Me
2、dical Center main campus update - 2004 HEICS Updates Tabletops Decon Training Random network hospital requests Emerging patterns,What the heck is a Critical Access Hospital?,Starting out the initial projects,HEICS training Simple scenarios Realistic events Webster Elevated awareness of local hazards
3、 Large gatherings HAZMATS,The burning questions,How does a critical access hospital with a limited number of employees and resources respond to a large incident in their community? How do they maintain operations over multiple operational periods?,How does this also apply to rural fire and EMS?,Firs
4、t Things First Effective ICS Training,Internet vs classroom Who is monitoring comprehension? Advanced ICS What about practical applications? If you needed surgery and your doctor was licensed through an online course, would you put your life in his hands? Why Incident Command?,Walking the Talk,ICS N
5、IMS Five year NIMS training plan Exercises Planning,A team is born,Wouldnt it be cool if,Just like wildland fire fighting , we could develop seasoned and confident incident managers and use them to create incident management teams for our Health System and then beyond.,Sanford Health Incident Manage
6、ment Team Project,Job Description,Planning Section Chief,Nice Vest!,Hospital use of ICS is limited ICS is still “new” to hospitals Still HCC Confusion on roles Standards are staggered Few have taken ICS 300 / 400,Sanford Health Incident Management Team Project,Disasters cost money Why? Long term ope
7、rations stress staff Lack of replacement staff Other issues What about incident commanders Who replaces them? Decon teams?,Disaster,Business,Now is the time,Nationwide Emergency Management Expectations The Joint Commission EM Standards Hospital Ops may last longer than scene Ops,Sanford Health Incid
8、ent Management Team Project,Scenario 1 Pre - IMT Disaster in Winner, SD Isolated location Finite staff Multi period event will stress local resources System plan activation Takes IC focus from local to system communication May delay local decision making and IAP,Sanford Health Incident Management Te
9、am Project,Scenario 2 - HIMT Disaster in Winner Disaster response begins Multi period disaster identified Local SH facilities deploy HIMT support staff On Call Team leader notified Initial Situation Assessment completed If applicable, system plan activated Team members act as liaisons to local as we
10、ll as system resources Communications link with Local EM established,Activation,Pulling the Trigger What barriers to activation exist? Personal Administrative Policy Other “The Orwell Syndrome”,Activation,Levels of Activation,Sanford Health Incident Management Team Project Project Description,Develo
11、p a system wide team of responders Deployable to any system location Trained to assess a disaster situation and coach a Command center EOC manager Decon team On call and on site team leaders that initiate the system response Trained to coordinate efforts with local emergency managers,Sanford Health
12、Incident Management Team Project,The concept On location support Increases morale Reduces business losses Increases response effectiveness over multiple operational periods Does NOT relieve local commander of responsibility Manager role (not commander),Sanford Health Incident Management Team Project
13、,The concept Liaison between system and affected facility Enhances communication Creates ease of resource management Removes the “distant” responsibilities so IC can focus on local event Allows local staff to maintain continuity of operations,Sanford Health Incident Management Team Project,The conce
14、pt Liaison between affected facility and local EM Establishes “trained” liaison Ensures appropriate use of local resource Reduces potential for duplication of services Knows who to call and when / where to call them,Sanford Health Incident Management Team Project,The concept Bring needed support sta
15、ff to affected facility Decon EOC “coach” Incident managers,Sanford Health Incident Management Team Project,Incidents start locally This is not only about “the big one” Webster SD Lake Area Hospital HAZMAT Can be used for Ice Storms Blizzards Tornado Any incident that will result in multiple operati
16、onal periods (8+ hours),Sanford Health Incident Management Team Project,Current outreach programs Preparedness evaluation ICS / NIMS classroom training Tabletops and functional exercises Decon training (OSHA 1910.120) Advanced ICS offerings,Sanford Health Incident Management Team Project,Coordination of multi agency exercises Winner Chamberlain,Basic Steps,ICS Training Simple tabletop Decon training Multi agency training Multi agency exercise Multi facility exerci
