Ch 39 Incident Management

Question 1

Disasters and mass-casualty incidents

Answer 1

MCI; Overwhelms resources
Three or more patients
Lack of resources

Question 2

Incident command system

Answer 2

ICS; Makes it possible to do the greatest good for the greatest number

Question 3

National Incident Management System

Answer 3

NIMS; Promotes efficient coordination of emergency incidents at the regional, state, and national levels

Implemented in 2004; Standardized terminology, resource classification, personnel training, certification

Components: Preparedness, communications and info management, resource management, command management, ongoing management and maintenance

Question 4

Incident Command System

Answer 4

ICS or Incident management system; Limits span of control, controls effort and freelancing, divided into sections, branches, divisions and groups

Purpose: ensures responder and public safety, achieve incident management goals, ensure efficient use of resources

Question 5

Roles and responsibilities of ICS

Answer 5

Command, Finance, Logistics, Operations, Planning, Command Staff

Question 6

ICS Command

Answer 6

Incident commander is in charge of of overall incident - important to know their location, how to communicate with IC, who IC is

IC may turn command over to someone more experienced in critical areas

Question 7

ICS Finance

Answer 7

Responsible for documenting all expenditures at an incident for reimbursement

Question 8

ICS Logistics

Answer 8

Responsible for communications equipment, facilities, food and water, fuel, lighting, and medical equipment/supplies

Question 9

ICS Operations

Answer 9

At large or complex incident, responsible for managing the tactical operations usually handled by the IC

Supervises people working at the scene

Question 10

ICS Planning

Answer 10

Solves problems as they arise

Develops incident action plan

Question 11

ICS Command Staff

Answer 11

Safety officer monitors: the scene for conditions or operations that may present a hazard

Public information officer (PIO): provides the media with clear and understandable information

Liaison officer: relays information and concerns among command, the general staff, and other agencies

Question 12

Communication

Answer 12

Has historically been the weak point at most major incidents; Recommended that communications be integrated

All agencies should be able to communicate quickly and effortlessly via radios; Allows for accountability and instant communication

Question 13

Mobilization and deployment

Answer 13

Check in with IC upon arrival; Report to supervisor for initial briefing; Record keeping allows for tracking of time spent on the actual incident for reimbursement purposes

Question 14

Accountability in mobilization and deployment

Answer 14

Keeping your supervisor advised of your location, actions, and completed tasks

Once the incident has been stabilized, the IC will determine which resources are needed and when to begin demobilization

Question 15

EMS preparedness within ICS

Answer 15

Decisions are made and basic planning done before an incident occurs
Decisions and planning about the most likely natural disasters for the area
Agencies should have written disaster plans that you are regularly trained to carry out

Question 16

Scene size up

Answer 16

Make an initial assessment and some preliminary decisions

Driven by three basic questions:
What do I have?
What do I need?
What do I need to do?

Question 17

Establishing command

Answer 17

Established by the most senior official
Notify other responders
Request necessary resources
Command must be established early

Question 18

Communications (EMS response in ICS)

Answer 18

If possible, use face-to-face communications to limit radio traffic
Via radio: do not use 10-codes or signals
Equipment must be reliable, durable, and field-tested
Ensure backups are in place

Question 19

The role of the medical (EMS) branch of ICS is to

Answer 19

Triage, treatment, and transport injured people

Question 20

Triage supervisor

Answer 20

In charge of counting and prioritizing patients
Ensures that every patient receives initial assessment of his or her condition
Do not begin treatment until all patients are triaged

Question 21

Treatment supervisor

Answer 21

Locates and sets up the treatment area with a tier for each priority of patient
Ensures that secondary triage is performed and that adequate patient care is given
Assists with moving patients to the transportation area

Question 22

Transportation supervisor

Answer 22

Coordinates the transportation and distribution of patients to appropriate receiving hospitals
Documents and tracks the number of transport vehicles, patients transported, and the facility destination