Chapter 39 Flashcards
…(NIMS)
Promotes efficient coordination of emergency incidents at the regional, state, and national levels
Implemented in 2004
Provides a framework
Enables federal, state, and local governments to work together
As well as private-sector and nongovernmental organizations
National Incident Management System
NIMS: Organizational structure must be flexible enough to be rapidly adaptable. Provides standardization in: … … … …
terminology
resource classification
personnel training
certification
Major NIMS components … ... and information management ... management ... and management Ongoing ... and …
Preparedness Communications Resource Command management; maintenance
Incident command system: Sometimes referred to as the incident management system The purpose of the ICS is to: Ensure responder and public ... Achieve incident management ... Ensure the efficient use of resources
safety;
goals
ICS:
Controls … of effort and freelancing
Limits the span of control
Organizational levels include …, …, …, and …
duplication; sections; branches; divisions; groups
ICS: Roles and responsibilities: … … … … … …
Command Finance Logistics Operations Planning Command staff
ICS:
Command
… (IC) is in charge of the overall incident.
It is important to know who the IC is, how to communicate with the IC, and where the … is located.
An IC may transfer command to someone with more experience in a critical area.
Incident commander; command post
Finance
Responsible for documenting all … at an incident for reimbursement
…: Responsible for communications equipment, facilities, food and water, fuel, lighting, and medical equipment/supplies
expenditures; Logistics
Operations:
At a very large or complex incident, responsible for managing the …usually handled by the IC
Supervises the people working at the scene
Planning:
Solves problems as they arise
Develops an…
tactical operations; incident action plan
Command staff
The …monitors the scene for conditions or operations that may present a hazard.
The… (PIO) provides the media with clear and understandable information.
The… relays information and concerns among command, the general staff, and other agencies.
safety officer; public information officer; liaison officer
Check in with the … when you arrive.
Report to your supervisor for an initial ….
Record keeping allows for tracking of time spent on the actual incident for reimbursement purposes.
… means 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 …
incident commander; briefing; Accountability; demobilization
Establishing command
Command should be established early and by the most …official.
Notification to other responders should go out.
Necessary resources should be requested.
senior
Communications
If possible, use … communications to limit radio traffic.
If you communicate via radio, do not use 10-codes or signals.
Equipment must be reliable, durable, and field-tested.
Be sure there are backups in place.
face-to-face;
… is also known as the medical (or EMS) branch of the ICS.
Primary roles of triage, treatment, and transport of injured people
Medical incident command
Triage supervisor
In charge of counting and …patients
Ensures that every patient receives … of his or her condition
Do not begin treatment until all patients are triaged.
prioritizing; initial assessment
Treatment supervisor
Locates and sets up the treatment area with a tier for each … of patient
Ensures that … is performed and that adequate patient care is given
Assists with moving patients to the transportation area
priority; secondary triage
Transportation supervisor
Coordinates the transportation and distribution of patients to appropriate…
Documents and tracks the number of transport vehicles, patients transported, and the facility destination
receiving hospitals
Staging supervisor
Should be assigned when scenes require a … or … response
Emergency vehicles must have permission to enter the scene and only drive in the directed area.
The staging area should be established away from the scene.
multivehicle; multiagency
Physicians on scene
Make difficult … decisions
Provide… decisions in the treatment area
Provide on-scene … for EMTs
Provide care in the treatment sector as appropriate
triage; secondary triage; medical direction
Rehabilitation supervisor
Establishes an area that provides protection from the elements and situation
Rehabilitation is where a responder’s needs for …, …, …, and protection from the elements are met.
Monitors responders for signs of …
rest; fluids; food; stress
…
Determines the type of equipment and resources needed for the situation
Usually function under the EMS branch of the ICS
Extrication and special rescue
…
Works with area medical examiners, coroners, disaster mortuary assistance teams, and law enforcement agencies to coordinate removal of bodies and body parts
The morgue area should be out of view of the living patients and other responders.
Morgue supervisor;
A mass-casualty incident (MCI):
Involves … or more patients
Places great demand on the EMS system
Has the potential to produce …
three; multiple casualties
All systems have different protocols for when to declare an MCI and initiate the ICS.
You and your team cannot … and … all injured patients at the same time.
Never leave the scene with patients if there are still other patients who are … or …
treat; transport; sick; wounded
