/
Incident Command Orientation for new Nurse Manager Incident Command Orientation for new Nurse Manager

Incident Command Orientation for new Nurse Manager - PowerPoint Presentation

trish-goza
trish-goza . @trish-goza
Follow
342 views
Uploaded On 2020-01-30

Incident Command Orientation for new Nurse Manager - PPT Presentation

Incident Command Orientation for new Nurse Manager Inpatient Areas 2018 Slide 4 It can be confusing for new managers during Incident Command Activations This presentation will help you be familiar with ID: 774254

Share:

Link:

Embed:

Download Presentation from below link

Download Presentation The PPT/PDF document "Incident Command Orientation for new Nur..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.


Presentation Transcript

Incident Command Orientation for new Nurse Manager Inpatient Areas 2018

Slide 4 It can be confusing for new managers during Incident Command Activations. This presentation will help you be familiar with the most critical items. Regulations Patient Care Staff Needs Technology Personnel Preparedness Command Structure Policy Communications

Goal: This brief presentation is designed to help explain action items and overall concepts that should help you lead your department during an incident command activation. Most incidents are only successfully resolved if they are met with department level actions at the very first sign of trouble.

Sample 7 Topics Covered

Sample 7

Incident Command (ICS) Every incident begins with the recognition that something may occur (or has occurred) and the impact is likely to disrupt normal operations.

Internal Events: Any event or incident that can interfere with the ability of the hospital to maintain a normal work process or safe environment for patient care. Examples: Fire, power outage, loss of water

External events : Typically we receive little or no warning of an incident happening in the surrounding community. These events often result in a large influx of patients that have the ability to overwhelm the resources of any single department. Example: Plane crash

Incident Command Levels at SUNY Upstate There are three fundamental levels for an Incident Command response These levels are utilized in the various plans and annexes, to meet the response needs of a particular incident. An event does not often stay at one level for the duration of the incident. Historically, SUNY Upstate activates Level 2 more than any other.

When does Incident Command Start? Incident Command is simply a process in which we respond to large and small critical events that could have the potential to impact our normal operations. Incident Command starts at the Department level. It starts the moment someone recognizes the potential impact or event and moves resources in the department to meet that issue .

Sample 7

Manager/Supervisor Task List Assess your current operational status. Check in with everyone. Account for your staff members currently on duty. Look to make sure your area is operating normally. Maintain a heightened awareness:Changes in the environment (heat, cold, smells, smoke, etc.)Operational problems (computers, lights, etc) Staffing issues (higher that normal call-in rate, etc) Reaction of staff, patients, families to increased stress based on the situation. Report anything to Incident Command that may impact your ability to operate normally.

Supervisor/Manager Task List continued Inform your staff that shifts have been extended until further notice. NO ONE leaves until you are told to go by Incident Command Staff members are an extremely important resource during critical events. Please check with Incident Command if you believe there is a need to send anyone or any group home at the end of their normal shift. Please track overtime normally if it occurs. Do not send staff to the Labor Pool or another specific area until directed Ensure someone in your department is assigned to monitor their e-mails for incident related communications.

What should I have my staff do? Staff away from their work area should return and report in to their manager/supervisor. Staff should not leave at the end of their shift unless you have told them to do so. Continue normal operations unless instructed (or unable) to do otherwise. Monitor patients and families for signs of stress related to the incident. Distribute and communicate approved information to impacted patients or families that you may receive from Incident Command.

Needs requests/ resources Communicate all urgent requests to Incident Command via phone, once it is active. If phone lines are down please send a “runner” with this information to the main command room at each hospital. Downtown Phone: 4-4888 Room: 1307D (Hospital Administration) Community Campus Phone: 492-5338 Room: Library/Computer Training Room

Staff recall/Labor Pool If staff need to be recalled in from home in response to a Disaster they will be told to report directly to the Labor Pool upon arrival to the hospital as designated by Incident Command. (see DIS G-02) They should not report to their normal department. All employees will park in their usually assigned parking location unless notified otherwise.

Closing a unit or Area. (See HR policy UW U-04) State offices and facilities may only be closed by order of the Governor. In the event of extraordinary circumstances when the Governor has not closed State facilities, Campus presidents are authorized to cancel classes for students; cancel appointments for patients Employees who do not work as scheduled are required to obtain prior supervisory approval to ensure their services are not required and must charge appropriate leave credits/accruals (other than sick leave) in order to remain in a paid status. If weather conditions are severe enough to disrupt transportation, early departure and/or allowing employees not to report to work may be permitted based on operational needs, with the supervisor's approval. In these situations, employees will be required to charge their leave credits (other than sick leave) in order to remain in a paid status. ( See policy S-05)

“essential Employees” (See HR policy UW U-04) When the Governor directs that only “essential employees” are expected to work, essential employees are typically defined as below:  Employees who are involved in the direct care of patients (e.g., RN’s, LPN’s, HCT’s, UST’s, Rad Techs, Physical Therapists, Respiratory Therapists, Phlebotomists, etc.)  Employees who work in departments that support direct patient care (e.g., Materials Management, Pharmacy, Clinical Data, Dietary, Clinical Pathology, radiology, etc.).  Employees who preserve the public safety or welfare of the Upstate community, (e.g., University Police Department, Physical Plant, Environmental Services, etc.). Employees who provide animal care.Employees with responsibility for laboratory experiments or other time-sensitive activities. Employees who work in units and departments that are open/operative and staff for essential services on “red” holidays.

 If a determination is made by Hospital Administration to close areas to patients or cancel appointments (e.g., ambulatory areas, etc.), or the President/Dean decide to cancel classes for students, employees must still be provided the opportunity to work if they wish to do so, even if it is in another area of Upstate. If employees do not work in such a situation, they must obtain supervisory approval, and they are required to charge their leave credits/accruals (other than sick leave) in order to remain in a paid status.

Upstate reserves the right to consider all employees essential based on the circumstances of a specific event/situation.

Labor Pool In order to have employees re-tasked for the time that their primary work location is closed Incident Command will activate the Labor Pool Each employee that requires re location will be asked to report to a designated location for reassignment. The specific location or steps will be announced at the time of the incident For more information see policy DIS G-02

Sample 7

How will Incident Command be Announced? A Groupwise email will often be sent to all SUNY Upstate staff members detailing specific action steps or situational information An overhead page containing critical information will be announced. Example: such as a missing patient response or code amber. This would only be heard in the Hospital building itself and not in other ancillary areas. VOCERA could also be used to communicate urgent information. An Everbridge Notification will be sent whenever possible for critical information or alerts.

Ipage status report ( DIS J-00 appendix E ) Included on some Incident Command emails there may be a link for each department manager (or designee) to complete a required status report as soon as possible or if their operational status changes. Simply Click the link attached in the email and answer the questions when directed. It is imperative that each departments supervisor (or designee) complete this as soon as possible. This report can be submitted multiple times as situations change This page IS NOT to be used during an active fire or any incident that requires immediate University Police response.

Red Phones RED EMERGENCY telephones are located throughout the hospital and many off-site locations. In the event of telephone system failure please utilize the red phones exclusively. To call another red phone, dial the last five digits of the extension To make an external local call, dial 9+ the number. To report an emergency, dial 2-7852 for University Police or 9-911 to reach the 911 center. A listing of Red Phone locations and extensions can be found in (DIS J-00 Appendix B)

Everbridge is a mass communications system used by SUNY Upstate in order to reach staff members quickly during critical incidents Once activated a person can get a voice phone call, text or email from incident command It is imperative that all staff members update their personnel information on self serve My Information/Employee details/Personal Profile If staff do not want to receive texts they can opt out by not filling out that section. Warning: Any staff member who opts out may not receive critical information during weather events or other disasters.

Sample 7

CODE Names & Important Plan listing Type Code Name Policy # FIRE CODE RED F-01 MEDICAL EMERGENCY ADULT CODE BLUE CM E 15 MEDICAL EMERGENCY PEDS CODE WHITE CM E 15 MISSING CHILDCODE AMBERM-03MISSING ADULT PATIENTCODE GREYM-03 SEVERE WEATHERCODE BLACKS-05 PERSON WITH A WEAPONCODE SILVERH-11BOMB THREATCODE YELLOWDIS M-15 HAZMAT/ DECONTAMINAITON CODE ORANGEDIS M-30EvacuationN/ADIS M-40Mass Casualty IncidentN/A DIS M-69 Water Emergency PlanN/ADIS M-75Incident Command ActivationN/ADIS C-00Outpatient & Ambulatory Incident Command ActivationN/ADIS M-81Below are a listing of important plans and codes we use. It is beneficial for you to have a level of familiarity with all of these plans for your department

Lets review a few of the less common events so that you are better prepared.

Decompression As directed by Incident Command During a surge of Patients (Example: Plane crash) It will be imperative that you rally clinical staff to identify patients that can be discharged early in order to free up beds for those patients anticipated for arrival. Once you have an estimate of number of potential discharges please communicate with Incident Command Incident Command may communicate directly with physicians or service chairs in order to convey the needs of the organization. During a planned event or something that offers a degree of warning: (Example: Anticipated weather event) Once you have an estimate of number of potential discharges please communicate with Incident Command Incident Command may communicate directly with physicians or service chairs in order to effectively communicate the needs of the organization. Identify the mode of transportation needed for all patients located on your unit.

Evacuations Flow of evacuation should first be horizontal then vertical as needed. If in the event of a catastrophic episode and the need arises to completely evacuate an area or department rapidly All staff will attempt to meet enter common rally point away from building listed in each departmental disaster plan. A headcount will be completed by the supervisor (or designee) and reported to Incident Command and other first responders.

Evacuation Equipment A listing of all evacuation equipment is located in the appendix of DIS M-40 the Evacuation Plan. Training: It is imperative that all clinical staff members take the Evacuation Chair awareness blackboard class which offers the student a detailed video specifically developed by SUNY Upstate. Titled “Evacuation Equipment” UH4921 Every clinical staff member should know the location of the closest piece of evacuation equipment. If your staff requires some “hands on” instruction with the equipment please contact the Dept. of Emergency Management.

Shelter In Place: Environmental Hazard Incident Command will notify all impacted areas and initiate environmental engineering interventions. The operator will announce that all departments must shelter in place via the overhead page, everbridge alert and VOCERA where available. Limiting non essential clinical interventions may be recommended by Incident Command depending on the situation. If time allows or if this is a long term event due to a weather emergency. Visitors and family members should be kept to a minimum to avoid undue demands on the facilities and supplies Recognizing that some patient companions may be essential to assist with mobility, translation, simple provision of care, and/or emotional support during sheltering.

Active Shooter Definition: An Active shooter is an individual actively engaged in killing or attempting to kill people in a confined and populated area. When an Active Shooter is in your vicinity do one of the following that best suits the environment you are in at the time. RUN Have an escape route and plan in mind prior Leave your belongings Keep your hand visible to law enforcementHIDE Hide in an area out of the shooters view Block entry to your hiding place and lock the door if ableSilence your cell phone or pagerFIGHTAs a last resort and only when your life is in imminent dangerAttempt to incapacitate the shooterAct with physical aggression and throw items at the shooter

Active Shooter When law enforcement arrives Remain calm and follow instructions Keep your hands visible to Law Enforcement. Provide any additional information to Law Enforcement if you are able to (number of shooters, type of weapons, locations of victims) Please see University Police ipage for more information and specific training videos prior to any event. There are many wonderful trainings on the UPD ipage .

hazmat/ Patient Decontamination Event In-patient HCTs currently on duty need to report to Labor Pool as soon as a CODE Orange is activated. Once a CODE Orange is announced it is imperative that you free up trained staff members so that they can report to the ED or Labor Pool. Without HCTs/HA’s from the various in patient units SUNY Upstate cannot safely decontaminate patients that may arrive in the ED. All in-patient HCTs/ HA must attend the hazmat decon classes outlined in policy M-04 every calendar year CODE ORANGE

Missing Pediatric Patient If an infant or child is discovered to be missing or abducted from a patient care unit, treatment or visitor area, staff will perform the following actions: Call University Police Report last known location of child A description of child (age, sex and race) Person last seen with child Direction of travel Any order of protection Any important medical information Call Hospital Operator Give operator location from which abduction occurred Give operator age, sex and race of child Operator will overhead page Code Amber to include descriptive information CODE AMBER

ALL STAFF – UPON HEARING CODE AMBER Monitor hallways and stairway exits in the immediate area of your location Standby exit doors leading out of the facility, or any public area such as the hospital lobby or cafeteria Look for anything suspicious or out of the ordinary such as an individual carrying a large parcel or forcibly struggling with a child Do not Intervene or stop the person you suspect.. Always call University Police Department (UPD) Provide an accurate description of the suspicious individual CODE AMBER

Sample 7

Hazmat Classes Per OSHA regulations, as well as SUNY Upstate’s policy (DIS M-30) it is mandated that all HCT’s and HA’s (as well as all ED RN’s) participate in these classes. Make sure 100% of your required staff attend these classes every year.

ICS 100/700As a manager at SUNY Upstate you are required to complete the two FEMA (Federal Emergency Management Agency) online training classes titled ICS 100 and ICS 700 during your first 6 months here. You may look on the SUNY Upstate Departmental ipage for more details under the training section and links to the specific trainings. All Staff> Emergency Management> Training> FEMA Training Once completed you will get a certificate of completion. This completion certificate pdf. Must be emailed to Chris Dunham at Dunhamch@upstate.edu If you have previously completed the training for other employers, simply send the .pdf certificate to Chris Dunham

Departmental Disaster Plan In order to meet the new Emergency Preparedness CMS guidelines, SUNY Upstate is now asking all managers and supervisor to start tracking the mandatory annual review for each departmental disaster plan every calendar year. In order to ensure that everyone is trained consistently it is required that each manager (or designee) must use the tracker code below to record every employee in once a review is completed. All shifts and all employees in your department need to review your department’s specific plan. Typically many managers take a few minutes to go over the plan during a staff meeting where a large number of staff is already gathered while other managers allow each employee to review a printed copy of the plan during each shift and sign off that they reviewed the plan. A review of this plan would consists of a brief rundown of the important items each department has listed to insure everyone is clear on their expected actions during a critical event, Incident Command Activation or emergency. This tracker code and review only applies to those departments that have already created a specific disaster plan. Please look at the MCN system to obtain the most current disaster plan prior to review. Tracker Code:  DISASTERPLANEDU

Participate in yearly Required Drills for our Incident Command System CMS/DNV mandates we do a number of full scale exercises every year. Please feel free to contact the Department of Emergency Management if your specific area would like to participate. We could test the process in which your area Communicates Evacuations Or anything specific to your department .

Sample 7

Be prepared at Home Being prepared at home is the best way to ensure that you are able to participate in your department’s response during a critical incident. We have several checklists and recommendations you can use for your own personal preparedness. Please see form F82187 Caring is preparing located on the ipage forms section for more information.

Emergency Management Ipage All projects and training programs can be found on the EM ipage. Please review this periodically as we are always updating it with new information New threats or procedures for unique items (Example: Zika) Links to federal resources like the CDC and the weather service Links to specific training programs Weather preparedness tips

Thank you. Any questions please email Chris Dunham at DunhamCh@upstate.edu