1 NIMS ICS 100.HCb Instructions This packet contains the NIMS 100 Study Guide and the Test Questions for the NIMS 100 final exam. Please review the Study Guide. Next, take the paper test - record your answers on the paper test so that when you go online, you can transfer your answers to the online final exam. Take the online Exam: Click on our Intranet icon: (e Internet Explorer). Enter the web address Click on Take Final Exam and follow the directions. Enter either your private address or the Edward address: As soon as you complete the test, you will receive a confirmation (if you have passed the test). Keep this confirmation, along with your paper test until you receive the Certificate of Completion. The containing the Certificate will arrive in approximately 2 days. The heading on the will say Independent Study. Download the certificate for your files. This is the Certificate that we will need to confirm your NIMS 100 certification. Forward the containing your certificate to the Edward NIMS inbox or hand deliver a copy to Monica Schramm, 2 nd floor Education Center, Quality Suite. If you DO NOT receive your Certificate in 2 business days, please contact FEMA at For any other questions, contact Brenda Carlevato, Manager, Accreditation & Emergency Preparedness at ext
2 NIMS ICS-100HC.b Introduction to ICS for Healthcare/Hospitals Disasters can strive anytime, anywhere. It takes many forms a hurricane, an earthquake, a tornado, a flood, a fire or a hazardous spill, an act of nature or an act of terrorism. An incident can build over days or weeks, or hit suddenly, without warning. Every year, millions of Americans face disaster, and its terrifying consequences. Given the magnitude of these types of incidents, it s not always possible for any one agency alone to handle the management and resource needs. Partnerships are often required among local, tribal, State and Federal agencies, as well as nongovernmental and private-sector organizations. A poorly managed incident response can be devastating to our economy and our health and safety. Therefore as partners, we must respond together in a seamless, coordinated fashion using the same terminology and approach. On February 28, 2003, the President issued Homeland Security Presidential Directive 5, Management of Domestic Incidents which directed the Secretary of Homeland Security to develop and administer a National Incident Management System (NIMS) NIMS provides: A consistent, nationwide template to enable Federal, State, tribal, local governments, nongovernmental organizations, and the private sector to work together to prevent, protect against, respond to, recover from and mitigate the effects of incidents, regardless of cause, size, location or complexity. A core set of concepts, principles and terminology for incident command and multi-agency coordination. The five key components of NIMS include: Preparedness: NIMS preparedness encompasses a continuous cycle of planning, organizing, training, equipping, exercising, evaluating and taking corrective action. Communication and Information Management: NIMS promotes the use of flexible communications and information systems that allow all emergency management and response partners to establish and maintain a common operating picture of the incident. Resource Management: NIMS describes standardized resource management practices such as typing, inventorying, organizing, and tracking. These practices allow for effective sharing and integration of critical resources across jurisdictions. Command and Management: The NIMS Command component enables effective and efficient incident management and coordination by providing a flexible, standardized incident management structure. Ongoing Management and Maintenance: The FEMA National Integration Center provides strategic direction, oversight, and coordination of NIMS. ICS (Incident Command System)? Q1 ICS is a standardized approach to incident management that is applicable for use in all hazards Enables a coordinated response among various jurisdictions and functional agencies Establishes common processes for planning and managing resources Allows for the integration of facilities, equipment, personnel, procedures and communications operating within a common organizational structure.
3 Was developed in the 1970 s following a series of catastrophic fires in California, where weaknesses identified included Lack of accountability; unclear chain of command and supervision Poor communication; conflicting codes and terminology Lack of an orderly, systematic planning process No common, flexible, pre-designed management structure to manage workloads efficiently No pre-defined methods to integrate interagency requirements into effective structure and planning processes ICS can be used to manage any type of incident, including a planned event. The use is applicable to all hazards including: Q2 Natural Hazards: Disasters, such as fires, tornadoes, floods, ice storms, earthquakes or epidemics Technological Hazards: Dam breaks, radiological or hazmat releases, or power failures Human-caused Hazards: Criminal or terrorist acts, school violence or other civil disturbances ICS Features and Principles Q3, 4, 5 ICS is based on proven management principles. ICS incorporates a wide range of management features and principles, beginning with the use of common terminology and clear text. ICS helps ensure full utilization of all incident resources by: * Maintaining a manageable span of control * Establishing pre-designated incident locations and facilities * Implementing resource management practices * Ensuring integrated communication The ability to communicate within the ICS is absolutely critical. During an incident communication should be in plain English and clear text. Do not use radio codes, institution-specific codes or jargon. Command Definition Q6, 7, 8 NIMS defines command as the act of directing, ordering or controlling by virtue of explicit statutory, regulatory, or delegated authority. At an incident scene, the Incident Commander has the authority to assume command Chain of command is an orderly line of authority within the ranks of the incident management organization. The chain of command: * Allows an incident manager to direct and control the actions of all under his or her supervision * Avoids confusion by requiring that orders flow from supervisors * Does not prevent personnel from directly communicating with each other to ask for or share information Unity of Command Q9 Under unity of command, personnel report to and receive work assignments from only one ICS supervisor. The Incident Commander is the primary person in charge at the incident. In addition to managing the incident scene, he or she keeps officials in the agency groups informed and up to date on all important matters related to the incident. Q10 The ICS hierarchy of command must be maintained, and not even executives and senior officials can bypass the system. Agency executives or other senior officials are accountable for the incident. These individuals have the authority to make policy decisions, commit resources, obligate funds and obtain the resources necessary to protect lives and property.
4 The EOC (Emergency Operations Center) is A physical location. Staffed with personnel trained for and authorized to represent their agency/discipline. Equipped with mechanisms for communicating with the incident site and obtaining resources and potential resources. Managed through protocols. Applicable at different levels of government. Every incident must have an Incident Action Plan (IAP) that: Specifies the incident objectives States the activities to be completed Covers a specified timeframe, called an operational period May be oral or written. The IAP has 4 elements * What do we want to do? * Who is responsible for doing it? * How do we communicate with each other? * What is the procedure if someone is injure Span of Control pertains to the number of individuals or resources that one supervisor can manage effectively during an incident. Effective span of control on incidents may vary from 3-7, and a ratio of one supervisor to 5 subordinates is recommended. In ICS, resources refers to personnel, supplies and equipment. Q11 During an incident, it is critical to know what resources are needed and available, and where deployed resources are located Resource Management includes processes for: Categorizing resources Ordering resources Dispatching (activating) resources Tracking resources Recovering resources Integrated Communications Q 12, 13 A common communication plan is essential for ensuring that responders can communicate with one another during an incident. Prior to an incident, responders must work to ensure that communication equipment, procedures, and systems can operate together during a response. This is referred to as interoperability. The response to the 9/11 attacks on the World Trade Center were hampered by response agencies operating on radios set to different frequencies Information and Intelligence Management Q 14, 15 The analysis and sharing of information and intelligence is an important component of ICS. Incident management must establish a process for gathering, sharing, and managing incident related information and intelligence Intelligence includes operational information that may come from * Risk assessments * Threats including potential for violence * Surveillance of disease outbreaks * Weather forecasts * Structural plans and vulnerabilities
5 Accountability Q 16, 17, 18 Effective accountability of resources at all jurisdictional levels and within individual functional areas during incident operations is essential. Accountability includes: * Resource check in/check out procedures * Incident Action Planning * Unity of Command * Personal Responsibility * Span of Control * Resource Tracking All incidents require some form or record keeping ICS records or should be standardized, legible, with date and time written on all forms and all blanks filled in; use N/A as appropriate There are 5 major management functions that are the foundation upon which an incident management organization develops (Incident Command, Operations, Planning, Logistics, Finance and Administration). These functions apply to incidents of all sizes and types, including planned events and emergencies that occur with warning. The Incident Commander: Has overall responsibility for managing the incident by establishing objectives, planning strategies, and implementing tactics. The Incident Commander is the only position that is always staffed in ICS applications. On small incidents and events, one person, the Incident Commander, may accomplish all management functions The Incident Commander creates those Sections that are needed. If a Section is not staffed, the Incident Commander will personally manage those functions. Ensures overall incident safety Provides information services to internal and external stakeholders, such as agency executives and senior officials Establishes and maintains liaison with other agencies participating in the incident As an incident grows, the Incident Commander may delegate authority for performance of certain activities to the Command Staff and the General Staff. The Incident Commander will add positions only as needed. Command Staff: Q 12, 19, 20 Public Information Officer, serves as the conduit for information to internal and external stakeholders, including the media Safety Officer, monitors safety conditions and develops measures for ensuring the safety of all response personnel. Liaison Officer serves as the primary contact for supporting agencies assisting at an incident. General Staff: Q 21, 22, 23, 24, 25 Operation Section Chief develops and implements strategy and tactics to carry out the incident objectives o Organizes, assigns and supervises the response resources. Planning Section Chief o Collects, evaluates and displays incident intelligence and information o Prepares and documents Incident Action Plan o Tracks resources assigned to the incident o Maintains incident documentation o Develops plans for demobilization Logistics Section Chief o Ordering, obtaining, maintaining and accounting for essential personnel, equipment and supplies
6 o Providing communication planning and resources o Setting up food services and responders o Setting up and maintaining incident facilities o Providing support transportation o Providing medical services to incident personnel Finance/Administration Section o Contract negotiation and monitoring o Timekeeping o Cost Analysis o Compensation for injury or damage to property o Documentation for reimbursement
7 TEST QUESTIONS NIMS ICS-100.HC.b 1. The Incident Command System (ICS) is: a. A standardized approach to incident management that is applicable for use in all hazards b. A relatively new approach created based on the lessons learned from the 9/11 terrorist attacks c. A military system used in domestic incidents to ensure command and control of Federal resources d. Most applicable to the management of complex incidents that extend over many hours or days 2. The Incident Command System (ICS) is a viable application in all of the following situations, EXCEPT: a. The planning and operation of a local festival b. A hostage situation at a local financial institution c. The oversight of a jurisdiction s annual budget d. A hazardous materials release after a train derailment 3. When communicating, ICS requires the use of: a. Plain English b. Agency-specific codes c. Radio codes d. Technical language 4. When communicating, ICS requires that responders DO NOT use: a. Plain English b. Clear text c. Agency or radio codes d. Common terminology 5. ICS facilitates the ability to communicate by using: a. ICS-specific codes b. Acronyms c. Common terminology d. NIMS lexicon 6. Command is: a. Directing, ordering, or controlling by virtue of explicit statutory, regulatory, or delegated authority b. Based on the number of individuals or resources that one supervisor can manage effectively during an incident c. The ability to control information exchange within and across organizations involved in an incident d. Assumed by the individual who is the highest ranking person on the scene regardless of experience or training level 7. Select the FALSE statement below: a. Chain of command allows an Incident Commander to direct and control the actions of all personnel under his or her supervision b. Chain of command avoids confusion by requiring that orders flow from supervisors
8 c. Chain of command restricts personnel to communicating or sharing information outside their organizational units d. Chain of command requires that all task assignments and direction come from the individual s supervisor at the incident scene 8. Which section is INCONSISTENT with ICS chain of command principles? a. The on-scene Public Information Officer (PIO) is being assigned tasks by both the agency executive s press secretary and the Incident Commander b. Members from one strike team warn the members of a second strike team about hazardous road conditions ahead c. Requests for additional resources are being communicated from the Task Force Leader to the Operations Section Chief d. After the Planning section Chief assembles the Incident Action Plan, it must be approved by the Incident Commander 9. What does unity of command mean? a. There is only one Incident Commander per incident b. Tactical direction is provided by the agency executive c. Responders receive assignments only from a superior within their home agency d. Personnel report to only one ICS supervisor 10. Select the FALSE statement below: a. The Incident Commander may request assistance from the Emergency Operations Center (EOC) to acquire needed resources b. Supervisors are responsible for recording and reporting changes in resource status c. Agency executives may assign additional resources that have not yet been requested by the Incident Commander d. Resource management should include procedures for recovering and demobilizing resources 11. In ICS, the term resources refers to all of the following items, EXCEPT: a. Equipment b. Funding c. Personnel d. Supplies 12. Select the FALSE statement below: a. A common communications plan is essential for ensuring that personnel can communicate with one another during an incident b. Prior to an incident, response partners should work together to ensure that communication equipment, procedures, and systems can operate together c. During an incident, the Liaison Officer is responsible for ensuring flow of communication within the ICS organization d. Integrating communications can be as simple as making sure you have current phone numbers of all key players 13. Interoperability means: a. Surrounding jurisdictions all purchase the same type of communications hardware and software b. Communication equipment, procedures, and systems can operate together during a response c. Personnel from different jurisdictions can all perform the same tasks using the same protocols d. A single plan is used to direct the tactical assignments with the Operations Section
9 14. The analysis and sharing of information and intelligence is an important component of ICS. All of the following are examples of operational information sources, EXCEPT: a. Risk assessments b. Surveillance of disease outbreak c. Weather forecasts d. Unsubstantiated media reports 15. TRUE or FALSE: The analysis and sharing of information and intelligence are an important component of ICS: a. True b. False 16. TRUE or FALSE: All incidents require some form of recordkeeping. Requirements vary depending upon the agencies involved and the nature of the incident: a. True b. False 17. Select the FALSE statement below about completing ICS records or forms: a. Print or type all entries b. Enter date and time on all forms and records; use local time c. Fill in all blanks; use N/A as appropriate d. Avoid using military 24-hour time 18. When completing ICS records or documents, you should follow all of the below guidelines, EXCEPT: a. Fill in all blanks by using N/A as appropriate b. Print or type all entries c. Create your own unique reporting formats d. Enter the date and time on all forms and records 19. All of the following are Command Staff positions, EXCEPT: a. Liaison Officer b. HazMat Officer c. Safety Officer d. Public Information Officer 20. Members of the Command Staff are referred to as: a. Officers b. Deputies c. Chiefs d. Directors 21. Which Section is responsible for developing plans for maintaining incident documentation? a. Operations Section b. Logistics Section c. Planning Section d. Finance/Administration Section 22. You are working to track the status of all resources assigned to the incident. What Section are you in? a. Operations Section b. Planning Section c. Logistics Section d. Finance/Administration Section
10 23. The Logistics Section Chief is responsible for all of the following activities, EXCEPT: a. Providing communication planning and resources b. Setting up food services c. Setting up and maintaining incident facilities d. Directing tactical activities to achieve the incident objectives 24. The Incident Commander depends on the Logistics Section Chief to: a. Direct tactical activities to achieve the incident objectives b. Interface with representatives from assisting and coordinating agencies c. Develop the Incident Action Plan d. Provide facilities, services, and material support for the incident 25. Which of the following Sections is responsible for contract negotiation and monitoring? a. Operations Section b. Finance/Administration Section c. Planning Section d. Logistics Section