INCIDENT COMMAND SYSTEM MULTI-CASUALTY TREATMENT DISPATCH MANAGER AND MEDICAL COMMUNICATIONS COORDINATOR I-MC-237

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INCIDENT COMMAND SYSTEM MULTI-CASUALTY TREATMENT DISPATCH MANAGER AND MEDICAL COMMUNICATIONS COORDINATOR JANUARY, 1990 Revised March, 1993

CONTENTS Contents...1 Course Outline...2 Unit 1 Lesson Plan: Introduction...3 Unit 2 Lesson Plan: Organizing and Staffing...6 Unit 3 Lesson Plan: Responsibilities of the Treatment Dispatch Manager...9 Unit 4 Lesson Plan: Responsibilities of the Medical Communications Coordinator...13 Unit 5 Lesson Plan: Demobilization of the Treatment Dispatch Manager...18 and Medical Communications Coordinator Positions Unit 6- Group Exercise Final Exam...21 Appendix A: Handouts and Viewgraphs... A-1 1

COURSE OUTLINE COURSE TITLE: Time: Treatment Dispatch Manager and Medical Communications Coordinator 16 Hours COURSE OBJECTIVES: 1. Provide trainees with the organizational structure and operation of the positions of Treatment Dispatch Manager and Medical Communication Coordinator. 2. Teach trainees how to staff, organize and equip units under their command. 3. Provide trainees with knowledge regarding the duties and responsibilities of the Treatment Dispatch Manager. 4. Provide trainees with knowledge regarding the duties and responsibilities of the Medical Communications Coordinator. 5. Teach trainees how to effectively demobilize the Treatment Dispatch and Medical Communications Units. 6. Provide trainees an opportunity to apply their knowledge through demonstrations. COURSE CONTENT: Unit 1: Introduction to Treatment Dispatch Manager and 1 hour Medical Communications Coordinator Unit 2: Organization and staffing your unit 1 hour Unit 3: Responsibilities of the Treatment Dispatch Manager 2 hours Unit 4: Responsibilities of the Medical Communication Coordinator 3 hours Unit 5: Demobilization of the Treatment Dispatch Manager and 1 hour Medical Communications Coordinator Positions Unit 6: Group Exercises (position role play) 8 hours TOTAL: 16 HOURS 2

UNIT 1: LESSON PLAN TOPIC: Introduction to Treatment Dispatch Manager, and Medical Communications Coordinator LEVEL: I TIME: 1 Hour BEHAVIORAL OBJECTIVES: Given: Simulated role play exercises and a written exam. Performance: Each trainee will be able to identify the organizational structure and general goals of the Treatment Dispatch Manager and Medical Communications Coordinator positions. Standard: By performance in role play exercises in accordance with the standards described in the Multi-Casualty position manuals; and passing of a multiple-choice written exam with a minimum of 70% accuracy. REFERENCES: ICS-MC-222-7, 222-4 Position Manuals, ICS 420-1 Field Operations Guide MATERIALS NEEDED: Handouts, chalkboard, flip chart, marker pens, overhead projector, viewgraphs MOTIVATION/PREPARATION: Whenever a disaster strikes, confusion and panic severely hamper the efforts of those trying to organize the rescue teams. It is critical that you assume the leadership role and quickly begin functioning in an organized manner and accomplishing the tasks at hand. 3

Unit 1: Introduction to Treatment Dispatch Manager, Medical Communications Coordinator PRESENTATION Introduction of trainees and instructors Administrative details: 1. Parking 2. Ground rules 3. Facilities 4. Meal schedules 5. Use of telephones 6. Other pertinent points 01-01--HO 01-01--VG A function of the Treatment Unit Leader position 01-02--HO 01-02--VG A function of the Patient Transportation Group Supervisor position Both deal with the transportation of patients (lead discussion) Each relies on information that the other has in order to make the system function smoothly. APPLICATION Where does the Treatment Dispatch Manager position fall in the ICS organizational structure? Where does the Medical Communications Coordinator position fall in the ICS organizational structure? What do these two positions have in common? Why is it important that the Treatment Dispatch Manager establish and maintain good communications with the Medical Communications Coordinator? 4

SUMMARY: In summary, we have reviewed the positions of Treatment Dispatch Manager and Medical Communications Coordinator in relation to the organizational structure of the Multi-Casualty Branch. EVALUATION: Each trainee will be required to demonstrate the ability to apply principles learned in role play simulations. Each trainee will also pass a written, multiple-choice exam with a minimum of 70% accuracy at the end of the course. ASSIGNMENT: Review all handouts, trainee manuals, and notes 5

UNIT 2: LESSON PLAN TOPIC: LEVEL: TIME: Organizing and Staffing your unit I 1 Hour BEHAVIORAL OBJECTIVES: Given: Performance: Standard: Simulated role play exercises and a written exam Each trainee will be able to determine the organizational and staffing requirements of the Treatment Dispatch Manager and Medical Communications Coordinator positions, based on the size and complexity of the incident By performance in role play exercises in accordance with the standards described in the Multi-Casualty position manuals; and passing of a multiple-choice written exam with a minimum of 70% accuracy. REFERENCES: ICS-MC-222-4, 222-7 Position Manuals MATERIALS NEEDED: Handouts, chalkboard, flip chart, marker pens, overhead projector, and viewgraphs MOTIVATION/PREPARATION: Depending on the number of victims and/or the complexity of the incident, the Treatment Dispatch Manager and Medical Communications Coordinator have to make the determination of how to most effectively use available resources and whether to request additional personnel. In this class, we will examine the basic function of each position and discuss the need for additional personnel to assist in accomplishing the task at hand. 6

UNIT 2: Organizing and Staffing Your Unit PRESENTATION 02-01--HO 02-01--VG Coordination of transportation of patients out of the Treatment area 02-02--HO 02-02--VG Maintain communications with medical facilities and assure proper patient transportation and destination (Recorder(s) assigned as needed to maintain accurate records) (Recorder(s) assigned as needed to maintain accurate records) Critical to have communications established with medical facilities and transportation APPLICATION What is the basic function of the Treatment Dispatch Manager? What is the basic function of the Medical Communications Coordinator? As the size and complexity of the incident grows, at what point will the Medical Communications Coordinator require assistants? When is it necessary for the Treatment Dispatch Manager to utilize an assistant? Why is the Medical Communications Coordinator position usually filled prior to the Patient Transportation Group Supervisor? 7

SUMMARY: To review, we have examined the basic functions and staffing requirements of the Treatment Dispatch and the Medical Communications positions. It is advisable for Recorders to be assigned to both of these positions in order to maintain accurate records regarding the transportation of patients. EVALUATION: Each trainee will be required to demonstrate the ability to apply principles learned in role play simulations. Each trainee will also pass a written, multiple-choice exam with a minimum of 70% accuracy at the end of the course. ASSIGNMENT: Review all handouts, trainee manuals, and notes. 8

UNIT 3: LESSON PLAN TOPIC: Responsibilities of the Treatment Dispatch Manager LEVEL: I TIME: 2 Hours BEHAVIORAL OBJECTIVES: Given: Performance: Standard: Simulated role play exercises and a written exam Each trainee will be able to identify and perform the duties and responsibilities required of the position of Treatment Dispatch Manager By performance in role play exercises in accordance with the standards described in the Multi-Casualty position manuals; and passing of a multiple-choice written exam with a minimum of 70% accuracy. REFERENCES: ICS-MC-222-4 Position Manual MATERIALS NEEDED: Handouts, chalkboard, flip chart, marker pens, overhead projector, viewgraphs MOTIVATION/PREPARATION: You have been assigned the role of Treatment Dispatch Manager. The Treatment Areas are filling up with patients ready for transport and ambulances are lined up waiting to be utilized. You are thinking to yourself, "What do I do first?" Don't panic. With a little organization and communication skills on your part, the transportation process will begin to take shape. This class should provide you with the knowledge necessary to successfully carry out your mission. 9

UNIT 3: Responsibilities of the Treatment Dispatch Manager PRESENTATION 03-01--HO 03-01--VG 1. Obtain briefing from Treatment Unit Leader Incident objectives, special hazards, communication instructions, current status 2. Establish communications with the Immediate, Delayed, and Minor Treatment Managers Necessary for prioritization of patient transportation (lead discussion) 3. Establish communication with Patient Transportation Supervisor. Imperative for coordination of transportation process 4. Assure that patients are prioritized for transportation Based on need for hospital treatment established by Treatment Unit Leader or Treatment Managers 5. Advise Medical Communications Coordinator of patient priority for transportation APPLICATION What are the duties of the Treatment Dispatch Manager? What specific information might be in the briefing? Why is it important to maintain good communications with the Treatment Managers? Why is this necessary? What criteria should be used to prioritize patients for transportation? Why is it important for the Medical Communications Coordinator to be informed of the patient priority? 10

PRESENTATION Needs information in order to determine mode of transportation and appropriate medical facility for the type of injury 6. Coordinate transportation of patients with the Medical Communication Coordinator 7. Assure that appropriate patient information is recorded 03-02--HO 03-02--VG 8. Coordinate ambulance loading with Treatment Manager and ambulance personnel Keep records accurate; make sure most critical patients ready for transport are transported first 1. Communications 2. Equipment and Supplies 3. Recorders and other assistants (lead discussion and examine prerequisites for recorders) How is this done? Why is this necessary? APPLICATION What resource needs should be assessed by the Treatment Dispatch Manager? 11

SUMMARY: In summary, we have taken a close look at the duties of the Treatment Dispatch Manager, which focus mainly on the coordination of the transportation of patients out of the Treatment Area. EVALUATION: ASSIGNMENT: Each trainee will be required to demonstrate the ability to apply principles learned in role play simulation. Each trainee will also pass a written, multiple-choice exam with a minimum of 70% accuracy at the end of the course. Review all handouts, trainee manuals, and notes. 12

UNIT 4: LESSON PLAN TOPIC: LEVEL: TIME: Responsibilities of the Medical Communications Coordinator I 3 Hours BEHAVIORAL OBJECTIVES: Given: Performance: Standard: Simulated role play exercises and a written exam. Each trainee will be able to identify and perform the duties and responsibilities required of the position of Medical Communications Coordinator. By performance in role play exercises in accordance with the standards described in the Multi-Casualty position manuals; and passing of a multiple-choice written exam with a minimum of 70% accuracy. REFERENCES: MATERIALS NEEDED: ICS-MC-222-7 Position Manual Handouts, chalkboard, flip chart, marker pens, overhead projector, viewgraphs MOTIVATION/PREPARATION: The position of Medical Communications Coordinator is one of the most important positions in the Multi-Casualty Branch. Without the communication links and coordination provided by this position, the organization could not function in an efficient manner. Upon receiving your assignment, it should become apparent that the survival of many disaster victims rests on your ability to expedite their transportation to an appropriate medical facility, whether by air or by ground ambulance. 13

UNIT 4: Responsibilities of the Medical Communications Coordinator PRESENTATION 04-01--HO 04-01--VG 1. Check in and receive briefing from Transportation Group Supervisor. Yes, (lead discussion) Importance of getting communications established with medical facilities transportation agencies 2. Establish communications link with hospital alert system and/or other medical facility. Depends on local systems in place (discuss) 3. Determine and maintain current status of hospital availability and capability 04-02--HO04-02--VG 4. Receive basic patient information and injury status from Treatment Dispatch Manager Priority and nature of injury affects mode of transportation and type of facility designated. APPLICATION What are the duties of the Medical Communications Coordinator? Is it likely that this position was filled prior to the assignment of the Transportation Group Supervisor's position? Why is it advisable that this position be filled immediately? How is this accomplished? How is this information recorded? Why is this information important to your position? 14

PRESENTATION 5. Communicate appropriate hospital availability to Treatment Dispatch Manager. Helps in the prioritization process; record keeping 6. Coordinate patient off-incident destination with the hospital alert system. Allows medical facilities to prepare for the arrival of patients. 7. Communicate patient transportation needs to Ambulance Coordinators based upon requests from Treatment Dispatch Manager. 8. Maintain appropriate records Hospital Resource Availability ICS-MC-308 04-03--HO 04-03--VG (Review use of Communications Log or ICS 214 Unit Log if no Communication Log is available) (Lead discussion about agency specific forms) APPLICATION Why does the Treatment Dispatch Manager need to know which hospitals are available? Why is this necessary? Would it be appropriate for the Medical Communications Coordinator to maintain a Unit Log (ICS 214)? Why is it important that close coordination of efforts and liaison be maintained with the Treatment Dispatch Manager? 15

PRESENTATION Each position relies on information supplied from the other (discuss). 1. Medical input into the decision making process APPLICATION What are some operational considerations which accompany the position of Medical Communications Coordinator? 2. Standing orders (jurisdictional) 3. Anticipating potential patient numbers, considering the request for additional hospital emergency response teams 16

SUMMARY: In summary, we have taken an in-depth look at the duties of the Medical Communications Coordinator, which center around maintaining communications with medical facilities and assuring proper patient transportation and destination. EVALUATION: Each trainee will be required to demonstrate the ability to apply principles learned in role play simulations. Each trainee will also pass a written, multiple-choice exam with a minimum of 70% accuracy at the end of the course. ASSIGNMENT: Review all handouts, trainee manuals, and notes. 17

UNIT 5: LESSON PLAN TOPIC: Demobilization of the Treatment Dispatch Manager and Medical Communications Coordinator Positions LEVEL: I TIME: 1 Hour BEHAVIORAL OBJECTIVES: Given: Simulated role play exercises and a written exam Performance: Each trainee will be able to describe the demobilization procedures for the Treatment Dispatch Manager and Medical Communications Coordinator's positions. Standard: By performance in role play exercises in accordance with the standards described in the Multi-Casualty position manuals; and passing of a multiple-choice written exam with a minimum of 70% accuracy. REFERENCES: ICS-MC-222-4, 222-7 Position Manuals MATERIALS NEEDED: Handouts, chalkboard, flip chart, marker pens, overhead projector, viewgraphs MOTIVATION/PREPARATION: The patients have all been transported, but your job is not over yet. Many important records and documents have been generated by your unit which need to be carefully organized and forwarded to the appropriate section. It is important that you complete all documentation so that no loose ends are left hanging after the incident. 18

UNIT 5: Demobilization of the Treatment Dispatch Manager and Medical Communications Coordinator Positions PRESENTATION More than completing documentation. (Discuss coordination with the Incident Demobilization Plan.) Make sure all paperwork is complete. Copies made for back-up file. Make sure all paperwork is complete. Copies made for back-up file. Documentation Unit Give them to your Supervisor, Agency Representative, or appropriate authority Agency in charge of incident. APPLICATION Why is it important that demobilization be carried out in an organized manner? What factors should be considered by the Medical Communications Coordinator when preparing for demobilization? What factors should be considered by the Treatment Dispatch Manager when preparing for demobilization? To who are records submitted? What if there is no Documentation Unit? Who ultimately receives your documents? 19

SUMMARY: To summarize, demobilization of the Treatment Dispatch Manager and Medical Communications Coordinator Positions involves the completion of all records and submittal of those records to the Documentation Unit, as well as coordination with the Incident Demobilization Plan. EVALUATION: Each trainee will be required to demonstrate the ability to apply principles learned in role play simulations. Each trainee will also pass a written, multiple-choice exam with a minimum of 70% accuracy at the end of the course. ASSIGNMENT: Review all handouts, trainee manuals, and notes. 20

Final Examination Treatment Dispatch Manager and Medical Communications Coordinator DIRECTIONS: The following questions are multiple-choice. Select the one best answer for each of the following questions or statements and indicate whether your choice is A, B, C, or D. 1. The Treatment Dispatch Manager falls under which one of the following elements of the ICS organization? A. Triage Unit Leader B. Medical Communications Coordinator C. Treatment Unit Leader D. Patient Transportation Group Supervisor 2. Which of the following statements most accurately describes the basic function of the Medical Communications Coordinator? A. Implement, direct and supervise the treatment of patients B. Manage Ambulance Staging Area and dispatch ambulances as required C. Triage management and movement of patients from the triage area D. Maintain communications with medical facilities and assure proper patient transportation and destination 3. Which one of the following positions is usually filled first in the Patient Transportation Group? A. Medical Communications Coordinator B. Patient Transportation Group Supervisor C. Ground Ambulance Staging Manager D. Air Ambulance Staging Manager 4. Which of the following statements most accurately describes the basic function of the Treatment Dispatch Manager? A. Implement, direct, and supervise the treatment of patients B. Coordination of transportation of patients out of the Treatment Area C. Maintain communications with medical facilities and assure proper patient transportation and destination D. Manage Ambulance Staging Area and dispatch ambulances as required 21

5. At which one of the following response levels in a multi-casualty incident is the Treatment Dispatch Manager position usually filled? A. Full Branch Response Level B. Re-Inforced Response Level C. Multi-Leader Response Level D. Initial Response Level 6. Why is it important for the Treatment Dispatch Manager to have an assistant? A. In order to acquire needed supplies B. In order to maintain accurate records C. To help out as litter bearers D. Maintain communication with the Ambulance Staging Manager 7. When prioritizing patients for transportation, the Treatment Dispatch Manager should use criteria based on: A. Available transportation B. Availability of medical facilities C. Proximity and travel distance to medical facilities D. Need for treatment established by Treatment Unit 8. Why is it imperative that the Treatment Dispatch Manager coordinate ambulance loading with the Treatment Manager and ambulance personnel? A. Ensure that most critical patients ready for transport are transported first B. So that hospital destinations may be assigned when patient is picked up from Treatment Area C. Ensure that Delayed patients are transported before Immediate patients D. Ensure that the right patients go to the correct medical facility 9. The Medical Communications Coordinator uses the Injury Status Report from the Treatment Dispatch Manger as a basis upon which to: A. Order more medical caches B. Divert manpower to Treatment Area C. Release equipment not needed D. Designate type of medical facility 22

10. Upon conclusion of the incident, documents are to be submitted to whom? A. Incident Commander B. Resource Unit Leader C. Documentation Unit D. Timekeeper 11. Which one of the following types of information is usually not obtained in the initial briefing? A. Initial instructions, incident objectives B. Communications frequencies C. Current status, Action Plan (if available) D. Total number of resources committed to incident 12. Why is it necessary for the Treatment Dispatch Manager to maintain communication with the Patient Transportation Group Supervisor? A. Allows for maximum coordination of the transportation process B. Permits Treatment Dispatch Manger to select hospital facility C. Permits Treatment Dispatch Manger to select mode of transportation D. Allows Patient Transportation Group Supervisor to help in prioritization of patients 13. What form is used by the Treatment Dispatch Manager to record pertinent information? A. Multi-Casualty Branch Worksheet B. Multi-Casualty Recorder Worksheet C. Multi-Casualty Hospital Resource Availability Worksheet D. Multi-Casualty Ambulance Staging Resource Status Worksheet 14. What is the primary responsibility of the Medical Communications Coordinator? A. Establish communications with medical facilities and transportation agencies B. Establish patient treatment areas C. Coordinate staging of ambulances D. Request additional resources to staff unit 23

15. What form is used by the Medical Communications Coordinator to record pertinent information? A. Multi-Casualty Branch Worksheet B. Multi-Casualty Recorder Worksheet C. Multi-Casualty Hospital Resource Availability Worksheet D. Multi-Casualty Ambulance Staging Resource Status Worksheet 24

Keyed Final Examination Treatment Dispatch Manager and Medical Communications Coordinator DIRECTIONS: The following questions are multiple-choice. Select the one best answer for each of the following questions or statements and indicate whether your choice is A, B, C, or D. 1. The Treatment Dispatch Manager falls under which one of the following elements of the ICS organization? A. Triage Unit Leader B. Medical Communications Coordinator C. Treatment Unit Leader D. Patient Transportation Group Supervisor 2. Which of the following statements most accurately describes the basic function of the Medical Communications Coordinator? A. Implement, direct and supervise the treatment of patients B. Manage Ambulance Staging Area and dispatch ambulances as required C. Triage management and movement of patients from the triage area D. Maintain communications with medical facilities and assure proper patient transportation and destination 3. Which one of the following positions is usually filled first in the Patient Transportation Group? A. Medical Communications Coordinator B. Patient Transportation Group Supervisor C. Ground Ambulance Staging Manager D. Air Ambulance Staging Manager 4. Which of the following statements most accurately describes the basic function of the Treatment Dispatch Manager? A. Implement, direct, and supervise the treatment of patients B. Coordination of transportation of patients out of the Treatment Area C. Maintain communications with medical facilities and assure proper patient transportation and destination D. Manage Ambulance Staging Area and dispatch ambulances as required 25

5. At which one of the following response levels in a multi-casualty incident is the Treatment Dispatch Manager position usually filled? A. Full Branch Response Level B. Re-Inforced Response Level C. Multi-Leader Response Level D. Initial Response Level 6. Why is it important for the Treatment Dispatch Manager to have an assistant? A. In order to acquire needed supplies B. In order to maintain accurate records C. To help out as litter bearers D. Maintain communication with the Ambulance Staging Manager 7. When prioritizing patients for transportation, the Treatment Dispatch Manager should use criteria based on: A. Available transportation B. Availability of medical facilities C. Proximity and travel distance to medical facilities D. Need for treatment established by Treatment Unit 8. Why is it imperative that the Treatment Dispatch Manager coordinate ambulance loading with the Treatment Manager and ambulance personnel? A. Ensure that most critical patients ready for transport are transported first B. So that hospital destinations may be assigned when patient is picked up from Treatment Area C. Ensure that Delayed patients are transported before Immediate patients D. Ensure that the right patients go to the correct medical facility 9. The Medical Communications Coordinator uses the Injury Status Report from the Treatment Dispatch Manger as a basis upon which to: A. Order more medical caches B. Divert manpower to Treatment Area C. Release equipment not needed D. Designate type of medical facility 26

10. Upon conclusion of the incident, documents are to be submitted to whom? A. Incident Commander B. Resource Unit Leader C. Documentation Unit D. Timekeeper 11. Which one of the following types of information is usually not obtained in the initial briefing? A. Initial instructions, incident objectives B. Communications frequencies C. Current status, Action Plan (if available) D. Total number of resources committed to incident 12. Why is it necessary for the Treatment Dispatch Manager to maintain communication with the Patient Transportation Group Supervisor? A. Allows for maximum coordination of the transportation process B. Permits Treatment Dispatch Manger to select hospital facility C. Permits Treatment Dispatch Manger to select mode of transportation D. Allows Patient Transportation Group Supervisor to help in prioritization of patients 13. What form is used by the Treatment Dispatch Manager to record pertinent information? A. Multi-Casualty Branch Worksheet B. Multi-Casualty Recorder Worksheet C. Multi-Casualty Hospital Resource Availability Worksheet D. Multi-Casualty Ambulance Staging Resource Status Worksheet 14. What is the primary responsibility of the Medical Communications Coordinator? A. Establish communications with medical facilities and transportation agencies B. Establish patient treatment areas C. Coordinate staging of ambulances D. Request additional resources to staff unit 27

15. What form is used by the Medical Communications Coordinator to record pertinent information? A. Multi-Casualty Branch Worksheet B. Multi-Casualty Recorder Worksheet C. Multi-Casualty Hospital Resource Availability Worksheet D. Multi-Casualty Ambulance Staging Resource Status Worksheet 28

APPENDIX A HANDOUTS AND VIEWGRAPHS A-1

INCIDENT COMMAND ORGANIZATIONAL CHART FOR A MULTI-CASUALTY BRANCH FULL BRANCH RESPONSE LEVEL Operations Section Chief *Air Operations is shown for reference only Staging Multi-Casualty Branch Director Air Operations Branch Director Medical Group/ Division Supervisor Patient Transportation Group Supervisor Air Support Supervisor Air Attack Supervisor Medical Supply Coordinator Medical Communications Coordinator Helibase Manager Helicopter Coordinator Triage Unit Leader Treatment Unit Leader Treatment Dispatch Manager Air Ambulance Coordinator Ground Ambulance Coordinator Triage Personnel Immediate Treatment Manager Organizational Lines Helispot Manager Fixed Wing Base Manager Air Tanker Coordinator Morgue Delayed Treatment Manager Manager Communication Lines Minor Treatment Manager 01-01--HO/VG A-2

INCIDENT COMMAND ORGANIZATIONAL CHART FOR A MULTI-CASUALTY BRANCH FULL BRANCH RESPONSE LEVEL Operations Section Chief *Air Operations is shown for reference only Staging Multi-Casualty Branch Director Air Operations Branch Director Medical Group/ Division Supervisor Patient Transportation Group Supervisor Air Support Supervisor Air Attack Supervisor Medical Supply Coordinator Medical Communications Coordinator Helibase Manager Helicopter Coordinator Triage Unit Leader Treatment Unit Leader Treatment Dispatch Manager Air Ambulance Coordinator Ground Ambulance Coordinator Triage Personnel Immediate Treatment Manager Organizational Lines Helispot Manager Fixed Wing Base Manager Air Tanker Coordinator Morgue Delayed Treatment Manager Manager Communication Lines Minor Treatment Manager 01-02--HO/VG A-3

TREATMENT DISPATCH MANAGER Functions: Responsible for coordinating with Patient Transportation Group the transportation of patients out of the Treatment Area. 02-01--HO/VG A-4

MEDICAL COMMUNICATIONS COORDINATOR Basic Functions: Maintain communications with medical facilities. Assure proper patient transportation and destination. 02-02--HO/VG A-5

DUTIES OF TREATMENT DISPATCH MANAGER 1. Check in and obtain briefing from Treatment Unit Leader. 2. Establish communications with the Immediate, Delayed, and Minor Treatment Managers. 3. Establish communications with Patient Transportation Group. 4. Verify that patients are prioritized for transportation. 5. Advise Medical Communications Coordinator of patient readiness and priority for dispatch. 6. Coordinate transportation of patients with Medical Communications Coordinator. 7. Assure that appropriate patient tracking information is recorded. 8. Coordinate ambulance loading with Treatment Manager and ambulance personnel. 03-01--HO/VG A-6

MULTI-CASUALTY RECORDER WORKSHEET Ambulance Company Ambulance ID Number Patient Triage Tag Number Patient Status Hospital Destination Off Scene Time ICS-MC-306 (12/89) 03-02--HO/VG A-7

DUTIES OF MEDICAL COMMUNICATIONS COORDINATOR 1. Check in and obtain briefing from Patient Transportation Group Supervisor. 2. Establish communications with hospital alert system. 3. Determine and maintain current status of hospital/medical facility availability and capability. 4. Receive basic patient information and injury status from Treatment Dispatch Manager. 5. Communicate hospital availability to Treatment Dispatch Manager. 6. Coordinate patient off-incident destination with the hospital alert system. 7. Communicate patient transportation needs to Ambulance Coordinators based upon requests from Treatment Dispatch Manager. 8. Maintain appropriate records. 04-01--HO/VG A-8

MULTI-CASUALTY HOSPITAL RESOURCE AVAILABILITY HOSPITAL CRITICAL NON-CRITICAL A U A U A U A U A U A U A U A U A A=AVAILABLE ICS-MC-308 (12/89) U=USED U 04-02--HO/VG A-9

ICS-214 UNIT LOG 03/2007 1. Incident Name 2. Date Prepared 3. Time Prepared 4. Unit Name/Designator 5. Unit Leader (Name and Position 6. Operational Period 7. Roster of Assigned Personnel NAME ICS POSITION HOME BASE TIME 8. Activity Log MAJOR EVENT 9. Prepared By (Name and Position) 04-03--HO/VG A-10