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Nursing Home Incident Command Systems (NHICS) Activation Guidance:

Description: This document provides guidance on when to utilize the Nursing Home Incident Command System (NHICS) in a facility. It is recommended that this document is downloaded and included in a facility’s Emergency Operations Plan (disaster plan).

Download the Word (docx) file here | Download pdf here

Incident Command Post Information

Description: This document provides guidance on establishing an Incident Command Post in a facility in accordance with the Nursing Home Incident Command System (NHICS). It is recommended that this document is included in a facility’s Emergency Operations Plan (disaster plan) upon completion.

Download the Word (docx) file here | Download the pdf version here

Nursing Home Incident Command System (NHICS)

• NHICS 200: Incident Action Plan Quick Start (This is a combination form designed for initial incident management)
• NHICS 201: Incident Briefing and Operational Log
• NHICS 202: Incident objectives
• NHICS 203: Organization Assignment List
• NHICS 204: Assignment List
• NHICS 205: Incident Communications Plan
• NHICS 206: Staff Injury Plan
• NHICS 207: Organizational Chart
• NHCIS 214: Activity Log
• NHCIS 215A: Incident Action Plan Safety Analysis
• NHCIS 251: Facility System Status Report
• NHCIS 252: Section Personnel Time Sheet
• NHCIS 253 Volunteer Staff Registration
• NHICS 254: Master Emergency Admit Tracking Form
• NHICS 255: Master Resident Evacuation Tracking Form
• NHCIS 257: Resource Accounting Record
• NHCIS 258: Facility Resource Directory
• NHICS 259: Master Facility Casualty & Fatality Report
• NHICS 260: Individual Resident Evacuation Tracking Form
  

  NHICS Job Action Sheets

  • Command Staff:

    • Incident Commander
    • Safety Officer
    • Medical Director/Specialist
    • Public Information Officer/Liaison
    • Scribe/Runner

  • Operations Section:

    • Operations Section Chief
    • Resident Services Branch Director
    • Infrastructure Branch Director

  • Planning Section

    • Planning Section Chief

  • Logistics Section

    • Logistics Section Chief

  • Finance/Admin Section

    • Finance/Admin Section Chief

Incident Response Guides

• • • • Active Shooter
      • Earthquake
      • Evacuation
      • Fire
      • Hazardous Material Waste
      • Infectious Disease
      • Missing Resident
      • Severe Weather
      • Shelter-in-Place
      • Utility Failure

 

Active Shooter

• Active Shooter Planning Response in a Healthcare Setting
• How to Respond
• Action Guide – Hospitals and Healthcare Facilities

Other Resources

• ASPR TRACIE
• Arizona Crisis Standards of Care Plan: A comprehensive and Compassionate Response
• National Incident Management System
• Patient Care: Strategies for Scarce Resource Situations
• National Disaster Recovery Framework
• CDC Natural Disasters and Severe Weather

Websites

• Arizona Emergency Information Network
• OSHA Emergency Preparedness and Response
• US Department of Homeland Security
• The Weather Channel Weather Alerts
• Pacific Disaster Center