Checklist 2-E
View/print this checklist as a PDF
file. 
| Assignment: MEDICAL | |
|---|---|
| Checklist | 2-E |
| Position | ASSISTANT DIRECTOR STUDENT HEALTH SERVICES |
| Section | OPERATIONS SUPPORT |
| FOR IMMEDIATE ACTION | |
|---|---|
 |
Remain calm. |
|
Turn on your cellular phone. |
|
If situation warrants evacuation of your building, coordinate evacuation with Public Safety. See Section 8.2 of the Emergency Response Plan on Evacuation Procedures. Do not go to the incident site. |
|
If your building or office is not affected, report to the staging area at the Emergency Operations Center (EOC). (If unable to report to EOC, call Dispatch at 208-282-2515.) Make contact with the Operations Coordinator with a list of team members and obtain equipment and assignments. |
|
Determine the number of personnel available to respond. |
|
Keep the Operations Coordinator briefed. |
|
Develop an Action Plan for Medical operations. The plan should have contingencies for: |
| An emergency First Aid Station for the campus community and
emergency workers. |
|
| Transporting the critically injured to medical facilities. |
|
| Setting up a triage operation at specific location for mass
injuries. |
|
| Implementing medical mutual aid. |
|
| Implementing a coroner operation and a temporary morgue. |
|
|
Report the results of assignment operations to the Situation Status Officer under the Planning Section (injuries, deaths, etc.) |
|
Keep a log of your activities. |
| PRIMARY RESPONSIBILITIES | |
|---|---|
|
Activate and staff a First Aid Center. |
|
Provide first aid to injured persons. |
|
Arrange for and coordinate hospital transportation. |
|
Establish a temporary morgue, if necessary. |
| SUPPORT RESPONSIBILITIES | |
|---|---|
|
Rescue operations. |
ADDITIONAL ITEMS:
- Outside Agency Issues
- Responding agencies have protocols that are specific to their agency and communication must be established and maintained to ensure that efforts do not conflict.
- Extended Operations
- Some incidents could extend for several hours or days. Search & Rescue must determine continued availability of staff and resources and arrange for replacements.
MEDICAL SUPPORT: OPERATIONS
| RESPONSE - ALL HAZARDS | |
|---|---|
|
Request that field teams report persons needing medical assistance. |
|
Determine number and location of persons requiring medical attention. |
|
Report information to the EOC. |
|
Request assistance with incoming ambulance and medical personnel. |
|
Assign staff until county responders arrive. |
|
Request Medical staff be sent to the site or transport victims to Health Center. |
|
Provide assistance to the EOC in accordance with the County Medical Casualty Incident Procedures. |
|
Obtain and record information on identity of victims and destination of transported casualties. |
| If county medical units cannot respond sufficiently under extreme emergency situation, consider the following actions as appropriate: | |
|---|---|
|
Establish contact with the EOC and determine condition of the local hospitals. |
|
Request the EOC contact outside public and private medical organizations to determine the availability of personnel and services. |
|
Contact the EOC and determine which facilities will be used to support the MEDICAL operation. |
|
Allocate staff to the following locations or activities as required: |
| Casualty Collection Point |
|
| Health Center: In the event that the Student Health
Services building is compromised, the primary alternative site will be
the Pond
Student Union Building. The secondary alternative site will be the
seminar rooms on the first floor of the Rendevous Building. |
|
| Transport of injured |
|
| Staging location of medical support |
|
| Location of temporary morgue |
|
|
Mobilize and brief volunteer medical personnel. Assign volunteer medical staff to medical care sites. Ensure that briefings for staff and volunteers include: |
| Triage |
|
| Arrest of significant bleeding |
|
| Use of intravenous solution |
|
| Pain relief |
|
| Tagging injured |
|
| Patient tracking |
|
| Identification and handling of facilities |
|
|
Ensure that injured requiring supplemental treatment are taken to the Casualty Collection Point site. |
|
Determine the following support needs and request from the EOC: |
| Medical supplies |
|
| Portable generators |
|
| Emergency radio net |
|
| Transportation for victims to other medical facilities |
|
| Food and water |
|
|
Conduct a periodic poll of injured and casualties to determine additional support requirements. |
| MEDICAL SUPPORT: DISASTER TRIAGE PROCEDURES |
|---|
During disaster situations that produce mass casualties and tax or overwhelm available campus medical resources, it may be necessary to use unusual techniques to provide the most effective aid. Under such conditions, the rule of "the greatest good for the greatest number" will be the guiding principle.
The disaster medical-care triage procedure initiated at campus disaster sites and disaster medical care facilities should be in accordance with the following guidelines:
- Priority I - Immediate transport. First priority casualties are those that have life threatening injuries that are readily correctable. For purposes of priority for transport to a hospital, a second sorting or review may be necessary so only those "transportable" cases are taken first. Some may require extensive stabilization at the scene before transport.
- Priority II - Delayed transport of casualties are all those whose therapy may be delayed without significant threat to life or limb and those for whom extensive or highly sophisticated procedures are necessary to sustain life.
Casualties requiring minimal care will not be tagged or registered. They will not be given professional level care and will not be admitted to hospitals. They will be sent from the incident scene in order to reduce confusion unless they are needed to assist as litter bearers or first aid staff.
The dead will be identified by an "X" on the forehead or covered with marked material. Professional opinion will be sought where needed. They will be completely covered with a sheet, blanket or other available opaque material. They should be moved out of the immediate casualty sorting area by the Coroner team as soon as practicable.
Panic-stricken or psychologically disturbed persons, who might interfere with casualty handling, should be isolated from the incident scene as soon as possible.
| MEDICAL SUPPORT: MULTIPLE CASUALTY INCIDENT PLAN |
|---|
Emergency Medical Services (EMS) are normally provided to the campus through an EMS system administered by the county. The EMS system has detailed procedures for responding to multiple casualty incidents.
Multiple casualty incidents may occur on campus as a result of events such as fire, explosion, vehicle accident, or hazardous materials release. If an incident occurs on campus, the County Multiple Casualty Incident Operational Procedures will be activated by the EMS system.
The Communications Dispatcher will contact the local police department at 208-234-6100.
In an area-wide emergency that results in casualties on campus and delays or reduces the County EMS system's ability to respond, the campus medical response will be managed by the Medical Branch under the Operations Section.
The response of campus personnel to the incident will be governed by the following guidelines:
- The Communications Dispatcher will request an EMS response through the Sheriff's Communication Center. Information will be provided on the number of casualties, conditions, and any special hazards.
- Public Safety units will escort ambulances to the site and will assist ambulance personnel in establishing an ambulance staging area.
- Public Safety personnel responding to the scene will establish a perimeter and, as feasible, initiate rescue and provide first aid to the victims.
- Student Health Services will be notified and placed on standby. A campus medical team will respond to the scene if the incident is a major medical emergency or larger incident, or if ambulance response is unduly delayed. Any medical personnel on scene will identify themselves to the incident commander or medical supervisor and provide assistance as requested.
| CORONER OPERATION: SUPPORT |
|---|
Supporting Organizations And Responsibilities
- Student Health Services is the primary unit for supporting coroner operations on campus.
- The County Coroner has support responsibility for coroner operations countywide including the campus.
- Local mortuaries and morticians will provide personnel and facilities for handling fatalities.
| CORONER OPERATION: RESPONSE |
|---|
Response - All Hazards
- Determine the impact of the incident and have the EOC contact the County Coroner.
- Make recommendations to the EOC for sites that would be suitable as a temporary morgue.
- Refer all inquiries concerning number of the deceased to the EOC.
- Determine the number of personnel immediately available for assistance.
- Ensure personnel assisting the recovery teams understand the County Coroner policies and procedures.
If the county coroner/medical examiner cannot be contacted under extreme emergencies, consider the following actions as appropriate:
- Designate Fatality Recovery Teams and prioritize assignments.
- Check condition of critical equipment and supplies. Obtain body bags, tags, gloves, masks and other support items.
- Assign staff for the following functions as needed:
- Recovery teams
- Identification records
- Morgue
- Assign a person to handle records and personal effects.
- Establish a communication system between the temporary morgue and EOC.
- Check with Operations before using or entering a damaged facility. Ensure staff have adequate protective clothing and equipment.
- Coordinate activities with Public Safety, Fire, Medical, and Search & Rescue operations.
- Observe assigned staff carefully for indications of stress.
- Evaluate the need for security of the temporary morgue.
- Advise Transportation of the coroner transport needs.
Dial 208-282-2515 for any emergency and ISU Public Safety will respond.