This is an example of the local data page in the HICS-X exercise for entering message information to match hospital names and places. The HICS-X exercise is designed for entering local data… one time!

In the actual exercise product, the exercise designer can modify any cell with a red border.

Scripts

GO TO Messages

Message Origin Type

Call to

Caller Name

Enter the HICS or Organization Job Title

Enter the Caller’s Location

Messages

Caller 1

GO TO

Beds, Critical Care

555-0000

Bill / Judy Miller

Nursing Unit Leader

City Hospital Critical Care Department

2

Msg 1-30

GO TO

Non-Physician Labor Pool

555-0000

Paul / Polly Yardley

Labor Pool Unit Leader

Human Resources Office

4


GO TO

Facilities Status

555-0000

Charlie / Charlene Hall

Facility Unit Leader

Engineering Office

3


GO TO

Decontamination Operations

555-0000

Mark / Maria Martinez

Treatment Area Supervisor

Emergency Department

3


GO TO

Local Dept. of Health

555-0000

Ken / Lisa Averly

Resources Manager

County Department Of Health

3


GO TO

Treatment Status

555-0000

Pete / Patricia Thomas

Treatment Area Supervisor

Emergency Department

5


GO TO

In-patient Areas Status

555-0000

Kelly / Shelly Oliver

In-patient Areas Supervisor

Nursing Shift Supervisor’s Office

4


GO TO

In-patient Status

555-0000

Mike / Cathy Ray

Patient Tracking Officer

Admissions Department

3

Caller 2

GO TO

Beds, Medical

555-0000

Juan / Juanita Garcia

Nursing Unit

City Hospital Medical Department

3

Msg 31-60

GO TO

Beds, Surgical

555-0000

Harry / Juanita White

Nursing Unit

City Hospital Surgery Center

3


GO TO

Laboratory Unit Leader

555-0000

Joe / Mindy Carter

Laboratory Unit Leader

City Hospital Laboratory

3


GO TO

Local Gov’t EOC

555-0000

Tim / Diane Wirth

Liaison Officer

County Emergency Operations Center

3


GO TO

Public Inquiries

555-0000

Ed / Jill Herndon

Executive Assistant

City Hospital Administration Office

3


GO TO

TV Media A

555-0000

Carl / Lisa Gomez

Reporter

Channel 4 News room

2


GO TO

TV Media B

555-0000

Jess / Jessica Mathews

Reporter

Channel 7 News room

2


GO TO

Beds, Pediatric (NICU & PICU)

555-0000

Ned / Nancy Peterson

Nursing Unit

City Hospital Pediatric Department

3


GO TO

Chief Executive Officer, Hospital

555-0000

Gary / Michelle Brown

Chief Executive Officer

City Hospital

3


GO TO

Pharmacy Unit Leader

555-0000

Ian / Jane Smith

Pharmacy Unit Leader

City Hospital

1


GO TO

Beds, OB/GYN

555-0000

Bob / Tina Bailey

Nursing Unit

Maternity Department

2


GO TO

Neighboring Resources

555-0000

Rick / Lucy Price

Nurse Supervisor

Neighboring Hospital Emergency Department

2

Caller 3

GO TO

Beds, Burn

555-0000

John / Juana Lopez

Nursing Unit

City Hospital Burn Department

2

Msg 61-90

GO TO

Beds, Psychiatric

555-0000

Kelly / Joyce McDonald

Nursing Unit

City Hospital Psychiatric Department

4


GO TO

Hospital Security

555-0000

Larry / Candace Martin

Security Supervisor

City Hospital Security Office

3


GO TO

Hospital Morgue

555-0000

Henry / Maria Clay

Morgue Unit Leader

City Hospital

3


GO TO

Physician Labor Pool

555-0000

Steve / Lydia Canyon

Medical Staff Unit Leader

Medical Staff Office

2


GO TO

Hospital Administration

555-0000

Mitch / Michelle Moore

Administrative Assistant

City Hospital Administration Office

2


GO TO

Non-Physician Labor Pool

555-0000

Jerry / Rose Hamlin

Labor Pool Unit Leader

Human Resources Office

5


GO TO

Food and Nutrition

555-0000

Alvin / Alice Warren

Nutrition Supply Unit Leader

City Hospital

3


GO TO

Community Relations

555-0000

Albert / Alicia Johnson

Administrative Assistant

City Hospital Administration Office

2


GO TO

Facilities Status

555-0000

James / Jane Hanlon

Facility Unit Leader

Engineering Office

4











Fax Number for EOC Staff reports to the Exercise Controller

555-1111







General Location of Terrorist Incident (.)

State Fairgrounds






Exact Location of Explosion (enclosed area)

Ticket Office, Thatcher Coliseum





Approximate number of people actually exposed to the chemical agent

500

Casualty Model sheet





Initial road closures near your hospital.

Maple and Central from San Pedro to Louisiana. Also, San Pedro and Louisiana from Maple to Central.



Subsequent road closures near your hospital.

High Street from San Pedro to Lincoln Blvd.; also, Maple from University to Girard.



Total Employed at or on Contract to Hospital:






Radiologists

6







Pathologists

3







General Surgeons (went to the E.D.)

6







OB/GYN

3







Internists

3







GPs

3







Emergency (in the E.D.)

3







Gastroenterologists

3







Anesthesiologists

9







Cardiologists

3







(Other)

0







Total Physicians:

42







Nursing Supervisor

3







Critical Care RNs and 5 LVNs

36







General Care RNs and 7 LVNs

54







Pediatric RNs

18







Emergency Department RNs

15







Labor & Delivery RNs

12







Nursery RNs

15







OR RNs

18







Recovery RNs

9







RNs from Infection Control, UR, QA, Discharge Planning, Education, etc.

30







(Other)

0







Total Nurses:

210







Nursing Assistants

30







Emergency Medical Technicians

15







Phlebotomist/Lab Technicians

16







X – Ray Technicians

18







Patient Transporters

9







Central Supply Technician

3







Medical Supply Staff

9







Pharmacists

12







Pharmacy Technicians

9







Respiratory Therapists

15







Physical/Occupational Therapists

15







(Other)

0







Total Ancillary Medical Personnel:

151







Engineers

9







Environmental Service Personnel

30







Materials Management

6







Nutritional Services

24







Security Officers

12







Business Office/Medical Records

30







Secretarial/Office Support

27







Miscellaneous staff

24







Volunteers

30







Human Resources staff

9







Administrative staff

12







(Other)

0







Total Non-Medical Personnel

213







Actual Beds at Hospital:

Actual Total

% Staffed

% of Staffed Occupied by Patients

% of Bed Patients who can transfer from hospital or be released



Critical Care Beds

26

60%

50%

0%




Medical Beds

53

60%

50%

30%




Surgical Beds

12

60%

50%

20%




OB/GYN Beds (maternity?)

9

60%

50%

30%




Burn Beds

6

60%

50%

0%




Pediatric Beds (including NICU/PICU)

24

60%

50%

30%




Psychiatric beds

12

60%

50%

30%




Total Beds:

142







Total Services & Equipment at Hospital:






Emergency Departments

1







Operating Rooms

6







Radiology facilities

2







Laboratory facilities

2







Pharmacy facilities

1







Sets of Personal Protection Equipment (PPE)

20







Isolation Rooms

34







Total Vehicle Capacity for Patient Transport

24







Ventilators (automatic)

6