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.
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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 |
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Fax Number for EOC Staff reports to the Exercise Controller |
555-1111 |
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General Location of Terrorist Incident (.) |
State Fairgrounds |
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Exact Location of Explosion (enclosed area) |
Ticket Office, Thatcher Coliseum |
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Approximate number of people actually exposed to the chemical agent |
500 |
Casualty Model sheet |
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Initial road closures near your hospital. |
Maple and Central from San Pedro to Louisiana. Also, San Pedro and Louisiana from Maple to Central. |
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Subsequent road closures near your hospital. |
High Street from San Pedro to Lincoln Blvd.; also, Maple from University to Girard. |
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Total Employed at or on Contract to Hospital: |
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Radiologists |
6 |
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Pathologists |
3 |
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General Surgeons (went to the E.D.) |
6 |
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OB/GYN |
3 |
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Internists |
3 |
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GPs |
3 |
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Emergency (in the E.D.) |
3 |
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Gastroenterologists |
3 |
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Anesthesiologists |
9 |
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Cardiologists |
3 |
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(Other) |
0 |
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Total Physicians: |
42 |
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Nursing Supervisor |
3 |
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Critical Care RNs and 5 LVNs |
36 |
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General Care RNs and 7 LVNs |
54 |
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Pediatric RNs |
18 |
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Emergency Department RNs |
15 |
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Labor & Delivery RNs |
12 |
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Nursery RNs |
15 |
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OR RNs |
18 |
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Recovery RNs |
9 |
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RNs from Infection Control, UR, QA, Discharge Planning, Education, etc. |
30 |
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(Other) |
0 |
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Total Nurses: |
210 |
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Nursing Assistants |
30 |
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Emergency Medical Technicians |
15 |
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Phlebotomist/Lab Technicians |
16 |
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X – Ray Technicians |
18 |
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Patient Transporters |
9 |
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Central Supply Technician |
3 |
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Medical Supply Staff |
9 |
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Pharmacists |
12 |
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Pharmacy Technicians |
9 |
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Respiratory Therapists |
15 |
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Physical/Occupational Therapists |
15 |
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(Other) |
0 |
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Total Ancillary Medical Personnel: |
151 |
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Engineers |
9 |
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Environmental Service Personnel |
30 |
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Materials Management |
6 |
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Nutritional Services |
24 |
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Security Officers |
12 |
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Business Office/Medical Records |
30 |
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Secretarial/Office Support |
27 |
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Miscellaneous staff |
24 |
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Volunteers |
30 |
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Human Resources staff |
9 |
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Administrative staff |
12 |
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(Other) |
0 |
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Total Non-Medical Personnel |
213 |
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Actual Beds at Hospital: |
Actual Total |
% Staffed |
% of Staffed Occupied by Patients |
% of Bed Patients who can transfer from hospital or be released |
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Critical Care Beds |
26 |
60% |
50% |
0% |
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Medical Beds |
53 |
60% |
50% |
30% |
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Surgical Beds |
12 |
60% |
50% |
20% |
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OB/GYN Beds (maternity?) |
9 |
60% |
50% |
30% |
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Burn Beds |
6 |
60% |
50% |
0% |
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Pediatric Beds (including NICU/PICU) |
24 |
60% |
50% |
30% |
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Psychiatric beds |
12 |
60% |
50% |
30% |
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Total Beds: |
142 |
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Total Services & Equipment at Hospital: |
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Emergency Departments |
1 |
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Operating Rooms |
6 |
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Radiology facilities |
2 |
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Laboratory facilities |
2 |
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Pharmacy facilities |
1 |
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Sets of Personal Protection Equipment (PPE) |
20 |
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Isolation Rooms |
34 |
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Total Vehicle Capacity for Patient Transport |
24 |
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Ventilators (automatic) |
6 |
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