Form Hics 207-Hospital Incident Management Team (Himt) Chart

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HICS 207 - HOSPITAL INCIDENT MANAGEMENT TEAM (HIMT) CHART
 
1. Incident Name
2. Operational Period (#
)
DATE:
FROM: __________________________ TO: __________________________
TIME:
FROM: ___________________________ TO: _____________________________
4. Current Hospital Incident Management Team (fill in additional positions as appropriate)
Biologic/Infectious   D isease    
Public   I nformation  
Incident   C ommander  
Medical-­‐Technical  
Chemical    
Radiological    
Officer  
Specialists  
Clinic   A dministration    
Hospital   A dministration    
Legal   A ffairs    
Risk   M anagement    
Medical   S taff    
Pediatric   C are    
Medical   E thicist  
Liaison   O fficer  
Safety   O fficer  
 
 
 
 
Finance/Administration    
Operations   S ection   C hief  
Planning   S ection   C hief  
Logistics   S ection   C hief  
Section   C hief  
Resources  
Service      
Time   U nit   L eader  
 
Personnel   S taging   T eam Leader              
Staging   M anager  
Vehicle   S taging   T eam Leader  
Unit   L eader  
Branch   D irector  
Equipment/Supply   S taging   T eam
Leader
Medication  Staging  Team   L eader
Personnel   T racking   M anager    
Communications   U nit   L eader    
Materiel   T racking   M anager  
IT/IS   E quipment   U nit   L eader    
Inpatient   U nit   L eader                
Food   S ervices   U nit   L eader  
Procurement  
Medical   C are  
Outpatient   U nit   L eader            
Situation  
Casualty   C are   U nit   L eader                
Unit   L eader  
Branch   D irector  
Unit   L eader  
Behavioral   H ealth   U nit   L eader                
Support    
Clinical   S upport   U nit   L eader                
Branch   D irector  
Patient   R egistration   U nit   L eader  
Patient   T racking   M anager    
Bed   T racking   M anager  
Power/Lighting   U nit   L eader            
Infrastructure  
Employee   H ealth   &   W ell-­‐ B eing   U nit   L eader    
Compensation/  
Water/Sewer   U nit   L eader                  
Documentation  
Supply   U nit   L eader                
 
Claims   U nit   L eader  
Branch   D irector  
HVAC   U nit   L eader              
Transportation   U nit   L eader                  
Unit   L eader  
Building/Grounds   U nit   L eader  
Labor   P ool   &   C redentialing   U nit   L eader                  
Medical   G ases   U nit   L eader  
Employee   F amily   C are   U nit   L eader  
 
Access   C ontrol   U nit   L eader    
Security    
Cost   U nit   L eader  
Crowd   C ontrol   U nit   L eader            
Demobilization  
Branch   D irector  
Traffic   C ontrol   U nit   L eader            
Unit   L eader  
Search   U nit   L eader                  
Law   E nforcement   I nterface   U nit   L eader    
HazMat    
Detection   &   M onitoring   U nit   L eader                
Spill   R esponse   U nit   L eader                  
Branch   D irector  
Victim   D econtamination   U nit   L eader              
Facility/Equipment   D econtamination   U nit   L eader  
 
Business   C ontinuity    
IT   S ystems   a nd   A pplications   U nit   L eader    
Branch   D irector  
Services   C ontinuity   U nit   L eader                  
Records   M anagement   U nit   L eader
 
Patient   F amily   A ssistance      
Social   S ervices   U nit   L eader  
Purpose:
Display positions assigned to Hospital Incident Management Team (HIMT)
 
 
HICS 207
| Page 1 of 1
Family   R eunification   U nit   L eader  
Origination: Incident Commander or designee
                    B ranch   D irector  
Copies to: Command Staff, Section Chiefs, Documentation Unit Leader, and posted in the Hospital
Command Center (HCC)
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