Municipality Incident Action Plan Template Page 6
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141.
Incident Name
2.
Date Prepared
3.
Time Prepared
4.
Operational Period
MEDICAL PLAN
01Nov11 08:00-
Severe Storm
01Nov12
08:00
ICS 206
02Nov11 07:59
5. Incident Medical Aid Station
Paramedics
Medical Aid Stations
Location
Yes
No
Training Center
Merrow Rd
X
Senior Center
Town Stage Rd
x
6. Transportation
A. Ambulance Services
Paramedics
Name
Address
Phone
Yes
No
Town Fire Department
728 Main Street, Town
911
860-872-###
x
Professional Ambulance
Address,
911
x
Service
B. Incident Ambulances
Paramedics
Name
Location
Yes
No
7. Hospitals
Burn
Travel Time
Helipad
Name
Address
Phone
Center
Air
Ground
Yes
No
Yes
No
Hartford Hospital
85 Seymour St, Hartford, CT
6
860-545-4341
x
x
St. Francis
114 Woodland St, Hartford, CT
7
860-714-4000
x
x
Manchester Memorial
71 Haynes St, Manchester, CT
14
860-646-1222
x
x
John Dempsey
263 Farmington Ave,
17
860-679-7692
x
x
Hospital
Farmington, CT
Rockville General
31 Union St, Vernon, CT
20
860-872-0501
x
x
8. Medical Emergency Procedures
Contact 911 immediately, once medical attention is received and victim is stable contact the Incident Safety officer
Prepared by (Medical Unit Leader)
10. Reviewed by (Safety Officer)
Gordon Hinkley
Harold Lee
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