Week 2: Healthcare Emergency Management Discussion
Week 2: Healthcare Emergency Management Discussion
-Please response to at least three of classmates’ posts by ( Agreeing, disagreeing, expanding a point, challenging, show an interest from personal experience, etc. ) but remember to be friendly and natural as if you in a classroom having discussion with collogue.
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– – Please response to at least three of classmates’ posts by ( Agreeing, disagreeing, expanding a point, challenging, show an interest from personal experience, etc. ) but remember to be friendly as you in a classroom discussion with collogue. APA Styke is needed. Peer reviewed articles in last 10 years. There are some of the responses you can continue the dialogue but is depends on what ones you choose. First Classmates’ post Faris Alotibi How difficult is it to operationalize HICS? The Hospital Incident Command System (HICS) is one of the most reliable incident command systems used to plan and improve hospital performance. HICS can respond to all emergencies with less complexity, geographical conditions, and structure, and the program improves coordination and communication between different health organizations and provides protection during the crisis (Jensen J, 2016). That’s why I think HICS operation is challenging because it has to look for many aspects when planning or to respond to an incident, such as weather, chemicals inside the facility, fire, and power loss. There are also many stressors on the managers, such as the population they serve is very critical and hard to deal with because they are patients, and they need special consideration when handling them or evacuating them. To resolve these problems as a hospital incident commander, I will first conduct a hazard vulnerability analysis so I can build a basis that I can work with. After knowing the weak points in my hospital, I will but a plan, then I will exercise it a lot so the staff can familiarize with the operation plan and work on the mistakes in the drills so when the real event happens, we can avoid it. Who needs to be trained in HICS, and why? To answer this question correctly, there are many questions to ask what kind of training? What jurisdictions are giving after training? And many more. If it’s specialized training that provides the person with the ability to plan for and take action to an incident, I would say let’s keep it to the emergency managers who work full-time emergency management or any other healthcare specialty who a person is interested in becoming a manager. I am totally against forcing staff to take courses in HICS because it will distract them from what they do. But I encourage training on the emergency operation plans and drills to simulate the incident and identify the shortage and work to resolve it. I would say no for many reasons. It took a nurse, for example, and trained him or her into becoming an emergency manager, you will not only get an experienced manager, but you will also lose a nurse from your staff. That’s why I encouredge hiring or increasing the number of experienced emergency managers. Jensen, J., & Thompson, S. (2015). The Incident Command System: a literature review. Disasters, 40(1), 158–182. doi: 10.1111/disa.12135 Second Classmates’ post. Mansour Alkhathami COLLAPSE Operationalization HICS Health Incidence Command System (HICS) is the type of incident management system that is designed for the healthcare or hospital environment. It helps the hospital to respond to enhance its emergency preparedness, planning, response, and recovery capabilities for the unplanned and planned events. It is not that difficult to operationalize HICS. The health care institution needs to ensure that it incorporates its staff, the management, and put all the resources in order (Reilly, & Markenson, 2010). Challenges Associated With HICS Implementation Some of the challenges of implementing HICS include. First, lack of hospital management goodwill. The management has the final word as far as the implementation of any plan is concerned. The hospital, HICS implementation management, may perceive that HICS may be costly to implement. Secondly, a lack of trained staff who can respond to the emergency incident is another challenge to HICS implementation. The hospital requires the trained people who may respond to the emergency incidences. Lastly, lack of the resources the support HICS implementation is another challenge. The hospital requires both the financial and human resources to implement HICS (Abbasi, Shooshtari, & Tofighi, 2017). Who Needs To Be Trained in HICS Training is an essential aspect of the HICS as it allows the health staff to acquire skills and knowledge that are consistent with the emergency preparedness. Some of the staff that needs to be trained include the medical and technician staff. The medical staffs are responsible for helping casualties during emergency incidence.
Technicians such as the IT technicians, lab technician needs to be trained on how to detect the threats or hazards such as hacking, or biological agents. It allows the hospitals to respond to any threat in real-time to avoid the issue getting out of hand. The safety staff should be trained on how to respond to disasters through situational awareness and surveillance (Jensen, and Waugh, 2014). The liaison staffs need to be trained on how to link the different departments in the facilities during an emergency incidence. Also, it should link the health care organization with other external organizations or agencies. Whether Different Staff Receive Different Levels Of Training in HICS Yes, different staff should receive different levels of training in HICS depending on an individual specialty. Staffs like the IT technicians should receive training that will help them track the online threats like hacking, and improve their response to the online threats. Also, health practitioners should receive training that will help them improve response to deal with a mass casualty. By offering different skills to different staff, the organization will be improving its preparedness, response, and recovery after the occurrence of the emergency incidence (Reilly, &Markenson, 2009).
References Abbasi, S., Shooshtari, S., & Tofighi, S. (2017). Challenges of Hospital Incident Command System (HICS) from Experts’ Perspectives: A Qualitative Research. Indian Journal of Science and Technology, 10, 28. Jensen, J. and Waugh, W. L. (2014), The United States’ Experience with the Incident Command System: What We Think We Know and What We Need to Know More About. Journal of Contingencies and Crisis Management, 22: 5–17. doi: 10.1111/1468-5973.12034 Reilly, M., &Markenson, D. S. (2009). Education and training of hospital workers: Who are essential personnel during a disaster?Prehospital and Disaster Medicine, 24(3), 239245. Reilly, M. J., & Markenson, D. S. (2010). Health care emergency management: Principles and practice. Jones & Bartlett Publishers. Third Classmates’ Post Saleh Alyami In healthcare emergency management, one of the most important aspects is the Hospital Incident Command System, also known as HICS. In the United States, the system is used for incident command within the healthcare system when emergency situations arise (Reilly & Markenson, 2009). It is implemented at the hospital level and is supposed to guide the manner in which the hospital responds to disasters or emergencies that may take place or be observed from time to time. HICS also helps hospitals to be well-prepared for disasters, improves their response times, and caters to events that had not been foreseen by the hospital administrators. When this happens, healthcare emergency management is improved, and this is critical for improved welfare and well-being of people in society in the wake of an emergency.
Operationalizing HICS is considered to be one of the most difficult things in healthcare emergency management. First, HICS requires proper governance and leadership to be in place at the organizational level. If this is missing, the goals of healthcare emergency management cannot be achieved. A hospital must possess competent leaders who can actualize and operationalize HICS. Secondly, HICS is associated with many risks and uncertainties. Determining the likelihood of society to be affected by a disaster or emergency is difficult, and this means that HICS is associated with many risks that may affect its ability to deliver various goals it promises to the healthcare system.
Thirdly, HICS is difficult to operationalize since it requires additional investments for its goals to be realized. On certain occasions, hospitals are under a tight budget to invest in appropriate technological tools that are required to operationalize it. During the implementation phase of HICS, there are bound to be several challenges that can be observed. One of the main challenges is poor planning. Planning for implementation should be undertaken at all times before the process commences (Jensen, & Waugh, 2014). When this happens, the hospital may determine what resources are need and the various roles that have to be played by each party during implementation. The second major challenge is inadequate funds. HICS implementation requires substantial investment by an organization. If such funds are not allocated, a hospital cannot gain the benefits that are associated with the system in enhancing healthcare emergency preparedness and management. The third challenge is poor testing of the system. Each hospital requires its HICS to be tailored in line with the needs of the institution. If this does not happen, the implementation may fail or lead to ineffective practices in emergency management within the healthcare environment. Several solutions can be developed to address some of the challenges that could face a hospital during the implementation of a HICS. One of the solutions is to ensure that the chosen system is compatible with the needs of the medical institution. Increased compatibility ensures that the system improves the ability of the organization to respond to disasters with relative ease.
The second solution would be to ensure that funds are set aside for the implementation. Doing this requires management at the hospital to be ready to seek funds from the various stakeholders. It may do this by sensitizing them about the need for HICS in the healthcare system. The hospital must also ensure that professionals in disaster management are employed to spearhead the implementation of the system (Reilly, & Markenson, 2010). If these solutions are adopted, a hospital would be well-placed to ensure the successful implementation of the HICS. Training in HICS should be for certain parties within the healthcare setting. One of the main groups of people that need to be trained is medical staff. They include physicians, nurses, and other members of the technical staff whose roles are needed when the hospital is responding to a disaster or emergency. The second group that needs to be trained as supportive members of staff within the healthcare setting include cleaners, security guards, and other people who ensure the effective functioning of a medical facility. These individuals ensure that when there is an emergency, the facility is in great shape to help overcome the disaster that has affected society and its people. Different members of staff should receive differentiated levels of training. Doing this is critical since each member or group of the workforce plays different roles when a disaster or emergency strikes. For example, physicians need to be trained on measures to take when dealing with patients who have been injured in a disaster. Such training cannot be offered to technical members of staff since they may not be required to handle patients who may have been injured during the disaster.
As a result, different forms of training need to be considered for various members of the workforce. In conclusion, the implementation of a HICS in the healthcare system is something that is critical for every medical facility. Such implementation should only happen after careful planning has taken place to ensure that patient outcomes are included in the case of a disaster at the community level. References Jensen, J. & Waugh, W. L. (2014). The United States’ Experience with the Incident Command System: What We Think We Know and What We Need to Know More About. Journal of Contingencies and Crisis Management, 22: 5–17. DOI: 10.1111/1468-5973.12034 Reilly, M., & Markenson, D. S. (2010). Health Care Emergency Management: Principles and Practice. Week 2: Healthcare Emergency Management Discussion
Chapter 2: Introduction to Hospital and Healthcare Emergency Management Chapter 9: Functional Roles of Hospital Workers in Disasters and Public Health Emergencies Reilly, M., & Markenson, D. S. (2009). Education and training of hospital workers: Who are essential personnel during a disaster? Prehospital and Disaster Medicine, 24(3), 239-245. The rest you can see it from the pictures!! bblearn.philau.edu + Abadi’s PP -201902-2… Assignments -201902.. Week 2 Discussion – 2… HICS – HICS Documen… hicscenter.org/Shared… SOLUTION: Discussion… Google Translate Error Instructor Bio Topics of Study 1 day ago Sara Thompson Week 2 Discussion Discussions Section 2 Students Course Documents DMM Library Resources HICS can be difficult to operationalize for a few reasons. When a disaster first happens, the initial result is disorganization and chaos while answers are sought, and a plan is developed. It isn’t until the questions of what happened, how many people are impacted, and what resources are required to stabilize the situation, that an orderly response can be implemented.
It takes training and practice to minimize the initial chaotic response and dive right into falling into individual roles and responsibilities within HICS. Additionally, one’s role within HICS may differ somewhat from their day to day role within the chain of command. It can be difficult for some to give up their position of leadership, especially in an emergency, to someone with more emergency management experience. Again, training and exercises are necessary to make this transition seamless. My Grades Send Email Blackboard Help All hospital employees need to be trained in HICS so th at any personnel on-site when HICS is implemented know their role and can perform their duties as needed. Week 2: Healthcare Emergency Management Discussion
A lack of HICS training for all employees will lead to confusion and unnecessary delay in performing needed tasks in a disaster event. I don’t think different staff should receive different levels of training, but different staff will require different types of training. For example, one wouldn’t expect a medical biller to be able to triage patients upon their arrival. The type of training staff receives should correlate to their day-to-day job function to ensure the successful operationalization of HICS. Student Resources Course Evaluations Reilly, M. J., & Markenson, D. S. (2011). Health Care Emergency Management Principles and Practice. Sudbury, MA:Jones and Bartlett Student Handbook Technology Help Desk Reply Quote Email Author Academic Success Center Gutman Library University Bookstore OO Matthew Butler 8 hours ago RE: Week 2 Discussion When a disaster first happens, the initial result is disorganization and chaos, while answers are sought, and a plan is developed. It isn’t until the questions of what happened, how many people are impacted, and what resources are required to stabilize the situation, that an orderly response can be implemented. Isn’t that the fundamental reason we use HICS? I agree that there is always that initial fog when a sudden onset crisis occurs.
The boxer, Mike Tyson said, “everyone has a plan until they get hit in the face.” That’s what the initial reaction to a sudden onset of a crisis can feel like, a punch in the face. The chaos, confusion, and initial shock can strike an initial tone in response that we try and avoid. By building resiliency. we can absorb that initial punch. We do that through training and exercises. What else can we do to be able to take bblearn.philau.edu + G Abadi’s PP -201902-2… Assignments – 201902.. Week 2 Discussion – 2… HICS – HICS Documen… hicscenter.org/Shared… SOLUTION: Discussion… Google Translate Error + Gutman Library University Bookstore OOL Matthew Butler * 8 hours ago RE: Week 2 Discussion When a disaster first happens, the initial result is disorganization and chaos, while answers are sought, and a plan is developed. It isn’t until the questions of what happened, how many people are impacted, and what resources are required to stabilize the situation, that an orderly response can be implemented. Isn’t that the fundamental reason we use HICS? I agree that there is always that initial fog when a sudden onset crisis occurs. Week 2: Healthcare Emergency Management Discussion
The boxer, Mike Tyson said, “everyone has a plan until they get hit in the face.” That’s what the initial reaction to a sudden onset of a crisis can feel like, a punch in the face. The chaos, confusion, and initial shock can strike an initial tone in response that we try and avoid. By building resiliency, we can absorb that initial punch. We do that through training and exercises. What else can we do to be able to take that initial punch, recover and respond? Reply Quote Email Author 22 minutes ago Douglas Wo RE: Week 2 Discussion Sara, You pointed out that” one’s role within HICS may differ somewhat from their day to day role within the chain of command.” I personally believe that the disconnect between HICS Job Action Sheets and every day’s job positions may contribute even more confusion to an already chaotic situation. For example, the person in charge of the time clock and payroll may change to another simply because of the activation of HICS. It’s essentially a “fitting a square peg into a round hole” situation when implementing HICS.
| also believe that management roles should not change simply because of the activation of HICS. Whoever is replacing the existing management role has to not only “hit the ground running,” but he or she has to “hit the ground running” in chaos. It appears to be a challenge to find such a suitable individual to accomplish this. Instead of replacing existing management with personnel with EM experience or training, maybe existing management personnel should receive emergency management training. bblearn.philau.edu G Abadi’s PP-201902-2… DIU Assignments -201902.. Week 2 -201902-27-… HICS – HICS Documen… hicscenter.org/Shared… SOLUTION: Discussion… Google Translate Error שוט ושuLu וכוור Topics of Study 1 day ago Douglas Wo Week 2 Discussions Section 2 Students Course Documents The challenges of implementing and operationalize HICS may be best described in the HICS Guidebook. In order to operationalize HICS, a hospital must assign personnel to be in charge of implementing HICS. The hospital then has to gain support from the administrators and obtain funding. Week 2: Healthcare Emergency Management Discussion
Furthermore, the hospital has to establish training requirements and provide training to hospital staff. HICS is not an organizational template that can be utilized last minute without extensive training or planning. (“Hospital Incident Command System Guidebook”, 2004) DMM Library Resources My Grades Send Email Blackboard Help HICS is designed to be used for threats, planned events, and emergencies. HICS is not designed to replace everyday organization structure. This is, supposedly by design, to reduce confusion. Since HICS is designed to be different than everyday organizational structure, the terminology used in HiCS may seem foreign in the healthcare environment. Matching hospital personnel with the right skills to appropriate HICS positions has been proven difficult. (Timm, Gneuhs, & Timm, 2011) To reduce confusion, a hospital can customize Hics to suit the needs of the hospital and to align HICS positions to existing positions in everyday operation. (Timm, Gneuhs, & Timm, 2011) Student Resources Course Evaluations Student Handbook Technology Help Desk Personnel needs frequent training and exposure to incident command systems in order to be proficient(Jensen & Waugh, 2014).
Since HICS may not be activated frequently enough to maintain proficiency across the organization, operating HICS during high- stress situations may cause even more confusion. One way to increase individual and organizational proficiency is to conduct frequent drills and exercises. Another way to increase staff exposure to HICS to increase the number of activations, by increasing awareness among hospital leadership. HICS training should be provided to the entire hospital(Jensen & Waugh, 2014). But more importantly, training should be relevant to the position to be meaningful. Academic Success Center Gutman Library University Bookstore References Hospital Incident Command System Guidebook. (2004, May). Retrieved January 12, 2020, from http://hicscenter.org/Shared Documents/HICS_Guidebook_2014_7.pdf Jensen, J., & Waugh, W. L. (2014). The united states’ experience with the incident command system:
What we think we know and what we need to know more about. Journal of Contingencies and Crisis Management, 22(1), 5-17. doi:10.1111/1468- 5973.12034 Timm, N. L., Gneuhs, M., & Timm, N. L. (2011). The pediatric hospital incident command system: An innovative approach to hospital emergency management. The Journal of Trauma, 71(5), S549-S554. doi:10.1097/TA.Ob013e31823a4d28 bblearn.philau.edu Abadi’s PP -201902-2… Assignments -201902.. Week 2 – 201902-2T-… HICS – HICS Documen… hicscenter.org/Shared… SOLUTION: Discussion… Google Translate Error + Reply OOL 19 hours ago Sara Thompson RE: Week 2 Hi Douglas, Nice summary of HICS. I agree that frequent exercises and drills are the way to maintain the skill set necessary to operate smoothly in the event of activation. The California Hospital Association offers training courses and published training documents on their website here: https://www.calhospitalprepare.org/hics-basics-course.
The training is broken down by the type of incident and provides a nice handbook of how to operationalize. 00 Matthew Butler * 8 hours ago RE: Week 2 Nice post Doug HICs can be used as a planning/response approach for situations beyond crisis or disaster. Incorporating the tenants of HICs into daily hospital/healthcare operations will help when responding to a crisis. Shouldn’t we be trying to bake HICs into day-to-day operations, project planning, and the hospital vernacular? Introducing a new concept or tool during a crisis may reduce your success. Week 2: Healthcare Emergency Management Discussion
I’m not familiar with your background (I recommend adding your background to the introduction post). As an example for the EMS providers in the class, you’re a medic and you’re on a call. You open your First-in Bag and see someone changed the type of IVs you usually use. That may set you up for at a minimum a challenge and, at worst, failure in obtaining an IV. My point, you’re less likely to use an unfamiliar tool during a crisis. Human nature is that people will revert to what they’re comfortable with or what they know during a crisis. Reply Quote Email Author Hide 1 reply Week 2: Healthcare Emergency Management Discussion
Week 2: Healthcare Emergency Management Discussion