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Date: Start: End: Position Assigned to: Initial: Position Reports to: Infrastructure Branch Director Signature: Hospital Command Center (HCC) Location: Telephone: Fax: Other Contact Info: Radio Title:  Immediate (Operational Period 0-2 Hours)TimeInitialReceive appointment, briefing, and any appropriate materials from the Medical Care Branch Director.Read this entire Job Action Sheet and review incident management team chart (HICS Form 207). Put on position identification.Notify your usual supervisor of your HICS assignment.Document all key activities, actions, and decisions in an Operational Log (HICS Form 214) on a continual basis.Appoint Patient Registration Unit members and complete the Branch Assignment List (HICS Form 204).Brief Unit staff on current situation, incident objectives and strategy; outline Unit action plan; and designate time for next briefing.In coordination with the Patient Tracking Manager, track inpatient and outpatient admissions and discharges.Work with the Situation Unit Leader to document, and track all incoming and outgoing patients.Document all communications (internal and external) on an Incident Message Form (HICS Form 213). Provide a copy of the Incident Message Form to the Documentation Unit. Intermediate (Operational Period 2-12 Hours)TimeInitialMeet regularly with the Medical Care Branch Director for status reports, and relay important information to Unit members.Maintain regular communications and provide patient registration information and updates to the Planning Section’s Patient Tracking Manager.Ensure all documentation and patient registration information is completed to ensure timely payment of patient bills.Identify need for assistance or equipment and report to the Medical Care Branch Director.Develop and submit an action plan to the Medical Care Branch Director when requested.Advise the Medical Care Branch Director immediately of any operational issue you are not able to correct or resolve. Extended (Operational Period Beyond 12 Hours)TimeInitialContinue to update the Medical Care Branch Director regularly on current condition of all operations; communicate needs in advance.Continue to document actions and decisions on an Operational Log (HICS Form 214) and submit to the Medical Care Branch Director at assigned intervals and as needed. Ensure your physical readiness through proper nutrition, water intake, rest, and stress management techniques.Observe all staff and volunteers for signs of stress and inappropriate behavior. Report concerns to the Employee Health & Well-Being Unit Leader. Provide for staff rest periods and relief.Upon shift change, brief your replacement on the status of all ongoing operations, issues, and other relevant incident information. Demobilization/System RecoveryTimeInitialAs needs for the Unit’s staff decrease, return staff to their usual jobs and combine or deactivate positions in a phased manner.Ensure return/retrieval of equipment and supplies and return all assigned incident command equipment.Upon deactivation of your position, brief the Staging Manager and Operations Section Chief, as appropriate, on current problems, outstanding issues, and follow-up requirements.Upon deactivation of your position, ensure all documentation and Operational Logs (HICS Form 214) are submitted to Medical Care Branch Director or Operations Section Chief, as appropriate.Debrief staff on lessons learned and procedural/equipment changes needed.Submit comments to Medical Care Branch Director for discussion and possible inclusion in after action report. Comments should include: Review of pertinent position descriptions and operational checklists Recommendations for procedure changes Section accomplishments and issuesParticipate in stress management and after-action debriefings. Participate in other briefings and meetings as required. 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