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Memorial Sloan Kettering Cancer Center - Incident Action Plan (IAP) 
Event Type:


Date:


Operational Period:


Incident Objectives: 
1.Maintain situational awareness/disseminate critical information

2.Ensure the safety of patients, staff and visitors

3.Ensure staffing, supplies and services are adequate to provide continuity of patient care 

4.Monitor parameters to elevate HICS Level, update the IAP, and escalate EP plan implementation.




CLINICAL & PT. SUPPORT ACTIVITIES
Planning Item
Clinical Activities - In-Patient

Description/tasks
Assure adequate dept. staffing levels/capabilities
Assess service priorities
Identify challenges & resource needs
Consider labor pool resource needs
Assess & provide housing needs to Staff Support UL
Prepare report for next HICS meeting

HICS Chief
Operations

Responsible Designee(s)
Gen. Nursing Care UL
Peds Critical Care UL
Patient Care Area Dir (when activated)

Status
We report the operational period as the leaders need infom



Planning Item
Ancillary Services

Description/tasks
Assure adequate dept. staffing levels/capabilities:
Pharmacy
Clinical Labs
Radiology
Pathology/Morgue
Cardiopulmonary
Discharges
Identify challenges & resource needs
Prepare report for next HICS meeting

HICS Chief
Operations

Responsible Designee(s)
Ancillary Services Dir.
All Ancillary Unit Leaders

Status



Planning Item
Clinical Activities /NYC 5 borough Outpatient 

Description/tasks
Assure adequate dept. staffing levels/capabilities
Assess service priorities 
Identify challenges & resource needs
Support HICS as needed 
Consider labor pool resources needs
Prepare report for next HICS meeting

HICS Chief
Operations

Responsible Designee(s)
Outpatient 5 borough UL

Status



Planning Item
Clinical Activities -Regional Network

Description/tasks
Assure adequate dept. staffing levels/capabilities
Assess service priorities
Identify challenges & resource needs
Support HICS as needed 
Consider labor pool resources needs
Prepare report for next HICS meeting 

HICS Chief
Operations

Responsible Designee(s)
Network Sites UL

Status




STAFFING
Planning Item
Nursing & Clinical Support Personnel 

Description/tasks
Assure adequate dept. staffing levels/capabilities
Review/Implement emergency staffing plans as needed
Coordinate with Labor Pool as needed
Identify challenges & resource needs
Assess & provide housing needs to Staff Support UL
Prepare report for next HICS meeting

HICS Chief
Operations

Responsible Designee(s)
Nursing Staffing UL
Gen. Nursing Care UL

Status



Planning Item
Physician Staffing

Description/tasks
Assure adequate dept. staffing levels/capabilities
Review/Implement emergency staffing plans as needed
Identify challenges & resource needs
Coordinate with Labor Pool as needed
Assess & provide housing needs to Staff Support UL
Prepare report for next HICS meeting

HICS Chief
Planning

Responsible Designee(s)
Medical Staff UL

Status



Planning Item
Volunteers/Labor Pool/Staff Support

Description/tasks
Prepare volunteer registration/request processes
Coordinate with Operations for labor pool deployments 
Identify challenges & resource needs
Update Manhattan-based staff list for Security Office 
Assess/provide dependent care for staff as needed
Consider SKI personnel resources
Prepare report for next HICS meeting

HICS Chief
Planning

Responsible Designee(s)
Labor Pool UL
Dependent Care UL

Status




SAFETY & SECURITY
Planning Item
Safety

Description/tasks
Identify hazards/potentials associated with the incident
Monitor /report life safety issues impacting the  EOC
Assess for adequate levels of PPE if required
Coordinate corrective actions with Section Chiefs/Depts.
Provide guidance related to HICS team & staff fatigue
Identify challenges & resource needs
Prepare report for next HICS meeting

HICS Chief
HICS Command 

Responsible Designee(s)
Safety Officer

Status



Planning Item
Security

Description/tasks
Assure adequate dept. staffing levels/capabilities
Assist with housing & staff support functions as needed
Implement perimeter and building controls as needed
Identify challenges & resource needs
Assess & provide staff housing needs to Staff Support UL
Prepare report for next HICS meeting

HICS Chief
HICS Command

Responsible Designee(s)
Security Officer

Status




RESOURCES & ASSETS
Planning Item
Supply Chain

Description/tasks
Assure adequate dept. staffing levels/capabilities
Assess supplies & linen par-levels
Consider early deliveries and increased par levels
Coordinate with departments & HICs re: supply issues/needs
Identify challenges & resource needs
Assess & provide housing needs to staff support UL
Prepare report for next HICS meeting

HICS Chief
Logistics

Responsible Designee(s)
Materials Mgt. UL

Status



Planning Item
Food & Nutritional Services

Description/tasks
Assure adequate dept. staffing levels/capabilities
Review contingency plans with staff
Assess food & water par levels
Consider early deliveries/extra supplies
Implement Food & Nutrition Contingency Plan as needed to support hospital & staff support operations
Identify challenges & resource needs
Assess & provide housing needs to Staff Support UL
Prepare report for next HICS meeting

HICS Chief
Logistics

Responsible Designee(s)
Food & Nutritional Services UL

Status



Planning Item
Housing Accommodations

Description/tasks
Assure adequate dept. staffing levels/capabilities
Assess space/bed availability  at MSKCC & hotels
Check/prepare  accommodation areas
Prepare toiletry supply kits & staff pick-up plan
Assess/provide psychological support of staff as needed
Identify challenges & resource needs
Prepare report for next HICS meeting

HICS Chief
Logistics

Responsible Designee(s)
Staff Support UL
Dependent Care UL
Psych. Support UL

Status



Planning Item
Escort Services /Transportation

Description/tasks
Assure adequate dept. staffing levels/capabilities
Monitor transit system and transportation status
Identify challenges & resource needs
Secure/coordinate transportation resources as needed 
Prepare report for next HICS meeting

HICS Chief
Logistics

Responsible Designee(s)
Transportation UL

Status




UTILITIES & INFRASTRUCTURE
Planning Item
Status/Sustainability/Mitigation

Description/tasks
Assure adequate dept. staffing levels/capabilities
Verify facility generator(s) are operable and fueled
Review emergency power areas /prepare interventions
Coordinate with I.S and other departments re: emergency red outlets and alternatives.
Monitor /report life safety issues impacting the Environment of care or Business areas. Coordinate with Safety Officer.
Assess/prioritize accommodation needs for Staff Support UL
Weather events: 
- Assess/monitor flooding &drainage /begin mitigation
- Assess/monitor snow removal needs/begin mitigation
- nitor transformer shed water/salt infiltration potential
Identify challenges & resource needs
Prepare report for next HICS meeting

HICS Chief
Logistics 

Responsible Designee(s)
Facilities UL
Damage Assess. UL
Sanitation Sys. UL
SKI Unit Leader
Non-Clinical Offsite Liaison

Status




COMMUNICATIONS
Planning Item
Communications/Telecomm/I.S.

Description/tasks
Assure adequate dept. staffing levels/capabilities
Coordinate red phone directory access & distribution
Assess areas for I.S. availability in the event of emergency relocation of telecom or other departments. Coordinate with Facilities re:  emergency red outlets 7 alternatives.
Activate staff emergency info line & provide support to sites
Coordinate EzNotify utilization with  Public Affairs 
Identify challenges & resource needs
Assess/provide telecom housing needs for Staff Support UL
Prepare report for next HICS meeting

HICS Chief
Information Systems

Responsible Designee(s)
Communications UL
Network & Infrastructure UL

Status



Planning Item
Communications/Messaging/Public Affairs

Description/tasks
Assure adequate coverage to support HICS
Develop patient and staff messages and distribution strategies.  Coordinate with I/C Emergency Management & Telecomm./I.S.
Consider alterative communications in the event of email/intranet/internet failure (EzNotify)
Identify challenges & resource needs
Prepare report for next HICS meeting

HICS Chief
HICS Command

Responsible Designee(s)
Public Information Officer

Status



For events that may require additional incident-specific objectives, strategies, and tactics, the IAP will be adjusted accordingly.  In addition, subsequent incident needs will be reflected in the Situation Report(s) and tracked for follow-up and completion.