HOSPITAL INCIDENT COMMAND SYSTEM (HICS) SMALL/RURAL HOSPITAL

JOB ACTION SHEETS AND FORMS

Hospital Incident Command System (HICS) is an incident management system based on the Incident Command System (ICS). Implementing HICS helps hospitals improve their emergency management planning, response, and recovery capabilities. Using HICS also helps hospitals interface more effectively with community response agencies during a disaster. 

These Job Action Sheets have been modified specifically for small and rural hospitals to reflect the unique resource challenges these facilities face.

If you have questions about the Small/Rural Hospital Job Action Sheets or Forms, please contact Barbara Dodge (402) 552-3101 or bdodge@unmc.edu.

HICS Job Action Sheets for Small-Rural Hospitals

Command Section Job Action Sheets
Planning Section Job Action Sheets
Operations Section Job Action Sheets
Logistics Section Job Action Sheets
Finance Section Job Action Sheets
Medical/Technical Specialist Section Job Action Sheets

All Sections Job Action Sheets

Chart of Essential Positions

Sample Hospital Org Chart with Summary of Positions

INCIDENT PLANNING AND RESPONSE GUIDES

Offered by the Center for HICS Education and Training, these Incident Planning and Response Guides include a series of questions that provide both a starting point for planning and a means of evaluating current plans.

HICS Forms

HICS 201 - Incident Briefing Form
HICS 202 - Incident Objectives Form
HICS 203 - Organization Assignment List
HICS 204 - Branch Assignment List
HICS 205 - Incident Communications Plan
HICS 206 - Medical Plan
HICS 207 - Organization Chart
HICS 213 - Incident Message Form
HICS 214 - Operational Log
HICS 251 - Facility Systems Status Report
HICS 252 - Section Personnel Time Sheet
HICS 253 - Volunteer Staff Registration
HICS 254 - Disaster Victim Patient Tracking Form
HICS 255 - Master Patient Evacuation Tracking Form
HICS 256 - Procurement Summary Report
HICS 257 - Resource Accounting Record
HICS 258 - Hospital Resource Directory
HICS 259 - Hospital Casualty-Fatality Report
HICS 260 - Patient Evacuation Tracking Form
HICS 261 - Incident Action Plan Safety Analysis