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NHICS GUIDEBOOK (pdf)
Attachment A: NHICS Incident Management Team Chart (pdf)
Attachment B: NHICS Quick Guideline to Job Responsibilities & Authorities (pdf)
Attachment C: NHICS Position Crosswalk (pdf)
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NHICS FORMS
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| NHICS 201: Incident Briefing and Operational Log |
(pdf)
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(word)
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NHICS 202: Incident Objectives
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(pdf)
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(word)
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NHICS 203: Organization Assignment List
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(pdf)
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(word)
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NHICS 205: Incident Communications Plan
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(pdf)
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(word)
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NHICS 206: Staff Injury Plan
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(pdf)
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(word)
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NHICS 207: Organizational Chart
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(pdf)
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(word)
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NHICS 213: Incident Message Form
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(pdf)
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(word)
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NHICS 251: Facility System Status Report
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(pdf)
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(word)
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NHICS 252: Section Personnel Time Sheet
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(pdf)
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(word)
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NHICS 253: Volunteer Staff Registration
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(pdf)
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(word)
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NHICS 254: Master Emergency Admit Tracking Form
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(pdf)
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(word)
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NHICS 255: Master Resident Evacuation Tracking Form
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(pdf)
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(word)
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NHICS 256: Procurement Summary Report
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(pdf)
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(word)
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NHICS 257: Resource Accounting Record
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(pdf)
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(word)
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NHICS 258: Facility Resource Directory
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(pdf)
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(word)
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NHICS 259: Master Facility Casualty & Fatality Report
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(pdf)
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(word)
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NHICS 260: Individual Resident Evacuation Tracking Form
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(pdf)
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(word)
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NHICS 261: Incident Action Safety Analysis
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(pdf)
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(word)
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| Incident Management Team (IMT) Chart |
(pdf) |
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| NHICS JOB ACTION SHEETS |
| Command Staff: |
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Incident Commander
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(pdf) |
(word) |
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Safety Officer
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(pdf) |
(word) |
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Medical Director/Specialist
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(pdf) |
(word) |
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Public Information Officer
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(pdf) |
(word) |
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Liaison Officer
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(pdf) |
(word) |
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| Operations Section: |
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Operations Section Chief
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(pdf) |
(word) |
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Resident Services Branch Director
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(pdf) |
(word) |
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Admit/Transfer & Discharge Unit Leader
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(pdf) |
(word) |
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Nursing Unit Leader
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(pdf) |
(word) |
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Psychosocial Unit Leader
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(pdf) |
(word) |
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Infrastructure Branch Director
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(pdf) |
(word) |
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Dietary Unit Leader
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(pdf) |
(word) |
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Environmental Unit Leader
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(pdf) |
(word) |
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Physical Plant/Security Unit Leader
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(pdf) |
(word) |
| Planning Section: |
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Planning Section Chief
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(pdf) |
(word) |
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Situation Unit Leader
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(pdf) |
(word) |
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Documentation Unit Leader
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(pdf) |
(word) |
| Logistics Section: |
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Logistics Section Chief
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(pdf) |
(word) |
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Service Branch Director
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(pdf) |
(word) |
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Communication Hardware Unit Leader
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(pdf) |
(word) |
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IT/IS Unit Leader
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(pdf) |
(word) |
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Support Branch Director
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(pdf) |
(word) |
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Supply Unit Leader
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(pdf) |
(word) |
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Transportation Unit Leader
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(pdf) |
(word) |
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Staffing/Scheduling Unit Leader
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(pdf) |
(word) |
| Finance/Admin Section: |
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Finance/Admin Section Chief
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(pdf) |
(word) |
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Time Unit leader
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(pdf) |
(word) |
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Procurement/Costs/Claims Unit Leader
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(pdf) |
(word) |
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NHICS INCIDENT PLANNING GUIDES (IPG's)
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| Infectious Disease Outbreak: Biologic-Pandemic Influenza |
(pdf)
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(word)
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Natural Disaster: Major Earthquake
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(pdf)
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(word)
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Natural Disaster: Severe Weather
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(pdf)
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(word)
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| Internal Flooding |
(pdf)
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(word)
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| Fire |
(pdf)
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(word)
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Man Made Disaster: Loss of Power
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(pdf)
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(word)
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NHICS INCIDENT RESPONSE GUIDES (IRG's)
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| Infectious Disease Outbreak: Biologic-Pandemic Influenza |
(pdf)
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(word)
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Natural Disaster: Major Earthquake
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(pdf)
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(word)
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Natural Disaster: Severe Weather
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(pdf)
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(word)
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| Internal Flooding |
(pdf)
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(word)
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| Fire |
(pdf)
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(word)
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Man Made Disaster: Loss of Power
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(pdf)
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(word)
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NHICS TRAINING MODULES
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Module 1: Personal Emergency Preparedness
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(pdf)
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(ppt)
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Module 2: Introduction to the Incident Command System
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(pdf)
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(ppt)
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Module 3: Applying Incident Command System (ICS) in Nursing Homes
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(pdf)
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(ppt)
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Module 4: Tool Kit: Guidebooks, Job Action Sheets, Forms, IPG's, and IRG's
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(pdf)
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(ppt)
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Module 5: Implementing NHICS Into Your Facility
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(pdf)
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(ppt)
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Copyright 2010 by California Association of Health Facilities
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