Ambulance Victoria State
Emergency Response Plan
Field Emergency Medical Officer Program
October 2009 v1.0
AV Emergency Response Plan
Two Volumes
1. Overview 2009
“Thin booklet”
General Principles
2. Specifications 2008
Detailed actions for each key role
Based on normal business role
Focuses on actions required in an incident
References Operational Procedures
AV Response Plan Aims
• Ensure an appropriate response to major incidents
• Minimize impact on “normal” business operations
• Whole of organisation approach
AV Concept of Operations
AV Four Key Principles
1.
2.
3.
4.
Escalation process
Triggers for escalation
Notifications
Management Structure
AV Stages of an Incident
• Notification
–
–
–
–
From time of call to first crew at scene
Determine level of escalation
Escalate and notify
Some pre-emptive deployment (Health Commander)
• Response
– From time of first SITREP to last AV resource at scene
– Confirm level of escalation
– Resource as required
• Recovery
– May start at Response
– Peer / stores / fleet
– Operational debriefing
AV Process
AV Response Matrix
AV Risk Assessment
AV Triage Officer (old CCO)
Primary Role
Secondary Roles
•
•
•
•
Triage and assess the number
and type of patients.
Applies triage tags.
Allocates the clinical priority for
patients.
•
•
•
•
•
Takes on role as Health
Commander until the appointment
of a manager who will assume the
role.
Establishes a Casualty Clearing
Post.
Liaison with the Transport Officer
and initially DTM/SCO).
Takes direction from the Health
Commander or the relevant
Ambulance commander/
supervisor.
Provides direction for on scene
paramedics.
Additional Triage Officers may be
appointed for each incident sector
and/or casualty clearing post
AV Transport Officer (old TCO)
Primary Role
Secondary Roles
•
•
•
•
Coordination of transport vehicles
to ensure appropriate transfer of
patients.
Maintain Casualty Movement Log
regarding transport or outcome of
all patients.
Provide Situation Reports in
ETHANE format.
•
•
•
•
Liaison with the Triage Officer and
initially DTMs.
Takes direction from the Health
Commander or the relevant
Ambulance
commander/supervisor.
Ensure appropriate access and
egress for responding vehicles.
Establish an ambulance loading
point in consultation with the
Triage Officer.
Apply a patient number to the
Triage Tag of each victim prior to
transport, ensure that the number
on the tag corresponds to the
number used on the Casualty
Movement Log.
Triage Sieve
Triage Sort
SMART TAGTM Triage Tags
Situation Reports
AV Notifications - Green
• Regional Critical Incident Manager
– Advises State Critical Incident Manager
• Health Commander
• Hospitals
• Other Emergency Service Agencies
• Peer Support
• AV Media
AV Notifications – Orange & Red
• Subset during Notification
• Full list during Response
• Automated via SMS and Email
Orange and Red:
• State Health Incident Coordinator
• Field Emerg Med Coordinator
• First Aid Sub Plan Agencies
• All other Group Managers
• Additional managers (SO/TM)
• WX 1 Notification
• Air Ambulance Victoria
• Adult Retrieval Victoria
• Non Emerg Services Manager (x2)
• Clinic Transport Manager (metro)
• AV Media
• HS&W / Safety Officer
• Peer Support
•
•
•
•
•
•
•
Fleet & Equipment Coordinator (metro)
Rosters (x2)
General Manager – Regional Services
General Manager – Specialist Services
General Manager - QES
Regional General Managers
Operations Managers (Metro)
Red Only:
• Fleet Manager (regional)
• Human Resources
• Commercial Services
• Property
• Finance
AV Co-ordination Structure
AV Use of Specifications
AV Management Structure
HIMT
Health
Incident
Management
Team
Patient Flow / Skill Mix
State Arrangements (EMMV Part 3)
Designated Control Agency
Victoria Police
= Controller
= Coordinator
Three layers of management for Control and Coordination:
• Incident
= EMT, MECC
Health Represented by Sector Health Commander
• Area of Operations
= AofO EMT, RERCC
Health Represented by Health Commander
• State
= SEMT, SERCC
Health Represented by State Health Incident Coordinator
Ambulance Represented by State Critical Incident Manager
Command and Control
• Chain of Command
–Hierarchy
–Span of control 1:3 to 1:7
• Incident Management System
–Control
–Planning
–Operations
–Logistics
–Intelligence
–Information
–Investigation
–Finance
–Administration
IMS Emergency Response Levels
• Level 1 - characterised by being able to be resolved through the use
of local or initial response resources only.
• Level 2 - More complex emergency response: either in size,
resources or risk. Level 2 response is characterised by the need for:
– deployment of resources beyond initial response
– sectorisation of the emergency
– the establishment of functional sections due to the levels of
complexity
– a combination of the above.
• Level 3 - Characterised by degrees of complexity that may require a
more substantial establishment for management of the situation.
These emergencies will usually involve delegation of all functions.
SHERP-ICS
EMT Practice Note (OESC)
Questions?
Emergency Management Unit
03 9090 5900