Faris Alotaibi week 2 How difficult is it to operationalize HICS? The Hospital Incident Command System (HICS) is one of the most reliable incident command systems used to plan and improve hospital performance. HICS can respond to all emergencies with less complexity, geographical conditions, and structure, and the program improves coordination and communication between different health organizations and provides protection during the crisis (Jensen J, 2016). That’s why I think HICS operation is challenging because it has to look for many aspects when planning or to respond to an incident, such as weather, chemicals inside the facility, fire, and power loss. There are also many stressors on the managers, such as the population they serve is very critical and hard to deal with because they are patients, and they need special consideration when handling them or evacuating them. To resolve these problems as a hospital incident commander, I will first conduct a hazard vulnerability analysis so I can build a basis that I can work with. After knowing the weak points in my hospital, I will but a plan, then I will exercise it a lot so the staff can familiarize with the operation plan and work on the mistakes in the drills so when the real event happens, we can avoid it. Who needs to be trained in HICS, and why? To answer this question correctly, there are many questions to ask what kind of training? What jurisdictions are giving after training? And many more. If it’s specialized training that provides the person with the ability to plan for and take action to an incident, I would say let’s keep it to the emergency managers who work full-time emergency management or any other healthcare specialty who a person is interested in becoming a manager. I am totally against forcing staff to take courses in HICS because it will distract them from what they do. But I encourage training on the emergency operation plans and drills to simulate the incident and identify the shortage and work to resolve it. I would say no for many reasons. It took a nurse, for example, and trained him or her into becoming an emergency manager, you will not only get an experienced manager, but you will also lose a nurse from your staff. That’s why I encouredge hiring or increasing the number of experienced emergency managers. Jensen, J., & Thompson, S. (2015). The Incident Command System: a literature review. Disasters, 40(1), 158–182. doi: 10.1111/disa.12135 Farhan Alanazi Week 2 DB How difficult is it to operationalize HICS? What are some of the challenges associated with HICS implementation? What are some solutions to the identified challenges? Challenges Operationalizing HICS a bit challenging since hospital facilities rarely roll out staff training programs from day to day basis. The implication of this is that in the event of something happening at the hospital, inadequate relaying of messages resulting from not using a commonly discernable language as well as the least motivation for the staff makes it hard for HICS to apply in some areas. It also makes the team have difficulties in their flexibility (Jensen & Waugh, 2014). The same applies to them changing over to various HCIS models giving push back. This is because it is very different from what they are used to on their daily tasks. Solutions The basis for solving this problem is providing compulsory training to organizational employees regularly. For instance, it could be done quarterly (Jensen & Waugh, 2014). The aim of this is to ensure that they are kept abreast of the latest trends and skills so that they can know appropriate ways of responding to emergencies and disasters. Also, senior employees or administrators should regularly convene to do surveys as a way of understanding the junior employees take on the HCIS systems. Such an understanding could help them know the majority of the staff fully understand it as well as other relevant feelings. As a consequence, the number of staff that are frustrated with the systems may reduce. They could enhance their overall productivity as well. Who needs to be trained in HICS and why? To ensure that all the systems are functioning well, all employees across the organizational strata should be trained regarding the functioning of the system. This observation is derived from the fact that all staff in a hospital set up are considered equal. In an emergency, everyone around plays a vital role in helping out (Reilly & Markenson, 2010). Thus, all of them being familiar with how the systems operate, as well as the organizational strata, will be in a position to respond well. In case of emergency hits, all employees will be on a vantage position to help out, thus preventing the escalation of the emergency. Should different staff receive different levels of training? All employees in the organizational structure should be trained well because they will help out in case there is a disaster. Thus, the training is intended to ensure that every staff member knows their position and their expected reaction when an emergency hits their organization. Adequate training should be provided regularly to ensure that they are in a position to act. References Reilly, M., &Markenson, D. S. (2010). Health Care Emergency Management: Principles and Practice Reilly, M., &Markenson, D. S. (2009). Education and training of hospital workers: Who are essential personnel during a disaster? Prehospital and Disaster Medicine, 24(3), 239-245. Jensen, J. and Waugh, W. L. (2014), The United States’ Experience with the Incident Command System: What We Think We Know and What We Need to Know More About. Journal of Contingencies and Crisis Management, 22: 5–17. doi: 10.1111/1468-5973.12034

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