Hospital Emergency Incident Command System
Action Plan – Documented outline of specific projected activities to be accomplished within a specified period, to meet a defined need, goal or objective
ALS (Advanced Life Support) – Procedures and techniques utilized by EMT-P, EMT-II, nursing and physician personnel to stabilize critically sick and injured patients that exceed Basic Life Support procedures.
BLS (Basic Life Support) – Basic non-evasive first-aid procedures and techniques utilized by most all trained medical personnel, including First Responder, to stabilize critically sick and injured people.
Deceased – Fourth (last) priority in patient treatment according to the S.T.A.R.T. triage system
Delayed Treatment – Second priority in patient treatment according to the S.T.A.R.T. triage system. These people require aid, but injuries are less severe. A hospitalized patient may be categorized from “guarded” to “serious”; a patient requiring at least minimal hospital services.
EMT (Emergency Medical Technician) – And individual trained in Basic Life Support according to the standards prescribed by the Health and Safety Code and who has a current and valid EMT-I certificate in the State of North Carolina. This definition includes EMT-I (NA), EMT-FS, and EMT-IA.
EMT-II (Emergency Medical Technician II) – An individual with additional training in limited Advanced Life Support according to the standards prescribed by the Health and Safety Code and who has a current and valid certificate.
EMT-P – And individual EMT-I or EMT-II who has received additional training in Advanced Life Support according to the Health and Safety Code and who has a current and valid county certificate.
First Responder – Personnel who have responsibility to initially respond to emergencies such as fire-fighter, police officers, Highway Patrol Officers, lifeguards, forestry personnel, ambulance attendants, and other pubic service personnel. State law requires such persons to have completed a first-aid course and to be trained in cardiopulmonary resuscitation.
Hospital Emergency Incident Command System (HEICS) – A generic crisis management plan expressly for comprehensive medical facilities that is modeled closely after the Fire Service Incident Command System.
Incident Command System (ICS) – A flexible organizational structure that provides a basic expandable system developed by the Fire Services to mitigate any size emergency situation.
Incident Commander (IC) – The individual who holds overall responsibility for incident response and management.
Immediate Treatment – First level of patient priority according to the S.T.A.R.T. triage system. A patient who requires rapid assessment and medical intervention in order to increase chances of survival. A hospitalized patient who may be classified from :serious: to “critical” and capable of being treated and discharged.
Minor Treatment – Third priority of patient in the S.T.A.R.T. triage system. A patient requiring only simple, rudimentary first-aid. These patients are considered ambulatory. A hospitalized patient may be considered minor if they are in “stable” condition and capable of being treated and discharged.
START – S.T.A.R.T. – Acronym for Simple Triage and Rapid Treatment. This is the initial triage system developed by Hoag Hospital and Newport Beach Fire Department, Newport Beach, CA, that has been adopted for use by the California Fire Chief’s Association.
Triage – The process of screening and classification of sick, wounded, or injured persons to determine priority needs in order to ensure the efficient use of medical manpower, equipment, and facilities.
Triage Personnel – Trained individuals responsible for triaging patients and assigning them to appropriate transportation or treatment areas.
Triage Tag – A tag used by triage personnel to identify and document the classification, or level, of a patient’s medical condition.