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    Medical Plan ICS 206

    Uploaded by

    Rex
    The ICS 206 Medical Plan document provides information on medical resources for an emergency response to the Rizal Earthquake including: 1) Two medical aid stations located in Bo. Kalaklan and Bo. Barretto with contact information. 2) One ambulance service located in Bo. Barretto with contact details. 3) One hospital - St. Jude Hospital in Bo. Subic with travel time of 20 minutes which has trauma and burn centers but no helipad. 4) The plan was prepared by Gu Jun Pyo on September 16 at 1500H and reviewed by Kathryn Bernardo at 1700H.

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    Medical Plan ICS 206

    Uploaded by

    Rex
    105 views3 pages
    The ICS 206 Medical Plan document provides information on medical resources for an emergency response to the Rizal Earthquake including: 1) Two medical aid stations located in Bo. Kalaklan and Bo. Barretto with contact information. 2) One ambulance service located in Bo. Barretto with contact details. 3) One hospital - St. Jude Hospital in Bo. Subic with travel time of 20 minutes which has trauma and burn centers but no helipad. 4) The plan was prepared by Gu Jun Pyo on September 16 at 1500H and reviewed by Kathryn Bernardo at 1700H.

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    NDRRMC - 206

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    The ICS 206 Medical Plan document provides information on medical resources for an emergency response to the Rizal Earthquake including: 1) Two medical aid stations located in Bo. Kalaklan and Bo. Barretto with contact information. 2) One ambulance service located in Bo. Barretto with contact details. 3) One hospital - St. Jude Hospital in Bo. Subic with travel time of 20 minutes which has trauma and burn centers but no helipad. 4) The plan was prepared by Gu Jun Pyo on September 16 at 1500H and reviewed by Kathryn Bernardo at 1700H.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    105 views3 pages

    Medical Plan ICS 206

    Uploaded by

    Rex
    The ICS 206 Medical Plan document provides information on medical resources for an emergency response to the Rizal Earthquake including: 1) Two medical aid stations located in Bo. Kalaklan and Bo. Barretto with contact information. 2) One ambulance service located in Bo. Barretto with contact details. 3) One hospital - St. Jude Hospital in Bo. Subic with travel time of 20 minutes which has trauma and burn centers but no helipad. 4) The plan was prepared by Gu Jun Pyo on September 16 at 1500H and reviewed by Kathryn Bernardo at 1700H.

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    July 14, 2016

    MEDICAL PLAN
    ICS 206

    1. INCIDENT/EVENT NAME 2. OPERATIONAL PERIOD


    From (Date and Time):
    To (Date and Time):
    3. MEDICAL AID STATIONS
    Contact With Paramedics? Remarks
    Name Location Contact Person
    Number(s) Yes No

    4. AMBULANCE/ MEDICAL TRANSPORTATION SERVICES


    Contact Level of Service Remarks
    Name Location Contact Person
    Number(s) BLS ALS

    5. HOSPITALS
    With With With
    Contact Contact Travel Time Trauma Burn Helipad?
    Name Location Center? Center?
    Person Number(s)
    Air Land Yes No Yes No Yes No

    6. MEDICAL EMERGENCY PROCEDURES

    __ Check if aviation assets are utilized for rescue. If assets are used, coordinate with Air Operations Branch.

    7. Prepared by MEDL Name and Signature: Date Prepared: Time Prepared:

    8. Reviewed by SOFR Name and Signature: Date Reviewed: Time Reviewed:


    July 14, 2016
    ICS 206: MEDICAL PLAN

    PURPOSE: The ICS 206 provides information on incident medical aid stations, transportation
    services, hospitals, and medical procedures primarily intended for the responders.

    PREPARATION: The ICS 206 is prepared by the Medical Unit Leader (MEDL) and reviewed by
    the Safety Officer (SOFR).

    DISTRIBUTION: The ICS 206 is duplicated and attached to the ICS 202 and given to all
    recipients as part of the Incident Action Plan (IAP). All completed original forms must be given
    to the Documentation Unit.

    HOW TO FILL-UP THE FORM:

    BLOCK NO. BLOCK TITLE INSTRUCTIONS


    1 Incident/Event Name Enter the name assigned to the incident/event
    2 Operational Period Enter the start date (mm-dd-yyyy) and time (24 hour format)
    and end date and time for the operational period to which
    the form applies.
    3 Medical Aid Stations Enter the relevant information on the incident/field medical
    aid station(s). Indicate the name, location, contact person
    and contact number(s). Also specify whether or not
    paramedics are provided.
    4 Ambulance/Medical Enter the relevant information on the ambulance/medical
    Transportation transportation service(s). Indicate the name, location,
    Services contact person and contact number(s). Also specify the
    level of service if Basic Life Support (BLS) or Advance Life
    Support (ALS).
    5 Hospitals Enter the relevant information on the hospital(s). Indicate
    the name, location, contact person and contact number(s).
    Also specify the travel time going to the hospital. Further,
    indicate if there are trauma center, burn center, and/or
    helipad.
    6 Medical Emergency Enter any special emergency instructions for use by
    Procedures incident personnel including (1) who should be contacted,
    (2) how should they be contacted, and (3) who manages an
    incident within an incident due to a rescue, accident, etc.
    Include procedures for reporting medical emergencies.
    7 Prepared by MEDL Enter complete name of the MEDL, signature, date (mm-
    dd-yyyy), and time (24 hour format) the form was prepared
    and completed.
    8 Reviewed by SOFR Enter complete name of the SOFR, signature, date (mm-
    dd-yyyy), and time (24 hour format) the form was reviewed.
    July 14, 2016

    MEDICAL PLAN
    ICS 206

    1. INCIDENT/EVENT NAME 2. OPERATIONAL PERIOD


    Rizal Earthquake From (Date and Time): 09-17-20xx, 1000H
    To (Date and Time): 09-17-20xx, 2200H
    3. MEDICAL AID STATIONS
    Contact With Paramedics? Remarks
    Name Location Contact Person
    Number(s) Yes No
    Dr National
    Bo. Kalaklan Jericho Royalista 12345 /
    Station 1

    4. AMBULANCE/ MEDICAL TRANSPORTATION SERVICES


    Contact Level of Service Remarks
    Name Location Contact Person
    Number(s) BLS ALS
    AMB – 1 Bo. Barretto Peter Piper 45678 /

    5. HOSPITALS
    With With With
    Contact Contact Travel Time Trauma Burn Helipad?
    Name Location Center? Center?
    Person Number(s)
    Air Land Yes No Yes No Yes No
    St. Jude Dr. Maja 20
    Bo. Subic 98765 / / /
    Hospital Salvadore mins

    6. MEDICAL EMERGENCY PROCEDURES

    __ Check if aviation assets are utilized for rescue. If assets are used, coordinate with Air Operations Branch.

    Name and Signature:


    Date Prepared: Time Prepared:
    7. Prepared by MEDL Gu
    09-16-20xx 1500H
    Gu Jun Pyo
    Name and Signature:
    Date Reviewed : Time Reviewed:
    8. Reviewed by SOFR Kathryn
    09-16-20xx 1700H
    Kathryn Bernardo

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