Skip to content Accessibility tools

EPIC [logo]

xMenu
  • Home
  • EPIC Toolkit
    • Introduction
    • EPIC Toolkit
    • Additional Resources
  • Clinical/Regulatory
    • Introduction
    • Regulations
    • Infectious Diseases
    • Infection Preventionist
    • Clinical Videos
    • Top Ten Tip Sheets
  • Industrial Hygiene
    • Introduction
    • Resources
    • Industrial Hygiene Videos
  • NHICS
    • Introduction
    • NHICS Forms
    • NHICS Videos
    • Behavioral Care NHICS Documents
  • About Us
    • Meet the Team
    • Grant Information

NHICS Forms

group of colorful safety vests
  • NHICS 200: Incident Action Plan Quick Start
  • NHICS 201: Incident Briefing and Operational Log
  • NHCIS 202: Incident objectives
  • NHICS 203: Organization Assignment List
  • NHICS 204: Assignment List
  • NHICS 205: Incident Communications Plan
  • NHICS 206: Staff Injury Plan
  • NHICS 207: Organizational Chart
  • NHCIS 214: Activity Log
  • NHCIS 215A: Incident Action Plan Safety Analysis
  • NHCIS 251: Facility System Status Report
  • NHCIS 252: Section Personnel Time Sheet
  • NHCIS 253 Volunteer Staff Registration
  • NHICS 254: Master Emergency Admit Tracking Form
  • NHICS 255: Master Resident Evacuation Tracking Form
  • NHCIS 257: Resource Accounting Record
  • NHCIS 258: Facility Resource Directory
  • NHICS 259: Master Facility Casualty & Fatality Report
  • NHICS 260: Individual Resident Evacuation Tracking Form
NHICS Job Action Sheets

Command Staff:

  • Incident Commander
  • Safety Officer
  • Medical Director/Specialist
  • Public Information Officer/Liaison
  • Scribe/Runner

Operations Section:

  • Operations Section Chief
  • Resident Services Branch Director
  • Infrastructure Branch Director

Planning Section

  • Planning Section Chief

Logistics Section

  • Logistics Section Chief

Finance/Admin Section

  • Finance/Admin Section Chief
Incident Response Guides
  • Infectious Disease
Video Library Newsletters Helpline Q&A Contact Us
AHCA 2020 Directory

AHCA 2020 Directory
Digital Edition
View

AHCA

AHCA logo

NCAL

NCAL Logo

NAHCA

NAHCA Logo

LTC Trend Tracker

LTC Trend Tracker Logo
  • Facebook
Increase/Decrease Font SizeaA
High Contrast: White Background with Black Text

© 2023, EPIC | All Rights Reserved

1440 East Missouri Avenue | Suite C-102 | Phoenix, AZ 85014 | (602) 265-5331 | admin@azhca.org

The Disaster Ready Emergency Preparedness Infection Control (DR EPIC) program provides education and technical assistance for skilled nursing providers throughout the state. Individual providers will need to exercise their independent discretion in how to apply this information and technical assistance to the unique operation of each facility. For that reason, a facility’s use of its professional judgment and due diligence in utilizing the program for infection control and risk management practices is solely within the facility’s control for which it is entirely responsible. 

Website Designed by IlluminAge