Staffing
An ACF will have minimal professional health care staffing. Professional staffing should not be drawn from hospitals; all hospital care providers will be used to maximally expand care in the hospital where care will be superior to that provided in an ACF. Sources of professional staff include licensed personnel who are retired, administrative or who are not employees of a local hospital.
All other staff at an ACF can be non-professional staff. The number of non-professional staff needed will depend on the patient load, but must be sufficient to provide care consistent with minimum ethical standards. All volunteers should be registered with state workers compensation.
Job Action Sheets for each position provide basic guidance and responsibilities.
ICS Structure
- Support Roles
- Finance will be coordinated through the activated Emergency Operations Center (EOC) or Area Command Center (ACC) Finance Branch Chief.
- Liaison personnel will coordinate with the Incident Commander on scene. Primary responsibilities include the coordination of non medical logistical support such as:
- Security
- Facility use, such as laundry or kitchen
- Safety
- Public Information
- EMS Liaison
- City EOC Liaison
- Chain of Command
- The Chain of Command will be NIMS compliant with some modifications to reflect the Hospital Incident Command System (HICS) structure.
- Decision making authority resides with the Incident Commander on scene. The Incident Commander will also fill the role of Operations Chief in the Area Command Center / Emergency Operations structure.
- Liability and limitation protections are mandated by the Federal PREP Act. Further, Washington Administrative Codes and Emergency worker registration provide significant protections to volunteer and registered workers in the event of a disaster.

