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HIS 259 HOSPITAL CASUALTY / FATALITY REPORT 2. Operational Period (# 1. Incident Nam e) DATE: FROM: TO: TIME: FROM: TO: 3. Number of Casualties / Fatalities PEDIATRIC (18 YRS OLD) ADULT TOTAL COMMENTS
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How to fill out hics 259-hospital casualty fatality:

01
Begin by providing the necessary identification information such as the date, time, and location of the incident.
02
In the "Casualty Information" section, fill in details about the victims involved, including their names, ages, genders, and any identifying information available.
03
Describe the nature and extent of each casualty's injuries or condition in the "Injury/Illness Information" field.
04
Indicate the medical treatment given or needed for each casualty, including any medication administered or anticipated.
05
Provide information about the transport method used for each casualty, whether they were transported by ambulance or other means.
06
In the "Fatalities Information" section, provide details about any fatalities that occurred as a result of the incident, including the names, ages, and cause of death.
07
If there were any declined medical treatments or refusals of transport, make sure to document them in the respective sections.
08
Finally, review the completed form for accuracy and signatures, ensuring that all required fields are properly filled out.

Who needs hics 259-hospital casualty fatality:

01
Hospital emergency department staff who are responsible for documenting and reporting casualty and fatality incidents.
02
Emergency management officials who require comprehensive information on hospital casualties and fatalities for response planning and assessment.
03
Government agencies and organizations involved in disaster response, such as the Federal Emergency Management Agency (FEMA), who use the data to coordinate medical resources and support for affected areas.
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HICS 259 - Hospital Casualty Fatality is a form used to report deaths that occur within a healthcare facility during a disaster or emergency.
Healthcare facilities are required to file HICS 259 - Hospital Casualty Fatality when a death occurs within the facility during a disaster or emergency.
HICS 259 - Hospital Casualty Fatality should be filled out with the necessary information about the deceased individual, the circumstances of the death, and any relevant details about the disaster or emergency.
The purpose of HICS 259 - Hospital Casualty Fatality is to document and report deaths that occur within healthcare facilities during disasters or emergencies in order to track casualties and response effectiveness.
Information that must be reported on HICS 259 - Hospital Casualty Fatality includes details about the deceased individual, the cause of death, the location and time of the death, and any other pertinent information.
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2014 HICS 24-hour repaginate YRS Origination ber Additions Num Fatalities FATALITY categories distributed Documentation organizations PEDIATRIC

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