diff --git a/ICS213_OR_WashCoARES.xml b/ICS213_OR_WashCoARES.xml new file mode 100644 index 0000000..3e3b22e --- /dev/null +++ b/ICS213_OR_WashCoARES.xml @@ -0,0 +1,50 @@ + +
+ICS-213 Form + +Number +1 + + +Precedence + + Routine + Welfare + Priority + Emergency + + + +Originating station + + + +Originating location + + + +Time + + + +Date + + + +Recipient + + + +Sender + + + +Subject + + + +Message + + +
+ diff --git a/ICS213_OR_WashCoARES.xsl b/ICS213_OR_WashCoARES.xsl new file mode 100644 index 0000000..5e644aa --- /dev/null +++ b/ICS213_OR_WashCoARES.xsl @@ -0,0 +1,215 @@ + + + + + + + + + + +

+ +

+ + + + + + +
+ + + + + + + +
+ + + + + Date/Time of message + + + + + + + + +
+ GENERAL MESSAGE
+ ICS 213-OS +
+
+ +
+ + + + + + + + +
+ + + +
+ + + +
+ +
+ + + + + + + + + + + +
+ +
+ +
+ +
+ +
+ + + + + +
+ + + + + Date/Time of reply + + + + + + + +
+ +
+ + + + + + +
GENERAL MESSAGEJune 2000ICS213-OS
+
+
+ + Electronic version: Generated by D-RATS + +
+ + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + +
+ + + +
+ + + + + + + + + + diff --git a/ICS213_US_OS.xml b/ICS213_US_OS.xml new file mode 100644 index 0000000..7031193 --- /dev/null +++ b/ICS213_US_OS.xml @@ -0,0 +1,57 @@ + +
+ICS-213 Form + +Incident Name + + + +Time + + + +Date + + + +To + + + +ICS Position + + + +Sender + + + +ICS Position + + + +Subject + + + +Message + + + +Reply + + + +Signature / Position (person replying) + + + +Date of reply + + + +Time of reply + + +
+ diff --git a/ICS213_US_OS.xsl b/ICS213_US_OS.xsl new file mode 100644 index 0000000..2103e71 --- /dev/null +++ b/ICS213_US_OS.xsl @@ -0,0 +1,217 @@ + + + + + + + + + + +

+ +

+ + + + + + +
+ + + + + + + +
+ + + + + Date/Time of message + + + + + + + + +
+ GENERAL MESSAGE
+ ICS 213-OS +
+
+ +
+ + + + + + + + +
+ + + +
+ + + +
+ +
+ + + + + + + + + + + +
+ +
+ +
+ +
+ +
+ + + + + +
+ + + + + Date/Time of reply + + + + + + + +
+ +
+ + + + + + +
GENERAL MESSAGEJune 2000ICS213-OS
+
+
+ + Electronic version: Generated by D-RATS + +
+ + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + +
+ + + +
+ + + + + + + + + + + + diff --git a/default.xsl b/default.xsl new file mode 100644 index 0000000..fbc5497 --- /dev/null +++ b/default.xsl @@ -0,0 +1,136 @@ + + + + + + + + + + + +

+ +

+ +
+ + + + + +
From: + + To: + +
+
+ + + +
+ + + + + + + + + 2 + + + 1 + + + + + + + label + + + field + + + + + + + + + + + + + + + + + + + +
+ + + + + +   + + + + + + + + + + + + + + + + + + + + + diff --git a/email.xml b/email.xml new file mode 100644 index 0000000..e261ee0 --- /dev/null +++ b/email.xml @@ -0,0 +1,13 @@ + +
+Email Message + +Subject + + + +Message + + +
+ diff --git a/email.xsl b/email.xsl new file mode 100644 index 0000000..7dc8c82 --- /dev/null +++ b/email.xsl @@ -0,0 +1,111 @@ + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + + + + + + +
+ From: + + + + +
+ Subject: + + + + +
+ + 
+	    
+
+ + + + + diff --git a/hics260.xml b/hics260.xml new file mode 100644 index 0000000..ad16800 --- /dev/null +++ b/hics260.xml @@ -0,0 +1,193 @@ + +
+HICS 260 - Patient Evacuation Tracking Form + +Date + + + +Unit + + + +Patient Name + + + +Age +0 + + +MR# + + + +Diagnosis + + + +Admitting Physician + + + +Family Notified +False + + +Family Contact Info + + + +Accompanying Equipment + + + + +Hospital BedIV PumpsIsolette/WarmerFoley CatheterGurneyOxygenTractionHalo-DeviceWheel ChairVentilatorMonitorCranial Bolt/ScrewAmbulatoryChest Tube(s)A-Line/SwanIO Device + + +Isolation +False + + +Isolation Type + + + +Isolation Reason + + + +Departing Location + + + +Departure Room # + + + +Departure Time + + + +ID Band Confirmed +False + + +Confirmed By + + + +Medical Record Sent +False + + +Addressograph Sent +False + + +Belongings +NoneWith PatientLeft in Room + + +Valuables +NoneWith PatientLeft in Safe + + +Medications +With PatientLeft on UnitTo Pharmacy + + +Bag/Mask w/Tubing Sent +False + + +Bulb Syringe Sent +False + + +Arriving Location + + + +Arrival Room # + + + +Arrival Time + + + +ID Band Confirmed +False + + +Confirmed By + + + +Medical Record Sent +False + + +Addressograph +False + + +Belongings Received +False + + +Valuables Received +False + + +Medications Received +False + + +Bag/Mask w/Tubing Received +False + + +Bulb Syringe Received +False + + +Transferring to Another Facility + + + +Time to Staging Area + + + +Time Departing to Receiving Facility + + + +Destination + + + +Transportation + + + +ID Band Confirmed +False + + +Confirmed by + + + +Departure Time + + + +Facility Name + + +
+ diff --git a/hics260.xsl b/hics260.xsl new file mode 100644 index 0000000..a7f674e --- /dev/null +++ b/hics260.xsl @@ -0,0 +1,407 @@ + + + + + + + + + + +
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+ + + + + +
+
+ + + + +
+ + + +
+
+ + + + +
+ +
+
+ + + + +
+
9.ACCOMPANYING EQUIPMENT
+
+
+ + + + +
+ +
+
+ + + + + +
+
10. DEPARTING LOCATION
+ 		+
11. ARRIVING LOCATION
+
+
+ + +
+ + + + + + +
+ + + +
+ + + +
+ +
+ +
+ +
+ +
+ +
+ 		+ + + + + +
+ + + +
+ + + +
+ +
+ +
+ +
+ +
+ +
+
+
+
PEDS/INFANTS
+
+ + + + + + +
+ + + +
+ + + +
+
+
+ 12. TRANSFERRING TO ANOTHER FACILITY +
+
+ + + + + + + + + +
+ + + +
+ +
+ +
+ +
+ +
+ +
+
+
+
+ + Electronic version: Generated by D-RATS + +
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + YES + + NO + + + + YES + + NO + + + + + + + + + + + + + + bigelement + + + element + + + + +
+ + + + + + + +
+ + + + No + + + + + + + +
+ + + + + + + +
+ + + + diff --git a/memo.xml b/memo.xml new file mode 100644 index 0000000..73bceee --- /dev/null +++ b/memo.xml @@ -0,0 +1,29 @@ + +
+ Informal Memo Form + + Time + + + + Date + + + + Recipient + + + + Sender + + + + Subject + + + + Message + + +
+ diff --git a/radiogram.xml b/radiogram.xml new file mode 100644 index 0000000..657c920 --- /dev/null +++ b/radiogram.xml @@ -0,0 +1,82 @@ + +
+Radiogram + +Number + + + +Precedence + + Routine + Welfare + Priority + Emergency + + + +HX + + + +Station of Origin + + + +Check + + + +Place of Origin + + + +Time + + + +Date + + + +To + + + +Recipient Phone # + + + +Message + + + +Signature + + + +Received From + + + +Received Time + + + +Received Date + + + +Sent To + + + +Sent Time + + + +Sent Date + + +
+ diff --git a/radiogram.xsl b/radiogram.xsl new file mode 100644 index 0000000..1a1146e --- /dev/null +++ b/radiogram.xsl @@ -0,0 +1,262 @@ + + + + + + + + + + + + + + + + + + + + + + + + +
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+ + + + + + + + + + + +
+ + + + + + + + + + + + + + + +
+
+ + + + + + + + + + + +
+
To
+ +

+
Telephone Number
+ + 		+
+
+
+This radio message was received at + +Amateur Station +Name +Street Address +City, State, ZIP +
+
+
+

+ +

+
+
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+
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+ +
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+ +   +
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+ + + + + + + + + + + +