Emergency Codes - Ouellette Campus

Transcription

1 The Emergency Codes # is: 555 CODE RED - FIRE 555 CODE PURPLE - HOSTAGE SITUATION OR PERSON WITH WEAPON CODE BLUE - CARDIAC ARREST CODE GREEN - EVACUATION CODE YELLOW - MISSING PATIENT CODE BLACK - CODE BLACK CODE WHITE - VIOLENT PERSON CODE BROWN - CHEMICAL SPILL CODE PINK - NEO-NATAL ARREST CODE ORANGE - DISASTER (security) 555 Activate PAL, CODE GREY - INFRASTRUCTURE FAILURE 555 Call 9, activate PAL, call (see Code Blue) Announcement/ Alert made overhead

2 CODE RED Discovering a Fire/Smoke in Your Area Sound alarm by pulling nearest manual pull station (usually at the nearest stairway). If you pull the alarm and the alarm does not sound, immediately call switchboard at ext. 555 and inform them of the situation. When the Alarm is in the Jeanne Mance Building If the fire alarm is activated in the Jeanne Mance Building, the announcement will be Code Red - Jeanne Mance Building. Dialysis will prepare to evacuate patients, if required. All other occupants will follow the RACE steps and prepare to evacuate the building, if required. When the Alarm is in the Convent If the fire alarm is activated in the Convent, the announcement will be Code Red - Convent. Occupants will follow the RACE steps and prepare to evacuate the building if required. Fire Response Team The Fire Response Team shall consist of all Physical Plant staff on duty and all available Environmental Services Workers on duty and not assigned to a unit. Fire in Critical Care Areas (ICU, CCU, OR, PACU, ER) RRT's assigned to the affected areas are to remain in those areas to assist as required (evacuations, zone valves etc) RRT's assigned to other areas are to go to the affected areas, after ensuring the safety of their own patients to assist in the affected area, as required. Should the need to set up a safe zone for evacuated patients (see Code Green Evacuation Plan), RRT's will ensure adequate Respiratory Therapy equipment is available to the safe zone Code Blue During Code Red During a Code Red, the elevators are inactivated. All Code Blue responders must use stairs, making it impossible for the Responder Cart to get to the floor in its entirety. ICU RRT will respond to the code with the intubation tray ER Code Blue Responder RN will bring defibrillator, ICU RN brings drug box

3 Code Red Drill To ensure that all employees know what to do in an actual emergency situation, Code Red Drills are held on a frequent basis. If a Code Red Drill is called in your area, respond appropriately (i.e. close doors, windows, clear hallways of equipment, etc.). The Most Responsible Person (MRP) completes Report of Code Red Drill Form, which is forwarded to Security and becomes part of the official record required by the Fire Prevention Officer under the Fire Code.? Did you know? Fire drill reports must be kept on site for year by Fire, Safety, and Security Departments. Feedback from these forms is used to determine if follow-up or further training is required. R.A.C.E. Upon the discovery of smoke or fire, follow the acronym R.A.C.E. Rescue/Remove Alarm/Assess Confine Extinguish/Evacuate Rescue / remove anyone Pull the nearest fire alarm Close all doors and clear Choose the appropriate in the area of immediate (located near stairwells). hallways of obstructions. extinguisher. danger. Call (9-- off site). P.A.S.S. When using a fire extinguisher, always remember to P.A.S.S. Aim the nozzle at the base of the fire? Did you know? A standard extinguisher will only last for 0 seconds!

4 CODE BLUE Notification/Initiation of Code Blue Dial 3333 and state Code Blue Room Only the ER physician and the Respiratory Therapist (along with staff of the specific unit) respond to a Code in ICU, CCU, Telemetry, Cardiac Catheterization Lab, & OR/PACU. The Code Blue Team response to all other clinical areas is as follows: Location st Responders 2 nd Responders Note ER Department will ICU will respond respond with their without the crash cart Crash Cart New Building (200) : i.e. DI, Outpatient Clinics & Goyeau entrance Code Blues in the Old Building : i.e. Medical- Surgical Nursing Units, Outpatient Day Surgery, Chapel, Admitting Department, Cashiers, Eye Surgery & Pre-Admission Clinic Basement (Old ER), Cafeteria, Healing Garden, & Smoking Area Jeanne Mance Building (JMB) and Erie Street (Convent) ICU will respond with their crash cart ED will respond without their crash cart OR/PACU may call a Code Blue of there are insufficient resources available with ER as st responder CCU will automatically assume "first responder" status in the situation where a subsequent Code Blue is activated, until notified by ICU that they are able to resume st responder status.. Renal Dialysis Unit (RDU) staff will bring the AED to the arrest location (when present in RDU) and the Code Blue Team will respond. In the Erie street building, an AED is located on B level outside of the gym. The code team will respond to this area. Routine patient transports to Emergency Department will be handled internally. If the situation requires extrication, immobilization, or specialized equipment beyond our resources, "9" response will be requested and must be placed by an individual able to accurately report the situation (member of the Code Team) to ensure that the most appropriate resources can be sent (i.e. Paramedical, Police, Fire). During a Code Orange Alert ( Note: 9 response is achieved by activating your *PAL) ) *If you have one ICU will automatically CCU will automatically ED staff will not respond to assume primary assume secondary Code Blues outside responder status responder status of ED (with crash cart) throughout the organization. Code Pink: In the event of a pediatric arrest, the switchboard will announce a code pink and the ER will always be the first responder to this code. The ER staff are responsible for bringing the portable BROSLOW bag.

5 CODE GREEN Initiating a CODE Green: Who is responsible: Person in charge of the unit where patients are in immediate danger. Evacuation Steps.. Most responsible person will call switchboard by telephone ext# 555 or by radio. 2. Unit that is to be evacuated must be identified. 3. Switchboard will announce overhead. CODE GREEN all available personnel report to (unit being evacuated) 4. Staff from Jeanne Mance building are to respond to evacuation calls in the hospital. Who does not report: Staff assigned to floor immediately above fire. Staff caring for critical patients (ie ICU, CCU, PACU) Staff assigned to specific duties. Appropriate Safe Zones (if needing to leave floor). Ground level of the Jeanne Mance building. 2. Conference room #4 3. Outside Hospital: HMCS Hunter Andersons Funeral Home

6 CODE YELLOW MONDAY TO FRIDAY FROM HOURS: Upon discovery of a missing person, staff from the area of the missing patient will immediately: a) Conduct a thorough search of their unit (include all patient rooms, storage areas, closets, cupboards, stairwells, etc.). b) Talk to other staff in the unit to determine if anyone knows the whereabouts of the patient c) Contact Security at ext and provide a description and pertinent details. d) Call the patient's next-of-kin to see if the patient is at home (use discretion). Await results of security search. e) Contact the Director/Coordinator/Manager/Designate of the unit if unable to locate the patient to determine whether to call a Code Yellow. (Weekends, Holidays, Evenings Contact Operations Manager. Operations Manager will notify Administrator on-call. NOTE: Primary care Nurse will act as designate until Operations Mgr. is onsite. Operations mgr. to notify security that a Code Yellow is being called). After determining that a Code Yellow will be called, the Director/Coordinator/Manager/Designate from the area of the missing patient will immediately: a) Notify Security at ext and advise that a Code Yellow is being called. b) Complete a Code Yellow Patient Description form (Appendix A) c) Make 50 copies of the description form. d) Deliver description and copies to the Library (ext. 3378) e) The Director of the patient care area will notify the Administrator on call UNIT DIRECTOR/COORDINATOR/MANAGER OR DESIGNATE. After receiving results of search by Unit staff and Security determine whether to call a Code Yellow. If a Code Yellow is being called assume responsibility for the Control Center (Medical Library). Distribute maps, highlighters, and patient description forms to staff when they arrive. Ensure staff sign Master List of Search Areas 2. Ensure that staff from the Unit where the patient is missing notifies the patient's physician and next-of-kin. (Use discretion) 3. Notify the police (using discretion). The police must be notified if the patient is on a Form, Form 3, or Form 4. If the patient is on a Form, Form 3 or Form 4, notify the Chief Nursing Executive (CNE) and the Risk Manager. 4. Notify the Director of Communications under all circumstances 5. Notify switchboard when code cancelled.

7 CODE BLACK Receiving a Bomb Threat Actions:. Keep caller on the phone as long as possible 2. Ask specific questions (where, when, why etc) 3. Have a second staff member (if possible) notify switchboard Ext Document details as soon as possible while information is fresh. Switchboard Responsibility Immediately notify Administration, WPD & Security office at Announce Security to switchboard STAT Once Control Center is ready (by security), switchboard will announce: ATTENTION STAFF CODE BLACK This is to be repeated 3 times. Hearing the Announcement Designated staff will report to the Control Center (Medical Library) Follow tasks as per the CODE Black policy. If a suspicious object is found Call ext. 555 immediately Identify who you are and location of object. Switchboard will notify control center (medical library). If a suspicious person is found Push your PAL personal alarm (If you have one) Call switchboard & identify who you are and your location.

8 CODE WHITE Activating a Code White A Code White response is activated in the following ways: Activating your PAL (if you have one) Dialing 555 and requesting an overhead page of code White and identifying the location Security Response Team Unit/Department # of responders Schedule of Response Security Rover Guards # & #2 2 ALL SHIFTS Rover # Security ER Guard ALL SHIFTS Security ER Rover Sun.-Thurs. WPS (OFF DUTY ER) 2000 to 0400 Fri.-Sat. Security Manager Mon. Fri. If the incident is of a serious nature and requires police intervention, call 9-9 NOTE: the team leader is the ONLY person who negotiates with the individual. In some cases it is more important for a staff member who has a positive rapport with the client to do the negotiating. If the team leaders and the staff agree to this, the staff member is the only person who negotiates with the client. Documentation Incident Report: It is the responsibility of the Code White team leader to ensure the Code White incident is entered in the Safety Reporting System. Health Record: It is the responsibility of the Team Leader from the unit from which the Code originates to ensure that documentation of the incident is completed on the patient health record and the patient is flagged as A.O.B. It is the responsibility of staff to report any personal injury sustained during the Code and complete the online report using the on-line Safety Reporting System

9 CODE ORANGE Code Orange Alert Alert/Announcement is made in hospital (via switchboard). Managers & Administration notified via public address and/or call system Organizational Chart. Code Orange Alert Information sheets are completed for each unit and brought back to the Control Center (medical library). Normal hospital operations to continue. No new OR cases started unless life threatening. Department Directors will periodically check telephone and voic for messages/directives from the Control Center. Patient Flow During a disaster, patient flow is restricted to specific areas and elevators. This also applies to staff and visitors (refer to Emergency Manual for specific details). Inpatients must be transferred quickly while discharged patients must be efficiently cleared from the hospital. NOTE: if a Code Blue occurs within the hospital (excluding the ER) during a Code Orange () ICU will be first responder, (2) CCU unit will be second responder.

10 CODE PURPLE Activating a CODE Purple: Who can activate: Any person recognizing a hostage taking or use of a weapon. Procedure:. Call 9 2. Activate your PAL personal alarm (if you have one) 3. Ensure safety of patients, staff and visitors in the immediate area. DO NOT attempt any action if there are signs of active violence or danger. 4. Dial 555 and advise switchboard that police have been notified. Switchboard NOT to overhead page unless advised otherwise. 5. Clear area and isolate the incident only if possible. 6. Wait for security and police to arrive. If the hostage taker is known to the staff (ie patient), staff most familiar with him/her may be contacted. Please ensure that this staff member is not put in a position where they may also become a hostage. 7. Do not initiate conversation with the hostage taker but answer questions if asked. Attempt to establish a rapport with the hostage taker(s). 8. Keep as detailed notes as possible.

11 CODE GREY Purpose: To make provisions for the extraordinary arrangements and measures that may have to be taken to protect the health, safety, welfare, environment and economic health of patients, visitors and staff. To develop and maintain an Emergency Management Plan as mandated by the President/CEO of HDGH. Declaration of CODE Grey (steps) If the emergency situation is beyond staff control Call is made by the affected area to the administrator on-call via switchboard (ext 555). Code Grey is declared. Members of the Code Grey Response Team are notified who in turn communicate this to their staff. Response Team members will report to the Control Center (medical library) Notification made to the Code Orange Response Team who will then be placed on standby. Follow the HDGH Emergency Management Plan that can be found In the Disaster Response Kit in the Medical library Outer office of the President/CEO (which is also the Alternate Command Center).

12 CODE BROWN Code Brown Response Team: MRP/Dept. Mgr., Housekeeping Supervisor, Facilities, Security Level I: Department Response Spill is small in volume Spill can be cleaned up with water or disinfectant Can be handled by department/unit staff Poses not threat of irritation Housekeeping can be contacted for assistance, if necessary DO NOT CALL A CODE BROWN Level II: Code Brown Team Response Spill is generally larger in volume Spill is hazardous or unidentifiable Spill requires special clean up procedures Cannot be handled by department/unit staff May require evacuation of the immediate spill/release area CALL A CODE BROWN LEVEL II Level III: External Response Spill is considered a health, fire, and /or environmental hazard Safe clean up requires respiratory equipment to be worn Requires evacuation beyond the immediate spill area CALL A CODE BROWN LEVEL III FIRE DEPARTMENT WILL BE CALLED