Orientation Revised May 2017 1
Volunteers are not expected to take a lead role in dealing with emergency situations. This is the role and responsibility of staff. However, volunteers should follow staff directions and assist staff if they feel comfortable helping. This may involve helping to keep visitors away from a particular area, helping to direct or moving visitors to a safe area. Volunteers must be familiar with hospital codes and be reminded that codes are also printed on the reverse side of photo ID badges that are required to be worn at all times when volunteering in the hospital. Revised May 2017 2
Hospital s Emergency Plans Based on Standardized System Assigns colours to specific incidents Standardized approach to all incidents using the Incident Management System (IMS) Responsibility of every staff member, physician and volunteer to know Revised May 2017 3
Based on experience in California wild fires where services failed to communicate working side by side Best Practice for Hospitals, Police, Fire, EMS, Municipalities Supported by Emergency Measures Ontario Revised May 2017 4
Board Room/CEO office Responsible for coordinating the Hospital wide response Incident Manager CEO /Designate Safety Officer Occupational Health & Safety Officer Operations/Site Lead-VP/Patient Care Manager Liaison Quality & Risk Management Information Officer Communications Officer Revised May 2017 5
Emergency Department Red, Yellow, Green Zones Visitor/Traffic Flow Maintenance Media Centre Communications Officer Human Resources Staff Centre and Worker Pool Family Centre SLP Department Revised May 2017 6
Exist for all Departments in the Hospital Activated when an emergency situation requires additional resources and the implementation of the IMS (Incident Management System) Departmental Fan Out Lists prepared and should be kept at home Revised May 2017 7
CODE YELLOW CODE AMBER CODE ORANGE CODE ORANGE CBRN CODE RED CODE WHITE CODE BLUE CODE GREEN CODE GREEN STAT CODE PINK CODE BROWN CODE PURPLE CODE BLACK CODE GREY CODE GREY BUTTON DOWN CODE SILVER Missing Person Missing Child/Child Abduction Disaster CBRN Disaster (chemical,biological/radiation or nuclear) Fire Violent/Behavioural Situation Cardiac Arrest /Medical Emergency -Adult Evacuation (Precautionary) Evacuation (Crisis) Cardiac Arrest/Medical Emergency -Child In-Facility Hazardous Spill Hostage Taking Bomb Threat/Suspicious Object Infrastructure Loss/Failure External Air Exclusion Person with Weapon Revised May 2017 8
Know your initial responsibility should a CODE be called review with your coordinator. Await instructions from staff. Keep the GHVA informed of your home phone number Bring your hospital Identification with you at all times. Revised May 2017 9
Requires search of the building and outside grounds Assist with the search of your area Requires staff to notify the Police if patient cannot be found Search maps are located in the Emergency Preparedness Kits in Administration Revised May 2017 10
Hospital is locked down Stop people with suspicious backpacks, bags, and suspicious behavior Staff will notify the Police Search the hospital Revised May 2017 11
Activate call in lists to get extra staff and physicians Automatic staffing shift should occur with Code Orange announcement ED Charge Nurse/ED Physician are in charge until Incident Management Team is set up Outpatients may be cancelled ED is divided into zones for critically ill, seriously ill and minor injuries Revised May 2017 12
Automatic Staffing should occur Call in lists activated External company contact for CBRN management on site within 1-2 hours Identify contaminated traffic route and clean routes Revised May 2017 13
REACT R emove persons in danger E nsure door(s) are closed A ctivate fire alarm C all Switchboard GMCH dial 3333 T ry to extinguish fire and/or start evacuation Revised May 2017 14
Call switchboard and state Alert code White and location Nurse in Charge becomes Incident Manager Staff will call Police if required Attempt to de-escalate situation Attend non-violent crisis intervention training Revised May 2017 15
Nurses assess the patient Notify switchboard stating Code Blue and Location Wear Personal Protective Equipment Start CPR Bring Crash cart to the patient Revised May 2017 16
Evacuation is required Horizontal or vertical evacuation Precautionary ie. Flooding Stat ie. Fire, Explosion Notify Switchboard Alert Code Green Partial evacuation behind fire doors Total evacuation exit the building Revised May 2017 17
Evacuation prioritization Those in immediate danger Ambulatory patients Semi-ambulatory patients Non-ambulatory stable patients Non-ambulatory unstable patients Oxygen, Patient Census List, Charts Medication carts Revised May 2017 18
Call for help Nurses initiate CPR Bring crash cart Follow flow chart in procedure Support Family Revised May 2017 19
Small spill-less than 1 litre, no toxic fumes or vapours, trained person can manage spill Large spill more than 1 litre, fumes vapours, need a team to support the clean up Notify Switchboard Code Brown and Location Check Material Safety Data Sheet (MSDS) for appropriate PPE requirements (intranet) Specialized kit in Chemotherapy room Revised May 2017 20
Remain calm and cooperate with hostage taker Establish eye contact but do not stare Observe details and speak when spoken to Signal for help/assistance Notify Police if safe to do so Police will assume responsibility Revised May 2017 21
If you receive the call, be calm, keep the caller in conversation and ask details of location of bomb, explosion time and any other details Signal for help, to initiate call to police Notify administration on call Police will respond and search of building will be initiated Revised May 2017 22
Loss of utilities (heat, electricity, water, steam) Loss of telecommunications Hazardous materials in community requiring air exclusion Emergency generators available Cell phones and power safe phones available Revised May 2017 23
Remain calm Activate emergency assistance from OPP (9-911) Secure your department and stay in department All hospital activity must stop Follow Police directions Revised May 2017 24
All Obstetrical on Call Group, Anesthesia, C- section Physicians, Surgical Suite are paged to respond to the hosptial immediately Revised May 2017 25
All codes have accompanying documentation forms for completion by staff Revised May 2017 26