Emergency Code Rec Om Presentation

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    2009 STANDARDIZED HOSPITAL

    OVERHEAD EMERGENCY CODES

    Recommendations and Guidance for

    Policy or Operating Procedure Modification

    Prepared by the Florida Society for Healthcare Security,Safety & Emergency Management Professionals

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    Acknowledgements

    The Florida Society for Healthcare Security, Safety &Emergency Management Professionals would like tothank the following organizations for their assistancein the preparation of these recommendations and

    guidelines: Florida Hospital Association

    South Florida Hospital and Healthcare Association

    Florida Organization of Nurse Executives

    Florida Society for Healthcare Risk Management andPatient Safety

    International Association for Healthcare Security andSafety

    Florida Healthcare Engineering Association

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    Executive Summary

    Background

    2002:

    A survey of hospitals' emergency codes illustrated the lack of

    uniformity existing among hospitals and allied healthcare

    organizations in Florida.

    Florida Society for Health Security and Safety Professionals

    (FSHSS), representing over 100 hospitals and health care

    systems in Florida, recommended a standardized EmergencyCode system for hospitals.

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    Executive Summary

    RED - Fire

    BLUECardiac / Respiratory Arrest

    PINKInfant / Child Abduction

    BLACK- Bomb

    ORANGE - Hazmat / Bioterrorism

    GREY - Violence/Security Alert

    WHITE - Hostage

    YELLOW - Lockdown

    GREEN - Mass Casualty / Disaster

    BROWN - Severe Weather

    2003: A working group of healthcare security and safety

    professionals selected and recommended code identifiers

    for use in Florida hospitals and other healthcare

    organizations.

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    Executive Summary

    While the main colors

    were constant,

    flexibility was built into

    the system forindividual hospital

    needs.

    The goal is to have a

    common set of base

    colors allowing for

    customization.

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    Executive Summary

    Five years have passed since the development ofthe 2003 Standardized Hospital Emergency Codefor the State of Florida.

    A 2008 Working Group: examined currentstandard codes being used by Florida and otherstates hospitals and healthcare systems; assessedthe need for additional changes promoting

    uniformity; and, cross-walked the informationwith related healthcare associations and groups.

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    Executive Summary

    NOTE: The Working Group combined colors,code number and specific language to an allcolor system.

    This system acknowledges that healthcare workersroutinely work at more than one healthcare entity

    but may be required to remember and respond todifferent codes. Standardizing codes supports

    employees at all Florida healthcare entities.

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    2009 Recommendations

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    Code Black

    Bomb Threat

    The majority of

    hospitals are using

    Code Black as thedesignation for a bomb

    threat.

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    CodeGreen

    Disaster Plan

    Activation

    Code Green was

    selected because greenmeans go!

    A disaster plan needs

    to be activated quickly

    for effective response.

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    Code Red

    Fire

    Code Red is a national

    standard recommended

    by the Hospital FireMarshalls Association

    and its membership.

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    CodeOrange

    Hazardous Materials

    There was consensusfor the use of CodeOrange indicating a

    hazardous materialincident.

    Not just for theactivation of thedecontamination team

    but other incidentsinvolving hazardousmaterials.

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    CodeBlue

    Medical Emergency

    A majority of healthcare

    entities are using Code

    Blue for cardiac and/orrespiratory arrest.

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    CodeBlue 13

    Medical Emergency

    Code Blue 13 is used in

    some counties to denote

    that the Code Blue is fora pediatric code.

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    CodePink

    Infant / Child Abduction

    Code Pinkis also used by

    many organizations to

    inform employeesregarding an abduction

    attempt.

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    CodePink

    Infant / Child Abduction

    Please consider adding

    Code Pinkwith an age to

    differentiate between a

    infant and pediatric

    patient.

    Example: Code Pink 2is

    a two year oldthis helps

    staff adjust to looking fora toddler vs. an infant that

    may be concealed in a bag

    or suitcase.

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    CodePink

    Infant / Child Abduction

    The National Center for

    Missing and Exploited

    Children has issued

    Volume 9 of the

    Healthcare Guidelines.

    This is the first update

    since 2005.

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    CodeSilver

    Active Shooter

    Code Silveris a new

    code added as hospitals

    are starting to

    experience more of

    these events on their

    campuses.

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    CodeSilver

    This code is similar to theSilver Alertfor a

    missing elderly individual in the community.

    Why was the same color code used?

    Healthcare is a unique environment;

    Theres a national consensus among hospital codes;

    It is intended to be used in hospitals primarily to inform

    healthcare workers about a potential situationnot the

    public.

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    Code White

    Hostage Situation

    Question: Is this

    emergency code the

    same as a Code Silver?

    Answer: No!

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    Code White

    An activeshooter is "... an armed person whohas used deadly physical force on other personsand continues to do so while having unrestrictedaccess to additional victims.

    Activeshooters have caused a paradigm shift in lawenforcement training and tactics, especially as these

    persons do not necessarily expect to escape or evensurvive these situations.

    A hostage is a person or entity which is held bya captor.

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    Additional Information

    U.S. Department of Justice (DOJ): http://www.usdoj.gov

    DOJ, Office of Juvenile Justice and Delinquency Prevention:http://ojjdp.ncjrs.org/

    Hospital Fire Marshalls Association, Inc.:http://hfma.tripod.com/

    National Center for Missing and Exploited Children:http://www.missingkids.com

    International Association for Healthcare Security & Safety:http://www.iahss.org

    South Florida Hospital and Healthcare Association:http://www.sfhha.org

    http://www.usdoj.gov/http://ojjdp.ncjrs.org/http://hfma.tripod.com/http://www.missingkids.com/http://www.iahss.org/http://www.sfhha.org/http://www.sfhha.org/http://www.iahss.org/http://www.missingkids.com/http://hfma.tripod.com/http://ojjdp.ncjrs.org/http://www.usdoj.gov/
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    Additional Information

    Florida Organization of Nurse Executives:http://www.fonexo.com/

    Florida Healthcare Engineering Association:http://www.fhea.org/

    Association of Womens Health, Obstetric and NeonatalNurses: http://www.awhonn.org/awhonn/

    National Association of Neonatal Nurses: http://www.nann.org/

    The Academy of Neonatal Nursing:http://www.academyonline.org/

    Florida Hospital Association: http://www.fha.org Florida Department of Law Enforcement (Silver Alerts):

    http://www.fdle.state.fl.us/Content/getdoc/f7d5482a-571a-445a-84b2-f1a1a01f599d/Silver-Alerts.aspx

    http://www.fonexo.com/http://www.fhea.org/http://www.awhonn.org/awhonn/http://www.nann.org/http://www.academyonline.org/http://www.fha.org/http://www.fdle.state.fl.us/Content/getdoc/f7d5482a-571a-445a-84b2-f1a1a01f599d/Silver-Alerts.aspxhttp://www.fdle.state.fl.us/Content/getdoc/f7d5482a-571a-445a-84b2-f1a1a01f599d/Silver-Alerts.aspxhttp://www.fdle.state.fl.us/Content/getdoc/f7d5482a-571a-445a-84b2-f1a1a01f599d/Silver-Alerts.aspxhttp://www.fdle.state.fl.us/Content/getdoc/f7d5482a-571a-445a-84b2-f1a1a01f599d/Silver-Alerts.aspxhttp://www.fdle.state.fl.us/Content/getdoc/f7d5482a-571a-445a-84b2-f1a1a01f599d/Silver-Alerts.aspxhttp://www.fdle.state.fl.us/Content/getdoc/f7d5482a-571a-445a-84b2-f1a1a01f599d/Silver-Alerts.aspxhttp://www.fdle.state.fl.us/Content/getdoc/f7d5482a-571a-445a-84b2-f1a1a01f599d/Silver-Alerts.aspxhttp://www.fdle.state.fl.us/Content/getdoc/f7d5482a-571a-445a-84b2-f1a1a01f599d/Silver-Alerts.aspxhttp://www.fdle.state.fl.us/Content/getdoc/f7d5482a-571a-445a-84b2-f1a1a01f599d/Silver-Alerts.aspxhttp://www.fdle.state.fl.us/Content/getdoc/f7d5482a-571a-445a-84b2-f1a1a01f599d/Silver-Alerts.aspxhttp://www.fdle.state.fl.us/Content/getdoc/f7d5482a-571a-445a-84b2-f1a1a01f599d/Silver-Alerts.aspxhttp://www.fdle.state.fl.us/Content/getdoc/f7d5482a-571a-445a-84b2-f1a1a01f599d/Silver-Alerts.aspxhttp://www.fdle.state.fl.us/Content/getdoc/f7d5482a-571a-445a-84b2-f1a1a01f599d/Silver-Alerts.aspxhttp://www.fha.org/http://www.academyonline.org/http://www.nann.org/http://www.awhonn.org/awhonn/http://www.fhea.org/http://www.fonexo.com/
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    Questions & Answers

    For further information contact:

    John Wilgis, MBA, RRT

    Director, Emergency Management Services

    Florida Hospital Association407-841-6230

    [email protected]

    mailto:[email protected]:[email protected]
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    Thank you!