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EMERGENCY PREPAREDNESS
ORIENTATION
What is Emergency Preparedness?
• Hospital’s Emergency Plans
• Based on Standardized System
• Assigns colours to specific incidents
• Standardized approach to all incidents using
the Incident Management System
• Responsibility of every staff member,
physician and volunteer to know
Incident Management System
• 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
Incident Management System
Command Center
• Board Room/CEO Office at all sites
• Responsible for coordinating the Hospital wide response
• Incident Manger—CEO/Designate
• Safety Officer—Occupational Health & Safety Officer
• Operations/Site Lead—VP/Patient Care Manager
• Liaison Officer—Quality & Risk Manager
• Information Officer—Communications Officer
IMS Details
• Emergency Department—Red, Yellow, Green
zones
• Visitor/Traffic Flow--Maintenance
• Media Center—Communications Officer
• Human Resources—Staff Center & Worker
Pool
• Family Center—SLP Department
Call In Lists
• Exist for all Departments in the Hospital
• Activated when an emergency situation
requires additional resources and the
implementation of the IMS
• Corporate Fan Out List at Switchboard
• Departmental Fan Out Lists prepared and
should be kept at home
CODES
Staff, Physician, Volunteer
Preparedness
• Know where Emergency Preparedness policies and procedures are located (on line and in binders in Emergency Department, Switchboard & Administration)
• Know your initial responsibility should a CODE be called
• Keep the Hospital informed of your home phone number
• Staff and Physicians—FIT testing up to date
• Bring your Hospital identification with you in any CODE where you are called in
• Enter via the designated staff entryway
Code Yellow—Missing Person
• Requires search of the building and outside
grounds
• Assist with the search of your
Department/Area
• Requires notification of the Police if patient
cannot be found
• Search maps are located in the Emergency
Preparedness Kits in Administration
Code Amber—Missing Child
• Hospital is locked down
• Stop people with suspicious backpacks, bags,
and suspicious behaviour
• Notify the Police
• Search the hospital
Code Orange—External Disaster
• 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
Code Orange CBRN—Chemical,
Biological, Radiation or Nuclear
Exposure• Automatic Staffing should occur
• Call in Lists activated
• External company contact for CBRN
management on site with 1-2 hours
• Identify contaminated traffic route and clean
routes
Code Red--Fire
• REACT
�Remove persons in danger
�Ensure door(s) are closed
�Activate fire alarm
�Call Switchboard GMCH dial 3333, NWHC dial 0
(Off hours LMH 2230, PDH 4230)
�Try to extinguish fire and/or start evacuation
Code Red—Fire—Staff Responsibilities
• Know how to call switchboard for Code announcement
• Know where the Pull Stations are located in your work area
• Know where the Fire extinguishers are located in your work area
• Know if you have an oxygen shut off valve in your work area and how to shut it off
• Know your evacuation plan
• Attend Code Red inservice every year
Code White—Violent Situation
• Call switchboard and state Alert Code White
and location
• Nurse in Charge becomes Incident Manager
• Call Police if required
• Attempt to de-escalate situation
• Attend Non-Violent Crisis Intervention
training
Code Blue—Adult Cardiac
Arrest/Medical Distress
• Assess the patient
• Notify switchboard stating “Code Blue and
Location”
• Wear Personal Protective Equipment
• Start CPR
• Bring crash cart to the patient
Code Blue Flow Chart
Code Green
• Evacuation is required
• Horizontal or vertical evacuation
• Precautionary i.e. Flooding
• Stat i.e. Fire, Explosion
• Notify Switchboard Alert Code Green
• Partial evacuation—behind fire doors
• Total evacuation—exit the building
• If total evacuation, dial 911
Code Green Stat
• 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
Code Green
Code Pink—Cardiac Arrest/Medical
Emergency Infant/Child
• Call for help
• Initiate CPR
• Bring crash cart
• Follow flow chart in procedure
• Support family
Code Brown—Hazardous Spill
• 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
• Specialized kit in Chemotherapy rooms at LMH and GMCH
Code Brown
Code Purple—Hostage Taking
• 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
• Police will assume responsbility
Code Black
• Bomb threat
• 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
Code Grey—Infrastructure
Loss/Failure or Air Exclusion
• 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
Code Grey Flow Chart
Code 777—Obstetrical Emergency
• GMCH only
• All Obstetrical On Call Group, Anesthesia, C-
section Physicians, Surgical Suite are paged to
respond to the Hospital immediately
Documentation
• All Codes have
accompanying
documentation forms
for completion by staff
Questions?