Emergency Codeso After dialing the emergency number – 5555 – state calmly and clearly the location and the name of the code that needs to be calledo The operator will then page the code and the location overhead three times and (depending on the code) will continue paging it until the appropriate help has arrived.o The Emergency Codes are listed on the back of your Associate ID Badge.
Code Redo Fireo Do Not Use Elevatorso Follow Departmental Plano Fire doors close throughout the hospital • These doors close automatically and should remain closed until the Code Red is clearedo In patient care areas: • Close all doors • Place a pillow in front of the door of empty rooms so that time is not wasted attempting to rescue patients that are not there in an emergency
Code Redo The CODE RED page is probably the most often heard emergency page in the hospital.o This is because we are mandated to test the alarms.o The CODE RED page is heard day and night for this reason – fire drills are held each quarter on all shifts.o In the event of an actual fire, you would first rescue anyone in the immediate area and then dial 5555 or activate the nearest manual fire alarm device.o Only when the danger is over is the code cleared.
*R*A*C*E*RescueAlarmConfineExtinguish/Evacuateo This acronym helps to remember the steps to take in the event of a fire
Rescueo When you discover a fire, rescuing people in immediate danger is top priority.
Alarmo Sound the alarm and call your emergency response number with the precise location of the fire.
Confineo Close all doors, windows and chutes.o Stuff damp towels under doors to prevent smoke from spreadingo Extinguish a small fire with the appropriate fire extinguisher or smother it.
Evacuateo Remove any person in immediate danger.o Direct patients not in immediate danger.o If necessary route patients away from the site of the fire.o Transport by appropriate method. --Ambulate --Wheelchair --Stretchero Leave a pillow outside empty patient rooms to signify evacuation is completed.
Isolating the Fireo After rescue from the fire location is completed, close the door and do not re-open except to extinguish the fire.o Before re-entering a room in the fire area, feel the surface of the door for excessive heat.o If it is hot to the touch, do not re-enter. Place a wet towel at the base of the door to help seal the opening.o Close all doors in the area adjacent to the fire and keep closed except to evacuate patients or to provide necessary immediate patient care.
How To Use A Portable Fire ExtinguisherP Pull the pinA Aim the extinguisher at the base of the FlameS Squeeze trigger while holding the extinguisher uprightS Sweep the extinguisher from side to side, covering the area of the fire
Code Blueo Cardiopulmonary Arresto Code Blue Team Responds
Code Blueo The operator will continue paging CODE BLUE every 10 seconds until instructed to discontinue the pageo Notify the operator as soon as the code team is assembled to discontinue the overhead pageo To do this dial 5555 and state “Stop paging the code.”
Code Blueo If a code is called mistakenly, Notify the operator as soon as possible.o To do this dial 5555 and state “Code Blue all clear”o The operator will page “Code Blue all clear”o When a code is cleared there is no longer any need to respond. Do not clear a code unless the situation has been resolved and help is no longer needed.o Pressing the CODE BLUE button in the patient’s room can also activate a CODE BLUE when dialing the phone is not an option.
Code Pink and Code Adamo It is important to remember that during this situation, no one is allowed to enter or leave the building unless excused by law enforcement.o Associates are encouraged not to speak to the press.o Each station has duty cards located in the red emergency box that direct actions to be taken during a CODE PINK (same cards are used during a CODE ADAM.o These cards are used to assist in monitoring all outside exits and parking lots.
Code Orangeo Plan of Threat of Explosion by Bomb or Other Device
Threato Upon receiving a threat alleging the presence of a bomb in the hospital, the switchboard operator or any person receiving the threat must remain calm and do the following: • If a caller, keep the caller talking. • Alert a nearby associate and have them contact the hospital operator (dial 5555) immediately telling the operator that a bomb threat is in progress
Code Orangeo The associate receiving the call attempts to ascertain pertinent information from the caller using the threatening telephone call checklist to take the following information: • Bomb location • What causes the bomb to explode • What does the bomb look like • Why did you place the bomb • What is your name and address
Code Orangeo Try to note as much information about the caller as possible such as: • Voice characteristics (male/female, any accent, lisp, drunk, calm, loud, slow) • Background noise (street sounds, home, bar, etc.)o If a written threat, contact the hospital operator (dial 5555) immediately telling the operator that a bomb threat is in progress.
Notificationo Upon receiving directions from the president or designee, the switchboard operator announces three times over the public address system: • “Attention Please, All Associates, Code Orange Is Now In Effect.”o Engineering notifies the police department unless otherwise instructed by Administration.
Notificationo After the basic details are provided, the president or designee makes all necessary decisions and issues orders regarding a search of the premises.o During bomb threat search procedures, all possible precautions are taken to prevent unnecessary alarming of patients and visitors.
General Searcho The extent of the search is determined by the president or designee in consultation with the police department.o If police are involved in the search, they are accompanied by a person designated by the president who is familiar with the area.o In the event the caller indicates the location of the bomb, that area is searched first.
General Searcho Engineering personnel search hallways, gift shop, restrooms, stairwells, elevators, utility closets, and waiting rooms.o Hospital personnel involved in the search are instructed that their mission is only to look for and report suspicious objects – not to move, or touch the object or anything attached there to or in the immediate area.o Dietary personnel search the cafeteria.
General Searcho Supervisory and office personnel search their immediate area.o Patient areas are searched by nursing personnel.o As the search of each area is completed and no suspicious objects are found, the appointed person in charge of the area calls the control center stating the area or department, followed by “search completed, area clear.”
Bomb Discoveredo If a suspected bomb or suspicious object is found: • Do not touch, move or jar the suspicious object or anything thereto. • Remain calm and alert; prevent unnecessary alarming of patients, visitors, or other employees. • Clear the area of all personnel but do not try to evacuate until notified by administration. • Immediately telephone hospital operator (dial 5555). Report suspected bomb location, time found, and your name and title.
STAT-13o Potential violent or threatening situation:o All male associates Respond
STAT-13o This code is for a potential violent or threatening situation. The keyword here is potential.o Do not wait until the situation becomes violent to call this code.o Get help immediately.o Male associates respond to this code as well as security officers when on duty.o An incident report must be filed on all STAT 13 pages.
Dr. Strongo This code is paged when immediate lifting assistance is needed.o This code is generally reserved for situations where it is necessary to move someone from the floor that cannot assist with this effort, but may be used in any emergency situation where heavy lifting is required.o Male associates respond to this page. An easy way to remember this is “a call for Dr. Strong is a call for muscles.”
Weather Alerto “Weather Watch” or “Tornado Warning” is the code for inclement weather threatening the hospital.o This is called when a potential severe weather situation has been identified by the National Weather Service.
Weather Alerto When White County Medical Center is in danger from severe weather, the president or designee continuously monitors the weather along with local authorities and local weather stations, and National Weather Service.o “Weather Watch” is announced in the event of a Thunderstorm/Tornado Watch.o Tornado Warning is announced when a tornado warning is imminent to the hospital.
Weather Alerto Weather is also monitored using a radio located in Emergency Department or Internet services of KARK by designated associates only.o Only the president or designee can order and/or cancel a “Weather Watch” or “Tornado Warning”o All associates remain on duty until released by Command Center.o A Red Alert is called when a disaster is confirmed and the red alert tree from the “External Disaster” instructions is followed.
General Responseo Close all blinds and drapeso Stay as far away from windows and glass doors as possibleo All associates remain in patient care areas to ensure patient safetyo Assign associates to control the potential visitor influx by setting up Hubach Conference Center
Patient Area Responseo All Areas: • Move patients as far from windows as possible, or in corridors if accessible, and cover with a blanket • Keep visitors with patient • Maintain calm, efficient environnent • Safest areas are small, windowless rooms near the center of the buildingo Safest areas include: Bathrooms, Corridors, Small rooms around the nurses’ stations
Weather Alerto All associates remain on duty until released by Command Center.o Either an “All Clear” or “Red Alert” will be paged.o A red alert is called if a disaster is confirmed
General Response Under a Weather Alerto Stay in the center of the building.o If responsible for patient care, stay with the patients.o If non-direct care giver, move immediately to the Hubach Conference Center.o If responding from off duty, follow directive of the Emergency Control Center.o Await “All Clear” announcement.
Visitorso Encourage all visitors to remain inside the building.o They may either stay with their patient or move within the center core of the hospital such as the “Canteen” area or other waiting areas on the North Campus and to the center of the building on the South Campus.o If all available waiting areas are full the Hubach Center is made available.