The document provides codes and procedures for various emergency situations at hospitals in Rhode Island. It summarizes codes for fire (Code Red), fire alarm system issues (Code 78), cardiac arrest (Code Blue), child abduction (Code Amber), person with a weapon (Code Silver), bomb threat (Code Green), security assistance needed (Code Grey), preparing for a mass casualty event (Code Triage Standby), active mass casualty response (Code Triage), hazardous material spill (Code Orange), and trauma team response (Code Yellow). Staff are instructed to call an emergency operator to report the code and follow specific response procedures depending on the emergency situation.

1. Standard Codes
used by all Hospitals
in RI
Use x1511 for all
Hospital Emergencies
fghfgh

2. Code Red: FIRE
Call Switchboard x1511 to report a fire, smoke or respond to an
activated fire alarm.
General Staff Response: Take “R.A.C.E”
(Rescue, Alarm, Contain, Extinguish) steps if fire is in your area.
If the code is called in another area or department other than
yours, the department should assign someone to:
• Check pull stations, heat detectors, and smoke detectors for the
activated device. If you locate a device that has been activated, call
the switchboard.
– Do Not let anyone in or out of the area. Respectfully inform them of
the situation and to stay in place.
• Check all rooms in your area for a fire. If all areas are checked and
no fire is found, your supervisor will call the Switchboard on the
regular line, stating “All Clear” in your area.

3. Code Red: FIRE
Remember:
• Stay where you are if your area isn’t affected. NO passing
through Fire Doors and do not use elevators.
• If an emergency situation arises requiring you to return to
department, avoid the area in Code Red status.
• Know your evacuation route out of your department, if
necessary.

4. Code 78: Fire Alarm System
Off
•
•
All staff to be aware “On Fire Watch.”
Report all fire/smoke to Emergency Operator at x1511

5. Code Blue: Cardiac Arrest
Call switchboard x1511 to report a cardiac arrest and location.
Example: Cardiac arrest, Respiratory arrest, Medical crisis…
• Code Team responds to Code Blue to all areas of the hospital
and the MOB as well.
• When this code is called, please be aware of team running
throughout the hospital to the necessary area.

6. Code Amber: Child Abduction
Call Switchboard x1511 to give as much as possible a description
of the person who is missing or abducted.
General Staff Response:
Every area or department should assign someone to:
– Go to nearest stairwell, elevator, or exit and observe anyone
fitting the description. Advise the person to stay in place and
notify the switchboard of the location where to send help
assistance.
– Do Not let anyone in or out of the area. Respectfully inform
them of the situation and to stay in place.
– Lockdown maybe necessary, so please make sure all stairwells
and exists in your area are monitored until the code has been
cleared.

7. Code Silver:Person with Weapon
General Staff Response: Call Switchboard x1511 to report a
hostile situation with a weapon and give as much information
of the person, weapon and location of the situation.
If the code is called in another area or department other than
yours:
• DO NOT enter the area
• Notify Police if there is a weapon by dialing “911” or “4469”
(direct to SKPD)
• Do not let people into the area pending the arrival of Police
• If someone insists on leaving the area, do not stop them. Get
a description of the person for the police.

8. Code Green: Bomb Threat
Call Switchboard x1511 to report a suspicious package or a report of
someone calling to inform you of a bomb threat or a suspicious
package on the grounds.
General Staff Response:
• Check your area for any suspicious packages or items. You know
your area best.
• Do Not touch packages or envelopes. Report anything unusual to
the switchboard and they will send someone to confirm.
• During the confirmation the team may restrict that area, and
surrounding areas, and may also lead up to lockdown, if
necessary. Wait to hear from your manager or supervisor or
someone in charge of your area on next steps, otherwise normal
operations in your area.

9. Code Grey: Security
Team
Code Grey is called when security is requested.
Security /Behavioral Team to respond:
• Do not enter the area and all other areas during this
code will resume under normal operations.
• Based on the situation when the team arrives, the team
leader will request a call to the police if necessary.

10. Code Triage Standby
Code Triage Standby:
This code is called when the hospital is planning for activation
of Code Triage because of a possible event such as a mass
casualty event or Pre-Hurricane Planning.
– Administrative section Chiefs to respond to Incident
Command Center (ICC), located Borda Ground
Conference Room x1578, to review the situation.
– Decision to activate Code Triage will be
determined by Incident Command Team

11. Code Triage:
Disaster Plan In Effect:
• Incident Command Center team or designee will activate
the Emergency All Hazards Operation Plan and a specific
response plan.
What is your responsibility during Code Triage?
– Wait for assignment from the Volunteer
Coordinator or department manager as to
specific tasks in your area.
– In the case of inclement weather, take
precaution and follow instruction from RI
Emergency Management Agency.

12. Code Orange: Hazardous Material
DO NOT:
• Clean up spill.
• Assist anyone that have had contact with the
chemical.
DO:
 Close all doors to spill area.
 Notify your supervisor of the chemical spill. All
chemicals must have a Materials Safety Data Sheets
(MSDS) on file in Facilities Management.
 Notify the Emergency Operator at x1511 to report.
Switchboard will Notify Fire Department, if
appropriate.

13. Code Yellow: Trauma Team
• Trauma Patients are efficiently treated with
Internal Emergency Department Response.
• Stay in your assigned area and stay out to the affected area
until code is cleared.