INSTRUCTIONS. Please bring this Handbook with you to New Employee Orientation.

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1 Environment of Care

2 INSTRUCTIONS Please bring this Handbook with you to New Employee Orientation. Prior to your first day at work you must read and understand the material in this Handbook. Once you have read the Handbook you must, prior to your first day at work, print your name (legibly), sign, and date the form on the last page (page 17) of this Handbook. On the first day of New Employee Orientation you will be asked to remove the form (page 17) from the Handbook and provide the signed and dated form to the Human Resources representative. If you do not understand the material in this Handbook please contact the Environmental Health and Safety Officer at extension

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4 FRANKLIN SQUARE HOSPITAL CENTER New Employee Environment of Care Orientation Handbook This Safety Orientation Handbook has been prepared to introduce you to the policies and procedures used to maintain and improve a safe and healthy work environment. Your Department Manager or immediate Supervisor will be providing you with additional job specific safety information and education. It is management s expectation, if you feel a situation is unsafe, ask questions and do not take chances. Think Safety and Stay Safe! A Message from Management As a new employee of Franklin Square Hospital Center (FSHC) you are a valuable asset to the facility. I wish to take this opportunity to express to you our continual commitment to safety and it is our goal to provide a safe workplace. Each employee has an important role to play in meeting this goal by assuming their responsibility in protecting our patients, visitors, and staff from injuries. Franklin Square Hospital Center is committed to your safety. I ask that you do the same. Carl Schindelar, President 2

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6 Safety Policy The Management of FSHC, believes it is essential to assure a safe and healthy workplace for all employees. Therefore, it is the policy of FSHC that injury prevention shall be considered of primary importance in all phases of operation and administration. It is the intention of FSHC to provide safe and healthy working conditions, and to establish and insist upon safe practices at all times by all employees. The prevention of injuries is an objective that affects all levels of FSHC and its operations. It is, therefore, a basic requirement that each Department Manager make the safety of all employees an essential part of his or her regular management function. It is equally the responsibility of each employee to accept and follow established safety policies and procedures. These policies and procedures can be found online through Starport. Every effort will be made to provide adequate training to employees. However, if an employee is ever in doubt about how to perform a job or task safely, it is his or her responsibility to ask management for assistance. Employees are expected to assist management in accident prevention activities. Unsafe conditions must be reported immediately. Fellow employees that need help are to be assisted. Everyone is responsible for keeping FSHC facilities clean and safe. Every injury that occurs on the job, even a minor cut or strain, must be reported to management as soon as possible, but no later than the end of the work shift. Under no circumstances should an employee leave the facility at which he or she works without reporting an on the job or occupational injury. Why do injuries happen? Basically, there are two reasons: UNSAFE ACTS and UNSAFE CONDITIONS. An unsafe act is when someone does something that is unsafe such as removing safety shields, running down stairs, standing on chairs, violating safety rules, or performing a task for which they are not trained. An unsafe condition is a situation where the workplace hazards have not been eliminated or controlled. These include conditions such as slippery floors, improper lighting, and exposed machine hazards. Franklin Square Hospital Center Environment of Care Committee FSHC has an active Environment of Care Committee, chaired by the Environmental Health and Safety Officer. The Committee meets monthly to review and address any safety and/or health issues. As an employee of FSHC you are encouraged to submit in writing any safety and/or health issues that you may have identified in the work place. The Committee conducts Hazard 3

7 Surveillance surveys (safety inspections) in clinical areas twice per year and in non-clinical areas once per year, or more often as necessary. The purpose of these surveys is to monitor the environment and report to Department Managers any safety and health deficiencies. Environmental air monitoring will be conducted by the Environmental Health and Safety Officer, as necessary, for chemical exposures or indoor air quality. Employees required to wear monitoring equipment or who work in areas where monitoring is conducted will be provided with air analysis results. Safety Rules for All Employees It is the policy of FSHC that everything possible will be done to provide protection from occupational injuries and illnesses. To carry out this policy, the following general safety rules will apply: 1. Immediately report to your Department Manager or Supervisor: a. All work injuries and illnesses. b. All unsafe acts and unsafe conditions. c. All property damage. d. All incidents that could have resulted in injury, illness, or property damage. These incidents are commonly known as near miss incidents. 2. Only authorized and trained employees may: a. Operate, repair, or adjust machinery and equipment. b. Work on or near exposed energized electrical parts or equipment. c. Use equipment that produces open flame or heat greater than 100 F. d. Enter a confined space. e. Use, handle, or dispense chemicals. f. Use hand powered tools, mechanical lifts, motorized vehicles owned by FSHC. g. Wear personal protective equipment such as hearing protection, fall protection, and respirators. 3. All employees must: a. Follow all safety rules, policies and procedures. b. Report emergencies by calling extension 5555 at FSHC and 911 for offsite offices. c. Know the location of fire extinguishers, fire pull stations, and emergency exits. d. Keep exits, hallways/corridors, fire extinguishers, and emergency equipment clean and clear of obstacles. e. Use seat belts and not use cellular phones in FSHC and personal vehicles (while on company business), while the vehicle is in motion. f. Not bring firearms, weapons or explosives on FSHC property. g. Not use, possess, sell, or be under the influence of alcohol or illegal drugs while on duty. 4

8 h. Not misuse prescription drugs, or use prescription drugs that interfere with safe performance of his or her job. i. Use American National Standards Institute (ANSI) approved stools or ladders. j. Use personal protective equipment as required by FSHC. Wash hands after: caring for patients, handling chemicals, wearing gloves, and handling items contaminated or potentially contaminated with blood or body fluids. k. Arrange an appointment with Employee Health to review your medical file, only as necessary. All FSHC employee medical records, such as hearing tests, required physical examinations, etc. are available for your review. Also included in your medical records, when indicated and required, will be the results of personal air monitoring tests for exposure to environmental contaminates or noise. These results will be provided to you for your review. l. Properly secure gas cylinders by placing them in a caddy, storage rack, or chain the cylinder to prevent it from falling. Do not lay cylinders on the floor. m. Know that information regarding OSHA, employee s rights and responsibilities under the Occupational Safety and Health Act, annual summary of injuries and illnesses, and any citations or other information as required by OSHA will be posted on a bulletin board in the Employee Entrance hallway, outside Human Resources. Hazard Communication If you are assigned a job that involves the use of chemicals, your Department Manager or Supervisor will provide you with information on each chemical that you may use. Some chemicals are explosive, corrosive, flammable, or toxic; they may have properties that combine these hazards. To avoid injury and/or property damage, persons who handle chemicals in any Department or work area must understand the hazardous properties of the chemicals with which they will be working. Employees may contact the Environmental Health and Safety Officer (x7593), who is the Hazard Communication Coordinator for FSHC, when they have any questions regarding FSHC s Hazard Communication Program or for a copy of the Hazard Communication Standard, 29 CFR All employees who use hazardous chemicals will be required to: 1. Use and understand Material Safety Data Sheets (MSDS). Contact Security at x7242 for a Material Safety Data Sheet. To request an MSDS you must have the chemical/product name, and name and address of the manufacturer. This can be found on the container label. 2. Use chemicals in a safe manner as trained and required by FSHC. 3. Wear proper personal protective equipment while handling chemicals. Wash hands after removing gloves or when handling chemicals.. 4. Know the location and use of emergency eyewash and showers, where necessary. 5. Safely evacuate the area in the event of a chemical spill. 5

9 6. Report spills immediately to management and the Environmental Health and Safety Officer, especially spills that occurs outdoors involving FSHC employees, equipment, and vehicles. 7. Ensure that all containers are labeled with the name of the product, manufacturers name and address, and hazard warning. This information must be on the original container and must be placed on empty (unlabeled) containers filled from the original container. 8. Store incompatible chemicals in separate areas. 9. Limit volumes of chemicals to the minimum needed. 10. Substitute less toxic chemicals whenever possible. 11. Use chemicals in well-ventilated areas. 12. Provide means of containing or preventing chemical spills. 13. Contact your Supervisor or the Environmental Health and Safety Officer for the proper disposal of chemicals. 14. Understand that the means to detect chemicals will be determined by the Environmental Health and Safety Officer. Areas/Departments will be assessed for hazardous materials. Based on the assessment it will be determined what areas must be monitored for chemical exposure. Air monitoring equipment or badges will be used to monitor employee exposure. Employees have a right to ask about monitoring procedures and when their exposure is monitored, they will be provided with the analysis of the monitoring that was conducted. In addition, analysis records will be placed in the employee s health record found in Employee Health. 15. Understand that liquid medical waste must be contained in a leak proof rigid container before being double bagged in red medical waste bags. 16. Make sure specimens are securely wrapped before placing in the pneumatic tube system to prevent damage of the specimen and contamination of the tube system. 17. Store full and empty gas cylinders in storage racks, caddies, or chained to a wall. Do not lay cylinders on their side. Cylinders are extremely unsafe if handled improperly. 18. Understand that offsite facilities may keep MSDSs for chemicals they use at their facility or office, or obtain an MSDS from Security at FSHC, as needed. Chemical Hazards Poisons - can cause toxic reactions within the body. Flammables can ignite and cause fires. Most have a health risk, due to vapors, as well as fire risk. Vapors can ignite or explode when exposed to heat or spark source. Example: alcohols, xylene, acetone, and aerosol cans (contents and/or propellant). Corrosives can burn the skin. Vapors can severely damage the lungs and damage the eyes. Physical effects may be instant or appear several hours after exposure. Examples: sulfuric acid (acid) and sodium hydroxide (base). Oxidizers assist in making combustion (fire) more violent. Keep separate from flammable and combustible materials. Examples: oxygen and nitrous oxide. 6

10 Radioactive Materials must be handled by trained personnel only. Do not touch, open, or move any radioactive materials. Example: isotopes used in Nuclear Medicine. Cancer Causing Agents have been found to cause cancer in man or animals. Eliminate exposure to these materials. Effects may not appear for years after exposure. Examples: chemo agents and formaldehyde/formalin. Avoid Slips, Trips, and Falls Using caution and awareness can prevent slips, trips, and falls. The following rules will help you avoid injuries from slips, trips, and falls. 1. Wear solid footwear with grips. Avoid shoes with minimal surface area of soles such as high heels. 2. Walk at a normal pace, do not run or hurry. Hold on to hand rails where provided such as stairwells. 3. Keep clear view of route of travel. Observe walking surfaces for water and other materials. 4. Do not climb on chairs, equipment or machinery. 5. Stay in authorized walkways. 6. Use safety harnesses when working at heights greater than 10 feet from the floor or while in man lift baskets. 7. Do not climb on the top one or two ladder rungs/steps as recommended by the manufacturer label. Hearing Conservation Conservation of hearing is an important prevention measure. To reduce hearing loss, FSHC will provide, as required, hearing protection, training, and annual hearing tests for applicable positions. Damage caused by noise depends mainly on how loud the noise is and how long you are exposed to it. Noise may tire out the inner ear causing temporary hearing impairment. With continual exposure to high noise levels the ear may become permanently damaged resulting in loss of hearing. Rules and Procedures 1. Employees must be trained in the use of hearing protection and FSHC s Hearing Conservation procedure when exposed to 85 decibels for 8 hours or more per workday. 7

11 2. At least two different types of hearing protection will be made available for use. 3. Hearing protectors and replacements will be provided free of charge and type/brand must be approved by the Environmental Health and Safety Officer. 4. Hearing protectors shall be worn in areas posted with signs requiring hearing protection and training will be provided for employees required to wear hearing protection. 5. Hearing protectors shall be washed with warm soap and water, air dried, and stored in a case, unless disposed. 6. Inspect hearing protectors for damage or defects prior to use. Personal Protective Equipment (PPE) FSHC will be responsible to provide the necessary PPE for all jobs requiring their use. Department Managers and Supervisors will ensure that all Employees wear PPE properly, and are adequately trained in their use, limitations, and maintenance. The Environmental Health and Safety Officer is available to assist with PPE training. PPE will be used whenever a hazard can not be removed by engineering controls. Rules and Procedures 1. Employees must use required PPE. 2. PPE will be specified by the Environmental Health and Safety Officer and can be obtained through Materials Management, only. PPE can not be brought to work from home, provided by a vendor, or provided by any other means other than through Materials Management. A specification list will be provided by the Environmental Health and Safety Officer to the Director of Materials Management for reference. 3. Employees are responsible for proper maintenance and storage of PPE. PPE must always be kept clean and ready for use. 4. Employees will be trained or be provided literature on how to properly wear PPE according to manufacturer specifications. 5. Employees required to wear a respirator such as a N95, half mask, full mask, or PAPR must receive respirator training prior to use and annually thereafter. Annual fit testing is required for the N95, half mask, and full mask respirators. Prior to training and fit testing employees must complete a Medical Questionnaire(available through Employee Health) and submit the completed Questionnaire to Employee Health and Safety. Employee Health and Safety will review the Questionnaire with the employee. 8

12 Control of Bloodborne Pathogens Hepatitis and HIV are examples of viruses that are bloodborne pathogens that can result in disease transmission from one person to another by body fluids (such as blood). To control these pathogens we follow several simple rules if we are exposed to any body fluid. 1. Immediately report all suspected exposure to blood and body fluids to your Department Manager or Supervisor, and Employee Health. When the Employee Health Office is not open report to Nursing Supervision. 2. Wash all exposed areas. 3. Treat all blood and body fluids and soiled items as contaminated. Dispose of these contaminated items in Red Bag (medical waste) trash bags as biohazardous. 4. Clean up spills using approved disinfectants. 5. Wear PPE to prevent exposures. 6. Remove sharps containers (needle boxes) from use when waste reaches the ¾ full mark. 7. Check each patient room, before entering, for isolation signs. If an isolation sign is present follow the requirements on the sign. 8. Wash hands before and after caring for a patient and when handling contaminated or potentially contaminated objects that may be contaminated with blood, body fluids, and chemicals. Use soap and water at a hand sink or hand gel. 9. Follow Infection Control procedures. Electrical Safety Only qualified maintenance personnel are authorized to do any work on any electrical equipment. If you see a potential electrical hazard, inform your Department Manager or Supervisor immediately. A voltage as low as 30 volts can kill you. Powered electrical equipment is defined as cord or plug-type electrical devices, which includes the use of flexible cords. Examples include powered hand tools, powered bench tools, infusion pumps, suction pumps, patient beds, critical care ventilators, fans, radios, computers, microwaves, etc. The following rules apply to powered electrical equipment: 1. Handle equipment in such a manner as to not cause damage. Power cords may not be stapled or otherwise hung in a way that may cause damage to the outer jacket or insulation. 2. Visually inspect for damage, wear, cracked or split outer jackets or insulation, etc. before use or during cleaning of equipment. Any defects; such as cracked or split outer jackets or insulation must be repaired or replaced. Tag or place identification on the equipment 9

13 that it is defective, what is wrong, your name and phone extension. Call Clinical Engineering/Biomed for medical equipment and Facilities Management for all other equipment. 3. Plugs with a ground prong are not to be altered to fit non-ground-type receptacles. Adapters may not be used if they interrupt the continuity of the ground plug. 4. Ground Fault Circuit Interrupters (GFCI) must be used in areas that are wet or likely to contact conductive liquids. 5. Locking-type plugs shall be properly secured after connection to a power source. 6. Plug emergency equipment into red outlets that are backed up by emergency generator(s) if there is a loss of power. 7. Contact Facilities Management to ensure that outlets or circuits are not overlooked for the maximum number of amps needed. 8. Extension cords are not permitted. Biomed or Facilities may grant exceptions for temporary short-term (<72 hrs) use. This is an exception and strict controls will be required of the user. Proper hard conduit is required to pass electrical cables through walls, ceilings, and floors. Extension cords may not be passed across walkways, doorways, windows, holes in floors or ceilings, unless properly secured, and the extension cords must be of industrial grade and approved for use. 9. Biomedical Engineering will perform a safety inspection of all medical equipment prior to use, and at periodic intervals thereafter. All other equipment, such as microwaves, radios, fans, etc. shall be inspected by Facilities Management annually, or as necessary. Lockout/Tagout When equipment is to be worked on, Facilities Management personnel will Lockout/Tagout all sources of energy associated with that equipment. This is required to protect the worker(s) and anyone nearby. Only qualified workers are allowed to work on equipment, so only they are authorized to Lockout/Tagout the equipment. If you see a Lock or Tag DO NOT TOUCH THE LOCK, TAG, EQUIPMENT, OR CONTROLS. Fire Safety Fire Prevention 1. Store flammable and combustible liquids in approved metal containers and keep away from ignition sources and heat. 2. Smoking is permitted in designated areas only. Consult your Supervisor or Smoking Policy for these designated areas. 3. Report electrical hazards to your Supervisor immediately. Electrical hazards are the primary cause of fires in a healthcare environment. 4. Maintain a neat and clean work area and prevent accumulation of combustible (such as, paper, cardboard, plastic, and wood) materials. 5. Decorations can not be of combustible materials and can not be placed on fire or smoke doors, fire equipment, or block the view of fire equipment and EXIT signs. 10

14 Fire Protection 1. Know the location, type, and use of fire extinguishers. Operation instructions are located on the side of the extinguishers. Follow PASS: Pull the pin (break the plastic seal; if seal is not present do not use). Aim at the base of the fire. Squeeze the handle, continuously. Sweep the extinguisher side to side across the surface of the fire. Fire Extinguishers: 1. First you must understand the types of fires and types of extinguishers. a. A fire that produces an ash is a Type A fire. b. A fire that involves burning chemicals is a Type B fire. c. An electrical fire or one that involves current is a Type C fire. d. A type ABC fire extinguisher will extinguish all three types of fires. e. A type BC fire extinguisher will extinguish type B and C fires. 2. Safety Note: do not hold the horn or metal nozzle on the BC carbon dioxide fire extinguisher. When the carbon dioxide gas is released it is expelled at extremely cold temperatures and can cause injury. Hold the handle on the fire extinguisher and extinguisher bottom, only! 3. Protect fire/smoke doors, fire walls and smoke barriers from damage. 4. Keep fire doors, fire extinguishers, fire pull stations, exits, hallways, and stairs clear of obstructions. Storage is not permitted in stairwells. Hallways and patient care areas must have all equipment in use located on one side of the hall. In the event the fire alarm is activated the equipment must be removed from the hallway. 5. Maintain an eighteen inch horizontal clearance under all sprinkler heads. No material may be stored in this area. 6. Fire EXIT signs and fire equipment can not be obstructed by decorations, equipment, or other signage that would prevent the view of such equipment. Emergency Plans and Actions FSHC has developed specific emergency plans to cover actions in the event of a fire, chemical release, or activation of the Code Yellow/Disaster Plan. Emergency plans can be accessed online, can be found in your Department s Safety and Emergency Manual, and are available in the Safety and Emergency Guide. 11

15 Emergency Actions Code Red Fire: R - Rescue patients or staff in the area of the fire and remove to a safe area. A Activate the fire alarm by pulling the closest fire pull station. Call the Switchboard Operator (x5555) and inform him/her of the exact location (i.e., room #, floor, etc.). The Switchboard Operator will announce a Code Red over the PA system. Offsite facilities call 911 to report fire emergencies. C Contain the fire by closing all doors and any windows. E Extinguish the fire if not larger than a waste paper basket fire, or Evacuate the immediate area to another smoke compartment on the same floor. Offsite facilities must evacuate the building when the alarm activates. * Respiratory Therapy will respond to fire emergencies to assist with turning off oxygen and providing portable oxygen in patient care areas, as needed. The Nurse Manager or Supervisor of the unit has ultimate responsibility for shutting off oxygen valves on the unit. * When the fire alarm sounds listen for a PA announcement to find out the reason for the alarm. It may be a test, drill, or real emergency. * Make sure hallways are clear in the event of a fire. Equipment may be temporarily placed in the hallway while in use or attended, and must be placed to one side of a hallway. Crash carts and isolation carts (only for isolation patients) may be stored in the hallway but must be moved in the event of a fire emergency. * Do not roam through out the hospital opening and entering doorways in corridors while the fire alarm is activated and PA announcements have not announced an all clear. Remain in your area until an all clear is announced. Listen to the PA announcements for instructions. Note: In the event of a fire at offsite facilities staff must pull the fire pull station, call 911, and evacuate the facility/building, with their patients. Staff must assist patients to safety. Once outdoors, proceed to a pre-designated meeting place to conduct a head count to ensure that everyone exited the building. If someone is missing, inform the fire department at the scene. Evacuations: 1. There are three types of evacuations: horizontal, vertical, and building. 2. Horizontal evacuations are when you move yourself and others from one area of a floor to another area of the same floor. This requires going through smoke/fire doors to an area on the other side until help arrives. Smoke/fire doors are doors to units or doors held open by magnets located in corridors. 3. Vertical evacuations require traveling down or up stairs to another floor or to a door leading to the outdoors. This means moving patients up and down stairs as well. 4. Building evacuations requires evacuating the entire building. This will be coordinated by Administration. 12

16 Chemical Release or Code Orange Notify Management or Supervision, call x5555, and keep personnel out of the immediate are of the spill. Notify the Environmental Health and Safety Officer for actions to be taken, designated Emergency Coordinators may request the Baltimore County HazMat Team via 911, as needed. Code Yellow/Disaster Plan Activation Administration will activate a Code Yellow. A Code Yellow will be announced by the Switchboard Operator over the PA system. When the Incident Command Center has been activated, as announced over the PA, all Departments must notify the Hospital s Incident Command Center of staffing levels and needs. The On Call Administrator or Shift Nursing Supervisor, whoever is immediately available, shall have overall responsibility for Code Yellow activities and to support all Departments as needed until the Hospital s Incident Command Center is opened. Once the Hospital s Incident Command Center is opened it will be operated by Administration staff. Each Department must establish and maintain a phone list to notify staff in the event a Code Yellow is activated. An evacuation may be necessary if conditions at a facility warrant moving staff and patients. Your role in an emergency is to respond to the facility, with your ID badge, enter the facility through the Employee Entrance unless directed otherwise. Report to your Department. You will perform your job as assigned or assist with other types of activities necessary to support the emergency. Reporting Accidents, Injuries, or Near-Misses Employees are required to report all accidents, injuries, and near-misses to their Department Manager or Supervisor. This is an important part of the safety program. In order to eliminate hazards we must be aware of the hazards. Reporting requirements are as follows: Automobile Accidents accidents involving either FSHC or private vehicles used while on hospital business, must be reported on a Security Report (completed by Security if onsite) on an Occurrence Report form (offsite). Obtain insurance information from others involved, police report numbers, etc. and submit reports to Risk Management. Employee Injuries report immediately. Do not leave your work shift without reporting the incident. Report injuries/incidents to your immediate Supervisor, Department Manager, or Shift Nursing Supervisor, and Employee Health depending on availability. If an injury requires 13

17 medical attention and Employee Health is not open the employee must go to the Emergency Department for treatment. An Employee Accident/Incident Investigation Report, Employee Statement form, any prescriptions for treatment or medication, work restrictions, release from work notes, etc. must be submitted as soon as possible to Employee Health. Failure to report or submit documents as required is in violation with procedure and could result in delays of Workers Compensation benefits, if eligible. Near-Misses are incidents that could have resulted in an accident or injury. Report these incidents to your Supervisor or Department Manager in order for corrective action to be initiated. Accident Prevention Signs and Tags Accident prevention signs and tags provide information or instructions based on the hazard identified. Danger- Identifies a hazardous situation which has a high probability of death or severe injury. Signs and tags are red, black, and white. Warning- Identifies a hazardous situation which has some probability of death or severe injury. Signs and tags are orange and black. Caution- Identifies a hazardous situation which may result in minor or moderate injury. Signs and tags are yellow and black. Notice- Is used to identify policy or safety instructions. Signs and tags are blue and white. General safety signs and tags such as Safety First, Be Careful, Think provide general instructions relative to safe work practices, reminders of proper safety procedures, and the location of safety equipment. Signs and tags are green and white. If any employee has difficulty reading or understanding the information on any sign or tag they are to ask their supervision or contact the Environmental Health and Safety Officer at x7593. Utilities Electric, heating, ventilation, air conditioning, sewage, water, and fire service is critical to day-to-day operations. Call x7799 to report a failure or loss of these services. Emergency equipment must be plugged into the red electrical outlets to ensure that power is available at all times for the equipment. Repairs that need to be made to non-medical equipment such as microwaves and furniture, and to the facility such as doors, walls, plumbing, etc. must be identified in the Zone Mechanic Log Book. 14

18 Appliances brought from home or purchased for use in your Department, and patient beds that are leased, loaned, or new must be checked by Facilities before being placed in service for use. Security In the event of a VIP visiting or being a patient, bomb threat, violent person, theft, elopement, infant abduction, or any other security event call x5555 immediately. Non-emergency events or needs such as needing an escort to and from the Parking Lots should be called by dialing x If a patient or visitor is injured or a vehicle accident occurs on FSHC property contact Security at x7242 so they may respond and investigate. Security issues parking permits or passes that must be affixed to your vehicle as directed. Please use Security s services for situations such as: 1. Escorts to and from your vehicle. 2. To observe for individuals who may enter FSHC property for whom you have court orders against to protect your safety. 3. Theft, threats, or any violence that may occur in the workplace. Medical Equipment Before using medical equipment you should be trained on its use, safety features, and limitations. All medical equipment must be inventoried and have an asset sticker with a white background and a black bar code number. Equipment that requires a periodic inspection will have a green label affixed to the equipment indicating when the equipment is due for its next inspection. Some equipment does not require a periodic inspection and is returned to Biomed when the equipment is in need of repair. The piece of equipment will be inspected after repairs have been made. Do not use medical equipment that exceed the inspection due date on the Biomed sticker. Medical equipment that is new, used for trials, research, or leased must be checked by Biomed prior to being used. 15

19 Hospital policy prohibits the use of patient owned medical equipment such as BiPAP, CPAP, Ventilators, etc., and non-medical equipment such as fans, TV s, VCR s, hairdryers, etc. To contact Biomed for repairs call x 7153 Mon-Fri or x

20 Fire Emergency Maryland Uniform Emergency Codes Emergency Codes New Code *Effective 11/11/04 Code Red + Location Code Color Infant Abduction Code Pink Cardiac/Respiratory Arrest Code Blue Adult + Location Cardiac/Respiratory Arrest Code Blue Child + Location Cardiac/Respiratory Arrest Code Blue Infant + Location Combative Patient Code Green + Location Bomb Threat Code Gold + Location Hazardous Materials (Internal) Code Orange + Location Elopement Code Gray Security Response Code Purple + Location Disaster Code Yellow *Code of Maryland Regulations Title 10 Health and Mental Hygiene ( ) 17

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