St. Joseph s General Hospital, Vegreville EMERGENCY RESPONSE CODE GREY Shelter in Place / Air Exclusion

Transcription

1 St. Joseph s General Hospital, Vegreville EMERGENCY RESPONSE CODE GREY Shelter in Place / Air Exclusion EMERGENCY RESPONSE CODE GREY ALGORITHM Supervisor / receiving notice Notice received from Emergency Personnel of hazardous air quality and advised to Shelter In Place Notify Site Administration / Site Administration (on-site) / Upon receipt of notification of incident: Consult with Medical Officer of Health and Facilites Maintenance to determine actions, based on risk considering: - Measures to minimize / prevent air movement into the building - Access / egress (Site Lockdown) - Evacuation (Code Green) Notify Switchboard / to activate site Code Grey response Code Grey Air Exclusion Procedures Determine need to establish Site Command Post to coordinate actions and communications to staff Ensure notification to Covenant Health E/DM, Leadership, Communications, E/DM to notify AHS E/DM for further escalation as required i.e. RAAPID In consultation with engaged parties determine when event has concluded: Advise Switchboard / to announce Code Grey Air Exclusion Procedures All Clear three (3) times Switchboard / Upon receiving notification of Code Grey, advise all staff: Code Grey Air Exclusion Procedures three (3) times Notify: St. Joseph s General Hospital Facilities Maintenance on-call When directed by Site Administrator/ announce: Code Grey Air Exclusion Procedures All Clear three (3) times Facilities Maintenance and Engineering In consultation with Site Administration / determine actions, based on risk including measures to minimize / prevent air movement into the building Site specific actions may include: Identifying alternate sources / alternatives to medical air Supporting air quality monitoring In consultation with engaged parties determine when event has concluded: Prepare for phased start up of HVAC and HEPA filter systems Page 1 of 6

2 EMERGENCY RESPONSE CODE GREY ALGORITHM Site Administration / In consultation with Site Administration / Initiate Site Lockdown sealing exterior doors and windows where practical; close interior fire doors Assign staff and post signage at entrances / exits (See Appendix 1) Encourage staff and patients to remain indoors until All Clear is announced Remain engaged with Site Administration /, requesting additional resources / personnel, if needed. Unit / Program Supervisors within Affected Site In consultation with Site Administration / determine actions to support patients and staff, based on risk Assist staff to implement Air Exclusion and Lockdown Procedures (See below Actions) Unit / Program specific actions may include: Identifying alternative therapies to those involving medical air Determine staffing plan for future shifts When All Clear announced determine supports required to patients and staff. Consult with Site Administration / to convey recovery plan for Unit / Program Page 2 of 6

3 UNDER THE EXPLICIT DIRECTION FROM UNIT / PROGRAM SUPERVISOR Staff Actions when Notified of Code Grey All Staff: Remain indoors Close and seal all exterior doors and windows, including attached ambulance bay, where practical Close interior fire doors Turn off all exhaust fans and equipment that extracts air out of the building or brings air into the building Listen for possible Code Green - Evacuation Nutrition and Food Services: Turn off cooking fans and exhaust hoods Pharmacy: In consultation with Site Administration /, turn off laminar and biohazard hoods Laboratory: In consultation with Site Administration /, complete procedures in progress. Turn off biohazard and fume hoods Nursing / Clinical / Physicians: Staff working in near negative pressure areas must use infection control airborne precautions and keep doors closed to negative pressure areas Do not start new procedures Patients using medical air will require alternate therapies Monitor patients at high risk for respiratory complications, and assist as required Page 3 of 6

4 Site: Provincial Template Approval Level: Covenant Health E/DM Steering Committee Cross Reference: Emergency Response Code Green Document #: Reference to AHS ERC#7 Initial Effective Date: June 2015 Revision Effective Date: PURPOSE Code Grey is the designated phrase to alert and notify staff of the need to reduce the movement of air into and out of the building when there are air quality concerns, potentially from a release of a toxic or hazardous substance in the environment. Shelter In Place has been demonstrated to be the most effective response during the first few hours of an air quality concern. The Medical Officer of Health (MOH) may request Code Grey based on an analysis of an emergency event, such as fire, motor vehicle crash, train derailment, industrial accident or natural disaster, with a resultant substance release. APPLICABILITY Compliance with this Emergency Response Code is required by all Covenant Health and Alberta Health Services employees, members of the medical and midwifery staffs, students, volunteers, and other persons acting on behalf of Alberta Health Services (including contracted service providers as necessary). This Emergency Response Code does not limit any legal rights to which you may otherwise be entitled. ACTIVATION Code Grey can be initiated by the Site Administration / Administrator On-Call in consultation with the Medical Officer of Health, who immediately is notified of an air quality concern. POST INCIDENT ACTIONS For a facility impacted by an Emergency Response Code Grey, the Site Administration or Administrator On-Call is to: Assess for injuries and facility damage. Implement subsequent emergency response plans as appropriate. Complete Incident Documentation: o Reportable Incident Form (Seniors Health / Continuing Care sites). o Urgent Notification of an Emerging Issue (all sites). o Other site or Covenant Health specific documentation as appropriate as per policy I-25 Emergency Disaster Management Response. Page 4 of 6

5 Advice on document completion may be sought from Covenant Health Emergency/Disaster Management staff. Covenant Health Emergency/Disaster Management staff may also be contacted for assistance in facilitating the post incident debriefing at (office), EMO or Director REFERENCE I-25 Emergency Disaster Management Response Policy Page 5 of 6

6 Appendix 1 Page 6 of 6