EMERGENCY PREPAREDNESS ORIENTATION

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1 EMERGENCY PREPAREDNESS ORIENTATION

2 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

3 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

4 Incident Management System

5 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

6 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

7 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

8 CODES

9 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

10 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

11 Code Amber Missing Child Hospital is locked down Stop people with suspicious backpacks, bags, and suspicious behaviour Notify the Police Search the hospital

12 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

13 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

14 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

15 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

16 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

17 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

18 Code Blue Flow Chart

19 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

20 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

21 Code Green

22 Code Pink Cardiac Arrest/Medical Emergency Infant/Child Call for help Initiate CPR Bring crash cart Follow flow chart in procedure Support family

23

24 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

25 Code Brown

26 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

27 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

28 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

29 Code Grey Flow Chart

30 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

31 All Codes have accompanying documentation forms for completion by staff Documentation

32 Questions?

In Case of Emergency. At Met, Western, and Malden Park, any staff member can notify switchboard of an emergency code by dialing: 3333

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