Hospital Emergency Code Standardization Survey SURVEY REPORT CALIFORNIA HOSPITAL ASSOCIATION September 20
20 Hospital Emergency Code Standardization Survey TABLE OF CONTENTS Survey Introduction... 3 SECTION I: Statewide Cumulative Data... 4-29 Fire... 5 Medical Emergencies - Adult... 6-7 Medical Emergencies - Pediatric... 8-9 Infant Abduction... 0- Child Abduction... 2-3 Bomb Threat... 4-5 Combative Person... 6-7 Person with a Weapon/Active Shooter/Hostage Situation... 8-9 Hazardous Materials Spill... 20-2 Patient Elopement... 22-23 Emergency Alert... 24-25 Internal Emergency... 26-27 External Emergency... 28-29 SECTION II: Hospital Council of Southern California... 30-55 Fire... 3 Medical Emergencies - Adult... 32-33 Medical Emergencies - Pediatric....34-35 Infant Abduction... 36-37 Child Abduction... 38-39 Bomb Threat... 40-4 Combative Person... 42-43 Person with a Weapon/Active Shooter/Hostage Situation... 44-45 Hazardous Materials Spill... 46-47 20 Hospital Emergency Code Standardization Survey
Patient Elopement... 48-49 Emergency Alert... 50-5 Internal Emergency... 52-53 External Emergency... 54-55 SECTION III: Hospital Council of Northern and Central California... 56-80 Fire... 57 Medical Emergencies - Adult... 58 Medical Emergencies - Pediatric... 59-60 Infant Abduction... 6-62 Child Abduction... 63-64 Bomb Threat... 65-66 Combative Person... 67-68 Person with a Weapon/Active Shooter/Hostage Situation... 69-70 Hazardous Materials Spill... 7-72 Patient Elopement... 73-74 Emergency Alert... 75-76 Internal Emergency... 77-78 External Emergency... 79-80 SECTION IV: Hospital Association of San Diego & Imperial Counties... 8-05 Fire... 82 Medical Emergencies - Adult... 83 Medical Emergencies - Pediatric... 84-85 Infant Abduction... 86-87 Child Abduction... 88-89 Bomb Threat... 90-9 Combative Person... 92-93 Person with a Weapon/Active Shooter/Hostage Situation... 94-95 Hazardous Materials Spill... 96-97 Patient Elopement... 98-99 Emergency Alert... 00-0 Internal Emergency... 02-03 External Emergency... 04-05 20 Hospital Emergency Code Standardization Survey 2
20 Hospital Emergency Code Standardization Survey Survey Introduction While most healthcare facilities use some form of emergency code system to discreetly relay urgent information to hospital personnel during emergency incidents, the application of specific codes are not always consistent between facilities. This lack of standardization increases the potential for confusion or misinformation during critical times. Standardizing hospital emergency codes can benefit hospital employees, patients, and visitors by reducing confusion and allowing staff to appropriately respond to emergency incidents (such as natural disasters or terrorist events.) In August 2009, the California Hospital Association (in partnership with the regional hospital associations) surveyed over 260 California healthcare facilities to assess statewide hospital emergency code usage. A follow up survey was conducted in August 20; 240 California hospitals responded to the survey (07 in the Hospital Association of Southern California area, 09 in the Hospital Council of Northern and Central California area and 24 in the Hospital Association of San Diego and Imperial Counties area). This report provides analysis of 20 survey data and the results reveal changes and trends in emergency code usage when compared to the 2009 survey report. The final results of these surveys illustrate ongoing progress in hospital emergency code implementation among California healthcare facilities. 20 Hospital Emergency Code Standardization Survey 3
SECTION : Statewide Cumulative Survey Results 240 California hospitals responded to the survey 20 Hospital Emergency Code Standardization Survey 4
FIRE As in 2009, nearly all hospitals surveyed reported use of CODE RED to announce fire. All survey respondents (in both 2009 and 20) reported use of an emergency code for fire incidents: 99.6% 98.9% 2009 20 0.4%.2% 0% 0% Code Red Other No Code Only one other code was reported on the survey for fire alerts: hospital reported use of CODE FIRESTONE. 20 Hospital Emergency Code Standardization Survey 5
MEDICAL EMERGENCY - ADULT 20 survey data shows growth in the number of California hospitals using CODE BLUE for Adult Medical Emergencies. According to survey data, usage of this code has increased from 89.3% in 2009 to 97.5% in 20.The recent survey data also shows that nearly all hospitals have adopted an emergency code for this type of event: 97.5% 89.3% 20 2009 7.3% 2.% 3.4% 0.4% Code Blue Other No Code 20 Hospital Emergency Code Standardization Survey 6
MEDICAL EMERGENCY - ADULT Other codes used in California hospitals to alert adult medical emergencies (shown by count of hospitals using each code): Yellow Adult Code 99 Code Team Code Green Code Rapid Response 20 Hospital Emergency Code Standardization Survey 7
MEDICAL EMERGENCY - PEDIATRIC Recent survey data show an increased number of California hospitals are using CODE WHITE to announce Pediatric Medical Emergencies. The 20 data shows a clear shift away from other codes, with a 2.5% increase in CODE WHITE usage since 2009: 48.4% 48.9% 20 2009 43.0% 35.9% 8.6% 5.3% Code White Other No Code 45.3% of hospitals using Other use Code Blue Non-applicable survey responses have been excluded from this category. 20 Hospital Emergency Code Standardization Survey 8
MEDICAL EMERGENCY - PEDIATRIC Other codes used in California hospitals to alert pediatric medical emergencies (shown by count of hospitals using each code): Code Blue 43 Code Pink 8 Code Blue Pediatric 4 Code Blue Peds Pediatric Code Blue Code Blue PALS Stat team Rapid Response Team Pediatric Rapid Response Team 4 3 2 CodePedi Code Yellow Pediatric Code Team Code PALS Code BRAT Code Blue Braslow Code 3333 APGAR 20 Hospital Emergency Code Standardization Survey 9
INFANT ABDUCTION While survey results show the strong use of CODE PINK for infant abduction alerts, it is important to note the increase in the number of hospitals who have implemented any emergency code for this event type of event since 2009: 82.7% 70.6% 20 2009 20.6% 6.8% 8.8% 0.4% Code Pink Other No Code 20 Hospital Emergency Code Standardization Survey Non-applicable survey responses have been excluded from this category. 0
INFANT ABDUCTION Other codes used in California hospitals to alert infant abductions (shown by count of hospitals using each code): Code Purple Code Adam Code Lindbergh Code Secure Code Green Code Adam Infant OB Code Alert Code White Code Stork Alert Code Stork Code Rainbow Code Gray Baby Code Exit Code Baby Security Code Amber (Girl)/Code Adam (Boy) Code Alpha Code A Code 99 2 3 3 4 5 9 20 Hospital Emergency Code Standardization Survey
CHILD ABDUCTION CODE PURPLE continues to be the prevailing alert used for child abduction events. In comparing 20 data to 2009, shifts towards usage of CODE PURPLE are evident; more hospitals are recognizing the importance of adopting a child abduction emergency code: 67.0% 56.% 20 2009 28.3% 32.% 4.8%.8% Code Purple Other No Code 46.2% of hospitals using Other use Code Pink 20 Hospital Emergency Code Standardization Survey Non-applicable survey responses have been excluded from this category. 2
CHILD ABDUCTION Other codes used in California hospitals to alert child abductions (shown by count of hospitals using each code): Code Pink Code Adam Code Lindbergh Code Green Code Secure Pediatric Code Stork Pediatric Code Alert Code White Code Stork Alert Code Security Lockdown Code Rainbow Code Purple Code Pink Pediatric Code Pediatric Security Code Gray Baby Code Exit Code Blue Child Code Amber (Girl)/Code Adam (Boy) Code Alpha Code Adam Child Code A Code 99 3 4 4 7 30 20 Hospital Emergency Code Standardization Survey 3
BOMB THREAT 3 out of 4 hospitals in California are using CODE YELLOW to announce bomb threat alerts. The recent data shows that more hospitals have adopted bomb threat code or have moved away from usage of other codes since 2009: 75.0% 6.5% 20 2009 23.7% 6.7% 4.9% 8.3% Code Yellow Other No Code 20 Hospital Emergency Code Standardization Survey 4
BOMB THREAT Other codes used in California hospitals to alert bomb threat (shown by count of hospitals using each code): Code Black Code 0 9 9 Code Orange 4 Code Green Code Gray 3 3 Code Security Code Hazel 2 2 Security Emergency Emergency Code Internal Code White Code Triage Code D Code B Code 7575 Code 3 20 Hospital Emergency Code Standardization Survey 5
COMBATIVE PERSON The 20 survey results demonstrate a clear shift towards usage of CODE GRAY by California hospitals. Since 2009, there has been 0% growth in the number of hospitals favoring usage of CODE GRAY over use of other codes for this event: 79.2% 68.7% 20 2009 27.5% 8.8% 3.8% 2.% Code Gray Other No Code 20 Hospital Emergency Code Standardization Survey 6
COMBATIVE PERSON Other codes used in California hospitals to alert of situations involving a combative person (shown by count of hospitals using each code): Code Green Dr. Strong Code 55 Code Strong Dr. Armstrong Support Team Staff Stat Mr. Strong Dr. Leslie Dr. Duber Dr Strong/Dr Adam Strong (if armed) Code Yellow Code White Code Silver/Black Code Silver Code Rush Code Purple Code Gray Visitor Code Gray Code D Code 88 Code 3 2 3 4 6 3 20 Hospital Emergency Code Standardization Survey 7
PERSON WITH A WEAPON and/or ACTIVE SHOOTER and/or HOSTAGE SITUATION The 20 survey data reveals a strong increase in the acceptance of CODE SILVER since 2009. The increase in usage of CODE SILVER combined with the decrease in usage of other codes illustrates this trend: 8.3% 66.8% 20 2009 23.7% 2.9% 9.5% 5.8% Code Silver Other No Code 20 Hospital Emergency Code Standardization Survey 8
PERSON WITH A WEAPON and/or ACTIVE SHOOTER and/or HOSTAGE SITUATION Other codes used in California hospitals to alert of person with a weapon or hostage situation (shown by count of hospitals using each code): Code Gray 0 Code Yellow 7 Code Black 4 Dr. Leslie Dr. Adam Strong Code Purple Code Green Code Gray Level 2 Code Dr. Safe Code D Code Careful Code 99 Code 3W 20 Hospital Emergency Code Standardization Survey 9
HAZARDOUS MATERIALS SPILL CODE ORANGE continues to be widely used within hospitals to alert hazardous materials spills the 20 survey data shows continued acceptance of this code with increased usage of CODE ORANGE when compared to 2009 survey data. 84.2% 74.8% 20 2009 5.7% 9.5% 7.% 8.8% Code Orange Other No Code 20 Hospital Emergency Code Standardization Survey 20
HAZARDOUS MATERIALS SPILL Other codes used in California hospitals to alert of hazardous material spills (shown by count of hospitals using each code): Code Yellow 7 Code Orange 3 Team Delta Code White Code HazMat Code Green Code Gray Code Black Call extension for SPIL response 20 Hospital Emergency Code Standardization Survey 2
PATIENT ELOPEMENT While the majority of California hospitals do not use an emergency code for patient elopement, the overall trend shows that the number of hospital using CODE GREEN has quadrupled between 2009 and 20. 20 2009 77.9% 62.% 22.9% 7.2% 5.0% 5.0% Code Green Other No Code Code Green was added in 2009 20 Hospital Emergency Code Standardization Survey 22
PATIENT ELOPEMENT Other codes used in California hospitals to alert of patient elopement (shown by count of hospitals using each code): Code Purple Code Elopement Code Gray Code Gold Code Adam Code White Code AWOL Code Yellow Code Security Code Rainbow Code Purple - Adult Code Pink Code M Code Copper Code ASAP Code Amber Code Adam Adult Code 99 Code 550 2 2 3 3 3 5 6 20 Hospital Emergency Code Standardization Survey 23
EMERGENCY ALERT While the 2009 survey revealed that most California hospitals had not adopted an emergency code for a general emergency alert, the 20 survey data shows exceptional progress in emergency alert code implementation. Usage of CODE TRIAGE ALERT has increased from.5% to 77.% between 2009 and 20: 77.% 20 2009 55.0% 43.5% 3.3% 9.6%.5% Code Triage Alert Other No Code Code Triage Alert was added in 2009 20 Hospital Emergency Code Standardization Survey 24
EMERGENCY ALERT Other codes used in California hospitals to report an emergency alert (shown by count of hospitals using each code): Code Triage 7 Code Orange 5 Code Triage Standby 3 HICS Has Been Activated Code Black 2 2 Emergency Code Internal / External Disaster Alert Cpde Triage Internal / External Command Post One Code Yellow Internal Code Triage Phase I Code Triage - Level I Code Orange Alert Code Internal or External Disaster Code HICS Internal / Code HICS External Code Green Code Brown Code 777 20 Hospital Emergency Code Standardization Survey 25
INTERNAL EMERGENCY Current survey data reveals usage of CODE TRIAGE INTERNAL becoming widely accepted for use in internal emergency alerts; implementation of this code has more than doubled since 2009, while use of alternate codes for internal emergencies realized substantial declines. 70.8% 20 2009 58.8% 34.4% 22.5% 6.7% 6.9% Code Triage Internal Other No Code 37% of the hospitals using Other are using Code Triage 20 Hospital Emergency Code Standardization Survey 26
INTERNAL EMERGENCY Other codes used in California hospitals to report internal emergencies (shown by count of hospitals using each code): Code Triage Code Orange Code Triage I Code Yellow Internal Code Yellow HICS has been activated Disaster Activate Command Post One or Triage One Code Utility Code Triage-Standby Code Triage - Level II Code Traige Activate Code Purple Code Orange Internal Code Internal Code HICS Internal Code Green Internal Code D Code Brown Internal Code Black Internal Code Black Code Alpha or Code Bravo Code ABC Code 777 3 2 2 8 20 20 Hospital Emergency Code Standardization Survey 27
EXTERNAL EMERGENCY Implementation of CODE TRIAGE EXTERNAL to reference external emergencies has become broadly adopted by California hospitals; usage of this code increased by nearly one third between 2009 and 20. Not surprisingly, there has been a substantial decrease in the usage of alternate codes for external emergencies during the same period. 72.% 20 2009 52.3% 43.9% Code Triage External 2.7% Other 46% of the hospitals using Other are using Code Triage 6.3% 3.8% No Code 20 Hospital Emergency Code Standardization Survey 28
EXTERNAL EMERGENCY Other codes used in California hospitals to report external emergencies (shown by count of hospitals using each code): Code Triage Code Orange Code Yellow External Code Triage II Code Black HICS Has Been Activated Emergency Code External Disaster Activate Command Post One or Triage One Code Yellow Code Triage-Standby Code Triage / Code Triage Standby Code Triage - Level II Code Traige Standby or Alert Code Traige 2 Code Orange External Code HICS External Code Green External Code Brown External Code Black External Code 777 External 2 2 2 6 24 20 Hospital Emergency Code Standardization Survey 29
SECTION II: Hospital Association of Southern California (HASC) 07 HASC hospitals responded to the survey 20 Hospital Emergency Code Standardization Survey 30
Hospital Association of Southern California (HASC) FIRE 00% 00% 2009 20 0% 0% 0% 0% Code Red Other Code No Code Other than CODE RED, no other codes were reported in use 20 Hospital Emergency Code Standardization Survey 3
Hospital Association of Southern California (HASC) MEDICAL EMERGENCY ADULT 96.3% 90.3% 20 2009 8.7% 2.8% 0.9%.0% Code Blue Other Code No Code 20 Hospital Emergency Code Standardization Survey 32
Hospital Association of Southern California (HASC) MEDICAL EMERGENCY ADULT Other codes reported for adult medical emergency situations (shown by count of hospitals using each code): Yellow Adult Code Rapid Response Code Team 20 Hospital Emergency Code Standardization Survey 33
Hospital Association of Southern California (HASC) MEDICAL EMERGENCY PEDIATRIC 68.7% 57.3% 20 2009 32.0% 26.3% 5.% 0.7% Code White Other Code No Code 6.5% of hospitals using Other use Code Blue Non-applicable survey responses have been excluded from this category. 20 Hospital Emergency Code Standardization Survey 34
Hospital Association of Southern California (HASC) MEDICAL EMERGENCY PEDIATRIC Other codes reported for pediatric medical emergency situations (shown by count of hospitals using each code): Code Blue 6 Code Pink 4 Code Blue Pediatric 2 Stat team Code Yellow Pediatric Code Team Code BRAT 20 Hospital Emergency Code Standardization Survey 35
Hospital Association of Southern California (HASC) INFANT ABDUCTION 93.% 89.3% 20 2009 6.9% 6.8% 3.9% 0% Code Pink Other No Code Non-applicable survey responses have been excluded from this category. 20 Hospital Emergency Code Standardization Survey 36
Hospital Association of Southern California (HASC) INFANT ABDUCTION Other codes reported in use for infant abduction situations (shown by count of hospitals using each code): Code 99 Code Secure 3 Code Alpha Code Purple Code Amber (Girl) / Code Adam (Boy) 20 Hospital Emergency Code Standardization Survey 37
Hospital Association of Southern California (HASC) CHILD ABDUCTION 78.6% 75.7% 20 2009 5.5% 6.5% 5.8% 7.8% Code Purple Other No Code 56.3% of hospitals using Other use Code Pink Non-applicable survey responses have been excluded from this category. 20 Hospital Emergency Code Standardization Survey 38
Hospital Association of Southern California (HASC) CHILD ABDUCTION Other codes reported in use for child abduction situations (shown by count of hospitals using each code): Code Pink 9 Code Secure 3 Code Purple Code Amber (Girl) / Code Adam (Boy) Code Alpha Code 99 20 Hospital Emergency Code Standardization Survey 39
Hospital Association of Southern California (HASC) BOMB THREAT 89.7% 83.5% 20 2009 0.7% 4.7% 5.8% 5.6% Code Yellow Other No Code 20 Hospital Emergency Code Standardization Survey 40
Hospital Association of Southern California (HASC) BOMB THREAT Other codes reported in use for bomb threat situations (shown by count of hospitals using each code): Code Triage Code 3 Code Orange Code D Code Black 20 Hospital Emergency Code Standardization Survey 4
Hospital Association of Southern California (HASC) COMBATIVE PERSON 92.5% 85.4% 20 2009 9.7% 6.5% 4.9% 0.9% Code Gray Other No Code 20 Hospital Emergency Code Standardization Survey 42
Hospital Association of Southern California (HASC) COMBATIVE PERSON Other codes reported in use for situations involving a combative person (shown by count of hospitals using each code): Code Green 3 Dr. Duber Dr Strong/Dr Adam Strong (if armed) Code Silver/Black Code D 20 Hospital Emergency Code Standardization Survey 43
Hospital Association of Southern California (HASC) PERSON WITH A WEAPON and/or ACTIVE SHOOTER and/or HOSTAGE SITUATION 9.6% 89.3% 20 2009 4.7% 5.8% 3.7% 4.9% Code Silver Other No Code 20 Hospital Emergency Code Standardization Survey 44
Hospital Association of Southern California (HASC) PERSON WITH A WEAPON and/or ACTIVE SHOOTER and/or HOSTAGE SITUATION Other codes reported in use for person with a weapon or hostage situations (shown by count of hospitals using each code): Code D Code Gray 3 Dr. Adam Strong 20 Hospital Emergency Code Standardization Survey 45
Hospital Association of Southern California (HASC) HAZARDOUS MATERIALS 94.4% 85.4% 20 2009 0.7% 3.9% 3.7%.9% Code Orange Other No Code 20 Hospital Emergency Code Standardization Survey 46
Hospital Association of Southern California (HASC) HAZARDOUS MATERIALS Other codes reported in use for hazardous material situations (shown by count of hospitals using each code): Code Gray Code Black 20 Hospital Emergency Code Standardization Survey 47
Hospital Association of Southern California (HASC) PATIENT ELOPEMENT 20 2009 78.6% 56.% 29.9% 7.5% 4.0% 3.9% Code Green Other No Code Code Green was added in 2009 20 Hospital Emergency Code Standardization Survey 48
Hospital Association of Southern California (HASC) PATIENT ELOPEMENT Other codes reported in use for patient elopement situations (shown by count of hospitals using each code): Code Elopement 3 Code Gray 2 Code Gold 2 Code AWOL 2 Code Purple Code Pink Code Copper Code ASAP Code 99 Code 550 20 Hospital Emergency Code Standardization Survey 49
Hospital Association of Southern California (HASC) EMERGENCY ALERT 80.4% 20 2009 65.% 33.0% 9.3% 0.3%.9% Code Triage Alert Other No Code Code Triage Alert was added in 2009 20 Hospital Emergency Code Standardization Survey 50
Hospital Association of Southern California (HASC) EMERGENCY ALERT Other codes reported in use for emergency alert situations (shown by count of hospitals using each code): Code Orange 3 Code Triage Internal / External Command Post One Code Triage Standby Code Triage Code Orange Alert Code HICS Internal / Code HICS External Code Black 20 Hospital Emergency Code Standardization Survey 5
Hospital Association of Southern California (HASC) INTERNAL EMERGENCY 80.4% 20 6.2% 36.9% Code Triage Internal 5.9% Other 29% of the hospitals using Other are using Code Triage 3.7%.9% No Code 20 Hospital Emergency Code Standardization Survey 52
Hospital Association of Southern California (HASC) INTERNAL EMERGENCY Other codes reported in use for internal emergency situations (shown by count of hospitals using each code): Code Triage 5 Code Orange 4 Code Triage I 3 Command Post One or Triage One Code Orange Internal Code HICS Internal Code D Code Black Internal 20 Hospital Emergency Code Standardization Survey 53
Hospital Association of Southern California (HASC) EXTERNAL EMERGENCY 80.4% 20 2009 62.% 37.9% Code Triage External 5.0% Other 3% of the hospitals using Other are using Code Triage 4.7% 0.0% No Code 20 Hospital Emergency Code Standardization Survey 54
Hospital Association of Southern California (HASC) EXTERNAL EMERGENCY Other codes reported in use for external emergency situations (shown by count of hospitals using each code): Code Triage 5 Code Orange 4 Code Triage II 2 Command Post One or Triage One Code Traige 2 Code Orange External Code HICS External Code Black External 20 Hospital Emergency Code Standardization Survey 55
SECTION III: Hospital Council of Northern and Central California (HCNCC) 09 HCNCC hospitals responded to the survey 20 Hospital Emergency Code Standardization Survey 56
Hospital Council of Northern and Central California (HCNCC) FIRE 98.2% 97.7% 20 2009.8% 2.3% 0.0% 0.0% Code Red Other No Code Only one other code was reported on the survey for fire alerts: 2 hospitals reported use of Dr. Firestone. 20 Hospital Emergency Code Standardization Survey 57
Hospital Council of Northern and Central California (HCNCC) MEDICAL EMERGENCY - ADULT 99.% 90.8% 20 2009 6.% 0.9% 0% 3.% Code Blue Other No Code Only one other code was reported on the survey for adult medical emergencies: hospital reported use of CODE 99 20 Hospital Emergency Code Standardization Survey 58
Hospital Council of Northern and Central California (HCNCC) MEDICAL EMERGENCY - PEDIATRIC 57.4% 56.2% 20 2009 32.7% 26.9% 9.9% 6.9% Code White Other No Code 44.8% of hospitals using Other use Code Blue Non-applicable survey responses have been excluded from this category. 20 Hospital Emergency Code Standardization Survey 59
Hospital Council of Northern and Central California (HCNCC) MEDICAL EMERGENCY - PEDIATRIC Other codes reported in use for pediatric medical emergency situations (shown by count of hospitals using each code): Code Blue 26 Code Blue Pediatric Code Pink 6 Pediatric Code Blue Code Blue Peds 3 3 Code Blue PALS 2 Rapid Response Team Pediatric Rapid Response Team CodePedi Code PALS Code Blue Braslow Code 3333 APGAR 20 Hospital Emergency Code Standardization Survey 60
Hospital Council of Northern and Central California (HCNCC) INFANT ABDUCTION 82.5% 67.7% 20 2009 20.8% 6.5%.5%.0% Code Pink Other No Code Non-applicable survey responses have been excluded from this category. 20 Hospital Emergency Code Standardization Survey 6
Hospital Council of Northern and Central California (HCNCC) INFANT ABDUCTION Other codes reported in use for infant abduction situations (shown by count of hospitals using each code): Code Lindbergh Code Green 3 3 Code Purple 2 OB Code Alert Code White Code Stork Alert Code Stork Code Rainbow Code Gray Baby Code Exit Code Baby Security Code A 20 Hospital Emergency Code Standardization Survey 62
Hospital Council of Northern and Central California (HCNCC) CHILD ABDUCTION 57.5% 46.9% 20 2009 37.8% 40.0% 4.7% 3.% Code Purple Other No Code 50% of hospitals using Other use Code Pink 20 Hospital Emergency Code Standardization Survey Non-applicable survey responses have been excluded from this category. 63
Hospital Council of Northern and Central California (HCNCC) CHILD ABDUCTION Other codes reported in use for child abduction situations (shown by count of hospitals using each code): Code Pink 20 Code Green 4 Code Lindbergh 3 Pediatric Code Stork Pediatric Code Alert Code White Code Stork Alert Code Security Lockdown Code Rainbow Code Pink Pediatric Code Pediatric Security Code Gray Baby Code Exit Code Blue Child Code Adam Code A 20 Hospital Emergency Code Standardization Survey 64
Hospital Council of Northern and Central California (HCNCC) BOMB THREAT 69.7% 20 56.2% 2009 3.5% 2.% 2.3% 9.2% Code Yellow Other No Code 20 Hospital Emergency Code Standardization Survey 65
Hospital Council of Northern and Central California (HCNCC) BOMB THREAT Other codes reported in use for bomb threat situations (shown by count of hospitals using each code): Code Black 6 Code Green 3 Code Gray 3 Code 0 3 Code Orange 2 Code Hazel Security Emergency Code White Code Security Code B 2 20 Hospital Emergency Code Standardization Survey 66
Hospital Council of Northern and Central California (HCNCC) COMBATIVE PERSON 73.4% 64.6% 20 2009 32.3% 22.9% 3.7% 3.% Code Gray Other No Code 20 Hospital Emergency Code Standardization Survey 67
Hospital Council of Northern and Central California (HCNCC) COMBATIVE PERSON Other codes reported in use for situations involving a combative person (shown by count of hospitals using each code): Dr. Strong 5 Code Green 4 Code Strong 3 Dr. Armstrong 2 Support Team Staff Stat Mr. Strong Dr. Leslie Code Silver Code Rush Code Purple Code Gray Visitor Code Gray Code 88 Code 3 20 Hospital Emergency Code Standardization Survey 68
Hospital Council of Northern and Central California (HCNCC) PERSON WITH A WEAPON and/or ACTIVE SHOOTER and/or HOSTAGE SITUATION 80.7% 20 2009 60.8% 25.4% 3.9% 0.% 9.2% Code Silver Other No Code 20 Hospital Emergency Code Standardization Survey 69
Hospital Council of Northern and Central California (HCNCC) PERSON WITH A WEAPON and/or ACTIVE SHOOTER and/or HOSTAGE SITUATION Other codes reported in use in person with a weapon/hostage situations (shown by count of hospitals using each code): Code Gray 3 Code Yellow 2 Dr. Leslie Code Green Code Gray Level 2 Code Dr. Safe Code Careful Code 3W 20 Hospital Emergency Code Standardization Survey 70
Hospital Council of Northern and Central California (HCNCC) HAZARDOUS MATERIALS SPILL 78.0% 7.5% 20 2009 5.4% 3.%.9% 0.% Code Orange Other No Code 20 Hospital Emergency Code Standardization Survey 7
Hospital Council of Northern and Central California (HCNCC) HAZARDOUS MATERIALS SPILL Other codes reported in use for hazardous material spill situations (shown by count of hospitals using each code): Code Yellow 6 Team Delta Code White Code HazMat Code Gray Code Black 20 Hospital Emergency Code Standardization Survey 72
Hospital Council of Northern and Central California (HCNCC) PATIENT ELOPEMENT 20 7.6% 2009 50.0% 47.7% 4.7% 3.8% 2.3% Code Green Other No Code 20 Hospital Emergency Code Standardization Survey Code Green was added in 2009 73
Hospital Council of Northern and Central California (HCNCC) PATIENT ELOPEMENT Other codes reported in use for patient elopement situations (shown by count of hospitals using each code): Code Purple 5 Code Elopement 2 Code Yellow Code White Code Rainbow Code Purple - Adult Code M Code Gray Code Gold Code Amber 20 Hospital Emergency Code Standardization Survey 74
Hospital Council of Northern and Central California (HCNCC) EMERGENCY ALERT 74.3% 20 2009 50.8% 47.7% 8.3% 7.3%.5% Code Triage Alert Other No Code Code Triage Alert was added in 2009 20 Hospital Emergency Code Standardization Survey 75
Hospital Council of Northern and Central California (HCNCC) EMERGENCY ALERT Other codes reported in use for hazardous material spill situations (shown by count of hospitals using each code): Code Triage 6 HICS Has Been Activated Code Triage Standby Code Orange 2 2 2 Disaster Alert Code Yellow Internal Code Triage Phase I Code Triage - Level I Code Green Code Brown Code Black Code 777 20 Hospital Emergency Code Standardization Survey 76
Hospital Council of Northern and Central California (HCNCC) INTERNAL EMERGENCY 66.% 20 2009 50.0% 4.5% 25.7% Code Triage Internal Other 39% of the hospitals using Other are using Code Triage 8.3% 8.5% No Code 20 Hospital Emergency Code Standardization Survey 77
Hospital Council of Northern and Central California (HCNCC) INTERNAL EMERGENCY Other codes reported in use for internal emergency situations (shown by count of hospitals using each code): Code Triage Code Yellow Internal Code Orange HICS has been activated Disaster Activate Code Yellow Code Utility Code Triage-Standby Code Triage - Level II Code Traige Activate Code Purple Code Green Internal Code Brown Internal Code Black Code Alpha or Code Bravo Code 777 2 2 20 Hospital Emergency Code Standardization Survey 78
Hospital Council of Northern and Central California (HCNCC) EXTERNAL EMERGENCY 67.9% 20 2009 54.6% 40.0% 25.7% Code Triage External Other 46% of the hospitals using Other are using Code Triage 6.4% 5.4% No Code 20 Hospital Emergency Code Standardization Survey 79
Hospital Council of Northern and Central California (HCNCC) EXTERNAL EMERGENCY Other codes reported in use for external emergency situations (shown by count of hospitals using each code): Code Triage 3 Code Yellow External Code Orange Code Black 2 2 2 HICS Has Been Activated Disaster Activate Code Triage-Standby Code Triage / Code Triage Standby Code Triage - Level II Code Traige Standby or Alert Code Green External Code Brown External Code 777 External 20 Hospital Emergency Code Standardization Survey 80
SECTION IV: Hospital Association of San Diego and Imperial Counties (HASDIC) 24 HASDIC hospitals responded to the survey 20 Hospital Emergency Code Standardization Survey 8
Hospital Association of San Diego and Imperial Counties (HASDIC) FIRE 00% 00% 20 2009 0% 0% 0% 0% Code Red Other No Code No other codes were reported in use for fire alerts 20 Hospital Emergency Code Standardization Survey 82
Hospital Association of San Diego and Imperial Counties (HASDIC) MEDICAL EMERGENCY - ADULT 95.8% 20 2009 79.3% 4.2% 6.9% Only one other code was reported in use for adult medical emergencies: hospital reported use of CODE GREEN. 0% 3.8% Code Blue Other No Code 20 Hospital Emergency Code Standardization Survey 83
Hospital Association of San Diego and Imperial Counties (HASDIC) MEDICAL EMERGENCY - PEDIATRIC 75.9% 52.4% 20 2009 28.6% 0% 9.0% 24.% Code White Other No Code 72.7% of hospitals using Other use Code Pink 20 Hospital Emergency Code Standardization Survey Non-applicable survey responses have been excluded from this category. 84
Hospital Association of San Diego and Imperial Counties (HASDIC) MEDICAL EMERGENCY PEDIATRIC Other codes reported in use for pediatric medical emergency situations (shown by count of hospitals using each code): Code Pink 8 Code Blue Peds Code Blue Pediatric Code Blue 20 Hospital Emergency Code Standardization Survey 85
Hospital Association of San Diego and Imperial Counties (HASDIC) INFANT ABDUCTION 66.7% 69.0% 20 2009 33.3% 7.2% 3.8% 0% Code Pink Other No Code Non-applicable survey responses have been excluded from this category. 20 Hospital Emergency Code Standardization Survey 86
Hospital Association of San Diego and Imperial Counties (HASDIC) INFANT ABDUCTION Other codes reported in use for infant abduction situations (shown by count of hospitals using each code): Code Purple 6 Code Adam 5 Code Adam Infant Code Lindbergh 2 20 Hospital Emergency Code Standardization Survey 87
Hospital Association of San Diego and Imperial Counties (HASDIC) CHILD ABDUCTION 57.% 5.7% 20 2009 42.9% 27.6% 0% 20.7% Code Purple Other No Code 75% of hospitals using Other use Code Adam 20 Hospital Emergency Code Standardization Survey Non-applicable survey responses have been excluded from this category. 88
Hospital Association of San Diego and Imperial Counties (HASDIC) CHILD ABDUCTION Other codes reported in use for child abduction situations (shown by count of hospitals using each code): Code Adam 6 Code Pink Code Lindbergh Code Adam Child 20 Hospital Emergency Code Standardization Survey 89
Hospital Association of San Diego and Imperial Counties (HASDIC) BOMB THREAT 50.0% 5.7% 20 2009 4.4% 33.3% 6.9% 6.7% Code Yellow Other No Code 20 Hospital Emergency Code Standardization Survey 90
Hospital Association of San Diego and Imperial Counties (HASDIC) BOMB THREAT Other codes reported in use for bomb threat situations (shown by count of hospitals using each code): Code 0 6 Code Black 2 Emergency Code Internal Code Security Code Orange Code 7575 20 Hospital Emergency Code Standardization Survey 9
Hospital Association of San Diego and Imperial Counties (HASDIC) COMBATIVE PERSON 69.0% 20 2009 54.2% 45.8% 27.6% 0% 3.5% Code Gray Other No Code 20 Hospital Emergency Code Standardization Survey 92
Hospital Association of San Diego and Imperial Counties (HASDIC) COMBATIVE PERSON Other codes reported in use for situations involving a combative person (shown by count of hospitals using each code): Code Green 6 Code 55 4 Dr. Strong Code Yellow Code White 20 Hospital Emergency Code Standardization Survey 93
Hospital Association of San Diego and Imperial Counties (HASDIC) PERSON WITH A WEAPON and/or ACTIVE SHOOTER and/or HOSTAGE SITUATION 62.5% 79.3% 20 2009 37.5% 3.8% 6.9% 0% Code Silver Other No Code 20 Hospital Emergency Code Standardization Survey 94
Hospital Association of San Diego and Imperial Counties (HASDIC) PERSON WITH A WEAPON and/or ACTIVE SHOOTER and/or HOSTAGE SITUATION Other codes reported in use for a person with a weapon / hostage situation (shown by count of hospitals using each code): Code Yellow 5 Code Gray 4 Code Black 4 Code Purple Code 99 20 Hospital Emergency Code Standardization Survey 95
Hospital Association of San Diego and Imperial Counties (HASDIC) HAZARDOUS MATERIALS SPILL 66.7% 5.7% 20 2009 34.5% 6.7% 6.7% 3.8% Code Orange Other No Code 20 Hospital Emergency Code Standardization Survey 96
Hospital Association of San Diego and Imperial Counties (HASDIC) HAZARDOUS MATERIALS SPILL Other codes reported in use for hazardous spill situations (shown by count of hospitals using each code): Call extension for SPIL response Code Orange 3 20 Hospital Emergency Code Standardization Survey 97
Hospital Association of San Diego and Imperial Counties (HASDIC) PATIENT ELOPEMENT 20 2009 79.3% 45.8% 29.2% 25.0% 20.7% 0% Code Green Other No Code Code Green was added in 2009 20 Hospital Emergency Code Standardization Survey 98
Hospital Association of San Diego and Imperial Counties (HASDIC) PATIENT ELOPEMENT Other codes reported in use for patient elopement situations (shown by count of hospitals using each code): Code Adam 3 Code White Code Security Code Adam Adult 20 Hospital Emergency Code Standardization Survey 99
Hospital Association of San Diego and Imperial Counties (HASDIC) EMERGENCY ALERT 75.0% 20 2009 55.0% 45.0% 6.7% 8.3% 0% Code Triage Alert Other No Code Code Triage Alert was added in 2009 20 Hospital Emergency Code Standardization Survey 00
Hospital Association of San Diego and Imperial Counties (HASDIC) EMERGENCY ALERT Other codes reported in use for emergency alert situations (shown by count of hospitals using each code): Emergency Code Internal / External Code Internal or External Disaster 20 Hospital Emergency Code Standardization Survey 0
Hospital Association of San Diego and Imperial Counties (HASDIC) INTERNAL EMERGENCY 79.3% 20 2009 50.0% 37.5% 3.5% Code Triage Internal Other 44% of the hospitals using Other are using Code Triage 2.5% 7.2% No Code 20 Hospital Emergency Code Standardization Survey 02
Hospital Association of San Diego and Imperial Counties (HASDIC) INTERNAL EMERGENCY Other codes reported in use for internal emergency situations (shown by count of hospitals using each code): Code Triage 4 Code Orange 2 Code Yellow Code Internal Code ABC 20 Hospital Emergency Code Standardization Survey 03
Hospital Association of San Diego and Imperial Counties (HASDIC) EXTERNAL EMERGENCY 86.2% 20 2009 54.2% 33.3% 3.5% Code Triage External Other 75% of the hospitals using Other are using Code Triage 2.5% 0.3% No Code 20 Hospital Emergency Code Standardization Survey 04
Hospital Association of San Diego and Imperial Counties (HASDIC) EXTERNAL EMERGENCY Other codes reported in use for external emergency situations (shown by count of hospitals using each code): Code Yellow Emergency Code External Code Triage 6 20 Hospital Emergency Code Standardization Survey 05