CCH - Safety Codes Committed to a Culture of SAFETY 1 Introduction Our goal is to maintain a safe work environment for you, your coworkers, our customers, our patients and their families/visitors. You are an integral part to achieve this goal. Please, be observant, utilize the appropriate emergency codes, and know your department’s response plan. A “safe” culture requires the commitment and participation of our entire staff. 2 Objectives Upon completion of this review course you will be able to: Correlate the CCH code color to the type of code State what to do in each type of code Discuss the Homeland Security Codes of Imminent Threat Alert versus Elevated Threat Alert 3 Areas of Safety Patient Safety Environment of Care Employee Safety Disaster Readiness Radiation Safety 4 CCH Policies CCH Policies are located in the Disaster Manual online at the CCH Home Page All Employees, Volunteers, Physicians & Students are expected to know their role in response to a Code. 5 To REPORT EMERGENCIES… External Buildings Main Hospital Page the emergency code Give location Call 911 Report the type of emergency Give building address 6 Emergency Preparedness Know the CCH CODES ! Red: Fire Blue: Cardiac/Respiratory Arrest Green: Disaster Amber Alert: Infant/Child Abduction Orange:Evacuation Gray: Elopement Yellow: Radiation Disaster Code C: Crisis Situation Code Black: Crisis Situation in BHS or ER 7 CODE RED (fire) Always know the LOCATION of: Fire extinguishers Fire alarm pull stations Fire exits 8 Know What to Do in a CODE RED… AT FIRE SCENE R.A.C.E. – Rescue – Alarm; Dial 9-911 – Close Doors – Extinguish (or Evacuate) 9 Fire Extinguisher Use Operation of a Fire Extinguisher: P = Pull the pin A = Aim at the base of the fire S = Squeeze the handle S = Sweep from side to side 10 In a CODE RED… MOVE EQUIPMENT on wheels in the hallways to one side Ensure exits, extinguishers, and hallways are clear Respond even in a drill 11 Emergency Preparedness Evacuation If patients must be evacuated to an alternate care site, send any necessary medications, and equipment with them. The next few slides give information on the Evacusled method to evacuate patients. Evacusled is available in limited areas. For further information, please contact the nursing unit. 12 13 14 15 16 17 CODE BLUE (Cardiac/Respiratory Arrest) If you find someone UNCONSCIOUS or UNRESPONSIVE: – Page Code Blue or Dial 911 if outside of the main hospital – Begin CPR if needed and if qualified – Remain until help arrives (team or ambulance) 18 CODE GREEN (Internal or External Disaster) Disasters could include: – Severe snowstorm – Major accidents on I-94 – Airplane accident in the area – Explosion internally 19 CODE GREEN ( Disaster) When a Code Green is determined the Incident Command Center will be opened and is responsible for: Management of the disaster Interaction with outside agencies Providing support to departments Be Prepared; Know Your Department’s Plan. 20 CODE Green… continued If a Code Green occurs, contact your supervisor to see how you can be of assistance. If called at home during a disaster, report to the designated area (if requested). Disasters may result in large-scale severe injuries and deaths, as well as major disruptions in patient care. Hospitals are required to hold practice drills 21 Code Orange (Evacation) Evacuations may be a full or total re-location of patients, visitors and employees or a partial re-location ie to an adjacent area If immediate danger is present, the employee will make a decision to relocate in collaboration with Administration (or their designee), putting safety first. 22 Dr Heloise ( Workplace Violence) Use the term “Dr. Heloise” in a sentence to alert co-workers that you may need assistance or feel threatened. If you are a recipient of a “Dr. Heloise” statement, call Security immediately 23 Amber Alert (Internal Child or Young Adult Abduction) Did you know that the abductor almost always visits the area prior to the abduction? When an Amber Alert occurs be aware and: – Watch the hallways/stairs in your area – Watch for suspicious people/activity – Dial 911 and keep the person in sight 24 Bomb Threat Remain calm. Have a co-worker: Dial 9-911 Security/police will secure the area Evacuate only if instructed to do so Ask the caller: Where is the bomb? When is the bomb set to go off? What does it look like? What is your name/address? Did you place the bomb? Why did you place the bomb? 25 Code Yellow (Radiation Disaster) If a radiation spill has occurred internally, notify Xray, Ext 3-5500 immediately. Stay at least 6 ft away from the spill Secure the area to keep others out of danger Call Code Yellow only if directed to do so. If victims of a radiation disaster arrive to the hospital, follow the Radiation Disaster Policy 26 Tornado Watch When a Tornado Watch occurs: Patient Care Areas: – Close the drapes/shades – Check on and reassure patients Non Patient Care Areas: – Close the drapes/shades Listen For Updates 27 Tornado Warning (A tornado has been sited in the area) Patient Care Areas: – Assist ambulatory patients to the Woodland Rooms or other designated areas – Move non-ambulatory patients to inner hallways away from windows Non Patient Care Areas: – Go to inner hallways/away from windows 28 …and Listen for Updates National Terrorism Advisory System The National Terrorism Advisory System, or NTAS, replaces the color-coded Homeland Security Advisory System (HSAS). This new system will more effectively communicate information about terrorist threats by providing timely, detailed information to the public, government agencies, first responders, airports and other transportation hubs, and the private sector. It recognizes that Americans all share responsibility for the nation’s security, and should always be aware of the heightened risk of terrorist attack in the United States and what they should do. 29 National Terrorism Advisory System Alerts Imminent Threat Alert Warns of a credible, specific, and impending terrorist threat against the United States. Elevated Threat Alert Warns of a credible terrorist threat against the United States. After reviewing the available information, the Secretary of Homeland Security will decide, in coordination with other Federal entities, whether an NTAS Alert should be issued. NTAS Alerts will only be issued when credible information is available. 30 For Both NTAS Alerts: Imminent or Elevated Wear your hospital issued I.D. Keep areas secured. Call 9-911 to report suspicious activity, person(s) or package(s),followed by calling CCH Security 31 Student Safety Orientation Safety Event Code Student or Volunteer Role/Responsibility Cardiac or Respiratory Arrest Code Blue • If you find a victim: 1. Yell loudly for help immediately or 2. Call the Hospital Operator or 3. Go to any phone and dial 510 (to get onto the intercom), state “Code Blue, and your location three times • If you know CPR, begin CPR Civil Disturbance, i.e. riot, picketing Code Green • Take immediate action to provide for safety of all patients, visitors and staff • Assist staff as directed Crisis Control: a patient, visitor and/or employee is acting out, posing a threat to others (anywhere in CCH) Code C • Keep yourself /others safe • Stay away from involved area • Report an actual or potential volatile situation to a CCH Staff member Crisis Control: a patient, visitor is acting out, posing a threat to others in the area of Behavioral Health or ER Code Black • Keep yourself /others safe • Stay away from involved area • Report an actual or potential volatile situation to a CCH Staff member Disaster: (could be internal or external) may involve accident on freeway, explosion, chemical spill Code Green • Assist staff in area you are working • Return to Department for direction • Do not go to ER unless sent Evacuation Code Orange • Assist staff in evacuation procedure • Leave the building through nearest exit 32 Student Safety Orientation, continued Safety Event Code Student or Volunteer Role/Responsibility Fire Code Red • Follow Hospital’s fire plan: RACE Rescue all personnel Alert everyone in area Confine fire Extinguish fire or evacuate • Look for fire alarms and fire extinguishers in main hallways of the Hospital. • Know how to use a fire extinguisher (PASS). Hostage Situation No Code • Keep all personnel safe • If immediate threat of danger, call 9-911 to request police assistance • Notify other staff as directed Radiation Disaster Code Yellow • If you observe a radiation spill, assist staff to keep everyone away from the spill • Follow directions of staff • If not involved, stay away from area Severe Weather: Tornado Watch: Weather is “ripe” for tornado Tornado Warning: A tornado has been spotted No Code Operator will announce over intercom • Assist staff in preparing patient areas if working in patient area • Follow operator instructions • In the event of a tornado warning, go to the basement of the building Additional Staff are needed in a particular area Stat Staff • Do nothing. Do not report to that area. 33 Student Safety Orientation, continued Note: CCH has an internal code word to be used if you feel personally threatened and do not want to call attention to yourself by yelling/screaming. The internal code word is “Dr. Heloise.” Use the code word in a sentence appropriate for your environment, i.e. “Tell Dr. Heloise that I cannot meet for lunch today. If you are a recipient of this code word, immediately call Security at x36251. DO NOT PAGE Dr. Heloise! Resource Phone Numbers for Safety Concerns: Within the Hospital: Director of Safety/Security: x36251 Employee Health: x36264 Infection Prevention: x36266 Outside the Hospital: Emergency Assistance, i.e. Fire, Police: 9-911 Chelsea Police: 734-475-9122 Huron Valley Ambulance (HVA): 734-994-4111 Washtenaw County Sheriff Dept: 734-971-3954 G:\Staff Development\Student\Online Orientation\CCH Safety Codes for Online Student Orientation.ppt 34