Safety Codes

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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
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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.
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13
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15
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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
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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
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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
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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
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…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.
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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.
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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
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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
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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.
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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
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