CODE BROWN: MIT PROCEDURE
YOU REPORT TO: Chief MIT
INITIAL
Receive
notification
of Code
Brown via
pager 4443
AFTER HOURS
ONLY:
Call on-call
Radiologist or
MID Director
Contact
Chief MIT
(or deputy)
AFTER HOURS
ONLY:
Start calling
general MITs
If instruced
by Chief MIT:
•Call Clerical
manager
•Call on call ICT
person
Get
equipment
ready
•1 mobile in
main dept
•1 mobile in ICU
•warm up CT
Print off
incident log
• keep track of
staff/patients
then hand over
to Chief MIT
ONGOING


Keep Chief MIT appraised of capacity constraints and critical delays
Participate in the evaluation of the incident response that will be arranged once the emergency situation has resolved
Stand down:





Once the decision has been made to end the response, wind down and facilitate smooth transition to recovery phase or to
normal routines
Collate and save all incident records to be forwarded to the Medical Imaging Team Leader
Collect reports from staff of any issues that arose during incident response prior to handover to Chief MIT or delegate
Assist in preparation of report for operational debrief meeting prior to handover to CMIT or delegate
If required, attend operational debrief
CODE BROWN: MID DIRECTOR (or deputy)
YOU REPORT TO: Operations Leader
INITIAL
Receive
notification of
Code Brown
from
Operations
Lead
AFTER HOURS
ONLY: Receive call
from duty MIT
Call in:
•Consultants
•Fellows
•NUM (as req'd)
•NM physician (as
req'd)
Get briefing
from
Operations
Lead
Liaise with
the ED
Medical
Team Leader,
Operating
Suite and
PICU
Liaise with
Chief MIT
regarding staff
distribution
and equipment
availability
Print off
incident log
• document all
decisions &
actions
ONGOING



Provide rapid interpretation of radiological investigations as requested by ED, Trauma, Surgical and Orthopaedic Services
Assess resource and staffing requirements on an on-going basis
Document actions and decisions on a continual basis ??
Extended



Obtain progress reports from team members as appropriate
Ensure smooth communications with Operations Lead
Ensure a list of all staff involved is completed for each area
Stand Down






Wind down and facilitate smooth transition to recovery phase or to normal routines
Ensure all staff have access to Peer/Psychological Support during and after the emergency situation
Collate and save all incident records to be forwarded to the Operations Lead
Collect reports from staff of any issues that arose during incident response
Prepare report for operational debrief meeting
Prepare report for operational debrief meeting
CODE BROWN: CHIEF MIT (or deputy)
YOU REPORT TO: MID Director
INITIAL
AFTER HOURS
ONLY: Receive
call from duty
MIT
Call :
Liaise with
MID Director
• Deputy Chief
MIT
• CT Supervisor
• MRI Supervisor
• US Supervisor
Allocate
resources in
consultation
with MID
Director
Organise
mobilization
of MITs &
equipment
Assist with
verification
of images
and other
ICT functions
Ongoing




Assess resource and staffing requirements on an on-going basis
Attend operational briefings as directed
Provide operational briefings and updates to staff as frequently as possible
Obtain progress reports from Team members as appropriate
Extended





Keep MID director appraised of capacity constraints and critical delays
Ensure all staff receive regular incident updates
Ensure a list of all staff involved is completed for each area and all shifts
Participate in the evaluation of the incident response that will be arranged once the emergency situation has resolved
Ensure provision of staff rest periods and relief
Stand Down




wind down and facilitate smooth transition to recovery phase or to normal routines
Collate and incident records to be forwarded to the MID Director
Collect reports from staff of any issues that arose during incident response
Prepare report for operational debrief meeting
CODE BROWN: MANAGER Clerical Services
YOU REPORT TO: MID Director
INITIAL
Receive
notification
of Code
Brown from
Operations
Lead or
Chief MIT
AFTER
HOURS
ONLY:
Call in
Clerical Staff
as required
Liaise with MID
Director:
organise elective
examinations to
be suspended
/cancelled
Allocate
clerical staff
to
coordinate
and
reschedule
patients
Allocate
clerical staff
to track
patient
movement
into and out
of dept
Allocate staff to
perform patient
registrations
Assist with
verification of
images and
allocation of
reports
Supervise clerical
staff to record
UR nos. &
ensure correct
merging of
“unknown”
patient details
Ongoing



Assess resource and staffing requirements on an on-going basis
Attend operational briefings as directed & provide updates to staff as frequently as possible
Obtain progress reports from Team members as appropriate
Extended





Keep MID director appraised of capacity constraints and critical delays
Ensure all staff receive regular incident updates
Ensure a list of all staff involved is completed for each area and all shifts
Participate in the evaluation of the incident response that will be arranged once the emergency situation has resolved
Ensure provision of staff rest periods and relief
Stand Down




wind down and facilitate smooth transition to recovery phase or to normal routines
Collate and incident records to be forwarded to the MID Director
Collect reports from staff of any issues that arose during incident response
Prepare report for operational debrief meeting
CODE BROWN: Medical Imaging ICT Support
YOU REPORT TO: Chief MIT
INITIAL
IN NORMAL
HOURS:
AFTER
HOURS
ONLY:
Receive
notification of
Code Brown
from Chief MIT
Receive call
from duty
MIT
Liaise with
Clerical
Services
Manager
Ensure the PACS,
RIS and Voice
recognition
system is
operational
Provide PACS
support to
ensure
availability of
images to
clinical areas
Ensure
smooth flow
of network
"traffic"
Ongoing


Attend operational briefings as directed
Document actions and decisions on a continual basis
Extended


Keep Chief MIT appraised of capacity constraints and critical delays
Participate in the evaluation of the incident response that will be arranged once the emergency situation has resolved
Stand Down




Wind down and facilitate smooth transition to recovery phase or to normal routines
Collate and save all incident records to be forwarded to the Chief MIT
Assist in the preparation of the report for operational debrief meeting
If required, attend operational debrief
Record all
activities,
issues and
decisions