SHERIDAN MEMORIAL HOSPITAL
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Attachment A
SHERIDAN MEMORIAL HOSPITAL
SHERIDAN, WYOMING
EVACUATION PLAN
STATEMENT OF PURPOSE
To outline a plan, whereas patients, visitors, staff and vital hospital functional
components can be safely relocated out of harms way, whenever part or all of the
physical building and/or its infrastructure is threatened or rendered uninhabitable.
SCOPE
This evacuation plan is to be applied to all evacuation scenarios.
OVERVIEW
Sheridan Memorial Hospital recognizes the possibility that internal/external emergency
situations may force the evacuation of part or all of the building. The extent of the
evacuation would be governed by the scope of the threat to the health and well being of
our patients and staff. Successful evacuation may be accomplished internally by moving
patients/staff laterally from one department/wing to another or vertically from one floor
to the floor(s) below. Evacuation of the entire building to an alternate care site may be
warranted due to extreme conditions, as well. This plan will address both scenarios and
define the procedures to be followed to ensure an efficient and safe evacuation and
minimize the disruption in care provided to patients.
SHERIDAN MEMORIAL HOSPITAL
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Attachment A
INTERNAL EVACUATION
AUTHORITY/RESPONSIBILITIES UTILIZING HICS (HOSPITAL INCIDENT
COMMAND SYSTEM)
I. Chief Executive Officer or Designee
A. Assumes the role of Incident Commander and initiates Code Yellow if this
has not already been done.
B. Determines the need for evacuation from endangered area and gives the
order to evacuate part of the building. This may be accomplished for a
variety of reasons in one or more of the following ways:
1. Evacuation laterally, from one department only.
2. Evacuation laterally, from one wing to another.
3. Evacuation of an entire floor to the floor(s) below.
II. Nursing Service Director or Designee
A. Assumes the role of Operations Sections Chief
1. Directs the patient evacuation, depending on the severity and
type of situation.
2. Maintains information about patient relocation.
3. Initiates staff call list, if sufficient manpower is not available inhouse.
III. Facilities Services Manager or Designee
A. Secures designated evacuation route(s).
B. Acts as traffic flow officer, as needed.
C. Secures affected area(s) and prevents unauthorized re-entry.
D. Assigns personnel to take control of elevators, if they are safe to use.
1. If they are not safe, they are to be shut off at their main control
panel and all elevator doors marked with an out-of-service sign.
E. Provide support services, as needed:
1. Distributes food, water, stretchers, and wheelchairs in
coordination with Nursing Services.
2. Provides available personnel to assist Nursing Services in the
evacuation of patients.
IV. Business Office Manager/Admissions Personnel
A. Maintains patient location
V. Material Management Manager/Material Personnel
A. Provide additional supplies to patient care area(s), as requested.
VI. Non-clinical Personnel
A. Provide assistance in evacuation of patients.
SHERIDAN MEMORIAL HOSPITAL
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Attachment A
PROCEDURES
I. Notification
A. If sufficient personnel are not on-site to complete a timely evacuation, the
staff call list shall be initiated.
II. Evacuation from one room or a block of rooms
B. If an emergency situation arises that precipitates the evacuation of a single
room or block of rooms, any staff member may order the removal of
anyone in immediate danger. The Operations Section Chief shall be
notified immediately. Admissions personnel shall be notified if patient
relocation results.
III. Evacuation laterally from one department/wing to another
A. If evacuation from one room to another will not guarantee the safety of
patients, visitors and staff during an emergency situation, it may become
necessary to vacate an entire department or wing of the hospital.
B. The Incident Commander or his designee will be notified immediately of
the emergency, and will give the order to evacuate, if necessary.
1. In the case of imminent danger to patients or personnel, the order
to evacuate may come from the person having authority over the
area in question. The Incident Commander, or designee, will be
notified as soon as possible of the situation.
C. Patient care areas
1. Upon determining that an internal evacuation is potentially
warranted, Code Yellow will be initiated immediately.
2. Facilities Services staff will secure possible evacuation routes.
3. Patients in immediate danger will be evacuated first, followed by
ambulatory patients, non-ambulatory patients, then visitors and
employees.
4. Methods for evacuating patients are outlined in External
Evacuation Plan.
5. All available hospital staff will assist with patient evacuation and
directing visitors to safe areas.
6. If an entire floor of the building is in danger; patients, visitors
and staff will be evacuated to the floor(s) below.
7. Elevators should be used to evacuate non-ambulatory patients
only, provided they are deemed safe by Facilities Services.
8. Facilities Services staff will be responsible for assuring that there
is no unauthorized entry to the affected area(s).
9. Re-occupation of the affected area(s) will be at the discretion of
the person having authority at the scene.
SHERIDAN MEMORIAL HOSPITAL
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Attachment A
EXTERNAL EVACUATION
AUTHORITY/RESPONSIBILITIES UTILIZING HEICS (HOSPITAL
EMERGENCY INCIDENT COMMAND SYSTEM)
I. Evacuation Planning
A. Chief Executive Officer or Designee
1. Assumes the role of Incident Commander and initiates Code
Yellow if this has not already been done.
2. Determines the need and is responsible for ordering and directing
the evacuation of the hospital.
B. Nursing Service Director or Designee
1. Assumes the role of Operations Sections Chief
2. Directs patient evacuation, maintains information about patient
relocation, initiates staff call list, and coordinates
activities/nursing personnel at the alternate care sites, as needed.
II. Authority/Direction of Personnel
A. HICS
1. Chief Executive Officer-Incident Commander or designee: in
charge of the Incident Command Center.
2. Nursing Service Director-Operations Sections Chief or designee:
directs patient evacuation, maintains information about patient
relocation, initiates staff call list, and coordinates
activities/nursing personnel at the alternate care sites, as needed.
3. Human Resource Director-Logistics Section Chief or designee:
in charge of the Labor Pool.
4. Logistics Chief or designee: secures designated evacuation
route(s), maintains control of the elevators, and provides support
services, as needed, and coordinates security in and out of the
hospital during the evacuation process.
5. Chief Financial Officer-Finance Section Chief or designee:
Oversees the acquisition of supplies and services necessary for
evacuation and continued patient care at the alternate care site(s)
and documentation of expenses.
6. Department Managers-responsible for determining what needs to
be taken to the new site.
PROCEDURES
I. Notification
A. The Chief Executive Officer, or designee, will be notified immediately of
any emergency situation that may indicate the need for an evacuation.
B. Upon determination that a total building evacuation is warranted, the
Chief Executive Officer will contact:
1. The operator to have it paged overhead: “Implement Evacuation
Plan” six times at 15-second intervals.
SHERIDAN MEMORIAL HOSPITAL
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Attachment A
2. The Local Emergency Planning Office
a. 675-2569
work Dave Coleman
752-2174
cell
674-534
home
3. Request transportation support from the Local Emergency
Planning Office
4. Request law enforcement support
C. An Incident Command Center will be established
1. All external communication regarding evacuation activities will
go through the Incident Command Center.
a. Phone number 674-5327 ext. 1053
Use of 2-way radios may be utilized, as needed.
b. Location: Basement LL11 or an alternate outside site from
the building.
II. Evacuation of Patients
A. Ambulatory patients should be moved first
1. The ambulatory patients should be instructed to line up in the
corridor and follow a lead nurse to the staging area. The rooms
should than be checked for stragglers.
2. Ambulatory patients should use stairwells for vertical evacuation
routes.
3. Staff member(s) are to accompany patients at all times. NEVER
LEAVE A PATIENT ALONE.
B. Non-ambulatory patients should be moved second.
1. Elevators should be used, provided they are deemed safe by
Facilities Services, to evacuate non-ambulatory patients, if using
the basement as the evacuation route.
C. Patients are to be escorted to other buildings associated with the hospital
which will be used as the primary staging area (prior to relocation to the
alternate care site(s), unless that area is unsafe).
III. Transportation
D. Per Local Emergency Planning Center
E. Sheridan Fire and Rescue Ambulance Service
F. Rocky Mountain Ambulance Service
IV. Evacuation Responsibilities
G. Nursing Services and All Other Departments
1. If an order for evacuation is received, make sure all patients are
accounted for.
2. Direct removal of patients when authorized.
3. Never leave a group of patients alone. Always have a nurse or
other attendant with them. This will help lessen the possibility of
panic. Avoid using the term fire, bomb, etc.
4. Avoid giving orders in a hurried manner. Direct patients in such
a way that they will know evacuations are under control.
SHERIDAN MEMORIAL HOSPITAL
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Attachment A
5. Direct/assist outpatients to the staging area.
6. All departments should have an evacuation plan for their specific
department that should include, at minimum, roles and
responsibilities for staff, as well as equipment/supplies that
would be needed to support patient care activities at the alternate
site.
V. Alternate care location(s)
A. Primary site:
1. VAMC
2. Sheridan, Wy
B. Secondary site:
1. Other medical facilities outside the area.
a. Campbell County Memorial Hospital
Gillette, Wy
(307) 688-1000
b. Johnson County Hospital
Buffalo, Wy
(307) 684-6188
2. Nursing homes, when appropriate
4/28/2008