Emergency Measures Training
MNI
September 24, 2012
revised April, 2015
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Services
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Agenda
1.0) Welcome
2.0) Introduction and course objectives.
( 5 minutes)
3.0) Presentation of emergency situations
( 45 minutes)
4.0) Wrap up. Questions and completion of
evaluation.
(10 minutes)
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Introduction
A 1 hour course of theory and open discussion
to better prepare employees and students
of the Montreal Neurological Institute
in their response to
emergency situations.
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Training Objective
At the end of this training, the
participant will:
 Be able to identify the various
emergency codes
 Have an understanding of their roles
and responsibilities
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Emergency Codes
Code Red
Code Flood
Code Black
Code Brown
Code Grey
Code Green
Code Orange
Code Yellow
Electrical Failure
Code White
Code Blue
Code Pink
Elevator shutdown
Medical gas
Extreme Heat
Water Shutdown
Heat Shutdown
Code Flood
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Site Response
Unit based
response
Site based
response
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Exterior
response
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Code Red
Code Red refers to events linked to a
possible fire. It represents the alert
process, intervention and re-establishment
of services
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Detection
Code Red
Activation and
response
Smoke
Heat
Pull Station
Sprinkler
55555
Declare Code red
Central Fire Panel
Security present
24/7
911
SIM
Contact
First responders
Respond to area of
alert
All Clear
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Intervention
Possible
Code Green
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Code Red
Departmental response
You discover a fire!
Code Red
(elsewhere)






Listen to instructions
Return to work station.
Clear exit routes
Shut doors and windows
Prepare to evacuate
Wait further instructions.
 Move people in
immediate danger
 Activate manual fire
alarm
 Contact 55555
 Close windows and doors
 Attempt to extinguish fire
 Remain available
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Code Red
Classes of fire
Types of portable fire
extinguishers
How to use
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Code Red
Classes of fire
Ordinary combustibles
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Code Red
Classes of fire
Flammable liquids & gases
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Code Red
Classes of fire
Electrical equipment
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Code Red
Classes of fire
Combustible metals
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Code Red
Classes of fire
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Code Red
Fire extinguishers
Water : 30 – 50 s
CO2: 8 – 30 s
Powder: 8 – 25 s
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Code Red
Fire extinguisher use
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Code Red
Fire extinguisher use
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Code Red
Fire extinguisher use
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Code Brown
Code Brown is an accidental spill of a
hazardous material that may include
chemicals, cytotoxic agents, gases,
bio-hazardous substances,
mercury and radioactive substances.
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Code Brown
Departmental response
Code Brown (Elsewhere)
 Listen for additional
instructions.
 Evacuate area if
experiencing negative
health affects.
 Await the “all clear”.
Create or witness to !
 Move person in
immediate danger.
 Contact 55555
 Advise other occupants in
immediate area.
 Remain available to
provide
assistance/information.
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Code Orange
Code Orange a disaster or external
cataclysm which may generate a sudden
increase in patient flow.
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Code Orange
Three levels of a code orange:
Pre ( alert)
1 ( 6-11 patients)
2 ( 11 and over)
When heard
 Does it affect you?
 If so, follow your dept plan
No affect
 Carry on normal activities
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Green Code
Code Green refers to the immediate
evacuation of a portion of or the entire
complex due to circumstances that cannot
assure the safety of patients, staff or
visitors. Includes the alert process,
intervention and recovery of services.
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Code Green
Ordered to evacuate.
Initiate local plan




Local
Horizontal
Vertical
Off site
 Evacuate according to
local plan
 Re group at designated
meeting place.
Evacuation ordered
elsewhere
 Listen for additional
instructions.
 Prepare to evacuate
 May be asked to assist
with evacuation of other
areas.
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Code White
Code white is an emergency response
which is initiated in order to subdue a patient
who is expressing extreme anxiety and
anger which may escalate into a potentially
violent situation.
Code white stat a situation that
escalates in violence and the patient is
armed.
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Code White
On Hearing a “ Code white”
 Listen for location
 If you are in the proximity remain attentive to
further messages.
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Code Yellow
Code yellow is an emergency response
that is initiated to assist in the search of a
missing in-patient.
Code yellow stat is an emergency
response that is initiated due to the
abduction of an in-patient.
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Code Yellow
When advised of a Code yellow:
 Have a look around your immediate work area,
sitting rooms, lounges etc..
 If a patient is found or seen, contact site security
and advise. Nursing personnel will be sent to
escort the patient back to their unit.
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Code Black
Code Black is an emergency response
that is initiated to assist with a received
bomb threat or suspicious package.
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Code Black
Not affected!
Search Requested!
 Remain attentive for
further instructions.
 Continue normal
activity.
 Initiate local plan.
 initiate search of your
work area.
 Report findings to
security.
 Remain attentive to
further instructions.
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Code Grey
Code Grey is an emergency response to
an external event that may imply an external
gas leak, or an external hazardous
chemical/biohazardous/radioisitope spill or
leak.
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Code Gray
When advised of a Code gray!
 Close exterior windows.
 Remain within the building.
 Wait for further instructions or the “all clear”.
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Code Blue/ Pink
“Code Blue/ Pink” is an emergency
response to an unconscious person. ( Adult/
Child)
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Code Blue/Pink
An unconscious
person is
discovered!

No impact on you
 Continue routine
activities.
Contact local 55555
 Site
 Location i.e. room
 Number where you
can be reached.
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Medical Emergency Procedures
Conscious Individual
Ambulatory
 Minor injury:
Non-Ambulatory
 Call 911
– Administer first aid
– Follow up as necessary
 Needing medical
attention:
– Go to Emergency at the
Montreal General Hospital
– Be accompanied by a coworker
– Give location (Building,
Pavilion, Floor, Room
number), your name and a
phone number to contact
you
 Inform Neuro Security by
calling 55-555
 Arrange escort for
Urgence Santé to location
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Other Codes
“Code Flood” uncontrolled release of water within the facility.
“Elevator shutdown” emergency shutdown of elevators due to
mechanical problems.
“Medical Gas shutdown” an unscheduled interruption in the
distribution of medical gases.
“Water shutdown” an unscheduled closure of the domestic water
supply.
“Extreme heat” condition where the exterior temperature is having a
negative impact on operations and measures must be put in place.
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Thank you!
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