Emergency Management

Emergency Management Providence Health System - Oregon Environment of Care

Purpose The Environment of Care places a heavy focus on being prepared for emergency situations. Keeping employees, patients, and visitors safe and having appropriate responses helps ensure the safety of everyone in a Providence facility. You need to: • Learn the notification system • Follow emergency procedures

Learning Objectives Upon completion of this course, you will be able to: • List the four phases of Emergency Management. • Identify Providence’s partners in Emergency Planning. • Know the function of the Command Center and Labor Pool. • Identify elements of a home emergency plan. • Identify each of the ten different overhead paging codes. • State the purpose and expected response for each code. • Know how to access more information on responses.

Types of Emergencies An emergency is a natural or manmade event that happens unexpectedly. It can disrupt a healthcare organization’s ability to provide patient care and services. There are two types: • Internal emergencies happen within the hospital. They directly impact operations. • External emergencies occur outside the hospital and generally result in casualties that impact operations.

Emergency Management Planning We can do this best by: • Developing plans • Conducting exercises • Taking corrective action whenever possible All systems and people at Providence need to be ready to respond quickly to emergency events.

Planning Hospitals & Satellites work together to share response plans for all types of emergencies including natural and manmade events. Outside participants include: • Other hospitals • Public health agencies • County Office of Emergency Planning • Local emergency planners • State emergency planners • Federal emergency planners

Continuing Cycle of Activity There are four phases to the ongoing Emergency Management activities: • Mitigation (reduce or lessen) - Correct identified risks to lessen possible impact. • Preparedness - Develop plans. • Response - Take action when an incident occurs. • Recovery - Return to normal operations.

Incident Command Center Each hospital has an Incident Command Center that directs operations during emergency situations. Providence also opens a Regional Command Center if more than one entity is involved. Satellites support hospitals’ emergency responses.

Labor Pool All departments need to call their Labor Pool during an emergency. The telephone number is listed in the Emergency Manual (Flip Chart). Provide the following information: • Staffing levels • Number of staff available for reassignment • Staffing problems Satellites may be called on by the Labor Pool to provide backfill staff for the local hospital’s response to internal or external emergencies.

Identification (ID) Badges Always wear your ID Badge during work. Remember: During an emergency, you will need your ID Badge to get on campus.

Avoid Hazardous Areas Red danger tape and Yellow caution tape are used to mark: • Construction sites • Remodel zones • Accident sites DO NOT cross Red or Yellow tape for any reason.

Communication If you are contacted by anyone seeking more information about the emergency, refer them to the Public Information Officer in the Incident Command Center. The telephone number is in the Emergency Manual (Flip Chart).

Disaster Hotline Providence has a Disaster Hotline to provide Portland Service Area employees with current information. Call 503-216-4444.

Include Family Preparedness Will your children, elders, and pets be safe if you cannot get home? Be safe. Plan ahead. Create and test your family’s emergency plan. Read / Print a copy of the Emergency Preparedness Handbook found on the Intranet. It contains many other helpful links. Here’s the link to the Handbook: http://phsnet.phsor.org/emergency_preparedness/default.htm

Family Preparedness Kit The Emergency Preparedness Handbook includes a section on Disaster Home Preparedness: • Create a basic home plan. • Develop an alternative plan for childcare. • Gather supplies to create a 72 hour survival kit. • Choose an out-of-state family contact in case local lines go down. Ensure everyone knows to call that contact if the family is separated.

Your Emergency Contact If something happens to you, make sure that Providence can reach yourEmergency Contact. Keep your information current and accurate. To check your information: • Go to Human Resource’s intranet page (link below). • Click on Employee Self-Serve. • Login (Use your NT login. Call 62800 if you need help.) • Click on Personal Information. • Click on Emergency Contact. http://phsnet.phsor.org/hr/default.htm

Earthquake Preparedness Practice duck, cover, and hold on! • Duckunder a sturdy table or desk or against an inside wall where nothing can fall on you. • Coveryour eyes by pressing your face against your arm. Patients lying in bed should protect their eyes with a pillow. • Hold onuntil the shaking stops. Earthquake Drills are conducted quarterly. You are expected to fully participate.

Earthquake Preparedness Why is this employee at risk? What should he do?

Earthquake Preparedness • His risks include: • Falling / being hit by debris. • Head / eye injury. • Crushed fingers. • Our recommended actions: • Duck, cover and hold on! • If you can’t find a desk, curl up • in an inside corner of a room • Cover your head • Avoid windows and glass • Do NOT stand in a doorway • Do NOT run outdoors during the quake

Hospital Overhead Paging Codes The hospital uses an overhead paging system to complete Emergency Management Notification. There are ten Hospital Overhead Paging Codes that alert the response teams. Can you name all ten? If not, refer to the Employee Action Card worn with your photo I.D. Cards are Available from the Security office. Satellites are notified of emergencies by their local hospitals.

Hospital Overhead Paging Codes • Code Red - Fire • Code Yellow - Evacuation • Code Blue - Disaster • Code White - Utility Failure • Code Orange - Chemical Spill • Code Green - Show of Force • Code Pink - Infant Abduction • Code Adam – Lost Child • Code 55 – Weapons Visible • Code 99 - Medical Emergency White Responders for the Satellite emergencies are notified through the community 9-1-1 telephone system.

Emergency Code Initiation Hospital employees can initiate Codes Red, Orange, Green, 55, and 99 through the hospital switchboard: • Dial88 • Identify the Code • State location Repeat until you hear the code called overhead. Call Security at 57777 to initiate a Code Pink or Code Adam. (Maternity staff may also initiate a Code Pink.) Leadership initiates Codes Blue, White and Yellow.

CODE REDFire Response Remember R.A.C.E. • Rescue people • Alarm - activate the alarm system • Contain - close doors • Extinguish the fire Pulling the Fire Alarm and Dialing 88 triggers a CODE RED fire alarm.

CODE YELLOWEvacuation Evacuation that requires moving on stairs or outdoors may increase the risk of falls. Therefore, the preferred order of evacuation and refuge is: 1. Horizontal 2. Vertical 3. Designated Safe Areas in the Building 4. Designated Safe Areas Outside the Building Only the Incident Commander or designee can order the evacuation of the entire hospital.

CODE YELLOWEvacuation Order of Evacuation: 1. Persons in immediate danger 2. Ambulatory persons 3. Persons in wheelchairs 4. Persons on stretchers or in beds

CODE BLUEDisaster Response A Code Blue is called for Mass Casualty Incidents. The Incident commander, Hospital Epidemiologist, or Emergency Department Physician may order a Code Blue.

CODEWHITEUtility Failure Utility failures may include: • Electricity • Water • Sewer • Natural Gas • Medical Gases • Pneumatic Tube Systems • Telephones • Computers The purpose of a Code White is to alert employees to a hospital-wide failure of one or more utility systems.

CODE ORANGEHazardousChemical Spill Response Spills less than ½ gal liquid or 5 lbs. solid may be cleaned up by the department as long as personnel have been trained. • Clear area. • Look up and review the MSDS (Materials Safety Data Sheets) • Put on required PPE (Personal Protective Equipment) • Clean it up, package, place in yellow bag and label • Call Environmental Services to arrange disposal

CODE ORANGEHazardousChemical Spill Response Call a Code Orange to obtain help from outside the department for: • Medium or large spills • Smaller spills that department is not trained to clean up Do the following steps: • Clear area • Dial 88 • State “CODE ORANGE” • State substance spilled & amount • State location Satellites must call the contracted Hazmat Vendor (see Satellite Emergency Manual (Flip Chart)

CODE GREENSpecial Support Staff A Code Green is called to help hospital personnel control violent behavior. The responding “Code Green” Team is made of specially trained individuals.

CODE 55Avoid Area/ Dangerous Situation If you see a weapon being displayed: • If in the area: • Go to a safe place • Dial 88or57777 (Security Stat) • If not in the area: • Do not enter • Prevent others from entering

CODE PINKInfant Abduction All employees should respond immediately: • Monitor exit doors. • Begin a search for the abducted infant. Look for an infant 0-7 days of age. Where can infants be hidden? A Code Pink signals that an infant is missing from a hospital. Only Security or Maternity staff may initiate a Code Pink.

CODE PINKInfant Abduction Babies have been carried out of hospitals: • In the arms of a person • In a blanket • In a box • Under a coat • In a gym bag

CODE PINKInfant Abduction Stop everyone who is carrying anything large enough to carry a baby. Searcheverybackpack and box.

CODE ADAMLost Child Code Adam is ordered when a child is missing. • Dial 57777 • State: • Last location • Child’s name • Child’s description • Monitor exit doors • Search for the missing child. Include public areas, such as the parking lots or restrooms.

CODE 99Medical Emergency For a Medical Emergency, Dial 88: • State location in the hospital. • Stay with the victim • If trained in CPR start basic life support measures: • Airway • Breathing • Compressions

Summary Emergencies may suddenly increase the number of patients to be serve while also interrupting resources. All staff must understand their role in the Emergency Preparedness Plan. Be prepared to: • Do tasks that are not part of your normal routine • Join the Labor Pool as needed • Implement your Family Emergency Plan • Remain calm

For More Information For more information, refer to your Department Safety Flip Chart or talk with your Department Safety Coordinator or Manager. Check the Safety WebPages on the Intranet for: • Environment of Care (EOC) Manuals • Contact information for your Safety Managers Use this Intranet link: http://phsnet.phsor.org/safety/

Emergency Management