Emergency Management and Security/Workplace Violence

1. Emergency Management and Security/Workplace Violence To every patient, every time, we will provide the care that we would want for our own loved ones. Health, healing and hope.

2. Emergency Management Safety and Security Is The Responsibility Of All GBMC Employees This course explains how the GBMC “All Hazards” Emergency Operations Plan is developed, what is included in GBMC emergency preparedness planning ,and how employees of GBMC can prepare themselves to follow the GBMC Emergency Operations Plan in the event of a disaster or a high risk situation.

3. GBMC Emergency Operations Plan: The Joint Commission (TJC) requires healthcare facilities to have a current Emergency Operations Plan (EOP) and an ongoing process to prepare and train employees to that plan. The GBMC Emergency Operations Plan and associated annex’s located on the Info-Web contains all procedures for responding to incidents such as: • ○Severe Weather or Natural Disasters • ○Utility Failures • ○Biological/Chemical Incidents • ○Hospital Overload – Surge • ○Active Threat/Suspicious Activity – bomb threat, active • shooter, civil unrest, abduction, terrorism • Your role in an emergency/disaster: GBMC employees should familiarize themselves with the Emergency Operations Plan and annexes located on the Info-Web.

4. The GBMC “All Hazard” Emergency Operation Plan and associated annexs include the required six critical areas needed to address any emergency regardless of cause or hazard. Those six critical areas are: ○Communication – maintaining communication. ○Resources and Assets – access to needed supplies and support during an emergency. ○Safety and Security – maintaining a safe and secure environment for patients, staff and visitors. ○Utilities Management – supply uninterrupted power to critical life support systems. ○Clinical and support activities – address the needs of clients during extreme conditions. ○Staff management – reporting, austere care, labor pools.

5. Emergency Preparedness: • ○The GBMC Critical Incident Committee is responsible for • conducting an annual Hazardous Vulnerability Analysis (HVA) • which identifies threats and vulnerabilities both internally and • externally. • ○The GBMC Critical Incident Committee reviews all existing • plans making improvements and additions if necessary. • Planning also includes collaborating with community and • regional partners (police, fire, EMS, and other hospitals). • ○GBMC conducts training and drills that test its Emergency • Operation Plan. Review of the exercises and training assist • GBMC to be prepared if and when an emergency strikes. • Hospital Incident Command System: • ○Using the Hospital Incident Command System (HICS), GBMC • Incident Command Teams can efficiently, use an “All Hazards” • scalable approach to mitigate, respond and recover from an • emergency/disaster. • ○GBMC has four Incident Command Teams that are available • 24/7. • ○The Incident Command Teams are led by the Incident • Commander who makes all final decisions and activates Code • Yellow.

6. Code Yellow: The Emergency code used to notify staff of an emergency/disaster is Code Yellow. GBMC requires that sufficient personnel, supplies and equipment be present to allow the continuation of critical services, to protect the safety and well being of GBMC patients and community, and provide appropriate safe care to our patients during an emergency/disaster. • ○All employees of GBMC are considered essential until • designated otherwise during a Code Yellow Event. • ○During a Code Yellow event, employees should seek the • direction of their manager or designee with regard to • staffing needs. • ○The manager will follow the direction of the Incident • Commander before releasing personnel. • ○GBMC personnel are expected to make preparations for • transportation, coverage of family responsibilities, day • care, pet care, elder care, school transportation.

7. Security and Workplace Violence • This course is designed to familiarize GBMC employees with Security practices and anti-workplace violence practices that assist GBMC in providing a safe and secure environment for patients, visitors and staff. • Sensitive Areas: GBMC has certain areas in the facility that are safety/security sensitive areas due to patient populations (ex. emergency department, maternal health, pediatrics, mental health), hazardous and sensitive information. • ○Public access is controlled in these areas: • ◊Persons gaining access to sensitive areas must be approved • by the manager or security and will be issued appropriate • badges prior to access. • ◊Employees working in sensitive areas receive education and • training on special procedures needed for these areas. • ◊Employees are required to wear their badge at all times • while in the facility and should not grant unauthorized • access to anyone.

8. Workplace Violence: Who, What, When, Where? • Who is at risk? • ○Labor Statistics show that healthcare is one of the most • dangerous and volatile environments in which to work. Studies • show that 9.3 injuries per 10,000 workers occur in the health • care setting, compared to 2 per 10,000 in the private sector. • What is workplace violence? • ○WPV is defined as violent acts (physical, verbal and implied) • directed toward persons at work or on duty. • When is workplace violence likely to occur? • ○Patient interaction. • ○Times of high activity – shift change, meal times, visiting • hours. • ○Transporting patients. • ○Setting limits – eating, drinking, tobacco, alcohol/drug use. • ○Extended waits for services (real or perceived).

9. Where is Workplace Violence likely to occur? • ○Emergency rooms • ○Waiting rooms • ○Geriatric units • ○Maternal health • ○Mental health

10. Anti- Workplace Violence Safe Practice • Warning Signs: • ○Verbally expressed anger and frustration. • ○Body language (threatening gestures, eye contact avoidance). • ○Signs of drug or alcohol use. • ○Presence of a weapon. • Maintain Behavior That Helps Diffuse Anger: • ○Present a calm, caring attitude, acknowledge person’s • ○Don’t match threats or give orders. • ○Avoid behavior that may be interpreted as aggressive. • Stay Alert: • ○Don’t isolate yourself, maintain an open path between you and • the door. • ○Avoid wearing clothing, jewelry and work accessories that can • be used as a weapon against you. • ○Use the “Buddy System” when interacting with aggressive • persons.

11. If You Can’t Defuse The Situation Safely: • ○Remove yourself. • ○Dial Code Green ext. 2007 for help. • ○Report any violent incidents to your immediate supervisor and • document appropriately.

12. Code Green: Ext. 2007 • What Is Code Green? • ○Code Green is an internal response system activated when • assistance is needed by any GBMC staff member engaged • by an individual/s threatening or exhibiting disruptive, • aggressive or violent behavior. • Who Is The Code Green Team? • ○The Code Green Team is a trained and practiced group of • GBMC staff members who will respond to, and provide • appropriate control measures for the protection of patients, • visitors and staff during an aggressive behavior event. • When, and How Do I Activate Code Green? • ○Code Green may be activated by any GBMC employee • who feels that an individual/s who is threatening or exhibiting • disruptive, aggressive or violent behavior has escalated • beyond the staff members level of comfort and/or the staff • member feels that additional resources are needed to • maintain a safe environment.

13. Code Pink – Infant/Child Abduction and Elopement • Safety and Security is the responsibility of all GBMC employees. Special attention is required for infants and children who are unable to protect themselves. • Report any suspicious activity or persons to the Security Department ext. 2222. • ○Person/s lingering near exits. • ○Person/s posing as lost, requesting access to maternal health • or pediatric units without proper ID. • ○Staff not wearing appropriate ID for sensitive areas housing • infants and children. • ○No one should be allowed access to maternal health, newborn, • NICU or PEDS without proper ID. • If an abduction or pediatric elopement occurs IMMEDIATELY dial ext. 2222 and activate CODE PINK.

14. Attempt to stop the abductor/elopement if safe to do so. If not, attempt to follow abductor/elopement at a safe distance and obtain a good description and route of travel. Provide this information to the Security Department. • Upon hearing the Code Pink on the overhead page, GBMC employees should report to the nearest elevator, stairwell or exit, check all persons with bags/packages, observe and report suspicious activity or person.