PM Emergency Code Review - PowerPoint Presentation

Slide1

PM Emergency Code ReviewCondensed Version

Slide2

The Emergency Code system is used in the Home as a way to inform staff of a potential emergency situation.

The system uses

colours

and numbers that are associated with different types of emergencies.All emergencies are reported via a call to 4444. This is a separate, priority line answered 24 hours a day. When Reception is on duty, they will answer the line. After hours, Security answers it.The following slide lists the emergency codes of the Kingston Hospitals.Note that Codes Orange, Amber, 11, Blue, and Pink are not in use at Providence Manor.In addition to the colour and number codes, there are “contingency plans”. These are emergency plans used for utility emergencies (loss of power, loss of communications, flood, loss of Information technology and loss of water).

Emergency Codes

Slide3

Kingston Hospitals’ Emergency Codes - Dial 4444

Code Red Fire

Code Green Evacuation

Code Orange External Disaster

Code Yellow Missing Person

Code Amber Infant/Child Abduction

Code 11 Inmate Escape

Code Black Bomb Threat

Code Brown Hazardous Spill

Code Grey External Air Exclusion

Code Blue Cardiac Arrest

Code Pink Pediatric Cardiac Arrest

Code White Violent / Behavioural Situation

Code Purple Hostage Situation

Code 99 Medical Emergency

Contingency Plans - Loss of: Power,

Loss of Water

,

Loss of Communications

Code

Silver Lockdown

Active Shooter\Dangerous Weapon

Contingency Plans - Loss

of Information Technology, Flood

Emergency

Slide4

The following slides illustrate an overview of the information in the Emergency Code plans. The plans contain more information and detailed instructions for response to the emergencies and recovery after the incident

These plans can be accessed via the Providence Care Intranet or hard copy in Emergency Procedure Manuals (binders) which are positioned in key areas (every nursing station, Administration, Reception, etc.).

Emergency Codes

Emergency Procedures Manual

Slide5

The primary code related to fire safety is Code

Red,

which is to be used upon discovery of smoke or fire.

When you discover smoke or fire, initiate the R.E.A.C.T. acronym. The process is detailed in upcoming slides.

(FIRE)

UPON DISCOVERY OF SMOKE OR FIRE

REMOVE

Remove

resident

(If in

resident’s

room)

Call out

CODE RED & Location

SITE REMOVAL

Remove

person(s) from room(s) adjacent to and across from affected area.

ENSURE

Ensure doors and windows are closed. Turn off fans and air conditioners if possible

IMMEDIATELY SEARCH THE AREA YOU ARE IN FOR SIGNS OF SMOKE OR FIRE

CALL

Reception

Dial 4444 & Advise of Situation

UPON HEARING A FIRE ALARM

TRY TO EXTINGUISH

If within your capability, if not await further instructions up to and including evacuation

Note: Upon hearing the location of the alarm staff from areas above, below or adjacent to the Code Red Site should return to their units.

Reception

Announce Code Red

Notify Fire Services 911

R

E

C

T

CODE RED

A

ALARM

Call out CODE RED & Location

Activate Pull Station

SAMPLE

Code

Red

Fire

Slide6

The R.E.A.C.T. Acronym

The

best way to accomplish

R.E.A.C.T. is by getting help to do the steps from other people in the area.If you are the first person to discover the smoke or fire take the initiative and delegate others in the area to complete the R.E.A.C.T. steps.If you are completely alone, activate the nearest fire alarm pull station and evacuate to a safe location. Remember that if you hear the fire alarm, regardless of the location announced, check the area you are in for any signs of smoke or fire. If you discover smoke or fire, start R.E.A.C.T. and get help.

Code

Red

Fire

Slide7

emove

The

R

in R.E.A.C.T. stands for Remove. You want to remove anyone that is in immediate danger, for example, anyone in the same room as the fire, if you can do so safely.The first room to be evacuated is the room of fire origin. Then the rooms next to and opposite that room are evacuated

Move along the same level, if possible, and get across the fire separation doors. Take the stairs if you need to evacuate downwards.

The R.E.A.C.T. Acronym

Code

Red

Fire

REACT

Slide8

nsure Containment

The

E

in R.E.A.C.T. stands for Ensure Containment. Ensure containment of the hazard by closing doors in and near the affected area (and windows if safe to do so) to minimize the spread of smoke and the amount of oxygen available to the fire.Once the door is closed DO NOT reopen it.

The R.E.A.C.T. Acronym

Code

Red

REACT

Slide9

larm

The

A

in R.E.A.C.T. stands for Alarm. Yell out “Code Red!” and the location of the fire (Joe’s office, kitchen, etc.). Activate the nearest pull or key station.

The fire alarm for a Code Red is a slow

tone (30

beats per minute

).

The R.E.A.C.T. Acronym

Code

Red

Fire

REACT

Reception will make

an overhead

announcement with the location of the alarm after they receive it through the fire alarm system or via a call to 4444.

Slide10

Fire

Pull

station

alarms can always be found at external exit points or stairwell doors and are sometimes located near exit signs, or on either side of fire separation doors.

Alarm

Code

Red

Pull Station

(Just pull handle)

Pull Station with cover

(Lift cover, use pull handle to activate)

Some stations

have a cover over them that will sound a siren when

lifted up.

This is just a warning sound that someone is accessing the

alarm station. The station inside still needs to be activated in order to sound the alarm.

Slide11

Fire

If you hear the fire alarm or “

Code Red

” immediately search your area for signs of smoke or fire. Regardless of

the location provided in the announcement.

If you discover smoke or fire; initiate the

R.E.A.C.T.

steps, delegating

responsibilities to others in the area.

If you do not discover smoke or fire; remain in your area, you may continue working, but you must maintain preparedness and listen for further announcements or an “All Clear

” announcement.

Continue checking your area periodically until an all clear is announced

.

Code Red

Alarm Response

Code

Red

Slide12

Fire

Volunteers should avoid moving through the building during a Code Red, unless it is absolutely necessary, until the “All Clear” is announced overhead.

Do not approach the area of the Code Red.

Do

not use the

elevators.

If

you are on a Resident Home Area go to the nursing station for further instructions.

If

you are on

an elevator

with a

resident during a Code Red, get

off at the first stop and

assess

if the area is safe. If it is, remain there until the All Clear is announced. If it is not, cautiously move to a safe area

beyond the nearest set of fire separation doors.

Code Red

Alarm Response

Code

Red

Slide13

all 4444

The

C

in R.E.A.C.T. stands for Call 4444. Call Reception at the 4444 emergency number mentioned earlier. Give specific information about the size and type of fire. For example: “Code Red Montreal 3. The room is 1-321. It’s a small garbage fire and there’s lots of smoke

.” DO NOT call the normal Reception line (0).

The R.E.A.C.T. Acronym

Code

Red

REACT

Fire

Slide14

Calling 4444

It

is also important to relay any details you have about the type of fire, as they can be passed onto the fire department by Reception

(or Security).Make sure the Operator has the correct details before you hang up!

Fire

Code

Red

Slide15

Fire

REACT

ry

to Extinguish

The

T

in

R.E.A.C.T.

stands for

Try to Extinguish

.

Only try to extinguish a fire if you feel it is within your capability. If not, concentrate on further evacuation.

If trying to extinguish a fire, be aware of the type of fire the extinguisher is designed to fight. The label on the extinguisher will say what types of fires/fuels it can be used on.

Details on types of fuels are provide in upcoming slides.

The R.E.A.C.T. Acronym

Code

Red

Slide16

Rules for

Fighting Fires

You may try and extinguish the fire if you feel it is within your capability. This should only be attempted when the fire is small and manageable and you are confident in how to use an extinguisher.

There are rules for fighting fires. You are not a fire fighter. You are not expected to be a fire fighter. You are not expected to put yourself in any danger. But you can act within your capability. For example, a small garbage fire could be extinguished without putting yourself in harm’s way.

Code

Red

Fire

Slide17

“ABC” or dry chemical extinguisher are the most common

extinguisher and

are designed for

all types of fires - class A (solid materials – wood, paper, plastic, etc.), B (flammable liquids – oil, grease, gasoline, etc.) & C (energized electrical equipment – items that are plugged in or have a battery) fires/fuels. They are typically red, with a rubber hose and gauge attached. Always read the label of the extinguisher to ensure it is safe for the type of fire you are trying to extinguish.

Types of

Extinguishers/Fuels

B

C

A

Code

Red

Fire

Slide18

Where to Locate Extinguishers

Fire Extinguishers are sometimes hung on walls, but are also usually located in fire hose cabinets. Extinguishers can be used by staff if they follow the rules mentioned previously. Fire hoses are not for staff use

.

Code

Red

Fire

Slide19

How to Use an Extinguisher

PASS Acronym

There is another acronym that you can use to remember how to operate a fire extinguisher. It is P.A.S.S.

Code

Red

Fire

Slide20

ull the pin

P

A

SSHow to Use an Extinguisher

The “P” in P.A.S.S. stands for “Pull the pin.” There is usually a plastic tab holding the pin in place. This is easily broken when you pull out the pin.

Code

Red

Fire

Slide21

How to Use an Extinguisher

P

A

SSim at the base

“A” stands for “Aim at the base.” Frequently the temptation is to aim at the flames. But if you do that, the extinguishing agent will fly right through and

not put out the fire.

You want to hit the base of the fire where the fuel is, because that is what you are trying to extinguish.

Code

Red

Fire

Slide22

How to Use an Extinguisher

P

A

SSqueeze the handle

The first “S” stands for “Squeeze the handle or trigger.” This releases the extinguishing agent from the extinguisher.

Code

Red

Fire

Slide23

How to Use an Extinguisher

P

A

SSweep from side to side

The second “S” stands for “Sweep from side to side.” Start at a safe distance away and work your way forward. Once the fire is out, keep an eye on the area in case it reignites.

The other

R.E.A.C.T.

steps must still be completed!

If

you empty the extinguisher just lay it on the floor on its side against a wall, so people know that it is empty and it’s not a tripping hazard. You don’t want someone to come around the corner and try to put out the fire with an empty extinguisher

.

Code

Red

Fire

Slide24

Fire

Oxygen represents a significant threat to residents who smoke or are near those who smoke.

When residents are using oxygen their clothes become saturated with it and are therefore highly flammable.

Residents should take some time away from their oxygen source before igniting a cigarette.Their distance from the tank may be insufficient to stop possible ignition.

Remind residents not to smoke

near oxygen sources.

A fire extinguisher can and should be used

if a person’s clothing is on fire. The base

of the fire would be the person’s clothes.

Residents

with Oxygen

Code

Red

Slide25

CODE GREEN

(EVACUATION)

HAZARD

(i.e. fire)

LIMITED EVACUATION

Move personnel from affected area

(i.e. Code Red)

ACTIVATE APPROPRIATE EMERGENCY

(i.e. Code Red)

APPROPRIATE AUTHORITY ASSESS

Executive Director, delegate will assess the emergency and determine the need for further evacuation

Notify

Reception

4444

Reception

Announce Overhead three times Code Green (location)

Notify Security Control Centre

EXTENDED EVACUATION

Horizontal evacuation of a floor or wing, to another area within the Hospital

TOTAL EVACUATION

Vertical evacuation of a wing or the entire Hospital, to the exterior of the building

Note: Code Green will be announced in one of two ways, either “Code Green Cautionary” (where you prepare for evacuation), or “Code Green Stat” (where your start evacuating right away).

SAMPLE

Code

Green

Code Green is used for an extended or total evacuation of an entire wing, or the

Home.

It may be used for any emergency requiring evacuation of one or more areas of the

Home.

Evacuation

Slide26

When the alarms activate for a Code Green staff should prepare for evacuation.  Please wait for the overhead announcement to identify which area needs to evacuate. 

Only if you hear “Code Green Providence Manor” would the entire Home evacuate.  This would be a coordinated effort and staff would be directed to the appropriate evacuation point.

Types of Announcements

Code

Green

Evacuation

Slide27

“

Code Green

–

Cautionary

” will be used to inform staff to start preparing for evacuation. This would be followed by overhead announcements with specific instructions for the affected area.

“

Code Green – Stat

” will be used for emergencies requiring immediate evacuation.

Horizontal (along the same level) evacuation is the first direction of travel, whenever possible. If there is a total evacuation move to the ground level exit of the wing you are in.

Code

Green

Types of Announcements

There

are two levels of Code Green that may be announced during an emergency:

Evacuation

Slide28

Providence Manor has

been designed to promote a ‘defend-in-place’ response to emergencies. The doors and walls of the facility meet Building Code requirements to assist in protecting the occupants during times of emergencies.

Strategy for “defend-in-place” is that evacuations occur only as far as is necessary to get out of the area of danger.

Activation of Code Green is generally a last resort response when all other response measures have been exhausted.Code Green will change the overhead bells to the fast mode (120 beats per minute). Make sure you listen to the announcement to ensure your area is affected.Defending in Place

Code

Green

Evacuation

Slide29

Defending-in-place could also refer to taking shelter within a room when evacuation out of a smoke filled area is not possible.

Defending in Place

Code

Green

Evacuation

If the window in the room opens, use an item of clothing, etc. to signal for help.

It is dangerous to enter hallways, or take stairwells, that are filled with smoke.

If necessary, you could take shelter in an enclosed room.

Close the door and block the gap between the door and the floor to stop smoke from getting in. If possible use wet towels or blankets.

Slide30

Code Yellow

Missing PersonWhat does it mean?A person (resident, staff member, visitor, etc.) is missing and needs to be found.What should I do if I discover someone is missing?

Search the immediate area first, including locked

doors (if you have access), e.g. nearby offices, bathrooms, etc.Speak to a staff member. They will:alert Security to search common areas (surrounding area, cafeteria, gardens, etc.).contact adjacent RHAs and provide them with a description.escalate to a Code Yellow, if required.

Slide31

Code Yellow

Missing PersonIf you hear a Code Yellow announced overhead:

Look

around your area for any who is lost, confused or doesn’t belong there.If you find someone who could be the missing person alert a staff member to contact Security (via Reception) to escort them back to their area.If you feel comfortable, approach the person to ask them to remain where they are until Security arrives.If the person is leaves update Security with their last know location and direction of travel.

Slide32

Code Black

Bomb Threat/Suspicious PackageWhat does it mean?A bomb threat has been made via telephone, letter or email.

Or a suspicious package that could be a bomb has been discovered.

What should I do if I hear Code Black overhead?Remember that if an evacuation is required a Code Green will be called overhead. A bomb threat is just that, a threat, it will be taken seriously and investigated. If anything suspicious is found it will be inspected by Police. If you hear Code Black announced look around your area of work for any items that are suspicious and if you find anything report it to 4444.If you receive a bomb threat via telephone, use the bomb threat questionnaire on the reverse side of the first page of the Code Black plan. Try to get an answer for each question on the questionnaire. This information is helpful for the Police. Try your best to record the caller’s message verbatim. Call 4444 from another line or have a coworker call. DO NOT hang up the phone on which you received the threat.

Slide33

Code Black

Bomb Threat/Suspicious PackageWhat should I do if I discover a suspicious

package/item?

Alert a staff member.Do not use a cellphone, radio or pager around it.Call 4444 to report it from a “landline” telephone away from the package/item across fire separation doors in a safe area.DO NOT pull the fire alarm.Isolate the area and evacuate, as necessary, to prevent people from going near the item.

Slide34

Code Brown

What does it mean?

Code Brown is used when a substance that represents a threat to life or safety escapes from containment

. A Code Brown is only used for major spills.What should I do?Upon discovery of a spill, assess the severity – if the spill is minor (less than 4 litres and not radioactive) alert a staff member.If the spill is major (unmanageable), unknown or radioactive substance:Alert a staff member.Call 4444 to announce the Code Brown.

For major chemical

spills, pull the

fire

alarm.

Isolate the area (close doors) and evacuate, as necessary.

An organized response for containment will occur

.

Hazardous Spill

Slide35

Code Grey

External Air Exclusion/Severe Weather

What does it mean?

A Code Grey may be used when the air outside of the building is hazardous to the occupants. (E.g. a truck carrying a chemical overturns on the road nearby and a vapour cloud is in the air).It may also be called for severe weather emergencies (thunderstorms or tornados). What should I do?Return to your area of work, return residents to their rooms, clear hallways of obstacles and wait for further announcements. Request residents and staff to remain indoors. The air intake fans will be shut off by Maintenance or by activation of the fire alarm. Close external windows and doors.In case of severe weather: move away from windows; clear the corridors of obstructions; do not use the elevators; evacuate large-span, flat roofed areas or areas encased with windows (e.g. main entrance, cafeteria

).

Slide36

Code 99

Medical EmergencyWhat does it mean?A

Code 99

is used for a medical emergency. E.g. a collapse, injury, etc.What should I do?Call 4444 to have a Code 99 announced; give specific information, such as, your name and title, the location (wing & floor number, room identifier, etc.), and what happened (collapse, bleeding, etc.)Alert a staff member.

Slide37

Code White

Cardiac ArrestWhat does it mean?

This code applies if a person (any person, not just

residents) is aggressive or threatening to you or someone else. It can also be used if you witness a criminal act (theft, robbery, vandalism, etc.).What should I do?Anytime there is violence or even a threat of violence notify 4444 immediately.You do not need to wait for someone to be physically assaulted before calling for help. If the aggressor is loud, belligerent, or threatening in any way, call Code White.Never try to deal with a violent person alone – call for help and keep your distance from the aggressor.If you cannot get to a telephone to call 4444, call out, yell and/or scream for help.

Slide38

Code Purple

Cardiac ArrestWhat does it mean?

A hostage situation will have occurred when a person barricades themselves into an area and/or unlawfully confines, imprisons, or forcibly seizes another

person.Note:Code Purple will not be announced overhead unless directed by senior administration. Other methods may be used to move staff and residents in the event of hostage taking (i.e. announcing a Code Green, etc.).The Police will command all hostage situations.What should I do if I hear Code Purple announced?Cease all unnecessary activity. Remove yourself from the area. If safe to do so, move residents and other personnel to a safe location away from the affected area. Do not call Reception unless it is urgent. Do not approach the Code Purple area.

Slide39

Code Purple

Cardiac ArrestWhat should I do if I am taken hostage?

If taken hostage, usually, cooperation is the safest option

, but you will need to make a personal decision if you are going to resist and fight. If you do decide to resist, aim for the body’s weak points; eyes, throat, groin, etc.Tips for survival of hostage situations: Cooperate and follow instructions. Trust the Police. If possible, do not allow your head to be covered. If in a group, do your best to blend in and not stand out. Analyze your surroundings and plan to escape, if it is safe. Pay attention to details to aid Police when your are debriefed. In the event of a Police assault, fall to the floor to get out of the line of fire and to distinguish the hostages from the takers.

Slide40

Code Silver

Active Shooter/Dangerous Weapon SituationWhat does it mean?

Code Silver Lockdown will

be used in the event of an “active shooter” situation. An active shooter is defined as an individual engaged in killing or attempting to kill people in a confined and populated area. Therefore, this covers any situation where there is a dangerous weapon involved (i.e. firearm, knife, blunt object, etc.)Why are we preparing for this?There has been an increase in the number of active shooter events and incidents of gun violence in recent years. Gun violence incidents can be particularly heinous and active shooter situations often involve victims who are unable to defend themselves.The best way to protect one’s self is to be mentally prepared to respond. Think carefully about what you would do in this situation.Schools have been practicing for “lockdowns” for several years, as the need to be prepared is recognized.Lockdown

Slide41

Code Silver

Active Shooter/Dangerous Weapon SituationWhat should I do?

The first main response option during an active shooter or dangerous weapon situation is:

Run (Evacuate) – If there is an accessible escape path, attempt to evacuate the location. Be sure to have an escape route and plan in mind. Evacuate regardless of whether others agree to follow. Leave your belongings behind. Help others escape, if possible. Prevent others from entering an area where the active shooter/dangerous weapon may be. Keep your hands visible. Follow the instructions of Police Officers. Call 4444 to make the emergency notification when you are safe.Lockdown

Slide42

Code Silver

Active Shooter/Dangerous Weapon SituationWhat should I do?

The second main response option during an active shooter or dangerous weapon situation is:

Hide – If evacuation is not possible, find a place to hide where the active shooter is less likely to find you.Your hiding place should be out of the view, provide protection if shots are fired in your direction (i.e. an office with a closed and locked door) and not trap you or restrict your options for movement.To prevent an active shooter from entering your hiding place lock the door and block it with heavy furniture. If the active shooter is nearby, lock the door, silence your cell phone, turn off any sources of noise (e.g. radios, televisions, etc.), hide behind large objects (e.g. cabinets, desks, etc.) and remain quiet.If evacuation and hiding are not possible, remain calm, dial 4444 or 911), if possible. If you cannot speak leave the line open and allow the dispatcher to listen

Lockdown

Slide43

Code Silver

Active Shooter/Dangerous Weapon SituationWhat should I do?

The last main response option during an active shooter or dangerous weapon situation is:

Fight (take action against the active shooter) – As a last resort and only when your life is in imminent danger, attempt to disrupt and/or incapacitate the active shooter by:Acting as aggressively as possible against him/herThrowing items and improvising weaponsYellingCommitting to your actionsIf others are available, work together to distract and attack the assailant as fiercely as possibleLockdown

Slide44

Code Silver

Active Shooter/Dangerous Weapon SituationWhat should I do when Police arrive?

The

objective of the Police is to stop the active shooter as soon as possible. Officers will proceed directly to the area in which the last shots were heard. Note that some may not be wearing a uniform.If you encounter Police, drop any items in your hands (e.g. bags, jackets, etc.). Immediately raise hands and spread fingers . Keep your hands visible at all times. Remain calm and follow Officers’ instructions. Avoid making quick movements toward Officers, such as attempting to hold on to them for safety. Avoid pointing, screaming and/or yelling.Do not stop to ask Officers for help or direction when evacuating, just proceed in the direction from which Officers are entering the area.If asked by a Police Officer, provide as much information about the shooter(s) as you can (location, number of shooters, physical description, number and type of weapons and number of potential victims).Lockdown

Slide45

Loss Of Power

Move critical resident care equipment to emergency (red) power plugs. Assess your level of impact and report any non-functional critical resident care equipment to Maintenance. If during daylight hours, open doors and curtains to let in as much light as possible. Be careful accessing unlit or darkened areas.

Loss Of Communications

In this event, normal telephone systems are not functioning. Back up communication through “blue dot” phones, distributed two-way radios, or cellular phones will be used. Typically, the 4444 line is disabled in these situations. Refer to the Loss of Communications plan for the alternate emergency phone number.

Flood Emergency

Call 4444 to report the flood if there is potential for considerable damage (e.g. electronic or sensitive equipment, resident records, potential for

mould

growth or structural damage). Take the necessary steps/precautions to mitigate water damage to personal and facility property in the affected area.

Contingency Plans

Utility Emergencies

Slide46

Loss Of Information Technology

This plan may be activated if the site’s information technology (computer network) is partially or completely disabled. Refer to your downtime procedures for instructions.

Loss Of Water

The plan is activated if the site’s water supply (internal or external) has been compromised or is malfunctioning. Water conservation and delivery from external sources will be required.

Contingency Plans

Utility Emergencies