Emergency Management

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					Providence Health System - Oregon
       Environment of Care

The Environment of Care places a heavy focus on being
prepared for emergency situations.

Keeping employees, patients, and         EOC
visitors safe and having appropriate     Manual
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
All systems and people at Providence need to be ready to
respond quickly to emergency events.

We can do this best by:
  Developing plans
  Conducting exercises
  Taking corrective action
  whenever possible
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.
 - Develop plans.
  - Take action when an incident occurs.
 - Return to normal operations.
Incident Command Center
           Each hospital has an Incident
           Command Center that directs
           operations during emergency

           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
   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.

             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.
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
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
Handbook found
on the Intranet.
It contains many
other helpful links.
Here’s the link to
the Handbook:

          Family Preparedness Kit
The Emergency Preparedness
Handbook includes a section on
Disaster Home Preparedness:
   Create a basic home plan.
   Develop an alternative plan for
   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
         Your Emergency Contact
If something happens to you, make sure that Providence
can reach your Emergency 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.

          Earthquake Preparedness
Practice duck, cover, and hold on!

   Duck under a sturdy table or desk or
   against an inside wall where nothing
   can fall on you.
   Cover your eyes by pressing your
   face against your arm. Patients lying
   in bed should protect their eyes with
   a pillow.
   Hold on until 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:
1. Falling / being hit by debris.
2. Head / eye injury.
3. 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
1. Code Red - Fire
2. Code Yellow - Evacuation
3. Code Blue - Disaster
4. Code White - Utility Failure
5. Code Orange - Chemical Spill
6. Code Green - Show of Force
7. Code Pink - Infant Abduction
8. Code Adam – Lost Child
9. Code 55 – Weapons Visible
10. Code 99 - Medical Emergency

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:
   Dial 88
   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 RED
                      Fire Response

Pulling the Fire Alarm and Dialing 88 triggers a
CODE RED fire alarm.

Remember R.A.C.E.
  Rescue people
  Alarm - activate the alarm
  Contain - close doors
  Extinguish the fire
               CODE YELLOW

Only the Incident Commander or designee can order
the evacuation of the entire hospital.

                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
              CODE YELLOW

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

A Code Blue is called for
Mass Casualty Incidents.

The Incident commander,
Hospital Epidemiologist, or
Emergency Department
Physician may order a
Code Blue.
                 CODE WHITE
                        Utility Failure

Utility failures may include:
   Natural Gas
   Medical Gases
   Pneumatic Tube Systems

The purpose of a Code White is to alert employees to a
hospital-wide failure of one or more utility systems.
                 CODE ORANGE
          Hazardous Chemical 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 ORANGE
          Hazardous Chemical 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 GREEN
                Special 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 55
         Avoid Area/ Dangerous Situation

If you see a weapon being displayed:

  If in the area:
      Go to a safe place
      Dial 88 or 57777
      (Security Stat)

  If not in the area:
      Do not enter
      Prevent others
      from entering
                   CODE PINK
                    Infant Abduction

 A Code Pink signals that an infant is missing from a
 hospital. Only Security or Maternity staff may initiate a
 Code Pink.
All employees should respond
     Monitor exit doors.
     Begin a search for the
     abducted infant. Look for an
     infant 0-7 days of age.

Where can infants be hidden?
                 CODE PINK
                  Infant 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 PINK
                 Infant Abduction

Stop everyone who is carrying anything large enough
                 to carry a baby.

         Search every backpack and box.
                   CODE ADAM
                        Lost Child

Code Adam is ordered when a
child is missing.
     Dial 57777
        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 99
                 Medical 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:
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:


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