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
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:
happen within the hospital.
They directly impact operations.
External emergencies occur
outside the hospital and generally result in
casualties that impact operations.
All systems and people at Providence need to be ready to
respond quickly to emergency events.
We can do this best by:
Taking corrective action
Hospitals & Satellites work together to share
response plans for all types of emergencies
including natural and manmade events.
Outside participants include:
Public health agencies
County Office of
Local emergency planners
State emergency planners
Federal emergency planners
Continuing Cycle of Activity
There are four phases to the ongoing Emergency
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’
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
Number of staff available
Satellites may be called on by the Labor Pool to provide
backfill staff for the local hospital’s response to internal or
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:
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
Providence has a
Disaster Hotline to
provide Portland Service
Area employees with
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
Read / Print a copy
of the Emergency
on the Intranet.
It contains many
other helpful links.
Here’s the link to
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.
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
Hold on until the shaking stops.
Earthquake Drills are conducted quarterly. You are
expected to fully participate.
Why is this employee at risk? What should he do?
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:
Identify the Code
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.
Pulling the Fire Alarm and Dialing 88 triggers a
CODE RED fire alarm.
Alarm - activate the alarm
Contain - close doors
Extinguish the fire
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:
3. Designated Safe Areas in the Building
4. Designated Safe Areas Outside the Building
Order of Evacuation:
1. Persons in immediate
2. Ambulatory persons
3. Persons in wheelchairs
4. Persons on stretchers or
A Code Blue is called for
Mass Casualty Incidents.
The Incident commander,
Hospital Epidemiologist, or
Physician may order a
Utility failures may include:
Pneumatic Tube Systems
The purpose of a Code White is to alert employees to a
hospital-wide failure of one or more utility systems.
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.
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
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:
State “CODE ORANGE”
State substance spilled & amount
Satellites must call the contracted Hazmat Vendor (see
Satellite Emergency Manual (Flip Chart)
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.
Avoid Area/ Dangerous Situation
If you see a weapon being displayed:
If in the area:
Go to a safe place
Dial 88 or 57777
If not in the area:
Do not enter
A Code Pink signals that an infant is missing from a
hospital. Only Security or Maternity staff may initiate a
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?
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
Stop everyone who is carrying anything large enough
to carry a baby.
Search every backpack and box.
Code Adam is ordered when a
child is missing.
Monitor exit doors
Search for the missing
child. Include public
areas, such as the
parking lots or restrooms.
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
Join the Labor Pool as needed
Implement your Family Emergency Plan
For More Information
For more information, refer to your Department Safety Flip
Chart or talk with your Department Safety Coordinator
Check the Safety WebPages
on the Intranet for:
Environment of Care
Contact information for
your Safety Managers
Use this Intranet link: