muhc emergency measures services1 emergency measures training mni september 24, 2012 revised april,...

MUHC Emergency Measures MUHC Emergency Measures ServicesServices 11

Emergency Measures TrainingEmergency Measures TrainingMNI MNI

September 24, 2012September 24, 2012revised April, 2015 revised April, 2015


AgendaAgenda

1.0) Welcome1.0) Welcome

2.0) Introduction and course objectives.2.0) Introduction and course objectives.

( 5 minutes)( 5 minutes)

3.0) Presentation of emergency situations 3.0) Presentation of emergency situations

( 45 minutes)( 45 minutes)

4.0) Wrap up. Questions and completion of 4.0) Wrap up. Questions and completion of evaluation. evaluation. (10 minutes) (10 minutes)


IntroductionIntroduction

A 1 hour course of theory and open discussion to better prepare employees and students

of the Montreal Neurological Institute in their response to

emergency situations.


Training Training ObjectiveObjective

At the end of this training, the At the end of this training, the participant will:participant will:

Be able to identify the various Be able to identify the various emergency codesemergency codes

Have an understanding of their roles Have an understanding of their roles and responsibilitiesand responsibilities


Emergency CodesEmergency Codes

Code RedCode Red

Code FloodCode Flood

Code BlackCode Black

Code BrownCode Brown

Code GreyCode Grey

Code GreenCode Green

Code OrangeCode Orange

Code YellowCode Yellow

Electrical FailureElectrical Failure

Code WhiteCode White

Code BlueCode Blue

Code PinkCode Pink

Elevator shutdownElevator shutdown

Medical gasMedical gas

Extreme HeatExtreme Heat

Water ShutdownWater Shutdown

Heat ShutdownHeat Shutdown

Code FloodCode Flood


Site ResponseSite Response

Exterior response

Site basedresponse

Unit based response


Code RedCode Red

Code RedCode Red refers to events linked to a refers to events linked to a

possible fire. It represents the alert possible fire. It represents the alert

process, intervention and re-establishment process, intervention and re-establishment

of servicesof services


Code Red Code Red Activation and Activation and responseresponse

All Clear Intervention

Possible Code Green

Detection

SmokeHeat

Pull StationSprinkler

Central Fire PanelSecurity present

24/7

911

SIM

55555Declare Code red

Contact

First responders

Respond to area of alert


Code Red Code Red Departmental responseDepartmental response

Code RedCode Red (elsewhere)(elsewhere)

Listen to instructionsListen to instructions Return to work station.Return to work station. Clear exit routesClear exit routes Shut doors and windowsShut doors and windows Prepare to evacuatePrepare to evacuate Wait further instructions.Wait further instructions.

You discover a fire!You discover a fire!

Move people in Move people in immediate dangerimmediate danger

Activate manual fire Activate manual fire alarmalarm

Contact 55555Contact 55555 Close windows and doorsClose windows and doors Attempt to extinguish fireAttempt to extinguish fire Remain availableRemain available


Code RedCode Red

Classes of fireClasses of fire

Types of portable fire Types of portable fire extinguishersextinguishers

How to useHow to use


Code Red Code Red Classes of fireClasses of fire

Ordinary combustibles



Flammable liquids & gases



Electrical equipment



Combustible metals


Code Red Code Red Fire extinguishersFire extinguishers

Water : 30 – 50 s

CO2: 8 – 30 s

Powder: 8 – 25 s


Code Red Code Red Fire extinguisher useFire extinguisher use


Code Brown Code Brown

Code BrownCode Brown is an accidental spill of a is an accidental spill of a

hazardous material that may include hazardous material that may include

chemicals, cytotoxic agents, gases, chemicals, cytotoxic agents, gases,

bio-hazardous substances, bio-hazardous substances,

mercury and radioactive substances.mercury and radioactive substances.


Code BrownCode BrownDepartmental responseDepartmental response

Code Brown Code Brown (Elsewhere)(Elsewhere) Listen for additional Listen for additional

instructions.instructions. Evacuate area if Evacuate area if

experiencing negative experiencing negative health affects.health affects.

Await the “all clear”. Await the “all clear”.

Create or witness to !Create or witness to ! Move person in Move person in

immediate danger.immediate danger. Contact 55555Contact 55555 Advise other occupants in Advise other occupants in

immediate area.immediate area. Remain available to Remain available to

provide provide assistance/informationassistance/information..


Code OrangeCode Orange

Code OrangeCode Orange a disaster or externala disaster or external

cataclysm which may generate a sudden cataclysm which may generate a sudden

increase in patient flow.increase in patient flow.


Code OrangeCode OrangeThree levels of a code orange:Three levels of a code orange:

Pre ( alert)Pre ( alert)

1 ( 6-11 patients)1 ( 6-11 patients)

2 ( 11 and over)2 ( 11 and over)

When heardWhen heard Does it affect you?Does it affect you? If so, follow your dept planIf so, follow your dept plan

No affectNo affect Carry on normal activitiesCarry on normal activities


Green CodeGreen Code

Code GreenCode Green refers to the immediate refers to the immediate evacuation of a portion of or the entire evacuation of a portion of or the entire complex due to circumstances that cannot complex due to circumstances that cannot assure the safety of patients, staff or assure the safety of patients, staff or visitors. visitors. Includes the alert process, Includes the alert process, intervention and recovery of services.intervention and recovery of services.


Code GreenCode Green

Ordered to evacuate.Ordered to evacuate.Initiate local planInitiate local plan

LocalLocal HorizontalHorizontal VerticalVertical Off siteOff site

Evacuate according to Evacuate according to local planlocal plan

Re group at designated Re group at designated meeting place.meeting place.

Evacuation ordered Evacuation ordered elsewhereelsewhere

Listen for additional Listen for additional instructions.instructions.

Prepare to evacuatePrepare to evacuate May be asked to assist May be asked to assist

with evacuation of other with evacuation of other areasareas..



Code whiteCode white is an emergency response is an emergency response which is initiated in order to subdue a patient which is initiated in order to subdue a patient who is expressing extreme anxiety and who is expressing extreme anxiety and anger which may escalate into a potentially anger which may escalate into a potentially violent situation.violent situation.

Code white statCode white stat a situation that a situation that escalates in violence and the patient is escalates in violence and the patient is armed.armed.



On Hearing a “ Code whiteOn Hearing a “ Code white””

Listen for locationListen for location If you are in the proximity remain attentive to If you are in the proximity remain attentive to

further messages.further messages.



Code yellowCode yellow is an emergency response is an emergency response that is initiated to assist in the search of a that is initiated to assist in the search of a missing in-patient.missing in-patient.

Code yellow statCode yellow stat is an emergency is an emergency response that is initiated due to the response that is initiated due to the abduction of an in-patient.abduction of an in-patient.



When advised of a Code yellow:When advised of a Code yellow:

Have a look around your immediate work area, Have a look around your immediate work area, sitting rooms, lounges etc..sitting rooms, lounges etc..

If a patient is found or seen, contact site security If a patient is found or seen, contact site security and advise. Nursing personnel will be sent to and advise. Nursing personnel will be sent to escort the patient back to their unit.escort the patient back to their unit.



Code BlackCode Black is an emergency response is an emergency response that is initiated to assist with a received that is initiated to assist with a received bomb threat or suspicious package.bomb threat or suspicious package.



Not affected!Not affected!

Remain attentive for Remain attentive for further instructionsfurther instructions..

Continue normal Continue normal activity.activity.

Search Requested!Search Requested!

Initiate local plan.Initiate local plan. initiate search of your initiate search of your

work area.work area. Report findings to Report findings to

security.security. Remain attentive to Remain attentive to

further instructions.further instructions.


Code GreyCode Grey

Code GreyCode Grey is an emergency response to is an emergency response to an external event that may imply an external an external event that may imply an external gas leak, or an external hazardous gas leak, or an external hazardous chemical/biohazardous/radioisitope spill or chemical/biohazardous/radioisitope spill or leak.leak.


Code GrayCode Gray

When advised of a When advised of a Code grayCode gray!!

Close exterior windows.Close exterior windows. Remain within the building.Remain within the building. Wait for further instructions or the “all clear”.Wait for further instructions or the “all clear”.


Code Blue/Code Blue/ PinkPink

““Code BlueCode Blue/ / PinkPink”” is an emergency is an emergency response to an unconscious person. ( Adult/ response to an unconscious person. ( Adult/ Child)Child)


Code Blue/Code Blue/PinkPink

An unconscious An unconscious person is person is

discovereddiscovered!!

Contact local 55555Contact local 55555 SiteSite Location i.e. room Location i.e. room Number where you Number where you

can be reached.can be reached.

No impact on youNo impact on you

Continue routine Continue routine activities.activities.

Medical Emergency ProceduresMedical Emergency ProceduresConscious IndividualConscious Individual

AmbulatoryAmbulatory Minor injury: Minor injury:

– Administer first aidAdminister first aid– Follow up as necessaryFollow up as necessary

Needing medical Needing medical attention: attention: – Go to Emergency at the Go to Emergency at the

Montreal General Hospital Montreal General Hospital – Be accompanied by a co-Be accompanied by a co-

workerworker

Non-AmbulatoryNon-Ambulatory Call 911Call 911

– Give location (Building, Give location (Building, Pavilion, Floor, Room Pavilion, Floor, Room number), your name and a number), your name and a phone number to contact phone number to contact youyou

Inform Neuro Security by Inform Neuro Security by calling 55-555calling 55-555

Arrange escort for Arrange escort for Urgence Santé Urgence Santé to locationto location



Other CodesOther Codes

““Code Flood” Code Flood” uncontrolled release of water within the facility.uncontrolled release of water within the facility.

““Elevator shutdown”Elevator shutdown” emergency shutdown of elevators due to emergency shutdown of elevators due to mechanical problems.mechanical problems.

““Medical Gas shutdownMedical Gas shutdown” an unscheduled interruption in the ” an unscheduled interruption in the distribution of medical gases.distribution of medical gases.

““WWater shutdown”ater shutdown” an unscheduled closure of the domestic water an unscheduled closure of the domestic water supply.supply.

““Extreme heatExtreme heat” condition where the exterior temperature is having a ” condition where the exterior temperature is having a negative impact on operations and measures must be put in place. negative impact on operations and measures must be put in place.


Thank you!Thank you!

muhc emergency measures services1 emergency measures training mni september 24, 2012 revised april,...

Documents

code red code red

extinguishers code red

minutes slide

available slide

various emergency codes

extinguisher use slide

combustible metals slide

flammable liquids gases