Emergency Management

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Emergency Management

• Providence Health System - Oregon
• Environment of Care

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

• Keeping employees, patients, and
• visitors safe and having appropriate
• responses helps ensure the safety
• of everyone in a Providence facility.
• You need to
• Learn the notification system
• Follow emergency procedures

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Learning Objectives

• Upon completion of this course, you will be able
  to
• List the four phases of Emergency Management.
• Identify Providences 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.

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Types of Emergencies

• An emergency is a natural or manmade event that
• happens unexpectedly. It can disrupt a healthcare
  
• organizations 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.

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Emergency Management Planning
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

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Planning

• 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

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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.
• Preparedness
• - Develop plans.
• Response
• - Take action when an incident occurs.
• Recovery
• - Return to normal operations.

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Incident Command Center

• Each hospital has an Incident
• Command Center that directs
• operations during emergency
• situations.
• Providence also opens a Regional
• Command Center if more than
• one entity is involved.
• Satellites support hospitals emergency
  responses.

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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
• information
• 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 hospitals
response to internal or external emergencies.
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Identification (ID) Badges

• Always wear your
• ID Badge during work.
• Remember
• During an emergency, you
• will need your ID Badge
• to get on campus.

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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.

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Communication

• 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 Chart).

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Disaster Hotline

• Providence has a
• Disaster Hotline to
• provide Portland Service Area employees with
  current information.
• Call 503-216-4444.

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Include Family Preparedness

• Will your children, elders, and pets be safe if
  you cannot get
• home? Be safe. Plan ahead. Create and test your
  familys
• emergency plan.
• Read / Print a copy
• of the Emergency
• Preparedness
• Handbook found
• on the Intranet.
• It contains many
• other helpful links.
• Heres the link to
• the Handbook
• http//phsnet.phsor.org/emergency_preparedness/def
  ault.htm

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Family Preparedness Kit

• The Emergency Preparedness
• Handbook includes a section on
• Disaster Home Preparedness
• Create a basic home plan.
• Develop an alternative plan for childcare.
• 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 separated.

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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 Resources
• 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.

http//phsnet.phsor.org/hr/default.htm
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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.
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Earthquake Preparedness
Why is this employee at risk? What should he do?
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Earthquake Preparedness

• His risks include
• Falling / being hit by debris.
• Head / eye injury.
• Crushed fingers.
• Our recommended actions
• Duck, cover and hold on!
• If you cant 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

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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.

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Hospital Overhead Paging Codes

• Code Red - Fire
• Code Yellow - Evacuation
• Code Blue - Disaster
• Code White - Utility Failure
• Code Orange - Chemical Spill
• Code Green - Show of Force
• Code Pink - Infant Abduction
• Code Adam Lost Child
• Code 55 Weapons Visible
• Code 99 - Medical Emergency

White
Responders for the Satellite emergencies are
notified through the community 9-1-1 telephone
system.
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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.

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CODE REDFire 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 system
• Contain - close doors
• Extinguish the fire

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CODE YELLOWEvacuation
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

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CODE YELLOWEvacuation

• Order of Evacuation
• 1. Persons in immediate danger
• 2. Ambulatory persons
• 3. Persons in wheelchairs
• 4. Persons on stretchers or in beds

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CODE BLUEDisaster Response

• A Code Blue is called for
• Mass Casualty Incidents.
• The Incident commander,
• Hospital Epidemiologist, or
• Emergency Department
• Physician may order a
• Code Blue.

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CODE WHITEUtility Failure

• Utility failures may include
• Electricity
• Water
• Sewer
• Natural Gas
• Medical Gases
• Pneumatic Tube Systems
• Telephones
• Computers
• The purpose of a Code White is to alert employees
  to a
• hospital-wide failure of one or more utility
  systems.

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CODE ORANGEHazardous 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

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CODE ORANGEHazardous 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)
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CODE GREENSpecial 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.

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CODE 55Avoid 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

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CODE PINKInfant 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
• immediately
• Monitor exit doors.
• Begin a search for the abducted infant. Look for
  an infant 0-7 days of age.
• Where can infants be hidden?

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CODE PINKInfant 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

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CODE PINKInfant Abduction

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

Search every backpack and box.
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CODE ADAMLost Child

• Code Adam is ordered when a
• child is missing.
• Dial 57777
• State
• Last location
• Childs name
• Childs description
• Monitor exit doors
• Search for the missing child. Include public
  areas, such as the parking lots or restrooms.

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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
• Airway
• Breathing
• Compressions

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Summary
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

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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

http//phsnet.phsor.org/safety/