Know the Codes

1
Know the Codes

• Code 22 - indicates a pediatric arrest. Is
  activated by dialing 7444 (or pushing the code
  button on the wall). The caller will tell the
  operator the location of the code. Example,
  Pediatric department room 431A.
• Code 44 indicates an adult cardiac arrest. Is
  activated by dialing 7444 and informing the
  operator of the location of the code or
  activating the code button on certain depts.
• Code 55 indicates that a fire or suspected fire
  has been detected. Is activated by pulling the
  fire alarm closest to the location. Then, if
  possible, when the site is cleared, call the
  operator at ext. 6500 with additional
  information pertaining to the fire. Responding
  people will be security, plant operations, house
  supervisor, and one employee from each department
  with a fire extinguisher.
• Code 88 Multiple trauma internal disaster
  (bomb threat, explosion). All nursing personnel
  will follow instructions identified by department
  manager/charge nurse for both code 88 and 99.
• Code 99 indicates that an external disaster has
  been declared. This will be announced as level
  1, 2, or 3. The level is determined by the
  number of expected casualties/patients.

2
Know the Codes

• Code Orange indicates that a potential
  life-threatening event has or may occur. Example
  would be some one with a gun, knife or explosive
  device. A Hazardous Material Spill or disruptive
  behavior by visitors. It is activated by dialing
  6500 and notifying the operator of the location
  and type of occurrence. This will be handled by
  security and no one other than security will
  respond to the location announced. All other
  employees are to stay in their work area until
  an all clear announcement is made.
• Code Silver - this code is activated when there
  is a person or persons on the premises that
  has used or continues to use a gun against
  person(s) on the Geisinger property. When you
  hear the overhead announcement or gunshots, apply
  the Mindset of Survival Skills for everyone in
  your area. Evacuate (go to safest place
  possible), Hide Out (hide in an area outside
  shooters view, block entry, turn off lights and
  turn off anything that can make noise) Take
  Action (as a last resort if your life is
  threatened)
• To activate the Code Silver dial 6500 and tell
  the operator that you would like to activate the
  code silver and tell them the location
  (building/floor/dept). The operator will notify
  security and the local police of the incident and
  announce it overhead 3 times.

3
Know the Codes

• Code B indicates that a child or infant is
  missing or unaccounted for from the OB or
  pediatric dept. The employee that is made aware
  of the situation will dial 6500 and notify the
  operator that you are activating a Code B alert
  and inform him/her of the sex and age of the
  child as well as the department from which it is
  missing. An example of the announcement would
  be, Code B, F-3, OB Dept. which would translate
  to a three year old female missing from the OB
  Dept. If an infant is abducted from the nursery
  the operator will announce, Code B Medical
  Center OB/GYN. Both announcements will be made
  three times. All employees not involved in a
  life-saving issue are to go to the nearest
  window, door or exit and observe then report any
  unusual occurrences to security.

4

• Code Adam - indicates a child or infant is
  reported missing from any dept other than
  OB/Peds. To activate , the employee made
  aware of the situation will dial 6500 and
  inform the operator that they would like to
  activate a code adam alert. A detailed
  description of the child is given along with the
  childs name, age, and location last seen. The
  operator will then announce overhead Code Adam,
  Thomas, age 2, ED. This would indicate a 2 yr
  old named Thomas was reported missing from the
  ED. Immediate response actions by all other
  staff would be
• Depts located near exits should monitor the exit
  path and door
• Ask patients/visitors with children who resemble
  the des cription to wait until management
  arrives, then ask the child his/her name and
  whether the adult is his/her parent
• Escort the parent of guardian of the missing
  child to the front of the facility where they
  entered to assist in identifying the child
• After hearing the overhead announcement all
  available staff should begin looking for the
  child.
• Check all restrooms etc on your dept
• Report any suspicious activity to security.

5
Know the Codes

• RRT Rapid Response Team. The RRT consists of
  nursing supervisor, respiratory therapists and
  hospitalists. The RRT is activated by dialing
  6500 and informing the operator that you are
  requesting the RRT and the location. Activate
  the RRT for all chest pain patients or any
  patient whose condition has taken a turn for the
  worse. This is not to take the place of
  notifying the patients physician but is done
  simultaneously.
• Remember no RRT is a wrong RRT