MUHC Emergency Measures MUHC Emergency Measures Services Services 1 Emergency Measures Emergency Measures Training Training MNI MNI September 24, 2012 September 24, 2012 revised April, 2015 revised April, 2015
Dec 17, 2015
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Emergency Measures TrainingEmergency Measures TrainingMNI MNI
September 24, 2012September 24, 2012revised April, 2015 revised April, 2015
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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)
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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.
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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
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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
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Site ResponseSite Response
Exterior response
Site basedresponse
Unit based response
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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
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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
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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
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Code RedCode Red
Classes of fireClasses of fire
Types of portable fire Types of portable fire extinguishersextinguishers
How to useHow to use
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Code Red Code Red Classes of fireClasses of fire
Ordinary combustibles
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Code Red Code Red Classes of fireClasses of fire
Flammable liquids & gases
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Code Red Code Red Classes of fireClasses of fire
Electrical equipment
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Code Red Code Red Classes of fireClasses of fire
Combustible metals
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Code Red Code Red Classes of fireClasses of fire
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Code Red Code Red Fire extinguishersFire extinguishers
Water : 30 – 50 s
CO2: 8 – 30 s
Powder: 8 – 25 s
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Code Red Code Red Fire extinguisher useFire extinguisher use
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Code Red Code Red Fire extinguisher useFire extinguisher use
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Code Red Code Red Fire extinguisher useFire extinguisher use
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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.
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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..
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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.
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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
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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.
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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..
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Code WhiteCode White
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.
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Code WhiteCode White
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.
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Code YellowCode Yellow
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.
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Code YellowCode Yellow
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.
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Code BlackCode Black
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.
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Code BlackCode Black
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.
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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.
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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”.
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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)
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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
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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.