EMERGENCY PROCEDURES MANUAL - Department of Health

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CODE BROWN SPECIFIC MANAGEMENT PRINCIPLES: CHEMICAL BIOLOGICAL OR RADIATION ( CBR) INCIDENTS This section is focussed on the physical facility and the equipment aspects of CBR incidents. Priority is given to protecting staff from contamination. DECONTAMINATION: Decontamination of victims is normally performed at the site of the incident. Ideally, contaminated patients should not enter the ECC until decontamination has been completed. This then ensures the ECC remains “clean” and not a threat to staff with resultant 2 nd generation injuries. Basic life support may be performed early by protected staff prior to decontamination, but further definitive care should wait until after decontamination. Rarely will further decontamination within the ECC be required. Once a patient has been decontaminated, they can become part of the hospital’s routine disaster plan patient flow. DECONTAMINATION AREAS: External The designated contamination area is the Hazmat Shower outside the Bulk Gas Storage Building. ( Regent St.)* In the event of overwhelming casualty numbers, consider manually activating the fire sprinklers in the Ambulance Bay. • Key to access this area is kept on the “D-D” Key-chain in Emergency • Victims should wash down with soap & water for 5 minutes prior to entering the ECC. • Portable screens erected to preserve patient privacy as best as possible. • Staff may only assist if wearing Personal Protective Clothing (PPC). • Patient valuables & clothes are double-bagged, sealed and labelled and stored in a securable room by Security as “Valuables”. • Patients are then triaged after the decontamination process. *New purpose built decontamination shower planned for December 2000 27/09/00 Page 7 of 27
CODE BROWN Internal • A second level of decontamination is only necessary in exceptional circumstances, eg. internal radioactive contamination, chemical off-gassing or a biological hazard. • The Resuscitation Cubicles in the ECC will be utilised in this situation, the “Control Area.” • Air conditioning should be redirected to prevent contamination of other areas. • Unnecessary equipment and furniture should be removed from the Control Area prior to any anticipated patient arrival. • Plastic sheeting should be laid out on the floor and absorbent pads (e.g. ‘blueys’) laid over this. • Wet Plastic Bags may be suitable for the temporary storage of clothing and soiled linen and materials. • The corridor and control area should be taped-off at waist height to help isolate “hot” (dirty) from “cold” (clean) zones. 27/09/00 Page 8 of 27
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EMERGENCY PROCEDURES MANUAL ALL EME
Page 3 and 4:
CONTENTS Page No Introduction Aim
Page 5 and 6:
SAFETY FEATURES OF ST VINCENT'S HOS
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EMERGENCY RESPONSE TEAMS OVERVIEW E
Page 9 and 10:
RESPONDING TO SPECIFIC EMERGENCIES
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TRAINING The training program aims
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E.W.I.S. The emergency warning and
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CODE RED INTERNAL DISASTER - FIRE/S
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Respond Red CODE RED ALERT PERSON D
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Respond Red Initial Response CODE R
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Respond Red Area Warden CODE RED Ve
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Respond Red DEPUTY EMERGENCY CO-ORD
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Respond Red Deputy Emergency Co-ord
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Respond Red Emergency Co-ordinator
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Respond Red LOCATION OF FIRE ALARM
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CODE PURPLE CODE PURPLE Internal Di
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CODE PURPLE BY TELEPHONE RECIPIENT
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CODE PURPLE BY PERSON(S) ON SITE RE
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CODE PURPLE • AREA WARDEN • Ens
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CODE PURPLE DEPUTY EMERGENCY CO-ORD
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CODE PURPLE BOMB SEARCH Bomb search
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CODE ORANGE CODE ORANGE Internal Di
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CODE ORANGE SWITCHBOARD When notifi
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CODE ORANGE DEPUTY EMERGENCY CO-ORD
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CODE ORANGE SAFE ASSEMBLY AREAS (Re
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INTERNAL EMERGENCY (RESPOND CODE YE
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Respond Yellow PERSON INITIATING RE
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Respond Yellow PERSON INITIATING RE
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Respond Yellow AREA WARDEN - CODE Y
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Respond Yellow SWITCHBOARD CODE YEL
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Deputy Co-ordinator Respond Yellow
Page 63 and 64: Deputy Co-ordinator Respond Yellow
Page 65 and 66: Emergency Co-ordinator Respond Yell
Page 67 and 68: Respond Yellow PERSON TRAPPED IN LI
Page 69 and 70: Respond Yellow ENGINEERING STAFF AF
Page 71 and 72: Respond Yellow LIFT LOCATION MAP Ju
Page 73 and 74: CODE GREY CONTENTS Page No Area Cov
Page 75 and 76: CODE GREY PERSON INITIATING RESPONS
Page 77 and 78: CODE GREY SWITCHBOARD • Confirm C
Page 79 and 80: CODE GREY EMERGENCY RESPONSE CO-ORD
Page 81 and 82: CODE GREY EMERGENCY RESPONSE MEDICA
Page 83 and 84: CODE GREY EMERGENCY RESPONSE SECURI
Page 85 and 86: CODE BLACK CONTENTS Page No Area Co
Page 87 and 88: CODE BLACK IMMEDIATE ACTIONS IF CON
Page 89 and 90: CODE BLACK SWITCHBOARD • Confirm
Page 91 and 92: CODE BLACK EMERGENCY CO-ORDINATOR
Page 93 and 94: CODE BLACK RISK MANAGER • Collate
Page 95 and 96: CODE BLUE CONTENTS Page No Area Cov
Page 97 and 98: CODE BLUE Full Resuscitation Trolle
Page 99 and 100: CODE BLUE USE OTHER HOSPITAL’S EQ
Page 101 and 102: CODE BLUE STAFF IN THE AREA OF THE
Page 103 and 104: CODE BLUE MEDICAL TEAM • Proceed
Page 105 and 106: CODE BLUE HOSPITAL AFTER HOURS NURS
Page 107 and 108: CODE BLUE EQUIPMENT LISTING AIR VIV
Page 109 and 110: CODE BROWN CONTENTS Page No Mobile
Page 111 and 112: CODE BROWN EQUIPMENT NEEDS IN MASS
Page 113: STAGE B: ACTIVATION CODE BROWN G EN
Page 117 and 118: CODE BROWN An appointed Radiation S
Page 119 and 120: EXECUTIVE DIRECTOR CODE BROWN • R
Page 121 and 122: CODE BROWN DIRECTOR OF PHYSICS & ME
Page 123 and 124: CODE BROWN SENIOR ECC MEDICAL OFFIC
Page 125 and 126: CODE BROWN ECC PATIENT SERVICES CLE
Page 127 and 128: BUILDINGS & DEPARTMENTS CODE BROWN
Page 129 and 130: CODE BROWN STAGE C: IMPLEMENTATION
Page 131 and 132: CODE BROWN STAGE D: RECOVERY STAFF
Page 133 and 134: APPENDIX I: FOR ECC STAFF CODE BROW
Page 135 and 136: CODE GREEN CORRECTIONAL HEALTH SERV
Page 137 and 138: Respond Green CODE GREEN The person
Page 139 and 140: Respond Green AREA WARDEN • Verif
Page 141 and 142: Respond Green SWITCHBOARD • Repea
Page 143 and 144: Respond Green Deputy Emergency Co-o
Page 145 and 146: Respond Green Emergency Co-ordinato
Page 147 and 148: Respond Green TRAFFIC MANAGEMENT
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EMERGENCY PROCEDURES MANUAL - Department of Health

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