Emergency Measures Training MNI September 24 2012 revised

Emergency Measures Training MNI September 24, 2012 revised April, 2015 MUHC Emergency Measures Services 1

Agenda 1. 0) Welcome 2. 0) Introduction and course objectives. ( 5 minutes) 3. 0) Presentation of emergency situations ( 45 minutes) 4. 0) Wrap up. Questions and completion of evaluation. (10 minutes) MUHC Emergency Measures Services 2

Introduction 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. MUHC Emergency Measures Services 3

Training Objective At the end of this training, the participant will: § Be able to identify the various emergency codes § Have an understanding of their roles and responsibilities MUHC Emergency Measures Services 4

Emergency Codes Code Red Code Flood Code Black Code Brown Code Grey Code Green Code Orange Code Yellow Electrical Failure Code White Code Blue Code Pink Elevator shutdown Medical gas Extreme Heat Water Shutdown Heat Shutdown Code Flood MUHC Emergency Measures Services 5

Site Response Unit based response Site based response MUHC Emergency Measures Services Exterior response 6

MUHC Emergency Measures Services 7

Code Red refers to events linked to a possible fire. It represents the alert process, intervention and re-establishment of services MUHC Emergency Measures Services 8

Code Red Activation and response MUHC Emergency Measures Services 9

Code Red Departmental response You discover a fire! Code Red (elsewhere) § § § Listen to instructions Return to work station. Clear exit routes Shut doors and windows Prepare to evacuate Wait further instructions. § Move people in immediate danger § Activate manual fire alarm § Contact 55555 § Close windows and doors § Attempt to extinguish fire § Remain available MUHC Emergency Measures Services 10

Code Red üClasses of fire üTypes of portable fire extinguishers üHow to use MUHC Emergency Measures Services 11

Code Red Classes of fire Ordinary combustibles MUHC Emergency Measures Services 12

Code Red Classes of fire Flammable liquids & gases MUHC Emergency Measures Services 13

Code Red Classes of fire Electrical equipment MUHC Emergency Measures Services 14

Code Red Classes of fire Combustible metals MUHC Emergency Measures Services 15

Code Red Classes of fire MUHC Emergency Measures Services 16

Code Red Fire extinguishers Water : 30 – 50 s CO 2: 8 – 30 s Powder: 8 – 25 s MUHC Emergency Measures Services 17

Code Red Fire extinguisher use MUHC Emergency Measures Services 18

Code Red Fire extinguisher use MUHC Emergency Measures Services 19

Code Red Fire extinguisher use MUHC Emergency Measures Services 20

Code Brown is an accidental spill of a hazardous material that may include chemicals, cytotoxic agents, gases, bio-hazardous substances, mercury and radioactive substances. MUHC Emergency Measures Services 21

Code Brown Departmental response Code Brown (Elsewhere) § Listen for additional instructions. § Evacuate area if experiencing negative health affects. § Await the “all clear”. Create or witness to ! § Move person in immediate danger. § Contact 55555 § Advise other occupants in immediate area. § Remain available to provide assistance/information. MUHC Emergency Measures Services 22

Code Orange a disaster or external cataclysm which may generate a sudden increase in patient flow. MUHC Emergency Measures Services 23

Code Orange Three levels of a code orange: Pre ( alert) 1 ( 6 -11 patients) 2 ( 11 and over) When heard § § Does it affect you? If so, follow your dept plan No affect § Carry on normal activities MUHC Emergency Measures Services 24

Green Code Green refers to the immediate evacuation of a portion of or the entire complex due to circumstances that cannot assure the safety of patients, staff or visitors. Includes the alert process, intervention and recovery of services. MUHC Emergency Measures Services 25

Code Green Ordered to evacuate. Initiate local plan Ø Ø Local Horizontal Vertical Off site § Evacuate according to local plan § Re group at designated meeting place. Evacuation ordered elsewhere § Listen for additional instructions. § Prepare to evacuate § May be asked to assist with evacuation of other areas. MUHC Emergency Measures Services 26

Code White Code white is an emergency response which is initiated in order to subdue a patient who is expressing extreme anxiety and anger which may escalate into a potentially violent situation. Code white stat a situation that escalates in violence and the patient is armed. MUHC Emergency Measures Services 27

Code White On Hearing a “ Code white” § Listen for location § If you are in the proximity remain attentive to further messages. MUHC Emergency Measures Services 28

Code Yellow Code yellow is an emergency response that is initiated to assist in the search of a missing in-patient. Code yellow stat is an emergency response that is initiated due to the abduction of an in-patient. MUHC Emergency Measures Services 29

Code Yellow When advised of a Code yellow: § Have a look around your immediate work area, sitting rooms, lounges etc. . § If a patient is found or seen, contact site security and advise. Nursing personnel will be sent to escort the patient back to their unit. MUHC Emergency Measures Services 30

Code Black is an emergency response that is initiated to assist with a received bomb threat or suspicious package. MUHC Emergency Measures Services 31

Code Black Not affected! Search Requested! § Remain attentive for further instructions. § Continue normal activity. § Initiate local plan. § initiate search of your work area. § Report findings to security. § Remain attentive to further instructions. MUHC Emergency Measures Services 32

Code Grey is an emergency response to an external event that may imply an external gas leak, or an external hazardous chemical/biohazardous/radioisitope spill or leak. MUHC Emergency Measures Services 33

Code Gray When advised of a Code gray! § § § Close exterior windows. Remain within the building. Wait for further instructions or the “all clear”. MUHC Emergency Measures Services 34

Code Blue/ Pink “Code Blue/ Pink” is an emergency response to an unconscious person. ( Adult/ Child) MUHC Emergency Measures Services 35

Code Blue/Pink An unconscious person is discovered! § Contact local 55555 Ø Site Ø Location i. e. room Ø Number where you can be reached. No impact on you § Continue routine activities. MUHC Emergency Measures Services 36

Medical Emergency Procedures Conscious Individual Ambulatory § Minor injury: Non-Ambulatory § Call 911 – Administer first aid – Follow up as necessary § Needing medical attention: – Go to Emergency at the Montreal General Hospital – Be accompanied by a coworker – Give location (Building, Pavilion, Floor, Room number), your name and a phone number to contact you § Inform Neuro Security by calling 55 -555 § Arrange escort for Urgence Santé to location MUHC Emergency Measures Services 37

Other Codes “Code Flood” uncontrolled release of water within the facility. “Elevator shutdown” emergency shutdown of elevators due to mechanical problems. “Medical Gas shutdown” an unscheduled interruption in the distribution of medical gases. “Water shutdown” an unscheduled closure of the domestic water supply. “Extreme heat” condition where the exterior temperature is having a negative impact on operations and measures must be put in place. MUHC Emergency Measures Services 38

Thank you! MUHC Emergency Measures Services 39