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Presentation on theme: "Internal Emergency Procedures Moving through the presentation Please note: To move to the next slide use the mouse control To jump to a specific slide."— Presentation transcript:

1

2 Internal Emergency Procedures

3 Moving through the presentation Please note: To move to the next slide use the mouse control To jump to a specific slide use the keyword on the bottom portion of the slide or the hyperlinked word.

4 How this training package works 1. Read through all the slides carefully. 2. At the end of the session you will be asked a series of questions. If you are not sure of the answer, refer to the help section. 3. The last slide will ask you to forward a confirmation to your manager that you have completed the test. 5. If you don’t forward a confirmation , your manager will follow-up with you. 6. For all enquiries please contact the RCH Emergency Management Coordinator x6207

5 Be emergency prepared All staff must be emergency prepared. n be familiar with the standard procedures for each code in the internal emergency procedure manual and n walk through your place of employment to identify emergency suppression and detection equipment as well as emergency signage and evacuation routes.

6 Learning Training Content At the end of this learning exercise, you should be able to: n describe the Emergency Control Organisation (ECO) for your site n explain how to initiate an emergency code n identify the colour & standard procedures for each emergency code n list the fire alarm activation methods n describe how to respond to the fire alarm (alert tone) n explain how to respond to discovery of a fire (Standard Fire Instructions ) n identify the considerations for Fire Extinguisher use n explain your standard Evacuation Procedures

7 How does RCH respond to an emergency? n In all RCH campuses there is an established process for activating an appropriate response to an emergency. n The internal structure that responds to an emergency is known as the “Emergency Control Organisation (EOC).” n The EOC is supported by a committee known as the Emergency Planning Committee.

8 Emergency Control Organisation (ECO) [Main Campus] The ECO is divided into different response groups that can escalate appropriately to manage either an internal or external situation/incident

9 Response Group 1 Some of our RCH sites do not have RCH Zone Wardens. In this case the Chief Warden/Emergency Controller for the building takes control once notified. Refer to your local Internal Emergency Procedure manual.

10 Key Roles n Chief Warden: overall in charge in an emergency response. (White Helmet) n Zone Warden: Control over their zone during an emergency response. (Yellow Helmet) n General Warden: Assists zone warden n Escalate: Executive Group to assist with coordination / management.

11 n The Chief Warden when notified will take control of the whole site. n The Chief Warden will communicate with the Zone Warden/s (where applicable) and staff. n The Zone Warden takes control of their local area and reports to the Chief Warden. n The Chief Warden will escalate to the next level (Response Group 2) if established triggers have been reached. n Security will assist the Chief Warden. n Other support shall include RCH Switchboard and the relevant external emergency authorities such as MFB, Police, Ambulance and SES etc Response Group 1 (RCH Main Campus)

12 HOW TO INITIATE AN EMERGENCY CODE 1.To initiate an emergency code at sites which have an internal emergency number (see next slide) simply dial the emergency number to report the emergency. 2.The switchboard operator will then call external emergency authorities (Police, MFB etc) as required & notify the Chief Warden. 3.For sites that do not have an internal emergency number, call 000 for emergency codes that require external emergency authorities e.g. Code Red – MFB, Code Black - Police. 4.Alternatively codes can be reported to the Zone Warden.

13 HOW TO INITIATE AN EMERGENCY CODE: Emergency Numbers n RCH Main Campus 777 n Travancore 7555 n Broadmeadows 444 n Preston (“000”) n Sunshine (“000”) n Banksia (“000”) n Young People’s Health Services (“000”) n Hoppers Crossing 111 n Adolescent Forensic Health Service (“000”) (“000”) = direct call to relevant emergency service

14 Emergency Response Colour Codes Aide-mémoire Staff are to wear them at all times, attached to their ID badge/lanyard

15 Emergency Response Colour Codes Fire/ Smoke Respond Red Confirmed – instigate RACE R escue - anyone from immediate danger A larm - dial emergency number and alert others in the areas, break glass alarm and Zone Warden C ontain - close doors to isolate fire. If trained and is safe use an appropriate extinguisher. E vacuate – Unless in immediate danger, await instructions from Zone Warden Respond Red (In your area) Evacuation Respond Orange (In your area) Prepare to evacuate. Await instructions from Zone Warden (where applicable) or Chief Warden. Zone Warden will direct on evacuation route, destination, equipment needs and headcount RACE

16 Colour Response Codes Met Call (Blue) (In your area) Medical Emergency Dial your emergency number and report the nature of the emergency/ exact location/-inpatient unit/ -bed number Check area is safe Commence First Aid/CPR if trained. ProcedureProcedure Respond Yellow (In your area) Internal Emergencies Dial your emergency number and give details or contact the Zone Warden Significant: Power failure, oxygen failure, water failure, gas leak, flood, chemical spill, persons trapped in lift, structural damage etc Bomb Threats Refer to the aid-memoire Respond Purple (In your area)

17 Colour Response Codes Unarmed confrontation Refer to the aid-memoire and procedureprocedure Respond Black Personal Threat e.g. Hold up, siege Refer to the aid-memoire and procedureprocedure Respond Brown External Disaster Stand by for further instructions Stand Down (Respond code and location) The immediate emergency is over and is announced over the public address system and/ or via runners. Resume normal work Respond Grey

18 Management of Clinical Aggression (MOCA) training is available to all clinical care staff

19 Code Yellow – “Significant” Significant: n Has an impact on direct clinical care delivery or services that support direct patient care (inclusive of staff safety considerations) n Non-significant events (eg, leaky tap, blocked toilet, water drip from ceiling) do not require a code yellow response. These are reported through maintenance (at RCH Main Campus Ext 7666 which provides a 24/7 contact point)

20 STANDARD FIRE ORDERS – all staff R escue - any person in immediate danger. A larm – Raise the alarm and follow emergency procedures (see next slide) C ontain - close doors and windows to contain fire / smoke and if trained / safe use appropriate fire extinguisher E vacuate – unless in immediate danger, on hearing the evacuation tones, await instructions from zone warden You must also take action in accordance with any special protocol for your ward or department. In the event of discovering a fire, implement the RACE principle

21 Alarm It does not matter in what order the following is undertaken, as long as they are all achieved. Break glass alarm Contact switchboard (777*) Find/advise Zone Warden * RCH Main Campus other campus’ use designated emergency number

22 Zone Wardens n Take control of situation, put on yellow helmet 1. Calm and reassure patients, staff and visitors 2. Move anyone from imminent danger. (Immediate Evacuation) 3. Confirm that break glass alarm has been activated or Switch notified on Control Immediate evacuation as necessary. Prepare for Lateral or Total and if necessary follow the appropriate evacuation procedures 5. Liaise with Chief Warden/ Deputy Chief Warden at Emergency Control Centre via W.I.P/Switchboard/telephone and advise n Nominate General Wardens  Follow situation through to stand down  Debrief with affected department and Chief Warden as required

23 Nominate General Wardens to: 1. turn off all medical gases 2. conduct a count of all persons in area 3. retrieve patient records 4. retrieve current staff roster 5. search all areas including toilets and stores 6. shut all doors and windows, do not lock

24 FIRE ALARM ACTIVATION METHODS The fire alarm (alert tone) may be generated by either manual or automatic methods. The alarm is to alert the occupants of that zone that there may be a fire. Manual Method of raising an alarm Activate the Manual Call Point (break glass alarm) if you find a fire and or smoke. Automatic Methods of raising an alarm In the event that a smoke, heat or roof space detector is activated, the audible alarm will be generated in that zone via the fire panel. This triggers other automatic responses including the closing of fire and smoke doors. NOTE: some sites may not be equipped with automatic methods

25 RESPONDING TO THE ALERT TONE The alert tone sounds like this - Alert Upon hearing the alert tone in your area; n Look for any obvious signs of fire and or smoke and move away from immediate danger. If safe, stay in your work station area or designated zone marshalling area.  Standby for the evacuation tone and await instructions from the Zone Warden n At the Marshalling Point the Zone Warden may ask you to assist in ensuring the people within the zone are safe  Assist in searching zone, manning zone entry/exit points; assist with communicating/calming patients & relatives; and marshalling people to safety

26 RESPONSE – EVACUATION TONE n Unless in immediate danger, evacuate as per the instructions of the Zone Warden, Chief Warden (via PA), MFB or Police Officer n Evacuation: 1. Immediate - from immediate danger only (e.g. evacuating one room) 2. Lateral - beyond the fire and /or smoke doors (where applicable) 3. Vertical – to a safer level via the stairs (where applicable) 4. Total – completely outside of the building Note: Not all stages are required for each evacuation. Eg. If your building is equipped with fire doors, a lateral evacuation may be sufficient. n Assemble areas (See next slide) n The evacuation tone sounds like this –

27 STANDARD EVACUATION PROCEDURES Principles of evacuation; 1. Do not use lifts (unless authorised by MFB/Chief Warden) 2. Do not use beds (exceptions may include Barriatric (very heavy) patients, critical care areas etc) 3. Order of evacuation: visitors, independent patient, able to assist patient, not able to assist patients 4. Ensure all rooms have been searched before exiting 5. Follow your department / ward Evacuation Plan Note: see your AUM/Manager for training in patient evacuation devices relevant for your area.

28 Follow the instructions of the zone warden

29 n Evacuate triage – conducted by senior nurse (not zone warden) n Order of evacuation of patients 1. Ambulant 2. Partly-ambulant 3. Non-ambulant n Non-ambulatory patients are generally evacuated using the sheet/mattress drag technique RESPONSE – EVACUATION OF PATIENTS

30 CONSIDERATIONS FOR FIRE EXTINGUISHER USE Important things to note about fire extinguishers: n for use on small fires only (rule of thumb= waste paper bin size) n only use if trained in extinguisher operation and you feel safe. n know which extinguisher to use (see next slide). n Common extinguishers used at RCH: Water, and Carbon dioxide with limited dry chemical extinguishers. n always face the fire and keep a clear exit path if you are attempting to extinguish a fire n Use only one extinguisher on the fire.

31 WATER WET CHEMICAL DRY CHEMICAL CARBON DIOXIDE FOAM YES NO PORTABLE FIRE EXTINGUISHERS

32 Extinguisher - Water n Water fire extinguishers are efficient and cost effective against fires involving: n Paper n Textiles n Wood n Plastics n Rubber n Water acts to reduce the fuel, which is burning, to below the ignition temperature. The normal capacity of a water fire extinguisher is 9 litres. These particular extinguishers are not suitable to be utilised on flammable & combustible liquids (Class B) & cooking oils and fats (class F)

33 Fire Extinguisher – Carbon Dioxide n Carbon dioxide is extracted from the atmosphere, stored at high pressure in the liquid state within a fire extinguisher, for effective usage on electrical fires. Carbon Dioxide extinguishers are effective against fires involving: n Electrically Energised Equipment n This extinguisher may also be used on small flammable and combustible liquid Class B fires.combustible liquid Class B fires n Has limited use on wood, paper plastic fires (class A) and flammable & combustible liquids (Class B) CO2 is a non-conductive and non-corrosive agent which reduces the oxygen available to support the fire. As carbon dioxide replaces oxygen, the discharge by personnel within extremely confined spaces is discouraged. Equally, as the agent dissipates easily into the atmosphere, the effect is limited where there is air movement. Carbon Dioxide (CO2) fire extinguishers are recommended for use in electronic environments. The normal capacities of this type of fire extinguisher ranges from 2kg to 5kg. The Carbon Dioxide (CO2) fire extinguisher is recommended by Australian Standards as “…the preferred extinguishant for use in electronic environments”.

34 Congratulations You have completed the first part of the Basic Fire Safety and Emergency Procedures Course. You still need to become familiar with the local procedures and equipment at your workplace. Ask your Supervisor to show you where things are. If you have any questions in relation to fire safety and emergency procedures ask your Supervisor or Zone Warden or contact the Emergency Management Coordinator on extension You now need to complete part two of the course.

35 Part Two 1. You must now undertake the Fire Safety and Emergency procedures test. 2. Most questions have a help button. 3. Write your answers on a spare sheet of paper and compare your results at the end of the test. 4. Please go back to any questions that you may have wrong. Good Luck!

36 Question 1 n What are the best types of fire extinguishers for electrical fires? a) Water, carbon dioxide b) Wet chemical, foam c) Carbon dioxide, dry chemical d) Dry chemical, foam Help

37 Question 2 n What colour helmet does the zone warden wear in an emergency? a) Yellow b) White c) Red d) Blue Help

38 Question 3 The order to evacuate patients is: a) 1st - non ambulant 2nd – ambulant 3rd - semi ambulant b) 1st – ambulant 2nd - semi ambulant 3rd - non ambulant c) 1st - semi ambulant 2nd – non ambulant 3rd - ambulant Help

39 Question 4 At the RCH Main Campus Code Grey is activated by: a) Contacting security and asking for assistance b) Contacting 777 and waiting for the response team to arrive c) Calling the police on 000 d) Activating the break glass alarm Note: Code Grey responses at other sites is activated through the local emergency procedures. Help

40 Question 5 Code Yellow contingencies are designed to be activated if there is a significant impact on patient care services. a) True b) False Help

41 Question 6 Help When the Alert tone sounds, occupants are to: a) Evacuate totally b) Standby for the evacuation tone and await instructions from the Zone Warden c) Evacuate laterally

42 Question 7 Help How do you activate a code Black? a) Call the police b) Call Security on extension 6216 c) Activate duress alarm or ring switchboard emergency on 777* * Main campus

43 Question 8 Help When the alert tones sounds in the RCH main campus: a) Zone warden reports / attends WIP phone b) Call the fire brigade c) Zone warden evacuates staff d) Ignore tone and continue working

44 Question 9 Help In terms of fire management, what does RACE mean? a) Respond, Alert, Contain, Extinguish b) Run, Alarm, Contain, Escalate c) Rescue, Alarm, Contain, Evacuate d) Rescue, Activate, Confine, Emergency

45 Question 10 Help Upon activation, the Break Glass Alarm will a) Set off sprinklers b) Only operate if actual fire exists c) Allow access to the roof area d) Automatically call the Fire Brigade

46 Question 11 What does this sound mean? a) Alert phase of an emergency b) Stand down to an emergency c) Evacuation phase of an emergency d) Recovery phase of an emergency

47 Question 12 More information An electrocution has occurred due to a faulty electrical appliance. What do you do? a) Turn of the power, if safe to do so and instigate a Met Call b) Activate a Break Glass Alarm

48 Question 13 Help If requested by an armed offender to hand over medication from the drug cupboard, you would? a) Refuse to follow the offender’s instructions b) Follow the offender’s instructions but do only what is asked and nothing more c) Follow the offender’s instructions and inform them that there are more supplies in Pharmacy

49 Question 14 Help Which of the following should you do during an evacuation? a) Search all rooms, including toilets, bathrooms and stores b) Move out in groups of two holding hands c) Move non-ambulant patients on mattresses & sheets d) Collect patient lists and medical histories for the evacuated patients e) A, C, D f) A, C, B

50 Question 15 Help If you discover fire or smoke, you should activate a Break Glass Alarm, alert other staff and move anyone in immediate danger. What else should you do? a) Attempt to extinguish the fire if safe to do so (& trained) b) Close doors and windows to isolate the fire c) Leave doors and windows open d) Notify Switchboard on 777 (RCH Main Campus) e) A, B, D f) B, C, D

51 Results Q1c) Is the correct answer Q2a) Is the correct answer Q3b) Is the correct answer Q4b) Is the correct answer Q5a) Is the correct answer Q6b) Is the correct answer Q7c) Is the correct answer Q8a) Is the correct answer Q9c) Is the correct answer Q10d) Is the correct answer Q11c) Is the correct answer Q12a) Is the correct answer Q13b) Is the correct answer Q14e) Is the correct answer Q15e) Is the correct answer

52 Now you have finished n Please advise your manager that you have completed the program n For Royal Bank please to n You must include “Emergency Procedures Training”, your name, employee number and the date completed in the subject line of the . If these details are not included a pass will not be recorded Press here to finish

53 WATER WET CHEMICAL DRY CHEMICAL CARBON DIOXIDE FOAM YES NO Help Question 1 Return to question

54 Help Question 2 n Chief Warden: overall in charge in an emergency response. (White Helmet) n Zone Warden: Control over their zone during an emergency response. (Yellow Helmet) n General Warden: Assists zone warden n Escalate: Executive Group to assist with coordination / management. Return to question

55 Help Question 3 All staff in the threat area should be utilised to assist with the evacuation of patients. Ancillary staff and visitors can be used to assist with non- ambulant or semi ambulant patients. The order of evacuation will be: 1. ambulant patients 2. semi ambulant patients 3. non ambulant patients Return to question

56 Help Question 4 Initial Response to aggression/violence: n Contact the RCH switchboard on the emergency number 777 stating: Code Grey Location Switchboard Will: n Confirm exact location n Activate the emergency page (overhead and lanpage), alerting the Code Grey Team n Notify the Police if requested by the Code Grey Team n Stand down code grey at the request of the Code Grey Team Leader Prior to the Code Grey Team arrival, staff will: n Try to defuse the situation by application of interpersonal skills (without provoking further violence) n Move patients, visitors and staff at risk of injury away from the area n Move dangerous objects n Stay calm and communicate quietly n Not allow other patients or visitors to become involved n NOT attempt to physically restrain the aggressor n Brief Code Grey Team leader when he or she arrives Return to question

57 Help Question 5 Significant: n Has an impact on direct clinical care delivery or services that support direct patient care (inclusive of staff safety considerations) n Non-significant events (eg, leaky tap, blocked toilet, water drip from ceiling) do not require a code yellow response. These are reported through maintenance (at RCH Main Campus Ext 7666 which provides a 24/7 contact point) Return to question

58 Help Question 6 Upon hearing the alert tone in your area; n Look for any obvious signs of fire and or smoke and move away from immediate danger. If safe, stay in your work station area or designated zone marshalling area.  Standby for the evacuation tone and await instructions from the Zone Warden n At the Marshalling Point the Zone Warden may ask you to assist in ensuring the people within the zone are safe Eg; Assist in searching zone, manning zone entry/exit points; assist with communicating/calming patients & relatives; and marshalling people to safety Return to question

59 Help Question 7 n Any Staff Member when confronted with an armed person or involved in an armed hold-up: n Remain calm - try not to panic n Follow the offender's instructions, but do only what is told and nothing more. NB: if not directly involved, stay out of danger; leave the area if safe to do so, and then raise the alarm n If safe to do so, activate Code Black via either: a. Duress alarm or b. Switchboard Emergency on 777 n Alternatively, alert another staff member to activate Code Black if safe to do so n If not a hold-up, attempt to ascertain the offender's grievance; talk quietly and softly. Try to calm and assist without making firm promises listen carefully maintain appropriate distance avoid sudden body actions, movements, gestures Return to Question

60 Help Question 8 n Take control of situation, put on yellow helmet 1. Calm and reassure patients, staff and visitors 2. Move anyone from imminent danger. (Immediate Evacuation) 3. Confirm that break glass alarm has been activated or Switch notified on Control Immediate evacuation as necessary. Prepare for Lateral or Total and if necessary follow the appropriate evacuation procedures 5. Liaise with Chief Warden/ Deputy Chief Warden at Emergency Control Centre via W.I.P/Switchboard/telephone and advise n Nominate General Wardens  Follow situation through to standown  Debrief with affected department and Chief Warden as required Return to Question

61 Help question 9 R escue - any person in immediate danger. A larm – Raise the alarm and follow emergency procedures C ontain - close doors and windows to contain fire / smoke and if trained / safe use appropriate fire extinguisher E vacuate – unless in immediate danger, on hearing the evacuation tones, await instructions from zone warden You must also take action in accordance with any special protocol for your ward or department. In the event of discovering a fire, implement the RACE principle Return to Question

62 Help question 10 n Buildings fitted with a "Fire - Break Glass Alarm" allow occupants to activate the fire alarm and alert the fire brigade easily. The red panel on the wall houses a small button that when depressed will contact the Fire Brigade. The Fire Brigade will respond instantly to the building. You should always try to ring Switchboard (777*) to confirm the fire. n The glass, or perspex material is easy to break with your shoe heel or other solid object. Smashing the glass will sometimes activate the button automatically. * 777 is Switchboard for Main Campus. Other locations - follow local procedures. Break glass alarm Return to Question

63 Help question 12 Medical Emergency n Medical Emergency Team (MET) The MET service replaces the 'Code Blue' system which traditionally has been regarded as indicated only for cardio-respiratory arrest. The primary aim of the MET service is to increase the early recognition and prompt treatment of severely ill or deteriorating children before a major deterioration such as cardiac or respiratory arrest occurs. The criteria for activating MET are provided to guide staff when to call MET. No one is too junior to call MET and no one needs higher approval to make a MET call. When a medical emergency occurs within a nursing or clinical area the units specific departmental procedures will take precedence. Nursing and medical staff will commence appropriate treatment and care as per the situation they are presented with. This section also applies to any type of medical emergency that may present itself in other non-medical areas of the hospital. As such departments would not have specific operating procedures in place to deal with such emergencies; this section will be deemed to be standard operating procedure for such areas. Remember to always make a thorough assessment of the situation you are presented with and seek to deal with it calmly and effectively. A clear and rational approach will help allay fear and provide you with a frame of mind that will enable you to deal adequately with the emergency. Return to Question

64 Help Question 13 Any Staff Member when confronted with an armed person or involved in an armed hold-up: Remain calm, try not to panic Follow the offender's instructions, but do only what is told and nothing more. NB: if not directly involved, stay out of danger; leave the area if safe to do so, and then raise the alarm If safe to do so, activate Code Black via either: a. Duress alarm or b. Switchboard Emergency on 777 Alternatively, alert another staff member to activate Code Black if safe to do so If not a hold-up, attempt to ascertain the offender's grievance; talk quietly and softly. Try to calm and assist without making firm promises listen carefully maintain appropriate distance avoid sudden body actions, movements, gestures Once offender is clear, if Code Black has not yet been activated, activate duress alarm or ring Switchboard Emergency 777 and give full Code Black details; include your name exact location a brief summary of the facts Preserve the scene. Do not allow others to contaminate or walk through area. Lock the door Ask all witnesses to remain until the police arrive, and explain to the witnesses that their view of what happened, however fleeting, could provide vital information when pieced together with other evidence Notify Zone Warden or person in charge and brief. Do not discuss incident with others Await arrival of Chief Warden and brief Do not discuss the incident with the media When practical, complete "Description of Offender Form" Return to Question

65 Help Question Search all rooms including toilets, bathrooms and stores; 2. Patient lists and medical histories should be taken with the patients as they are evacuated, however time should not be spent doing this at the expense of evacuating people; and 3. In most cases, it is strongly advised that beds or trolleys not be moved in an evacuation due to the risk they have off cluttering or obstructing the paths of travel to exits. Non- ambulant patients are to be evacuated on a mattress with a sheet. The Zone Warden will always nominate staff to remain at the assembly point to provide on going patient care. Return to Question

66 Help Question 15 R escue - any person in immediate danger. A larm – Raise the alarm and follow emergency procedures C ontain - close doors and windows to contain fire / smoke and if trained / safe use appropriate fire extinguisher E vacuate – unless in immediate danger, on hearing the evacuation tones, await instructions from zone warden You must also take action in accordance with any special protocol for your ward or department. In the event of discovering a fire, implement the RACE principle Return to Question

67 Alarm It does not matter in what order the following is undertaken, as long as they are all achieved. Break glass alarm Contact switchboard (777*) Find/advise Zone Warden * RCH Main Campus other campus’ use designated emergency number Go Back a slide

68 Procedure Code Grey n Code Grey WILL BE activated when: A staff member perceives a threat to self or others or persistent threat to property. For which verbal de-escalation procedures have failed or are inappropriate. There is no weapon involved in the threat (if there is a weapon involved, or if the threat from the aggressor is beyond the capability of the code grey team, then a code black should be activated). NEXT

69 Procedure Code Grey Initial Response to aggression/violence: n Contact the RCH switchboard on the emergency number 777 ** stating: Code Grey Location Switchboard Will: n Confirm exact location n Activate the emergency page (overhead and lanpage), alerting the Code Grey Team n Notify the Police if requested by the Code Grey Team n Stand down code grey at the request of the Code Grey Team Leader Prior to the Code Grey Team arrival, staff will: n Try to defuse the situation by application of interpersonal skills (without provoking further violence) n Move patients, visitors and staff at risk of injury away from the area n Move dangerous objects n Stay calm and communicate quietly n Not allow other patients or visitors to become involved n NOT attempt to physically restrain the aggressor n Brief Code Grey Team leader when he or she arrives ** Or local procedure Return to presentation

70 Procedure - Black n Any Staff Member when confronted with an armed person or involved in an armed hold-up: n Remain calm - try not to panic n Follow the offender's instructions, but do only what is told and nothing more. NB: if not directly involved, stay out of danger; leave the area if safe to do so, and then raise the alarm n If safe to do so, activate Code Black via either: a. Duress alarm or b. Switchboard Emergency on 777 n Alternatively, alert another staff member to activate Code Black if safe to do so n If not a hold-up, attempt to ascertain the offender's grievance; talk quietly and softly. Try to calm and assist without making firm promises listen carefully maintain appropriate distance avoid sudden body actions, movements, gestures NextBack to presentation

71 Procedure – Black (cont) n Once offender is clear, if Code Black has not yet been activated, activate duress alarm or ring Switchboard Emergency 777 and give full Code Black details; include your name exact location a brief summary of the facts n Preserve the scene. Do not allow others to contaminate or walk through area. Lock the door n Ask all witnesses to remain until the police arrive, and explain to the witnesses that their view of what happened, however fleeting, could provide vital information when pieced together with other evidence n Notify Zone Warden or person in charge and brief. Do not discuss incident with others n Await arrival of Chief Warden and brief n Do not discuss the incident with the media n When practical, complete "Description of Offender Form" Return to presentation Back one slide

72 Met Call Medical Emergency n Medical Emergency Team (MET) The MET service replaces the 'Code Blue' system which traditionally has been regarded as indicated only for cardio-respiratory arrest. The primary aim of the MET service is to increase the early recognition and prompt treatment of severely ill or deteriorating children before a major deterioration such as cardiac or respiratory arrest occurs. The criteria for activating MET are provided to guide staff when to call MET. No one is too junior to call MET and no one needs higher approval to make a MET call. When a medical emergency occurs within a nursing or clinical area the units specific departmental procedures will take precedence. Nursing and medical staff will commence appropriate treatment and care as per the situation they are presented with. This section also applies to any type of medical emergency that may present itself in other non-medical areas of the hospital. As such departments would not have specific operating procedures in place to deal with such emergencies; this section will be deemed to be standard operating procedure for such areas. Remember to always make a thorough assessment of the situation you are presented with and seek to deal with it calmly and effectively. A clear and rational approach will help allay fear and provide you with a frame of mind that will enable you to deal adequately with the emergency. Return to Presentation

73 Thank you


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