2. Emergency Procedures & Security

3. Emergency Codes Code Red – Fire Code Orange - Bomb Threat Code White- Disaster Code Gray- Tornado Code Pink - Infant/Child Abduction Code Silver – Violent or Armed individual Code Purple – Chemical Spill Code STRONG-If you have a situation where you need ‘Strength in Numbers’

4. Emergency Code 1105 In the event of a patient emergency: –Dial 1105 –State your location and that you have a patient down –They will page Code Blue and the location –An arrest team will respond immediately

5. CODE RED What you should know: In the event of visible smoke and flames, activate the nearest accessible alarm. Fire Drills are conducted one per shift per month Make sure all storage areas in your unit are compliant Help make sure that EXIT signs are present in your area, and lit up.

6. CODE RED Upon hearing the CODE RED announcement: –Evacuate any patients, visitors or associates from the immediate area affected by the smoke and/or flames –The fire response team reports immediately to the location –All associates will remain where they are, Close all doors and Do not use the elevators. –Keep hallways clear by moving equipment, carts, chairs, etc…. to storage areas to assist in fire fighting. –Remain in the location you are at until the ALL CLEAR is announced. –Refer to individual department plan for specific details related to your designated area.

7. Safe Zone Defend in Place (Smoke Compartments) Hospitals & Corrections are the only two occupancies that DO NOT evacuate the building during a Code Red Smoke doors are located in compartments which are 22,500 sq. ft. Smoke doors WILL PROTECT your area from the spread of smoke or fire. Smoke doors should not be breeched unless an evacuation had been ordered.

8. RACE R escue A larm C ontain E xtinguish

9. How to use the Fire Extinguisher P ull A im S queeze S weep

10. Components of a Fire Extinguisher NOTE: If you have emptied a full extinguisher and the fire is still active, leave the room and shut the door and await the fire department. Pressure Gauge Hose Cylinder Carrying Handle & Trigger Pin

11. CODE ORANGE In the event of a telephoned bomb threat, proceed with the following: –Have someone dial 1105 and alert Security about the bomb. –Keep the caller on the line as long as possible. –Attempt to record every work spoken by the caller. –Listen closely to the voice, tone, accent, character, etc. –Pay attention to background noises. –Use the bomb threat call guidelines outlined in the manual.

12. CODE ORANGE Upon hearing the CODE ORANGE announcement: –All nonessential operations will be discontinued. –All associates will return to their departments and prepare evacuation. –Visitors will be directed to the nearest waiting area. –Refer to individual department plan the evacuation plan for specific details related to your designated area.

13. CODE WHITE All nonessential functions will cease. All associates on duty will return to their departments. All entrance doors will be locked by security(except the front door). Designated associates from the STAND BY PHASE WILL REPORT TO THE Associated Resource Pool in the Cafeteria. Extra Equipment identified during the STAND BY phase will be sent to Materials management for deployment as needed.

14. CODE WHITE Drills are completed twice a year Participation is greatly appreciated Fan call lists need to be updated to reflect any staff changes

15. CODE GRAY Tornado Watch denotes weather conditions that may quickly develop into a tornado. Tornado Warning denotes that a tornado has been sighted within our geographical area. *CODE GRAY status stays into effect until a CODE GRAY ALL CLEAR is announced.

16. CODE GRAY Upon hearing the CODE GRAY announcement: –Maintain all windows closed. –Move visitors and ambulatory patients away from windows and other exposure to glass. –Move patients confined to bed into hallways as condition and time allow. –Close all room shades and curtains, including patient privacy curtains. –Provide patients with extra bed linen to cover themselves for protection.

17. Identification of Code Pink In the event that an infant/child is missing or is known to have been kidnapped. Code Key –Boy= “John” –Girl= “Jane” –Up to 1 yr.old= “Zero” –1 yr old= “ One” –2 yrs old= “Two” etc. * Example: “Code Pink John Three”= 3 year old boy“Code Pink Jane Zero” = Infant Girl CODE PINK

18. Upon hearing the CODE PINK announcement: –Go to the closest exit and watch for a person with an infant/child that is not being escorted out of the hospital by a nurse or other associate in uniform. –Ask to identify infant /child identity (wrist name tag) or ask to inspect content s of questionable package. –Get clear description of person and direction of travel.

19. CODE SILVER –Victim of a Violent Act in the ER ER will notify security and security will activate the metal detector, call 911 and limit all visitors. –Violent or Armed Individual in the Building Report description of incident in detail to security Security will call 911, activate code, lock all entries, and search the building Associates will not leave the building, inform patients and visitors and secure the area. –Potentially Violent Individual outside in Area Report description of incident in detail to security Security will call 911, activate code, and monitor all entries Associates will not leave the building, and inform patients and visitors

20. Globally Harmonized System (GHS) GHS provides details of information about any given chemical product. The sheet consists of: Name, composition, hazards, first aid measures, fire fighting measures, information regarding the proper steps to take with spills, handling and storage, personal protection to be used, physical and chemical properties and information about stability and reactivity, toxicology, disposal, transporting, and regulatory requirements.

21. Michigan Right to Know Communication of information regarding the safe handling of hazardous chemicals present in Michigan workplaces Hazard Determination Labeling GHS Associate Information and Training Informing contractors GHS Sheets are located at: Towne Centre, Engineering, Security, ER, Associate Health and Wellness and on the Inside Scoop

22. Equipment Failure Plan Where: Located in the Emergency Preparedness manual located in each clinical department What:Outlines Procedures to Care for Patients in the event of a patient care equipment failure or emergency. Also identifies the location of Backup Equipment *Always remember to contact Biomed/Trimedx for any patient care equipment failure especially if it results in an incident report being filed. X8126

23. Environmental Rounds Engineering, Security, Biomed and Infection Control visit all clinical areas here twice a year and offsites once a year. We are checking for unit compliance. Here are some questions we may ask you for Regulatory Compliance Where is your closest pull station? How do you know your patient equipment is safe for use? Who do you call for repair? What is PASS? What is RACE? Where is your emergency preparedness manual located? Who do you contact for a chemical spill?

24. Environmental Rounds Engineering, Security, and Biomed visit all clinical areas here twice a year and offsites once a year. We are checking for compliance on all equipment. Biomedical – All Patient Care Equipment should have two Biomed/clinical engineering tags affixed to the equipment before use on patients and or Engineering – All electrical Appliances need to be checked annually and have an Engineering sticker

25. Security 115 cameras monitored by security throughout the St. Mary’s Campus 3-4 security guards on duty at all times The main hospital Security office Monitors Standish & Towne Centre cameras as well. Please call security for an escort or to watch you on camera if leaving at an odd time. Call security if a patient or visitor is disorderly

26. Main Hospital Parking Back-East parking lot Dayshift only South C Lot ALL SHIFTS Front Visitor Parking 3 rd shift only Shifts starting @ 830pm to 430am Cancer & ER Lots Dayshift Designated Spots only *Please do not park in the designated Doctor’s Lots

27. JEOPARDY GAME 26

28. Welcome to Engineering X8124 Biomed X8126 Security X8129