After Action ReportEmergency Management

General Information

Exercise Name: Code Black ExerciseDate: Location:

Assigned Staff

Exercise Staff: Exercise Evaluators: Participants (Department):

Objectives and Tasks

1. Objective 1: The individual who receives the call will obtain as much information as possible.

a. Task 1.1: The receiving staff member will remain calm.b. Task 1.2: The receiving staff member will be polite and respectful.c. Task 1.3: The receiving staff member will attempt to let another

staff member know what is going on and to call security 4911.d. Task 1.4: The receiving staff member will note the exact words of

the threat.e. Task 1.5: The receiving staff member will ask the caller specific

questions as found on the Bomb Threat Procedure sheet kept next to the phone.

2. Objective 2: The individual who received the threat will contact 4911 (actual) to report the threat.

a. Task 2.1: The staffer will answer all questions asked accurately and calmly.

Joint Commission Elements

☒Safety and Security; ☒Communications; ☒Staff Responsibilities; ☐Resources and Assets; ☐Clinical and Support Activities

Threat: Code Black (Bomb Threat)

Scenario: A bomb threat will be called into a patient unit informing them that there is a “bomb on their floor”.

Participant Feedback Form Data

Exercise Design Feedback (out of 5 with 19 evaluations completed):The exercise scenario was plausible and realistic 3.8Participants were actively involved 4.3Exercise participation was appropriate 4.3Increased my understanding of what to do 4.5I received an opportunity to address significant decisions 4.3I am better prepared to deal with the hazard addressed 4.3

Strengths Areas of OpportunityStaff remained calm CommunicationsWhen found, staff did not touch the device

Could have Code Black process on badge

Excellent teamwork ……Staff stepped up and took on assignments

Too much guidance made the scenario unrealistic

The checklist was helpful …….Very realistic Call needs to start at the front deskGreat experience Still have some unanswered questions

Not intended for distributionVersion CBaar1.1

Exercise Evaluation Guide – Code Black (Bomb Threat)

Element Level of Achievement NotesEvery word is recorded/documented X Met

□ Met with challenges□ Not met

Although the receiving staff member was able to record most of the conversation, much of the details were ……..

Location of the bomb is identified by asking the caller

X Met□ Met with challenges□ Not met

Appropriate notifications are made X Met□ Met with challenges□ Not met

Until the charge nurse could be located……………….

Staff member receiving the threat remained calm X Met□ Met with challenges□ Not met

Staff member receiving the call remained calm, polite, and asked for additional detail. During the debrief, the staff member noted that having the checklist aided in her ability to focus on what needed to be done.

The threat is not communicated beyond those who “need to know”

X Met□ Met with challenges□ Not met

XXXX was successfully contacted

Bomb is not touched when found (if found) X Met□ Met with challenges□ Not met

Found at XXXXhrs. Staff identified and backed out of the room.

Search areas are assigned by unit leadership X Met□ Met with challenges□ Not met

A good discussion during the debrief regarding whether to close doors or leave them opened once searched. The Safety and Security team agreed to ask local law enforcement for a decisive answer. Also the process for searching rooms was debated.

Follow Up Plan

Observation Recommendation for Improvement Assigned toStaff were not sure whether or not to …… Verify with……

The Bomb Threat Report forms……. Modify form and create a dispatch center version that more clearly outlines information needing documenting.

The exercise could be more realistic with some small modifications.

Review exercise artificialities to determine if a more realistic approach would be appropriate

Some of the staff wanted to know if they would have another chance to respond to this scenario

Include this drill (and others) in routine training.