internal emergency procedures moving through the presentation please note: to move to the next slide...
TRANSCRIPT
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 use the keyword on the bottom portion of the slide or the hyperlinked word.
How this training package works1. 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 email to your manager that you have completed the test.
5. If you don’t forward a confirmation email, your manager will follow-up with you.
6. For all enquiries please contact the RCH Emergency Management Coordinator x6207
Be emergency prepared
All staff must be emergency prepared. be familiar with the standard procedures for each
code in the internal emergency procedure manual and
walk through your place of employment to identify emergency suppression and detection equipment as well as emergency signage and evacuation routes.
Learning Training ContentAt the end of this learning exercise, you should be able to: describe the Emergency Control Organisation (ECO) for your site explain how to initiate an emergency code identify the colour & standard procedures for each emergency code list the fire alarm activation methods describe how to respond to the fire alarm (alert tone) explain how to respond to discovery of a fire (Standard Fire
Instructions) identify the considerations for Fire Extinguisher use explain your standard Evacuation Procedures
How does RCH respond to an emergency?
In all RCH campuses there is an established process for activating an appropriate response to an emergency.
The internal structure that responds to an emergency is known as the “Emergency Control Organisation (EOC).”
The EOC is supported by a committee known as the Emergency Planning Committee.
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
1st Response
Group
2nd Response Group
Executive / Senior HIMT Membership
3rd Response Group
Full HIMT Membership
Other Groups
ICTPsycho-social
OtherSenior Executive
CodeBrown
Response}{Initial
Response
{Escalation
· Red· Yellow· Black· Purple· Orange
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.
ZoneWarden
Emergency ManagementCoordinator
Control RoomCommunications
ChiefWarden
ClinicalCoordinator
Deputy Chief Warden
GeneralWarden
Code YellowWorkshop Team
To the Control Room
To the incident
To the incident
Executive
If need to escalate
Key Roles Chief Warden: overall in charge in an emergency
response. (White Helmet)
Zone Warden: Control over their zone during an emergency response. (Yellow Helmet)
General Warden: Assists zone warden
Escalate: Executive Group to assist with coordination / management.
The Chief Warden when notified will take control of the whole site.
The Chief Warden will communicate with the Zone Warden/s (where applicable) and staff.
The Zone Warden takes control of their local area and reports to the Chief Warden.
The Chief Warden will escalate to the next level (Response Group 2) if established triggers have been reached.
Security will assist the Chief Warden.
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)
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.
HOW TO INITIATE AN EMERGENCY CODE: Emergency Numbers
RCH Main Campus 777 Travancore 7555 Broadmeadows 444 Preston (“000”) Sunshine (“000”) Banksia (“000”) Young People’s Health Services (“000”) Hoppers Crossing 111 Adolescent Forensic Health Service (“000”)
(“000”) = direct call to relevant emergency service
Emergency Response Colour Codes
Aide-mémoire
Staff are to wear them at all times, attached to their ID
badge/lanyard
Emergency Response Colour Codes
Fire/
Smoke
Respond Red Confirmed – instigate RACE
Rescue - anyone from immediate danger
Alarm - dial emergency number and alert others in the areas, break glass alarm and Zone Warden
Contain - close doors to isolate fire. If trained and is safe use an appropriate extinguisher.
Evacuate – Unless in immediate danger, await instructions from Zone Warden
Respond Red
(In your area)
EvacuationRespond 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
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. Procedure
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-memoireRespond Purple
(In your area)
Colour Response Codes
Unarmed confrontation
Refer to the aid-memoire and procedure
Respond Black Personal Threat
e.g. Hold up, siege
Refer to the aid-memoire and procedure
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
Management of Clinical Aggression (MOCA) training is available to all clinical care staff
Code Yellow – “Significant”
Significant: Has an impact on direct clinical care delivery or
services that support direct patient care (inclusive of staff safety considerations)
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)
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
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
Zone Wardens 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 777.
4. 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
Nominate General Wardens Follow situation through to stand down Debrief with affected department and Chief Warden as required
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
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
RESPONDING TO THE ALERT TONE The alert tone sounds like this - Alert
Upon hearing the alert tone in your area;
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
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
RESPONSE – EVACUATION TONE
Unless in immediate danger, evacuate as per the instructions of the Zone Warden, Chief Warden (via PA), MFB or Police Officer
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. Assemble areas (See next slide)
The evacuation tone sounds like this –
STANDARD EVACUATION PROCEDURESPrinciples 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 exiting5. Follow your department / ward Evacuation PlanNote: see your AUM/Manager for training in patient evacuation
devices relevant for your area.
Follow the instructions of the zone warden
Evacuate triage – conducted by senior nurse (not zone warden)
Order of evacuation of patients1. Ambulant
2. Partly-ambulant
3. Non-ambulant Non-ambulatory patients are generally evacuated using
the sheet/mattress drag technique
RESPONSE – EVACUATION OF PATIENTS
CONSIDERATIONS FOR FIRE EXTINGUISHER USE
Important things to note about fire extinguishers:
for use on small fires only (rule of thumb= waste paper bin size)
only use if trained in extinguisher operation and you feel safe.
know which extinguisher to use (see next slide).
Common extinguishers used at RCH: Water, and Carbon dioxide with
limited dry chemical extinguishers.
always face the fire and keep a clear exit path if you are attempting to
extinguish a fire
Use only one extinguisher on the fire.
Wood, Paper,
Textiles, Rubbish
Flammable Liquids
Electrical
Equipment
Cooking Oils and
Fats
WATER WET CHEMICAL
DRY CHEMICAL
CARBON DIOXIDE
FOAM
YES YES YES YES YES
YES YES YES
YESYES
YES YES YESYES
NO
NO
NO
NO
NO NO
PORTABLE FIRE EXTINGUISHERS
Extinguisher - Water
Water fire extinguishers are efficient and cost effective against fires involving:
Paper Textiles Wood Plastics Rubber 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)
Fire Extinguisher – Carbon Dioxide
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:
Electrically Energised Equipment This extinguisher may also be used on small flammable and combustible liquid Class B fires.
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”.
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 6207.
You now need to complete part two of the course.
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!
Question 1
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
Question 2
What colour helmet does the zone warden wear in an emergency?
a) Yellow
b) White
c) Red
d) Blue
Help
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
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
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
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
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
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
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
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
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
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
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
Question 14
Help
Which of the following should you do during an evacuation?
a) Search all rooms, including toilets, bathrooms and storesb) Move out in groups of two holding handsc) Move non-ambulant patients on mattresses & sheets d) Collect patient lists and medical histories for the
evacuated patientse) A, C, Df) A, C, B
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 firec) Leave doors and windows open d) Notify Switchboard on 777 (RCH Main Campus)e) A, B, Df) B, C, D
Results
Q1 c) Is the correct answer
Q2 a) Is the correct answer
Q3 b) Is the correct answer
Q4 b) Is the correct answer
Q5 a) Is the correct answer
Q6 b) Is the correct answer
Q7 c) Is the correct answer
Q8 a) Is the correct answer
Q9 c) Is the correct answer
Q10 d) Is the correct answer
Q11 c) Is the correct answer
Q12 a) Is the correct answer
Q13 b) Is the correct answer
Q14 e) Is the correct answer
Q15 e) Is the correct answer
Now you have finished
Please advise your manager that you have completed the program
For Royal Bank please email to [email protected]
You must include “Emergency Procedures Training”, your name, employee number and the date completed in the subject line of the email. If these details are not included a pass will not be recorded
Press here to finish
Wood, Paper,
Textiles, Rubbish
Flammable Liquids
Electrical
Equipment
Cooking Oils and
Fats
WATER WET CHEMICAL
DRY CHEMICAL
CARBON DIOXIDE
FOAM
YES YES YES YES YES
YES YES YES
YESYES
YES YES YESYES
NO
NO
NO
NO
NO NO
Help Question 1
Return to question
Help Question 2 Chief Warden: overall in charge in an emergency
response. (White Helmet)
Zone Warden: Control over their zone during an emergency response. (Yellow Helmet)
General Warden: Assists zone warden
Escalate: Executive Group to assist with coordination / management.
Return to question
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
Help Question 4Initial Response to aggression/violence: Contact the RCH switchboard on the emergency number 777 stating:
Code Grey Location
Switchboard Will: Confirm exact location Activate the emergency page (overhead and lanpage), alerting the Code Grey Team Notify the Police if requested by the Code Grey Team Stand down code grey at the request of the Code Grey Team LeaderPrior to the Code Grey Team arrival, staff will: Try to defuse the situation by application of interpersonal skills (without provoking
further violence) Move patients, visitors and staff at risk of injury away from the area Move dangerous objects Stay calm and communicate quietly Not allow other patients or visitors to become involved NOT attempt to physically restrain the aggressor Brief Code Grey Team leader when he or she arrives
Return to question
Help Question 5
Significant: Has an impact on direct clinical care delivery or
services that support direct patient care (inclusive of staff safety considerations)
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
Help Question 6
Upon hearing the alert tone in your area;
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
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
Help Question 7
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 orb. 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
Return to Question
Help Question 8 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 777.
4. 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
Nominate General Wardens Follow situation through to standown Debrief with affected department and Chief Warden as required
Return to Question
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
Help question 10
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.
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
Help question 12Medical Emergency 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
Help Question 13Any 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
Help Question 14
1. 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
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
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
Procedure Code Grey
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
Procedure Code Grey
Initial Response to aggression/violence: Contact the RCH switchboard on the emergency number 777 ** stating:
Code Grey Location
Switchboard Will: Confirm exact location Activate the emergency page (overhead and lanpage), alerting the Code Grey Team Notify the Police if requested by the Code Grey Team Stand down code grey at the request of the Code Grey Team LeaderPrior to the Code Grey Team arrival, staff will: Try to defuse the situation by application of interpersonal skills (without provoking
further violence) Move patients, visitors and staff at risk of injury away from the area Move dangerous objects Stay calm and communicate quietly Not allow other patients or visitors to become involved NOT attempt to physically restrain the aggressor Brief Code Grey Team leader when he or she arrives
** Or local procedure
Return to presentation
Procedure - Black
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 orb. 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
Next Back to presentation
Procedure – Black (cont) 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 presentation Back one slide
Met CallMedical Emergency 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
Thank you