Emergency Management Guide

1
Emergency Management Guide

• 2015

2
Objective

• Understanding how to respond or react in an
  unusual occurrence or event

3
Agenda

• Emergency Situations
• Staff Responsibilities
• Emergency Codes

4
Fire Emergency

• Upon detection of smoke or heat, the buildings
  sprinkler system and the building fire alarm
  system will activate and alert the building
  occupants.
• The DeKalb County Fire Department will
  immediately be notified and have full
  responsibility upon arrival at the building.

5
Staff Responsibilities

• Stay calm.
• Gather all valuables.
• Follow the posted evacuation routes unless
  otherwise advised by Floor Emergency Captain or
  overhead announcements.
• Close your door when leaving your office.
• Do not touch the light switches.
• Do not go to the elevators.
• Do not stop in the stairwell or at the exit of
  the building. Proceed all the way to the assembly
  area.
• Report missing staff immediately to Floor
  Emergency Captain.

6
If Evacuation Route is Blocked

• Stay calm.
• Utilize the restrooms or unblocked stairwells as
  a place of refuge.
• Call the Security Guard station in your building
  to alert them and the fire department of your
  exact location and that your exit is blocked.
• Seal all openings to prevent smoke/fire from
  entering.
• If near a window, display a piece of clothing as
  a distress signal for rescue personnel

7
Severe Weather

• Facilities Management maintains continuous
  contact with the National Weather Service.
• The primary objective in a severe weather/tornado
  evacuation is to locate the building occupants in
  a central area of the building with strong
  vertical support which can withstand a storm and
  where they would not become trapped by debris.
• Occupants should be evacuated to areas away from
  windows and objects which could cause injury if
  hurled by a storm.

8
Staff Responsibilities

• Stay calm.
• Do not leave the building during severe weather
• Use stairs, not elevators, to evacuate to the
  shelter area(s).
• Ensure that visitors in the building are guided
  to the designated shelter area.
• If weather conditions prevent you from reaching
  the designated shelter area, go immediately to
  the nearest closed-in area that contains no
  windows.
• Remain in shelter area until All Clear is
  sounded.
• If there is a medical emergency, call 911.

9
Severe Weather

• WEATHER WATCH
• Conditions are ripe for dangerous weather.
• WEATHER WARNING
• Conditions that produce severe weather have been
  observed in nearby areas and will likely reach
  your location. TAKE COVER.

10
Bomb Threat

• When an employee receives a bomb threat, they
  should report it immediately to a supervisor, the
  designated Floor Emergency Captain, or his/her
  backup and the Facility Emergency Manager at
  404-294-3884.
• It is always desirable for more than one person
  to listen in on the call. A calm response to the
  bomb threat caller could result in additional
  information. This is especially true if the
  caller wishes to avoid injuries or deaths.

11
Bomb Threat

• If told that the building is occupied or cannot
  be evacuated in time, the caller may be willing
  to give more specific information on the bombs
  location, components or method of
  initiation/detonation.
• The bomb threat caller is the best source of
  information about the bomb.

12
Staff Responsibilities

• Respond calmly to a bomb threat call.
• Use the bomb threat call checklist while the
  information is still fresh in your mind.
• The form will be given to the police upon their
  arrival on the scene.
• Employees will be advised that a threat has been
  received and that they should look around their
  work area for anything out of place.

13
Bomb ThreatSuspicious Object

• If you should find a suspicious object
• Do not touch or jar it.
• Advise the Floor Emergency Captain and the
  Facility Emergency Manager at 404-294-3884.
• Advise others in your work area they might
  recognize it.
• Wait for a police representative.

14
Bomb ThreatSuspicious Object

• If a suspicious object is found and evacuation of
  the area is necessary, proceed with the building
  evacuation plan.
• The Emergency Assistance Teams will obtain the
  necessary elevator(s) and proceed to assist
  personnel and/or visitors who require assistance
  to evacuate the building.
• Employees should evacuate quickly and orderly.
  However, they should be prepared not to return
  (even for personal items) if the building is
  ordered closed.

15
When a Bomb Threat Call is Received

• Keep the caller on the line as long as possible.
• If the caller does not indicate the location of
  the bomb or the time of possible detonation, ask
  him/her for this information.
• Inform the caller that the building is occupied
  and the detonation of a bomb could result in
  death or serious injury to many innocent people.
• Pay particular attention to background noises,
  such as motors running, music playing and any
  other noise that may give a clue as to the
  location of the caller.

16
When a Bomb Threat Call is Received (cont.)

• Listen closely to the voice (male, female), voice
  quality (calm, excited), accents and speech
  impediments
• Immediately after the caller hangs up, report the
  threat to your supervisor
• Remain available law enforcement personnel will
  want to interview you

17
When a Bomb Threat Call is Received (cont.)

• When a written threat is received, save all
  materials, including any envelope or container.
  Once the message is recognized as a bomb threat,
  further unnecessary handling should be avoided.
  Every possible effort must be made to retain
  evidence such as fingerprints, handwriting or
  typewriting, paper, and postal marks for the
  police.

18
Bomb Threat Checklist

• Time and Date Reported
• How Reported Exact Words of Caller
• Questions to Ask
• When is the bomb going to explode?
• Where is the bomb right now?
• What kind of bomb is it?
• What does it look like?
• Why did you place the bomb?
• Where are you calling from?
• Description of Callers Voice
• Male Female Young Middle-aged Old
• Language excellent/good/fair/raspy/nasal/lisp/dis
  guised/foreign
• Tone of Voice loud/soft/high pitch/low pitch
• Background Noise music/voices/cell
  phone/children/traffic/machines/quiet
• Is voice familiar? If so, whom did it
  sound like?
• Other voice characteristics speech
  fast/slow/distorted/cursing
• Time Caller hung up? Remarks _____________________
  __
• Name, address, telephone number of recipient

19
Explosion

• Approximately 70 of terrorist events involve the
  use of explosives. Explosives can be used to
  disperse other hazardous materials.
• Types of explosions are
• Mechanical
• Chemical
• Nuclear/Radiological

20
Staff Responsibilities

• Written, email, verbal or call-in explosion
  threat OR upon
• discovery of potential explosive device
• Stay calm.
• Inform coordinator or supervisor via messenger.
• Radio signals and/or electronic devices can
  activate explosive devices. DO NOT USE radios,
  cell phones, electric bells, public address
  systems.
• Evacuate to designated assembly area, leaving
  doors open as you exit.
• Do not remove any items from the building as you
  exit
• Take attendance.
• Immediately report any missing staff to
  Coordinator
• Do not re-enter the building.

21
In the event of explosion

• Immediately take cover under tables, desks or
  other objects.
• After the initial effects of the explosion have
  subsided, notify the Fire Department by calling
  911. Give your name and describe the location and
  nature of the emergency.
• Activate the building fire alarm.
• Follow-up with a call to Internal Services at
  404-294-3734.
• Evacuate the building through the nearest
  available exit. If persons with disabilities
  cannot safely evacuate the building, assist them
  to the nearest stairwell away from damaged area.
  Alert emergency personnel of their location.

22
In the event of explosion

• DO NOT USE ELEVATORS.
• Once outside, move to a clear area that is at
  least 1,000 feet from affected building. Keep
  streets and walkways clear for emergency vehicles
  and crews.
• DO NOT RETURN TO AN EVACUATED BUILDING unless
  authorized by a DeKalb County Fire Official or
  Police Officer.

23
Elevator Malfunction

• If you are trapped in an elevator, pick up the
  emergency phone to notify the operator that
  answers the phone. The telephone will
  automatically ring at the dispatch console. If
  the phone is inoperable, turn on the emergency
  alarm, which will signal for help.
• DO NOT ATTEMPT TO EXIT A STALLED ELEVATOR UNLESS
  TOLD TO DO SO BY EMERGENCY PERSONNEL.
• If a person is stranded in an elevator, do not
  attempt to force open the elevator doors. Be
  Patient.

24
Violent or Criminal Behavior

• All employees are expected to assist in providing
  a safe environment by being alert to suspicious
  behavior and promptly reporting it to security at
  the designated emergency response number.
• If you are a victim, observe a criminal act or
  observe a suspicious person on the premise,
  immediately notify Security at the designated
  emergency contact number and report the incident,
  including the following
• Your name
• Nature of the incident
• Location, date and time of incident
• Description of person(s) involved
• Description of property involved
• Assist the officer(s) when they arrive by
  providing additional information upon request.

25
Civil Disturbance

• Civil disturbance is a form of protest against
  major socio-political problems. Examples of civil
  disturbance can include illegal parades, sit-ins
  and other forms of obstructions, riots, sabotage
  and other forms of crime. It is intended to be a
  demonstration to the public and the government,
  but can escalate into general chaos.

26
Staff Responsibilities

• KEEP CALM. Resistance may only increase
  destruction of property and threat of bodily
  harm. DO NOT CONFRONT DEMONSTRATORS.
• Call Security in your building. The security
  guard will contact Internal Services. Provide the
  following information
• Location (building, entrance, floor, room, etc.)
• Approximate number of leaders
• Size of group
• Obvious objective or demand of group
• Group is rational, organized, violent, etc.
• When Security arrives, provide them with an
  update. Follow their instructions.

27
Inclement Weather

• Closing of Facilities
• If an employee wishes to leave and there has been
  no directive from the District Health Director
  closing the facility, then the employee may be
  excused at the discretion of the supervisor with
  the understanding that annual leave may have to
  be taken.

28
Inclement Weather

• The decision to close the health facilities will
  be made by the District Health Director after
  consulting with county and state officials. In
  the absence of the District Health Director, this
  responsibility will fall to the senior manager
  designated in charge during the District Health
  Directors absence.
• If the decision is made to close the health
  facilities, staff that are scheduled to work
  during the period of closure shall be excused and
  will not be charged leave. However, any employee
  who has already submitted an approved leave form
  for this time shall be required to take such
  leave.

29
Reopening of Health Facilities

• Two methods are used to inform employees if they
  should return to work when there are questionable
  weather conditions
• Notification to WSB radio (AM 750), as well as
  other media contacts, about facility closings or
  delayed openings.
• Informing the division directors, managers or
  supervisors who will, in turn, be responsible for
  informing their employees.
• In any case, the ultimate responsibility falls on
  the employee to find out when to return to work.
  When there is a question, the employee should
  contact their supervisor.

30
Facilities Used by DeKalb County Emergency
Management

• The following Board of Health facilities may
  remain open during winter storms and other
  natural disasters when requested to do so by
  DeKalb County
• East DeKalb Health Center
• T.O. Vinson (Central) Health Center
• North DeKalb Health Center
• South DeKalb (Clifton Springs) Health Center

31
Facilities Used by DeKalb County Emergency
Management (cont.)

• It is understood that
• The DeKalb County Office of Emergency Management
  will be responsible for the management of any use
  of the facility.
• Board of Health personnel will be present only to
  provide reasonable assistance, while their main
  role will be to protect the facility from abuse
• Board of Health management should ensure that
  adequate preparation has taken place to assure
  the facilities remain open, if requested.

32
Natural Gas Leak

• In the event of a gas leak in or near a building,
  procedures for evacuation for a fire will be
  used.
• If you smell natural gas and suspect a
  large/significant gas leak
• Evacuate the area activate the fire alarm
  OUTSIDE the area of the leak.
• DO NOT SWITCH ON LIGHTS/ELECTRICAL EQUIPMENT.
• Evacuate the building by the nearest exit.
• Notify other building occupants to evacuate the
  building.
• If persons with disabilities cannot safely
  evacuate the building, assist them to the nearest
  stairwell away from the emergency area. Alert
  emergency personnel of their location.

33
Natural Gas Leak

• DO NOT USE THE ELEVATORS.
• DO NOT PANIC.
• Notify the DeKalb County Fire Department by
  dialing 911. State the location and extent of the
  involvement of the gas leak.
• Once outside, move away from the building at
  least 100 feet. Keep walkways clear for emergency
  crews.
• DO NOT RETURN TO AN EVACUATED BUILDING unless
  authorized to do so by the police or fire
  department.

34
Psychological Crisis

• A psychological crisis exists when an individual
  is threatening harm to
• him/her or others or is out of touch with
  reality. Uncontrollable
• behavior and/or hallucinations could be
  manifested.
• STAY CALM
• Notify DeKalb County Police by dialing 911.
  Provide
• Your name
• Precise location
• Observed symptoms of behavior
• Individuals name, if known

35
Psychological Crisis (cont.)

• Until help arrives, be pleasant, considerate and
  understanding to avoid aggravating the situation
• Do not argue with the individual. Try to
  determine and understand the individuals point
  of view.
• Do not confront/detain the individual if he/she
  is violent or combative.
• If another person is available and able to leave
  the area, have them meet the police officials at
  the entrance to the building and provide
  up-to-date information.

36
Armed Hostage

• Follow these procedures within the building
  whenever a person
• Has a weapon.
• Says they have a weapon.
• Is holding another person against their will.
• Building moves to CODE GRAY LOCK DOWN immediately.

37
Armed Hostage (cont.)

• General Procedures
• Call 911.
• Notify Facility Emergency Manager.
• Relay accurate information
• Where in the building is the event occurring?
• How many are involved (perpetrators and
  hostages)?
• What demand, if any, have been made?
• Is anyone injured?
• Render the appropriate assistance.

38
Staff Responsibilities

• If perpetrator is visible, stay calm and do not
  approach
• Do not attempt to confiscate any weapon.
• Communicate and cooperate with the perpetrator.
  Follow perpetrators directions.
• If perpetrator is not visible, lock your door(s)
  at Code Gray.
• Record names of all staff in office area, adding
  those that enter after lock down.
• Contact emergency team members, with pertinent
  information or require immediate medial
  attention.
• Await further instructions from the Facility
  Emergency Manager.

39
Missing Person ? Abduction

• General procedure
• If an abduction is observed or suspected, call
  911.
• All staff participation involves blocking all
  entrances and exits.
• Obtain a detailed description of the abductor
  (physical appearance, type/color of clothing and
  make/model/color/license number of any vehicle
  seen).

40
Missing Person ? Abduction (cont.)

• Staff Responsibilities Missing Person
• If possible, obtain a detailed description of
  clothing/time/location when child was last seen
  and photograph of the child, if possible.
• Notify your supervisor and the Facility Emergency
  Manager.
• Assist the manager, coordinator or supervisor
  with questioning the client or staff

41
Missing Person ? Abduction (cont.)

• Staff Responsibilities Abduction
• If an abduction occurs, attempt to persuade the
  abductor not to commit the act, if possible.
• If an abduction is witnessed by other staff,
  detain the staff for future interviews with law
  enforcement or senior staff.

42
Medical Emergency
43
What is a Medical Emergency?

• An accidental injury or a medical crisis that is
  very severe or life threatening such as
• e. g., unconscious (non-responsive), the person
  is not breathing or breathing in a strange way,
  heart attach, stroke, severe bleeding , no heart
  beat, shock, poisoning, burn
• Medical emergency requires your immediate
  attention, sometimes even before you telephone
  emergency services for help.

44
Medical First Aid Emergencies

• Cope with the problem if the problem is minor.
• Call 911 if conditions seem imminently life
  threatening. If you call the emergency ambulance
  service (911), it is important that you let them
  know where you are located in the building. I am
  on the ______ floor of 445 Winn Way, Richardson
  Health Center, Room ____. Please do not give any
  other address other than where you are located.
• Notify your security person on duty to call
  emergency medical services (EMS) to ensure their
  in route to the building. Security will expedite
  emergency personnel to the location.

45
What to do in general

• Dont delay, take prompt action.
• Activate emergency code (BLUE)
• CODE BLUE RN TO location.
• Position the person (will be discussed later)
• Be reassuring and calm.
• Start CPR immediately if necessary.
• Everyone in a health center should be CPR
  qualified.
• Provide a clear instruction to those who step up
  to help
• Be ready to provide quick and brief information
  to the responding RN and follow his or her lead.
• Know where the AED is located in your work area.

46
Remember

• Dont leave the victim.
• If you are alone with the victim, shout for help
  or use your phone to call switchboard.
• - Anyone who know how to overhead can page
• Any RN hearing the code should respond to the
  location and take a lead on handling the
  emergency.
• - The first person to witness the incident must
  stay, assist the RN and complete incident report
  at the end.
• To call EMS from BOH phone is to dial 9-911.

47
Signs of Heart Attack

• Uncomfortable pressure or pain in the center of
  the chest that may last few minutes or go away
  and come back.
• Pain spreading to the shoulder, neck or arms.
• Chest discomfort with light-headedness, fainting
  , sweating, nausea, or shortness of breath.

48
What to do?

• Monitor ABCs and give CPR if necessary.
• Help victim into the least painful position,
  usually a half-sitting position. Loosen tight
  clothing.
• Call EMS.

49
Signs of Fainting

• Fainting is a brief loss of consciousness that is
  caused by a temporary reduction of blood flow to
  the brain.
• Symptoms
• Lost consciousness and the person has falling to
  the floor.
• A slow pulse.
• Pale, cold skin.
• Sweating

50
What to look for

• A person about to faint usually will have one or
  more of the following signs and symptoms
• Dizziness
• Blurred vision
• Nausea
• Pale skin
• Sweating

51
What to do if fainting or unconscious

• Position the victim lying on his/her back and
  elevate his/her legs above heart level.
• Loosen clothing (necktie, collar, belt etc.)?
• If consciousness is not regained within one
  minute call EMS (9-911).

52
Shock

• Shock occurs when the circulatory system fails
  and
• insufficient oxygen reaches the tissues. If the
  condition
• is not treated quickly, vital organs can fail,
  ultimately
• causing death. Shock is made worse by fear and
• pain.

53
Sign of Shock

• Pale, bluish, cool, moist skin
• Rapid breathing
• Restlessness or irritability
• Nausea and/or vomiting

54
What to do?

• Keep the victim lying down (if possible).
• Elevate legs 10-12 inches unless you suspect a
  back injury or broken bones.
• Cover the victim to maintain body temperature.
• Provide the victim with plenty of fresh air and
  space.
• If victim begins to vomit - place him/her on
  his/her left side.
• Loosen restrictive clothing.

55
Asthma Attack

• A sudden worsening of asthma symptoms caused by
  the tightening of muscles around the airways.
• Early warning signs
• Coughing with no cold.
• Wheezing (however light), especially upon
  exhaling.
• Fast/irregular breathing.
• Nostrils flaring with each breath.
• Anxiousness.
• Cyanosis (bluish skin color).

56
What to do?

• Keep the victim in a comfortable upright position
  and leaning slightly forward. This is known as
  the tripod position. Generally the victim will
  dictate what position is most tolerable, usually
  sitting up since that makes it easier to breathe.
• Administer warm fluids if possible.
• Ask the victim about any asthma medication he or
  she may be using. Usually the victim will have
  an inhaler nearby.
• If the victim does not respond to his or her
  inhaled medication, seek medical attention
  immediately.

57
Diabetic Emergencies

• Low blood sugar- blood sugar levels less than 80
• Symptoms Headache sweating shakiness pale
  moist, cold and clammy skin extreme hunger
  weakness/dizziness fatigue rapid pulse rate
  blurred vision shallow breathing inability to
  concentrate loss of coordination mental
  confusion seizure loss of consciousness.
• This condition is potentially life threatening.

58
What to do?

• If victim is a known diabetic, has an altered
  mental status, and is awake enough to swallow
• Give the person some form of sugar such as a
  sugar cube, soda, candy, raisins, prescribed
  candy, honey or corn syrup.
• Symptoms should subside within 10-15 minutes.
• If victim is unconscious call 911.

59
Seizure

• A seizure is the result of an abnormal
  stimulation of the brains cells.
• A variety of medical conditions can lead to
  seizures, including the following
• Epilepsy.
• Heat stroke.
• Poisoning.
• Electric shock.
• Hypoglycemia (low blood sugar).
• High fever in children.
• Brain injury, tumor, or stroke.
• Alcohol withdrawal, drug abuse/overdose.

60
What to do?

• Protect head and neck.
• Remove items that could cause injury.
• Dont restrain.
• Dont give the victim anything to eat or drink.
• Look for a medical-alert tag.
• As the seizure ends, offer your help. Most
  seizures in people with epilepsy are not medical
  emergencies. They end after a minute or two
  without harm and usually do not require medical
  attention.

61
Call EMS if

• A seizure happens to someone who is not known to
  have epilepsy or seizure disorder it could be a
  sign of serious illness.
• A seizure lasts more than five minutes.
• The victim is slow to recover, has a second
  seizure, or has difficulty breathing afterward.
• The victim is pregnant or has another medical
  condition.
• There are any signs of injury or illness.

62
Choking

• UNIVERSAL SIGN Hands clutched to the throat
• Inability to talk.
• Difficulty breathing or noisy breathing.
• Inability to cough forcefully.
• Skin, lips and nails turning blue or dusky.
• Loss of consciousness.

63
What to do?
INFANT CHILD/ADULT
Tell someone to call 911. Carefully hold the infant face down on your forearm, your hand supporting its head and neck Strike the infant directly between the shoulder blades with the heel of your other hand 5 times. Turn the infant over and position two fingers in the center of the chest Give 5 1/2 to 1 inch deep chest thrusts Repeat Blows and Thrusts until the object is forced out, the infant starts breathing, or the infant becomes unconscious. Tell someone to call 911 Give 5 abdominal thrusts - Place the thumb side of your fist just above the victim's belly button. - Grab your fist with your free hand. - Pull quick, upward thrusts to dislodge the object. Repeat abdominal Thrusts until the object is forced out, the victim can breathe, or the victim becomes unconscious.
64
Emergency Management Guide
Part II
65
Nuclear Attack - Radiation Emergency

• Indicators of radiological exposure
• Symptoms usually do not appear for 2-6 hours,
  even with high doses.
• Some symptoms may include nausea, vomiting,
  diarrhea, dizziness, fatigue and headache.
• NOTE The amount of radiation from a dirty bomb
  is unlikely to give you radiation sickness or
  cancer (dependent on time, rate, and distance).
  Call Emergency 911 and notify your supervisor.
  Await further instructions.
• Emergency response services should not provide
  patient care in a contaminated area.

66
Staff Responsibilities

• Close windows and doors.
• Ensure that staff do not chew gum, eat, drink or
  place objects in their mouth.
• Have staff cover nose and mouth with handkerchief
  or other material.
• Take note of all staff present.
• Await further direction from Facility Emergency
  Manager.

67
Chemical Accident

• Most chemical agents do not produce a visible
  cloud.
• Indicators of chemical hazard include
• Blisters or rash.
• Unexplained coughing, fatigue, tearing in eyes,
  dizziness.
• Unusual liquid droplets or oily film.
• Unexplained odors.
• Unexplained animal sickness or death.

68
Chemical Accident (cont.)

• In the event of a hazardous chemical spill in or
  near a building, procedures for evacuation for a
  fire will be used.
• Report any spill of hazardous chemicals
  immediately to Internal Services at 404-294-3734.
  Internal Services will contact the Division of
  Environmental Health.

69
Staff Responsibilities

• Close windows and doors.
• Ensure that staff do not chew gum, eat, drink or
  place objects in their mouth.
• Have staff cover nose and mouth with handkerchief
  or other material.
• Take note of all staff present.
• Await further direction for Facility Emergency
  Manager.

70
Biological Attack/Release/Outbreak

• Symptoms may not be present for 1-20 days,
  depending on the biological agent, and may
  include
• Fever, headache, chills, sweating, weakness and
  fatigue.
• Respiratory distress, difficulty talking or
  eating.
• Joint and muscle pain.
• Nausea.
• Staff responsibilities
• Notify Facility Emergency Manager.
• Be prepared to assume role as emergency responder
  for public health.

71
Utility Failure

• Staff Responsibilities
• Remain with your staff and remain calm.
• Advise staff needing to use the restrooms that
  the toilet cannot be flushed.
• Determine the full extent of the power outage for
  the Internal Services Department.
• Keep the Internal Services Department advised of
  the situation.

72
Unsafe Water Supply

• DeKalb County is required, by state and federal
  law, to inform the Division of Environmental
  Health of a violation of the maximum contaminant
  level for certain contaminants in water.
• This procedure addresses actions to be taken
  after notification has been issued that harmful
  contaminants have been identified in the water
  supply.

73
Unsafe Water Supply

• Once the DeKalb County water utility has notified
  Environmental
• Health, you will be notified to take the
  following steps
• Do not consume the water.
• If bacterial contaminants are present, all water
  used for drinking, cooking or washing of eating
  utensils should be boiled at a rolling boil for
  at least five (5) minutes.
• Ice and any beverages prepared with contaminated
  water should be discarded.
• If you are advised to discontinue washing your
  hands or body, use the supplied anti-bacterial
  lotions, which will be made available in each
  restroom and exam room.
• Continue the no use and/or water boil order
  until the DeKalb County water utility notifies
  you that the county has rescinded the warning of
  alert.

74
Earthquake

• During an earthquake, remain calm and quickly
  follow these
• steps
• If INDOORS, seek refuge in a doorway or under a
  desk or table. Stay away from glass, windows,
  shelves and heavy equipment.
• If OUTDOORS, move quickly away from buildings,
  utility poles and other structures. Caution
  Always avoid power or utility lines as they may
  be energized.
• After the initial shock, evaluate the situation.
  If emergency help is necessary, call the security
  in your building. Report any injuries.
• Damage to facilities should be reported to
  Internal Services immediately.
• If there is a strong odor of natural gas, please
  relay this information to Internal Services and
  evacuate building.

75
Emergency Response Code - FIRE
Code/Description Action Action Action
Red In the event of a fire Fire Code Red Repeat twice at initiation of event
Red In the event of a fire Fire All Clear Code Red All Clear Repeat twice at end of event
Red In the event of a fire Fire in building. Please evacuate everyone from the building to the proper areas outside. Fire in building. Please evacuate everyone from the building to the proper areas outside. Switchboard makes announcement to evacuate the building (no elevators) Floor Emergency Team will implement emergency procedure. Coordinator will alert Internal Services of emergency Security on Stand by
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Emergency Response Code Illness or Injury
Code/Description Action Action Action
Blue In the event of medical emergency, serious illness or injury Disaster Emergency Response Plan Attention all personnel, Code Blue in effect, Initiate the (internal) (external) Emergency Management Plan Code Blue Disaster plan activation Announced three times each hour
Blue In the event of medical emergency, serious illness or injury All Clear Attention All Clinical Personnel. Code Blue is All Clear. Alert on authority of DCBOH Director
Blue In the event of medical emergency, serious illness or injury Will notify Emergency Medical Services (ambulatory services) Will notify Emergency Medical Services (ambulatory services) Switchboard will contact coordinator on call Coordinator will complete emergency form for record Security on stand by
77
Emergency Response Code Violent Acts
Code/Description Action Action Action
Green In the event of violent acts (civil disobedience, hate crime, or bomb threat, or other threats) Bomb threat When directed, call Attention All Personnel. Code Green Announced three times each hour
Green In the event of violent acts (civil disobedience, hate crime, or bomb threat, or other threats) All Clear Code Green All Clear Alert on authority of DCBOH Director
Green In the event of violent acts (civil disobedience, hate crime, or bomb threat, or other threats) Security will assist. If bomb threat and will call operator to announce evacuation (properly) Security will assist. If bomb threat and will call operator to announce evacuation (properly) Security will report to area to assist. Switchboard will notify manager, coordinator or supervisor on call. (follow-up w/Internal Services) Coordinator will complete report follow-up w/coordinator
78
Emergency Codes Hostage
Code/Description Action Action Action
Gray In the event of a hostage situation in building Hostage incident plan When directed, call Attention All Personnel. Code Gray Repeat three times with location
Gray In the event of a hostage situation in building All Clear Code Gray All Clear Repeat three times
79
Emergency Codes Child/Infant Abduction
Code/Description Action Action Action
Pink In the event of a missing child in building Child/Infant Abduction plan When directed, call Attention All Personnel. Code Pink and the location Repeat three times. Then page defined group of staff
Pink In the event of a missing child in building All Clear Code Pink All Clear Repeat three times
Pink In the event of a missing child in building All staff participation involves blocking all entrances and exits All staff participation involves blocking all entrances and exits Switchboard will notify Coordinator Coordinator will notify Administrative office.
80
Emergency Codes Minor Emergencies
Code/Description Action Action Action
Orange In the event of minor emergencies. (car, trash can or grass fire, chemical or fuel spills, electrical sparks, etc.) Chemical Spill When directed, call Attention All Personnel. Code Orange and the room number, floor, suite Repeat twice at initiation of event
Orange In the event of minor emergencies. (car, trash can or grass fire, chemical or fuel spills, electrical sparks, etc.) All Clear Code Orange All Clear On authority of DCBOH director
Orange In the event of minor emergencies. (car, trash can or grass fire, chemical or fuel spills, electrical sparks, etc.) Security will investigate area Security will investigate area Security will investigate area if situation is serious, will evacuate if necessary
81
Emergency Codes Severe Weather
Code/Description Action Action Action
Yellow In the event of severe weather tornado, storm, snow Tornado Watch When directed call Attention All Personnel. Code Yellow. Conditions are right for a tornado. Repeat three times
Yellow In the event of severe weather tornado, storm, snow Tornado Warning When directed call Attention All Personnel. Code Yellow. Tornado has been sighted in this area. Repeat three times
Yellow In the event of severe weather tornado, storm, snow Severe Weather Attention All Staff. Code Yellow. Severe weather warning in effect. Repeat three times
All Clear Code Yellow All Clear On authority of DCBOH Director
Floor Emergency Team will implement emergency procedure if necessary (with on call manager or director) Floor Emergency Team will implement emergency procedure if necessary (with on call manager or director) Switchboard will notify coordinator on call. Manager notify Director of CHAPS Floor Emergency Team will implement emergency procedure if necessary Security on stand by