Environment of Care Safety Campus Orientation Melissa Granato – AVP of Security Chris Hart – South Regional Director of Safety and Environment of Care ADD SPECIFIC PRESENTER NAME HERE

What are the biggest Safety issues in hospitals today?

Environment of Care (EOC) Refers to 7 areas in the hospital setting which, if not appropriately monitored, create hazards and risks to the safety of patients, employees & physicians. Areas include: Emergency Preparedness* Hazardous Wastes & Materials Life Safety* Medical Equipment Radiation Safety Security Utilities * Emergency Management (EM) and Life Safety (LS) are dedicated chapters in The Joint Commission Comprehensive Accreditation Manual for Hospitals.

Regulatory Agencies Related to EOC/EM Main hospital regulatory agencies include: The Joint Commission (TJC) Illinois Dept. of Public Health (IDPH) Centers for Medicare & Medicaid Services (CMS) Other agencies to know: Dept. of Transportation (DOT) OSHA EPA

What to know about EOC/EM What to do if you see Safety issue: Call #8300 (Adventist Medical Centers) INSERT HOSPITAL SPECIFIC INFO Call Facilities or Security to report Where to find information about EOC/EM? Go the iAMITA Home Page. Emergency Response Manuals, Posters and Guidebooks – all departments have them On every unit At every off-site Online for various facilities (SAMC)

AMITA Health Emergency Telephone For ALL emergency codes, call x555 (in Adventist Medical Centers) For ALL emergency codes, call x911 (in Alexian Medical Centers) Do not dial ‘O’ for operator – your call is placed in line with other incoming calls All offsite buildings dial 911 – note this will go directly to police dispatcher and not to hospital operator

Emergency Codes Legacy Adventist Event Type Overhead page Disaster Plan Activation – surge into the ED Attention please: Emergency Operations Plan Activation (Standby, Internal or External) Fire Attention Please: Fire Alarm – location will be give Violent Incident Attention Please: Security Emergency – location will be given Violent Incident – displaying a weapon Attention Please: Armed Intruder, take shelter now – location will be given Behavioral Emergency Attention Please: Code BRT – location will be given (currently Hinsdale only) Hazardous Material Release Attention Please: Hazardous Spill – location will be given Infant / Child Abduction Attention Please: Infant / Child Abduction – give location, age, gender, clothing, & description of child & abductor if possible – location will be given Patient Elopement Attention Please: Missing Person – give location, gender, age, clothing & description – location will be given Utility Failure Announce as i.e.: Phone outage, power outage etc. – (will be given direction from facilities staff) Severe Weather Attention Please: Severe Weather Watch or Tornado Warning Cardiac Arrest Attention Please: Cardiac arrest – adult / pediatric / neonatal – location will be given AMI Attention Please: Stemi Alert – location will be given Ill or injured person on hospital property Attention Please: Medical Emergency – location will be given Massive Bleeding in L & D Attention Please: Rapid Response – location will be given Labor Pool opens (disaster in progress) Staff help needed Attention Please: Manpower Pool open – location will be given Patient Assist – Lift help Attention Please: Assist Alert – location will be given Rapid Response Team Activation Attention Please: Rapid Response Team – adult / pediatric / neonatal - location will be given Stroke Patient Attention Please: Stroke Alert – location will be given Trauma Team Activation Attention Please: Category 1 or 2 Trauma – Emergency Department Bomb Threat Will not be called overhead, process will be in the Emergency Preparedness Manual

Emergency Codes Legacy Alexian Event Type Overhead page Disaster Plan Activation – surge into the ED Attention please: Emergency Operations Plan Activation (Standby, Internal or External) Fire Attention Please: Fire Alarm – location will be give Violent Incident Attention Please: Security Emergency – location will be given Violent Incident – displaying a weapon Attention Please: Armed Intruder, take shelter now – location will be given Behavioral Emergency Attention Please: Code BRT – location will be given (currently Hinsdale only) Hazardous Material Release Attention Please: Hazardous Spill – location will be given Infant / Child Abduction Attention Please: Infant / Child Abduction – give location, age, gender, clothing, & description of child & abductor if possible – location will be given Patient Elopement Attention Please: Missing Person – give location, gender, age, clothing & description – location will be given Utility Failure Announce as i.e.: Phone outage, power outage etc. – (will be given direction from facilities staff) Severe Weather Attention Please: Severe Weather Watch or Tornado Warning Cardiac Arrest Attention Please: Cardiac arrest – adult / pediatric / neonatal – location will be given AMI Attention Please: Cardiac Alert – location will be given Ill or injured person on hospital property Attention Please: Medical Emergency – location will be given Massive Bleeding in L & D Attention Please: OB Alert– location will be given Labor Pool opens (disaster in progress) Associate help needed Attention Please: Labor Pool open – location will be given Patient Assist – Lift help Attention Please: Assist Alert – location will be given Rapid Response Team Activation Attention Please: Rapid Response Team – adult / pediatric / neonatal - location will be given Stroke Patient Attention Please: Stroke Alert – location will be given Trauma Team Activation Attention Please: Category 1 or 2 Trauma – Emergency Department Bomb Threat Will not be called overhead, process will be in the Emergency Preparedness Manual

Code: Fire Alarm FIRE -Can be activated by any employee or physician by pulling a fire alarm pull station. R-A-C-E Acronym R = Rescue anyone in immediate danger. A = Activate the Alarm – Pull the Fire Alarm Pull Station, Call 911 (Alexian) Call 555 (Adventist) Call 911 (Off Sites) C = Contain the fire by closing doors E = Extinguish fire or evacuate

Using a Fire Extinguisher P-A-S-S- Acronym P = Pull the Pin A = Aim at the BASE of the fire S = Squeeze the trigger S = Sweep side to side

Code: Severe Weather Overhead Page for Tornado and/or Severe Weather - close all drapes/blinds, move patients away from windows Severe Weather Alert: Potential for the development of thunderstorms which may produce hail or damaging winds – Tornado Warning: will be announced when a tornado is either occurring or imminent based on radar reading Return to normal activities as “All Clear” is called

Code: Security Emergency Security Assistance Needed for Violent Incident Call 555 (Adventist) 911 (Alexian) for help or use duress button if your area has one and then also call emergency number if possible DO NOT Endanger Yourself! Your Security Team will provide a response for violent or potentially violent situations. Security Officers receive training in Non-Violent Crisis Intervention and are well equipped to provide assistance in most violent situations. Return to normal duties as “All Clear” is called

Code: Utility Failure Will be Paged out as “Phone Out, Power Out, etc.” Follow “Utility Failure” policy in the Emergency Preparedness Manual (hard copy or online) Directions will be given from Facilities staff. Return to normal activities as “All Clear” is called.

Code: Hazardous Spill Hazardous Material Spill Stop activity that may cause contact with substance. Protect all persons – keep area clear Dial 555 (Adventist) 911 (Alexian) to report Spill Return to normal activities as “All Clear” is called.

Code: Infant/Child Abduction Child Abduction – An infant/child is reported missing or is known to have been abducted. Switchboard announces location of abduction, age and sex of child, and last known location of abductor overhead. Secure doors and seal off the unit until the “all clear” is given. Associates respond to exterior doors of facility and discourage anyone from exiting the hospital. If individual insists on leaving, get description and call emergency number. A description may be announced of infant/child or abductor, but it is important to question everyone. Associates should NOT physically engage the suspect. Associates should call emergency number to report. 555 (Adventist) Call 911 (Alexian)

Code: Patient Elopement Patient Elopement can be activated for a possible elopement of a patient, who does not have the right to leave. Patients who are certified and petitioned Patients who have otherwise been determined to be unsafe to leave Age/location/gender/clothing and description will be given. Call 555 (Adventist) Call 911 (Alexian) to report All hospital associates check entrances and building perimeter. A description may be announced of the patient, but it is important to question everyone. Associates should NOT physically engage the patient. Associates should call emergency number to report. Return to normal duties as “All Clear” is called.

Code: Armed Intruder Law Enforcement Assistance needed for individual brandishing a weapon with intent to use. Dial 555 (Adventist) 911 (Alexian) and give location Immediate Area - RUN/HIDE/FIGHT Associates should not attempt to provide medical care to victims. Return to normal duties as “All Clear” is called.

Weapons on Property The Illinois Concealed Carry Act prohibits weapons on healthcare facility’s property (may be properly stored in vehicle). If any individual is noticed to be in possession of a weapon within our facilities, associates should contact the Security Department to inform them. Law Enforcement Personnel will be allowed to carry their weapons in accordance with their policies and procedures.

Code: Emergency Operations Action Plan (legacy Adventist) Standby: initiated when a potential disaster has been identified, the extent of the hospital response is unknown at this time - normal facility operations continue Level 1: The extent of involvement and the current staffing in the ED is able to handle the increased patient volume Level 2: Actual incident has been identified resulting in an increased influx of patients – all hospital associates will remain on duty until released by Incident Command Return to normal duties as “All Clear” is called.

Code: Emergency Operations Action Plan (Legacy Alexian) Alert: Disaster possible; increase preparedness Standby: Potential disaster probable; ready for deployment Call Out: Disaster exists; deploy Stand Down: Disaster contained, resume normal operations Return to normal duties as “All Clear” is called.

Bomb Threat Call 555 (Adventist) 911 (Alexian); if possible have someone else call while you stay on line. Try to prolong conversation and do not hang up. Listen to all noises: background noise, tone of voice, male/female, what age, unusual words or phrases, accent Give all information to operator. If a threat is received in writing, handle as little as possible and keep all contents. Call emergency number immediately to report. Decisions on how to proceed will be made by Incident Command along with local law enforcement.

Drills We are required to do drills on emergency codes. Codes are not announced as ‘drills’ Drill participation is not optional – you must respond. Use the department’s Emergency Response Manual (hard copy or online) to identify your role via job action sheet. Hospital and/or outside observers are placed to observe associate response during all drills.

Security Services Contacting Security – Security can be contacted 24/7 for assistance. Escort on property – Your security team can provide an escort for safety or way finding. Motorist Assist – In most cases your Security Team can provide jump start or lockout assistance. If other vehicle assistance is needed your Security Team can provide information on towing.

Access/ID Badges All associates must wear ID badge at all times and they must be above waist and below shoulder. If you need additional access, speak with your Director. Do not enter areas you do not have access to without escort or permission. Wait for controlled doors to close before leaving to prevent “piggybacking”. Conceal codes when entering. Do not share badges or codes with anyone.

Parking Employees are required to park in designated areas. Insert Site Specific Map Here

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Thank you!