California’s Standardized Healthcare Emergency Codes Staff Training Presentation September 2009.

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Presentation transcript:

California’s Standardized Healthcare Emergency Codes Staff Training Presentation September 2009

Background In 1999, hospital shooting with 3 employees dead!In 1999, hospital shooting with 3 employees dead! Code Gray paged because a code didn’t exist for a person with a weapon.Code Gray paged because a code didn’t exist for a person with a weapon. Staff ran to the incident without knowing the danger!Staff ran to the incident without knowing the danger! The Hospital Association of Southern California (HASC) initiated a project to standardize emergency codes.The Hospital Association of Southern California (HASC) initiated a project to standardize emergency codes. Today, these codes are used throughout the US and even internationally!Today, these codes are used throughout the US and even internationally!

Purpose In general, the codes are based on a color- coded system, with some clarifying information to aid in response.In general, the codes are based on a color- coded system, with some clarifying information to aid in response. Hospital emergency codes are used to alert staff in a myriad of emergency situations.Hospital emergency codes are used to alert staff in a myriad of emergency situations. They are designed to convey essential information as quickly, and with as little confusion as possible whilst also remaining discrete in order to keep both patients and visitors calm.They are designed to convey essential information as quickly, and with as little confusion as possible whilst also remaining discrete in order to keep both patients and visitors calm.

Why Standardize? Today’s healthcare workforce is highly mobileToday’s healthcare workforce is highly mobile Physician, nurses, and support staff often work in more than one facility – sometimes within the same day!Physician, nurses, and support staff often work in more than one facility – sometimes within the same day! Patient Safety!!!Patient Safety!!! Codes that trigger an emergency response should be standardized to help ensure quick action.Codes that trigger an emergency response should be standardized to help ensure quick action.

2009 Survey 262 respondents throughout California262 respondents throughout California 70% compliance in the original codes (over 180 hospitals).70% compliance in the original codes (over 180 hospitals). 84% compliance in SoCal84% compliance in SoCal 65% compliance in NoCal & Central Cal65% compliance in NoCal & Central Cal 11% compliance in San Diego & Imperial Counties11% compliance in San Diego & Imperial Counties 2 new codes added in 2008:2 new codes added in 2008: Patient Elopement – Code GreenPatient Elopement – Code Green Emergency Alert – Code Triage: AlertEmergency Alert – Code Triage: Alert

Trending Towards Standardization in California

“Go Live” Our goal is to standardize our overhead emergency codes, in conjunction with all California hospitals, by January 1, 2010.Our goal is to standardize our overhead emergency codes, in conjunction with all California hospitals, by January 1, 2010.

Standardized Emergency Codes

Code Red Fire Purpose: To provide an appropriate response in the event of an actual or suspected fire in order to protect life, property and vital services.Purpose: To provide an appropriate response in the event of an actual or suspected fire in order to protect life, property and vital services.

Code Blue Medical Emergency Purpose: To provide an appropriate response to a suspected or eminent cardiopulmonary arrest or a medical emergency for an adult patient.Purpose: To provide an appropriate response to a suspected or eminent cardiopulmonary arrest or a medical emergency for an adult patient.

Code White Medical Emergency - Pediatric Purpose: To provide an appropriate response to a suspected or eminent cardiopulmonary arrest or a medical emergency for a pediatric patient.Purpose: To provide an appropriate response to a suspected or eminent cardiopulmonary arrest or a medical emergency for a pediatric patient.

Code Pink Infant Abduction Purpose: To provide an appropriate response in the event of the abduction, or attempted abduction of an infant from the facility.Purpose: To provide an appropriate response in the event of the abduction, or attempted abduction of an infant from the facility.

Code Purple Child Abduction Purpose: To provide an appropriate response in the event of the abduction, or attempted abduction of a child from the facility.Purpose: To provide an appropriate response in the event of the abduction, or attempted abduction of a child from the facility.

Code Yellow Bomb Threat Purpose: To provide an appropriate response in the event of a bomb threat or the discovery of a suspicious device.Purpose: To provide an appropriate response in the event of a bomb threat or the discovery of a suspicious device.

Code Gray Combative Person To provide an appropriate response to situations involving a combative or potentially combative person(s).To provide an appropriate response to situations involving a combative or potentially combative person(s).

Code Silver Person with Weapon / Hostage Purpose: To provide an appropriate response in the event of an incident involving a person with a weapon or who has taken hostages within the facility (includes an “active shooter” incident).Purpose: To provide an appropriate response in the event of an incident involving a person with a weapon or who has taken hostages within the facility (includes an “active shooter” incident).

Code Orange Hazardous Material Spill/Release Purpose: To provide an appropriate response to an actual or suspected hazardous material spill or release in a manner that is safe for staff, patients and visitors.Purpose: To provide an appropriate response to an actual or suspected hazardous material spill or release in a manner that is safe for staff, patients and visitors.

Code Green Patient Elopement Purpose: To provide an appropriate response in the event of a missing / eloping patient who is determined to be a danger to themselves or is identified as a safety risk.Purpose: To provide an appropriate response in the event of a missing / eloping patient who is determined to be a danger to themselves or is identified as a safety risk.

Code Triage: Alert Emergency Alert Purpose: To inform appropriate staff that an incident (“all hazards”) has occurred, or may occur, that could potentially disrupt the normal operation of the facility.Purpose: To inform appropriate staff that an incident (“all hazards”) has occurred, or may occur, that could potentially disrupt the normal operation of the facility.

Code Triage: Internal Internal Emergency Purpose: To activate the organization’s Emergency Operations Plan (EOP) in response to an event that has occurred within the facility.Purpose: To activate the organization’s Emergency Operations Plan (EOP) in response to an event that has occurred within the facility.

Code Triage: External External Emergency Purpose: To activate the organization’s Emergency Operations Plan (EOP) in response to an event that has occurred outside the facility that has, or is likely to disrupt the facility’s normal operations.Purpose: To activate the organization’s Emergency Operations Plan (EOP) in response to an event that has occurred outside the facility that has, or is likely to disrupt the facility’s normal operations.

How to activate a code… In our facility call:In our facility call:

Our Hospital's Policy Hospital Policy #Hospital Policy # The emergency codes may also be posted in wall charts around the hospital, or found on the back of ID cards or other quick reference materials.The emergency codes may also be posted in wall charts around the hospital, or found on the back of ID cards or other quick reference materials.

Summary Do I know the emergency codes and their definitions?Do I know the emergency codes and their definitions? Do I know what number to dial and when it is appropriate to call each emergency code?Do I know what number to dial and when it is appropriate to call each emergency code? Do I know my roles and responsibilities for each emergency code?Do I know my roles and responsibilities for each emergency code?

“Go Live” Date January 1, 2010

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