Quick Reference Guide - Prairie Mountain Health Authority

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Community Programs Quick Reference Guide
The intended audiences for this Quick Reference Guides are all PMH Community Program Staff that
work or travel outside of a health facility for work purposes. The information contained within this guide
is generic and brief in nature to provide a general response to an adverse situation. Staff should use
their best judgment in making any decision in conjunction with this plan or to consult their supervisor
where possible.
Program Supervisor Contact Information
Program: ___________________
Office Location
Case Coordinator
Resource Coordinator
Contact Resource information:
Fire – Police – EMS: 911
Areas not serviced by 911 call: ______________________
Program Manager On-call Contact Number: ____________________
DEPP On-Call Contact Number: 204-724-8285
Road Conditions: Phone 511, or website: www.gov.mb.ca/mit/roadinfo
MB Hydro: 1-888-624-9376
Radio Stations: 92.7 CBC FM, 94.7 Star FM, 96.1 BOB FM, CJ 104 FM, 880 CKLQ am, 730 CKDM am
DEPP (Disaster & Emergency Preparedness Program)
Community Programs Quick Reference Guide- Program Contact List
DRAFT or October 15, 2014
Disaster & Emergency Preparedness Program (DEPP)
The PMH Emergency plan is intended as a guide for staff in the response and management of any disaster, emergency,
or incident with the potential for significant impact to operations.
When staff are confronted with a disaster or emergency situation, personal safety is first and foremost. Follow program
specific working alone plans, remove self from harm, and if safe to do so remove the client or provide notification of the
hazard to the client. Call 911 for Police, Fire, or EMS response. When in a safe location notify your Manager/Supervisor or
On-call Manager.
Red – Fire
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Call 911 for Fire Department. Provide address location and fire details.
Remove self and client from location. Prevent others from entering site.
Green – Evacuation
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Evacuate clients and staff from an area of danger to a safe area.
Call 911 for EMS if required. Notify manager/supervisor.
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Initiate if client goes missing while you are providing direct care.
Notify next of kin/client contact and assess client location.
Do a quick search of location. If client is not located call 911 for Police.
If there is a risk to staff safety due to violence or threat of violence, distance yourself
from the aggressor and take necessary precautions to protect your own safety. Call 911
for Police as required.
In the event of a sudden medical emergency, remember the basic principles:
Check the client – Call 911 for EMS – Care (start CPR if trained)
Do not perform mouth-to-mouth without a barrier device. Notify manager/supervisor.
Blue Romeo – Cardiac Arrest in
Transit
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This code is not applicable to Community Programs and Services.
77 – Pediatric Cardiac Arrest
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This code is not applicable to Community Programs and Services.
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If a Code Orange occurs at a hospital and you are called to assist: report to the site,
identify yourself, and follow the direction of the Incident Commander.
Notify your manager/supervisor if you are missing assigned work.
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This code is not applicable to Community Programs and Services.
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When there is a spill or release of hazardous material at a residence: avoid contact,
evacuate, and call 911.
If a carbon monoxide detector is activated: evacuate and call 911.
If alerted to contaminated external air: shelter-in-place by closing windows and doors,
and shutting down air conditioners, exhaust fans, or air exchangers.
Monitor local media for situation updates. Call 911 if in immediate danger.
If you receive a bomb threat or discover a suspicious package: stop, do not touch, and
call 911 for Police.
If safe to do so, evacuate the area and wait for police. Notify manager/supervisor.
When possible, remove yourself from the area and call 911 for police.
Lock doors between yourself and the perpetrator.
Provide the materials the perpetrator is demanding.
Initiate when an infant has gone missing from the site.
Obtain details about the infant: last seen, with who, gender, clothing.
Call 911 for Police and do a quick search of the immediate area.
Monitor local media for reports of tornado, flooding, severe weather.
Notify manager/supervisor for: sewer backup, power failure, communications failure,
etc.
Initiate when it is necessary to secure the site by controlling entry/exit points.
Lock doors or windows to protect safety of yourself and client if threatened.
Call 911 for Police and notify your manager/supervisor.
Yellow – Missing Client
White – Violence
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Blue – Cardiac Arrest
Orange – Mass Casualty
Gold – Trauma Emergency
Brown – Hazardous Materials
Grey – External Air Exclusion
Black – Bomb
Threat/Suspicious Package
Purple – Hostage Taking
Pink – Infant Abduction
Alert –
Environment/Infrastructure
Lockdown Plan
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Manager/Supervisor Contact Name and Phone #: ________________________________________________
For general Disaster and Emergency Preparedness enquiries, send an e-mail to [email protected]
DEPP (Disaster & Emergency Preparedness Program)
CHS Programs Emergency Codes
January 5, 2015
Disaster and Emergency Preparedness Program (DEPP)
EVENT MANAGEMENT NOTIFICATION MAP
Incident with Potential
or Significant Impact
Activate your Emergency Plan as required
Complete Impact Assessment and Contact
Manager/Supervisor (After Hours On-call) as required
Impact Assessment:
• Are additional resources or consultation required?
• Is there potential to impact the delivery of healthcare services?
• Is there potential of media attention/requests?
• Is there potential impact on other facilities, programs or services?
NO
•
•
•
Manage/Resolve situation with
available resources.
Communicate situation status with
Manager/Supervisor
Reassess Impact (See above)
YES or UNSURE
Contact:
Disaster and Emergency Preparedness
Program (DEPP) On-call
204-724-8285
Recovery and Appropriate
Documentation Completed
and Submitted
Provide assistance and resources to
site Incident Management
Contact:
Executive Management
Team
Examples of incidents (may include, but are not limited to):
• Loss or damage to infrastructure.
• Safety or security issue causing a threat to client or staff safety.
• Media attention/requests are received or anticipated.
• Significant bed utilization issues.
• Identify communication outages.
• Critical occurrence event has occurred.
NOTE: If unsure, contact supervisor, DEPP on-call, or proceed with Impact Assessment.
Date of Issue: August 2014
Date of Revision:
PMH276