Transcript Emergency Management Guide - DeKalb County Board of Health

EMERGENCY MANAGEMENT GUIDE
2015
Objective
Understanding how to respond or react in an
unusual occurrence or event
Agenda
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Emergency Situations
Staff Responsibilities
Emergency Codes
Fire Emergency
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Upon detection of smoke or heat, the building’s 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.
Staff Responsibilities
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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.
If Evacuation Route is Blocked
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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
Severe Weather
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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.
Staff Responsibilities
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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.
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.
Bomb Threat
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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.
Bomb Threat
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
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 bomb’s location,
components or method of initiation/detonation.
The bomb threat caller is the best source of
information about the bomb.
Staff Responsibilities
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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.
Bomb Threat…Suspicious 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.
Bomb Threat…Suspicious Object
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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.
When a Bomb Threat Call is Received
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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.
When a Bomb Threat Call is Received (cont.)
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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
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.
Bomb Threat Checklist
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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 Caller’s Voice
 Male
Female Young
Middle-aged
Old
 Language: excellent/good/fair/raspy/nasal/lisp/disguised/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
Explosion
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
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
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.
In the event of explosion
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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.
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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.
In the event of explosion
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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.
Elevator Malfunction
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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.
Violent or Criminal Behavior
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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:
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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.
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.
Staff Responsibilities
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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.
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When Security arrives, provide them with an update.
Follow their instructions.
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.
Inclement Weather
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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 Director’s 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.
Reopening of Health Facilities
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Two methods are used to inform employees if they
should return to work when there are questionable
weather conditions:
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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.
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
Facilities Used by
DeKalb County Emergency Management (cont.)
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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.
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.

Natural Gas Leak
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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.
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:
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Your name
Precise location
Observed symptoms of behavior
Individual’s name, if known
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 individual’s 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.

Armed Hostage
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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.
Armed Hostage (cont.)
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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.
Staff Responsibilities
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If perpetrator is visible, stay calm and do not approach
Do not attempt to confiscate any weapon.
 Communicate and cooperate with the perpetrator. Follow
perpetrator’s directions.
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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.
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).
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
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.
MEDICAL EMERGENCY
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.
Medical & First Aid Emergencies
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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.
What to do in general
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Don’t delay, take prompt action.
Activate emergency code (BLUE)
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Position the person (will be discussed later)
Be reassuring and calm.
Start CPR immediately if necessary.
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CODE BLUE: RN TO location.
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.
Remember
Don’t 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.
-
Signs of Heart Attack
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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.
What to do?
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Monitor ABC’s and give CPR if necessary.
Help victim into the least painful position, usually a
half-sitting position. Loosen tight clothing.
Call EMS.
Signs of Fainting
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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
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
What to do if fainting or unconscious
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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).
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.
Sign of Shock
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Pale, bluish, cool, moist skin
Rapid breathing
Restlessness or irritability
Nausea and/or vomiting
What to do?
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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.
Asthma Attack
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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).
What to do?
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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.
Diabetic Emergencies
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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.
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.
Seizure


A seizure is the result of an abnormal stimulation of
the brain’s 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.
What to do?
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Protect head and neck.
Remove items that could cause injury.
Don’t restrain.
Don’t 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.
Call EMS if…

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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.
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.
What to do?
INFANT
CHILD/ADULT
Tell
someone to call 911
Give 5 abdominal thrusts:
Carefully hold the infant face down on
your forearm, your hand supporting its
- Place the thumb side of your fist just
head and neck
above the victim's belly button.
Strike the infant directly between the
- Grab your fist with your free hand.
shoulder blades with the heel of your
- Pull quick, upward thrusts to dislodge
other hand 5 times.
the object.
Turn the infant over and position two
 Repeat abdominal Thrusts until the
fingers in the center of the chest
object is forced out, the victim can
 Give 5 1/2 to 1 inch deep chest thrusts breathe, or the victim becomes
unconscious.
 Repeat Blows and Thrusts until the
object is forced out, the infant starts
breathing, or the infant becomes
unconscious.
 Tell someone to call 911.
EMERGENCY MANAGEMENT GUIDE
Part II
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.
Staff Responsibilities



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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.
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.
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.
Staff Responsibilities


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
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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.
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.

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.
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.
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.
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.
Emergency Response Code - FIRE
Code/Description
Action
Red
Fire
“Code Red”
Repeat twice at initiation of event
In the event of a fire
Fire All
Clear
“Code Red All Clear”
Repeat twice at end of event
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
Emergency Response Code – Illness or Injury
Code/Description
Blue
In the event of
medical emergency,
serious illness or
injury
Action
Disaster
Emergency
Response Plan
All Clear
“Attention all personnel, Code
Blue in effect, Initiate the
(internal) (external) Emergency
Management Plan “Code Blue”
Disaster plan activation
Announced three times
each hour
“Attention All Clinical Personnel.
Code Blue is All Clear”.
Alert on authority of
DCBOH Director
Will notify Emergency Medical Services
(ambulatory services)
Switchboard will contact
coordinator on call
Coordinator will
complete emergency
form for record
Security on stand by
Emergency Response Code: Violent Acts
Code/Description
Green
In the event of violent
acts (civil disobedience,
hate crime, or bomb
threat, or other threats)
Action
Bomb threat
All Clear
When directed, call “Attention All
Personnel. Code Green”
Announced three times
each hour
“Code Green All Clear”
Alert on authority of
DCBOH Director
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 followup w/coordinator
Emergency Codes: Hostage
Code/Description
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
All Clear
“Code Gray All Clear”
Repeat three times
Emergency Codes: Child/Infant Abduction
Code/Description
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
All Clear
“Code Pink All Clear”
Repeat three times
All staff participation: involves blocking all
entrances and exits
Switchboard will notify
Coordinator
Coordinator will notify
Administrative office.
Emergency Codes: Minor Emergencies
Code/Description
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
All Clear
“Code Orange All Clear”
On authority of DCBOH
director
Security will investigate area
Security will investigate
area; if situation is
serious, will evacuate if
necessary
Emergency Codes: Severe Weather
Code/Description
Yellow
In the event of severe
weather: tornado,
storm, snow
Action
When directed call “Attention All
Personnel. Code Yellow. Conditions
are right for a tornado.”
Repeat three times
Tornado
Warning
When directed call “Attention All
Personnel. Code Yellow. Tornado
has been sighted in this area.”
Repeat three times
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
Tornado
Watch
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