Transcript Insert a short presentation title - Cascom | The Women`s Bank Nurses

Internal Emergency Procedures
Moving through the presentation
Please note:
To move to the next slide use the mouse control
To jump to a specific slide use the keyword on the
bottom portion of the slide or the hyperlinked word.
How this training package works
1. Read through all the slides carefully.
2. At the end of the session you will be asked a series of questions.
If you are not sure of the answer, refer to the help section.
3. The last slide will ask you to forward a confirmation email to your
manager that you have completed the test.
5. If you don’t forward a confirmation email, your manager will
follow-up with you.
6. For all enquiries please contact the RCH Emergency
Management Coordinator x6207
Be emergency prepared
All staff must be emergency prepared.
 be familiar with the standard procedures for each
code in the internal emergency procedure
manual and
 walk through your place of employment to
identify emergency suppression and detection
equipment as well as emergency signage and
evacuation routes.
Learning Training Content
At the end of this learning exercise, you should be able to:

describe the Emergency Control Organisation (ECO) for your site

explain how to initiate an emergency code

identify the colour & standard procedures for each emergency code

list the fire alarm activation methods

describe how to respond to the fire alarm (alert tone)

explain how to respond to discovery of a fire (Standard Fire
Instructions)

identify the considerations for Fire Extinguisher use

explain your standard Evacuation Procedures
How does RCH respond to an
emergency?



In all RCH campuses there is an established
process for activating an appropriate response to
an emergency.
The internal structure that responds to an
emergency is known as the “Emergency Control
Organisation (EOC).”
The EOC is supported by a committee known as
the Emergency Planning Committee.
Emergency Control Organisation
(ECO) [Main Campus]
Initial
Response
The ECO is divided into
different response groups
that can escalate
appropriately to manage
either an internal or external
situation/incident
Escalation
·
·
·
·
·
Red
Yellow
Black
Purple
Orange
{
{
1st
Response
Group
}
2nd Response Group
Executive / Senior HIMT
Membership
3rd Response Group
Full HIMT Membership
Other Groups
ICT
Psycho-social
Other
Senior Executive
Code
Brown
Response
Response Group 1
Chief
Warden
If need to escalate
Deputy Chief
Warden
Clinical
Coordinator
Control Room
Communications
Emergency
Management
Coordinator
Zone
Warden
Code Yellow
Workshop Team
To the Control Room
To the incident
General
Warden
Executive
To the incident
Some of our RCH sites do not have RCH Zone Wardens. In this case the
Chief Warden/Emergency Controller for the building takes control once notified.
Refer to your local Internal Emergency Procedure manual.
Key Roles

Chief Warden: overall in charge in an
emergency response. (White Helmet)

Zone Warden: Control over their zone during an
emergency response. (Yellow Helmet)

General Warden: Assists zone warden

Escalate: Executive Group to assist with
coordination / management.
Response Group 1 (RCH Main Campus)

The Chief Warden when notified will take control of the whole site.

The Chief Warden will communicate with the Zone Warden/s (where
applicable) and staff.

The Zone Warden takes control of their local area and reports to the Chief
Warden.

The Chief Warden will escalate to the next level (Response Group 2) if
established triggers have been reached.

Security will assist the Chief Warden.

Other support shall include RCH Switchboard and the relevant external
emergency authorities such as MFB, Police, Ambulance and SES etc
HOW TO INITIATE AN EMERGENCY
CODE
1.
To initiate an emergency code at sites which have an internal emergency
number (see next slide) simply dial the emergency number to report the
emergency.
2.
The switchboard operator will then call external emergency authorities (Police,
MFB etc) as required & notify the Chief Warden.
3.
For sites that do not have an internal emergency number, call 000 for
emergency codes that require external emergency authorities e.g. Code Red –
MFB, Code Black - Police.
4.
Alternatively codes can be reported to the Zone Warden.
HOW TO INITIATE AN EMERGENCY
CODE: Emergency Numbers









RCH Main Campus 777
Travancore 7555
Broadmeadows 444
Preston (“000”)
Sunshine (“000”)
Banksia (“000”)
Young People’s Health Services (“000”)
Hoppers Crossing 111
Adolescent Forensic Health Service (“000”)

(“000”) = direct call to relevant emergency service
Emergency Response
Colour Codes
Aide-mémoire
Staff are to wear them at all
times, attached to their ID
badge/lanyard
Emergency Response Colour Codes
Fire/
Respond Red
Respond Red Confirmed – instigate RACE
Rescue - anyone from immediate danger
Smoke
(In your area)
Alarm - dial emergency number and alert others in
the areas, break glass alarm and Zone Warden
Contain - close doors to isolate fire. If trained and is
safe use an appropriate extinguisher.
RACE
Respond Orange
(In your area)
Evacuation
Evacuate – Unless in immediate danger, await
instructions from Zone Warden
•Prepare to evacuate. Await instructions from Zone
Warden (where applicable) or Chief Warden. Zone
Warden will direct on evacuation route, destination,
equipment needs and headcount
Colour Response Codes
Met Call
(Blue)
Medical
Emergency
(In your area)
Respond Purple
Bomb
Threats
•Dial your emergency number and report the nature
of the emergency/ exact location/-inpatient unit/ -bed
number
•Check area is safe
•Commence First Aid/CPR if trained. Procedure
Refer to the aid-memoire
(In your area)
Respond Yellow
(In your area)
Internal
Emergencies
•Dial your emergency number and give details or
contact the Zone Warden
•Significant: Power failure, oxygen failure, water
failure, gas leak, flood, chemical spill, persons
trapped in lift, structural damage etc
Colour Response Codes
Respond Grey
Respond Black
Unarmed
confrontation
Refer to the aid-memoire and procedure
Personal
Threat
Refer to the aid-memoire and procedure
e.g. Hold up,
siege
Respond Brown
External
Disaster
Stand Down
(Respond code and location)
•Stand by for further instructions
•The immediate emergency is over and is
announced over the public address system and/ or
via runners.
•Resume normal work
Management of
Clinical Aggression
(MOCA) training is
available to all
clinical care staff
Code Yellow – “Significant”
Significant:
 Has an impact on direct clinical care delivery or
services that support direct patient care
(inclusive of staff safety considerations)

Non-significant events (eg, leaky tap, blocked
toilet, water drip from ceiling) do not require a
code yellow response. These are reported
through maintenance (at RCH Main Campus Ext
7666 which provides a 24/7 contact point)
STANDARD FIRE ORDERS – all staff
In the event of discovering a fire, implement the RACE principle
R escue - any person in immediate danger.
A larm – Raise the alarm and follow emergency
procedures (see next slide)
C ontain - close doors and windows to contain fire /
smoke and if trained / safe use appropriate fire
extinguisher
E vacuate – unless in immediate danger, on hearing
the evacuation tones, await instructions from zone
warden
You must also take action in accordance with any
special protocol for your ward or department.
Alarm
It does not matter in what order the following is
undertaken, as long as they are all achieved.
Break glass alarm
Contact switchboard (777*)
Find/advise Zone Warden
* RCH Main Campus other campus’ use designated emergency number
Zone Wardens

Take control of situation, put on yellow helmet
1.
2.
3.
4.
5.



Calm and reassure patients, staff and visitors
Move anyone from imminent danger. (Immediate Evacuation)
Confirm that break glass alarm has been activated or Switch notified on
777.
Control Immediate evacuation as necessary. Prepare for Lateral or
Total and if necessary follow the appropriate evacuation procedures
Liaise with Chief Warden/ Deputy Chief Warden at Emergency Control
Centre via W.I.P/Switchboard/telephone and advise
Nominate General Wardens
Follow situation through to stand down
Debrief with affected department and Chief Warden as required
Nominate General Wardens to:
1.
2.
3.
4.
5.
6.
turn off all medical gases
conduct a count of all persons in area
retrieve patient records
retrieve current staff roster
search all areas including toilets and stores
shut all doors and windows, do not lock
FIRE ALARM ACTIVATION METHODS
The fire alarm (alert tone) may be generated by either manual or automatic
methods. The alarm is to alert the occupants of that zone that there may be a
fire.
Manual Method of raising an alarm
Activate the Manual Call Point (break glass alarm) if you find a fire and or smoke.
Automatic Methods of raising an alarm
In the event that a smoke, heat or roof space detector is activated, the audible
alarm will be generated in that zone via the fire panel. This triggers other
automatic responses including the closing of fire and smoke doors.
NOTE: some sites may not be equipped with automatic methods
RESPONDING TO THE ALERT TONE
The alert tone sounds like this - Alert
Upon hearing the alert tone in your area;

Look for any obvious signs of fire and or smoke and move away
from immediate danger. If safe, stay in your work station area or
designated zone marshalling area.
 Standby for the evacuation tone and await instructions from
the Zone Warden

At the Marshalling Point the Zone Warden may ask you to assist
in ensuring the people within the zone are safe

Assist in searching zone, manning zone entry/exit points; assist with
communicating/calming patients & relatives; and marshalling people
to safety
RESPONSE – EVACUATION TONE



1.
2.
3.
4.
The evacuation tone sounds like this –
Unless in immediate danger, evacuate as per the instructions of the Zone
Warden, Chief Warden (via PA), MFB or Police Officer
Evacuation:
Immediate - from immediate danger only (e.g. evacuating one room)
Lateral - beyond the fire and /or smoke doors (where applicable)
Vertical – to a safer level via the stairs (where applicable)
Total – completely outside of the building
Note: Not all stages are required for each evacuation. Eg. If your
building is equipped with fire doors, a lateral evacuation may
be sufficient.

Assemble areas (See next slide)
STANDARD EVACUATION PROCEDURES
Principles of evacuation;
1. Do not use lifts (unless authorised by MFB/Chief
Warden)
2. Do not use beds (exceptions may include Barriatric
(very heavy) patients, critical care areas etc)
3. Order of evacuation: visitors, independent patient,
able to assist patient, not able to assist patients
4. Ensure all rooms have been searched before exiting
5. Follow your department / ward Evacuation Plan
Note: see your AUM/Manager for training in patient evacuation
devices relevant for your area.
Follow the instructions of the zone warden
RESPONSE – EVACUATION OF
PATIENTS


Evacuate triage – conducted by senior nurse (not zone
warden)
Order of evacuation of patients
1.
2.
3.

Ambulant
Partly-ambulant
Non-ambulant
Non-ambulatory patients are generally evacuated using
the sheet/mattress drag technique
CONSIDERATIONS FOR FIRE
EXTINGUISHER USE
Important things to note about fire extinguishers:

for use on small fires only (rule of thumb= waste paper bin size)

only use if trained in extinguisher operation and you feel safe.

know which extinguisher to use (see next slide).

Common extinguishers used at RCH: Water, and Carbon dioxide with
limited dry chemical extinguishers.

always face the fire and keep a clear exit path if you are attempting to
extinguish a fire

Use only one extinguisher on the fire.
PORTABLE FIRE EXTINGUISHERS
WATER
WET
CHEMICAL
DRY
CHEMICAL
CARBON
DIOXIDE
FOAM
YES
YES
YES
YES
YES
Flammable Liquids
NO
NO
YES
YES
YES
Electrical
Equipment
NO
NO
YES
YES
NO
Cooking Oils and
Fats
NO
YES
YES
YES
YES
Wood, Paper,
Textiles, Rubbish
Extinguisher - Water







Water fire extinguishers are efficient and cost effective
against fires involving:
Paper
Textiles
Wood
Plastics
Rubber
Water acts to reduce the fuel, which is burning, to below the
ignition temperature.
The normal capacity of a water fire extinguisher is 9 litres.
These particular extinguishers are not suitable to be utilised
on flammable & combustible liquids (Class B) & cooking
oils and fats (class F)
Fire Extinguisher – Carbon Dioxide
Carbon Dioxide (CO2) fire extinguishers are recommended for use
in electronic environments. The normal capacities of this type of
fire extinguisher ranges from 2kg to 5kg. The Carbon Dioxide (CO2)
fire extinguisher is recommended by Australian Standards as “…the
preferred extinguishant for use in electronic environments”.

Carbon dioxide is extracted from the atmosphere, stored at high pressure in the liquid state
within a fire extinguisher, for effective usage on electrical fires.
Carbon Dioxide extinguishers are effective against fires involving:



Electrically Energised Equipment
This extinguisher may also be used on small flammable and combustible liquid Class B fires.
Has limited use on wood, paper plastic fires (class A) and flammable & combustible liquids
(Class B)
CO2 is a non-conductive and non-corrosive agent which reduces the oxygen available to
support the fire. As carbon dioxide replaces oxygen, the discharge by personnel within
extremely confined spaces is discouraged. Equally, as the agent dissipates easily into the
atmosphere, the effect is limited where there is air movement.
Congratulations
You have completed the first part of the Basic Fire
Safety and Emergency Procedures Course.
You still need to become familiar with the local
procedures and equipment at your workplace. Ask
your Supervisor to show you where things are.
If you have any questions in relation to fire safety and
emergency procedures ask your Supervisor or Zone
Warden or contact the Emergency Management
Coordinator on extension 6207.
You now need to complete part two of the course.
Part Two
1.
2.
3.
4.
You must now undertake the Fire Safety and Emergency
procedures test.
Most questions have a help button.
Write your answers on a spare sheet of paper and compare
your results at the end of the test.
Please go back to any questions that you may have wrong.
Good Luck!
Question 1

a)
b)
c)
d)
What are the best types of fire extinguishers for
electrical fires?
Water, carbon dioxide
Wet chemical, foam
Carbon dioxide, dry chemical
Dry chemical, foam
Help
Question 2

a)
b)
c)
d)
What colour helmet does the zone warden wear
in an emergency?
Yellow
White
Red
Blue
Help
Question 3
The order to evacuate patients is:
a)
1st - non ambulant 2nd – ambulant 3rd - semi
ambulant
b)
1st – ambulant 2nd - semi ambulant 3rd - non
ambulant
c)
1st - semi ambulant 2nd – non ambulant 3rd ambulant
Help
Question 4
At the RCH Main Campus Code Grey is activated by:
a)
Contacting security and asking for assistance
b)
Contacting 777 and waiting for the response team to
arrive
c)
Calling the police on 000
d)
Activating the break glass alarm
Note: Code Grey responses at other sites is activated through
the local emergency procedures.
Help
Question 5
Code Yellow contingencies are designed to be
activated if there is a significant impact on
patient care services.
a)
True
b)
False
Help
Question 6
When the Alert tone sounds, occupants are to:
a)
b)
c)
Evacuate totally
Standby for the evacuation tone and await
instructions from the Zone Warden
Evacuate laterally
Help
Question 7
How do you activate a code Black?
a)
b)
c)
Call the police
Call Security on extension 6216
Activate duress alarm or ring switchboard
emergency on 777*
* Main campus
Help
Question 8
When the alert tones sounds in the RCH main
campus:
a)
b)
c)
d)
Zone warden reports / attends WIP phone
Call the fire brigade
Zone warden evacuates staff
Ignore tone and continue working
Help
Question 9
In terms of fire management, what does RACE
mean?
a)
b)
c)
d)
Respond, Alert, Contain, Extinguish
Run, Alarm, Contain, Escalate
Rescue, Alarm, Contain, Evacuate
Rescue, Activate, Confine, Emergency
Help
Question 10
Upon activation, the Break Glass Alarm will
a)
b)
c)
d)
Set off sprinklers
Only operate if actual fire exists
Allow access to the roof area
Automatically call the Fire Brigade
Help
Question 11
What does this sound mean?
a)
b)
c)
d)
Alert phase of an emergency
Stand down to an emergency
Evacuation phase of an emergency
Recovery phase of an emergency
Question 12
An electrocution has occurred due to a faulty
electrical appliance. What do you do?
a)
b)
Turn of the power, if safe to do so and instigate
a Met Call
Activate a Break Glass Alarm
More information
Question 13
If requested by an armed offender to hand over medication
from the drug cupboard, you would?
a)
b)
c)
Refuse to follow the offender’s instructions
Follow the offender’s instructions but do only what is
asked and nothing more
Follow the offender’s instructions and inform them that
there are more supplies in Pharmacy
Help
Question 14
Which of the following should you do during an evacuation?
a)
b)
c)
d)
e)
f)
Search all rooms, including toilets, bathrooms and stores
Move out in groups of two holding hands
Move non-ambulant patients on mattresses & sheets
Collect patient lists and medical histories for the
evacuated patients
A, C, D
A, C, B
Help
Question 15
If you discover fire or smoke, you should activate a Break
Glass Alarm, alert other staff and move anyone in
immediate danger. What else should you do?
a)
b)
c)
d)
e)
f)
Attempt to extinguish the fire if safe to do so (& trained)
Close doors and windows to isolate the fire
Leave doors and windows open
Notify Switchboard on 777 (RCH Main Campus)
A, B, D
B, C, D
Help
Results
Q1
c) Is the correct answer
Q2
a) Is the correct answer
Q3
b) Is the correct answer
Q4
b) Is the correct answer
Q5
a) Is the correct answer
Q6
b) Is the correct answer
Q7
c) Is the correct answer
Q8
a) Is the correct answer
Q9
c) Is the correct answer
Q10
d) Is the correct answer
Q11
c) Is the correct answer
Q12
a) Is the correct answer
Q13
b) Is the correct answer
Q14
e) Is the correct answer
Q15
e) Is the correct answer
Now you have finished



Please advise your manager that you have
completed the program
For Royal Bank please email to
[email protected]
You must include “Emergency Procedures
Training”, your name, employee number and the
date completed in the subject line of the email. If
these details are not included a pass will not be
recorded
Press here to finish
Help Question 1
WATER
WET
CHEMICAL
DRY
CHEMICAL
CARBON
DIOXIDE
FOAM
YES
YES
YES
YES
YES
Flammable Liquids
NO
NO
YES
YES
YES
Electrical
Equipment
NO
NO
YES
YES
NO
Cooking Oils and
Fats
NO
YES
YES
YES
YES
Wood, Paper,
Textiles, Rubbish
Return to question
Help Question 2

Chief Warden: overall in charge in an
emergency response. (White Helmet)

Zone Warden: Control over their zone during an
emergency response. (Yellow Helmet)

General Warden: Assists zone warden

Escalate: Executive Group to assist with
coordination / management.
Return to question
Help Question 3
All staff in the threat area should be utilised to
assist with the evacuation of patients. Ancillary
staff and visitors can be used to assist with nonambulant or semi ambulant patients.
The order of evacuation will be:
1.
2.
3.
ambulant patients
semi ambulant patients
non ambulant patients
Return to question
Help Question 4
Initial Response to aggression/violence:

Contact the RCH switchboard on the emergency number 777 stating:


Code Grey
Location
Switchboard Will:

Confirm exact location

Activate the emergency page (overhead and lanpage), alerting the Code Grey Team

Notify the Police if requested by the Code Grey Team

Stand down code grey at the request of the Code Grey Team Leader
Prior to the Code Grey Team arrival, staff will:

Try to defuse the situation by application of interpersonal skills (without provoking
further violence)

Move patients, visitors and staff at risk of injury away from the area

Move dangerous objects

Stay calm and communicate quietly

Not allow other patients or visitors to become involved

NOT attempt to physically restrain the aggressor

Brief Code Grey Team leader when he or she arrives
Return to question
Help Question 5
Significant:
 Has an impact on direct clinical care delivery or
services that support direct patient care
(inclusive of staff safety considerations)

Non-significant events (eg, leaky tap, blocked
toilet, water drip from ceiling) do not require a
code yellow response. These are reported
through maintenance (at RCH Main Campus Ext
7666 which provides a 24/7 contact point)
Return to question
Help Question 6
Upon hearing the alert tone in your area;

Look for any obvious signs of fire and or smoke and move away
from immediate danger. If safe, stay in your work station area or
designated zone marshalling area.
 Standby for the evacuation tone and await instructions from
the Zone Warden

At the Marshalling Point the Zone Warden may ask you to assist
in ensuring the people within the zone are safe
Eg; Assist in searching zone, manning zone entry/exit points; assist with
communicating/calming patients & relatives; and marshalling people
to safety
Return to question
Help Question 7


Any Staff Member when confronted with an armed person or involved in an armed
hold-up:
Remain calm - try not to panic

Follow the offender's instructions, but do only what is told and nothing more.
NB: if not directly involved, stay out of danger; leave the area if safe to do so, and then raise
the alarm

If safe to do so, activate Code Black via either:
a. Duress alarm or
b. Switchboard Emergency on 777

Alternatively, alert another staff member to activate Code Black if safe to do so

If not a hold-up, attempt to ascertain the offender's grievance;




talk quietly and softly. Try to calm and assist without making firm promises
listen carefully
maintain appropriate distance
avoid sudden body actions, movements, gestures
Return to Question
Help Question 8

Take control of situation, put on yellow helmet
1.
2.
3.
4.
5.



Calm and reassure patients, staff and visitors
Move anyone from imminent danger. (Immediate Evacuation)
Confirm that break glass alarm has been activated or Switch notified on
777.
Control Immediate evacuation as necessary. Prepare for Lateral or
Total and if necessary follow the appropriate evacuation procedures
Liaise with Chief Warden/ Deputy Chief Warden at Emergency Control
Centre via W.I.P/Switchboard/telephone and advise
Nominate General Wardens
Follow situation through to standown
Debrief with affected department and Chief Warden as required
Return to Question
Help question 9
In the event of discovering a fire, implement the RACE principle
R escue - any person in immediate danger.
A larm – Raise the alarm and follow emergency
procedures
C ontain - close doors and windows to contain fire /
smoke and if trained / safe use appropriate fire
extinguisher
E vacuate – unless in immediate danger, on hearing
the evacuation tones, await instructions from zone
warden
You must also take action in accordance with any
special protocol for your ward or department.
Return to Question
Help question 10
Break glass alarm


Buildings fitted with a "Fire - Break Glass Alarm" allow
occupants to activate the fire alarm and alert the fire
brigade easily. The red panel on the wall houses a
small button that when depressed will contact the Fire
Brigade. The Fire Brigade will respond instantly to the
building. You should always try to ring Switchboard
(777*) to confirm the fire.
The glass, or perspex material is easy to break with
your shoe heel or other solid object. Smashing the
glass will sometimes activate the button automatically.
* 777 is Switchboard for Main Campus. Other locations follow local procedures.
Return to Question
Help question 12
Medical Emergency

Medical Emergency Team (MET)




The MET service replaces the 'Code Blue' system which traditionally has been
regarded as indicated only for cardio-respiratory arrest. The primary aim of the
MET service is to increase the early recognition and prompt treatment of
severely ill or deteriorating children before a major deterioration such as
cardiac or respiratory arrest occurs. The criteria for activating MET are
provided to guide staff when to call MET. No one is too junior to call MET and
no one needs higher approval to make a MET call.
When a medical emergency occurs within a nursing or clinical area the units
specific departmental procedures will take precedence. Nursing and medical
staff will commence appropriate treatment and care as per the situation they
are presented with.
This section also applies to any type of medical emergency that may present
itself in other non-medical areas of the hospital. As such departments would not
have specific operating procedures in place to deal with such emergencies; this
section will be deemed to be standard operating procedure for such areas.
Remember to always make a thorough assessment of the situation you are
presented with and seek to deal with it calmly and effectively. A clear and
rational approach will help allay fear and provide you with a frame of mind that
will enable you to deal adequately with the emergency.
Return to Question
Help Question 13
Any Staff Member when confronted with an armed person or involved in an armed hold-up: Remain calm, try not to panic
Follow the offender's instructions, but do only what is told and nothing more.
NB: if not directly involved, stay out of danger; leave the area if safe to do so, and then raise the alarm
If safe to do so, activate Code Black via either:
a. Duress alarm or
b. Switchboard Emergency on 777
Alternatively, alert another staff member to activate Code Black if safe to do so
If not a hold-up, attempt to ascertain the offender's grievance;
talk quietly and softly. Try to calm and assist without making firm promises
listen carefully
maintain appropriate distance
avoid sudden body actions, movements, gestures
Once offender is clear, if Code Black has not yet been activated, activate duress alarm or ring Switchboard Emergency
777 and give full Code Black details;
include your name
exact location
a brief summary of the facts
Preserve the scene. Do not allow others to contaminate or walk through area. Lock the door
Ask all witnesses to remain until the police arrive, and explain to the witnesses that their view of what happened, however
fleeting, could provide vital information when pieced together with other evidence
Notify Zone Warden or person in charge and brief. Do not discuss incident with others
Await arrival of Chief Warden and brief
Do not discuss the incident with the media
When practical, complete "Description of Offender Form"
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Help Question 14
1.
2.
3.
Search all rooms including toilets, bathrooms and stores;
Patient lists and medical histories should be taken with the
patients as they are evacuated, however time should not be
spent doing this at the expense of evacuating people; and
In most cases, it is strongly advised that beds or trolleys not
be moved in an evacuation due to the risk they have off
cluttering or obstructing the paths of travel to exits. Nonambulant patients are to be evacuated on a mattress with a
sheet. The Zone Warden will always nominate staff to remain
at the assembly point to provide on going patient care.
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Help Question 15
In the event of discovering a fire, implement the RACE principle
R escue - any person in immediate danger.
A larm – Raise the alarm and follow emergency
procedures
C ontain - close doors and windows to contain fire /
smoke and if trained / safe use appropriate fire
extinguisher
E vacuate – unless in immediate danger, on hearing
the evacuation tones, await instructions from zone
warden
You must also take action in accordance with any
special protocol for your ward or department.
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Alarm
It does not matter in what order the following is
undertaken, as long as they are all achieved.
Break glass alarm
Contact switchboard (777*)
Find/advise Zone Warden
* RCH Main Campus other campus’ use designated emergency number
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Procedure Code Grey

Code Grey WILL BE activated when:

A staff member perceives a threat to self or others or
persistent threat to property.

For which verbal de-escalation procedures have failed or are
inappropriate.

There is no weapon involved in the threat (if there is a
weapon involved, or if the threat from the aggressor is beyond
the capability of the code grey team, then a code black should
be activated).
NEXT
Procedure Code Grey
Initial Response to aggression/violence:

Contact the RCH switchboard on the emergency number 777 ** stating:


Code Grey
Location
Switchboard Will:

Confirm exact location

Activate the emergency page (overhead and lanpage), alerting the Code Grey Team

Notify the Police if requested by the Code Grey Team

Stand down code grey at the request of the Code Grey Team Leader
Prior to the Code Grey Team arrival, staff will:

Try to defuse the situation by application of interpersonal skills (without provoking
further violence)

Move patients, visitors and staff at risk of injury away from the area

Move dangerous objects

Stay calm and communicate quietly

Not allow other patients or visitors to become involved

NOT attempt to physically restrain the aggressor

Brief Code Grey Team leader when he or she arrives
** Or local procedure
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Procedure - Black


Any Staff Member when confronted with an armed person or involved in an armed
hold-up:
Remain calm - try not to panic

Follow the offender's instructions, but do only what is told and nothing more.
NB: if not directly involved, stay out of danger; leave the area if safe to do so, and then raise
the alarm

If safe to do so, activate Code Black via either:
a. Duress alarm or
b. Switchboard Emergency on 777

Alternatively, alert another staff member to activate Code Black if safe to do so

If not a hold-up, attempt to ascertain the offender's grievance;




talk quietly and softly. Try to calm and assist without making firm promises
listen carefully
maintain appropriate distance
avoid sudden body actions, movements, gestures
Next
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Procedure – Black (cont)

Once offender is clear, if Code Black has not yet been activated, activate duress alarm or ring
Switchboard Emergency 777 and give full Code Black details;



include your name
exact location
a brief summary of the facts

Preserve the scene. Do not allow others to contaminate or walk through area. Lock the door

Ask all witnesses to remain until the police arrive, and explain to the witnesses that their view of
what happened, however fleeting, could provide vital information when pieced together with other
evidence

Notify Zone Warden or person in charge and brief. Do not discuss incident with others

Await arrival of Chief Warden and brief

Do not discuss the incident with the media

When practical, complete "Description of Offender Form"
Return to presentation
Back one slide
Met Call
Medical Emergency

Medical Emergency Team (MET)




The MET service replaces the 'Code Blue' system which traditionally has been
regarded as indicated only for cardio-respiratory arrest. The primary aim of the
MET service is to increase the early recognition and prompt treatment of
severely ill or deteriorating children before a major deterioration such as
cardiac or respiratory arrest occurs. The criteria for activating MET are
provided to guide staff when to call MET. No one is too junior to call MET and
no one needs higher approval to make a MET call.
When a medical emergency occurs within a nursing or clinical area the units
specific departmental procedures will take precedence. Nursing and medical
staff will commence appropriate treatment and care as per the situation they
are presented with.
This section also applies to any type of medical emergency that may present
itself in other non-medical areas of the hospital. As such departments would not
have specific operating procedures in place to deal with such emergencies; this
section will be deemed to be standard operating procedure for such areas.
Remember to always make a thorough assessment of the situation you are
presented with and seek to deal with it calmly and effectively. A clear and
rational approach will help allay fear and provide you with a frame of mind that
will enable you to deal adequately with the emergency.
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Thank you