HOSPITAL PHARMACY LABORATORY / Mc. Diobert N. De Leon, RPh, ‘Ist Semester AY. 2023-2024 EMERGENCY CODES. Introduction: © Hospital emergency codes are used in the hospitals worldwide to alert staff to various emergencies. The use of 6 Codes is intended to convey essential information quickly and with minimal misunderstanding to staff, while Preventing stress and panic among visitors to the hospital, These codes ‘may be posted on placards throughout the hospital, or printed on employee identification badges for ready reference. ° 1D disaster codes. ‘© Hospital emergency codes may denote different events at different events at different hospitals, including those in the same community, because many physicians work at more than one facility this may lead to confusion in emergency, so uniform systems have been proposed. showing EMERGENCY CODES AND PREPAREDNESS What is an emergency code? > An emergency code is a notification of an event that requires an immediate action. Preparing for the unexpected > Emergencies can strike anywhere and at any time. in the spirit of proactivty ‘we encourage you to have your own emergency preparedness plan. WHAT IS CHANGING WITH EMERGENCY CODES? © Emergency codes are being changed to incorporate use of “plain language”, JUSTINE JOY SALINAS SEMI-FINALS 11/2023 © Plain-language typically uses a phrase to identify the type of emergency, the code itself and the location of the emergency. Example 1: “Security alert, missing Person, 3d floor east tower.” Example 2: Facility alert fire alarm, 1st floor cafeteria” THE EMERGENCY CODES What you should know? 1. Categories 2. Types of codes Benefits: © People understand the information received without further extensive explanation. People know what actions are required based on the information received. © Allemergency responders within the hospital need to know clearly and Quickly what the emergency is; where the emergency is, and how they should Tespond to effectively coordinate activities. CATEGORIES 1. Facility Alert Codes Examples: ® Evacuation © Fire alarm ® Hazardous spill 2. Medical Alert Codes Examples: © Influx of patients/mass casualty incident © Medical emergency(cardiac arrest, rapid response) 3. Security Codes Examples: © Missing person © Active shooterHOSPITAL PHARMACY JASTINE OV ¢. SALAS LABORATORY / Mr. Diobert N. De Leon, RPh. Ist Semester AY. 2023-2024 SEMI-FINALS © 10/2023 Bomb threat @ Security assist 4. Facility Alert Codes Examples: @ Computer outage ® Evacuation ® Fire > Flood © Hazardous spill TYPES OF CODES Code blue Cardiac arrest(pedia) Code red External disaster Internal disaster Code pink Baby disaster Security threats Medical emergency team Cardiac arrest(adult) Codes shall be announced thrice over the PA system and shall be repeated every 30 seconds for 2 minutes, © Mock drills at least every 6 months in all shifts and done areas specific especially in vulnerable areas like OT, ICU’s and dialysis. 1, Code blue > “Code blue” is generally used to indicate a patient requiring resuscitation or in need of immediate medical attention, most often as the result of a respiratory arrest or cardiac ‘arrest, When called overhead, the page takes the form of “Code blue, (floor), (room)* to alert the resuscitation team vv vy where to respond. Every hospital, as a part of its disaster plans,. Sets a policy to determine which units provide personnel for code coverage. Code red ‘An extemal disaster is an event which has taken place outside the hospital. Examples: ® Floods ‘© Earthquakes © Tsunamis ° © Train accidents © Building collapse External disaster is declared when expected patient inflow is more than emergency department bed capacity. It is only declared by the CEO of the hospital or emergency department head. Code brown An intemal disaster is an event that may impair the operations of the hospital and disrupt normal patient care activities. Examples: © Power outage ® Fire ® Flood Code pink Known as baby disaster Child missing from the hospital/dent with wrong parent or any child related disaster. Code grey Need for security personnel ‘Applies to any incident where hospital security personnel are needed. This may include, but not limited violent/combative person, a missing person; criminal activity or otherHOSPITAL PHARMACY SEMI-FINALS © LABORATORY / Me. Diobert W. De Leon, RPh. 11/2023 ‘Ist Semester AY. 2023-2024 stare ls situations where enhanced security is > Follow the hospital's policy and required. procedure for the specific emergency 6. Code orange situation. > Medical emergency Example: © Chest pain accompanied by sweating, nausea, vomiting, shortness of breath, radiating pain that moves to the arm and neck, dizziness, or feeling that your heart is beating irregularly or too fast. Severe bleeding that doesn't stop after 15mins of direct pressure HOW IS AN EMERGENCY CODE CALLED? > The code should be called in a three-part statement to include: @ Alert category Specific code description © Location of emergency Example: ‘Medical alert, CODE BLUE(cardiac arrest), room 231." > Additional information or instructions can be provided if known, for example, the description of a missing person. HOW DO I RESPOND TO THE NEW EMERGENCY CODES? > Your response to the emergency code does not change. The only change is the language used to announce the ‘emergency situation.HOSPITAL PHARMACY JASTINE JOY 6. SALINAS LABORATORY / Me. Diobert ¥. De Leon, RPh. ‘Semester AY. 2023-2024 DISCUSSION NOTES: Emergency Codes a medical response ‘to a team or any appropriate team Example: Child Abduction Code-Hospital Emergency Code Sa D naay emergency code and the number kung asa imong tawagan ‘© Hazardous Spill - housekeeping and pharmacy team © Chemo spill kit available in any unit(PICU, NICU, etc.) Prior tomedical emergency code naay mo adto nga: 1. RAT(Rapid Response Team) = Motawag and unit saila-RRT Team = Dili sya ‘announce sa hospital = Uses RRT box 2. Code Team = Uses code boxifrom the pharmacy) - Fannounce sa hospital - Has different department © Respiratory therapist-esponsible for intubation - responsible for ambu bagging the px(AMBU-artificial manual breathing unit) ‘© Pharmacist tesponsible for the mixing or reconstitution of the medicine(Ex. mg/ml Epi(-available in the market) in DSOW SOmL © Physicians © Medical Technologist-responsible for getting blood samples © Nurse ‘© Code pink - baby disaster or child abduction SEMI-FINALS © 11/2023 Code orange JN Code bae(peia) (de green) © ICU -has its own code team(pharmacistis included) - Silent code © Code box ~ sa katong naay yellow na part naay: 1. Code box # 2. Themed that expires first/eatly expiry(ex. January 2024) 3. 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