EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual...

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EMERGENCY MANAGEMENT GUIDE 2015

Transcript of EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual...

Page 1: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

EMERGENCY MANAGEMENT GUIDE

2015

Page 2: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

ObjectiveUnderstanding how to respond or react in an unusual occurrence or event

Page 3: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Agenda Emergency Situations Staff Responsibilities Emergency Codes

Page 4: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Fire Emergency 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.

Page 5: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Staff Responsibilities 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.

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If Evacuation Route is Blocked

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

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Severe Weather 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.

Page 8: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Staff Responsibilities 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.

Page 9: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

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.

Page 10: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Bomb Threat 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.

Page 11: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Bomb Threat 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.

Page 12: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Staff Responsibilities 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.

Page 13: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

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.

Page 14: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Bomb Threat…Suspicious Object

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.

Page 15: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

When a Bomb Threat Call is Received

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.

Page 16: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

When a Bomb Threat Call is Received (cont.) 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

Page 17: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

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.

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Bomb Threat Checklist 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

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Explosion 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

Page 20: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Staff ResponsibilitiesWritten, email, verbal or call-in explosion threat OR

upondiscovery 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.

Page 21: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

In the event of explosion

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.

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.

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In the event of explosion

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.

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Elevator Malfunction 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.

Page 24: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Violent or Criminal Behavior 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:

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.

Page 25: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Civil Disturbance

Civil disturbance is a form of protest Civil disturbance is a form of protest against major socio-political problems. against major socio-political problems. Examples of civil disturbance can include Examples of civil disturbance can include illegal parades, sit-ins and other forms of illegal parades, sit-ins and other forms of obstructions, riots, sabotage and other obstructions, riots, sabotage and other forms of crime. It is intended to be a forms of crime. It is intended to be a demonstration to the public and the demonstration to the public and the government, but can escalate into general government, but can escalate into general chaos.chaos.

Page 26: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Staff Responsibilities 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.

When Security arrives, provide them with an update. Follow their instructions.

Page 27: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Inclement WeatherClosing 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.

Page 28: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Inclement Weather 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.

Page 29: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Reopening of Health Facilities

Two methods are used to inform employees if they should return to work when there are questionable weather conditions: 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.

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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

Page 31: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Facilities Used by DeKalb County Emergency Management (cont.)

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.

Page 32: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

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.

Page 33: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Natural Gas Leak 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.

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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 CALMNotify DeKalb County Police by dialing 911. Provide:

Your name Precise location Observed symptoms of behavior Individual’s name, if known

Page 35: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

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.

Page 36: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Armed Hostage

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.

Page 37: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Armed Hostage (cont.)

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.

Page 38: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Staff Responsibilities 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. 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.

Page 39: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Missing Person AbductionGeneral 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).

Page 40: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

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

Page 41: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

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.

Page 42: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

MEDICAL EMERGENCY

Page 43: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

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.

Page 44: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Medical & First Aid Emergencies

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.

Page 45: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

What to do in general Don’t delay, take prompt action. Activate emergency code (BLUE)

CODE BLUE: RN TO location. Position the person (will be discussed later) Be reassuring and calm. Start CPR immediately if necessary.

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.

Page 46: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

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.

Page 47: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Signs of Heart Attack 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.

Page 48: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

What to do?

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.

Page 49: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Signs of Fainting 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

Page 50: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

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

Page 51: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

What to do if fainting or unconscious

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).

Page 52: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Shock

Shock occurs when the circulatory system fails andinsufficient oxygen reaches the tissues. If the

conditionis not treated quickly, vital organs can fail,

ultimatelycausing death. Shock is made worse by fear andpain.

Page 53: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Sign of Shock

Pale, bluish, cool, moist skin Rapid breathing Restlessness or irritability Nausea and/or vomiting

Page 54: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

What to do? 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.

Page 55: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Asthma Attack 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).

Page 56: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

What to do? 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.

Page 57: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Diabetic Emergencies 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.

Page 58: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

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.

Page 59: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

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.

Page 60: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

What to do? 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.

Page 61: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Call EMS if… 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.

Page 62: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

ChokingUNIVERSAL 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.

Page 63: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

What to do?INFANT CHILD/ADULT

Tell someone to call 911. Carefully hold the infant face down on your forearm, your hand supporting its head and neck Strike the infant directly between the shoulder blades with the heel of your other hand 5 times.Turn the infant over and position two fingers in the center of the chest Give 5 1/2 to 1 inch deep chest thrusts Repeat Blows and Thrusts until the object is forced out, the infant starts breathing, or the infant becomes unconscious.

Tell someone to call 911Give 5 abdominal thrusts:

- Place the thumb side of your fist just above the victim's belly button.

- Grab your fist with your free hand.

- Pull quick, upward thrusts to dislodge the object. Repeat abdominal Thrusts until the object is forced out, the victim can breathe, or the victim becomes unconscious.

Page 64: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

EMERGENCY MANAGEMENT GUIDE

Part II

Page 65: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

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.

Page 66: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Staff Responsibilities 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.

Page 67: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

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.

Page 68: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

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.

Page 69: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Staff Responsibilities 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.

Page 70: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

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.

Page 71: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Utility FailureStaff 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.

Page 72: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

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.

Page 73: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Unsafe Water SupplyOnce the DeKalb County water utility has notified

EnvironmentalHealth, 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.

Page 74: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

EarthquakeDuring an earthquake, remain calm and quickly

follow thesesteps: 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.

Page 75: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Emergency Response Code - FIRE

Code/Description Action

Red

In the event of a fire

Fire “Code Red” Repeat twice at initiation of event

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

Page 76: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Emergency Response Code – Illness or Injury

Code/Description Action

BlueIn the event of medical emergency, serious illness or injury

Disaster Emergency Response Plan

“Attention all personnel, Code Blue in effect, Initiate the (internal) (external) Emergency Management Plan “Code Blue” Disaster plan activation

Announced three times each hour

All Clear

“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

Page 77: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Emergency Response Code: Violent Acts

Code/Description Action

Green In the event of violent acts (civil disobedience, hate crime, or bomb threat, or other threats)

Bomb threatWhen directed, call “Attention All Personnel. Code Green”

Announced three times each hour

All Clear “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 follow-up w/coordinator

Page 78: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Emergency Codes: Hostage

Code/Description Action

GrayIn 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

Page 79: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Emergency Codes: Child/Infant Abduction

Code/Description Action

PinkIn 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.

Page 80: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Emergency Codes: Minor Emergencies

Code/Description Action

OrangeIn 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

Page 81: EMERGENCY MANAGEMENT GUIDE 2015. Objective Understanding how to respond or react in an unusual occurrence or event.

Emergency Codes: Severe Weather

Code/Description Action

YellowIn the event of severe weather: tornado, storm, snow

Tornado Watch

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

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