Waikato Hospital and
Henry Rongomau
Bennett Centre
EMERGENCY
PROCEDURES
997772010
MASS CASUALTY PLAN
This mass casualty plan will be implemented when
an incident involving many casualties occurs.
EMERGENCY DEPT-
Implement ED mass casualty plan
DUTY MANAGER
Initiate hospital mass casualty response plan
VOICE
Initiate mass casualty Call Tree as instructed by Duty
COMMUNICATIONS Manager
INPATIENT WARDS
Staff remain on duty, await instructions
/DEPARTMENTS -
If you need to leave to be with family/whanau
please inform the person in charge of your area.
They will inform the Duty Managers/Operations
Manager
EMERGENCY
The Emergency Operations Centre and response
OPERATIONS
CIMS structure will be established by the Duty
CENTRE
Manager / Nurse Manager
The incident management team will provide
further instructions
The stand down/all clear instruction will be
communicated to you via the incident
management team
ALL STAFF
This incident response will continue until the
Incident Controller issues the
‘ALL CLEAR / STAND DOWN’
99777 MASS CASUALTY - Staff responsibilities
COMMUNICATIONS FAILURE
YES
Is clinical/personal safety at risk?
NO
Send runner to
operations centre
Landline failure
YES
NO
Paging failure
A mobile
YES
phone will
be issued
NO
to your
area
Computer/power/other failure
NO
Wait for further instructions
UTILITY FAILURE
water
electricity
medical gases
Is clinical/personal safety at risk?
YES
NO
RING 99777
Ring Duty
Manager
Refer to department emergency
response and contingencies plans
Wait for further instructions
99777 COMMUNICATIONS/UTILITY FAILURE
CARDIAC ARREST
Check safety
Check responsiveness
Get Help - ring three bells or
- call 99777
ask for cardiac arrest team,
stating where you are
Lie patient on firm flat surface
AIRWAY
Open airway (head tilt and chin lift)
BREATHING
Check breathing
AND
CIRCULATION
START CPR - if A.E.D. is available begin use
30 compressions / 2 breaths
Continue until medical assistance arrives
unexpected collapse
Check responsiveness
Throw
Commence CPR
Call for help or
pillow into
Ring 3 bells
corridor
2nd person
RING 99777
STATE: Cardiac Arrest
& exact location
eg Wd, room, building
Continue CPR until
trained help arrives
CARDIAC ARREST
99777
EARTHQUAKE
Keep away from
IF INSIDE
windows & objects
Get under heavy piece of
furniture or under doorway,
which may move
crouch low against inside wall
or corner
When tremors have
Respond to any injuries as able.
ceased check self &
others for injury
RING 99777
or send runner to
• Assess scene safety
• Account for all patients,
Operations Centre
staff, visitors
only if critical
• Assess injury to persons
situation exists
• Assess requirement for
first aid
Have this information available for
Duty Manager/ Incident Controller when
contacted.
• Assess structural damage
• Be aware of after shocks
Have this information available for
• Conserve water for
Duty Manager/ Incident Controller when
drinking
contacted.
• Maintain communication
AWAIT FURTHER INSTRUCTIONS
99777 EARTHQUAKE
FIRE/ SMELL OF SMOKE
RING 99777
STATE LOCATION
DESCRIBE SITUATION
Activate the nearest fire
alarm/manual call point
Remove people from the immediate area
Isolate area / close door
Floor Warden contacts Fire Control
Panel/Campus Warden with immediate
status report (WIP/Mobile phone)
COMMENCE TOTAL OR STAGED EVACUATION
Total evacuation areas
Staged evacuation areas
All occupants to leave area
Move to next fire cell.
immediately via stairwell.
Encourage able bodied evacuees
Encourage able bodied
to assist
avacuees to assist
Move to designated Fire
Close fire control door when
Assembly Point
fire cell cleared
Floor wardens report area
Undertake Campus Warden
evacuation status to Building
instructions per PA system and
Warden
red WIP phone or mobile
where this process is in place
Building Warden notify Campus
Contact Campus Warden Red
Warden of completed
WIP phone or mobile phone
evacuation/location of persons
where this process is in place
remaining in area/persons
with updates/requests for
requiring assistance
assistance
Remain at Assembly Point
Floor Warden liaises with NZFS
until further instruction
re fire/smell of smoke on arrival
in area as requested
Remain at evacuation assembly point/s until ALL CLEAR issued by Campus Warden
99777 FIRE/SMELL OF SMOKE
HAZARDOUS
SUBSTANCE SPILL
Spill occurs or an
unidentified substance is
found
Evacuate and isolate area. Close door behind you
If people have
Is it safe to clean up?
No
been splashed
If unsure call 99777
YES
RING 99777
Wash under copious
running water for
15-20 minutes
Are trained people immediately
avilable in the area?
No
YES
SEEK MEDICAL
ADVICE
Is Spill Kit available in the area?
No
YES
RING 99777
UTILISE SPILL KIT
State location and type of
chemical/substance or state
unknown
Evacuate people in adjacent areas to
a safe distance. Establish cordon.
Collect Material Safety Data Sheet
(MSDS) and chemical inventory
Draw map of spill location for
NZ Fire Service
DOCUMENT EVENT
Wait for further instructions from
Complete incident form.
Campus Warden or NZ Fire Service
Include copy of material
safety data sheet (Health
Await all clear from
and Safety Manual)
Campus Warden
99777 HAZARDOUS SUBSTANCE SPILL
THREAT TO PERSONAL SAFETY CHECKLIST
CHECK LIST QUESTIONS
What did this person want?
Was this person known to you?
Did they use a name?
Which direction did they come from?
eg took lift to third floor
Which direction did they go in?
- went to toilet; took stairs.
Were they alone?
Did they have a weapon? Describe it.
What was their mental state?
(eg calm, aggressive, confused)
Were they showing signs of being under the influence
of drugs, alcohol or solvents? Please describe.
PLEASE TICK APPROPRIATE BOXES
Intruders Appearance Size Med
Fat
Skinny
Tall
Short
Hair
Short
Long
Curly
close cropped
Straight
Dark
Fair
Multicoloured Grey
Kempt
Unkempt
Clothing - colour
Shorts
Jersey
T/Shirt
Hat
Longs
Jacket
Open shirt
Hospital clothing Other
Race
Caucasian
Maori
Asian
Islander
Unknown
Sex
Male
Female
Other
Unknown
Age Group
Approx
Distinguishing Marks
Scars
Tattoos
Marks
Glasses
No glasses
(identify body part)
Facial Hair
Moustache
Beard
Other
ALWAYS PROTECT OWN SAFETY
THREAT TO PERSONAL SAFETY
You observe a person behaving suspiciously OR
A verbal or physical threat occurs
Keep calm - Don't panic
Ensure your own and
others safety.
Move to safe location.
DO as you are TOLD
Move carefully, explain
your actions as you move
DON'T take risks
DON'T be a hero
RING 99777
• Speak slowly & clearly
• State location & identify event
Document observations
immediately
Complete check list (see
Wait for help to arrive
above)
Brief First Reponse Team member
99777 THREAT TO PERSONAL SAFETY
LETTER THREAT
If a letter is discovered that contains a threat to the organisation, employee or patient the
following action should be taken:
•
Put letter/package down: do not touch again.
•
Seal area. Move from room if able. Minimise contact with other staff.
•
Call 99777. Explain nature of threat.
•
Await further instructions
TELEPHONE THREAT
•
DO NOT put down the handset or cut the conversation
•
Try and alert another staff member to RING 99777, tell the operator that a
threatening call is taking place and give the telephone extension No.
•
Keep the caller talking (apologise for a bad line, ask him/or her to speak up and repeat
the sentence)
•
Record as much information as possible particulary what words are spoken. (listen to
background noises). If you are on a display phone record the callers number.
•
If another staff member was not available to assist you, at the end of the call ring
99777
•
Wait for further instructions
REMEMBER KEEP CALM - DON'T HANG UP
SUSPICIOUS OBJECT
You find a suspicious
You open a
parcel/package/bag
letter/package
Contains unknown
substance/smells unusual
Put down and don’t handle
more than necessary
RING 99777
state location and describe item
NOTE: WHERE PRACTICAL DO NOT OPERATE
ANY RADIO OR ELECTRICAL EQUIPMENT
WITHIN 50 METRES OF THE AREA
CLEAR THE AREA
Wait at a safe distance for further instructions
99777 TELEPHONE / LETTER THREAT / SUSPICIOUS OBJECT
BOMB DATA
BOMB THREAT CHECK LIST QUESTIONS THAT CAN BE ASKED
Where did you put the bomb?
What does the bomb look like?
What will make the bomb explode?
When is the bomb going to explode?
What is your name?
Where are you?
Why are you doing this?
EXACT WORDING OF THREAT
•
If on a display phone record the callers number
•
Listen for background noises
•
Keep caller on the line as long as possible
ACTION: REPORT CALL IMMEDIATELY TO 99777
OTHER: Sex of caller
Estimated Age
CALL TAKEN: Date
Duration of call
Time
Number called
RECIPIENT Name
Telephone
Signature
REMEMBER KEEP CALM - DON'T HANG UP
BOMB - ARSON THREAT
Always treat the threat as genuine and serious
Keep calm / Don't panic
Keep the person talking
DON'T INTERRUPT
Use his / her language
Record everything said
Let them feel in charge
(use form at front of internal
phone directory)
Attract attention of 2nd person
RAISE ALARM
RING 99777
Keep the person talking
(open ended questions)
Clarify what is being
Give details of event
threatened.
Record instructions
Record responses
Wait for further instructions from
Duty Manager / Campus Warden
99777 BOMB / ARSON THREAT
RADIATION EMERGENCY
SPILL PROCEDURE
DON'T PANIC
In all spill situations the overriding criteria is to minimise the spread of contamination
either to yourself, to others or to the surrounding environment.
A. RING 99777
(A Radiation Safety Officer will be contacted)
B. IMMEDIATE ACTION
1 If spill is involving patient (eg vomited)
- reassure patient
- get patient to do as much as possible i.e. change and clean themselves
and put soiled clothing/bed linen in plastic bag.
- leave patient sitting quietly in the room until the Radiation Safety
Officer and/or the 'clean-up' crew arrive.
- use overboots or remove shoes before leaving and/or entering the
room.
2 If spill involves staff.
- if spill is liquid and hands are protected (e.g. gloved), right the container
and cover the spill with absorbent material.
- if spill is on clothes, discard all contaminated clothes
- vacate room, leave all contaminated clothing etc behind in plastic bags,
use overshoes to prevent spread of contamination.
- limit / prohibit entry to the spill area until the 'clean-up' crew arrive.
- prepare incident report after clean-up is complete.
C. DECONTAMINATION PROCEDURES
Decontamination of Personnel
WASH affected area only with soap and water, avoiding breaking the skin
surface and contamination of eyes and mouth.
A non-contaminated person to check using geiger counter (housed in the
'Hot Lab') and Emergency Kit.
Repeat above two steps until the count rate is less than 10cps
DO NOT SHOWER unless the Radiation Safety Officer gives approval.
Decontamination of Area
Ensure staff are adequately protected (e.g. gloves, overalls and overshoes)
Cover spill with absorbent paper.
Mark area with radioactive warning sign.
Wash area with detergent and water
Repeat until count rate is less than 30Bq/cm2 with geiger counter
If short half-life isotope is involved then spill may be isolated for a few days if
appropriate.
Place contaminated gloves, paper etc. in waterproof bag and store until levels
of radioactivity comply with those levels set by the Code of Safe Practice.
D. Wait for further instructions from Radiation Safety Officers
Radiation Officers will be called by Voice Communications
99777 RADIATION SPILL
ALL CLEAR
If you are
If you are
assembled
assembled
INSIDE
OUTSIDE
the building
the building
ALL CLEAR/STAND DOWN
ALL CLEAR/STAND DOWN
will be announced
will be announced
When returning encourage able bodied evacuees to assist
with less mobile evacuees
Before commencing work
check the safety of
equipment and facilities
DO NOT RETURN TO YOUR AREA UNTIL THE
ALL CLEAR/ STAND DOWN IS ANNOUNCED
99777 ALL CLEAR/STAND DOWN
