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Code Brown

External Emergency Procedure

Warren Health Service

Printed or saved electronic copies of this policy document are considered uncontrolled. Always source the current version from WACHS HealthPoint Policies.

Date of Last Review: May 2018 Page 1 of 64 Date Next Review: May 2023

Effective: 23 May 2018

WACHS SOUTH WEST Warren Health Service

Code Brown - External Emergency Procedure

Table of Contents 1. Code Brown - Introduction ............................................................................................. 3 2. Administration and Governance .................................................................................... 3 3. Distribution and Availability ............................................................................................ 4 4. Incident Notification ....................................................................................................... 4 5. Activation of Code Brown Emergency Response .......................................................... 5 6. Chain of Command ........................................................................................................ 7 7. Resources ..................................................................................................................... 8 8. Local Emergency Operations Centre ............................................................................. 8 9. Media Enquires.............................................................................................................. 8 10. WebEOC ....................................................................................................................... 8 11. Hospital Response Team .............................................................................................. 8 12. Call in Procedure for Staff ............................................................................................. 8 13. Decanting of Patients .................................................................................................... 9 14. Hospital Set up for Reception of Casualties .................................................................. 9

14.1 Emergency Department ......................................................................................... 9 14.2 Ambulatory Care Gym – Walking Wounded ........................................................ 10 14.3 Distressed Relatives Area ................................................................................... 11

15. Compliance ................................................................................................................. 11 16. Evaluation .................................................................................................................... 11 17. Standards .................................................................................................................... 11 18. Legislation ................................................................................................................... 12 19. References .................................................................................................................. 12 20. Related Forms ............................................................................................................. 12 21. Related Policy Documents .......................................................................................... 12 22. Related WA Health System Policies ............................................................................ 12 23. Policy Framework ........................................................................................................ 12 24. Supplies for the Walking Wounded Clinic .................................................................... 13 25. Action Cards ................................................................................................................ 14

16.1 First Responder - Action Card 1: First Responder ............................................... 14 16.2 Action Card 2: Emergency Controller .................................................................. 15 16.3 Action Card: Hospital Disaster Controller ............................................................ 18 16.4 Action Card: Communications Officer .................................................................. 20 16.5 Action Card: Emergency Department (ED) Area Warden .................................... 21 16.6 Action Card: Inpatient Area Warden .................................................................... 23

https://healthpoint.hdwa.health.wa.gov.au/policies/Pages/WACHS-Policies-Landing.aspx

Code Brown - Emergency Response Procedure - Warren Health Service



16.7 Action Card: Emergency Department (ED) Disaster Triage Nurse 1 ................... 25 16.8 Action Card: Emergency Department (ED) Disaster Triage Nurse 2 ................... 26 16.9 Action Card: Emergency Department (ED) Disaster Triage Nurse 3 ................... 27 16.10 Action Card: Emergency Department Clerical Officer ........................................ 28 16.11 Action Card: Emergency Department Orderly ................................................... 29 16.12 Action Card: Hospital Response Team .............................................................. 30 16.13 Action Card: Inpatient Clerical Officer ................................................................ 31 16.14 Action Card: Support Service Staff .................................................................... 32 16.15 Action Card: Pathology ...................................................................................... 33 16.16 Action Card: Radiology Site Manager ................................................................ 34 16.17 Action Card: Supply Coordinator ....................................................................... 35 16.18 Action Card: Community Health Manager ......................................................... 36 16.19 Action Card: Allied Health Distressed Relatives Coordinator............................. 37 16.20 Action Card: Administration Coordinator ........................................................... 38 16.21 Action Card: Ambulatory Care Clerical Officer ................................................... 40 16.22 Action Card: Traffic Coordination ....................................................................... 41 16.23 Action Card: Support Service Coordinator ......................................................... 42 16.24 Action Card: Mortuary Orderly ........................................................................... 43 16.25 Action Card: Engineering Maintenance Officer .................................................. 44 16.26 Action Card: Volunteers ..................................................................................... 45

26. Appendices .................................................................................................................. 46 APPENDIX 7.1 PHONETIC ALPHABET .............................................................................. 47 APPENDIX 7.2 LOGGING ON TO WEBEOC...................................................................... 48 APPENDIX 7.3 ETHANE CUE CARD .............................................................................. 51 APPENDIX 7.4 DECISIONS / EVENTS LOG ....................................................................... 52 APPENDIX 7.5 MAJOR INCIDENT / MEDICAL LOG ............................................................ 53 APPENDIX 7.6 PATIENT LOG .......................................................................................... 55 APPENDIX 7.7 STAFF CALL-IN LOG................................................................................ 56 APPENDIX 7.8 RELATIVES REGISTER ............................................................................. 57 APPENDIX 7.9 VOLUNTEER REGISTER ........................................................................... 58 APPENDIX 7.10 AVAILABLE SPECIALISTS AND GENERAL PRACTITIONERS ....................... 59 APPENDIX 7.11 COMMUNICATION LOG........................................................................... 60 APPENDIX 7.12 BED OCCUPANCY STATUS .................................................................... 61 APPENDIX 7.13 MIMMS SITE DISASTER PHONE NUMBERS ........................................... 62 APPENDIX 7.14 MIMMS TRAINED STAFF ...................................................................... 63 APPENDIX 7.15 NOTIFICATION OF INCIDENT ................................................................... 64





1. Code Brown - Introduction

An external emergency is defined as a multi-casualty incident that stretches oroverwhelms the available health resources, e.g. bus crash, aircraft crash, structuralcollapse, explosion.

The provision of emergency health services shall be based on the principle of agraduated response. The response should start at a local level with a gradualescalation to district and state (Western Australian) level as required with time.

2. Administration and Governance

The Warren Health Service, Code Brown Emergency Response Procedure has beendeveloped and issued under the authority of the WACHS-SW Regional Director inaccordance with applicable legal and other requirements.

These Emergency Response Procedures have been formally recommended by theWarren Health Service District Manager, endorsed by the WACHS-SW InlandOperations Manager and approved by the WACHS-SW Regional Director as theoperating procedures to be followed in a Code Brown at Warren Health Service.

Recommended

Approved

Endorsed

Sally Towie A/District Manager Warren 22 May 2018

Jeremy Higgins Inland Operations Manager WACHS-South West 23 May 2018

Kerry Winsor Regional Director WACHS-South West 23 May 2018





3. Distribution and AvailabilityThe current editable version of this Code Brown Emergency Response Procedure isheld by the WACHS Policy Unit. The procedures are available electronically to all staffvia the WA health system wide intranet portal – HealthPoint.

Hard copies of the Warren Health Service Code Brown Emergency Procedures areheld in the Emergency Response Manuals located in the areas described below.

Distribution and Availability Emergency Department - Staff station Inpatient Unit - Staff Station Surgical Services - Staff Station Kitchen - Office Main Reception Ambulatory Care - Work station area Engineering - Office Medical Imaging - Write Up area PathWest - Office Learning and Development - Meeting Room

4. Incident Notification

· When a staff member receives any outside call pertaining to an externalemergency, the staff member should complete the “Notification of a MajorIncident” Form (Appendix 15) to gain necessary information:

- Caller’s name, position, location, service and telephone number- Exact location of the incident- Type of Incident (e.g. road, rail, air incident)- Hazards that are present and anticipated- Access road for emergency vehicles to use- Number and severity of casualties (may be a rough estimate)- Emergency services that are already present, and those that are required.

· If the emergency is nearby, the sudden influx of patients may be the first indicationof a mass casualty event.

· Verify the call, by contacting the organisation that the caller is representing.· The information must be immediately conveyed to 000 and the Senior Nurse on Duty

who becomes the Emergency Controller (EC) and the District Manager who becomesthe Local Health Disaster Coordinator (LHDC).

· The Senior Nurse is required to carry the Wi-Fi phone Ext 5235 at all times and takethe role of EC until a more senior staff member arrives.





· If notification of the external disaster comes from the Bunbury Hospital dutyofficer, The “Notification of a Major Incident” Form is to be filled in and the SeniorNurse on Duty must be notified.

· The staff member assuming the role of EC must notify the CNM, DM and SouthWest Executive on-call 1800 744 059 .

· If first notification is received at Warren Health Service, the EC must complete theCETHANE form and phone it to Bunbury on 97221262 and fax it to the BunburyED at 97221019.

5. Activation of Code Brown Emergency ResponseThe Code Brown Emergency Response can be activated by several means:

· By the EC / LHDC with the impending arrival of three or more seriously ill orinjured people. (or less if the hospitals internal situation means that they are lessable to compensate for the external emergency).

· When directed by the Director General (DG) or nominated delegate.· On receipt of credible information relating to mass casualties e.g. St John

Ambulance.· The Regional Health Disaster Coordinator (RHDC) has authority to activate a

regional wide emergency response.

5.1 Stages of Activation

While an emergency response would normally be activated in stages, in an impact event’ these stages may be condensed with stages being activated concurrently.

Phase 1 – Alert (There is a possible Emergency which is being confirmed)

The alert phase is activated when advice of an impending or potential emergency is received or when following the occurrence of an event, it is unclear as to whether a health response is required. During this stage the situation is monitored by the LHDC to determine the likelihood and nature of the health emergency response and resource requirements assessed.

Actions: · The EC liaises with effected services to determine the extent of the health

response required.· The EC alerts own personnel, placing site on Code Brown – Alert.· Follow local escalation process to inform CNM, District Manager, Operations

Manager and RHDC including after hours.· Review Medical and Nursing staff availability.· Review Warren Health Service bed availability and identify patients for discharge

or transfer.· Preparation of the Emergency Department.





Phase 2 – Standby (the emergency is imminent, prepare for a response) Standby is activated when information received is sufficient to warrant preparatory activities in readiness for a response. Actions:

· The EC alerts own personnel, placing site on Code Brown - Standby, hospital begins to prepare resources and receive patients.

· Follow local escalation process to inform CNM, District Manager, Operations Manager and RHDC including after hours.

· Preparations may include standby for the most appropriately located Health Response Team (HRT) (MIMMS Trained).

· It should be recognised that medical and nursing resources at WHS may be best utilised in the ED rather than deploying essential staff to the site of the incident.

· Health Response Team prepares Disaster Response Kits including medications and communication devices such as Satellite phones..

Phase 3 - Response (the emergency exists and a response is required) Response phase is activated when a health emergency management response is required and resources are deployed accordingly. Actions may include:

· following local escalation process to inform CNM, District Manager, Operations Manager and RHDC

· patients are received and / or there is deployment of HRT to the emergency site. It should be recognised that medical and nursing resources at Warren Health Service (WHS) may be best utilised in the hospital rather than deploying essential staff to the site of the incident. An option available is to deploy the Health Commander to the site and HRT who are MIMMS trained are sent from other sites.

Phase 4 -Stand Down (the emergency has abated and recovery activities begin)

The stand down stage is activated when the WHS response is no longer required and when the hospital can resume normal business. Actions may include:

· EC informing the site of “stand down” · informing CNM, District Manager, Operations Manager and RHDC · staff deployed to the Emergency Site return to hospital · debriefing occurs – see individual action cards · resources are restocked · reports are written and tabled at the WACHS-SW South West Executive

Emergency and Disaster Sub-Committee · alterations to plans, procedures and processes made as necessary.





6. Chain of Command

Level of response WA HEALTH RESPONSE

WACHS LOCAL

RESPONSE

STATE

RESPONSE

WACHS

REGIONAL RESPONSE

Emergency Department

Coordinated by the ED Coordinator

Hospital Response Emergency Controller (EC) (Senior

Nurse on Duty) activates Code Brown emergency response, in conjunction

with the Local Health Disaster Coordinator (LHDC) and manages the

local emergency response. The Regional Health Disaster Coordinator

(RHDC) is contacted when local capacity to manage is exceeded or a

HRT is required.

Activation of a HRT is a Regional

Response that occurs through

the hospital

INCIDENT SITE Health Commander,

if deployed, commands Health Response Team/s.

Regional Response The RHDC activates the WACHS response, Regional Emergency Operations Centre (REOC) and

notifies the Regional Director, the Chief Operating Officer - Operations (Area Health Disaster Coordinator - AHDC)

and the WA Health State Health Incident Command Centre (SHICC).

State Response State response coordinated through

the On Call Duty Officer (OCDO) and Director General’s Delegate

at (SHICC).

WACHS AREA

RESPONSE

Health Service Response The Area Health Disaster Coordinator (AHDC) maintains communications with the Regional Health Disaster Coordinator (RHDC) and the State

Health Incident Control Centre (SHICC) The AHDC represent WACHS at State Health Incident Coordination

Centre (SHICC).

State Health Incident

Coordination Centre activated by Director General’s

Delegate





7. Resources

Should additional resources be required, the Nursing Coordinator /Hospital Resource Nurse and Director of Emergency Medicine at Bunbury Hospital, in collaboration with the RHDC are to activate the WACHS-SW District Emergency Response or if necessary, request activation of the State Health Emergency Response Plan (SHERP).

8. Local Emergency Operations Centre

The Warren Health Service Local Emergency Operations Centre (LEOC) is to be located in the staff development / meeting room located in Ambulatory Care.

9. Media Enquires · Media enquiries / communication are coordinated by the WACHS-SW Inland

Operations Manager. · Media enquiries are managed by WACHS Communications, available 24hrs/

day on 61454166. · A media area should be established by the LHDC · The St John Ambulance Centre will be the designated location for media.

10. WebEOC

· Log in at https://myeoc.health.wa.gov.au/eoc7/ · WebEOC is a web based Incident Management System that facilitates

response and recovery agencies to access relevant incident information. It allows agencies to communicate and collaborate in real time during special events and disasters.

· WebEOC should be used to capture information pertaining to the incident. This includes capturing disaster patient demographics in the Regional Casualty Tracking board, and use of the Activity Communications Log to detail actions and communications relating to the incident.

11. Health Response Team

· Where the Director General’s Delegate or the RHDC requests HRT to attend the site and provide medical assistance, the WHS LHDC will arrange a team comprised of MIMMS trained staff.

· The LHDC in consultation with the St John Ambulance (SJA) Commander will arrange suitable transport for the team and their equipment to transport them to the Casualty Clearing Post.

· Disaster Response kits are to be in accordance with the Department of Health Pre-hospital Handbook.

12. Call in Procedure for Staff

· on confirmation of a major incident the EC can request available staff to be called in · staff rostered for the next shift are not usually contacted in the first instance · all heads of departments are expected to call in their own staff · staff must remember to bring their identification (ID).


https://myeoc.health.wa.gov.au/eoc7/

https://doh-healthpoint.hdwa.health.wa.gov.au/directory/Public%20Health/Office%20of%20the%20Chief%20Health%20Officer/Disaster%20Preparedness%20and%20Mangement%20Unit/Documents/Prehospital%20handbook%20V1.0%20Issued%201%20Dec%2017.pdf




13. Decanting of Patients · Decanting is the discharging or transferring of patients out of the hospital in

order to make beds available for casualties and to free up staff required in other areas of the hospital as part of the Emergency Response. No patients are to be discharged or transferred until authorised by the EC.

· Patients are reviewed by a medical officer and the Inpatient Unit Shift Coordinator to determine transfer or discharge

· Patients considered suitable for discharge, where possible will have prescriptions provided, appropriate discharge letters, instructions and arrangements made. Relatives or friends may be requested to collect patients.

· Patients for transfer must have copies of medical records, medications and belongings made available to go with them. The LHDC and RHDC and / or SHICC will make arrangements for transfer and transport.

14. Hospital Set up for Reception of Casualties

14.1 Emergency Department The emergency department (ED) will be the primary area dealing with the reception, triage, initial treatment, and disposal of major incident victims. The key objective of the ED response is to “do the most for the most”.

Patient Flow

· If accurate information from the scene is available and it appears the numbers may be small, or transport to hospital will mean a spaced out or pulsed arrival, then a strategy of keeping the victims in the ED for further observation and surgical decisions may be possible. However, if a true mass casualty incident occurs then flow through the department must occur and the following should be the default strategy.

· Process for patient flow through the department: o Triage nurses attend both the ambulance door and front door to facilitate

“one point” of triage: - Two or more triage nurses could be used initially - Patients are triaged on arrival using the Australasian Triage Score

(ATS). Score 1, 2 and some 3 are treated in in ED - Patients with ATS Score 4 or 5 and some 3 are treated in the

Ambulatory Care Gym, entry through hospital Main Entrance - Designate patient to appropriate bay with appropriate medical and

nursing staff

· The EC liaises with SJA, RFDS, hospital initiated transport (e.g. volunteer drivers), ward staff and other hospitals for the transfer of patients from the Emergency Department.

· A log of the transfers/discharges is to be maintained by the EC. · The holding and recovery bays in Surgical Services could be used as further

treatment areas if required and staffing available.





Emergency Department Patient Tracking · A whiteboard or log located in the ED area maintained by the Triage Nurse,

assisted by administration staff.

· The boards will have the following fields: o Patient name/number o Time seen o Present patient location o Doctor o Injuries o Planned destination

· The board will be utilised by the medical and nursing staff to track patient movement, provide information for reporting to LHDC / EC and assist planning.

Disaster Documentation, Patient Notes · Yellow files provided, marked in consecutive numbers female DV1, DV2 etc. or

male DV1, DV2 etc. located in the MIMMS cupboard in ED airlock.

· Content of the file is to include the following items labelled with the appropriate allocate number: o Identification stickers x1 o Name band x1 o MR1 form x1 o Pathology and Medical Imaging request forms x1 each o Additional continuation sheets x2 o Registration form o MR 176 Intravenous fluids o MR170A Medications o MR2 Emergency Department Trauma notes

· The files are only to be used only for the disaster victims and allocated as they

are triaged.

· Name bands are to be attached at point of triage.

· The file is to remain with the patient, hung on the end of the bed during the ED episode and transferred with the patient as required.

14.2 Ambulatory Care Gym – Walking Wounded

· The Walking Wounded Clinic (Green Tag) will be set up in the Ambulatory Care Gym with overflowing and impending discharges to go the meeting room.

· The LHDC is to assign a nurse(s) to this area and arrange for a doctor. · The Clinical Nurse manning the Walking Wounded Clinic is to obtain supplies as

per Section 24 and liaise with the EC for admissions, transfers and resources. · Patients presenting are to be triaged as per the Australian Triage Scale using the

MR1 for documentation.





14.3 Distressed Relatives Area

The Main reception / Waiting area is to be set up for distressed relatives and staffed by a mental health nurse and/or social worker who are to:

· ensure the setting up of tables, chairs and a coffee / tea dispenser

· maintain a register with the details of relatives which includes: full name, address, contact telephone number (including mobiles) and details of the person they are waiting for

· call in other mental health staff as needed. Keep list of names, time in/out for LHDC

· liaise with the LHDC to inform Police and Australian Red Cross of identification of victims/injured

· liaise with Department of Communities (Great Southern Office) for shelter, personal needs, crisis counselling

· liaise with LHDC within 24 hours after disaster to arrange hospital staff Critical Incident Stress Debriefing. Work in conjunction with Employee Assistance Program (EAP).

Australian Red Cross volunteers (may be contacted by Department of Communities). 15. Compliance

Failure to comply with this procedure may constitute a breach of the WA Health Code of Conduct (Code). The Code is part of the Employment Policy Framework issued pursuant to section 26 of the Health Services Act 2016 (HSA) and is binding on all WACHS staff which for this purpose includes trainees, students, volunteers, researchers, contractors for service (including all visiting health professionals and agency staff) and persons delivering training or education within WACHS. WACHS staff are reminded that compliance with all policies is mandatory.

16. Evaluation Monitoring of compliance with this document is to be carried out by Warren Clinical Nurse Manager every 5 years.

17. Standards National Safety and Quality Healthcare Standards (Second edition 2017) - 1.10 EQuIPNational Standards - 15.18, 15.19


http://www.health.wa.gov.au/CircularsNew/frameworks/Employment.pdf

https://www.slp.wa.gov.au/legislation/statutes.nsf/main_mrtitle_13761_homepage.html

https://www.safetyandquality.gov.au/wp-content/uploads/2017/11/National-Safety-and-Quality-Health-Service-Standards-second-edition.pdf

http://trim/hptrimwebclient/download/?uri=85561




18. ReferencesDepartment of Health Pre-hospital Handbook

WA Health System Management Arrangements

19. Related Forms

WACHS Safety Risk Report Form

20. Related Policy Documents

WACHS Emergency (Disaster) Management Arrangements Policy

21. Related WA Health System Policies

Mandatory Policy MP 0073/17 Emergency Management Policy

22. Policy Framework

Public Health Policy Framework

This document can be made available in alternative formats on request for a person with a disability

Contact: Transition Project Officer (J.Omodei) Directorate: Operations TRIM Record # ED-CO-18-26088

Version: < Policy Unit Only > Date Published: < Policy Unit Only >

Copyright to this material is vested in the State of Western Australia unless otherwise indicated. Apart from any fair dealing for the purposes of private study, research, criticism or review, as permitted under the provisions of the Copyright Act 1968, no part may be reproduced or re-used for any purposes whatsoever without written permission of the State of Western Australia.


https://www.comlaw.gov.au/Commonwealth

https://www.comlaw.gov.au/Commonwealth


http://ww2.health.wa.gov.au/%7E/media/Files/Corporate/general%20documents/emergency%20disaster/PDF/WA-Health-Emergency-Management-Arrangements.pdf

https://healthpoint.hdwa.health.wa.gov.au/policies/_layouts/DocIdRedir.aspx?ID=TS4KSNFPVEZQ-89-1762

https://healthpoint.hdwa.health.wa.gov.au/policies/_layouts/DocIdRedir.aspx?ID=TS4KSNFPVEZQ-89-1435

http://www.health.wa.gov.au/CircularsNew/circular.cfm?Circ_ID=13382

http://www.health.wa.gov.au/CircularsNew/frameworks/Public_Health.pdf




24. Supplies for the Walking Wounded Clinic

· Trolley containing: Suture sets MR1 forms

Suture packs Prescription pads Suture material Tissues Dressing packs Slings Alcohol wipes Dressing materials Syringes Needles Bandages and tape Fixamol Slings Crepe Bandages

· Pharmacy supplies Lignocaine 1% x 20 Paracetamol x 1 box Paracetamol Elixir NaCl irrigation solution sachets Povodine iodine 100ml sol’n Chlorhexidine 0.05% 30ml Ibuprofen

· Extra Equipment to include Valuables envelope Biros and felt pens Brown rubbish bags Hand gel Plastic bag for clothing ID wrist bands Allergy Stickers Plain writing paper

· Auroscope, ophthalmoscope, BP machine and tendon hammer from the Nurses' Station.





25. Action Cards

25.1 First Responder - Action Card 1: First Responder

First Responder: A staff member who has been alerted to an external emergency.

Responsibilities : - Take measures to record relevant information. - Take measures to ensure that the Clinical Nurse Manger Ext 5235 or A/H the General

Ward Shift Coordinator Ext 5236 is notified.

ON ALERT TICK √

1.

Record CETHANE information on the Code Brown External Emergency Cue Card. Appendix 3

· Caller’s name, role, location and contact details. · Exact location of the incident. · Type of incident. · Hazards identified at the site. · Access routes to site. · Number of casualties. · Emergency service - present and required.

2. Verify the call by contacting the organisation the caller is representing.

3. Alert the Emergency Controller – Ext 5235 or 5236 of the incident.

4. Establish contact with the Switchboard Operator by dialling 55 and give the first report (CETHANE) if instructed to do so by the Emergency Controller Request a Communication Log be commenced.

5. Wait for further instructions from the Emergency Controller.





25.2 Action Card 2: Emergency Controller

Emergency Controller: After hours the shift coordinator has delegated responsibility until the Clinical Nurse Manger arrives on-site. Shift Coordinator Ext 5236

Reporting to: District Manager (LHDC)- Warren Mobile 0428 955 818

Responsibilities: Alert and control the health response to an external emergency.

ON ALERT: Advice of an impending emergency. TICK √

1.

Record CETHANE information on the Code Brown External Emergency Cue Card. Appendix 3

· Caller’s name, role, location and contact details. · Exact location of the incident. · Type of incident. · Hazards identified at the site. · Access routes to site. · Number of casualties. · Emergency service - present and required.

2. Alert the Emergency Department Area Warden and provide CETHANE. Determine Emergency Department capacity.

3. Proceed to the Fire Panel in the main lobby. Collect white EC vest.

4.

Activate the PA system for the facility and make the 'On Alert' announcement. “Attention all areas (2) : This is the Emergency Controller. This is to notify of a possible Code Brown 'On Alert' status. Can all Area Wardens please assemble in the Command Centre in 10 minutes for a SITREP”. (Repeat)

5. Contact the District Manager 0428 955 818 who becomes the Local Health Disaster Coordinator (LHDC)

6. Contact the Regional Health Disaster Coordinator (Regional Director) by dialling 0407 988 161. Provide the first report (CETHANE) and advise 'On Alert'.

7. Contact the Inland Operations Manager on 0438 062 341 provide the first report (CETHANE) and advise 'On Alert'.

8.

Contact the Communications Officer by dialling 55 and provide the first report (CETHANE). (If not already delegated to First Responder) Request Communication Log be established.

9. Contact Bunbury Hospital Coordinator on 9722 1262 the first report (CETHANE) and advise 'On Alert'.

10. Contact VMP on-call and advise of Code Brown – 'On Alert'.





STANDBY: Commence preparatory activities in readiness for a response. TICK √

1. On confirmation of STANDBY proceed to Fire Panel in the Main Lobby.

2.

Activate the PA system for the facility and make the Standby announcement. “Attention all areas (2): This is the Emergency Controller. This is to notify of a Code Brown Standby status. Can all Area Wardens please assemble in the Command Centre in 5 minutes for a SITREP.” (Repeat).

3. Confirm number of available beds, number of patients suitable for transfer and discharge and staffing levels.

4. Ensure RFDS and SJA are aware of the situation

5. Delegate management of staffing to another staff member

6.

Proceed to the Local Emergency Operations Centre (LEOC) and provide a SITREP to managers.

· Provide a brief on the required health response. · Allocate roles. · Issue Action Cards and vests. · Establish scheduled timings for briefings. · Confirm traffic management, media and security resources.

Activate the Local Emergency Operation Centre

7. Log into WebEOC on https://myeoc.health.wa.gov.au/eoc7/ Appendix 2

8. Instruct Communications Officer to call in personnel on Emergency Code Brown contact list and to send a group page to all contacts advising ‘Code Brown Standby’.

9. Liaise with ED, Inpatient wards and Ambulatory Care to ensure that there is adequate equipment and supplies to deal with expected casualties.

10.

Identify designated areas for reception of disaster casualties and instruct staff to prepare these areas:

· ED Ambulance entry for Priority 1 and 2 · Main Foyer entry to receive, assess and direct Priority 3 (Walking

Wounded) to Ambulatory Care Gymnasium for management.

11. Allocate appropriate staffing to ED and Ambulatory Care Gymnasium for reception of patients including VMPs.

12. Instruct the Admin Coordinator to allocate a dedicated Clerical Officer to be located in Main Reception to collect data from presenting relatives and also to monitor the Ambulatory Care phone for enquiries from relatives.






CONFIRMED: A health disaster management response is required. TICK √

1. Instruct the Communications Officer to activate the Emergency Management Team ‘Confirmed Code Brown’ via All Call group page.

2.

Activate the PA system for the facility and make the Confirmed announcement. “Attention all areas (2): This is the Emergency Controller. This is to notify of a Code Brown Confirmed status. Can all Area Wardens please assemble in the Command Centre in 5 minutes for a SITREP.” (Repeat).

3. Confirm contact with the RHDC.

4. In conjunction with the inpatients Medical Practitioner provide instructions to clear the Hospital of all non-urgent patients.

5. Instruct the Communications Officer to direct all media enquiries to the Inland Operations Manager on 0438 062 341.

6. Where a health response is required, activate Code Brown Emergency Response Procedures.

7. Requests for dispatching a Health Response Team to the incident site are to be coordinated through RHDC.

8. Where notified by a relevant authority that a health response is not required, carry out Code Brown all clear actions.

STAND DOWN: The disaster response is no longer required. TICK √

1. Instruct the Communications Officer to activate the Emergency Management Team ‘Code Brown Stand Down’ via All Call group page.

2. Refurbish vest and Action cards to the Fire panel.

3. Commence debriefing processes with all senior staff and key stakeholders. (Refer to the WACHS-SW Emergency Response Report Template).

4. Compile an emergency response report for the Coordinator of Nursing and Midwifery. Consider need for risk report.





25.3 Action Card: Local Hospital Disaster Controller (LHDC)

Local Hospital Disaster Controller – District Manager 0428 955 818

Reporting to: WACHS-SW Inland Operations Manager 0438 062 341

Responsibilities: Control the health response to an emergency external of the facility.

ON ALERT: Advice of an impending emergency TICK √

1. Receive a CETHANE from the Emergency Controller.

2. Confirm that the Regional Health Disaster Coordinator (RHDC) is aware and is On Alert.

3. Establish regular communication timelines.

4. Supervises the establishment and operation of the Local Emergency Operation Centre (LEOC).

5. Log into WebEOC on https://myeoc.health.wa.gov.au/eoc7/ Appendix 2


1. Ensure that WACHS Communications are updated on 6145 4166. Identify on-site Media point of contact – St John Ambulance Centre

2. Attend meeting in the LEOC and confirm preparatory activities are in progress.

3. Track progression of disaster on WebEOC.

4. Confirm traffic management plans and security procedures.







1. Act as the Local Health Disaster Controller (LHDC).

2. Liaise with the Regional Health Disaster Coordinator on 0407 988 161 to obtain information and provide status report on WHS response capability. Confirm ongoing communication protocol.

3.

If a Health Response Team is required to be deployed the situation becomes a Regional Response activity. The Health Response Team is governed by the Regional Emergency Operations Centre (REOC).

4. Liaise with the Health Commander regarding the situation and resources needed if required. N.B. Obtain number and priority of casualties.

5. Assume responsibility for all press media liaison and ongoing management.

6. Maintain a current list of casualties and status of casualties Appendix 6

7.

Draw up on-going plans if the Emergency is protracted in relation to: · Relief teams · Onward referral of patients · Diversion of patients · Decanting of patients

8. Give SITREP to Regional Health Disaster Coordinator every 30 minutes or more frequently if required.


1. Inform all relevant stakeholders that the Code Brown is discontinued and return to normal duties.

2. Participate in hospital response debrief.

3. Assist with organisation of multi-agency debriefing within one week of emergency in conjunction with LEMC

4. Prepare a written report of the emergency and response within two weeks for the Executive.





25.4 Action Card: Communications Officer Switchboard Operator Ext 55

Reporting to: Emergency Controller Ext 5235

Responsibilities: To assist with clerical and record maintenance during an emergency response.


1. On receipt of call regarding a potential disaster transfer the call to the Emergency Controller on Ext 5235 or Ext 5236

2. When instructed by the Emergency Controller, activate a page “Code Brown On Alert” to All Call Group.

3. Commence and maintain a Communication Log Appendix 11

4. Refer any Media queries to WACHS Media on 6145 4166

5. When instructed by the Emergency Controller commence calling extra staff and record Appendix 7


1. When instructed by the Emergency Controller activate a page “Code Brown Standby” to All Call Group.

2. Confirm that Ext 5101 (Ambulatory Care) is active and transfer any calls from relatives to that extension.

3.. Receive SITREP from the Administration Coordinator.


1. When instructed by the Emergency Controller activates a page “Code Brown Confirmed” to All Call Group.

2. Answer phone calls on the main incoming line and direct to Incident Management Team member as appropriate.

3. Direct all calls from relatives to the Ambulatory Care Reception on 97725101 while awaiting confirmation that the Red Cross response site is activated.

4. Direct all calls offering donations and/or assistance to the Ambulatory Care Reception on 97725101

5. Maintain communications with the Emergency Controller. 6. Respond to the directions of the Emergency Controller.


1. Where instructed by the Emergency Controller or the Hospital Disaster Controller activates the ‘Code Brown Stand Down to All Page Group.

2. Ensure that the Communication Log is given to the Emergency Controller 3. Participate in the Debrief.





25.5 Action Card: Emergency Department (ED) Area Warden

Area Warden : ED Shift Coordinator Ext 5165


Responsibilities: Coordinates Emergency Department response in collaboration with the Emergency Controller for an external emergency.


1. Convene all key ED stakeholders and provide a CETHANE on the type, scope and location of the external emergency. Disseminate Action Cards.

2.

Liaise with the senior doctor about triage and resource requirements. Set up triage points manned with triage nurse(s):

· ATS score 1, 2 and some 3 presentations at the Ambulance airlock. · ATS score 4, 5 and some 3 presentations via the Main Entry to be

directed to Ambulatory Care gymnasium.

3. Request the Emergency Controller to recall medical, nursing and clerical staff. Allocate duties when arrived.

4. Ensure resources for the required health response are adequate.eg supplies, pharmacy Escalate immediately to the Emergency Controller if there are deficits.

5. Conduct a review of Emergency Department attendees with the senior ED Doctor and discharge as appropriate.

6. Provide surge capacity status to the Emergency Controller.

7. Allocate staff to manage presentations.

8. Communicate half hourly updates to the Emergency Controller

9. Coordinate triage, registration, resuscitation and on-going care.

10.

Respond to the needs of the situation. · Specialty staff · Volunteers · Refreshments and meals · Medical equipment and consumable resupply.

11. Ensure personal effects are receipted and valuables are protected.

12. Ensure security measures are maintained.

13. Inform the Emergency Controller of deceased.





14. Maintain communications with the key stakeholders.

15.

Commence and maintain patient tracking board with the following fields. · Patient identification. · Diagnosis / Injuries · Present patient location. · Accepting Doctor. · Bed Number assigned.

ETA.





25.6 Action Card: Inpatient Area Warden

Nursing Coordinator : Shift Coordinator Ext 5236


Responsibilities: Coordinate nursing activity of the Inpatient Unit in response to an external emergency.


1 Receive a CETHANE from the Emergency Controller and report to the inpatient area.

2 Disseminate information on the type, scope and location of the external emergency to the nursing team.

3 Review staffing levels, supply needs and pharmacy stock levels. . Report any deficits to the emergency controller.


Receive a SITREP from the Emergency Controller and report to the inpatient area. Obtain and distribute action cards as required.

Liaise with ward staff and receive a brief on the preparedness of the inpatient area to receive causalities from ED.

Disseminate information on the type, scope and location of the external emergency to the nursing team.

Review staffing levels, supply and pharmacy stock levels. Report any deficits to the Emergency Controller.


1 Proceed to the LEOC for a SITREP.

2 Communicate current and predicted staffing levels and Inpatient activity to Emergency Controller. Confirm communication plan for the duration of the event.

3 Return to the Inpatient Ward and prioritise nursing care, treatment and investigation.

4 Review the inpatient numbers and care plans to ensure adequate care.

5 Provide half hourly updates to the Emergency Controller.

6 Assign nursing staff to provide patient care.





7

Commence and maintain patient tracking board with the following fields. · Patient identification. · Diagnosis / Injuries · Present patient location. · Accepting Doctor. · Bed Number assigned. · ETA.

8 Maintain communications with all key stakeholders

9 Monitor staff breaks and fatigue and address issues.


1 Participate in the Debrief.





25.7 Action Card: Emergency Department (ED) Disaster Triage Nurse 1

Disaster Triage Nurse : Delegated Senior Registered Nurse

Reporting to: Emergency Department Area Warden Ext 5165

Responsibilities: Located in ED Ambulance Bay

CONFIRMED: A health disaster management response is required TICK √

1. Liaise with the Emergency Department Area Warden and receive a SITREP

2. Collect Action Card from Emergency Department Area Warden.

3. Set up the triage area at Ambulance entry point,

4. Triage patients as they present using the Australian Triage Score (ATS).

5. Maintain communications with ED Area Warden half hourly regarding presenting categories and triage resource requirements.





25.8 Action Card: Emergency Department (ED) Disaster Triage Nurse 2



Responsibilities : Located in Main Reception


1. Liaise with the Emergency Department Area Warden and receive a SITREP

2. Collect Action Card from Emergency Department Area Warden

3. Set up the triage area in Main Reception area

4. Triage patients as they present using the Australian Triage Score (ATS).

5. Maintain communications with the Emergency Controller half hourly regarding presenting categories and triage resource requirements.





25.9 Action Card: Emergency Department (ED) Disaster Triage Nurse 3 (MIMMS TRAINED)



Responsibilities : Located in Main Reception to Sort Walking Wounded


1. Liaise with the Emergency Department Area Warden and receive a brief on the type, scope and location of the external emergency.

2. Collect Action Card from Emergency Department Area Warden

3. Set up the triage area at the Main Foyer Meet and Greet Desk

4. Liaise with the Walking Wounded Clerical Officer to ensure all casualties are registered.

4. Triage patients as they present using the Australian Triage Score

5. Maintain communications with ED Nursing Coordinator half hourly regarding presenting categories and triage resource requirements.





25.10 Action Card: Emergency Department Clerical Officer

Disaster Clerk : Emergency Department Clerical Officer


Responsibilities: Collection and entering of patient demographics in WebPAS. Directing patient enquiries to Main Reception.

STANDBY: Commence preparatory activities in readiness for a response TICK √


2. Collect Action Card from Emergency Department Area Warden. Keep Action Card on hand.

3.

· Assist with the set up the triage area at Ambulance entry point or the triage desk.

· Obtain the Interim Code Brown medical record files located in the MIMMS cupboard.

· Ensure adequate stationary, ID bands etc. are available. · Ensure adequate patient property bags and labels are available. · Ensure patient log is ready to go.


1. Maintain patient log. Appendix 6

2. Work alongside the ED triage nurse 1 logging patients as they arrive.

3. Ensure all patients have ID band applied upon entry using patient details or numbers.

4. Ensure any documentation that arrives with the patient is attached to the Medical Record file.

5. Place patient belongings in patient property bags. Label with name and date of birth (DOB).

6. Advise distressed relatives to register at the Main Reception.

7. Maintain patient information systems WebPAS and update demographics, etc.

8. Assists in the maintenance of the WebPAS (ED).

9. Refer all media enquiries to WACHS media on 6145 4166.

STAND DOWN: The disaster response is no longer required.

1. Participate in the Debrief.





25.11 Action Card: Emergency Department Orderly

Emergency Department Patient Services Assistant : Ext 5232/ 5233


Responsibilities: Responsible to ensure that the ED is clean and is suitable for accepting casualties. Also transports casualties to Medical Imaging as requested.



2. Collect Action Card from Emergency Department Area Warden. Keep Action Card on hand

3. Respond to the directions of the ED Area Warden.

4. Assist the Area Warden and triage nurse to set up the triage point in the Ambulance entry.

5. Be responsible for transporting casualties to Medical Imaging and to the Inpatient Unit for admission.

4. Ensure the numbers and locations of patient and dressing trolleys are known.

5. Ensure adequate supplies of portable oxygen cylinders.

6. Ensure blanket warmers are restocked.

7. Ensure linen for ambulance use is restocked.

8 Ensure areas are cleaned and ready for use.

8. Ensure clinical areas are continually resupplied.

9. Maintain communications with the ED Area Warden





25.12 Action Card: Health Response Team

Hospital Response Team: Delegated Emergency Department Medical and Nursing Staff

Reporting to: Operations Manager Inland Mobile 0438 062 341 Incident site Commander (external)

Responsibilities : Provide on-site medical and nursing assistance as requested


1. Liaise with the Emergency Department Area Warden and receive a brief on the type, scope and location of the external emergency and transport arrangements

2. Change into personal protective clothing and collect Disaster Response Kits (DRKs).

3. Liaise with the incident site commander and respond as directed.

4. Refer to Action cards contained in the Pre-hospital Handbook.

5. Maintain communications with the REOC.






25.13 Action Card: Inpatient Clerical Officer

Inpatient Ward Clerk Ext 5200

Reporting to: Inpatient Area Warden Ext 5236

Responsibilities: Maintaining the Ward Census and inpatient demographics.


1. Review supply levels stock as necessary

2. Complete Bed Occupancy Status Appendix 12 or run a bed census report


1. Liaise with the Inpatient Area Warden and receive a brief on the type, scope and location of the external emergency.

2. Collect Action Card from Inpatient Area Warden. Keep Action Card on hand.

3. Ensure all patients have identification band applied upon entry using patient details or numbers.

4. Ensure any documentation that arrives with the patient is entered into the Medical Record.

5. Ensure patient belongings are in patient property bag and labelled with name and date of birth (DOB).

6. Maintain patient information systems in regards to admissions, discharges and transfers.

7. Advise Admin Coordinator of cover needed / relief


STAND DOWN: The disaster response is no longer required.

1. Participate in the Debrief.





25.14 Action Card: Support Service Staff

Inpatient Services Assistant : Support Services staff

Reporting to: Support Service Coordinator Ext 5140

Responsibilities : Provide support services to areas to include meals, cleaning activities and waste management activities


1. Liaise with the Area Wardens and the Support Service Coordinator and receive a brief on the type, scope and location of the external emergency

2. Collect Action Card from the Support Service Coordinator. Keep Action Card on hand.

3. Respond to the directions of the Area Wardens.

4. Ensure the numbers and locations of patient are known.

5. Promptly clean discharge rooms in preparation for admission of casualties from ED.

6. Ensure blanket warmers are restocked.

7. Ensure linen is restocked.

8. Ensure clinical areas are continually resupplied.

9. Ensure adequate supplies of refreshment are available for patients and staff

10.. Maintain communications with the Support Service Coordinator.





25.15 Action Card: Pathology

Pathology Area Warden : Managing Scientist in Charge Ext 5139


Responsibilities: Coordinating pathology services for an external emergency.


1. Liaise with the Emergency Controller and receive a brief on the type, scope and location of the external emergency.

2. Collect Action Card from Emergency Controller. Keep Action Card on hand.

3. Liaise with Emergency Department Senior Medical Coordinator and prioritise pathology requests.

4. Log into WebEOC on https://myeoc.health.wa.gov.au/eoc7/ and access hospital incident log.

5.

Coordinate and prioritise all pathology services. · Pathology investigations. · Transport of specimens. · Transport of blood from external sites through the Local

Emergency Operations Centre.

6. Provide reports as required to the Medical Administrator.

7. Provide half hourly updates to the Emergency Controller.

8. Respond to the needs of the situation. Sufficient staff and resources. Refreshments and meals.


10. Ensure a decisions/events log is maintained. Appendix 4

11. Maintain communications with all key stakeholders.






25.16 Action Card: Radiology Site Manager

Radiology Site Manager Ext 5125


Responsibilities: Coordinate Medical Imaging activity in response to an external emergency.


1 Proceed to the LEOC for a CETHANE.

2 Access current outpatient activity to potentially rebook non urgent cases.

3 Triage current ED / ward patients to expedite examinations or to arrange appointment via an outpatient appointment.


1 Proceed to the Conference Room for a SITREP. Obtain Action Cards.

2 Disseminate information on the type, scope and location of the external emergency to the medical imaging team.

3 Review staffing levels, supply needs and stock levels. Report any deficits to the Emergency Controller.

4 Confirm readiness of X Ray department to accept causalities.

5. Log into WebEOC on https://myeoc.health.wa.gov.au/eoc7/ and access hospital incident log.


1 Proceed to the Conference Room for a SITREP if required.

2 Consult with ED Medical co-ordinator and detail available staff and resources and commence the triage priority of current work requirements.

3 Maintain regular (at least half hourly) contact with ED medical co-ordinator to reassess required work and changes to available resources.

4 Maintain a decision log of event and keep up to date with current code brown status through the EOC website. Appendix 4

STAND DOWN: The disaster response is no longer required TICK √

1. Participate in the debrief.






25.17 Action Card: Supply Coordinator

Supply Coordinator : Supply Coordinator Ext 5245


Responsibilities: Coordinating the supply of all consumables for an external emergency.



2. Collect Action Card from Emergency Controller. Keep Action Card on hand.

3. Liaise with Emergency Department and Inpatient Area Warden and prioritise supply requests.

4. Coordinate the distribution of supplies.

· Throughout the hospital · Disaster site where required.

5. Source and supply additional supplies in liaison with the Regional Supply Coordinator

6. Source and supply additional dressing supplies and deliver to the Walking Wounded clinic in Ambulatory Care Gym.

7. Respond to the needs of the situation. Sufficient staff and resources Refreshments and meals.



10. Maintain communication with all key stakeholders.





25.18 Action Card: Community Health Manager

Community Health Manager Ext 5250


Responsibilities: Coordinating social services for distressed family and friends.



2. Collect Action Card from LEOC. Keep Action Card on hand.

3 Provide ½ hourly updates to the Emergency Controller

4. Liaise with the Emergency Controller within 24 hours after Code Brown incident to arrange staff Critical Incident debrief.








25.19 Action Card: Allied Health Distressed Relatives Coordinator

Social Worker Ext 5259


Responsibilities: Coordinating social services for distressed family and friends.




3. Proceed to the Main Foyer. Set up as required

· chairs and tables · refreshments

4. Review the relative register at the Main Reception

5. Liaise with Chaplin if available and / or Red Cross

6. Liaise with Police for the identification of victims.

7. Liaise with the Department of Community for shelter, personal needs and crisis counselling.

8. Provide half hourly updates to the Emergency Controller

9. Liaise with the Emergency Controller within 24 hours after Code Brown incident to arrange staff Critical Incident debrief.








25.20 Action Card: Administration Coordinator

Administration and Medical Records Area Warden Ext 5104


Responsibilities: Coordinating clerical and administrative assistance to support the health response.


1. Proceed to the Conference Room for a CETHANE.

2. Return to Administration. Disseminate information on the type, scope and location of the external emergency to the admin team.

3. Review staffing levels, supply needs


1. Proceed to the Conference Room for a SITREP. Obtain and distribute Action Cards.

2. Disseminate information on the type, scope and location of the external emergency to the admin team.

3. Review staffing levels, supply needs. Restock and place staffs that are to be called in on standby. Report any deficits to the Emergency Controller.

4. Obtain and review the doctor on call list to disseminate to all departments




3.

Ensure the following staff are called in: · Switchboard operator · Inpatient Clerical Officers · DSU Clerical Officers · ED Clerical Officer · Main Reception Clerical Officer

4. Allocate a Clerical Officer to Main Reception to collate relatives' information.

5. Advise Communications Officer to refer all relative calls to the Ambulatory Care Reception Number 97725101


8. Provide an updated list of on call SMPs and specialists to relevant staff. Appendix 10





9. Provide half hourly updates to the Emergency Controller.

10. Respond to the needs of the situation. Sufficient staff. Refreshments and meals.


12. Ensure a decisions/events log is maintained. Appendix 4 TICK √


STAND DOWN: The disaster response is no longer required

1. Participate in the debrief





25.21 Action Card: Ambulatory Care Clerical Officer

Ambulatory Care Clerical Officer Ext 5102

Reporting to: Administration Coordinator Ext 5104

Responsibilities : Coordinate the flow of information between the WHS and relatives of casualties


1. Review supply levels stock as necessary ensure you have communication log ready to go.

2. Liaise with Ambulatory Care Manager around cancelling/rescheduling booked appointments.


1. Proceed immediately to the Administration Department

2. Receive brief from the Administration Coordinator on the type, scope and location of the emergency and the required health response (casualty reception).

3.

Establish the Relatives Contact log capturing Appendix 8 · Name of person enquiring · Name of person they are enquiring about · Contact details · Location- where they are located · Refer all relatives to the seated area in the Main Foyer.


5. Log all calls offering donations and/or assistance and forward this information to the Local Emergency Operations Centre. Appendix 9

6. Refer distressed relatives to the Senior Social Worker


8. Maintain communications with the key stakeholders.

STAND DOWN: The disaster response is no longer required

1. Participate in the debrief





25.22 Action Card: Traffic Coordination

Traffic Coordinator : Engineering Staff Mobile 0418 927 784


Responsibilities: Coordinating on site traffic.



2. Collect Traffic Coordinator vest and Action Card from LEOC. Don vest. Keep Action Card on hand.

3. Provide direction for all traffic flow (ambulance, bus or private vehicle) within campus grounds using signs and bollards.

4. Direct relatives to the Main Reception.

5. Direct non WHS medical and nursing workforce to the LEOC.

6. Direct all media to St John Ambulance Centre








25.23 Action Card: Support Service Coordinator

Support Services Coordinator Ext 5140


Responsibilities: To ensure that the WHS receives support services to maintain activities in a Code Brown situation.


1. Proceed immediately to the LEOC (Ambulatory Care Meeting Room)

2. Receive brief from the Emergency Controller on the type, scope and location of the emergency and the required health response (casualty reception).

3.

Brief the following areas and request a status report within 15 minutes. · Trade Cook · Support Service staff · Orderly · Truck driver

4. Liaise with the Emergency Controller to determine the allocation of resources.

5. Ensure adequate Support Service Staff support for Clinical areas.

7.

Coordinate the following to support the health response, including relative reception room:

· Linen services · Cleaning and waste management · Food services · Orderly services · Mortuary services · Trucking services.

8. Maintain communications with support service staff and other key stakeholders.





25.24 Action Card: Mortuary Orderly

Mortuary Orderly

Reporting to: Support Services Coordinator Mobile Ext 5140

Responsibilities: Provide timely access to police and relatives to identify deceased casualties from a Code Brown event.


1. Receive brief from the Support Service Coordinator on the type, scope and location of the emergency and the required health response (casualty reception).

2. Review current mortuary capacity. If full inform the Emergency Controller on Ext 5235

3. Prepare Mortuary for reception of bodies.

4. Maintain the Mortuary Log.

5. Admit all deceased casualties and support the Police in allowing relatives access to view and identify remains.

6. Maintain the dignity of all deceased

7. Ensure that all valuables and personal belongings are recorded in the Mortuary Log and remain with the body.





25.25 Action Card: Engineering Maintenance Officer

Engineering Maintenance Officer: Mobile 0418 927 784

Reporting to: Operations Manager Mobile 0438 062 341

Responsibilities: Coordinate the Traffic management and facilities management of WHS in a Code Brown Situation


1. Proceed immediately to the LEOC (Ambulatory Care Meeting Room)

2. Receive brief from the Hospital Disaster Coordinator on the type, scope and location of the emergency and the required health response (casualty reception).

3. Oversee the coordination of engineering activities

4. Provide 1 hourly updates to the Emergency Controller

5. Activate restricted access to site in collaboration with the Operations Manager.

6. Call in staff as necessary.

7. Deploy signage as required.

8. Provide infrastructure support as required.





25.26 Action Card: Volunteers

Volunteers


Responsibilities: Direct and support visitors and relatives presenting to the WHS in a Code Brown situation.


1. Provide support to visitors and relatives arriving at WHS

2. Direct relatives to sign in at Main Reception

3. Direct staff to sign in at the LEOC in the Executive Offices.

4. Support the Walking Wounded and direct to Ambulatory Care Gym if PSA is unavailable

5. Support relatives waiting for information

6. Assist relatives arriving to pick up a discharge patient from the ward.





26. Appendices

South West Forms

Appendix 1 Phonetic Alphabet Chart Appendix 2 Logging onto WebEOC Appendix 3 CETHANE cue sheet Appendix 4 Decisions / Events Log Appendix 5 Major Incident / Medical Log Appendix 6 Patient Log (replicates EDIS disaster module in case data entry required) Appendix 7 Staff Call in Log Appendix 8 Relative Register Appendix 9 Volunteer Register Appendix 10 Available Specialists and General Practitioners Appendix 11 Phone Communication Log Appendix 12 Bed Occupancy Status (bed management system or census) Appendix 13 MIMMS Sites Disaster Phone Numbers Appendix 14 MIMMS trained staff list Appendix 15 Notification of Incident





APPENDIX 1 - PHONETIC ALPHABET





APPENDIX 2 - LOGGING ON TO WEBEOC https://myeoc.health.wa.gov.au/eoc7/






APPENDIX 3 - ETHANE CUE CARD

CODE BROWN EXTERNAL EMERGENCY

ETHANE CUE CARD

Caller identified …………………………………………………………………………

Exact location of disaster ……………………………………………………………………………

Type of incident ……………………………………………………………………………

Hazards present ……………………………………………………………………………

Access / Egress to the site ……………………………………………………………………………

Number and type of casualties…………………………………………………………………………

Emergency Services (present and required)…………………………………………………………





APPENDIX 4 - DECISIONS / EVENTS LOG Decisions / Events Log

Date / Time Event /Issue Key Decisions and Actions Outcome Sign





APPENDIX 5 - MAJOR INCIDENT / MEDICAL LOG

Major Incident / Medical Log · Once completed this is a Legal Document. · Use of WebEOC is preferable but if no access use this document as a temporary record and then transcribe into WebEOC

Date and Time Key Decisions and Actions





APPENDIX 6 - PATIENT LOG

Used in conjunction with the triage board in ED by the triage nurse (and used to update the Emergency Controller)

Name Time In Area Category Presenting

Complaint Treatment Time Out Destination





APPENDIX 7 - STAFF CALL-IN LOG Staff “Call In” Log

Name Role Time In Time Out Sign





APPENDIX 8 - RELATIVES REGISTER

Relatives Register Name Contact Address Contact Numbers Person waiting for





APPENDIX 9 - VOLUNTEER REGISTER

Volunteer Register

Completed by clerical staff. Credentialing completed by Warren Health Service LHDC

Name Address Contact Number

ID (D/L, Nursing

Reg) Special Skills

Date and Time

Available

Any Special Requirements E.G. Dietary,

Medical

ID Badge Issued

Copy Of Driver's License





APPENDIX 10 - AVAILABLE SPECIALISTS AND GENERAL PRACTITIONERS

Available Specialists and General Practitioners

Completed by clerical staff and used to update the Emergency Controller

Name Contact Number Specialty Time Available ID Badge Issued





APPENDIX 11 - COMMUNICATION LOG

Phone Communication Log NAME of Officer Completing Log._________________________

Date Time Phone Call FROM:

Phone Call TO: Purpose in Calling Actions Arising Sign





APPENDIX 12 - BED OCCUPANCY STATUS Bed Occupancy Status (bed management system or census)

Compiled by ward staff and provided to the Emergency Controller

Bed Number Bed Available Potential Discharge Time Bed Available Comments





APPENDIX 13 - MIMMS SITE DISASTER PHONE NUMBERS MIMMS Sites Disaster Phone Numbers – Please refer to Emergency Control Centre for current list.





APPENDIX 14 - MIMMS TRAINED STAFF

MIMMS Trained Staff Please refer to the Emergency Control Centre for the current list

Name Designation Contact Numbers





APPENDIX 15 - NOTIFICATION OF INCIDENT Notification of Incident – Sit Rep can be found below http://wachs.hdwa.health.wa.gov.au/index.php?id=6509


http://wachs.hdwa.health.wa.gov.au/index.php?id=6509

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This information is available in alternative formats for a person with a disability. © WA Country Health Service 2018 Copyright to this material is vested in the State of Western Australia unless otherwise indicated. Apart from any fair dealing for the purposes of private study, research, criticism or review, as permitted under the provisions of the Copyright Act 1968, no part may be reproduced or re-used for any purposes whatsoever without written permission of the State of Western Australia.