General Safety

Orientation
 Introduction

The hospital environment presents particular and, in some cases,

unique safety problems when compared with other industrial settings.
While complete and proper way of training and awareness can minimize
the chances of its existence to almost safe considerations, but we must
still be prepared to deal with it.
 Objectives
 To create an environment in which staffs, visitors, and
individuals are served and perceive that they are interacting
in a safe and secure setting.
 To reduce and control hazards and risks
 To prevent accidents and injuries
 To maintain safe conditions.
 Content
Facility Management & Safety 6 Plans
1. Disaster Preparedness
2. Safety & Security
3. Hazardous Materials
4. Fire Safety
5. Medical Equipment
6. Utility Systems
 Emergency Codes
Medical Emergencies Dial “2222”
Hospital CODE Underlying Situation

CODE BLUE “CODE BLUE” Cardiopulmonary Arrest CODE

STROKE-CVA
“CODE ORANGE” Obstetric Emergency

“CODE STROKE CVA” Stroke Team Activation

RAPID
CODE “RAPID RESPONSE RESPONSE
Rapid Response Team
ORANGE TEAM ACTIVATION” TEAM
Activation
ACTIVATION
Emergency Codes

Non-Medical Emergencies 4888

CODE Hospital CODE Underlying Situation CODE
RED PURPLE
“CODE RED” Fire

“CODE GREEN” Disaster

CODE “CODE PINK” Missing Infant/Child CODE

MR.
GREEN STRONG
“CODE PURPLE” Missing Adult

“CODE MR. STRONG” Aggressive Person

CODE CODE
PINK “CODE WHITE” Chemical Spill WHITE
 Code Blue

The term used to summon assistance for a person in full or pending

cardiopulmonary arrest:
 Adults Code Blue:
• 14 years and older
 Pediatric Code Blue:
• younger than 14 years
 Code Orange

It is an obstetric emergency which the life of the mother or the child is in

life threatening situation. e.g. cord prolapse, eclampsia, & etc.
 Code Stroke

An organized protocol for the emergency evaluation of patients with

suspected stroke condition. The goal is to complete an evaluation and to
begin treatment within 60 minutes of the patient's arrival in ED. Stroke team
includes physicians, nurses, and laboratory/radiology personnel.
 Code Red
 Means that there is an actual fire, smoke or smell of burned material.
 Things to do,in case of FIRE…remember the RACE acronym!
R- Rescue anyone in imminent danger
A- Activate the alarm by doing the following procedure:
• Shout and ask for help
• Dial the dedicated extension number
• Break the manual pull alarm station
C- Contain the fire by closing doors and windows in the affected
area
E- Extinguish the fire with the proper fire extinguisher
 Code Green

It is the activation of the disaster plan due to internal or external disaster

announcement made through the hospital public address system as per the
approval and advised of the Hospital CEO, the General Manager for
Administrative Affairs or their designee.
 Code Pink

The term used to refer to Abduction or missing infant or child after

removal by an unauthorized person or persons. Notification shall as
follows:
• Name of patient
• Gender
• Clothing
• & all other important details
 Code Purple

The term used for a MISSING ADULT PATIENT

High Risk:
 Patient is ambulant but clinically unstable e.g. dementia, toxic confusional state,&
etc.
 Patient is mentally incapable of making sound judgements regarding the safety of
him/herself or others.
 Patient is in hospital with an illness which may be related to the consumption of
alcohol or substances.
 Patient has a history of wandering, as noted either during hospital stays or from
information provided by the family.
 Code Mr. Strong
 To initiate a cautious and proscribed response to a client; visitor or staff member who is
displaying undue anxiety, yelling or otherwise represents a threat of aggression or
violence to themselves or others.
 The intended response includes appropriate intervention to de-escalate the undesirable
behaviour until such time as the Security arrive to take charge.
• When confronted, remain calm. Don’t resist, confront, challenge, threaten,
antagonize, criticize or belittle the person
• Dial 4888 and ask for Code Mr. Strong activation
• Explain what is occurring; don’t hang up until help arrives
• Try to maintain safety of all persons present; allow no risk to health and well being of
staff.
 Code White

A spill that is characterized by any of the following descriptions should be

considered a “Major” spill:
 Hazardous materials of more than 1liter/1000ml
 A fire or explosion has occurred or is likely to occur.
 The type or quantity of chemical released poses an immediate risk to
health and life of personnel.
 There is an impact on public spaces or spaces adjacent to the area
where the spill occurred.
 Spill of unknown chemical
 Safety Reminders
during Code White situation
 Safely evacuate persons from immediate area
 Provide first aid/medical help to exposed employees
 Block storm sewers
 shut down general ventilation systems
 Prevent spread of fumes by closing doors, if possible
 Leave all electrical equipment/ appliances/ switches alone; don’t turn on or off
 Locate MSDS sheets or any information regarding the chemical spill,
 Contain extent of spill if safe to do so; containment is first priority, after injuries
 If you suspect that you are contaminated, take shallow breaths through a cloth or towel. If
 medical help is not immediately available, shower, place exposed clothing in a tightly sealed
container and wait for emergency assistance.
 Complete incident notification forms/ procedures.
 Trauma Team

Is a pre-assigned team of on duty and on call hospital personnel, who are

called upon and mobilized to assume responsibility for the care and
management of the critically injured trauma patient.
 Corresponding Policies
 Major Disaster Policy - GH0101
 Fire, Emergency and Evacuation- GH0038
 Infant and Child Security- GH0041
 Cardiopulmonary Resuscitation- GH0013
 Obstetric Emergency- MAT0005
 Missing Adult Patient- GH0066
 Stroke CVA- GH-CPG0135
 Trauma Policy - EMD0020
 Safety & Security

 Visibly Wearing Identity Cards

Identity cards are issued to all employees. Cards must be worn so that you
can immediately be identified as an employee of KHUH.
 No Smoking
Smoking is strictly prohibited inside the hospital. KHUH is a non-smoking
hospital facility.
 No photography:

Photography is strictly prohibited inside the hospital. KHUH.

Hazardous Materials
(Hazmat)
a material or substance that poses a
danger to life, property, or the
environment if improperly stored,
shipped, handled or disposed.
Material Safety Data Sheets
(MSDS)
A MSDS is an official documentation of the properties of a
given substance recorded on a form for easy viewing to
provide all end users with thorough information about the
chemicals characteristics, potential hazards and methods for
safe use, handling, storage and disposal of the material.
 16 Sections of MSDS:
1. Product & Company Identification 9. Physical & Chemical
2. Composition/Information on Properties
Ingredients 10.Stability & Reactivity
3. Hazards Identification 11.Toxicological Information
4. First Aid Measures 12.Ecological Information
5. Fire Fighting Measures 13.Disposal Considerations
6. Accidental Release Measures 14.Transportation Information
7. Handling & Storage 15.Regulatory Information
 Type & Degree of Hazard
HEALTH HAZARD (BLUE):
Indicates how the chemical affects human NFPA 704
health.

FIRE HAZARD (RED):

Indicates how likely the chemical is to burn.

REACTIVITY HAZARD (YELLOW):

Indicates how likely the chemical is to react with
water, heat, pressure or other chemicals.

SPECIFIC HAZARD (WHITE):

Provides special information about the chemical.
Safety Pictograms
Fire Safety
 How Does a Fire Work…

 Need all three components to start a fire

 Fire extinguishers are used to ‘extinguish
one of the three components that allow the
fire to exist.
Classes of Fire
Types of Fire Extinguisher
Types of FX continuation…
How to properly use the
Fire Extinguisher
 Building Safety

 Fire/Smoke walls help contain smoke into compartments.

 Fire Doors shut automatically when smoke alarms are activated and
also help to contain fire.
 Corridors are designed to give a safe way to exit the building.
 Observe 18” maximum stocking below sprinkler heads
 Safety Devices
SIREN WITH EMERGENCY RELEASE BUTTON
MANUAL CALL POINT STROBE FLASH RELEASE BUTTON SWITCH

HEAT DETECTOR SPRINKLER SMOKE DETECTOR CARD READER

SYSTEM
 Building Life Safety
EXIT ACCESS EXIT ROUTE EXIT DISCHARGE

EVACUATION PLAN ASSEMBLY POINT FIRE POINT

 Building evacuation
 Proceed to nearest exit in an orderly fashion, closing fire doors behind
you.
 Horizontal Evacuation: Assemble at the hallway (Primary Assembly
Point) outside of your department and account for all patients, visitors,
and staffs.
 Vertical Evacuation: Assemble at the Assembly Points outside of the
building (Secondary Assembly Point) and account for all patients,
visitors, and staffs.
 Provide safety representatives with information about people still
 Medical equipment
 Life support: anesthesia machine, ventilator, heart-lung machines
 Monitoring: bedside monitors, telemetry monitors
 Treatment: electrosurgery, lasers, diathermy
 Diagnostic: laboratory analyzers, radiology equipment, endoscopes
 Patient support: hospital beds, specialty beds, lifts
 What You Need to Know About
Medical Equipment You Use
 Capabilities, limitations, and special applications of equipment.
 Operating and safety procedures for equipment use.
 What constitutes reliable operation of equipment.
 How often equipment should be inspected.
 Availability of backup equipment.
 What steps to take in case of an equipment failure.
 Responding to a Medical
Equipment Failure During Use
 Take emergency measures to minimize and  Obtain backup equipment.

care for injury to, discomfort of, and threat to  Impound all equipment relative to the

life of patients or personnel. injured party in the same room or areas.

 Perform any necessary procedure for  Tag the equipment with a repair tag and

emergency clinical intervention. remove all debris from the equipment.

 Take appropriate action to minimize damage  Call Bio-Medical engineering for pickup. Do

to equipment and the environment. not send equipment to clinical engineering.

 Notify the attending physician or other  Immediately report the incident to risk

appropriate clinician. management through DATIX system. or

other designated department
 Factors lead to medical equipment
failure
 Inappropriate handling
 Environmental stress
 Inappropriate repair
 Deterioration of accessories or consumable components
 Failure of hospital personnel to correctly use medical equipment.
 Electrical or mechanical component failure
 INFOR system

 Upon finding a fault or malfunction in any

Equipment, inform the Manager/ HOD.
 HOD / Manager should raise the breakdown/
work order request in the INFOR system
 All the Medical Equipment are registered in
Asset Management Software called INFOR
with unique Barcode as shown below.
 Utilities
 Electrical distribution  Plumbing
 Emergency power  Boiler and steam
 Vertical transport (elevators)  Piped gases
 Horizontal transport (pneumatic  Vacuum systems
tube systems and others)  Medical gas
 Heating, ventilation, and air-  Non-Medical Equipment's
conditioning (HVAC)
 Branches That Require
Immediate Emergency Power:
Life Safety Branch Critical Branch
 Alarm systems  Emergency/urgent care areas
 Exit route illumination  Operating and postoperative rooms
 Emergency communication system  Special care units
 Obstetrical delivery rooms
 Newborn nurseries
 Blood, bone, and tissue storage units
 At least one elevator
 Medical/surgical vacuum systems
 Medical air compressors
 Types of outlet
IPS SOCKET

UPS SOCKET REGULAR SOCKET

 Staff’s Responsibility
 You have a duty of care to:
• yourself
• Others around you
• Others who may be affected by what you do
• You must use the personal protective equipment provided and as
instructed
• You must co-operate with your employee in respect of Health & Safety
 Summary
 Inspect work area regularly
 Be vigilant - stay alert
 If you’re not sure - ASK someone!!
 Report Injuries/Incidents/Illnesses
 Report any safety concerns to your manager/supervisor.
 Don’t enter restricted areas without authority.
 Maintain good housekeeping standards.
Thank you for completing the general safety orientation