Code GREEN DELTA Level 3
Code Green Delta 3: Infrastructure/operations failure impacting the delivery of safe patient care (i.e. loss of power, electricity, water, telephones, computers.)
- If a Code GREEN DELTA is requested, take down the following information
- Name of caller
- Location of the incident
- Description of events
- Extent of impact
- Potential impact on daily operation
- Immediately contact the PFS (57-2364), who will contact the administrator on call.
- The acting incident Commander will direct Security when to announce the Code Delta Green
- Announce twice that there is a Code Green Delta 3 on the Fire P.A. “Attention Please… Code Green Delta 3 (location or any other information).”
- Incident Commander is established (initial default is Patient Flow Supervisor until Administrator on Call or Incident Commander arrives)
- NCH’s Logistics Center established (Administration Conference Room, 1st floor) and activates Code Green Delta page to all pre-determined Code Green Delta grouping.
- Hospital Incident Command activated
- The Security Officer Recall Roster will be in effect. It will be the Emergency Department Security Officer’s responsibility
- If the situation warrants, the main Lobby entrance will be closed off using cones or barriers and placed in a lock-down status.
- Security Officers Unit 34 will be stationed at the main entrance and will assist with access control and package
- Security officer Unit 36 will assist with building sweeps.
Code Green Delta Room Assignments:
- Incident Command Center: Administration Conference Room, 1st floor
- Labor Pool: Medical Imaging/ Lab Waiting Area (Room A – 0501), Ground Floor
- Discharge Holding Unit: 5th Floor Clinic
- Family Gathering/Waiting Area: Occupational Therapy Rehab Gym, 4th floor
- Family Support and Information Center: Auditorium
- Pediatric Safe Area—“Kids Track” on Main Floor
- Media Relations Room: Off the NCH campus across the street
- Associate Sleeping Area: Clinic areas
- Associate Child Care Area: 1st floor computer rooms 1721 (12 beds) & 1722 (12 beds)
- Associate Elder Care Area: 1st floor computer room 1723 A (10 beds) & 1723B (10 beds)
- Emergency Shelter location for associates pets: enclosed area by back loading dock
Mobilize, assign, and pre-position emergency response personnel
- Security Patrol Unit 35 will initiate and operate an ID check post at the main vehicle entrance at Nemours Parkway and Lake Nona Blvd. All vehicles and pedestrians are to be stopped at this location and Employee badges verified. A Nemours vehicle and traffic cones will be utilized to block lanes and divert traffic in this effort. Unit 35 will be tasked with boarding all delivery trucks and performing a vehicle inspection prior to granting access. A phone call should be made to all receiving parties to verify delivery (this includes Materials Management deliveries). The security patrol will escort any responding police/ fire department personnel to the loading dock area. An interior security unit or manager will respond to the loading dock and provide escort for the emergency personnel to the incident scene.
- Notify Engineering Managers and request assistance with access control, building sweeps, and package inspections by staff.
- Contact the Incident Command Center to notify of severe threat status. Ask that each department conduct area sweeps. They will be tasked with conducting a department sweep once per shift and calling into the Command Center with results.
Close high risk and/or vulnerable facilities, if applicable
- The Nemours vehicle is to be parked at the main entrance creating a physical barrier. It will remain until the severe threat level is lifted
- Loading dock will not be accessed without a Materials Management representative present to verify delivery personnel and perform vehicle inspection.
- All site construction projects will be reviewed by Facilities and Security Management to determine whether the project will be suspended until the severe threat level is lifted.
- All special events will be cancelled during the severe threat event.
- Exterior door inspections and exterior sweeps to all properties are to be performed once per shift.
- Look for unattended packages, suspicious person(s) or unauthorized vehicles. Be sure to take down the vehicle tag number immediately upon identifying suspicious activity. Increased visibility of our patrols is the goal during such an event.
- Patrol should report all exterior light and access failures immediately.
- Do not allow vehicles to park alongside any of the buildings. Approach all illegally parked Vehicles and direct the driver to move immediately.
- All exterior property fencing must be inspected every 12-hours.
Immediate protocol alterations
- The Incident Command Center will be the central contact for all appointments by contractors, Vendors and/or visitors requiring escort. Department contacts and/or escorts will be required to give 24 hours notice for scheduled visits. A daily list will be generated by the Incident Command Center and distributed to all posts including patrol. Only those visitors and vendors on the list will be admitted onto the site.
- No personal deliveries will be permitted on site. This includes but is not limited to food and floral deliveries, etc.
- Package inspections will be performed on all packages entering the buildings.
- Badge spot inspections should be conducted on a continuous basis. Ensure all associates are wearing their identification badge in the building and advise those who are not that it is mandatory to do so.
- Building exterior sweeps will be conducted each shift.
Guidelines
In the event of a severe threat, and as directed by NCH Executive Management, the following protective measures shall be implemented only at those facilities that may be at risk during a period of heightened alert.
Initiate notification procedures and communicate as required
- Notification to the following people and/or designee should take place during the first phase after Severe threat status is declared.
- Director of Facilities
- Administrator On Call
- The Incident Command Center will be responsible for notifying the following entities.
- Emergency Response Group
- Security Administrator
- Safety Administrator
- The Healthcare Emergency Incident Command System (HEICS) will be implemented and the Code Delta Command Center (Facilities Conference Room) will be staffed 24/7 during a severe threat affecting any AIDHC Facility. All satellite status updates will be communicated through The Command Center.
Level 1 - Criteria
Mass Casualty Incident with the anticipation of 25 or more patients.
- Notification as per Emergency Management Plan
- Staff pre-designated for Emergency Room report as directed.
- Follow Emergency Management Plan
- Establish Command Post and open Incident Command Center
- Commence with documentation.
Level 2 - Criteria
Local or Regional Emergency with the anticipation of fewer than 25 patients.
- Notification of Emergency Department Physician in Charge and Administrator on-call.
- Request for additional personnel made by the Emergency Department Staff.
- Follow Emergency Management Plan.
- Establish Command Post and open Incident Command Center.
- Commence with documentation.
Level 3 - Criteria
Operations Systems Failure
- Notification to all personnel by email, pager, and overhead announcement.
- Request for needed personnel, management and labor pool.
- Establish Command Post and open Incident Command Center.
- Commence with documentation.