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MASS CASUALTY MAJOR    --    CODE WHITE

A. MASS CASUALTY "Code White" Major disaster is declared
1. Decision made by ED MD in collaberation with ED nurse and/or Nsg Supv and EMS crew on the scene.  
2. Inform the IC of the Status. Incident Commander
3. ED to notify Operator, who will announce Code White.
B. MASS CASUALTY  "Code White" Major is announced
1. Announcement will ask visitors to leave the hospital and exit the parking lot via the back exit.  
2. Operator will call BPD for traffic control Duties of Operator 
3. Plant services will be radioed.Duties of Plant Services
C. MDs called in
1. Telephone operators and/or business office staff will be assiged to call the MD call list.  On call physicians called  and/or others as directed by ED MD.Duties of On Call Physicians
2.  Answering service will be asked to beep physicians.
D. President and Director of Community Relations notified Community Relations and/or PIO 
1. Operator will notify VP patient Care services in absence of the President.
2. VP Professional services will be notified in absence of Community Relations.
E. Rescue Liaison will be called
1. Operator will call Rescue, Inc. for the person assigned. Contact number for Rescue Inc. 
F. Department Call List- Disaster Major inititated
1. Department staff call the list.  The callers will say, "The hospital disaster plan is in effect. Report to the Hospital."
2. 2 secretaries will start nurse call-up using Staff Coordinator's Telephone List found in the  Share folder, Departmental call list in the  Disaster File
3. At night the duties will be divided among the staff available.  
G. O.R. Nurse on call notified
1. Nursing Supervisor  will call OR nurse on call, who wil call-in OR staff.
2. Director of Surgical Services notified during  business hourse.
H.Anesthesiologist on call notified
1.  Nsg Supv wll call anesthesiologist who will call A Staff
I.X-Ray Tech on call notified
J.Assigned Areas
     1. a. TRIAGE
     1. b. EMERGENT
     1. c. URGENT
     1. d. NON-URGENT
     1. e. DYING
     1. f. TRANSER
     1. g. DECEASED
     1. h. PERSONNEL POOL
     1. i. COMMAND CENTER
1. ED to designate areas, possibly the ambulance dock, or remote from the  hospital.
2. ED overflow to PACU (6).
3. ACU to evaluate and stabilize
4. Rehab Svcs
5. Oncology
6. Room or PACU
7. Morgue
8, ED waiting room
9. ED desk

K. Teams & Assignments
1. Triage Team
     a.Triage Physician.  In chg until an  Operations Section Chief is appointed.  The Triage Physician is apointed by ED MD.  Should ATLS certinfied family practitioner, internist or pediatrician who is regularly scheduled to work in the ED.  The Triage physician will apoint the Disaster Coordinator.  
     b. Operation Section Chief Click here
     c. Ambulence service Liaison Click here
     d. Nursing Supervisor
     e. EMTs Paramedics coordinator (link)
2.Resuscitation Team
3.Operating Room Team
4.SCU Team
5. Urgent Team 
6. Non-Urgent Team
7. Administration Team
President or designee will establish Incident Command Post (ICP) and establish Incident Command System.  It is recommended that:
     a. President be Incident Commander
     b. Head of hte ED to be the OSC
     c. Nsg Supe be utilized by the OSC
     d. Community Relations be the Public Information Officer
     e. Nursing (administrator) Manger or Risk Manager is the Planning Section Cheif
     f. Staff Coordinator Head is the Rescources Unit Chief
     g. Namager of Plant Services be the Logistics Section Cheif, and Plant Servecise staff in the Facilities Unit
     h. Financial Servise Staff the Finance/Administration Section Cheif
     i. Occupational Health Manger the Medical Unit Chief

PATIENT IDENTIFICATION ( link to dashboard and/or forms)

L. EMERGENCY DEPARTMENT DUTIES
M. NURSING SUPERVISOR DUTIES
N.MEDIA PROTOCOL
O.ORGANIZATION AND ADMINISTRATION

Click here for duty profiles with responsibility definitions

MASS CASUALTY MINOR 
MASS CASUALTY PLAN OVERVIEW