MULTI-COUNTY COUNSELING, INC. Maintains It S Facilities Through External and Internal Safety

MULTI-COUNTY COUNSELING, INC. Policy Title: Emergency Procedures Policy Number: 1.H.2. Revised Date: 12/16/2013 To provide guidelines regarding emergency Purpose: procedures Regulation ODMHSAS 450:18-5-3 and 450:18-7-1.1 Reference: CARF Section 1: H. Health and Safety Cross-Reference 1.K.6. Safeguards to Protect Records of the Persons Served Reviewed: Date______Board Member Initials______Date______Board Member Initials______Date______Board Member Initials______Date______Board Member Initials______Date______Board Member Initials______Date______Board Member Initials______Date______Board Member Initials______Date______Board Member Initials______Date______Board Member Initials______Date______Board Member Initials______

Policy MULTI-COUNTY COUNSELING, INC. maintains it’s facilities through external and internal safety reviews and detailed health and safety procedures that address fire, bomb threat, natural disaster, utility failure, medical emergency, and/or safety during violent/threatening situations, in order to ensure a safe environment for consumers served (specific to the age group(s) served), staff and visitors. The Executive Director is the Corporate Safety Officer and the Regional Directors are the Safety Officers in their respective clinics. Policies and procedures regarding health and safety conform to all legal, regulatory and accreditation health and safety requirements. The safety of clients, visitors, and staff is of paramount concern. However, over-reaction to what may turn out to be a relatively brief power failure is not in the best interest of clients or other groups that MULTI-COUNTY COUNSELING, INC. serves. At a minimum, over-reaction may cause otherwise unnecessary rescheduling of services and deprive MULTI-COUNTY COUNSELING, INC. client’s of services they are seeking and/or reimbursement for services rendered. MULTI-COUNTY COUNSELING, INC. will complete an Emergency Debriefing following an emergency situation when it is determined by the Executive Director that a Debriefing is necessary. See Policy Number: H.10. Procedure A. Emergency Procedures Address: 1. Fires; 2. Bomb threats; 3. Natural disasters; 4. Utility failures; 5. Medical emergencies; and, 6. Safety during violent or other threatening situations.

B. Procedures that call for Evacuation of facilities address: 1. When evacuation is appropriate; 2. Complete evacuation from the physical facility; 3. The safety of others; 4. Accounting for all persons involved;

of 10 5. Identification of temporary shelter, when applicable; 6. Identification of essential services; Essential services are identified as services required by individual clients and/or their family members and/or their significant others to maintain emotional/mental/behavioral stability. Based upon the Mental Health Service Plan (Treatment Plan) and the expressed needs and preferences of the client(s) essential services can include, but are not limited to:  Individual, Family, or Group Psychotherapy Services - Children or Adult  Individual or Group Psychosocial Rehabilitation Services - Children or Adult  Individual, Family, or Group Alcohol and/or Substance Abuse Treatment Services - Children or Adult  Case Management - Children or Adult  Mental Health Service Plan Development/Review – Children or Adult 7. Continuation of essential services; While essential administrative services will be provided from an alternate location in the event that the clinic is temporarily unusable (See Alternate Shelter above) the state of Oklahoma allows that the essential clinical services identified in the preceding section and designated with a ‘  ‘ may, and therefore will, continue as home based services. Clinical group services may and will be temporarily suspended but individual group members may receive additional individual and/or family services during the temporary suspension in order to reduce or prevent any regression and/or relapse. 8. Emergency phone numbers; and, 9. Notification of the appropriate emergency authorities. C. General Evacuation Procedures 1. Counselors ensure that clients and group members, at their first meeting, are acquainted with and oriented to the evacuation plan and the inside shelter area. 2. Whenever any event prompts evacuation of the building or a need to take shelter within the building, designated staff make certain no person has been left in a bathroom unaware of the situation. 3. If a MULTI-COUNTY COUNSELING, INC. service site is damaged by a fire or severe weather, employees, after arranging care for any injured persons and taking precautions against injury to themselves from debris or live wires, make a reasonable attempt to secure client records. 4. If word is received that a grass fire or other hazardous external event is threatening the work site (for example: an accident nearby that involves a vehicle carrying hazardous material) or that a bomb threat has been made against MULTI-COUNTY COUNSELING, INC., the Safety Officer, or designee, will, unless otherwise directed by civil authority, immediately send everyone away from the building, lock the doors, and leave; and, If a bomb threat has been received, notify the police. 5. Whenever a MULTI-COUNTY COUNSELING, INC. facility is evacuated because of a structural fire, internal hazardous event, or bomb threat, employees will instruct all persons leaving the building to gather on the opposite side of the parking lot well away from the building. 6. The Safety Officer or, designee, determines whether anyone is unaccounted for and provides that information to emergency personnel as soon as they arrive. 7. If it becomes apparent that the building cannot safely be re-entered and services resumed within a reasonable time, the Safety Officer, or designee, suggests that everyone leave the area by the safest available means. D. Disaster Response 1. If a MULTI-COUNTY COUNSELING, INC. site is seriously damaged or destroyed, managers at the scene, in cooperation with police, fire, and medical emergency personnel and other civil authorities present: a. Give highest priority to helping persons who need to be moved to safety or given medical assistance;

of 9 b. Notify the Executive Director if the Executive Director is not already present; c. Work with authorities to secure the area until records and belongings can be retrieved; d. Retrieve and secure confidential records at the earliest possible moment once emergency personnel and the Executive Director has advised it is safe to do so; e. Refer inquiries from media persons to the Executive Director; and, f. Only the Executive Director or the Executive Director’s designee or the Board President or the President’s designee makes statements to media persons or participates in interviews or other media events relating to impact of the disaster on MULTI-COUNTY COUNSELING, INC. or its clients. 2. The Executive Director contacts the Board President to advise of the situation and request that the President gather the Board members to work with the Executive Director in: a. Determining what services or office functions should be re-established at other locations; b. Leasing or renting additional facilities: i. MULTI-COUNTY COUNSELING, INC. operates five sites, each of which can, with relatively minor modifications, temporarily accommodate additional personnel and equipment; ii. The chance of all five sites being simultaneously affected by a disaster is negligible; iii. If, however, it is necessary to lease or rent additional facilities, the Executive Director does so without undue delay. c. Advising the Executive Director concerning the procurement and relocation of needed office furnishings and supplies and the modification of facilities; and, d. Processing insurance claims and disaster-related paperwork.

3. The Executive Director also immediately contacts the information services vendor to: a. Arrange for physical retrieval of damaged or scattered systems equipment that hold confidential information; b. Provide equipment for the establishment of secure systems at the relocation site(s); and, c. Install necessary software and data at the relocation site(s). 4. The Executive Director and Regional Directors make a schedule for services to be offered at the alternative site(s) and contact all employees to advise them of reassignments. 5. The Regional Director and Clinical Vice-President decide who is to contact clients by telephone to advise the clients of the location(s) and time(s) at which they can continue to receive services; and, they ensure that the calls are made as quickly as possible. 6. The Executive Director determines the need for trauma counseling for employees or clients who were present when the disaster occurred and arranges for such trauma counseling.

7. The Executive Director ensures that the Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS), the Oklahoma Health Care Authority (OHCA), and all other agencies with which MULTI-COUNTY COUNSELING, INC. has contracts are notified of the disaster and the actions being taken to recover. 8. Similar information is provided to CARF. 9. The Executive Director ensures that any necessary Critical Incident reports are filed with the appropriate agencies. 10. The Executive Director directs the Safety Officers to determine whether the alternative site(s) are in compliance with all health and safety requirements. 11. The Executive Director requests the Board President to convene the full Board as a meeting may be necessary to deal with relocation or renovation costs that create budget or cash-flow problems. 12. To facilitate resumption of services as quickly as possible, the Executive Director utilizes urgent-need employment to hire, if required, additional or replacement staff on either a temporary or permanent basis. 13. If replacement of employees, or the necessity of giving additional compensation to retain staff under the circumstances, cause budget or cash-flow problems, the Executive Director

of 9 requests the President of the Board to convene the full Board as a meeting may be necessary to address the situation. 14. As soon as feasible after any event that requires implementation of a Disaster Response, the Executive Director meets with the Safety Officers, the Regional Directors, and officers/ members of the Board of Directors as the Board President designates to review this Disaster Response Plan for possible improvements; particular attention is given to measures that might improve response times. 15. The Disaster Recovery Plan is reviewed annually by the Board of Directors. 16. Following each review of the Disaster Recovery Plan, the Executive Director promulgates any identified changes, with the assistance of the Corporate Responsibility Officer, or note that the review has indicated that no changes are required. E. Procedures in case of Fire 1. A staff person learning of a fire, however small, first pulls the fire alarm or activates the fire emergency system, and directs staff, clients, and visitors in the area to evacuate the building. 2. Before attempting to extinguish the fire with an extinguisher, the staff person calls 911 for the fire department. 3. No staff person is obligated to attempt to extinguish a fire with a fire extinguisher. 4. Employees emphatically discourage clients and visitors from attempting to use fire extinguishers. 5. Because most people who die in fires die of smoke inhalation rather than from being burned, staff members guide persons finding themselves in a smoky situation to bend over while proceeding to an exit, or, if smoke is heavy, crawl toward the exit. 6. Evacuate through the nearest exit and assemble at the designated location. 7. All exits are marked. 8. In the event that someone’s clothing catches fire: a. Get the person to the floor; b. Smother the fire with a wool blanket, rug, or heavy curtain; c. Spray with an extinguisher; keep the spray away from the face; d. Call 911 for emergency medical service (EMS); e. Identify yourself and give the person the address and location of the incident; f. Notify emergency contact for the injured person, if appropriate; and, g. Complete an incident report for any/all injuries, no matter if minor. 9. The Safety Officer, or designee, ensures that all offices, restrooms, and common areas have been evacuated. 10. Each facility has a designated area for all to gather to conduct a head count. 11. Under no circumstances does anyone reenter the building until approved by the fire department. 12. No one reenters the building until the Safety Officer, or designee, gives the all-clear signal after receiving same from Emergency personnel. 13. The Safety Officer, or designee, conducts an investigation and formulates recommendations for submission to the Executive Director. 14. The Safety Officer is responsible for required follow-up actions. 15. Training on fire procedures is conducted annually. 16. All training is recorded on the personnel record. 17. All fire equipment (fire extinguishers, smoke detectors, and fire alarm system) is tested no less than annually by external and internal inspections; testing of equipment is documented. 18. Fire extinguishers are checked monthly. F. Procedures in case of a Bomb Threat 1. Keep the caller on the line as long as possible. 2. Ask him/her to repeat the message. The caller is the best source of information about the bomb. 3. Attempt to record every word spoken by the caller. 4. While a staff person is listening to the caller, he/she should get the attention of another staff

of 9 person to call 911, notify the Executive Director, and initiate evacuation procedures. 5. The Safety Officer, or designee, will, unless otherwise directed by civil authority, immediately send everyone away from the building, lock the doors, leave, and notify the police. a. The Safety Officer, or designee, instructs all persons in the building to remain calm and evacuate the building through the nearest exit. b. All exits are marked. c. The Safety Officer, or designee, with the Regional Director, ensures that all offices, restrooms, and common areas are evacuated. d. All persons meet at the pre-determined outside designated area at their respective site to conduct a head count. i. Whenever a MULTI-COUNTY COUNSELING, INC. facility is evacuated because of a structural fire, internal hazardous event, or bomb threat, employees will instruct all persons leaving the building to gather on the opposite side of the parking lot well away from the building. e. Under no circumstances does anyone re-enter the building until approved by local police/fire department. 6. If the caller does not indicate the location of the bomb or the time of possible detonation, ask him/her for this information. 7. Inform the caller that the building is occupied and the detonation of a bomb could result in death or serious injury to many innocent people. 8. Pay particular attention to and document background noises, such as motors running, music playing, and any other noise which may give a clue as to the location of the caller. 9. Listen closely to the voice (male, female), voice quality (calm, excited), accents and speech impediments. 10. Remain available to answer questions of law enforcement personnel. G. Procedures to be followed in case of a Written Bomb Threat 1. When a written message is recognized as a bomb threat, all material including any envelope or container is saved. 2. The person receiving the threat notifies the Safety Officer or Executive Director. 3. The Safety Officer, or designee, immediately dials 911, identifies self, states the problem, and gives the address. 4. The Safety Officer, or designee, immediately instructs all persons in the building to remain calm and evacuate the building. 5. All persons use the nearest exit for evacuation. 6. All exits are marked. 7. All persons meet at the pre-determined outside designated area at their respective site to conduct a head count. a. Whenever a MULTI-COUNTY COUNSELING, INC. facility is evacuated because of a structural fire, internal hazardous event, or bomb threat, employees will instruct all persons leaving the building to gather on the opposite side of the parking lot well away from the building. 8. The Safety Officer, or designee, with management staff ensures that all offices, restrooms, and common areas have been evacuated. 9. Under no circumstances does anyone re-enter the building until approved by the police or fire department. H. Procedures followed in the event a Suspicious Package is received 1. Once a package has been recognized as suspicious, the person noticing the package immediately contacts the Safety Officer, or a designee. 2. The suspicious package is not approached or handled by anyone. 3. After observation, the Safety Officer, or designee, determines if a legal authority is notified. 4. If it is decided to notify a legal authority, the Safety Officer, or designee, immediately dials 911 and gives the address of the facility and location of the suspicious package. 5. The Safety Officer, or designee, immediately instructs all persons in the building to remain calm and evacuate the building.

of 9 a. All exits are marked. b. All persons meet at the pre-determined outside designated area at their respective site to conduct a head count. i. Whenever a MULTI-COUNTY COUNSELING, INC. facility is evacuated because of a structural fire, internal hazardous event, or bomb threat, employees will instruct all persons leaving the building to gather on the opposite side of the parking lot well away from the building. 6. The Safety Officer, or designee, with management staff ensures that all offices, restrooms, and common areas are evacuated. 7. Under no circumstances does anyone re-enter the building until approved by police or fire department. I. Procedures followed in case of Explosion 1. In the event that an explosion is experienced at any of the MULTI-COUNTY COUNSELING, INC. clinics, the Health and Safety Officer, designee, or first responding staff member will: a. Assess the safety of the area; b. Account for all persons involved; c. Assess the safety/medical needs of all persons involved; d. Notify of the appropriate professional emergency authorities by dialling 911 and giving the address of the facility, the number of people involved and the condition(s) of any people needing medical assistance; e. Render First Aid/CPR if needed (and if trained); f. If evacuation is possible, complete evacuation from the physical facility of all capable of being evacuated and wait for emergency responders to arrive; g. Do not use elevators, check for fire and other hazards, take your emergency supply kit, if available; h. If evacuation is not possible, monitor the safety/medical needs of all persons involved until professional emergency responders arrive; i. If you are trapped in debris, if possible, use a flashlight to signal your location to rescuers; avoid unnecessary movement so that you won’t kick up dust; cover your nose and mouth with anything you have on hand; (Dense-weave cotton material can act as a good filter. Try to breathe through the material); j. Tap on a pipe or wall so that rescuers can hear where you are; if possible, use a whistle to signal rescuers; shout only as a last resort. Note: Shouting can cause a person to inhale dangerous amounts of dust. k. Notify the Executive Director; and, l. Follow the exact instructions of the emergency responders.

J. Procedures to follow regarding Hazardous Materials 1. Cleaning supplies and/or other potentially hazardous materials are to be stored under lock and key in a locking cabinet. 2. An employee who becomes aware of any area contaminated by vomit, blood, or other bodily discharge promptly cleans and disinfects the area or immediately isolates the area and notifies the Safety Officer, or designee. 3. When cleaning a contaminated area, employees: a. Wear gloves; b. Are especially careful not to allow their skin to come in contact with blood or bodily fluids; c. Use either the ‘Spill Kit’ or detergents or soap and water with household bleach mixed one part bleach to ten parts water; d. Place all materials used for the cleaning in a plastic bag;

of 9 e. Wash hands thoroughly after the cleaning; and f. Report the incident to the Safety Officer, or designee, who arranges for the proper disposal of the bag of materials. 4. Employees who find what appear to be other hazardous materials, such as spilled bio- hazardous substances, notify the Safety Officer, or designee. 5. If the Safety Officer, or designee, agrees that the situation calls for special handling, 911 is called. 6. Employees attempting to deal with spills of significant amounts of copier toner, broken fluorescent tubes, fiberglass, or physically damaged non-flat-screen computer monitors use gloves and exercise special precaution so as not to inhale dangerous particles. 7. The gloves and any brooms or other items in contact with such particles during the clean-up are bagged and disposed of as hazardous waste in compliance with directives of the fire department or other local authority. 8. Bio-hazardous accidents anywhere on MULTI-COUNTY COUNSELING, INC. property are reported, investigated, and reviewed as Critical Incidents. K. Procedures followed in case of Natural Disasters 1. Lightning a. In the event of a lightning storm which appears to threaten the lives or health of persons within the facility, the Safety Officer, or designee, alerts personnel that dangerous conditions exist. b. All persons in the building remain inside the building until the lightning storm passes and it is safe to exit the building. c. All persons move away from doors, windows, radiators, stoves, sinks, pipes, electrical appliances, and metal objects. d. Personnel unplug electrical appliances. e. Telephones are not used unless absolutely necessary. f. In the event of lightning strike to a person, immediately call 911; notify personnel trained in Basic First Aid and CPR. g. The Safety Officer, or designee, issues the all clear signal. h. In the event the lightning storm causes a power failure, see Utility Failure below. 2. Storms and Hazardous Weather Conditions a. When weather forecasts indicate the possibility of snow, freezing precipitation, severe rainstorms, floods, or tornadoes, the Safety Officer and other managers present monitor broadcast television reports from local news stations. b. If the Safety Officer, or designee, concludes that weather conditions warrant closing, everyone is directed to leave and the building is closed. c. Persons are not directed to leave, however, while there are heavy electrical storms in the immediate area. d. If there is a tornado warning indicating that a MULTI-COUNTY COUNSELING, INC. service site is in the path of a tornado but that the tornado is not expected to arrive within fifteen minutes, the Safety Officer, or designee, sounds the alarm and, by means of the public address system if electricity is still on, directs all persons in the building to take shelter in the local community’s designated storm shelters and for them a list of the designated storm shelters in their area. Staff providing services at other sites identify and maintain awareness of suitable shelters away from the building. e. If the tornado warning indicates that a tornado is likely to reach a MULTI-COUNTY COUNSELING, INC. service site within fifteen minutes, staff direct all persons in the building to take shelter in the areas designated on the evacuation drawings, taking with them the readily available blankets, First Aid Kits, flashlights, and radios. f. All persons served proceed to the site’s designated internal shelter area. g. The Safety Officer, or designee, conducts a head count. h. The MULTI-COUNTY COUNSELING, INC. sites are equipped with an emergency kit with flashlights and a portable ac/dc radio. i. The Safety Officer, or designee, is responsible for retrieving this emergency kit.

of 9 j. The radio is turned to a local station to await the all clear signal. k. Tornado drills are practiced at least once annually to assure compliance with this procedure. 3. Snow a. In the event that a snow emergency is declared, the Executive Director determines if MULTI-COUNTY COUNSELING, INC. facilities will open and will contact the Regional Directors by 7:30 a.m. who will in turn contact line staff. b. In the event a snow emergency develops during the work day, the Executive Director determines if MULTI-COUNTY COUNSELING, INC. facilities will close and issue directives to Regional Directors and/or issue electronic notification. c. Regional Directors will notify personnel in the field, via cell phone/pager, with instructions. 4. Flood d. In the event that a flood emergency is declared, the Executive Director determines if MULTI-COUNTY COUNSELING, INC. facilities will open and will contact the Regional Directors by 7:30 a.m. who will in turn contact line staff. e. In the event a flood emergency develops during the work day, the Executive Director determines if MULTI-COUNTY COUNSELING, INC. facilities will close and issue directives to Regional Directors and/or issue electronic notification. f. Regional Directors will notify personnel in the field, via cell phone/pager, with instructions. L. Procedures to follow in case of Utility Failures 1. Power or lighting failure a. In the event of a power or lighting failure, the Safety Officer, or designee, and/or staff use flashlights located in designated areas. b. If, at any time during the normal operating hours of a MULTI-COUNTY COUNSELING, INC. facility, a power failure lasts for more than a few seconds: i. Staff members escort clients and visitors to front waiting areas pending further determination about closing or waiting for restoration of the power. ii. The Safety Officer, or designee, calls the respective Utility company to make certain the Utility company knows MULTI-COUNTY COUNSELING, INC. has lost power and attempts to find out how soon the Utility company estimates power will be restored. iii. Employees discourage persons from leaving the building until the Safety Officer, or designee, checks for the possibility of downed power lines. iv. If the loss of power seems only to be at the MULTI-COUNTY COUNSELING, INC. facility, the Safety Officer, or designee, advises the Utility company of MULTI- COUNTY COUNSELING, INC.’s concern for the safety of the persons on premises and asks the Utility company to send someone to determine whether it is safe for people to leave the building. v. If the Utility company cannot promptly be reached, the Safety Officer, or designee, contacts the local fire department about the concern. c. Staff members turn off all computers and battery back-ups; d. If there does not appear to be a safety issue, staff members observe the following guidelines to determine whether to remain on duty or close the facility: i. If the Utility company has indicated power should be restored within a short time, staff members tell clients that services may be able to resume shortly and ask clients to remain in the waiting area until at least 20 minutes before the end time of whatever session they were in; ii. If it is not yet noon, if an ice-storm is not in progress, and if the Utility company has not indicated power will probably be off for the rest of the day, staff remain on duty and take turns managing the office; iii. If the outage occurs during the afternoon, daytime office staff remain on duty until their normal quitting time and evening office staff remain on duty until time for evening groups to begin, at which time they remain on duty as usual if the power is on or may leave if the power is still off;

of 9 iv. If the outage occurs during evening hours, staff escorts all clients and visitors out of the building and closes the building. e. In all cases, staff remains until all clients and visitors have left the premises. f. Staff observes the usual evening safety precautions so that no one staff person is left in the building alone. g. If appropriate, the Safety Officer conducts an investigation, contacts an electrician, the Utility company or building landlord if the site is not MULTI-COUNTY COUNSELING, INC.’s property to have the problem corrected. i. The Safety Officer, or designee, completes a critical incident report and follows up with recommendations and findings to present to the Executive Director. 2. Gas failure or interruption a. The Safety Officer and/or maintenance staff checks the nature and cause of any gas failure and reports the interruption in service to Oklahoma Natural Gas, OG&E, and/or Centerpoint Energy as appropriate. b. If the interruption can be repaired without the removal of persons, the repair is made and personnel, consumers and visitors remain in the building. c. In the event someone smells gas, they are to notify the Safety Officer, or designee. d. The person notified immediately investigates the smell. e. If the smell of gas is confirmed, the Safety Officer, or designee, immediately calls the OG&E gas leak emergency hotline at 800-947-5000, ONG (1-800-458-4251 or 1-800-664- 54630), or Centerpoint Energy 1-866-275-5265 as appropriate, to report the situation. f. If the smell of gas is very strong, the Safety Officer, or designee, immediately evacuates the building until the all clear signal is given by the Fire Department and/or ONG, OG&E, or Centerpoint Energy. g. The Safety Officer, or designee, immediately instructs all persons in the building to remain calm and evacuate the building. h. All exits are marked. i. All persons meet at the pre-determined outside designated area at their respective site to conduct a head count. i. Whenever a MULTI-COUNTY COUNSELING, INC. facility is evacuated because of a structural fire, internal hazardous event, or bomb threat, employees will instruct all persons leaving the building to gather on the opposite side of the parking lot well away from the building. j. The Safety Officer, or designee, with management staff ensures that all offices, restrooms, and common areas are evacuated. 3. Water systems interruption a. In the event of water interruption, the Safety Officer and/or maintenance staff checks all of the water flow equipment for the cause of the problem. b. If a repair is needed and cannot be taken care of within the hour of the investigation, the Executive Director determines if staff and consumer relocation to another site is necessary until repairs are completed. 4. Air Conditioning/Heating a. In the event of Air Conditioning/Heating interruption, the Safety Officer and/or maintenance staff checks all of the air conditioning filters, thermostats, and air intakes (to ensure the intake is not blocked) for the cause of the problem. b. If a repair is needed and cannot be taken care of within the hour of the investigation, the Executive Director determines if staff and consumer relocation to another site is necessary until repairs are completed. M. Procedures followed in case of Medical Emergencies 1. May include injuries and illness involving personnel, visitors, and persons served. 2. Regardless of the nature of the medical emergency, prompt intervention by trained staff can save lives and prevent suffering. 3. Staff persons are only to provide medical services that are consistent with their level of training.

of 9 4. Under no circumstance is an untrained person to administer first aid or any medical procedures. 5. Staff persons assisting the person with the medical emergency are to remain calm and speak succinctly to ensure that all facts are clearly articulated. 6. In case of a medical emergency for which basic first aid or cardiopulmonary resuscitation (CPR) seems appropriate, staff trained to administer basic first aid or CPR may do so. 7. First aid and/or CPR treatment is continued as needed until arrival of emergency medical personnel. 8. For anything other than a minor injury for which first aid is normally sufficient, staff members do not delay calling 911 to request emergency medical assistance. 9. Make the individual with the emergency as comfortable as possible until emergency personnel arrive. 10. If necessary, staff will accompany the person to the emergency facility. 11. Contact with family and/or legal guardian is made, if appropriate (see Item 12 below). 12. If a medical emergency occurs, the Executive Director or Safety Officer, or designee on the premises, is contacted immediately and individual(s) listed by the injured person for notice of medical emergency are notified as soon as possible. 13. The Safety Officer, or designee, completes a critical incident report and follows up with recommendations and findings to present to the Executive Director. N. Procedures followed in case of External Threatening Event 1. If word is received that an explosion, grass fire or other hazardous external event is threatening the work site, the Health and Safety Officer, or designee, sends everyone away from the building, locks the doors, and leaves. 2. If a civil authority directs the Safety Officer, or designee, to do otherwise, the Safety Officer, or designee, follows the directions of the civil authority. 3. The Safety Officer, or designee, completes a critical incident report and follows up with recommendations and findings to present to the Executive Director. O. Threatening/Violent or Inebriated Persons 1. If a staff member thinks a client or visitor or another staff person may have a potential for engaging in threatening or violent behavior, that staff member alerts another staff person to take notice of the situation and be prepared to summon help. 2. If the person of concern is in an office or other closed area with a staff person, that staff person calmly tries to open the door and keep it open. 3. If a staff person calls another staff person and asks for the RED FOLDER, the staff person receiving the request regards the request as meaning help is needed. 4. If threatening behavior persists, the staff member immediately: a. Attempts to usher other persons who are in the area out of the area; b. Attempts to retreat into a locked area; c. Calls 911; and, d. If possible without endangerment to anyone, makes a public address announcement that police have been called and that all persons in the building are to lock themselves in offices until the police arrive. 5. If any client or visitor, although not engaging in threatening behavior, appears to be inebriated, the staff person attempts to help the individual obtain transportation to leave. 6. MULTI-COUNTY COUNSELING, INC. employees are prohibited from providing such transportation themselves. 7. If the individual insists on leaving in control of a vehicle or walking away without assistance, the staff person advises the individual that the police must be called and, if the individual persists in leaving without assistance, calls the police.