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Florida State Hospital State of Florida Operating Procedure Department of No

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Florida State Hospital State of Florida Operating Procedure Department of No FLORIDA STATE HOSPITAL STATE OF FLORIDA OPERATING PROCEDURE DEPARTMENT OF NO. 70-6 CHILDREN AND FAMILIES CHATTAHOOCHEE, May 3, 2017 Facilities Acquisition and Management EMERGENCY OPERATION PLAN (Continuity of Operations Plan) 1. Purpose: To assign specific responsibilities to Florida State Hospital Staff for coordinating the delivery of emergency health welfare and special services to Florida State Hospital in the event of a disaster or sentinel event. 2. References: a. Florida State Hospital Operating Procedure 10-9, Workplace Violence Awareness and Prevention b. Florida State Hospital Operating Procedure 150-1, Emergency Medical Procedures c. Florida State Hospital Operating Procedure 155-4, Elopement/Escape of Residents d. Florida State Hospital Guideline, Canine Use by Security at Florida State Hospital 3. Responsibilities: a. Hospital Administrator: Activation, coordination and termination of the Emergency Operation Plan, which is defined as the “Continuity of Operations Plan” as approved by the Department of Children and Families, in the delivery of Florida State Hospital’s emergency services within Florida State Hospital. b. Emergency Preparedness Committee: (1) Responsible for review, accuracy and familiarity of the Florida State Hospital’s “Continuity of Operations Plan” (Attachment); plan necessary disaster exercises (internal and external) in accordance with accreditation requirements and other applicable authorities as outlined in the Continuity of Operation Plan; determine applicable agencies and organizations to be involved in planning; and develop a system to maintain an updated emergency plan; distribution of the plan, and staff assignments (Note Annex 1 of Attachment, Membership of the Emergency Preparedness Committee). (2) Emergency Preparedness Committee will meet quarterly or as needed to review and update the Florida State Hospital Continuity of Operation Plan and ensure that the rosters of Key Personnel (see Annex 2 of Attachment) are current. c. Fire Department: Responsible for conducting all emergency drills for Fires, Hazardous Materials, Hurricanes, and Tornadoes annually for each Shift and Department, and maintaining all documentation of drills, attendance, and opportunities for improvement. This Operating Procedure supersedes: Operating Procedure 70-6 dated May 27, 2016 OFFICE OF PRIMARY RESPONSIBILITY: Emergency Services DISTRIBUTION: See Training Requirements Matrix May3,2017 FSHOP70-6 d. Security Department: Responsible for conducting all emergency drills for Threatening Situations, Bomb Threats, Hostile Intruder, and Elopement/Escape annually for each Shift and Department, and maintaining all documentation of drills, attendance, and opportunities for improvement. e. Assistant Hospital Administrator of Operations/Clinical Director: Responsible for conducting all emergency drills for Medical Emergencies for each Shift and Department, and maintaining all documentation of drills, attendance, opportunities for improvement, see Florida State Hospital Operating Procedure 150-1 Emergency Medical Procedures. f. Operations and Facilities: Responsible for conducting all testing and operation of utilities during an emergency operation for the Florida State Hospital, and maintaining documentation of testing. g. Unit Directors/Department Heads: Responsible for developing an Emergency/Disaster Plan specific to their Unit or Department, updating the plan annually and submitting a copy to the Fire Department. 4. Procedures: a. Concept: In the event of a natural disaster, adequate warning is usually available and steps for increasing readiness can generally be carried out as provided for in the Florida Emergency Operations Plan or the Hurricane Warning Services. In the event of a man-made disaster such as train derailment, nuclear detonation or accident, commercial aircraft accident, etc., little or no warning is likely to be available. In this situation, increased readiness must be achieved as rapidly as possible. b. Emergency Notification procedures: in the event of a Fire, Hazardous Materials incident, Medical Emergency, Bomb Threat, Natural Disaster (hurricane or tornado), Utility Failure and Violent or Threatening Situations; The Emergency Operations Center (EOC) is to be notified. (1) The EOC’s number is Extension #7911 (2) When reporting an emergency incident, provide the following information: (a) Name and Position (b) Specific location of incident (c) Call back telephone number (d) The nature of the emergency (e) Any other pertinent information c. Lock down Procedure: A Lock Down is a procedure used when there is a threat to the facility and/or building occupants. This procedure prohibits unauthorized personnel into a building and accounts for all individuals that exit a building. All exterior doors are locked and the main entrance is monitored by authorized staff. This procedure allows the occupants of a building to continue as normal, but curtails outside activity. A Lock down is most commonly used when a threat or an incident is occurring outside a building. Procedures: (1) Lock all exterior doors and stay inside. (2) Prevent entry into the building by unauthorized personnel. 2 May3,2017 FSHOP70-6 (3) Continue with daily activity inside; be aware of your surroundings. (4) Be vigilant and immediately report any suspicious activity to the EOC at 7911. (5) Do not exit the building until authorized to do so by the Hospital Administrator or designee. d. Units will have specific emergency procedures for residents with specific needs and are identified in the Unit’s Disaster/Evacuation plan. e. In the event of needing to notify all units or departments of an emergency incident, notification will be made in accordance with the type of emergency as listed below. f. At the completion of an emergency that requires staff, residents and visitors to relocate or evacuate, the EOC will notify that the emergency is over and it is safe to return to your Unit or Department. 5. Fire/Hazardous Materials: a. Remain as calm as possible and proceed with the following procedures: (1) ALL fires/hazardous materials must be reported to the Fire Department. Even though a fire may have been extinguished, it must still be reported. Supervisors are responsible for reporting all Fires and Hazard Materials incidents to the Florida State Hospital EOC, and appropriate Unit/Department Administration, in that order. (2) If a fire alarm sounds in your building, call the EOC at Extension #7911 and report the alarm, institute an immediate search to determine whether there is a fire. Do Not Attempt to Silence the Alarm. The Fire Department must investigate and silence the alarm. (3) If a fire/hazardous materials are discovered, immediately pull the building alarm and call the Fire Department at Extension #7911 to report. Evacuate the residents from the area of the hazardous material. If it is a small fire, evacuate the area and/or building. (4) Do not delay the evacuation of residents or staff to fight a fire. (5) Do not “hunt” for a fire/hazard material if you see smoke. If you see smoke, pull the building alarm, call Extension #7911, and evacuate the area of residents and staff. (6) When the fire/hazardous has been extinguished and the building is safe for the occupants to return, notification will be given by the EOC and verbally to the supervisors of the affected areas. ALWAYS USE STAIRS WHEN EVACUATING. NEVER USE ELEVATORS. 6. Threatening Situations: a. In an event of a Threatening Situation, the Hospital Administrator or designee will notify Hospital personnel by e-mail to all hospital email users. If the situation warrants, the Hospital Administrator or designee may call for a facility lock down. Only the Hospital Administrator or designee can cancel a facility lock down. When the incident is over and determined that no threat exists, notification will be given by e-mail to all hospital email users. 3 May3,2017 FSHOP70-6 b. In the event personnel are made aware of a threatening situation, they are to notify the Florida State EOC immediately at Extension #7911 and provide the following information: (1) Name and Position (2) Specific location of incident (3) Call back telephone number (4) The nature of the emergency (5) Any other pertinent information as requested by dispatcher on duty c. Relocate staff, residents and visitors to safe area, evacuate to an adjacent location if necessary. Upon relocation, account for all residents, staff and visitors. d. In the event of an incident of Workplace Violence, refer to Florida State Hospital Operating Procedure 10-9, Workplace Violence Awareness and Prevention for procedures. 7. Hostile Intruder: a. In an event of a Hostile Intruder, the Security Department will notify Hospital personnel by radio and an e-mail to all hospital email users, and as needed, by telephone to supervisory staff. When the incident is over and determined that no threat exists, notification will be given by radio and e-mail to all hospital email users, and by telephone to supervisory staff. b. When personnel are aware of a hostile person(s) actively causing deadly harm or the imminent threat of deadly harm within Florida State Hospital, the following action is recommended. (1) Lock yourself in the room you are in at the time of the threatening activity. (2) If communication is available, call Security at the EOC - #7911. (3) Do not stay in an open area. (4) Do not sound the fire alarm. A fire alarm would signal the occupants in the rooms to evacuate the building and thus place them in potential harm as they attempted to exit. (5) Barricade yourself in the room with furniture or anything you can push against the door. (6) Lock the window and close blinds or curtains. (7) Stay away from the windows. (8) Turn all lights and audio equipment off. (9) Try to stay calm and be as quiet as possible. (10) If for some reason you are caught in an open area such as a hallway or lounge type area, you must decide what action to take. (a) You can try to hide, but make sure it is a well hidden space or you may be found as the intruder moves through the building looking for victims. 4 May3,2017 FSHOP70-6 (b) If you think you can safely make it out of the building by running, then do so.
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