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Emergency Codes

Patient, visitor and staff safety is a top priority. Niagara Health is prepared to manage all types of emergency situations. The Emergency Management Committee oversees our Colour Code program to ensure appropriate and timely response to events.

What are Emergency Codes?

An emergency code is a notification of an event that requires immediate action. Niagara Health utilizes colour codes as supported by the Ontario Hospital Association. Staff, physicians and volunteers understand what each code refers to and are aware of how to respond to provide a safe environment.

During your time at Niagara Health, you may hear overhead announcements or see staff responding to a code event. During any event, it is important to try to remain calm and follow all instructions provided by staff.

See the listings below for a description of our emergency codes and general instructions.

Urgent and Clinical Codes

Amber - Infant/Child Abduction

Niagara Health is responsible for the safety of its patients/ residents and will activate a Code Amber search procedure when an Infant or Child is declared missing and/or abducted by a non-authorized person.

How to respond:

  1. Try to remain calm
  2. Do not enter the affected area
  3. If able to do, stay with your family/support network
  4. Await direction from hospital staff
  5. Provide any information you may have to security if requested

Aqua - Flood/Water Damage

A Code Aqua refers to the plans and procedures used to protect Niagara Health patients, visitors, families, staff, physicians, volunteers and property from a flood involving water.

How to respond:

  1. Try to remain calm
  2. Do not enter the affected area
  3. If within the affected area, stay with your family/support network
  4. Await direction from hospital staff

Beige - IT Failure

In the event there is a failure or loss of Information Technologies (Computers, Phones, Wi-Fi, Cellular Network etc.) that constitute a health or safety risk to patients, visitors, staff, physicians and volunteers, a Code Beige will be announced.

How to respond:

  1. Try to remain calm
  2. Report any outages or service disruptions to a staff member
  3. If able to do, stay with your family/support network
  4. Await direction from hospital staff

Black - Bomb Threat/Suspicious Object, Vehicle or Substance

Our Code Black policy informs staff of appropriate actions to be taken during a bomb threat or suspicious package emergency in order to minimize damage and disruption to patients, visitors, families, staff, physicians, volunteers and property. Niagara Health works collaboratively with the Niagara Regional Police Service in the management of a Code Black emergency.

How to respond:

  1. Listen to ensure that this is not a drill or exercise
  2. Try to remain calm
  3. Await direction from hospital staff
  4. If you identify a suspicious object/package, alert a staff member. DO NOT touch the package. Report the object/package to a staff member

Blue - Adult Cardiac Arrest

Code Blue will be called in the event of impending/actual respiratory and/or cardiac arrest in patients 18 years of age and over.

How to respond:

  1. Try to remain calm
  2. Alert a staff member
  3. Await direction from hospital staff

Brown - Hazardous Spill

A Code Brown refers to the plans and procedures used to protect Niagara Health patients, visitors, families, staff, physicians, volunteers and property from hazardous or potentially hazardous chemical/biological spills.

How to respond:

  1. Try to remain calm
  2. Do not enter the affected area
  3. If within the affected area, stay with your family/support network
  4. Await direction from hospital staff

CBRNE - Hazardous Materials

The goal of a Code Orange is to enable Niagara Health to receive and treat a sudden influx of patients who also happen to be contaminated or exposed to harmful Chemicals, Biologicals, Nuclear, Radiological, or Explosive materials, while continuing to provide patient care and information management. A Family Information Support Centre may be activated to act as a central location to receive essential information for family members and the community.

How to respond:

  1. Try to remain calm
  2. Do not enter the affected area
  3. If able to do, stay with your family/support network
  4. Await direction from hospital staff

Green - Evacuation

In the event of a hospital evacuation, a Code Green is used to make decisions that focus on the safety for all. This includes whether it is safest to move to another unit or to the outside in the event of an emergency.

How to respond:

  1. Try to remain calm
  2. Do not enter any affected area(s)
  3. If directed to relocate by a staff member, proceed to the designated waiting area. Follow a single file line. Leave all belongings behind

Grey - Failure (Utility, Elevator, Gas, Stroke CT), Gas Leak or Air Exclusion

In the event there is an infrastructure system(s) failure or loss, or the implementation of intervention measures that constitute a health or safety risk to patients, visitors, staff, physicians and volunteers, a Code Grey will be announced.

How to respond:

  1. Try to remain calm
  2. Report any outages or service disruptions to a staff member
  3. Do not open any windows and limit your movement throughout the facility
  4. If able to do so, stay with your family/support network
  5. Await direction from hospital staff

Maroon - Severe Weather

Our Code Maroon process provides the appropriate actions to be taken during a weather event affecting services at Niagara Health in order to minimize damage and disruption to patients, visitors, families, staff, physicians, volunteers and property. Niagara Health works collaboratively with the Municipal, Regions, Provincial and Federal groups to manage a Severe Weather event.

How to respond:

  1. Try to remain calm
  2. Do not enter any affected area(s)
  3. If directed to relocate by a staff member, proceed to the designated waiting area

OB - Obstetrical Emergency

Code OB will be called in the event of a pre-born baby and mother requiring rapid intervention.

How to respond:

  1. Try to remain calm
  2. Do not enter the affected area
  3. If able to do, stay with your family/support network

OMEGA - Massive Transfusion

Code OMEGA will be called in the event that a patient in our care requires an urgent and rapid infusion of blood products.

How to respond:

  1. Try to remain calm
  2. Do not enter the affected area
  3. If able to do, stay with your family/support network

ONE - Medical Emergency

Code One will be called in the event of an injury medical event or injury  requiring immediate assistance.

How to respond:

  1. Try to remain calm
  2. Do not enter the affected area
  3. If able to do, stay with your family/support network

Orange - Mass Casualty

The goal of a Code Orange is to enable Niagara Health to receive and treat a sudden influx of patients and while continuing to provide patient care and information management. A Family Information Support Centre may be activated to act as a central location to receive essential information for family members and the community

How to respond:

  1. Try to remain calm
  2. Do not enter any affected area(s)
  3. If able to do, stay with your family/support network
  4. Await direction from hospital staff

Pink - Pediatric/Neonatal Emergency

Code Pink will be called in the event of impending/actual respiratory and/or cardiac arrest in patients 17 years of age or under.

How to respond:

  1. Try to remain calm
  2. Alert a staff member
  3. Await direction from hospital staff

Purple - Hostage

The purpose of Code Purple is to provide a guideline to persons involved in an actual or potential hostage situation or involved with a person who has a weapon so that they may respond appropriately.

How to respond:

  1. Try to remain calm
  2. Do not enter the affected area
  3. If within the affected area, stay with your family/support network
  4. Await direction from hospital staff or emergency services

Red - Fire

Code Red procedures have been developed with local fire departments to mitigate the risks associated with fire at Niagara Health.

How to respond:

  1. Try to remain calm
  2. Do not enter the affected area
  3. Await direction from hospital staff or emergency services
  4. If directed to do so, leave the building by the nearest exist
  5. Close doors behind you
  6. Caution: Do not use elevators. If you encounter smoke, use an alternative exit

Silver - Person with a Weapon

Niagara Health is committed to providing a safe environment for all people within its facilities. A Code Silver outlines the response taken to manage an active attacker or person with a weapon.

How to respond:

  1. Try to remain calm
  2. Do not enter the affected area
  3. If in the affected area:
    1. Run – Evacuate the area if safe to do so
    2. Hide – Seek cover and concealment if unable to run
    3. Fight – As a last resort, do whatever it takes to maintain your safety against the attacker.
  4. Await direction from hospital staff or law enforcement

White - Violent Person

A Code White refers to plans and procedures that manage violent or potentially violent patients who are unmanageable by any other means and present a danger to self or to others.

How to respond:

  1. Try to remain calm
  2. Do not enter the affected area
  3. If within the affected area, stay with your family/support network

Yellow - Missing Person

Niagara Health is responsible for the safety of its patients/ residents and will activate a Code Yellow search procedure when a person is declared missing (unauthorized absence from the unit/hospital). This may be used to address missing staff, volunteers, visitors or contractors if required.

How to respond:

  1. Try to remain calm
  2. Do not enter the affected area
  3. If able to do, stay with your family/support network
  4. Await direction from hospital staff
  5. Provide any information you may have to security if requested

Personal Preparedness

Emergency preparedness starts with everyone. Niagara Health encourages our patients, families and community to get involved in emergency preparedness by taking actions to become more prepared wherever you live, work and visit.

Consider the following steps:

Know the Risks

Understand what risks are most relevant to you and your support network.

Make a Plan

Consider how you would evacuate, communicate with your support network and plan for any medical or disability needs during an emergency.

Prepare a Kit

Prepare a kit that should have essential items that you need to be safe and take care of yourself/your network (including pets) for at least three days following an emergency.

Stay Informed

Tune into local news and emergency notification applications to stay up-to-date on important information.

Stay in Touch

For more information on Emergency Preparedness at Niagara Health,
contact EmergencyPreparedness@NiagaraHealth.on.ca

Niagara Health