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EVACUATION PLAN 
The probability (however small it may be) of severe damage occurring to Jefferson Regional Medical Center or one of its facilities through a disaster is real.  The possibility that a partial or full evacuation of the Hospital or a facility will occur is also real. The following information is intended to serve as a general guideline.


SECTION 2:  PURPOSE

To re-establish a safe & secure environment for all patients, visitors and staff once the original environment has failed. 


SECTION 3:  PROCEDURE

EVACUATION PHASES:

A.  Phase 1 =  Partial or full departmental / floor evacuation.

1.  Authorization: Floor Supervisor or higher level.

2.  Location to:  Within the Facility away from the source of danger . 
“Beyond the smoke doors.”

B.  Phase 2 =  Partial or full Facility evacuation to a parking lot.

1.  Authorization: Administrator on Duty.





              POLICY: Annex E
Section 1


JEFFERSON MEMORIAL HOSPITAL
POLICY/PROCEDURE

SUBJECT:  EVACUATION  PLAN

DISTRIBUTION:  All Departments
______________________________________________________________________________
SECTION 3:  PROCEDURE (CONTINUED)

2.  Location to: Parking lot away from the source of danger.

2a. Horizontal-first response; patient movement occurs horizontally to    
                                   one side of a set of fire barrier doors.

2b. Vertical-movement of patients to a safe area on another floor or   
            outside the building.

Ø This type of evacuation is more difficult due to stairways which will require carrying of non-ambulatory patients; elevators cannot be used.


C.  Phase 3 = Full evacuation of the Facility to a Alternate site.

1.  Authorization:  Administrator on Duty.

2.  Location to: (Crystal Oaks Complex) to Hospital,
                                        (Hospital) to Alternate Site 1 or Alternate Site 2
   
3.  Site Preparation:   Facilities Management, Housekeeping, Patient Care 
Services, Safety & Security.

4.  Patient Transportation:   Patient Care Services, Ambulance Service, Transportation.

5.  Materials Logistics:   Materials Management, Facilities Management, Central 
Supply, Pharmacy.

6.  Communications: Telecommunications, Admitting, Security.     

7.  Sanitation removal:   Housekeeping.

8.   Personnel Pool:   Human Resources. 




EVACUATION OF PERSON(S):   

General Instructions

A.  Patients.

1.  All patients should be moved from the evacuation site as soon as possible while   
             maintaining the highest degree of safety for the patients and employees.

2.  Use nearest or safest appropriate exit.  Sequence of evacuation should be:
a.  Patients in immediate danger
b.  Ambulatory patients
c.  Semi-ambulatory patients
d.  Non-ambulatory patients
   
3.  Use of wheelchairs, carts, stretchers or other items in the transportation of patients:

a.  Ensure that a patient actually needs the item as they will be in great demand.
b.  Use the center of the hallway to avoid collisions.
c.  Pull wheelchairs and carts through doors, rather than push blindly. 
d.  Do not run with the carts or wheelchairs. (quick movements create panic) 
e.  Don't be a hero, get help in moving semi-ambulatory or  bedridden patients; with the help of a partner use the swing carry or the side assist hold. 

4.  An accounting of all patients shall be completed by the Nursing Shift Supervisor or designee to ensure that all patients have been evacuated. 

5.  Critical care patients should (if possible and applicable)  be transferred to another
               Care Facility if said facility is willing and able to receive patients. 

B.  Visitors

1.  Calmly & quietly ask all visitors to leave the evacuation area as needed. Show them the nearest safe exit. Ensure person(s) with disabilities are assisted directly.

2.  Accept help from those who are willing and ABLE.

3.  Have visitors assist our employees.  Do not leave them on their own.

C.     Employees.

1.  Each employee will be assigned a task or duty related to the evacuation plan by your supervisor. 

2.  Contact your supervisor for an assignment or re-assignment to another area.

3.  Employees should / will not be placed into a known hazardous / dangerous situation. 

4.  Each department head or designee will be responsible for accounting for their personnel.


EVACUATION  LOCATIONS
 
A.  Parking Lot.

1.  The parking area to the south side and rear of the Facility (if applicable ) should be utilized for the patients as it provides for the patients confidentiality.   

2.  Patients should be kept as comfortable as possible and should be shielded from all 
      extreme weather conditions. 

3.  Patients from the same floor / area should be kept together for better accountability. 
      (see attached map of floor / area  patient locations).
 

B.  Alternate Site Locations.

1.  All secondary locations will be designated by the Administrator on Call and only when the Facility is no longer habitable.  

· Remember, this policy is a general guideline and should be considered very flexible to allow      
      for unusual situations that will occur during any evacuation.