Ref: NAVHOSPBFTINST

3440.1P

BHC MCRD (DENTAL) Parris Island

670 Boulevard de France
Parris Island, SC 29905

Effective Date:
Reviewed Date:

Periodontics Emergency Action Plan (EAP)

NAVAL HOSPITAL BEAUFORT

EMERGENCY MANAGEMENT

LOCATION/GREEN
BINDER #:
EAP COORDINATOR:

Perio Dept.

PHONE:

(843) 228-4438

Josue O. Torres Guash

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Principle
In accordance with reference NAVHOSPBFTINST 3440.1P series, plans and
information specific to Naval Hospital Beaufort and Branch Health Clinics are
established to educate personnel prior to an emergency. The Emergency
Action Plan (EAP) is site specific and designed to be user-friendly, to help
hospital staff prepare, plan and respond quickly to an emergency or disaster.
Response Codes
CODE

PURPOSE

Code Blue

CARDIAC OR RESPIRATORY ARREST

Activated to get staff/equipment to the location of a cardiopulmonary arrest.
Hospital Contact Quarterdeck.* Dial 44 and indicate child or adult.
Dial 911.

Code Red

FIRE
Activated when there is a real or suspected fire.
Hospital Contact Quarterdeck.* Dial 44 or 9-911;
Dial 911.

Code Pink

INFANT/CHILD ABDUCTION
Activated when someone is attempting to abduct an infant or child.
Hospital Contact Quarterdeck.* Dial 44
Dial 911.

Code Silver

LOST CHILD/ADULT
Activated when someone becomes lost.
Hospital Contact Quarterdeck.* Dial 44
Dial 911.

Code Black

BOMB THREAT
Activated for bomb threat or suspicious package.
Hospital Contact Quarterdeck.* Dial 44 or Dial 9-911
Dial 911.

Code Gray

DISASTER
Activated for mass casualty disaster.
Hospital Contact Quarterdeck.* Dial 44 or Dial 9-911
Dial 911.

Code Orange

HAZMAT SPILL/RELEASE
Activated for hazardous material spill/release.
Hospital Contact Quarterdeck.* Dial 44 or Dial 9-911
Dial 911.

Code White

ARMED INTRUDER/ACTIVE SHOOTER

Activated for an armed intruder or active shooter.
Hospital Contact Quarterdeck.* Dial 44 or Dial 9-911
Dial 911.

Code Yellow

UTILITY SYSTEMS FAILURE

Activated when utilities fail.
Hospital Contact Quarterdeck.* Dial 44

Branch Clinics

Branch Clinics

Branch Clinics

Branch Clinics

Branch Clinics

Branch Clinics

Branch Clinics

Branch Clinics

Branch Clinics

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Contact
Facilities

Code Green

COMBATIVE PERSON
Activated in response to a combative person.
Hospital Contact Quarterdeck.* Dial 44 or Dial 9-911
911.

Branch Clinics Dial

CODE BLUE
CARDIAC OR RESPIRATORY ARREST
Activate to get staff/equipment to the location of a cardiopulmonary
arrest

Immediate Action
1. Call the Front Desk at 3500. Call (843) 228-3500 from a cell phone.
2. Report the nature and location of the medical emergency and a general
description of the person involved.
3. Render first aid if trained to do so.
4. Keep the patient calm and comfortable until help arrives.
5. Inform supervisor or chain of command.
6. Clear personnel not directly involved from the area.
7. Upon arrival of EMS, direct them to the ailing person.

Procedures for Medical Personnel Authorized to Treat

Patients
1.
2.
3.
4.

Assess the Patient checking the Pulse, respiration and if is Alert.

Tell someone to bring the AED Located on the front Desk.
Position the Patient.
Start chest compressions delivered at a rate of at least 100
compressions per minute.

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5. Deliver two breaths of air after every 30 compression.

6. When AED arrives, check for puddles or water near the person.
7. Turn on the AED and follow the instructions it gives.
8. Expose the person's chest and attach the sensors.
9. Press the AED's "analyze" button.
10.
Deliver a shock when the machine instructs you to.
11.
Resume CPR after the shock has been delivered for 2 minutes.
12.
Repeat the process until help arrives or pulse return.

CODE RED
FIRE
Activated when there is a real or suspected fire

Immediate Action
1.
2.
3.
4.
5.

When you detect a fire, activate the nearest fire alarm.

Pass the word to coworkers.
Dial 911 so that emergency responders can be notified.
Report the location of the fire emergency and the source, if known.
Remember the word RACE
R
Relocate Personnel
A
Alert pull fire Alarm to Alert everyone
C
Confine the fire and smoke
E
Extinguish/Evacuate based on size of fire and risk to staff, patients
and visitors
6. To use the fire extinguisher, remember the word PASS
P
Pull pin out of handle
A
Aim nozzle at base of fire
S
Squeeze handle to active extinguisher
S
Sweep nozzle back and forth aiming at base of fire
7. Inform supervisor or chain of command.

Procedures for Accounting for Patients/Staff/Visitors

1.

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Procedures for Communicating All Clear

1.

CODE PINK
Infant/Child Abduction
Activated when someone is attempting to abduct an infant or child

Immediate Action
Reporting an Infant/Child Abduction
1. Immediately call the Front Desk at 3500. Call (843) 228-3500 from a cell
phone. Provide the location where the child was last seen and a description
of the child.
2. Stay with the person reporting the missing child and remain in the area
the child was last seen.
3. The Front Desk will announce a Code Pink for the missing infant/child via
the 1MC.
4. Provide the responding personnel with the relevant supporting
information (e.g., the childs description, the abductors description (if
known), the location or unit where the child was last seen, etc.)
Responding to an Infant/Child Abduction
1. When Code Pink is announced over the 1MC, Secure your Area. Do not
allow non-staff personnel to enter or leave your area until all clear from Code
Pink.
Note: DO NOT be confrontational with suspects or do anything that may
endanger the child, staff or others in the area.
2. Search your area. Perform a thorough search for the missing child in your
department.

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3. Report search results to a supervisor or the chain of command.

4. If the missing child is located, contact the Front Desk and await further
instructions from supervisory personnel.

CODE SILVER
LOST CHILD/ADULT
Activated when someone becomes lost

Immediate Action
Reporting a Lost Child/Adult
1. Call the Front Desk at 3500. Call (843) 228-3500 from a cell phone.
Provide the location where the child or adult was last seen and a description
of missing person.
2. Stay with the person reporting the missing child/adult and remain in the
area the child/adult was last seen.
3. The Front Desk will announce a Code Silver for the missing child/adult
via the 1MC.
4. Provide the responding personnel with the relevant supporting
information (e.g., the child/adult description, the location or unit where the
child/adult was last seen, etc.)
Responding to a Lost Child/Adult
1. When Code Silver is announced over the 1MC, secure your area. Do not
allow non-staff personnel to enter or leave your area until the Code Silver is
secured.
Note: DO NOT be confrontational or do anything that may endanger the

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child/adult, staff or others in the area.

2. Search your area. Perform a thorough search for the missing person in
your department.
3. Report search results to a supervisor or the chain of command.
4. If the missing child/adult is located, Alert supervisory personnel.

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CODE BLACK
BOMB THREAT
Activated for bomb threat or suspicious package or Vehicle

Immediate Action for Bomb Threat

1. Remain calm. Call the Front Desk at 3500. Call (843) 228-3500 from a
cell phone. Provide information about the type of Bomb Threat (i.e. Phone,
Email, or Letter). If Bomb Threat is by phone, have someone else contact the
Front Desk while the call is taking place.
2. If you have a display telephone, note the number form which the call
originated.
3. Complete OPNAV 5580.8 Telephonic Threat Complaint form if threat is
received by phone.
4. Inform supervisor or chain of command.
5. Evacuate if prudent or ordered to do so.

Immediate Action for Suspicious Package or Vehicle

Do not use a cell phone, radio or other transmitting device within

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300 meters of a suspicious item.

1. Immediately call the Front Desk at 3500. Call (843) 228-3500 from a cell
phone.
2. Be prepared to answer questions regarding suspicious packages or
vehicles (exact location, description, when it was first noticed; who has
touched the item or vehicle; what is suspicious about the item or vehicle;
markings; whether the item or vehicle has been opened or moved; any
foreign substances visible; any threatening or suspicious communications).
3. Do not tamper with or disturb any suspicious package or vehicle.
4. Evacuate if prudent or ordered to do so.

Procedures for Accounting for Patients/Staff/Visitors

1.

Procedures for Communicating All Clear

1.

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CODE GRAY
MASS CASUALTY DISASTER
Activated for mass casualty disaster
Immediate Action
1.
2.
3.
4.

Immediately assist triage staff if medically qualified.

Report to your manpower pool location, if not engaged with the wounded.
Determine need for protective gear and measures.
Begin accounting for personnel.

5. Evacuate if prudent or ordered to do so.

Procedures for Medical Personnel Authorized to Treat

Patients
1.

Procedures for Accounting for Patients/Staff/Visitors

1.

Procedures for Communicating All Clear

1.

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CODE ORANGE
HAZMAT SPILL/RELEASE
Activated for hazardous material spill/release

Immediate Action
Do not use a cell phone, radio or other transmitting device within
300 meters of a suspected HAZMAT or CBRN device.
1. Evacuate or SIP if appropriate. Leave the immediate area of the HAZMAT
or CBRN material. If outdoors, move upwind and uphill of the danger.
2. Alert nearby personnel to the danger. If doing so will not expose you to
the hazard, evacuate injured personnel. Isolate individuals potentially
exposed to HAZMAT away from contact with others. Seek medical aid for
exposed personnel immediately.
3. Do not eat, drink or smoke in the area of a HAZMAT or CBRN incident.
4. Call the Front Desk at 3500. Call (843) 228-3500 from a cell phone. When
emergency responders arrive, remain calm and follow instructions. Tell
responders where known or suspected contamination exists, and as much as
you know about the nature of the material involved.
5. Inform supervisor or chain of command.

Procedures for Shelter in Place (SIP)

1.

Procedures for Medical Personnel Authorized to Treat

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Patients
1.

Procedures for Accounting for Patients/Staff/Visitors

1.

Procedures for Communicating All Clear

1.

CODE WHITE
ARMED INTRUDER/ACTIVE SHOOTER
Activated for an armed intruder or active shooter

Immediate Action

Run-Hide-Fight
1. IF IN IMMEDIATE DANGER: Escape or seek cover. Pass the word to others
as you move. As a last resort, attack the active shooter with teamwork,
surprise, speed and violence of action.
2. When it is safe to do so, Call the Front Desk at 3500. Call (843) 228-3500
from a cell phone. Provide shooter location and direction of movement,
number of shooters, description of shooters, number and type of weapons,
your location, and the number of potential victims at the location.
3. Immediately evacuate or SIP.
a. If sheltered in place, secure yourself and your location. Lock the
door. Barricade. Block visual access. Turn off the lights. Place cell phones
on silent only. Limit your movements.
b. If evacuated, assemble in a safe area out of the line of sight of the
active shooting event location. Be alert for additional hostile actors outside
the shooting venue.

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4. Account for personnel (staff, patients, visitors) and report to a supervisor

or the chain of command.
5. Wait for law enforcement response or all clear notification.
6. As a last resort, when your life is in imminent danger, attempt to disrupt
or incapacitate the active shooter by utilizing whatever means necessary.
7. Personnel who are in very close quarters with the active shooter (in the
same room, for instance), and therefore do not have the time to execute
evacuation or SIP options, should be prepared to physically engage the
shooter with surprise, speed, and violence of action to protect themselves
and prevent further injuries and loss of life for others.

Procedures for Shelter in Place (SIP)

1.

Procedures for Accounting for Patients/Staff/Visitors

1.

Procedures for Communicating All Clear

1.

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CODE YELLOW
UTILITY SYSTEMS FAILURE
Activated when utilities fail

Immediate Action
Utility failures involve lights, HVAC and water.
1. To report a failure at BHC MCRD, contact Facilities Maintenance Division
Trouble Desk at 3405 from a BHC phone. Call 843-228-3405 from a cell
phone.
2. Inform supervisor or chain of command.
3. Report any potential safety hazards.
4. Evacuate if prudent or ordered to do so.

Procedures for Accounting for Patients/Staff/Visitors

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1.

Procedures for Communicating All Clear

1.

CODE GREEN
COMBATIVE PERSON
Activated in response to a combative person

Immediate Action
1. Immediately Dial 911 so that emergency responders can be notified.
2. Call the Front Desk at 3500. Call (843) 228-3500 from a cell phone.
3. Have other staff, patients and visitors evacuate the area while avoiding
the vicinity of the threat.
4. When necessary shelter in place (SIP)
5. Note the physical description, diagnosis (if known), and direction the
person was traveling.
6. Inform others when their life and safety are immediately impacted by the
incident.

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7. Always alert supervisory personnel of a Code Green

Procedures for Shelter in Place (SIP)

1.

Procedures for Accounting for Patients/Staff/Visitors

1.

Procedures for Communicating All Clear

1.

DESTRUCTIVE WEATHER
TORNADO, SEVERE THUNDER STORM
In case of destructive weather (Tornado, Severe Thunder Storm)

Immediate Action
1. IF INDOORS: Stay calm. Do not go outside. Stay away from windows and
electrical appliances. If damage to your building is imminent, crouch in a
structurally strong location (under a desk or in an inside corner of the
building) and cover your face and head with your arms. Stay away from
glass, windows, and outside doors and walls.
2. IF OUTDOORS: Seek cover indoors. If caught outside, stay away from,
and lower than, high or conductive objects. If a tornado is imminent, lay flat
and face-down on low ground, protecting the back of your head with your
arms. Stay out of storm drainage areas that may be subject to flash floods.
Do not drive through flood waters, however shallow they may seem.

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3. When safe to do so, report status of injuries and damage to your

supervisor or chain of command.

Procedures for Shelter in Place (SIP)

1.

Procedures for Accounting for Patients/Staff/Visitors

1.

Procedures for Communicating All Clear

1.

DESTRUCTIVE WEATHER
Tropical Cyclone
In case of destructive weather (Tropical Cyclone)

Immediate Action
1. When preparing for a hurricane or tropical storm, follow the site specific
Condition of Readiness (COR) listed in this plan.
2. COR condition level will be directed by the Commanding Officer.
3. Report COR attainment via chain of command.
SITE SPECIFIC CONDITION OF READINESS (COR) INSTRUCTIONS
COR 5 (Destructive winds are expected within 96 hours. Also set through
hurricane season, from 1 June to 30 November each year)

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1.
COR 4

(Destructive winds are expected within 72 hours)

1.
COR 3

(Destructive winds are expected within 48 hours)

1.
COR 2

(Destructive winds are expected within 24 hours)

1.
COR 1

(Destructive winds are expected within 12 hours)

1.

EVACUATION PLAN
In case evacuation is prudent or you are ordered to do so
1.