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To protect patients, staff and visitors from the effects of an airborne hazard that can include contamination by a chemical cloud, smoke or other such pollutants to the extent it becomes a significant threat to life or health.
Is the source outside?
Notify Emergency Department Nurse Manager of external airborne hazard. Have ambulance traffic and walk-in traffic from the outside redirected to the designated receiving area. All doors from the Emergency Department to the outside must be kept closed.
Communicate with the fire department in regards to the likely duration of the event.
Keep all interior doors leading to the receiving area closed. Post signs restricting entrance to authorized personnel only. Security Department may dispatch officers to monitor these doors, if necessary.
Request administration or the Nursing Supervisor to make an announcement via the public address system, requesting that no one leave the hospital or open outside doors.
Direct the Security Department to lock all entrances, except the entrance to the receiving area. Request barricades and directional signs in front of main entrances to redirect traffic to the receiving area.
Notify the Engineering Department Director to shut down all air handlers in the building including outside air make-up where feasible.
Is the source contained or localized?
Notify the Engineering Department Director to shut down all air handling units until the type of hazard and extent of its spread can be determined.
Shut down the air handlers for the affected floor/unit.
If patients/staff/visitors may be exposed to the hazard along the evacuation routes, consider use of masks.
Evacuate the affected area via routes away from the contamination.
Isolate the area by closing doors and fire doors.
If people may be exposed to the hazard along the evacuation routes, consider the use of protective masks if indicated by the type of hazardous material.
Evacuate the affected floor(s).