• Department Audited

  • Type of Department

  • Frequency of Audit

  • Conducted on

  • Prepared by

  • Personnel

EMERGENCY MANAGEMENT – Calvin Fakkema, Safety Officer / EOC & EM Program Manager

  • The evacuation map is up-to-date and posted. Assembly area known by staff.

  • Emergency disaster kit is available with update supplies (Red Disaster Bag)

  • Disaster call back trees are readily available (Emergency Recall List)

  • EOP Flipchart is visible for all staff (Emergency Kardex)

  • Flashlights and batteries are in designated locations with good batteries

  • Staff Knowledge: Priority phone extensions to report emergencies and request assistance. What in-house extension can you dial to report a serious emergency or request assistance? (3737)

  • Staff Knowledge: Meaning and response for CODE TRIAGE. What is a CODE TRIAGE? How do you respond to a Code Triage internal or external paged overhead? Code Triage announces a disaster or other serious emergency in our hospital (internal) or in our community (external). Response: report to home department, roll call, review and implement department-specific policy located in Emergency Preparedness Manual, complete Emergency Incident Message Form with department status, send to command center.

  • Comments:

  • Signature upon completion of Audit

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