ED CODE ORANGE

I.

DIFFERENCES OF ALERT, MINOR AND MAJOR

a. ALERT
b. MINOR
c. MAJOR

II.

NOTIFICATION OF PATIENT INFLUX

a. Information maybe received from authorities such as SEHA, HAAD,
and other organizations
- TETRA PHONE located in triage area
- 2220 (Chest pain hotline located beside the critical charge
nurse computer)
b. ED, Police ambulance, Civil defense, and Airport Authorities may be
the first to recognize a mass casualty event and initiate a response.
c. The first person who receives the call/ aware of the actual or
potential influx of mass casualty directly affecting SKMC should
complete the METHANE LOGSHEET and notify his/her supervisor/
OIC.
d. ED will notify the Nursing supervisor of Administration-on-call as
required.

III.

METHANE LOGSHEET
M: Major incident declared
- Name of Caller
- Indicate if the call was from HAAD OCC/ SEHA OCC/ POLICE
AMBULANCE/other
- Phone number of the caller
- Date and time of the incident
E: Exact location
T: Type of Incident
-

Fire
MVA
Explosion
Other

H: Hazards Present or Potential

A: Access and Egress
-

Safe routes use go in and out

N: Number of casualties and expected time of arrival of the first victims

-

Specify the time, type, and severity (critical, serious, minor)

E: Emergency Services present at scene or required by HAAD from SKMC

Completed form will be given to OIC with the name and badge number of
the staff taking the call
IV.

TRIAGE
a. ED reception area will be the only entry point of triage victims.
b. Triage team consist of an ED Physician, ED triage Nurse, and an
interpreter.
c. A disaster registration KT number and a chart will be assigned for
each victim.
d. The triage physician will carry out a Triage Sort assessment
(based on GCS, RR, Systolic BP) and attach a triage category tag to
the victim if not done/ not attached at the scene. The patient will
then be transported to the area of the Ed designated for the acuity
level
e. Triage System and Triage Tags
1. RED TAG PRIORITY 1
2.