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CODE YELLOW
(PROCESS FLOW)
CODE YELLOW typically refers to an external disaster situation in a hospital. This could
include incidents such as a major traffic accident, a natural disaster like a tornado or
earthquake, or a large-scale hazardous material spill nearby.
General outline of the process flow is:-
Initial Notification
Upon receiving the notification, the designated personnel within the hospital will activate the Code
Yellow protocol. This could involve announcing the code over the hospital's intercom system or
through other communication channels.
Activation
The hospital staff may receive notification of the external disaster through various channels such as
emergency services, local authorities, or internal monitoring systems.
Assessment and Coordination
Hospital administrators and emergency response teams will assess the situation to determine the
extent of the external disaster and its potential impact on the hospital. They will coordinate with
local authorities, emergency services, and other relevant agencies to gather information and plan
the hospital's response.
Patient Triage
If casualties are expected from the external disaster, the hospital may initiate patient triage
protocols to prioritize treatment based on the severity of injuries and medical needs. This may
involve setting up triage areas in the hospital or preparing to receive patients from the scene of the
disaster.
Triaging will be done and patients will be shifted accordingly
Red tag – Emergency and ICU
Yellow Tag- Wards
Green Tag- OPD
Black Tag- Mortuary
Staff Mobilization
TRIAGE TEAM
Head of Operations
Head of Emergency
Nurse In charge/Nursing Supervisor
Chief Security Officer/Security Supervisor
Head Front Office/ Supervisor
Operations Team
Quality Team
Pharmacy
Facility Head/ Housekeeping Supervisor
HEAD OF OPERATIONS
Check with local authorities to verify the Disaster and obtain additional information
Ask for help from referral hospitals, local police and volunteer organizations are deemed necessary
Is responsible for notifying all the doctors
Be responsible to see that families of victims are notified as soon as possible
NURSE IN CHARGE
To coordinate for adequate numbers of nursing personnel and nursing services
Assign nursing staffs to be designated to prepare for incoming patients
Nursing staffs available for immediate use and in 30 minutes
HEAD FRONT OFFICE
Quick registrations of all victims
Set up Patient information center
Assign one front office executive to aid with discharge of hospital patients, If required
Will announce code Yellow Clear on authorization from MS
SPECIFIC ROLES AND RESPONSIBILITIES
HOUSEKEEPING SUPERVISOR
The Housekeeping supervisor to arrange staff for transportation of patients
To assist facilities in bringing down equipment etc
To arrange for linen supply to the departments due to increase in demand if required
To send housekeepers to ward to clear rooms as soon as possible if necessary
To assist security in cleaning pathways
URGEON(EMERGENCY WARD)
Report to Emergency Ward
Take care of all admitted patients and be there in the Emergency Ward
HELPER(EMERGENCY WARD)
Report to Emergency Ward
Help in Bed setup at Emergency Wards
Bring mattresses from attendant’s area in the Basement if needed
Transport supplies from Pharmacy, Purchase and Store room to Emergency Ward
Hospital administrators and emergency response teams will assess the situation to determine the
extent of the external disaster and its potential impact on the hospital. They will coordinate with
local authorities, emergency services, and other relevant agencies to gather information and plan
the hospital's response.
Resource Allocation
The hospital will assess its resources, including medical supplies, equipment, and staffing levels, to
ensure readiness for potential influx of patients. Additional resources may be requested from
external agencies or neighboring healthcare facilities if needed.
Communication and Updates
Regular communication will be maintained with internal staff, patients, and external stakeholders
to provide updates on the situation and any actions being taken by the hospital. This could include
communicating with patients and their families about any changes to appointments or procedures.
Continued Monitoring and Response
The hospital will continue to monitor the situation closely and adjust its response as necessary
based on evolving circumstances. This may include adapting patient care protocols, reallocating
resources, or providing support to external agencies involved in the response effort.
Deactivation
Once the external disaster has been resolved and the situation is deemed safe, the hospital will
deactivate the Code Yellow protocol. This may involve communicating an "all clear" message to staff
and returning operations to normal.

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CODE YELLOW (PROCESS FLOW).Summary of Code yellow protocol in a Hospital

  • 2. CODE YELLOW typically refers to an external disaster situation in a hospital. This could include incidents such as a major traffic accident, a natural disaster like a tornado or earthquake, or a large-scale hazardous material spill nearby. General outline of the process flow is:- Initial Notification Upon receiving the notification, the designated personnel within the hospital will activate the Code Yellow protocol. This could involve announcing the code over the hospital's intercom system or through other communication channels. Activation The hospital staff may receive notification of the external disaster through various channels such as emergency services, local authorities, or internal monitoring systems.
  • 3. Assessment and Coordination Hospital administrators and emergency response teams will assess the situation to determine the extent of the external disaster and its potential impact on the hospital. They will coordinate with local authorities, emergency services, and other relevant agencies to gather information and plan the hospital's response. Patient Triage If casualties are expected from the external disaster, the hospital may initiate patient triage protocols to prioritize treatment based on the severity of injuries and medical needs. This may involve setting up triage areas in the hospital or preparing to receive patients from the scene of the disaster. Triaging will be done and patients will be shifted accordingly Red tag – Emergency and ICU Yellow Tag- Wards Green Tag- OPD Black Tag- Mortuary
  • 4. Staff Mobilization TRIAGE TEAM Head of Operations Head of Emergency Nurse In charge/Nursing Supervisor Chief Security Officer/Security Supervisor Head Front Office/ Supervisor Operations Team Quality Team Pharmacy Facility Head/ Housekeeping Supervisor
  • 5. HEAD OF OPERATIONS Check with local authorities to verify the Disaster and obtain additional information Ask for help from referral hospitals, local police and volunteer organizations are deemed necessary Is responsible for notifying all the doctors Be responsible to see that families of victims are notified as soon as possible NURSE IN CHARGE To coordinate for adequate numbers of nursing personnel and nursing services Assign nursing staffs to be designated to prepare for incoming patients Nursing staffs available for immediate use and in 30 minutes HEAD FRONT OFFICE Quick registrations of all victims Set up Patient information center Assign one front office executive to aid with discharge of hospital patients, If required Will announce code Yellow Clear on authorization from MS SPECIFIC ROLES AND RESPONSIBILITIES
  • 6. HOUSEKEEPING SUPERVISOR The Housekeeping supervisor to arrange staff for transportation of patients To assist facilities in bringing down equipment etc To arrange for linen supply to the departments due to increase in demand if required To send housekeepers to ward to clear rooms as soon as possible if necessary To assist security in cleaning pathways URGEON(EMERGENCY WARD) Report to Emergency Ward Take care of all admitted patients and be there in the Emergency Ward HELPER(EMERGENCY WARD) Report to Emergency Ward Help in Bed setup at Emergency Wards Bring mattresses from attendant’s area in the Basement if needed Transport supplies from Pharmacy, Purchase and Store room to Emergency Ward
  • 7. Hospital administrators and emergency response teams will assess the situation to determine the extent of the external disaster and its potential impact on the hospital. They will coordinate with local authorities, emergency services, and other relevant agencies to gather information and plan the hospital's response. Resource Allocation The hospital will assess its resources, including medical supplies, equipment, and staffing levels, to ensure readiness for potential influx of patients. Additional resources may be requested from external agencies or neighboring healthcare facilities if needed. Communication and Updates Regular communication will be maintained with internal staff, patients, and external stakeholders to provide updates on the situation and any actions being taken by the hospital. This could include communicating with patients and their families about any changes to appointments or procedures.
  • 8. Continued Monitoring and Response The hospital will continue to monitor the situation closely and adjust its response as necessary based on evolving circumstances. This may include adapting patient care protocols, reallocating resources, or providing support to external agencies involved in the response effort. Deactivation Once the external disaster has been resolved and the situation is deemed safe, the hospital will deactivate the Code Yellow protocol. This may involve communicating an "all clear" message to staff and returning operations to normal.