<P> In order for a code call to be useful in activating the response of specific hospital personnel to a given situation, it is usually accompanied by a specific location description (e.g., "Code red, Second floor, corridor three, room two - twelve"). Other codes, however, only signal hospital staff generally to prepare for the fallout of some external event such as a natural disaster . </P> <Ul> <Li> Australia: <Ul> <Li> Australian hospitals and other buildings are covered by Australian Standard 4083 (1997) and many are in the process of changing to those standards . <Ul> <Li> Code Red: Fire </Li> <Li> Code Blue: Medical Emergency </Li> <Li> Code Yellow: Internal Emergency </Li> <Li> Code Brown: External Emergency (disaster, mass casualties etc .) </Li> <Li> Code Black: Personal Threat <Ul> <Li> Code Black Alpha: Missing or Abducted Infant or Child </Li> <Li> Code Black Beta: Active Shooter </Li> <Li> Code Black J: Self - harm </Li> </Ul> </Li> <Li> Code Purple: Bomb Threat </Li> <Li> Code Orange: Evacuation </Li> <Li> Code CBR: Chemical, Biological or Radiological Contamination </Li> </Ul> </Li> </Ul> </Li> <Li> Canada: <Ul> <Li> Codes used in British Columbia, prescribed by the British Columbia Ministry of Health . <Ul> <Li> Code Red: Fire </Li> <Li> Code Blue: Cardiac Arrest </Li> <Li> Code Orange: Disaster or Mass Casualties </Li> <Li> Code Green: Evacuation </Li> <Li> Code Yellow: Missing Patient </Li> <Li> Code Amber: Missing or Abducted Infant or Child </Li> <Li> Code Black: Bomb Threat </Li> <Li> Code White: Aggression </Li> <Li> Code Brown: Hazardous Spill </Li> <Li> Code Grey: System Failure </Li> <Li> Code Pink: Pediatric Emergency and / or Obstetrical Emergency </Li> </Ul> </Li> <Li> Codes in Alberta are prescribed by Alberta Health Services . <Ul> <Li> Code Red: Fire </Li> <Li> Code Blue: Cardiac Arrest / Medical Emergency </Li> <Li> Code Orange: Mass Casualty Incident </Li> <Li> Code Green: Evacuation </Li> <Li> Code Yellow: Missing Patient </Li> <Li> Code Black: Bomb Threat / Suspicious Package </Li> <Li> Code White: Violence / Aggression </Li> <Li> Code Brown: Chemical Spill / Hazardous Material </Li> <Li> Code Grey: Shelter in Place / Air Exclusion </Li> <Li> Code Purple: Hostage Situation </Li> </Ul> </Li> <Li> In Ontario, a standard emergency response code set by the Ontario Hospital Association is used, with minor variations for some hospitals . <Ul> <Li> Code Red: Fire </Li> <Li> Code Silver: Gun Threat / Shooter </Li> <Li> Code Blue: Cardiac Arrest / Medical Emergency--Adult </Li> <Li> Code Orange: Disaster <Ul> <Li> Code Orange CBRN: CBRN (Chemical, Biological, Radiological, and Nuclear) Disaster </Li> </Ul> </Li> <Li> Code Green: Evacuation (Precautionary) <Ul> <Li> Code Green STAT: Evacuation (Crisis) </Li> </Ul> </Li> <Li> Code Yellow: Missing Person <Ul> <Li> Code Amber (code purple): Missing Child / Child Abduction </Li> </Ul> </Li> <Li> Code Black: Bomb Threat / Suspicious Object </Li> <Li> Code White: Violent / Behavioural Situation </Li> <Li> Code Brown: In - facility Hazardous Spill </Li> <Li> Code Grey: Infrastructure Loss or Failure <Ul> <Li> Code Grey Button - down: External Air Exclusion </Li> </Ul> </Li> <Li> Code Pink: Cardiac Arrest / Medical Emergency--Infant / Child </Li> <Li> Code Purple: Hostage Taking / Gang Activity </Li> <Li> Code Aqua: Flood </Li> </Ul> </Li> </Ul> </Li> <Li> United States: <Ul> <Li> In 2000, the Hospital Association of Southern California (HASC) determined that a uniform code system is needed after "three persons were killed in a shooting incident at an area medical center after the wrong emergency code was called ." While codes for fire (red) and medical emergency (blue) were similar in 90% of California hospitals queried, 47 different codes were used for infant abduction and 61 for combative person . In light of this, HASC published a handbook titled "Healthcare Facility Emergency Codes: A Guide for Code Standardization" listing various codes and has strongly urged hospitals to voluntarily implement the revised codes . </Li> <Li> In 2003, Maryland mandated that all acute hospitals in the state have uniform codes . </Li> <Li> In 2008, the Oregon Association of Hospitals & Health Systems, Oregon Patient Safety Commission, and Washington State Hospital Association formed a taskforce to standardize emergency code calls under the leadership of the Dr. Lawrence Schecter, Chief Medical Officer, Providence Regional Medical Center Everett . After both states had conducted a survey from all hospital members, the taskforce found many hospitals used the same code for fire (code Red); however, there were tremendous variations existed for codes representing respiratory and cardiac arrest, infant and child abduction, and combative person . After deliberations and decisions, the taskforce suggested the following as the Hospital Emergency Code: <Ul> <Li> Code Blue: Heart or Respiration Stops (An adult or child's heart has stopped or they are not breathing .) </Li> <Li> Code Red: Fire (alternative: Massive Postpartum Hemorrhage) </Li> <Li> Code Pink: Infant abduction </Li> <Li> Code Orange: Hazardous Spills (A hazardous material spill or release; Unsafe exposure to spill .) </Li> <Li> Code Silver: Weapon or Hostage Situation </Li> <Li> Code Grey: Combative Person (Combative or abusive behavior by patients, families, visitors, staff or physicians) If a weapon is involved "CODE SILVER" should be called . </Li> <Li> Amber Alert: Infant / Child Abduction </Li> <Li> Internal Triage: Internal Emergency (Internal emergency in multiple departments including: Bomb or bomb threat; Computer network down; Major plumbing problems; and Power or telephone outage .) </Li> <Li> External Triage: External Disaster (External emergencies impacting hospital including: Mass casualties; Severe weather; Massive power outages; and Nuclear, biological, and chemical accidents) </Li> <Li> Rapid Response Team: Medical Team Needed at Bedside (A patient's medical condition is declining and needs an emergency medical team at the bedside) Prior to heart or respiration stopping </Li> <Li> Code Clear: Announced when emergency is over </Li> </Ul> </Li> <Li> In 2015, the South Carolina Hospital Association formed a work group to develop plain language standardization code recommendations . Abolishing all color codes was suggested . </Li> </Ul> </Li> </Ul> <Li> Australia: <Ul> <Li> Australian hospitals and other buildings are covered by Australian Standard 4083 (1997) and many are in the process of changing to those standards . <Ul> <Li> Code Red: Fire </Li> <Li> Code Blue: Medical Emergency </Li> <Li> Code Yellow: Internal Emergency </Li> <Li> Code Brown: External Emergency (disaster, mass casualties etc .) </Li> <Li> Code Black: Personal Threat <Ul> <Li> Code Black Alpha: Missing or Abducted Infant or Child </Li> <Li> Code Black Beta: Active Shooter </Li> <Li> Code Black J: Self - harm </Li> </Ul> </Li> <Li> Code Purple: Bomb Threat </Li> <Li> Code Orange: Evacuation </Li> <Li> Code CBR: Chemical, Biological or Radiological Contamination </Li> </Ul> </Li> </Ul> </Li> <Ul> <Li> Australian hospitals and other buildings are covered by Australian Standard 4083 (1997) and many are in the process of changing to those standards . <Ul> <Li> Code Red: Fire </Li> <Li> Code Blue: Medical Emergency </Li> <Li> Code Yellow: Internal Emergency </Li> <Li> Code Brown: External Emergency (disaster, mass casualties etc .) </Li> <Li> Code Black: Personal Threat <Ul> <Li> Code Black Alpha: Missing or Abducted Infant or Child </Li> <Li> Code Black Beta: Active Shooter </Li> <Li> Code Black J: Self - harm </Li> </Ul> </Li> <Li> Code Purple: Bomb Threat </Li> <Li> Code Orange: Evacuation </Li> <Li> Code CBR: Chemical, Biological or Radiological Contamination </Li> </Ul> </Li> </Ul>

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