Evacuation Policy

Evacuation is the removal of persons from a dangerous or 
potentially dangerous area to an area of safety. The need to 
move persons to an outside area is determined by the 
seriousness of the emergency.  In most cases, areas of safety 
within the facility can be created by the closing of all 
doors into hallways and all fire/smoke barrier doors.
1.    Partial Evacuation
      This is the removal of persons to a safe location
      within the facility; use of this mode of evacuation 
      assumes fire or other emergency can be confined to
      one room.
2.    Horizontal Evacuation
      This is the removal of persons on a horizontal plane
      (same floor level as emergency).
3.    Complete Evacuation
      This is the evacuation of all persons to a place of
      safety outside the facility.
In the absence of the Medical Director or the necessity of 
the Medical Director to be involved in direct patient care, 
the senior administrative person on site will make the final 
decision to evacuate; the reasons to evacuate include: 
1.  Moving people from unsafe to safe areas.
2.  Freeing the use of the facility for the care of incoming
    casualties or displaced persons.

When evacuation is necessary, the priority of evacuation is 
based on the exposure to danger; ambulatory patients and 
visitors may be led from the area of danger to the nearest, 
safest exit.  Patients unable to ambulate safely should be 
evacuated using wheelchair, stretcher, or blanket carries.
When evacuation of the Operating Room is necessary, the 
surgeon is responsible for the safety of the patient.  The 
surgical team will remain under the surgeon's control.  
Recovery Room patients are the responsibility of the most 
senior nursing person on site.  Any patients in the 
pre-operative area will be the responsibility of the most 
senior administrative person on site.
When possible, the evacuation route should be different from 
the route Emergency Personnel will be using as they arrive 
upon the scene.
No matter the circumstances, all personnel evacuated  will 
meet   50 feet away from front enterance on street corner  ;  
the only exception to this directive will be for 
patients/surgical team members who must proceed directly to 
another medical facility to complete a procedure or stabilize 
a patient.  The purpose of a designated meeting place is to 
allow a head count to be conducted by the individual 
designated as responsible to conduct a final search to assure 
all persons have exited safely from the facility.  The 
Receptionist should bring the patient sign-in sheet to assure 
that all patients have been evacuated.
Approved By Governing Board    
Control #194.0