**Emergency Management Program**

**DATE: Sample**

**[OPERATING UNIT: GI Procedures OPERATING UNIT MANAGER:]{.underline}**

+-------+----------+------+---------------+-----------+--------------+
| **Mi  | ##### Po | *    | Preparations  | If there  |              |
| ssion | tential  | *Con | to Make to    | is an     |              |
| Cri   | Problems | tact | Minimize      | int       |              |
| tical |          | for  |               | erruption |              |
| Sys   |          | As   | **Potential   | in        |              |
| tem** |          | sist | Problems**    | o         |              |
|       |          | ance |               | perations |              |
|       |          | in   |               | due to    |              |
|       |          | P    |               | loss of   |              |
|       |          | repa |               | the       |              |
|       |          | ring |               | Critical  |              |
|       |          | for  |               | System,   |              |
|       |          | P    |               | then:     |              |
|       |          | oten |               |           |              |
|       |          | tial |               | **Assess  |              |
|       |          | Pr   |               | the       |              |
|       |          | oble |               | situation |              |
|       |          | ms** |               | for:      |              |
|       |          |      |               | Action    |              |
|       |          |      |               | re        |              |
|       |          |      |               | quired:** |              |
+=======+==========+======+===============+===========+==============+
| **1.  | *Without | Fa   | a)  Life      | a)        | a)  Simulate |
| Light | lighting | cili |     Safety    | Determine |     Life     |
| ing** | staff    | ties |     lighting  |     if    |     Safety   |
|       | can not  | Ma   |     will      |     Life  |     Lighting |
| **(E  | carry    | nage |     remain.   |           |     only to  |
| merge | out      | ment |     Survey    |    Safety |     provide  |
| ncy** | their    |      |     area for  |           |     staff    |
|       | duties.* |      |     "extra"   |  lighting |     with     |
| **Lig |          |      |     lighting  |           |     advanced |
| hts** |          |      |               |  provides |              |
|       |          |      |  requirements |           |   assessment |
| **Av  |          |      |               |  adequate |     of       |
| ailab |          |      | b)  In the    |           |     impact   |
| le)** |          |      |     event of  |  coverage |              |
|       |          |      |     loss of   |           | b)  Deploy   |
|       |          |      |     Life      | b)  For   |              |
|       |          |      |     Safety    |           |    necessary |
|       |          |      |     lighting, | prolonged |              |
|       |          |      |               |           |   identified |
|       |          |      |   flashlights |  outages, |              |
|       |          |      |     will be   |           |    ancillary |
|       |          |      |     utilized  | determine |              |
|       |          |      |     to assist |     the   |    lighting. |
|       |          |      |     in        |     need  |              |
|       |          |      |               |     for   | c)  Contact  |
|       |          |      |    evacuation |           |              |
|       |          |      |               | ancillary |   Facilities |
|       |          |      | c)  Purchase  |           |              |
|       |          |      |     ample     |  lighting |   Management |
|       |          |      |     supply of |           |     Service  |
|       |          |      |     batteries |           |              |
|       |          |      |               |           |    personnel |
|       |          |      | d)  Staff     |           |     in the   |
|       |          |      |     should be |           |     event of |
|       |          |      |     informed  |           |     a        |
|       |          |      |     of route  |           |     complete |
|       |          |      |     of egress |           |     outage   |
|       |          |      |     for       |           |     for      |
|       |          |      |     patient   |           |              |
|       |          |      |               |           |    provision |
|       |          |      |    evacuation |           |     of       |
|       |          |      |     in the    |           |              |
|       |          |      |     event of  |           |    ancillary |
|       |          |      |     an        |           |     lighting |
|       |          |      |               |           |     for      |
|       |          |      |    emergency. |           |              |
|       |          |      |               |           |  evacuation. |
|       |          |      | e)  Route of  |           |              |
|       |          |      |     egress    |           |              |
|       |          |      |     should be |           |              |
|       |          |      |     free and  |           |              |
|       |          |      |     clear of  |           |              |
|       |          |      |     anything  |           |              |
|       |          |      |     staff may |           |              |
|       |          |      |     trip over |           |              |
|       |          |      |     in dim    |           |              |
|       |          |      |     lighting. |           |              |
|       |          |      |               |           |              |
|       |          |      | f)  Acquire   |           |              |
|       |          |      |     Ancillary |           |              |
|       |          |      |     lighting  |           |              |
+-------+----------+------+---------------+-----------+--------------+
| **2.  | *Without | Fa   | a)  Only      | a)        | a)  Identify |
| El    | power    | cili |     Emergency | Determine |              |
| ectri | staff    | ties |     Cases     |     the   |    Emergency |
| cal** | can not  | Ma   |     will be   |           |              |
|       | carry    | nage |     performed |    extent |    procedure |
| **Po  | out      | ment |     at        |     of    |     in the   |
| wer** | their    |      |     Millenium |     the   |     event of |
|       | duties.* |      |               |           |     a        |
| **(G  |          |      |    changeover |    outage |     complete |
| enera |          |      |               |     and   |     loss of  |
| tor** |          |      | b)  Emergency |     the   |     power    |
|       |          |      |     Red       |           |              |
| **Po  |          |      |     outlets   | projected |   (Emergency |
| wer** |          |      |     are       |           |     and      |
|       |          |      |     provided. |    length |     Normal   |
| **Av  |          |      |               |     of    |     Power).  |
| ailab |          |      | c)  Extension |     the   |              |
| le)** |          |      |     cords may |           | b)  If       |
|       |          |      |     be        |   outage. |     complete |
|       |          |      |     required  |           |     loss     |
|       |          |      |     for       | b         |     occurs,  |
|       |          |      |               | )  Ensure |              |
|       |          |      |  continuation |     staff |   evacuation |
|       |          |      |     of care.  |     i     |              |
|       |          |      |               | dentifies |   procedures |
|       |          |      |               |     the   |     will be  |
|       |          |      |               |           |              |
|       |          |      |               | exception |   initiated. |
|       |          |      |               |           |              |
|       |          |      |               |   outlets | c)  Contact  |
|       |          |      |               |     on    |              |
|       |          |      |               |           |   Facilities |
|       |          |      |               |    Normal |              |
|       |          |      |               |     Power |   Management |
|       |          |      |               |     and   |     if red   |
|       |          |      |               |     that  |              |
|       |          |      |               |     only  |    Emergency |
|       |          |      |               |     non   |     Outlets  |
|       |          |      |               | -critical |     do not   |
|       |          |      |               |           |     suffice  |
|       |          |      |               |   systems |              |
|       |          |      |               |           |              |
|       |          |      |               |    should |              |
|       |          |      |               |     be    |              |
|       |          |      |               |           |              |
|       |          |      |               |   plugged |              |
|       |          |      |               |     into  |              |
|       |          |      |               |     these |              |
|       |          |      |               |           |              |
|       |          |      |               |  outlets. |              |
+-------+----------+------+---------------+-----------+--------------+
| **3.  | *        | Fa   | a)  Make      | a         | a)  Contact  |
| St    | Possible | cili |               | )  Assess |              |
| eam** | loss of  | ties |  arrangements |           |   Facilities |
|       | supp     | Ma   |     for       | placement |              |
| *     | lemental | nage |               |     of    |   Management |
| *Dist | heat*    | ment |  supplemental |     sup   |     for      |
| ribut |          |      |     heat      | plemental |              |
| ion** |          |      |               |           |   deployment |
|       |          |      | b)  Train     |   heating |     of       |
|       |          |      |     staff on  |     units |              |
|       |          |      |     use of    |           | supplemental |
|       |          |      |               |           |     heating  |
|       |          |      |  supplemental |           |     units    |
|       |          |      |     heating   |           |              |
|       |          |      |     units     |           |              |
+-------+----------+------+---------------+-----------+--------------+
| **4.  | *Loss of | Fa   | a)  Acquire   | a         | a)  Contact  |
| Heati | heat or  | cili |               | )  Number |              |
| ng,** | cooling  | ties |  supplemental |     of    |   Facilities |
|       | could    | Ma   |     heating   |     sup   |              |
| **V   | impact   | nage |     or        | plemental |   Management |
| entil | op       | ment |     cooling   |           |     for      |
| ation | erations |      |     units     |   heating |              |
| & Air | to the   |      |               |     units |   deployment |
| Co    | point    |      | b)  Train     |           |     of       |
| nditi | that     |      |     staff on  |  required |              |
| oning | patient  |      |     use of    |           | supplemental |
| (HV   | care is  |      |               | b)        |     heating  |
| AC)** | i        |      |  supplemental | Placement |     or       |
|       | mpacted* |      |     heating   |     of    |     cooling  |
|       |          |      |     or        |           |     units    |
|       |          |      |     cooling   |   Heating |              |
|       |          |      |     units     |     or    |              |
|       |          |      |               |           |              |
|       |          |      |               |   cooling |              |
|       |          |      |               |     units |              |
+-------+----------+------+---------------+-----------+--------------+
| **5.  | *Loss of | Fa   | a)  Assess    | a)        | a)  Deploy   |
| R     | I        | cili |     number of | Isolation |     portable |
| oom** | solation | ties |     patients  |           |              |
|       | rooms*   | Ma   |     requiring | required? |    isolation |
| *     |          | nage |     isolation |           |     units    |
| *or** |          | ment |               | b)  If    |              |
|       |          |      | b)  Acquire   |     so,   |              |
| *     |          |      |     portable  |     can a |              |
| *Hood |          |      |     isolation |           |              |
| Exha  |          |      |     unit(s)   |  portable |              |
| ust** |          |      |               |     unit  |              |
|       |          |      | c)  Train     |     be    |              |
|       |          |      |     staff on  |           |              |
|       |          |      |     use of    | utilized? |              |
|       |          |      |     portable  |           |              |
|       |          |      |     isolation |           |              |
|       |          |      |     units     |           |              |
+-------+----------+------+---------------+-----------+--------------+
| **6.  | *Loss of | Fa   | a\) Assess    | a\)       | a\) Deploy   |
| Wa    | Domestic | cili | requirements  | quantity  | back up      |
| ter** | Water    | ties | for domestic  | of        | domestic     |
|       | would    | Ma   | water in the  | domestic  | water supply |
| **    | impact   | nage | event of a    | water     |              |
| Deliv | delivery | ment | disruption    | required  |              |
| ery** | of       |      |               |           |              |
|       | patient  | Head |               |           |              |
|       | care*    | N    |               |           |              |
|       |          | urse |               |           |              |
|       |          | GI   |               |           |              |
|       |          | N    |               |           |              |
|       |          | urse |               |           |              |
+-------+----------+------+---------------+-----------+--------------+
| **7.  | *Unable  | Faci | 1.  Obtain    | 1         | 1.  Report   |
| Wa    | to use   | lity |     signs     | .  Assess |     failure  |
| ter** | water    | Eng  |     saying    |           |     to       |
|       | for      | inee |     \"Water   |   patient |     command  |
| *     | drinking | ring |     Unsafe to |     needs |     center   |
| *Cond | or       | and  |     Drink\"   |     and   |     with     |
| ition | patient  | Mate |     for       |           |              |
| ing** | needs.*  | riel |     sinks,    |    extent |   assessment |
|       |          | Ma   |     etc.      |     of    |              |
| *     |          | nage |               |           | 2            |
| *Or** |          | ment | 2.  Provide   |   problem | .  Establish |
|       |          |      |     locations |           |     bottled  |
| *     |          |      |     for       | 2         |     water    |
| *Drin |          |      |     bottled   | .  Assess |              |
| kabil |          |      |     water     |     use   |    center(s) |
| ity** |          |      |               |     of    |     with     |
|       |          |      |               |     n     |     control  |
|       |          |      |               | onpotable |              |
|       |          |      |               |     water |              |
|       |          |      |               |     for   |              |
|       |          |      |               |           |              |
|       |          |      |               |  sanitary |              |
|       |          |      |               |     needs |              |
+-------+----------+------+---------------+-----------+--------------+
| **8.  | *Large   | Head | a)  Assess    | a         | a)  Contact  |
| Wa    | amounts  | N    |     alternate | )  Assess |              |
| ste** | of "red  | urse |     storage   |           |    alternate |
|       | bag"     | GI   |     off site  |    vendor |     vendor   |
| **Str | waste    | N    |     for waste |           |     for back |
| eam** | g        | urse |     handling  | readiness |     up waste |
|       | enerated |      |               |     for   |     handling |
| **    | --       | Fa   | b)  Ensure    |     waste |              |
| (Sani | r        | cili |     adequate  |           | b)  Ensure   |
| tary, | equiring | ties |     staff to  |  handling |     timely   |
| S     | d        | Ma   |     transport |           |     pick up  |
| olid, | isposal* | nage |     waste     | b)        |     of waste |
| Li    |          | ment |               | Determine |     from     |
| quid, |          |      |               |           |     clinical |
| &**   |          |      |               |   storage |     areas    |
|       |          |      |               |     area  |              |
| **Bi  |          |      |               |     for   |              |
| ohaza |          |      |               |     waste |              |
| rd)** |          |      |               |           |              |
+-------+----------+------+---------------+-----------+--------------+
| **9.  | *An      | Head | a)  List of   | a         | a)  Monitor  |
| Criti | inte     | N    |     critical  | )  Assess |              |
| cal** | rruption | urse |     supplies  |           | supplemental |
|       | in       | GI   |     required  |   patient |              |
| **    | critical | N    |               |           |   quantities |
| Suppl | supplies | urse | b)  Identify  |  workload |     of       |
| ies** | could    |      |     space for |     prior |     critical |
|       | hinder   | SPD  |     storage   |     to    |     supplies |
|       | patient  |      |     of        |     Dec.  |              |
|       | care*    |      |               |           | b)  Contact  |
|       |          |      |  supplemental |   31^st^, |              |
|       |          |      |     critical  |     1999  |    alternate |
|       |          |      |     supplies  |           |     vendors  |
|       |          |      |               | b)        |     for such |
|       |          |      | c)  Establish |   Acquire |     supplies |
|       |          |      |     vendor    |           |              |
|       |          |      |     contacts  |  supplies |              |
|       |          |      |               |     in    |              |
|       |          |      |               |     close |              |
|       |          |      |               |           |              |
|       |          |      |               | proximity |              |
|       |          |      |               |     to GI |              |
|       |          |      |               |     Nurse |              |
+-------+----------+------+---------------+-----------+--------------+
| **10. | *Loss of | Ch   | a)  Assess    | a         | a)  Deploy   |
| Commu | phones   | ief, |     critical  | )  Number |     radios   |
| ni-** | will     | MAS  |     items     |     of    |     as       |
|       | impede   |      |     requiring |           |     back-ups |
| **ca  | the      | Fa   |     c         |   radios, |              |
| tions | dep      | cili | ommunications |     and   | b)  Place    |
| (     | artments | ties |     (lab      |           |     radios   |
| Telep | ability  | Ma   |     values),  | placement |     at       |
| hone, | to       | nage |     Code      |           |              |
| R     | com      | ment |     Blue,     |           |   identified |
| adio, | municate |      |     etc....   |           |     critical |
| I     | with     | GI   |               |           |     areas    |
| nterc | medical  | N    | b)  Obtain    |           |     (lab,    |
| om,** | center   | urse |     radio     |           |              |
|       | staff    | Head |     c         |           |   operators, |
| **    | and      | N    | ommunications |           |     work     |
| Nurse | external | urse |               |           |     pool)    |
| Call; | contacts |      | c)  Train     |           |              |
| et    | for      |      |     staff on  |           |              |
| c.)** | patient  |      |     proper    |           |              |
|       | care     |      |     operation |           |              |
|       | issues*  |      |               |           |              |
+-------+----------+------+---------------+-----------+--------------+
| **11. | *1. Loss | I    | 1.  Reduce GI | 1.  List  | 1.  Only     |
| VISTA | of       | RMS, |     schedule  |     of    |              |
| &**   | access   |      |     for       |           |    emergency |
|       | to       | Inf  |     period    |  critical |              |
| **    | patient  | orma |     following |           |   procedures |
| Other | records* | tion |     Dec       | automated |     for Dec  |
| Com   |          | Secu |     31^st^,   |     in    |     31^st^,  |
| puter |          | rity |     1999      | formation |     1999     |
| Appl  |          | Off  |               |     for   |              |
| icati |          | icer | 2.  For all   |           |    (possibly |
| ons** |          |      |     emergency |    clinic |     week of  |
|       |          |      |     clinic    |           |     1/3/00)  |
|       |          |      |               | operation |              |
|       |          |      |   procedures, |           | 2.  Print    |
|       |          |      |     obtain    | 2.        |     out and  |
|       |          |      |     hard copy |   Patient |     storage  |
|       |          |      |     charts    |     load  |     of hard  |
|       |          |      |               |     an    |     copy     |
|       |          |      | 3.  List of   | ticipated |     charts   |
|       |          |      |     critical  |     for   |              |
|       |          |      |     contacts  |     Dec   |              |
|       |          |      |     (Lab,     |           |              |
|       |          |      |     Nursing,  |    31^st^ |              |
|       |          |      |               |           |              |
|       |          |      |  Respiratory) |   through |              |
|       |          |      |               |           |              |
|       |          |      | 4.  Train GI  | following |              |
|       |          |      |     personnel |     week  |              |
|       |          |      |     on        |           |              |
|       |          |      |     "manual"  |           |              |
|       |          |      |               |           |              |
|       |          |      |    procedures |           |              |
|       |          |      |     for       |           |              |
|       |          |      |     obtaining |           |              |
|       |          |      |     automated |           |              |
|       |          |      |               |           |              |
|       |          |      |   information |           |              |
|       |          |      |     (lab      |           |              |
|       |          |      |     values,   |           |              |
|       |          |      |     charts,   |           |              |
|       |          |      |     etc.)     |           |              |
+-------+----------+------+---------------+-----------+--------------+
| **12. | *I       | Faci | 1.  Insure    | 1         | 1.  Report   |
| Ala   | nability | lity |     backup    | .  Assess |     status   |
| rms** | to call  | Engi |     (2-way    |           |     to       |
|       | or hear  | neer |     radio) is | situation |     command  |
| **(   | fire     | ing, |               |     for   |     center   |
| Fire, | alarm.   | Sa   |    available. |     each  |     with     |
| Code  | Unable   | fety |               |           |              |
| Blue, | to call  | Off  | 2.  Orient    |   system; |   assessment |
| Secu  | Code     | ice, |     and       |           |              |
| rity, | Blue.    | Mate |     review    |    insure | 2            |
| Me    | Cannot   | riel |     fire      |           | .  Institute |
| dical | tell     | Man  |     watch     |    alarms |     fire     |
| G     | when     | agem |               |     are   |     watch    |
| ases, | medical  | ent, |    procedures |           |     and      |
| Nurse | gas      | and  |               |   checked |     alarm    |
| Call, | supply   | Bi   | 3.  Set up    |     for   |     watch,   |
| Refr  | is       | omed |     frequent  |           |     with     |
| igera | compr    | ical |               |  accuracy |     co       |
| tion; | omised.* | Eng  |    walk-thrus |     on    | mmunications |
| et    |          | inee |     for alarm |     alarm |     backup   |
| c.)** |          | ring |               |           |     (if      |
|       |          |      |    conditions | 2         |     needed   |
|       |          |      |               | .  Assess |     and      |
|       |          |      | 4.  Orient    |           |              |
|       |          |      |     staff to  |    backup |   available) |
|       |          |      |     act as    |           |              |
|       |          |      |               |    levels |              |
|       |          |      |   \"runners\" |     of    |              |
|       |          |      |               |           |              |
|       |          |      |               | available |              |
|       |          |      |               |     gases |              |
|       |          |      |               |     in    |              |
|       |          |      |               |           |              |
|       |          |      |               | cylinders |              |
+-------+----------+------+---------------+-----------+--------------+
| **13. | *Minimal | Head | a)  Vertical  | a)  If    | a)  Deploy   |
| E     | impact   | N    |     Transport |     the   |     enough   |
| levat | on       | urse |     for       |           |     litters  |
| ors** | ope      | GI   |     emergency | elevators |     to       |
|       | rations. | N    |               |     are   |     handle   |
| **&   | .*       | urse |    diagnostic |     not   |              |
| Other |          |      |               |     op    |  evacuations |
| Ver   |          | Fa   |    procedures | erational |              |
| tical |          | cili |     or        |           |              |
| T     |          | ties |               |   utilize |              |
| ransp |          | Ma   |    evacuation |           |              |
| ort** |          | nage |     only      |    manual |              |
|       |          | ment |               |           |              |
|       |          |      | b)  Train     |  vertical |              |
|       |          |      |     staff on  |           |              |
|       |          |      |     vertical  | transport |              |
|       |          |      |     transport |           |              |
|       |          |      |               | b         |              |
|       |          |      | c)  Obtain    | )  Ensure |              |
|       |          |      |     enough    |           |              |
|       |          |      |     transport |    enough |              |
|       |          |      |     litters   |           |              |
|       |          |      |               |   litters |              |
|       |          |      |               |     on    |              |
|       |          |      |               |     hand  |              |
|       |          |      |               |     for   |              |
|       |          |      |               |           |              |
|       |          |      |               | emergency |              |
|       |          |      |               |     e     |              |
|       |          |      |               | vacuation |              |
+-------+----------+------+---------------+-----------+--------------+
| **14. | *Unable  | Mate | 1.  Orient    | 1         | 1            |
| T     | to       | riel |     staff to  | .  Assess | .  Institute |
| ransp | receive  | Ma   |     act as    |     needs |     runner   |
| ort** | e        | nage |               |     for   |     system   |
|       | m­ergency | ment |   \"runners\" |     mail  |     for      |
| *     | medi     | (    |               |     and   |     pharmacy |
| *Syst | cations. | Mail | 2.  Plan for  |           |     items;   |
| ems** | Unable   | R    |     manual    |  pharmacy |     ad       |
|       | to       | oom) |     pickup    |     items | ministrative |
| *     | receive  | and  |     and       |           |     mail     |
| *(Rob | mail     | Phar |     delivery  |           |              |
| otic, | s        | macy |     of mail   |           |    secondary |
| Pneu  | ervice.* |      |     and       |           |              |
| matic |          |      |     similar   |           |              |
| Tube, |          |      |     items     |           |              |
| Tr    |          |      |               |           |              |
| acked |          |      |               |           |              |
| Veh   |          |      |               |           |              |
| icle; |          |      |               |           |              |
| et    |          |      |               |           |              |
| c.)** |          |      |               |           |              |
+-------+----------+------+---------------+-----------+--------------+
| **15. | a        | Fa   | a)  Number of | a         | a)  Deploy   |
| Cent  | )  *With | cili |     patients  | )  Number |              |
| ral** |     out  | ties |     requiring |     of    | supplemental |
|       |     an   | Man  |     use of    |           |     Oxygen   |
| **Me  |          | agem |     Medical   |  patients |     and air  |
| dical |   active | ent; |     Gas       |           |     tanks,   |
| Gases |     AOV  | GI   |               | requiring |     portable |
| (Ox   |          | Nu   | b)  Identify  |           |     suction  |
| ygen, |   alarm* | rse; |     quantity  |   medical |     units    |
| Me    |     GI   | Head |     of back   |     gas   |              |
| dical |          | Nu   |     up        |           | b)  Head     |
| Air,  |    Nurse | rse; |     required  | b)        |     Nurse GI |
| Vacu  |          | Res  |     for each  |   Monitor |     Nurse    |
| um)** |    staff | pira |     gas       |     a     |     will     |
|       |          | tory |     (air,o    | larms/dis |     monitor  |
|       |    would | C    | xygen,vaccum) | tribution |     gas      |
|       |     not  | are; |               |     of    |     delivery |
|       |          | SPD  | c)  Identify  |     gases |     and      |
|       | identify |      |     ancillary |           |     report   |
|       |     an   |      |     equipment |           |     loss of  |
|       |     inte |      |     needs     |           |     gas to   |
|       | rruption |      |     such as   |           |              |
|       |     in   |      |     tank      |           |   Facilities |
|       |          |      |     holders,  |           |     and      |
|       |  Medical |      |               |           |              |
|       |     Gas  |      |   regulators, |           |  Respiratory |
|       |          |      |     portable  |           |     Therapy  |
|       | b        |      |     suction,  |           |              |
|       | )  *Inte |      |               |           |              |
|       | rruption |      |    canisters, |           |              |
|       |     in   |      |     etc...    |           |              |
|       |          |      |               |           |              |
|       |   supply |      |               |           |              |
|       |          |      |               |           |              |
|       |    would |      |               |           |              |
|       |          |      |               |           |              |
|       |   impact |      |               |           |              |
|       |          |      |               |           |              |
|       |    care* |      |               |           |              |
+-------+----------+------+---------------+-----------+--------------+
| **16. | *1. Loss | GI   | 1.  Reduce GI | 1.        | 1.  Deploy   |
| Auto  | of       | Coo  |     schedule  | Determine |     adequate |
| mated | critical | rdin |     for       |           |     back up  |
| biome | e        | ator |     period    |  critical |     or       |
| dical | quipment |      |     following |           |              |
| equi  | such as  | Bi   |     Dec       | equipment |    alternate |
| pment | ECG      | omed |     31^st^,   |     req   |     source   |
| uti   | system,  | ical |     1999      | uirements |     for      |
| lized | End      | Eng  |               |     for   |     critical |
| by GI | o-scopic | inee | 2.  Confer    |     GI    |     clinic   |
| Nu    | Imaging  | ring |     with      |     Nurse |              |
| rse** | Eq       |      |               |           |   operation. |
|       | uipment, |      |    Biomedical | 2.        |              |
|       | Radi     |      |               | Determine |              |
|       | ographic |      |   Engineering |           |              |
|       | Eq       |      |     on        | back-ups/ |              |
|       | uipment, |      |     emergency | emergency |              |
|       | would    |      |               |     p     |              |
|       | inca     |      |    procedures | rocedures |              |
|       | pacitate |      |     with the  |           |              |
|       | GI       |      |     use of    |           |              |
|       | Nurse*   |      |               |           |              |
|       |          |      |    identified |           |              |
|       |          |      |     critical  |           |              |
|       |          |      |     equipment |           |              |
|       |          |      |               |           |              |
|       |          |      | 3.  Weekend   |           |              |
|       |          |      |     of Jan 1  |           |              |
|       |          |      |     , 2000    |           |              |
|       |          |      |     testing   |           |              |
|       |          |      |     of proper |           |              |
|       |          |      |     operation |           |              |
|       |          |      |               |           |              |
|       |          |      | 4.  Train     |           |              |
|       |          |      |     staff on  |           |              |
|       |          |      |     emergency |           |              |
|       |          |      |               |           |              |
|       |          |      |   procedures. |           |              |
|       |          |      |               |           |              |
|       |          |      | 5.  Obtain    |           |              |
|       |          |      |     backups   |           |              |
|       |          |      |     as        |           |              |
|       |          |      |               |           |              |
|       |          |      |    identified |           |              |
+-------+----------+------+---------------+-----------+--------------+
| **17. | *1. Life | GI   | 1.  ACLS      | 1\.       | 1.  List     |
| Life  | Thr      | Coo  |     training  | Assess    |     contacts |
| Su    | eatening | rdin |     is        | the       |     for      |
| pport | s        | ator |     current   | situation |              |
| Equi  | ituation |      |               | for need  |    emergency |
| pment | (ie.     | Bi   | 2.  Confer    | of        |              |
| /Syst | Loss of  | omed |     with      | back-up   |   procedures |
| ems** | Defibr   | ical |               | critical  |              |
|       | illator, | Eng  |    Biomedical | support   | 2.  Contact  |
|       | ven      | inee |               | systems   |              |
|       | tilator, | ring |   Engineering |           |   Biomedical |
|       | etc.)*   |      |     on        |           |              |
|       |          |      |     emergency |           |  Engineering |
|       |          |      |               |           |     for      |
|       |          |      |    procedures |           |     delivery |
|       |          |      |     with the  |           |     of       |
|       |          |      |     use of    |           |              |
|       |          |      |               |           |   identified |
|       |          |      |    identified |           |     back-up  |
|       |          |      |     critical  |           |              |
|       |          |      |     equipment |           |    equipment |
|       |          |      |               |           |              |
|       |          |      | 3.  Train     |           |              |
|       |          |      |     staff     |           |              |
+-------+----------+------+---------------+-----------+--------------+
| **    |          |      |               |           |              |
| 18.** |          |      |               |           |              |
+-------+----------+------+---------------+-----------+--------------+