Policies, Procedures, and Codes, Oh My
NAME THE COLOR
ACRONYMS
Manuals, Reports, and More
POTPOURRI
100

This is what you should do if a client starts to become verbally escalated and aggressive and isn't responding to verbal de-escalation.

What is call a code violet.

100

Code that represents a disaster.

What is code yellow?

100

SBAR

What is Situation, background, assessment, recommendation?

100

This is where you will find the Emergency Preparedness Manual at East CTH.


What is in the office/supply space behind registration? 

Located in lab on bookshelf at Newark site.

100

NCH's service recovery model.

What is HEAT (Hear the family out, empathize, apologize, take ownership and action)?

200

BH Mental Health Advance Directive procedure is relevant for this patient population.

What is adult patients?

200

Code that represents hazardous materials spill/release.

What is code orange.

200

P.A.S.S.

What is Pull Aim Squeeze Sweep?

200

This is how safety events are reported.

What is by entering information into the hospital event reporting system (CSSTARS)?

200

The amount of wet/contact time when using SANI-cloth wipes.

What is 3 minutes?

300

This is when patients and parents/guardians should be provided a copy of their Client Rights.

What is when beginning assessment or treatment and upon request?

300

Code that represents severe weather.

What is code gray?

300

PPE

What is Person Protective Equipment?

300

This is the name of the safety program at NCH.

What is Zero Hero?

300

A condensed version of NCH's Emergency Operations Plan (EOP).

What is the emergency preparedness manual?

400

According to the DA policy, this is when a DA should be completed.

What is by the second visit?

400

Code that represents a bomb threat or suspicious package.

What is code black?

400

R.A.C.E.

What is Rescue Alarm Contain Evacuate?

400

These are acceptable cleaning/disinfecting methods for toys.

What is automatic dishwasher, Clorox Healthcare Bleach Germicidal Cleaner, and Sani-Cloth AF3.

400

The only type of nail polish NCH staff can wear.

What is brush-on nail polish that can be removed within 30 seconds using an acetone nail polish remover?

500

This is the process BH clinicians follow according to the medication reconciliation policy (what clinicians do and how often).

What is review and document the medication list at the initial visit and annually?

500

Code that represents a fire.

What is code red?

500

RAT

What is Risk Assessment Team?

500

These are two patient identifiers.

What is patient's full name and MRN?

500

This is when BH clinicians assess for pain.

What is at the first appointment and when the DA is updated.