A. Each hospital shall adopt and implement the following set of uniform codes for the identified emergency situations as part of its emergency or disaster plans:
(1) Fire Code Red;
(2) Infant or Child Abduction Code Pink;
(3) Cardiac Respiratory Arrest Code Blue Adult;
(4) Cardiac Respiratory Arrest Code Blue Child;
(5) Cardiac Respiratory Arrest Code Blue Infant;
(6) Combative Person Code Green;
(7) Bomb Threat Code Gold;
(8) Hazardous Material Spill or Release Code Orange;
(9) Elopement Code Gray;
(10) Security Only Response Code Purple;
(11) Emergency or Disaster Code Yellow; and
(12) Armed Assailant Code Silver.
B. A hospital may adapt the uniform codes referenced in §A of this regulation to meet the specific needs of the hospital by adding a suffix or additional words after that code.
C. For emergency situations not addressed by the codes in §A of this regulation, a hospital may establish its own identifying code.
D. A hospital shall adopt only those uniform color codes that are consistent with the services or needs of the hospital.
E. As part of its emergency or disaster plan, the hospital shall establish its own protocol for each of the uniform codes.
F. A hospital shall provide orientation and training to all staff regarding the uniform emergency codes and the hospital's emergency or disaster plan.
G. A hospital seeking exceptions to the requirements of this regulation shall submit its plan for emergency codes to the Department for review and approval:
(1) Within 90 days after the effective date of this regulation; or
(2) Before implementation of changes in its emergency code that would not comply with §§AF of this regulation.