<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".33" citation="COMAR 10.07.01.33" title_num="10" subtitle_num="07" chapter_num="01" heading="Uniform Emergency Codes.">
  <paragraph num="A.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>Fire — Code Red;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Infant or Child Abduction — Code Pink;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Cardiac Respiratory Arrest — Code Blue — Adult;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Cardiac Respiratory Arrest — Code Blue — Child;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Cardiac Respiratory Arrest — Code Blue — Infant;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Combative Person — Code Green;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Bomb Threat — Code Gold;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Hazardous Material Spill or Release — Code Orange;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Elopement — Code Gray;</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Security Only Response — Code Purple;</text>
    </paragraph>
    <paragraph num="(11)">
      <text>Emergency or Disaster — Code Yellow; and</text>
    </paragraph>
    <paragraph num="(12)">
      <text>Armed Assailant — Code Silver.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>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.</text>
  </paragraph>
  <paragraph num="C.">
    <text>For emergency situations not addressed by the codes in §A of this regulation, a hospital may establish its own identifying code.</text>
  </paragraph>
  <paragraph num="D.">
    <text>A hospital shall adopt only those uniform color codes that are consistent with the services or needs of the hospital.</text>
  </paragraph>
  <paragraph num="E.">
    <text>As part of its emergency or disaster plan, the hospital shall establish its own protocol for each of the uniform codes.</text>
  </paragraph>
  <paragraph num="F.">
    <text>A hospital shall provide orientation and training to all staff regarding the uniform emergency codes and the hospital's emergency or disaster plan.</text>
  </paragraph>
  <paragraph num="G.">
    <text>A hospital seeking exceptions to the requirements of this regulation shall submit its plan for emergency codes to the Department for review and approval:</text>
    <paragraph num="(1)">
      <text>Within 90 days after the effective date of this regulation; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Before implementation of changes in its emergency code that would not comply with §§A—F of this regulation.</text>
    </paragraph>
  </paragraph>
</regulation>