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RESPONSE TO DEFICIENCY # 47 As a result of the SJC Environmental Health Department inspection completed June 28, 2007, we have the following response to deficiency #47. In which you referenced an Emergency Coordinator(s) be identified in our Hazardous Material/waste Contingency Spill Plan for un-expected disaster events including fire, explosion, releases of hazardous substances. See attached policy. Also as a point of reference a consistent universal," Red" binder (Emergency Management Response Plan) is present in every department which documents the processes to follow in the event of an emergency. This plan is used by all employees of St. Joseph's Medical Center as a guideline for response to emergencies which may overwhelm routine hospital operations. It is structured so that each employee can determine his or her role in the event of any situation where the hospital must respond to a disaster or emergency, either within our hospital or in our community. It has been designed using the Hospital Emergency Incident Command System (HEICS), which employs a logical management structure, defined responsibilities, clear reporting channels, and a common nomenclature to help unify hospitals with other emergency responders. It is the intent of the Emergency Management Committee (an active ongoing committee chaired by the Medical Center's appointed Safety Officer) to maintain this plan to be understandable and "user-friendly" for all employees. The plan is meant to address a myriad of scenarios, and to be flexible for the uniqueness of each situation. The plan is intended to be a dynamic document with ongoing evaluation and improvement. Our Hospital Wide Emergency Management Plan provides for an organized response to any emergency that taxes the hospital's resources and ability to provide service. This plan should be used by all employees of St. Joseph's Medical Center as a guideline for response to emergencies that may overwhelm the hospital. This plan is intended to provide a framework to allow the organized response to anything from a small multiple casualty incidents which may bring 4- 5 patients to the Emergency Department, to a large-scale internal disaster situation, such as an explosion, fire, chemical release, earthquake or flood.