When should a steady alert NOT be used according to Policy 818?

A steady alert should not be used during hospital status changes according to Policy 818 for several reasons. Hospital status changes generally refer to modifications in operational capacity or conditions, such as moving from "normal" to "surge" status or declaring a code situation. These changes usually require more nuanced communication rather than a steady alert, which is intended for situations requiring immediate attention and action.

A steady alert is typically reserved for high-priority situations that demand a rapid response, such as life-threatening emergencies or significant security threats. In the context of hospital operations, signaling a status change might be more effectively communicated through other means, like specific announcements or alerts that can provide detailed information about the situation, rather than a uniform steady alert which could lead to confusion or alarm when it's not necessary.

In contrast, the other options listed—such as all points broadcasts, "be on the lookout" announcements, and internal disaster notifications—are instances where a steady alert is appropriate. These situations demand immediate attention and clarity, making the steady alert an effective tool to ensure that all relevant personnel are promptly notified and can respond appropriately.