Fire Safety All Entities - Study Guide
Introduction The purpose of fire safety training is to inform all employees regarding fire prevention, detection and the proper procedures to follow in case of a fire or a fire drill. We have an obligation to the Hospital and each other to follow an organized plan. The hospital fire and emergency evacuation plan is outlined in detail in the Fire Safety and Disaster Manual, Chapter 3. You must act quickly if you discover a fire since they generally can double in size in about 2 minutes. Many people die in fires every year and the biggest killer in a fire is smoke. Fires can produce deadly gases that are odorless, colorless and hard to detect. One such gas is carbon monoxide. Until smoking and the use of tobacco was banned in healthcare healthcare facilities, the leading cause of fires was the careless use and disposal of smoking materials. Now electrical related fires are the leading cause. The acronym R.A.C.E. is an easy reminder of the appropriate response to a fire. R.A.C.E. stands for . . . Rescue, Alarm, Contain, & Extinguish R . . . RESCUE patients, visitors, and anyone else in danger from the fire and go to a safe place. A . . . ALARM. There are two steps to take in alerting the Hospital to a fire. The first is to sound the alarm by pulling the lever on the FIRE ALARM PULL STATION. The alarm sounds on the floor of activation, one floor above and one floor below. The second step is calling in a fire report: The Methodist Hospital and Corporate (713)790-3300 - Main Building, Dunn Tower, Fondren-Brown, Alkek and Neurosensory Buildings or West Pavilion 9-911 - Scurlock Tower, Smith Tower, Annex, Warehouse and Medical Towers.
Methodist Sugar Land Hospital 281-274-7777 - Methodist Sugar Land Hospital
9-911 - Methodist Sugar Land Hospital - Medical Office Building (MOB) 1 or 2
Methodist Willowbrook Hospital Ext. 7777 - Methodist Willowbrook Hospital 9-911 - Methodist Willowbrook Hospital - Medical Office Building (MOB)
San Jacinto Methodist Hospital Ext. 3333 - San Jacinto Methodist Hospital - Garth and Alexander Campus 9-911 - San Jacinto Methodist Hospital - Clinics, Plaza 1 or 2
C . . . CONTAIN. Close all doors and clear hallways of people and equipment. The doors to the fire exit stairway must ALWAYS remain closed unless you are moving through them. E . . . EXTINGUISH. If you can do so safely, and you feel comfortable using the fire extinguisher, use it. If not, don't put yourself at risk. Sometimes RACE may be taken out of order if the situation permits. (Ex. If a person's clothing is on fire, you should try to extinguish their clothing first. If there is a fire in a storage closet, you should try to close the door to the closet. If the fire is in a patient's room, remove the person if possible and sound the alarm. REMEMBER, the unit should work together as a team. AFTER PULLING THE FIRE ALARM, ALWAYS NOTIFY THE FIRE OPERATOR so the fire department will upgrade its response. Once the pull station is activated it sounds the alarm on the floor of activation, one floor above and one floor below. It also notifies the fire department, closes the fire doors on the floor of alarm, shuts down the HVAC (A/C) system on the floor of alarm and notifies our Emergency Response Team. Notifying the fire department is important whenever any fire is suspected in your facility. Each employee should know their specific roles and responsibilities when they are away from a fire's point of origin. (Departmental specific fire plans should reflect this information.) Each department has a specific evacuation plan in case of fire. EVACUATION PROCEDURES:
The fire/smoke is confined to a small area.
Remove all patients, visitors, and personnel from the immediate area. Move all patients, visitors, and personnel HORIZONTALLY beyond the fire/smoke doors. This is the primary direction of evacuation. NOTE: The fire/smoke doors must be kept closed when people are not being evacuated
The fire/smoke is not confined to a small area, or progresses to a point where evacuation becomes necessary
through them to contain the smoke or fire to the point of origin and isolate patients and visitors from the fire.) The Houston Fire Department or Administrator On Call tells you to evacuate the floor. Move all patients, visitors, and personnel VERTICALLY by stairwells using the route and destination identified in your department specific fire evacuation plan. (DO NOT USE ELEVATORS except under the direction of the fire department)
Total evacuation out of a building is a last resort and ONLY under the direction of the fire department. Methods of Patient Movement: 1. BLANKET/SHEETS CAN BE USED TO SMOTHER FLAMES, DRAG PATIENTS, OR SHIELD A PATIENT FROM FIRE. 2. WHEELCHAIR 3. FIXED CHAIR OR "STAIR CHAIR" 4. STRETCHERS 5. MOVEMENT OF PATIENT BEDS 6. FIRE DEPT. SUPERVISED USE OF ELEVATORS OXYGEN ZONE VALVE SHUTOFF will occur only under the direction of the nursing staff of the affected unit. Shutting off oxygen zone valves could affect many patients. If oxygen is contributing to a fire, shut it off at the source if possible, or shut off the zone valve if necessary. Identify classification of fires. The 3 most common classifications of fires: Class A -- Common combustibles (trash, paper, linen, wood, plastics) Class B -- Flammable liquids (gasoline, alcohol, paint) Class C -- Live electrical equipment
*It is possible to have a fire with a combination of A, B or C classes. (Ex. Laser printer: paper and printer are an A, yet while the printer itself is connected to electricity it is a C class.) Types of fire extinguishers: Pressurized water A class fires only Carbon Dioxide B and C class fires only. Halon A, B, or C class fires. Dry Chemical* A, B, or C class fires.
*When using the dry chemical extinguisher, remember that it contains a compressed powder that is corrosive and can cause difficulty to the respiratory system.
Proper use of a fire extinguisher: To remember the steps, use the acronym PASS. P ... pull the pin A ... aim the extinguisher at the base of the flames (start back 3-5 ft. from the fire). S ... squeeze the handle S ... sweep: Use a sweeping motion to completely cover fire area when using the extinguisher.