FIRE SAFETY Mandatory Inservice Effective Date: May 1, 2006

1. FIRE SAFETYMandatory Inservice Effective Date: May 1, 2006

2. Program Objectives Recall the R.A.C.E. acronym and definitions. Identify procedures to use in the event of a fire. Recall the emergency code for Fire is Code Red. Recall emergency evacuation procedures to be used at the Robinwood Medical Center.

3. The information presented here meets� Occupational Safety & Health Administration (OSHA) safety mandates Center for Disease Control (CDC) infection control standards Joint Commission on Accreditation of Healthcare Organizations (JCAHO) environment of care requirements, clinical nursing concepts and skills Corporate compliance through the Office of the Inspector General Centers for Medicare & Medicaid Services (CMS) standards, quality, and customer service

4. Graphic Images Graphic images used in this presentation include the following sources� Clip Gallery and Clip Gallery Live, 2006 Microsoft Corporation. All rights reserved. LifeART images, copyright 2006, Lippincott, Williams & Wilkins. All rights reserved.

5. Fire SafetyIs Everyone�s Concern Investigate smoke or the smell of smoke. Feel doors with your hand before opening. Don�t open if they�re hot. If the door is not hot, open it slowly. Rescuing patients/ customers is our top priority!

6. REMEMBER THE LETTERSR. A. C. E. R - RESCUE A - ALARM C - CONTAIN E - EXTINGUISH or EVACUATE

7. R - RESCUE Rescue anyone from IMMEDIATE danger! Patients/customers are the first priority but staff or visitors may have to be rescued as well. Stay low to the floor to rescue. Heat and smoke rise - crawl beneath the smoke and heat. Don�t use elevators!

8. A - ALARM Workers on the Hospital and Robinwood Medical Center campuses will pull the alarm. Then, if you�re working at the� Hospital � call extension 8122 Robinwood Medical Center and all other Health System sites call 911 then call Facilities Engineering at 301-714-4090 to report the fire. Give the location of the fire. Always be the last person to hang up in case more information is needed. Don�t yell �fire�, you don�t want to cause a panic.

9. C � CONTAIN Contain the fire! Close all doors and windows. Fire doors where available will close automatically after the alarm is pulled. Place damp towels under doors to contain smoke. Shut off oxygen if given instructions to do so.

10. E � EXTINGUISH OR EVACUATE Extinguish the fire, if possible; if not able to extinguish then evacuate the area. Use the PASS method to extinguish the fire. Pull the pin on the extinguisher. Aim the nozzle at the base of the fire. Squeeze the handles together. Sweep from side to side. Be sure to rip off the plastic tag on the extinguisher before you start.

11. Evacuation Tips Evacuate ambulatory patients, visitors, and customers first. Stay calm and give directions clearly to those you are evacuating. If you have fire doors, move evacuees through the next set of fire doors or work them down to a lower floor if necessary. Never use elevators!!!!! Learn techniques to evacuate persons who can�t walk.

12. Robinwood Medical Center Evacuation Procedures When the fire alarm goes off at the Robinwood Medical Center� Follow the instructions of the Fire Safety Team wearing red badges. Everyone must evacuate the building (except for designated clinical areas). Go to your work area�s assigned Red Circled F in the Medical Center parking lot. For more information please read your work area�s copy of the Incident Command Manual for the Robinwood Medical Center.

13. Location Know the location of the following in every unit or department you work in� Fire extinguishers Fire alarms Evacuation plan specific to the area Any other important unit or department-specific information

14. Viewing This InserviceIs Not Enough You must actively participate in fire drills to practice exactly what to do in a fire emergency. And so in a real fire you can act quickly, minimizing confusion.

15. Fire Drills�

16. The procedure for a fire anda fire drill are the same� 1. Rescue anyone from immediate danger. 2. Alarm � pull the alarm if available. Then, if you�re working at the� Hospital � call extension 8122 Robinwood Medical Center and all other Health System sites call 911 then call Facilities Engineering at 301-714-4090 to report the fire. 3. Contain the fire by closing doors or windows. 4. Extinguish if possible, or evacuate.

17. Emergency Code The Maryland Department of Health and Mental Hygiene has adopted regulations requiring all Maryland hospitals to use a uniform set of emergency security codes. This means the emergency codes will be the same from one Maryland hospital to another. �Red Letter F� will no longer be used. Effective November 1, 2004 this new emergency code will be used by all departments and units on the hospital campus as well as hospital owned off-sites. The new code for Fire will be Code Red.

18. Alerting others of a fire... On the Hospital Campus Code Red will be broadcast on the public address (PA) system. This includes fire drills and real fires. Workers at the Robinwood Medical Center should follow the procedures listed in their Incident Command Manual. For all other Health System sites which do not have a PA system or central alarm system� Follow the fire plan of your unit or department, noting how others will be notified of the fire, evacuation procedures, etc.

19. When a fire is announced� On the Hospital Campus, all staff should remain at their current locations until the �All Clear� is announced. Do not attempt to return to your unit/department, moving through fire doors or using elevators. Exceptions: Specific individuals may be paged to return as situation may require via stairs or as directed. Patients in transit should be returned to their rooms or treatment area, whichever does not involve the use of elevators, or diverted to the nearest patient holding area.

20. The fire safety procedures that you�ve learned in this inservice... Are to be followed WHENEVER there is a fire. By following these procedures during a fire drill you practice the appropriate procedure. Then, if a real fire does occur, the correct responses take over and you do not have to try to remember what to do first or what phone number to call. Practice does make perfect!!!!!

21. Fire Safety is Everyone�s Concern! Remember the R.A.C.E. acronym. Know where alarms and extinguishers are located. Know what is expected of you in your unit or department. Participate in fire drills. Remember the emergency code for Fire is Code Red. Know the procedures to be used at the Robinwood Medical Center.

22. Uniform Emergency Codes The Maryland Department of Health and Mental Hygiene has adopted regulations requiring all Maryland hospitals to use a uniform set of emergency security codes. This means the emergency codes will be the same from one hospital to another. Effective November 1, 2004 these codes will be used by all departments and units on the hospital campus as well as hospital owned off-sites.

23. Now, it�s time to see what you learned! Copies of the Fire Safety post test can be found on� The WCHS Intranet, WCHS Inservices page. Or, in the Meditech Library, Human Resource Development cabinet, Mandatory Inservices Info drawer. Read the questions and circle the correct answers on your paper copy. Give your completed post test to the designated person in your unit or department.

24. To Exit This Inservice� Press the escape key on your keyboard. Click on the back button in the upper left corner of your computer screen to return to WCHS Inservices page.