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FIRE RESPONSE PLAN

PURPOSE:
To establish a procedure to follow in the event of a fire emergency.

PROCEDURE:
1. GENERAL INSTRUCTIONS

A. If a fire is discovered, REMAIN CALM, DO NOT SHOUT, DO NOT PANIC, take the following actions.

1. Remove patients from danger.

2. Activate the alarm by pulling the nearest fire alarm pull box (painted red and located in strategic areas throughout the hospital) and call 5200, giving location of Code Red. If the fire alarm system has already activated, omit this step.

3. Contain the fire by closing all doors and windows.

4. Extinguish the fire, if possible, if not Evacuate all persons to a safe area.

B. The PBX Operator, monitoring the Fire Alarm Panel, upon receiving an alarm will:

1. Silence the alarm by pushing the ALARM SILENCE button on the fire alarm panel.

2. Announce three times, the code "CODE RED (and the specific area of the fire).

3. Notify the Pascagoula Fire Department.

4. Establish two-way radio communications with maintenance and security, giving them the location of the code.

5. Notify the Administrator on Call.

C. The Nursing Supervisor on duty will be responsible for patient safety and will assume responsibility of the disaster until the Administrator on duty or call arrives.

D. The senior maintenance employee on duty will report to the fire site and take charge of the fire until the Fire Department arrives and assumes responsibility for the fire.

E. A Respiratory Therapist will report to the fire site to assist with persons requiring oxygen therapy.

F. Personnel will not use elevators during a fire emergency unless directed to do so by Fire Department personnel.

2. INSTRUCTIONS TO EMPLOYEES AT THE SITE OF THE FIRE

A. Employees working in the area of the fire will follow the instructions in Paragraph 1.A, then perform the following actions as the situation allows:

1) Close all fire doors, patient room doors, and windows.
2) Place a damp blanket under the door of the room where the fire is located to prevent smoke from escaping into other areas.
3) Establish traffic control to keep patients and visitors away from the fire site.
4) Reassure patients and visitors.
5) Institute communications with Administration by assigning an employee to remain by the phone.
6) Remove all obstacles from the corridors.

B. While all employees have the responsibility of removing patients in danger, only the person in charge may order complete evacuation of a nursing unit.

C. Oxygen shut offs:

1) The main oxygen shut-off is located outside the building by the liquid oxygen tank. It is the sole responsibility of the Administrator in charge to have this valve shut off if he or she deems it necessary.
2) All other shut-off valves will be the responsibility of the person in charge of the area served by the valves.
3) DO NOT SHUT OFF OXYGEN VALVES without being instructed to do so.

3. INSTRUCTIONS TO EMPLOYEES AWAY FROM THE FIRE

A. Close all fire doors, patient doors and windows in the area.

B. Reassure patients and visitors.

C. Post one employee by the telephone for communication with Administration.

D. Turn on all corridor lights and remove all obstacles from the corridors.

E. Employees who are away from their departments will, as soon as possible, terminate the function they are performing, secure the equipment they are using, and return to their departments.

F. Evacuate the building on orders of the Administrator on Call.

4. DEPARTMENTAL RESPONSIBILITIES

A. Administration:

1. The Administrator on Call will establish the Control Center in the Administrative Offices.

2. Establish communications with the fire site via two-way radio or Southern Link.

3. Make decisions, delegate functions, and maintain communications until the fire is over.

4. Notify the PBX to page the "ALL CLEAR" when the disaster is over.

5. Notify the Director of Public Relations to set up the Press Room.

B. PBX Operator:

1. Code Red SRH:

a. Discourage use of the telephone system by all employees.
b. Remain at the switchboard and follow instructions from the Control Center.
c. Screen and refer priority calls to the Administrator or designee.
d. When notified by Administration, Nursing Supervisor or the Safety Officer, page the "ALL CLEAR."

2. Code Red at the Turner Center

a. Radio Security and beep Maintenance notifying them there is a Code Red condition at the Turner Center.
b. Notify the Administrator on Call.
C. Admissions

1. Personnel and patients will remain in the Admissions Office until the "ALL CLEAR" or order to evacuate is given.

2. Check all cash, patients and accounting ledgers, and other important papers and prepare to move them to a safe area.

D. Dietary Department:

1. If fire threatens kitchen area, notify maintenance to cut off main gas supply.

2. Personnel and visitors will remain in kitchen/dining area until "ALL CLEAR" or order to evacuate is given.

E. Environmental Services:

1. Environmental Aides will immediately terminate their assigned duties and move their equipment to an area out of the way.

2. Environmental Aides assigned to a nursing unit or specific department will report to the nurse in charge or department head and perform tasks assigned by this individual.

3. Environmental Aides working trash or corridors will immediately return to the Environmental Services office for instructions.

4. Environmental Services will ensure that the ground floor fire doors are closed.

F. Information Systems

1. Check memory cores and other important information and prepare to move them to a safe area.

2. Remain in the department until the ALL CLEAR or the order to evacuate is given.

G. Maintenance

1. Code Red SRH:

a. The senior maintenance department employee on duty will report to the fire site and assume responsibility for the fire fighting activities until the fire department arrives.
b. Assign one maintenance employee to remain by the phone in Maintenance to be ready to shut off equipment, or utilities, and perform other tasks as directed by the Administrator or designee.
c. Shut off oxygen control valves only when directed by Administration or person of the area the valve controls.
d. The main oxygen shut-off is located outside the building by the liquid oxygen tank. It is the sole responsibility of the Administrator in charge to have this valve shut off if he or she deems it necessary.
e. All other shut-off valves will be the responsibility of the person in charge of the area served by the valves.
f. DO NOT SHUT OFF OXYGEN VALVES without being instructed to do so.

2. Code Red at the Turner Center

a. If after hours unlock main doors to the Turner Center to allow access for the fire department.
b. The senior maintenance department employee on duty will report to the fire site and assume responsibility for the fire fighting activities until the fire department arrives.
c. Assign one maintenance employee to remain by the phone in Maintenance to be ready to shut off equipment, or utilities, and perform other tasks as directed by the Administrator or designee.
d. Shut off oxygen control valves only when directed by Administration or supervisor of the area the valve controls.
e. The main oxygen shut-off is located outside the building by the liquid oxygen tank. It is the sole responsibility of the Administrator in charge to have this valve shut off if he or she deems it necessary.
f. All other shut-off valves will be the responsibility of the person in charge of the area served by the valves.
g. DO NOT SHUT OFF OXYGEN VALVES without being instructed to do so.

H. Nursing Service: The nurse in charge will:

1. Coordinate activities of all personnel on the unit.

2. Assign someone to remain at the telephone at all times.

3. Prepare a list of all patients with notation of the best mode of transportation for evacuation. Make sure wheelchairs and stretchers are available.

4. Check exits to be sure there will be free access in case of evacuation.

5. Obtain "E" cylinder O2 tanks from Cardiopulmonary for patients who need of oxygen.

6. Ask all visitors to remain with patients.

7. Notify Administrator or designee of any significant developments.

8. When evacuating, account for all patients and personnel and remove all patient records.

I. Pharmacy Department:

1. Lock all controlled drugs in the drug room.
2. Remain in the department until "ALL CLEAR" or order to evacuate is given.

J. Public Relations.

1. The Director of Public Relations, will establish a Press Room in the Information Systems conference Room.

2. In the absence of the Director of Public Relations, the Press Room will be supervised by (1) the Public Relations Assistant; (2) the Director of Marketing, or (3) the Director of Community Health Education.

3. The Director of the press Room will be assisted by (1) the secretaries for System/Support Services, (2) the Administrative Secretary who reports to the Director of Public Relations, or (3) the Health Leader Assistant.

4. The Director will be responsible for the following:

a) Seeing that the members of the press remain in the Press Room.
b) Providing telephone workspace in the area.
c) Disbursing information as directed by Administration.

K. Respiratory Therapy:

1. One employee from the department will go to the fire site and assist with persons who need oxygen therapy.

2. Check all portable "E" cylinders and prepare for use.

3. Personnel and patients will remain in the department until the "ALL CLEAR" or order to evacuate is given.

L. Security:

1. Code Red SRH:

a. The Officer carrying the 809-1911 pager will report to the site of the Code.
b. The ED or secondary Officer will report to the Emergency Department entrance to meet the Pascagoula Fire Department.
c. All Officers will establish and maintain two-way radio communications with each other.
d. Ensure prisoner patient guards from outside agencies or services are familiar with their roles and responsibilities during a fire emergency (see Attachment 1 Roles and Responsibilities of Prisoner Patient Guards during a Fire Emergency).

2. Code Red at the Turner Center:

a. The officer carrying the 809-1911 pager will report to the main entrance of the Turner Center to meet the Pascagoula Fire Department.
b. All officers will establish and maintain two-way radio communications with each other.

M. Surgery:

1. Move patients awaiting surgery to a safe place.
2. Take protective measures, if surgery is underway, for both patient and medical teams.
3. Be prepared to stop surgery and turn off all medical equipment.
4. Personnel and patients will remain in the department until "ALL CLEAR" or order to evacuate is given.

N. Transportation/Volunteer Service (Auxiliary Members & hospital employees):

1. Return all patients in transit to their rooms.

2. Return to the Admissions office and assist as directed by the Admission Clerk in charge.

O. The Medical Staff has no specific duties related to the fire itself however Medical Staff members who are in the hospital at the time of a fire emergency are asked to report to the Emergency Department and, where necessary, provide medical intervention to patients being evacuated or persons injured during the fire emergency. Medical Staff members should also be ready to perform their duties outlined in the Mass Casualty Plan.

P. Hyperbaric Oxygen Therapy (HBO)

1. The chambers will never be removed from the area.

2. If the fire is in one of the chambers the technologists will turn off the oxygen to that chamber.

3. The zone oxygen valve in the rehabilitation area will be turned off as directed by the person in charge of the rehab area.

4. The remaining chambers will be decompressed at a rate determined by the HBO physician.

5. The HBO Zone oxygen valve will be turned off when the remaining chambers are decompressed as determined by the person in charge in that area.

6. Wound care employees will follow the general instructions concerning the remaining patients.

7. Outpatients will be evacuated outside of the building to the parking lot; inpatients will be removed from the smoke compartment.

Q. Other Departments:

1. Be prepared to cease all procedures in process and shut off all equipment.

2. Personnel and patients will remain in the department until "ALL CLEAR" or order to evacuate is given.

5. USE OF FIRE EXTINGUISHERS AND FIRE FIGHTING EQUIPMENT

A. Every employee is responsible for familiarizing themselves with the location of fire extinguishers in their area.

B. A.B.C. Fire EXTINGUISHERS:

1. A.B.C. Fire Extinguishers are for use on all fires.

2. To operate: 

Pull the pin.
Aim at base of fire.
Squeeze the handle.
Sweep from side to side.

6. FIRE SEARCH PROCEDURE

A. Notice of fire smell or smoke:

1. When an employee becomes aware of the smell of fire or sees smoke in an area, they will IMMEDIATELY sound the alarm by pulling the nearest fire alarm pull box.

2. If a fire is located, IMMEDIATELY take the appropriate actions indicated in this Plan.

B. Fire Search:

1. Make a quick search of the entire area, if a fire is not located, begin a room search.

2. The room search will constitute:

a) Place the palm of the hand on the surface of the door to ascertain if there is heat in the room. IF HOT, DO NOT ENTER. SOUND THE ALARM.
b) If no heat is felt through the surface of the door, open the door, and make a visual searching sweep of the room, including the bathroom.
c) If a fire is still not located, walk around all objects to ensure no fire exists.

7. EVACUATION

A. When initiated by Administration, evacuation will be conducted as outlined in the Evacuation Plan located in the Emergency Preparedness section of the Environment of Care manual.

B. Designated stairs and routes are not included in this plan. Departments will use the available exits closest to their Assembly Site that is available in the specific emergency. Assembly Sites are outlined in Addendum A of the Evacuation Plan.


Attachment 1 - Roles and Responsibilities of a Prisoner Patient Guard


ROLES AND RESPONSIBILITIES OF A PRISONER PATIENT GUARD DURING A FIRE EMERGENCY

1. Remain Calm.

2. To report a fire, activate the nearest fire alarm pull station or call 5200.

3. The PBX Operator will announce over the PA system that a fire (or suspected fire) exists by Paging CODE RED and the location of the alarm.

4. Your primary responsibility in a fire situation is to maintain custody of the guarded patient and to assist in protecting the patient and staff who must care for the patient during a stressful situation.

5. Follow instructions given by hospital personnel and/or the Pascagoula Fire Department.

6. If evacuation is necessary, remain with your prisoner patient at all times.

7. When the fire threat no longer exists, the ALL CLEAR will be paged overhead.