Fire Safety Review

FIRE SAFETY REVIEW for POS Clinic-PFP Staff

A quarterly fire drill review is a requirement for all employees in the Core Lab, Point of Service and the Satellite Clinic Labs. Although it is not possible for the Clinic Staff to participate in a large scale fire drill, it is still possible for you to:

· Read and initial the Quarterly Reviews individually

· Take your online quarterly Fire & Safety ICON quiz

· At least once a year, do egress fire drills with small numbers of staff (1-2 people at a time). After completing a drill, please log your attendance on the Fire Drill Attendance Form

The important thing is to know what to do in each area you work, should a fire emergency occur.

CHECK LIST FOR CORE PATHOLOGY QUARTERLY FIRE DRILL/REVIEW

Section: Pomerantz Family Pavilion Laboratory

Date: Quarter 3 -July/August 2009

Reviewer: Staff – after reading this review and completing your fire drill, please add your name and initials to the Fire Drill Attendance Sheet for this area.

You only need to do one drill a year in the area that you work the most.

Read and initial the Review Sheet in EACH AREA THAT YOU WORK.

When a fire alarm activates, a light activates on the simplex panel in the affected area. In our area, simplex panels are located At the nursing desk in each Clinic in the area.

The acting supervisor/designee checks the simplex panel(s) or checks with the nursing staff in the clinics. Staff is notified by overhead page that the alarm is or is not in the immediate area (see 2 B below). Procedures followed in the event of a potential fire emergency use the acronym RACE:

Rescue Alert Confine Extinguish

1. Rescue: Rescue patients, visitors or staff from the room or area where the fire is located. Others should remain in their rooms, waiting areas or offices with the doors closed. If necessary, individuals are moved to a safe area beyond a rated fire door. Emphasis is placed on keeping aisles clear for the fire department. Do not evacuate vertically and/or out of the building unless dictated by fire department officials.

2. Alert: Alert the appropriate people, as soon as a potential fire emergency is discovered,

A. Dial 9-911 or 911 (Med Labs and MRC) or 195 (Hospital Complex) and give the operator your name, location of the fire, and condition/type of fire. They notify the fire department and appropriate officials as necessary.

B. Use overhead page to announce a fire in your respective area.

Dial 121. Wait for the tone and enter the access code for the affected area:

0 - for all of Pathology in GH and RCP

Blood Bank

Blood Donor Center

5th floor RCP

6th floor RCP

1- Blood Donor Center only

2- Pediatric Laboratory

3- Blood Bank only

4 - Cancer Center Laboratory

5 - for 5th floor RCP

6- for 6th floor RCP

7- Surgical Pathology area (5JPP)

8- Family Care Center Laboratory

9- Microbiology Laboratory

Clinics will hear an overhead announcement from the clinic in the event of a real fire.

C. Pull the fire alarm. This activates a bell system on the floor, alerting individuals on your floor as well as other floors of a potential fire hazard. Pull stations in our area are located: by the exits in the hallway across from the bathrooms – door # 31285-S.

Date: 02/13 600.300: Fire Safety Form QA Fire Drill Supersedes: 02/29/12 Page 1 of 2

Please direct any questions regarding these instructions to your supervisor or to the POS Lab Safety Officers Wendy Voigt, Tony Luczak - July 2013.

3. Confine: Confine the entire affected area to deter and prevent the travel of smoke and fire. This can be done by:

A. Closing all doors and windows.

B. Assuring smoke/fire doors are closed.

C. Turning off all room gas supplies.

D. Removing open flammables to approved storage areas.

4. Extinguish: Extinguish the fire, if safely possible. This is attempted with an approved extinguisher and only from a point of safety. Do not open a closed door leading to a fire area if the door feels unusually warm to the touch. Extinguishers are placed in crucial areas of all hallways and hazardous areas with their location noted on the area’s evacuation map.

· In our area, fire extinguishers are located: In the main hallway outside the laboratory area.

· Fire blankets are located: If available, the fire blankets should be near the fire extinguishers.

To use an extinguisher, remember PASS:

Pull the nozzle lock ring free of the extinguisher handles.

Aim the nozzle at the base of the fire.

Squeeze the two handles together releasing the water, CO2, or chemical. When using a CO2 or chemical extinguisher, only short bursts should be used.

Sweep the extinguisher from side to side dispensing the extinguisher’s contents in an even pattern at the base of the fire.

After all assurances are made that there is no longer a fire emergency in the area, the following announcement should be made over the overhead paging system: “Code F all clear” (see 2 B).

5. Each laboratory staff member participates in annual evacuation procedures (fire exit drill). Staff must exit beyond the nearest fire doors. Exit drills in our area are conducted on: Annually in June/July/August - see the instructions in the Risk Management ICON course and on the POS Clinic/Lab Safety Bulletin Board (s).

A. Our laboratory’s evacuation map is displayed: By laboratory exit doors / Exit Signs.

B. Our lab’s designated re-location area (to meet following a laboratory evacuation) is: Follow the egress signs if a fire is in the immediate area. After a drill or real evacuation, meet outside of elevator M.

Note: A copy of the completed checklist should be sent to the Department’s Risk Management Coordinator, C683 GH.

Date: 02/13 600.300: Fire Safety Form QA Fire Drill Supersedes: 02/29/12 Page 2 of 2

Please direct any questions regarding these instructions to your supervisor or to the POS Lab Safety Officers Wendy Voigt, Tony Luczak - July 2013.

Directions for Fire/Emergency Evacuation Drill of Point of Service (POS) Core, Clinic, CCL & SCNL

1. In Core: A member of the safety committee or designee will initiate the evacuation drill. This individual will be the evacuation coordinator.

In the clinics, CCL, SCNL you will be asked to carry out the drills as staffing and patient load allows. This may necessitate only one or two staff doing a drill together.

Drills will be carried out on the schedule set for by your supervisor/ POS safety officer.

2. In Core: Specimen Control will dial “121-6” and announce “Code F” (for an actual fire) or “Code F Drill (for a fire drill), evacuate the laboratory”. For any other emergency evacuation, “Evacuate the laboratory. This is NOT a drill.”

In the clinics, CCL, SCNL the laboratory staff will do drills on a small scale basis as described above so as not to interrupt patient care. You may make a local (verbal) announcement to the lab staff involved in the drill at the time you carry out your fire drill. CCL may use the overhead pager if they are carrying out a fire drill.

3. In Core: All personnel are to exit the Core Lab and meet in the atrium hallway outside the double fire doors (at the end of the break-room hallway).

In the clinics, CCL, SCNL please go to the designated re-location area specified on the Fire Drill/Review sheet posted in each clinical area:

In the clinics - Meet at the designated area outside your clinic (see fire drill review)

CCL – Meet by the 5th floor I elevators, past the fire doors (see fire drill review).

SCNL - Meet outside the Nursery fire doors with nursing staff (see fire drill review).

4. In Core/Clinics: Note that Lab personnel will assist any disabled individuals in the case of a real fire.

5. In Core, Clinics: In the case of an Evacuation Drill: if there are outpatients in the drawing room or waiting for phlebotomy, stay with the patient and continue the procedure. In the case of an Actual Evacuation, cease the procedure and evacuate the patients.

6. In All Areas: Supervisors or designees must account for all personnel. Take the daily schedule to the evacuation meeting site.

In the clinics take the daily schedule with you and have a plan to account for all laboratory personnel and patients that might be in the clinics in a real fire emergency.

In SCNL, also take the schedule with you to account for all laboratory personnel, but be prepared to follow the instruction of nursing if they need your help in evacuating patients or visitors.

7. In All Areas: Each employee should sign the evacuation/drill log to document presence/participation.

Please do this in ALL POS locations. The drill attendance sheet will be posted in your area.

8. In Core: Return to the laboratory ONLY when indication by the evacuation coordinator.

In the clinics, CCL, SCNL return to your workplace once you are sure that you’ve evacuated to the proper location (check the locations on your fire drill review sheet).

9. In Core: Specimen Control will announce “Code F Drill, All Clear” on the overhead paging system. In the case of an actual evacuation, instructions will be given.

10. Familiarize yourself with the evacuation egress diagrams. They are posted at every exit of the Core Laboratory.

In the clinics, CCL, SCNL find your egress diagrams and know the evacuation route(s).

11. Be prepared at anytime to tell an inspector or auditor how you would evacuate the lab from your present position AND how the acronyms RACE and PASS fit into our lab’s Fire Safety Procedure.

Fire Safety Questions – Do you know?

1. What is the acronym for the potential fire emergency and what does each letter stand for ? ______

2. When a fire alarm is activated, a light is activated on the simplex panel in the Core Lab.

Where is the simplex panel located?______

Who should check the simplex panel?______

3. To alert the hospital to a potential fire emergency, you dial ______on the telephone. What 3 pieces of information do you provide?

______

4. To use the overhead pager in the Core lab to notify co-workers of a fire, you dial ______on the telephone and put in the access code number______.

4. Where are the fire alarm pull stations located in the Core Lab?______

5. Where are the fire alarm pull stations located in the FCC?______

6. Where are the fire alarm pull stations located in the SCNL?______

7. Where are the fire alarm pull stations located in the CCL?______

8. Where are the fire alarm pull stations located in the Cancer Center Lab?______

(If fire alarm pull stations are not located directly in a satellite lab, indicate where

the nearest pull station is located.)

9. List 2 ways to confine a fire.______,______

10. Where are fire extinguishers located in the Core lab?______

11. Where are fire blankets located in the Core lab?______

12. What is the acronym for using a fire extinguisher and what does each letter stand

for?

13. When the fire emergency in the Core Lab is over, what announcement is made over the overhead paging system?

14. In an evacuation of the Core Lab, where is the designated meeting area for further instructions?

What do the letters in the acronym PASS stand for?

Name: ______Date:______

Fire Drill Attendance Sign In Sheet
Date: ___/___/___ Time: ______Location: ______
Name (Print) / Initials / Lab
** All Employees participating in the Fire Drill Must Sign In **

BLANK CHECK LIST FOR QUARTERLY FIRE DRILL/REVIEW

Section: Date:

Reviewer:

When a fire alarm activates, a light activates on the simplex panel in the affected area. In our area, simplex panels are located at ______. The acting supervisor checks the simplex panel(s). Staff is notified by overhead page that the alarm is or is not in the immediate area (see 2 B below). Procedures followed in the event of a potential fire emergency use the acronym RACE:

Rescue

Alert

Confine

Extinguish

2. Alert: Alert the appropriate people, as soon as a potential fire emergency is discovered,

B. Use overhead page to announce a fire in your respective area. Dial 121. Wait for the tone and enter the access code for the affected area: