Hospital Evacuation drill

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By: DeeGroarke73 (16 month(s) ago)

As ghospital Fire safety officer could I get a copy too? and any procedures policy to accompany to Deirdre,Groarke@hse.ie Thanks

By: manoj1212 (31 month(s) ago)

Sir, very nice presentation. Could you please send me hospital security protocols, procedures on my email kmanoj1212@yahoo.com

By: Abidul (35 month(s) ago)

Sir, Kindly send a copy of your ppt.presentation in the following email: abid2@sify.com.

By: lcauser (41 month(s) ago)

nice

By: ritchkp (43 month(s) ago)

Could you share a copy of the Hospital Evacuation Procedures.

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Presentation Transcript

Slide 1: 

Presented By: Safety Section Head Engr: Yasser Elsnosy Abha Private Hospital Hospital Evacuation Procedures

Introduction : 

Introduction The evacuation in-place of a healthcare facility is a very complex task. Even with a well-defined plan and trained staff, it is very likely that, during the implementation of the decision to evacuate or shelter-in-place, there will be patient deaths and injuries, staff injuries and exacerbation of existing patient illnesses and injuries.

Definitions: : 

Definitions: 1- Hospital evacuation: is the process of moving patients, staff and visitors from their at-risk location within a medical facility or campus to a safe holding area or alternate location. 2- Assembly Area: In a complete evacuation, this is an area(s) where patients are processed before going to the Patient Staging Area(s) for transport out of the healthcare facility.

Definitions: : 

Definitions: 3- Complete Evacuation: evacuation of the entire facility. 4- Emergency Management Plan (Disaster Plan): the procedures, developed by the healthcare facility, to manage an internal or external hazard that threatens patient, staff, and visitor life and safety. 5- Triage Tag: this is “slip of paper” that is attached to a patient, usually by Emergency Medical Services (EMS) in the field, to provide key information about the patient. The “tag” includes and identification number and a color-coded system to document the acuity level of the patient.

Purpose and Objectives of fire Evacuation drill: : 

Purpose and Objectives of fire Evacuation drill: 1- To identify any weakness in the evacuation strategy. 2- To test the procedure following any recent alteration or changes to working practices. 3- To familiarize new occupants with procedures. 4- To test the arrangements for disabled people. 5- To identifying weakness in emergency communications procedures and systems. 6- To identifying positive and negative reactions of staff.

Basic Assumptions : 

Basic Assumptions Only one hospital building evacuating at a time No other emergency occurring in hospital. Emergency Departments will not be receiving sites. A hospital evacuation requires time, labor, intensive resources, and material. Transfer will be to a facility with “similar services”. Non-ambulance transport may need to be used. Special care patients will be sent directly to receiving ER, not to external holding areas.

General Guidance and Safety consideration : 

General Guidance and Safety consideration Consult& Coordinate with any other building occupants/ departments. Prevent Unintentional fire brigade Attendance. Weather Conditions(e.g. Thunder or torrential rain). Escape routes free from hazards. Staff Information: it may not beneficial to have surprise drills as the health and safety risks.

Emergency & Fire Drill Evacuation General Procedures: : 

Emergency & Fire Drill Evacuation General Procedures: When alarm sounds, remain calm and close room window(s). Grab only the clothing necessary for existing weather conditions. Switch off all unnecessary electrically or mechanically operated tools, equipment or heating device. Stay low under smoke and toxic fumes, crawl on hands and knees, if necessary. Close but do not lock room/apartment door(s) behind you.

Emergency & Fire Drill Evacuation General Procedures: : 

Emergency & Fire Drill Evacuation General Procedures: Do not use elevators, use stairways only. Immediately proceed to the nearest escape route in a calm and swift manner. Avoid pushing during evacuation. Follow your fire escape routes posted in your area. Proceed immediately to your designated assembly point and wait for further instructions. Never re-enter building for any reason, even if alarm signals are silenced. Wait until permission is granted by person in charge of drill or Safety Officer.

Emergency & Fire Drill Evacuation General Procedures: : 

Emergency & Fire Drill Evacuation General Procedures: In an actual EMERGENCY (especially if you are trapped in your room by smoke fire), use the phone in that room/apartment to summon assistance by dialing: Ext.100 to announce Code Red and call 998 Civil Defense.

Fire Procedures: : 

Fire Procedures: Fire emergency response is defined by the acronym: R.A.C.E. IF YOU DISCOVER A FIRE, SEE FLAME OR SMOKE, follow the RACE procedures: R = Remove all persons in immediate danger to safety area. A = Activate manual call point AND call or have someone call 100 for Code Red. C = Close doors and fire shutters to prevent the spread of smoke and fire. E = Extinguish the fire.

R: Remove all persons in immediate danger to safety area : : 

R: Remove all persons in immediate danger to safety area : There are four types of evacuation that may be utilized in the Hospital: 1- Zone Evacuation: Movement of patients and personnel away from immediate danger to areas within the same Fire Zone. This usually involves the movement of a few patients away from the fire to a safer area within the ward.

R: Remove all persons in immediate danger to safety area : : 

R: Remove all persons in immediate danger to safety area : 2- Horizontal Evacuation: Movement of patients to Designated Evacuation Zone on the same floor to Internal Assembly point(horizontally). This is the most common form of evacuation and is the type of evacuation practiced during Fire Drills. 3- Floor Evacuation: Movement of patients and personnel to another floor, generally to the floor below the affected area. This is usually when required there is a need to remove personnel to a safer level but the threat does not requiring evacuation of the building.

R: Remove all persons in immediate danger to safety area : : 

R: Remove all persons in immediate danger to safety area : 4- External Building Evacuation: Movement of patients and personnel completely out of the building and to the designated External Emergency Assembly Point (EAP). Note: Only the Hospital Administrator (Manager on duty), and/or Safety Officer, can order an External Building Evacuation. External Building Evacuation is rare and will only be used in extreme emergency.

Floor Plans (Evacuation Maps) : 

Floor Plans (Evacuation Maps) Floor Plans are strategically located throughout the facility and can be useful in planning for evacuation. The Floor Plan depicts your current location, the nearest exits and the location of: 1- Medical Gas Shut Off Valves. 2- Fire Extinguishers, Manual call point, Fire Hose and Abort switch of automatic fire system. Staff should know the location of the floor plan(s) for their Fire Zone.

Emergency Assembly Point (EAP) : : 

Emergency Assembly Point (EAP) : Designated Assembly Point for each major areas: 1. Internal Assembly Points: In Basement: (1) in front of Store , (2) in front of stair,(3) front of PT and HR . In Ground floor : (1) in front of main reception, (2) in front of Female clinis. In mezzanine : (1) in front of reception,(2) in front of OR Elevator,(3) in front of Emergency Exit door inside OR. In First floor: (1) in front of Hypnotizing accounts, (2) Front Corridor male ward.

Emergency Assembly Point (EAP) : : 

Emergency Assembly Point (EAP) : In second floor: (1) In front of Internal Pharmacy, (2) In front of corridor Female ward. External Assembly points: (1) Outside main entry of hospital. (2) Outside ER. (3) Outside Emergency Exit door in north direction. (4) Outside Emergency Exit door in south direction.

A: ACTIVATE MANUAL FIRE ALARM PULL STATION AND DIAL 100 : : 

A: ACTIVATE MANUAL FIRE ALARM PULL STATION AND DIAL 100 : Fire call point activate the building fire alarm system and are located throughout the hospital. Fire call point are usually located at or near an exit and staff should know where each Fire call point is located in their immediate work area.

C: CLOSE ALL DOORS TO PREVENT THE SPREAD OF SMOKE AND FIRE : 

C: CLOSE ALL DOORS TO PREVENT THE SPREAD OF SMOKE AND FIRE - The first step in defending against the threat of fire and smoke is containment. The hospital is designed and constructed using fire compartments. Fire walls and fire doors are designed and constructed with a specific fire resistance rating to limit the spread of fire and restrict the spread of smoke.

E: EXTINGUISH THE FIRE : 

E: EXTINGUISH THE FIRE The acronym, PASS, defines the proper procedure: P = Pull the pin breaking the plastic seal; A = Aim at the base of the fire; S = Squeeze the handles together; and S = Sweep from side to side.

Evacuation Procedures In Patient Care Areas: : 

Evacuation Procedures In Patient Care Areas: Patient evacuation will get the first priority. If the fire is in the ward area, the Head/Charge Nurse and other support team must give prompt attention to patient evacuation in two stages.  - First Stage Evacuation: All patients will be moved carefully and urgently to a safe area beyond a fire-compartment area. (i.e. Another ward or area beyond a fire door).

Evacuation Procedures In Patient Care Areas: : 

Evacuation Procedures In Patient Care Areas: - Second Stage Evacuation: If the is not under an effective control, a member of the Fire Control Team will make decision to move patients outside the hospital. Staff working in Day Care Canter should take responsibility to ensure the safe evacuation of all children as priority. The Clinic Supervisor will be responsible to account for ALL patient, visitors and employees.

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA : 

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA A: ONE – PERSON CARRIES:  1- HUMAN CRUTCH: - Sit the patient up fronting the nearest exit. - Sit beside the patient’s injured side and place his/her arm around your neck. Hold patient’s hand with your free hand. - Place your other arm around patient’s waist and hold onto patient’s clothing at hip. Stand with the patient and walk to your safety.  NOTE: Do not use this method if patient’s upper limb is injured.

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA : 

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA 2-SINGLE BLANKET DRAG: Fold a blanket in half lengthwise and place it on the floor beside the bed fronting the nearest exit. Slide one arm under the patient’s neck and shoulders and the other under patient’s knees. Pull patient to the end of the bed, drop down to one knee and lower patient so that your knee support patient’s back. Let patient slide on gently to the blanket and pull from room head first on blanket.

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA : 

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA 3- PICK-A-BACK: Sit the patient up fronting the nearest exit. Bend or drop down to one knee directly in front of the patient, with rescuers back to the patient. Grasp under patient’s knees and let the patient put arms around your neck. Stand up and carry the patient to safety area.

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA : 

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA 4- PAJAMA HIGH: Lower the patient on the floor as in “Single Blanket Drag” without the folder blanket. Grasps the patient’s wrist by your hands and pull patient out backwards.

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA : 

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA 5- PAJAMA LOW IN SMOKE:   Lower the patient on the floor as in “Single Blanket Drag” without the folded blanket. Sit on the patient’s head side, having the patient between your folded legs. Slide both arms under the patient’s each armpits and push with your feet letting you to slide backwards with the patient until you reach safe area.

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA : 

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA B: TWO – PERSON CARRIES: 1-TWO AND FOUR HANDED CARRY: The first person raises the patient to a sitting position at the edge of the bed and places one arm behind patient’s shoulder and the other arm under patient’s knees. The second person places one arm behind the patient and grasps the first person’s shoulder, then places the other arm under the patient’s knees and grasps the first person’s wrist. Stand up and move together into safe area.

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA : 

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA 2- FORE AND AFT CARRY: The first person raises the patient to a sitting position, then from behind, reaches under the patient’s armpits and grasps his or her own wrists in front of patient’s chest. The second person moves between the patient’s legs with his or her back to the patient and encircles the patient’s legs at the knees with each arm. The first person hugs and lifts, the second carries patient’s legs, and patient is moved feed first

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA : 

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA 3- DRUNKS LIFT: Sit the patient up and rescuers sit on each side of the patient. Put patient’s arms around your neck and hold patient’s hand with your free hand. Place your other arm around patient’s waist and hold onto patient’s clothing at hip. Stand with the patient and walk to your safety. NOTE: Do not use this method if patient’s upper limb(s) is injured.

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA : 

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA 4- DOUBLE BLANKET DRAG: Lift the patient from the bed onto the floor with the bedsheet and pull from room head first.

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA : 

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA 5- CHAIR CARRIES: Sit the patient on a chair and you can either drag or lift the patient to safety. Variations of “Chair Carries”. 6- For vertical evacuation: there is a choice of four removals, the two-man swing carry, the three-man and four-man blanket carry and the pole and blanket stretcher carry can all be used.

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA : 

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA C- INFANTS AND CHILDREN RESCUE: 1-BABIES BLANKET DRAG: Remove the Perspex cot section from the base of the crib. Place the Perspex cot on a blanket to facilitate it being pulled smoothly along the floor. Up to four babies, depending on their size, can be placed in the Perspex cot section and safety evacuated. NOTE: Not applicable when descending or ascending staircases or stiff slopes.

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA : 

WAYS OF REMOVING PATIENTS FROM IMMEDIATE DANGER AREA 2-TWO ARMS CRADLED: Infants/children can be cradled in arms, two at a time.

Evacuation of Special Patients: : 

Evacuation of Special Patients: 1- Infants and Children:  A major problem in any hospital is the evacuation of infants. Several bassinets can be lined up across the hall so that one nurse and wheel them away provided the hall is wide enough. Again the blanket is more important implement to use. A number of babies can be dragged or carried on a blanket without injury, by one or two nurses. Children can be handled like other patients except that in an ambulatory evacuation it might be advisable to alternate the older and younger children in the evacuation line. A nurse or other adult should be at each end of the line.

Evacuation of Special Patients: : 

Evacuation of Special Patients: 2- Psychiatric Patients: In general hospital having psychiatric wards or section, there are usually especially trained personnel assigned to the care of that patient. In handling psychiatric patients only a small number are likely to be difficult and even this number will not likely cause problems in case of a fire. It is best that all psychiatric patients evacuate by the same route to make it easier to account for all the patients.

Evacuation Equipment: : 

Evacuation Equipment: 1- Wheeled Stretchers and Wheelchairs: A wheeled stretcher is loaded by using the three-man carry, a wheelchair with the swing carry. When these are unloaded they are immediately taken back to the emergency area for use with other patients.

Evacuation Equipment: : 

Evacuation Equipment: 2- Blankets: Of all the possible equipment that can be used evacuation, the blanket is more important any other. It can used to smother a fire, or drag a patient from a room. It can be made into a stretcher, with or without poles for carrying patients in halls or downstairs. It may be possible to remove six or eight patients on blankets in the same time it might take two nurses to steer a bed out of a room. When the blanket is doubled lengthwise for use as a stretcher, three or four nurses can carry patients. One or more nurses can place the patient on the blanket.

Remember: : 

Remember: 1- You can prevent fire by follows safety instructions. 2- You can participate in a safety for souls and properties. 3- You can fight the fire by simple things. 4- Safety and Fire skills will save your life and the lives of others. 5- The safety is request any place, any time.

Slide 41: 

End of lecture Thank you