Operating Theatre Fire Evacuation Plan

[Audio] Welcome to the Operating Theatre Fire Evacuation Plan in-service. During this in-service, you will be briefed on the roles and responsibilities of the fire wardens and the various operating theatre nurses during a fire activation, evacuation routes and the location of the fire extinguishers and hosereels..

[Audio] These are the fire wardens. If there are no fire wardens around during the shift, EOT in-charge will assume the role of the fire warden..

[Audio] Right now, we will go through the roles and responsibilities of the fire warden and operating theatre nurses during the first fire alarm activation..

[Audio] During the first fire alarm activation, the fire warden will check the location of the fire in OT on the mimic panel, which is located near the lift exit opposite OT 4. If there is fire in the operating theatre, the mimic panel will light up at the location of the fire..

[Audio] After checking the mimic panel and confirm that there is fire within OT, the fire warden will call and inform the fire command center ( FCC) 6 5 9 9 5, meanwhile others will assist to put out the small fire. If the mimic panel does not show any fire in OT and the PA system did not mention anything about the fire, fire warden will call FCC to confirm if it is a false alarm, standby or if there is real fire. In the event of a real fire activation, fire warden will inform OT staff and OT SNM/ SNC/ NC about the fire location and standby for further instructions. The fire warden will don the fire warden vest and carry the fire evacuation bag..

[Audio] There is a total of 5 fire evacuation bag in OT. 4 bags can be found in equipment room 3 pigeon holes and 1 bag is kept in PACU 2..

[Audio] Fire warden will need to retrieve staff roster, assignment file and visitors/ vendor file for attendance checking after the evacuation. If evacuation is needed, staffs will be assigned to assist in the OT. OT schedules can be access from EPIC. Lastly, fire warden will call Jurong Community Hospital unit sister to unlock the door leading to C 3 from PACU 2..

[Audio] Responsibilities of the circulating nurse. During the first fire alarm activation, circulating nurses have to ascertain if the fire alarm is real and confirm the location of the fire. Then, they have to inform the respective surgical and anesthesia team. Circulating nurses have to start preparing the consumables required to perform wound closure, obtain the hardcopy of swab count sheet and start recording the counts and note down all event timings to document on the hard copy forms later..

[Audio] Medical gases can be found outside or opposite the respective OT. Circulating nurses to turn off the oxygen supply, including the wall oxygen panel after confirming with the anesthetist..

[Audio] These are another examples of medical gases located opposite the OT..

[Audio] Responsibilities of the scrub nurse Scrub nurses have to ensure that supplies like sutures, staplers and dressings are available to facilitate immediate wound closure. Perform swab and instrument counts, then apply dressing over the closed wound. If wound cannot be closed, to cover it temporarily with a moist sponge and seal it with ioban or as instructed by the surgeon..

[Audio] Responsibilities of an A U nurse A U nurses will be required to prepare the Emergency kit, reversal drug and medical consumables to assist anesthetist in reversing the patient. In addition, they also need to prepare the manual resuscitator, syringe pumps and infusion pumps according to the anesthetists instructions..

[Audio] Responsibilities of a PACU nurse PACU nurses have to prepare oxygen cylinders for patients who require oxygen therapy, turn off the medical panel when patient is ready for evacuation, ensure the IV lines are secured properly on the patient, detach the monitoring device and continue monitoring patient's vital signs during transportation, and lastly note all the event timings for documentation later on..

[Audio] Responsibilities of an OT technician O T T have to ensure all unused equipment in the OR are moved aside to facilitate a smooth evacuation passageway. When patient is ready for evacuation, O T T will switch off all the electrical equipments in the OT..

[Audio] That's it for the first fire alarm activation. We will now move on to the roles and responsibilities of the fire warden and operating theatre nurses during the second fire alarm activation..

[Audio] During the second fire alarm activation, fire wardens will lead and direct all staff to the fire assembly point. Fire escape routes can be found along the corridors within the operating theatres as shown here..

[Audio] Fire wardens will conduct checks on each theatre to ensure all staff have evacuated. Once the room is cleared, fire warden will paste a room checked sticker, that can be found in the fire evacuation bag, on the OT doors..

[Audio] As mentioned previously, in the absence of the fire warden, EOT in-charge will take on the role of fire warden. The fire warden will conduct headcount at the assembly point to ensure all staff are accounted for. If there are missing personnel, fire warden will inform the fire officer or SCDF to conduct a search..

[Audio] Responsibilities of the scrub and circulating nurse Nurses must ensure patient's privacy by covering them, then transfer the patient to the trolley to prepare for evacuation. If the patient cannot be transferred to the trolley, push the patient together with the operating table during evacuation. Follow the fire warden's instructions to the assembly point. Please note all the event timings for later documentation..

[Audio] Responsibilities of the A U nurse A U nurses will assist the anesthetist to connect the airway to the manual resuscitator, disconnect the anesthetic machine from the pendant outlets after confirmation with the anesthetist. Detach the monitoring device from the anesthesia machine and continue monitoring patient's vital signs during evacuation. Secure all the patient's IV lines, carry the resuscitation drugs and emergency kit and bring along the syringe pump with the patient. Follow fire warden's instructions to the assembly point..

[Audio] Responsibilities of a PACU nurse Ensure patient's privacy, carry the resuscitation drugs and emergency kit with the patient. Follow fire warden's instructions to the assembly point..

[Audio] We will now go through the different fire evacuation routes and assembly points..

[Audio] There will be two main routes for evacuation The first one will be the horizontal evacuation for OT staff with patients. The assembly point will be in Jurong Community Hospital, Tower C, ward C 3. Staffs evacuating patients from OT, will go through the OT corridor and exit through the fire exit door near OT 11. Staffs evacuating patients from PACU will exit through PACU 2 fire exit door to the sleep lab, then to tower C. The second one will be vertical evacuation for OT staff without patients. OT staff will evacuate to the assembly point at Tower A, level 1, outdoor porch via any nearest fire exit doors..

[Audio] If there is a fire in tower B, the assembly points for horizontal evacuation of patients from Tower B will be in Tower C. If there is a fire in tower c, the assembly point will be in tower B.

[Audio] This is the horizontal evacuation route for staff with patients from the operating theatre.

[Audio] This is the horizontal evacuation route for staff with patients in PACU.

[Audio] This is the fire evacuation route for all staff without patients, through the doctors call room.

[Audio] This is the vertical fire evacuation route for all staffs without patient, through the smoke stop lobby.

[Audio] In the event of fire in all three towers, the secondary assembly area will be in the open field behind Devan Nair Institute..

[Audio] Fire extinguishers and fire hose reels in the operating theatre.

[Audio] There are a total of 38 fire extinguishers available in the operating theatre and they come in different types for different classes of fire. There are 15 halotron for all classes of fire, 6 dry powder for class A and B fire, and lastly 17 carbon dioxide for class C fire..

[Audio] These are two very important acronyms that everyone have to remember. When there is a fire, we must follow these steps. The first acronym is race. R. - Rescue anyone in immediate danger of the fire. A. - Activate the nearest fire alarm. C. - Contain the fire by closing all doors in the fire areas. E. - Extinguish the fire only if it is safe to do so. If unsafe, evacuate the area. next important acronym is pass. When the fire is small and safe to extinguish, this is how you operate the fire extinguisher. P. - Pull the pin. A. - Aim at the base of the fire. S. - Squeeze the lever. S. - Sweep from side to side until the fire is extinguished. Remember, your safety is the utmost priority. Assess the situation properly and act accordingly..

[Audio] Signs can be found on the doors of where the fire extinguishers are kept..

[Audio] There are a total of 6 hose reels available in the operating theatre. These are the steps to operate the fire hose reel. First, turn on the hose reel valve. Next, pull out the hose and go to the location of the fire. Lastly turn on the water at the nozzle and direct the stream at the base of the fire. It is important to take note that hose reel cannot be used for electrical fire..

[Audio] These are the locations of all the fire extinguishers, hose reel and fire blanket. There are fire extinguishers in all induction rooms. OT 12 fire extinguisher is kept in the control room. There are also two fire blankets in each clean core together with the fire extinguishers, and one in the pantry..

[Audio] Signages and warnings. SIGNAGES AND WARNINGS.

[Audio] These are the fire alarm activation point and the fire alarm bell. To activate the fire alarm, press firmly at the centre of the glass to break it..

[Audio] Emergency door release are green in colour. To activate, press firmly at the centre to break the glass..

[Audio] The fire extinguishers and hose reel have signages above the doors for easy identification..

[Audio] Do not place any items too near the ceiling as this will affect the water sprinkler in the event of fire. The water sprinkler needs clearance of at least 500 millimeter from the item to the ceiling..

[Audio] The do's and don'ts.. DO’ S & DON'TS. ‹#›.

[Audio] Please ensure all the fire exits and fire extinguisher or hose reel are not blocked and free from obstructions..

[Audio] Do not obstruct the fire extinguishers in clean core and the fire access window. The fire access window is to allow SCDF personnel to enter the operating theatre from outside..

[Audio] Keep fire evacuation routes clear to allow smooth evacuation process..

[Audio] These are examples of fire extinguishers and evacuation routes being obstructed by trolleys and equipments..

*. ‹#›. DON’TS.

[Audio] In addition, please do not use adaptors, extension plugs etcetera without the safety mark. Do not overcrowd plugs or use plugs that are faulty with exposed wires, these can cause spark and fire. Always ensure all the plugs are firmly connected to the wall socket..

[Audio] This is the end of the in-service. To recap, here are the key take away points. First, we need to know where the location of the nearest fire extinguishers are so that we can rush directly to the fire extinguishers without wasting time. Second, it is important to know the two acronyms, RACE and PASS. This is to ensure everyone knows how to react during a fire and how to properly operate the fire extinguisher. Third, know your nearest exits and fire evacuation routes. Lastly, try to participate in fire drills and exercises so that we have an idea of what needs to be done to minimise chaos, and take appropriate actions to handle a fire situation..

[Audio] The date for the next fire drill exercise plan for 20 23 will be July 20th..

[Audio] With that, this will be the end of the in-service. Feel free to ask anything if you have any questions..