[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.. 

Scene 1

[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.. 

Scene 2

SNM Joyce Ong Poh Geok NC Vijayarani ANC Jane Daga SSN Nurul Ain SSN Sumathi SSN Wang Mei Hong  SSN Chin Yin Jie SSN Gino  SSN Nabil SSN Teum Heng Yuan SSN Zaki SSN Alfian  SN Jeremiah SN Ruzaini OTT Nyan Win P ain g

[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.. 

Scene 3

[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.. 

Scene 4

Check the fire alarm at the Mimic Panel (Fig.1) to confirm the location of fire in OT.  Located near fire lift exit opposite OT 4  (Fig. 1 )

[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.. 

Scene 5

Responsibilities of a Fire Warden (Cont.)

2. To call and confirm ext. 65995 (code red) for the status 	- false alarm 	- standby 	- fire (step 3) 3. Inform OT staff  & OT SNM/SNC/NC about the fire location and standby for further instruction. 4. Don on the Fire Warden vest and carry the Fire Evacuation Bag     (Fig 2)

[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.. 

Scene 6

Fire Warden vest and Fire Evacuation Bag (located in equipment room 3 pigeon hole) 5 bags available in OT

[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.. 

Scene 7

Responsibilities of a Fire Warden (Con’t.)

5. Retrieve Staff Roster, Assignment file and the Visitors/Vendors file 6. Assign staff to assist in ORs if evacuation is needed 7. OT schedules can be access from EPIC 8.   Call JCH unit sister at 97734152 (to unlock the door)

[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.. 

Scene 8

Responsibilities of an OR Circulating Nurse

Ascertain if the fire alarm is real and confirm location of fire. Inform both surgical and anesthesia team.  Prepare the necessary supplies for the surgical team to perform the closure of the wound. Perform swab count and record in the hardcopy of swab count sheet (available in all ORs). Note all event timings for later documentation in hardcopy.

[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.. 

Scene 9

Medical gases (located outside/ opposite OT’s)

6. Turn off O2 supplies, including the O2 panel on the wall     after confirmation with anesthetist  (Fig 3).

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

Scene 10

[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.. 

Scene 11

Scrub team ensure the supplies are readily available to facilitate the immediate closure of the wound. Perform swab count and apply dressing to close the wound. If the wound cannot be closed, cover it with a moist sponge and seal with the Ioban , Gauze and etc.

[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.. 

Scene 12

Assemble ‘E’ Kit, reversal drugs / medical consumables promptly to assist the anesthetist to reverse the patient. Prepare Manual resuscitator. Prepare syringe pump according to the anesthetist order

[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.. 

Scene 13

Administer oxygen to patients that requires oxygen therapy via the Manual Resuscitator by oxygen tank. Turned off the medical panel when ready for evacuation. Ensure that the IV lines on the patients are secured. Detach the X2 monitoring device from the anesthesia machine to continue monitoring patient’s vital signs during transportation Note all event timing for later documentation

[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.. 

Scene 14

Move all unused equipment in the OR aside to clear the evacuation passageway. Once the patient is ready for evacuation, to switch off all electrical equipment.

[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.. 

Scene 15

[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.. 

Scene 16

1.Direct all staff to the fire assembly point

[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.. 

Scene 17

2.Paste the “CHECKED” sticker on the OR doors after checking that all staff have evacuated

[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.. 

Scene 18

3. EOT In charge will take on the role of a fire warden in the absence of the fire warden. The fire warden will conduct headcount at the fire assembly point and ensures all staff are accounted. 4. If there are missing personnel, to inform the Fire Officer / 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.. 

Scene 19

Cover the patient to ensure privacy Transfer the patient to the patient trolley and wheel the patient out of OR.  If the patient cannot be transferred, push the patient together with the operating table out of the OR. Follow the Fire Warden instructions to the assembly point. Note all 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.. 

Scene 20

Assist the anesthetist to connect the airway to Manual Resuscitator. Disconnect the anesthetic machine from pendant outlets after confirmation with the anesthetist. (when the team is ready to evacuate) Detach  X2 monitoring device from the anesthesia machine to continue monitoring patient’s vital signs during transportation Ensure that all IV lines of the patient are secured. Carry the resuscitation drugs and “E” kit with the patient. Follow Fire Warden instructions to the assembly point Bring along a syringe pump

[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.. 

Scene 21

Carry the resuscitation drugs and “E” kit with the patient Cover the patient properly to ensure privacy Follow Fire Warden instructions to the  assembly point

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

Scene 22

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.. 

Scene 23

OT Staff with patients – Horizontal Evacuation

OT nurses and doctors will accompany patients to the assembly point at  Jurong Community Hospital (JCH), Tower C, Level 3, Ward C3   via 2 routes: OT Corridor to the fire exit door to JCH Tower C (near OR11) PACU fire exit door to Sleep Lab to JCH Tower C (at PACU 2)

OT Staff without patients – Vertical Evacuation

The rest of the OT staff will evacuate to the assembly point the nearest fire exit door Assembly point: NTFGH Tower A, Level 1, Outdoor Porch

[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. 

Scene 24

ASSEMBLY POINTS (horizontal evacuation with patient )

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

Scene 25

FIRE EVACUATION ROUTE FOR PATIENTS IN OR1-OR11 AND OR12-OR18 (HORIZONTAL)

EVACUATION LEADING TO JCH LEVEL 3 WARD C3

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

Scene 26

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

Scene 27

FIRE EVACUATION ROUTE THRU DOCTOR CALL ROOM/ CHANGE ROOM

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

Scene 28

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

Scene 29

Fire Evacuation Plan: ASSEMBLY AREA (AA) – Secondary    Secondary Assembly Area is at the open field behind Devan Nair Institute

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

Scene 30

[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.. 

Scene 31

15 Halotron ( A,B,C) 6 Drypowder (A.B) 17 Carbon Dioxide (C) Legend: A: Paper,Wood B: Liquid ,Grease C: Gases

[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.. 

Scene 32

FIRE SAFETY in National University Health System
Essential steps to take if you discovera fire
How to operate a Fire Extinguisher
Rescue
anyone in immediate
danger Of the fire
Alarm
Activate the nearestfire
alarm call point
Contain
fire by dosing all doors in
the fire areas
Extinguish
the fire if safeto do so. If
not, Evacuate the area
Message brought to you by the NUHS Fire Safety Team
(Restricted, Non-Sensitivel
NUHS
National
Health System

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

Scene 33

HOW TO USE A
FIRE EXTINGUISHER
Aim
Squeeze
Sweep
O Pull tho pin
at of
Swoop the nozzle
from side to side
Squeeze
handle
Test the extinguisher before the tire
VOu outooors. that back is
Wind when using
you •ndoors. YOU have escape
roule behind you.
What number do I call
when there is a fire?
6 5995
Fire Cot-nrnand Centre (FCC)

[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.. 

Scene 34

STEPS TO OPERATE : Turn on the hose reel valve before releasing the hose reel Run out the hose Turn on water at nozzle and direct the stream at the base of the fire  TO NOTE: Hose reel not to 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.. 

Scene 35

: Hoseretl
: Fire Extinguisher
OR12
OR13
OR9
OR14
OR8
MOT Placement of Fire
Extinguisher & Hosereel
OR15
OR6
PACU 1
14x A
18x A
store2 OR16
: Fire Blanket
: Not for Electrical Fire
: Halotron >
: Dry Powder >
: Carbon Dioxide > B
A: Paper, Wood
B: Liquid, Grease
C: Gases
ORII
ORIO
Store 1
OR7
OR5
OR4
OR17
OR3
A
OR18
OR2 ORI
A
PACU 2
A Fire extinguisher xl and—fire
blanket xl in pantry.
Total fire extinguisher: 38
updated: SSN zac 15/6/2021

[Audio] Signages and warnings. SIGNAGES AND WARNINGS. 

Scene 36

[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.. 

Scene 37

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

Scene 38

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

Scene 39

[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.. 

Scene 40

Do not place items too near the ceiling as this will affect the water sprinkler in the event of fire. Needs clearance of  500mm  from the item to the ceiling

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

Scene 41

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

Scene 42

Please make sure all the fire exits and fire extinguisher/ 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.. 

Scene 43

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

Scene 44

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

Scene 45

Scene 46

[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.. 

Scene 47

In addition, please also be reminded of the followinq fire safety Do's and Don'ts.
DO's and DON'Ts
1.
2.
3.
4.
DO NOT use adaptors, multi-way adaptors, portable socket outlets and portable
cable reels without the 'SAFETY MARK'.
DO NOT overload the multi-way adaptors or portable socket outlets.
5+5+3=13
rawæ
DO ensure electrical plugs are firmly connected to prevent electrical shock.
DO ensure electrical safety e.g. no overloading of power sockets, look out for
frayed cable/wire
MANDATORY REQUIREMENTS
All Staff are personally accountable and have a duty of care for maintaining a safe environment for employees, patients and members of the public in NTFGH, JCH & JMC
All staff are required to comply with all fire safety requirements

[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.. 

Scene 48

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

Scene 49

FIRE DRILL EXERCISE PLAN 2023 20 th  JULY 2023

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

Scene 50

Operating Theatre
Fire Evacuation Plan

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.

avatar

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

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

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.

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.

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.

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.

Lastly, fire warden will call Jurong Community Hospital unit sister to unlock the door leading to C 3 from PACU 2.

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.

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.

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

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

Ensure patient's privacy, carry the resuscitation drugs and emergency kit with the patient.

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

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.

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

This is the horizontal evacuation route for staff with patients from the operating theatre