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In the Dark! THE QUIET OF A COLD NOVEMBER EVENING WAS BROKEN BY THE SOUND OF FIRE ALARMS. IT WAS A FACILITY MANAGERS BIGGEST FEAR, A FIRE IN THE MAIN.

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Presentation on theme: "In the Dark! THE QUIET OF A COLD NOVEMBER EVENING WAS BROKEN BY THE SOUND OF FIRE ALARMS. IT WAS A FACILITY MANAGERS BIGGEST FEAR, A FIRE IN THE MAIN."— Presentation transcript:

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2 In the Dark! THE QUIET OF A COLD NOVEMBER EVENING WAS BROKEN BY THE SOUND OF FIRE ALARMS. IT WAS A FACILITY MANAGERS BIGGEST FEAR, A FIRE IN THE MAIN ELECTRICAL SWITCH ROOM OF THE HOSPITAL. THE END RESULT, AN 1800 PLUS DEGREE FIRE COMPLETELY DISABLING ALL OF THE AUTOMATIC TRANSFER SWITCHES FOR THE GENERATORS AND MELTING THROUGH THE UTILITY FEEDS FOR NORMAL, CRITICAL AND EMERGENCY POWER THUS RENDERING THE FACILITY WITHOUT POWER SERVICES AND IN THE DARK. 1 ST 911 CALL FROM HOSPITAL OPERATOR 19:08:57

3 Breaking News

4 IN THE DARK!

5 Incident Demographics November 21, th Ave. W. Thursday Evening 1909 Hours Weather  37 Degrees  Clear  Minimal Wind

6 Swedish Edmonds

7 Swedish Edmonds Overview Structure Year Built: 1964/1974 Number of Floors Above Grade: 9 Number of Floors Below Grade: 4 Square Footage Per Floor: 13k sq. ft. avg. Total Square Footage: 220k sq. ft. Construction Type: concrete/reinforced masonry

8 Swedish Edmonds Overview Number of Patients during incident:120 Number of Staff during incident:75 Total Number of people in the hospital during the incident: 200+

9 Incident Communications 3 rd 911 Call from Simplex Grinnell 19:20:04 4 th 911 Call from Swedish Off-site Employee 19:26:08 5 th 911 Call from Simplex Grinnell 19:28:53 6 th 911 Call from Swedish Emergency 19:29:48

10 Incident Communications Received: 19:08:58 Entered: 19:09:30 Dispatched: 19:09:31 En-route: 19:11:22 On-Scene: 19:11:29

11 FIRE DISTRICT ONE BATTALION CHIEF DON WHITE FIRE DISTRICT ONE ASSISTANT CHIEF MARK CORREIRA MARK NUNES-DIRECTOR OF FACILITIES/SAFETY OFFICER-SWEDISH EDMONDS Command and Control

12 Fire Department and Hospital Command Structure Unified Command (Fire Law, Hospital) Operations (B-16) Evacuation Group Division 03 (A-16) Ventilation Group Medical Group (MSO21) Transportation (Private AMB) Base Area Manager (M-15) PIO (PIO-11) Safety (B-11) Liaison (DC-21) HOSPITAL HICS FIRE/HOSPITAL

13 Incident Priorities Life Safety  Civilian-patients/staff/visitors  Air Quality  Evacuation  Shelter in Place  Transport Support  Relocation  Emergency Responders Property Conservation  Rapid and Aggressive Fire Control  Smoke Management and Removal

14 Incident Priorities Business Operations:  Restore Power to Facility  Assess electronics/monitoring equipment capabilities  Assess IT Capabilities  Plan for Immediate Operational Stability  Plan for Future Operational Needs:  Current Patients  Next Day Surgeries and Appointments

15 Total Fire Unit Response Engine Companies: 9 Truck Companies: 3 Medic Units-ALS: 3 Aid Units-BLS: 2 Command Units: 6 Specialty Units: 5 Total of 28

16 Fire Agencies: Other Agencies: Fire District #1 Lynnwood Fire Shoreline Fire Swedish Edmonds Edmonds PD SnoCom PUD Support 7 Falck Ambulance AMR Ambulance Resource Response: Agencies Represented

17 Incident Challenges Below Grade Fire  Access Issues  Visibility Issues Rapid Smoke Extension to Multiple Floors  Evacuation/Shelter in Place Dynamics  Ventilation considerations  Evacuated Patient Assembly and Control Loss of power to entire facility  Inability to isolate power grid due to lines affected.  Re-generation dynamics

18 Incident Challenges from Hospital Command perspective Significant Interruption to Hospital Operations  Patients in Surgery  Patient in active labor  Patients in Emergency Room  Patients in Post-Recovery Status  Pre-evacuation of patients  Patient Tracking  On-Going Hospital Operations-What could we still do?

19 Emergency Department 12 Patients Tx  10 BLS  2 ALS 8 PGMC 3 Northwest 1 Swedish Ballard

20 Emergency Department

21 Remaining Hospital Sheltering in Place:  ICU/PCU/PCU2- Moved to the ED after it was cleared.  One ventilated patient  9 th Floor Patients- Normally locked unit-Patients self evacuated. Patents were moved to the cafeteria after smoke cleared.  Surgery- Sheltered patients in surgery and in recovery suites. Coordinated movement as needed.

22 Private Ambulances Private Ambulances- Supervisor coordinated patient movement to other hospitals, and kept additional resource onsite in case they were needed.

23 ORIGIN AND CAUSE Investigation

24 Domestic hot water tank pump failure

25 Origin and Cause

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36 Incident Summary Electrical fire with difficulty isolating circuit High volume of smoke due to storage of synthetic combustible materials Difficulty removing smoke Fire extinguished quickly No patients, staff, or responders injured Hospital returned to service sooner than projected. Surgery resumed on Monday the 25 th of November.

37 Lessons Heard Need to get Senior Leader and Medical Staff more involved in the “preparedness” process* Hospital Staff need to review emergency plans by Floor, to include magnetic/self adhesive signs indicating hazardous areas Designation of a single person to be part of Unified Command immediately. This needs to be someone that is on site and preferably in a leadership position DAS could come up for fire response to increase communication reliability within the facility Do not store any combustibles in electrical/mechanical rooms

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39 Lessons Learned Communication efficiency increased dramatically with the SNOCOM Communications Van on scene A Command Post buffer zone is critical Additional master keys available to fire personnel would provide faster access and more efficient operations Some method of providing (secured) natural ventilation on Floor 9 would aid in smoke removal Senior Leadership and Medical Staff attendance in advanced HICS training

40 Lessons Learned Cannot have too many redundancies in your communications plan. Engage your local fire and police responders in many if not ALL of your drill and exercises. Have at least TWO deep in your incident command structure Be ready for the CURVE!

41 Six Days Later

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44 Upgrades Mechanical room above switch room floor epoxy sealed

45 Upgrades

46 Gratifying Achievements-Most Proud of Surgery resumed on Tuesday the 26 th of November after 24 hour safety pause. No patients, staff, or responders injured. Teamwork of staff and partners from other Swedish /Providence campuses. Hospital returned to utility service sooner than projected (12 days). Hospital did not receive one patient complaint for the incident and disruption.

47 Thank You Mark Nunes Director of Facilities/Safety Officer Swedish Edmonds


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