1. Environmental Health & Safety 4-6783 www.stonybrook.edu/ehs/healthcare Fire Safety for MSO, Residents, Medical Students and Nursing Students

2. RACE R emove: all occupants from fire and smoke A larm: Pull the alarm box, then dial 321 announcing Code Red and location (pull boxes are generally located in nurses station, by elevators, and in stairwells) C onfine the fire by closing doors E xtinguish or Evacuate: Use fire extinguisher if you can do so safely or evacuate to a fire safe area! 2

3. Areas of Refuge Moving patients from one smoke compartment to another on the same floor puts them into “areas of refuge” North and South Towers - areas of refuge are separated by fire barriers at the south tower and elevator lobby On Network levels 4, 5, & 6 – look for “Smoke Door” sign on door to locate adjacent area of refuge Moving patients to other floors or from the building is a last resort and done in coordination with the fire department 3

4. Horizontal Evacuation Example 4 Each area has an Evacuation Plan posted. Find and become familiar with your area’s plan

5. ROLES AND RESPONSIBILITIES All Medical Staff will react to any fire or fire alarm –Assist nursing staff and be under direction of Fire Warden or Charge Nurse –Clear halls, close doors, evacuate patients (patient evac. not necessary for fire alarm w/no fire/smoke present) –Remain in evacuation area, providing care to evacuated patients 5

6. Elevators NEVER use an Elevator during Fires! –In most cases the elevators will operate normally during general fire alarm. –If an elevator lobby detector activates, the elevators will return to level 5 and go into a standby mode. 6

7. Manual Pull Stations –Activation will sound building fire alarm as well as notify University Police –Pull this device when you have a smoke or fire condition. –Follow up with call to 321 7

8. CODE RED indicates that a fire condition exists –Dial 321, notify operator of Code Red and provide location –If you have a fire in a patient’s room and have to evacuate the patient, call out “Code Red” for someone to activate the fire alarm. Do not call out “Fire!” If you hear “Code Red” called out, pull fire alarm and dial 321, giving your location for the Code Red. Note: at offsite locations contact the local Fire Dept. 8

9. CODE GREEN Indicates that the emergency is over and normal activities may continue Operator will announce “Code Green” over the PA system 3 times 9

10. Fire Alarm Signaling 10 Fire alarm strobe

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12. 12 Fire extinguishers are located throughout facility. Staff are responsible to know where the closest is in their areas. Use a portable fire extinguisher only if the fire is small and can be brought under control using one extinguisher. If the fire is large or spreading, close the door to the fire area and leave. In all cases, before using the extinguisher, make sure the R.A.&C. of RACE has been initiated. Fire Response

13. Hospital Fire Extinguishers 13

14. When using an Extinguisher… think PASS P ull the Pin and stand back 6-10 feet A im nozzle at the base of the fire – hit the fuel not the flames! S queeze the handle to depress the button and release the agent S weep nozzle from side to side until completely empty 14

15. Contact EH&S at 4-6783 –Ask to speak to a staff member in the Healthcare Safety team! Email us at ehsafety@stonybrook.edu Review Admin and EH&S P&Ps at Inside SBUMC under “Policies & Procedures” For additional reference material go to: www.stonybrook.edu/ehs/healthcare www.stonybrook.edu/ehs Questions or Comments? 15

16. Fire Safety Quiz – Question #1 What does the fire alarm signal of “bells with strobes” indicate? a. Full building evacuation is required b. Fire alarm is in another area and be prepared for evacuation c. Fire alarm is in your area; follow RACE 16 Answer: C Quiz

17. Fire Safety Quiz – Question #2 If you observe a fire in a patient’s room and need to evacuate the patient, you should also: a.Call out “Code Red” for someone to activate the fire alarm b.Call out Code Green for someone to activate the fire alarm c.Do nothing. You have already done all that is expected of you. 17 Answer: A