Fire handbook

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FIRE SAFETY HANDBOOK This Fire Safety Handbook was written by the NYU Medical Center Environmental Services Department Address: 550 First Avenue New York, NY 10016 Tel. Number: (212) 263-5159 Fax: (212) 263-7855 This handbook has been approved by the Division of Fire Prevention of the New York City Fire Department

description

Fire handbook2

Transcript of Fire handbook

Page 1: Fire handbook

FIRE SAFETY HANDBOOK

This Fire Safety Handbookwas written by the

NYU Medical CenterEnvironmental Services Department

Address: 550 First AvenueNew York, NY 10016

Tel. Number: (212) 263-5159Fax: (212) 263-7855

This handbook has been approved by the Division of Fire Preventionof the New York City Fire Department

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TABLE OF CONTENTS

Foreword ..............................................................................................1Introducción ........................................................................................1Fire Alarm Policy ................................................................................2Norma sobre Alarmes de Incendio .....................................................2General Fire Emergency Instructions

How To Pull The Alarm ..................................................................3How To Call Communications ........................................................3Fire Protocol To Be Implemented ..................................................3Evacuation Instructions .................................................................3All Clear Notification ......................................................................4

Instrucciónes generales para emergencias de incendioCómo accionar la alarma ................................................................5Cómo llamar a Communicaciones ..................................................5Normas de Incendio que deben aplicarse ......................................5Instrucciónes sobre evacuación ......................................................5Notificación de fin de alarma .........................................................6

Specific AssignmentsCommunications .............................................................................7Fire Marshal ..................................................................................11Fire Brigade Chief ........................................................................11Fire Brigade ..................................................................................11Engineer ........................................................................................11Security Officers ...........................................................................12

Specific Fire Emergency InstructionsPatient Floors ................................................................................13Clinical Areas ................................................................................14Laboratories ..................................................................................15Animal Areas .................................................................................16Office Areas ...................................................................................16Classrooms ....................................................................................16Public Areas ..................................................................................16Hall of Residence ................................................................................17

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Additional Fire Safety InformationTypes of Fire Extinguishers and How to Use Them .......................19Elevator Operation During a Fire Emergency ................................23Fire Safety Awareness ........................................................................24Smoking Policy and No Smoking Areas ...........................................26Patient Evacuation Procedure ...........................................................28*Emergency Patient Removal Carries .............................................30

Side by Side Assist .........................................................................30Swing Carry ...................................................................................32Packstrap Carry .............................................................................34Four-Rescuer or Blanket Carry ....................................................36

Fire Alarm Codes .................................................................................38Maps of Medical Center .....................................................................39

Otras Informaciones sobre seguridad contra el fuegoClases de extintores y cómo usarlos .................................................21Utilización de ascensores en emergencias de incendio .................. 23Normas de seguridad contra incendios ............................................25Normas sobre el derecho de fumar y zonas de prohibición

de fumar . ...........................................................................................27Procedimiento para la evacuación de pacientes ..............................29Codigos de alarma de incendio ......................................................... 38Mapas del Cientro Medico . ................................................................39

*Emergency Patient Removal Carries courtesy of Abbott Laboratories.

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FOREWORDThe Fire Safety Handbook has been developed to provide NYU MedicalCenter Personnel with a plan of action in the event of a fire emergency.The procedures outlined in this handbook have been formulated to protectlife and minimize property loss. However, an action plan is only as effec-tive as the people who carry out the procedures. The actions taken duringthe first few minutes of a fire are crucial in averting serious disaster.Therefore, all Medical Center employees are encouraged to review themanual and to become familiar with the fire plan appropriate to theirwork area. In addition, employees are asked to actively participate in firedrills, recognize fire hazards, remove such hazards whenever possible andreport them to their supervisors when necessary.

INTRODUCCIONEl Fire Safety Handbook se ha elaborado para proporcionar al personaldel NYU Medical Center un plan de acción para los casos de emergenciade incendio. Los procedimientos que se esbozan en este folleto se han for-mulado para proteger las vidas y reducir al mínimo las perdidas materi-ales. Sin embargo, ningún plan de acción puede ser más eficaz que las per-sonas que hayan aplicarlo. Las medidas tomadas durante los primerosminutos de un incendio son vitales para evitar un desastre grave. Por lotanto, se exhorta a todos los empleados del Medical Center a examinar elmanual y familiarizarse con el plan correspondiente a su zona. Además, sesolicita que los empleados participen activamente en las prácticas de luchacontra incendios, aprendan a reconocer los peligros de incendio, los elimi-nen siempre que sea posible y los anuncien a sus supervisores cuando seanecesario.

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FIRE ALARM POLICYIt is the policy of the Medical Center that upon discovery of smoke or fire,the fire alarm is to be pulled. Because of the potential for underestimat-ing the seriousness of a fire condition, there are no exceptions to this pol-icy.

When the fire alarm sounds, every employee is expected to implement fireprotocol appropriate to his or her work area. There is no code to indicateif an alarm signifies a drill or real fire. Therefore, every alarm should betreated as a potentially serious fire.

NORMA SOBRE ALARMAS DE INCENDIOEs la norma del Medical Center que, cada vez que se descubra humofuego, se accióne la alarma de incendio. Como existe el peligro de que sesubestime la gravedad de una situación, no se admiten exceptiones a estanorma.

Cuando suene la alarma de incendio, todos los empleados deben aplica lasnormas de incendio adecuadas según su zona de trabajo. No exist ningúncódigo para anunciar si la alarma se refiere a una práctica o a un incen-dio real, por lo cual todas las alarmas deben tomarse como si fuesen incen-dios graves.

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GENERAL FIRE EMERGENCY INSTRUCTIONSIf you suspect or discover a fire—

PULL THE NEAREST FIRE ALARMTo pull the alarm• Open door of alarm box.• Pull lever down completely.• Release lever.

CALL COMMUNICATIONSTo call communications• Dial 33911.• Tell operator location of fire or smoke condition, including the building,

floor and room number.• State your name and extension.

IMPLEMENT FIRE PROTOCOL• Shout out the code phrase “Code Red.” Never call out the word "Fire"

during a fire emergency.• Remove all person(s) in immediate danger to a safe area away from the

fire.• Close all windows and doors in the area to prevent the spread of fire

and smoke.• Turn off all electrical equipment, i.e., typewriters, duplicating machi-

nery and non-essential clinical apparatus. LEAVE LIGHTS ON.• Remove gas cylinders and flammable liquids from the immediate fire

vicinity.• Use the appropriate type portable fire extinguisher to put out the fire.

(See pages 19-22 for discussion of extinguisher use.)

• NOTE: Extinguishers are only effective on small fires, i.e., waste bas-ket fire, that can be extinguished quickly.

• DO NOT FIGHT A FIRE ALONE.

EVACUATION

Patient Floors• Patients will be evacuated only when deemed necessary by the NYC

Fire Department, Fire Marshall, Administrator on duty or Nurse incharge. Otherwise, patients and visitors are to remain in the patientrooms with the door closed until the "All Clear" is sounded.

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Clinical Areas (Operating Room, Diagnostic and Therapeutic Areas)• Patients undergoing an operation or treatment who are in immediate

danger are to be moved under the direction of the operating physician,nurse, therapist or technician in attendance. If the patients are not inimmediate danger, they are to remain in the operating or treatmentrooms until the "All Clear" is sounded or until instructed to do other-wise by the NYC Fire Department, Fire Marshal or Brigade Chief.

Laboratories, Office Areas, Classrooms, Public Areas• All occupants on the floor where the fire condition exists must evacuate

using the nearest exit or exit stairway to at least two (2) floors belowthe fire location or to a safe place out of the building. DO NOT USEELEVATORS.

• Occupants on all other floors are to remain inside their office classroomor laboratory with the door closed until the "All Clear" is sounded oruntil instructed to do otherwise by the NYC Fire Department, FireMarshal, or Brigade Chief.

Hall of Residence• All occupants must evacuate from the building using the nearest exit

or exit stairway when the fire condition is located within the building.Occupants must evacuate to a safe place out of the building. DO NOTUSE ELEVATORS.

• Skirball, Greenberg Hall and 660 First Avenue occupants must followdirections of the floor wardens (see Fire Safety Handbooks for thesebuildings).

ALL CLEAR• Two (2) bells are sounded or the operator announces, "ATTENTION,

ATTENTION, ATTENTION, CODE RED, ALL CLEAR.”

• Until the "All Clear" is announced or sounded, all fire emergency pro-tocols must remain in effect throughout the Medical Center complex.

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INSTRUCCIONES GENERALES PARA EMERGENCIASDE INCENDIO

Al descrubrir o sospechar un incendio:

ACCIONE LA ARMA DE INCENDIO MAS CERCANAPara accionar la alarma:• Abra la puerta de la caja de alarma.• Tire de la palanca completamente.• Suelte la palanca.

LLAME A COMUNICACIONESPara llamar a comunicaciones:• Marque el 33911.• Indique a la operadora el lugar del fuego o del humo; incluya la infor-

mación sobre el edificio, el piso y el número de habitación.• Indique su propio nombre y extensión.

APLIQUE LAS NORMAS DE INCENDIOS• Diga las frase en codigo, “Code Rojo” la cual significa "Fuego"; en caso

de emergencia. Nunca diga fuego o incendio durante una emergencia.• Retire a todas las personas que estén en peligro inmediato a una zona

segura lejos del fuego.• Cierre todas las puertas y ventanas de la zona para evitar la difusión

del fuego y del humo.• Apague todos los equipos eléctricos, como máquinas de escribir, copi-

adoras y aparatos clínicos que no sean esenciales.

DEJE ENCENDIDAS LAS LUCES.• Retire los tanques de gas y los liquidos inflamables de la proximidad

inmediata del fuego.• Emplee los extintores de tipo adecuado para combatir el fuego. (Vea

páginas 20-23 para descripción de uso apropiado de extintores.)• NOTA: Los extintores sólo son eficaces contra fuegos pequeños, como

los de una papelera, que pueden extinguirse rápidamente. NO COM-BATA EL FUEGO USTED SOLO.

EVACUACIONPisos de pacientes:• Los pacientes serán reubicados únicamente cuando lo considere nece-

sario el Departamento de Incendios de la Ciudad de Nueva York, el Jefede Incendios, el Administrador de servicio o la Enfermera responsable.De lo contrario, los pacientes y visitantes deben permanecer en las

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salas de internación con las puertas cerradas hasta que se haga sonarla señal de fin de alarma.

Zonas de Clinica (Salas de Operación y Zonas de Diagnóstico yTratamiento

• Los pacientes que estén siendo sometidos a operación o trata miento yse encuentren en peligro inmediato, deben ser trasladados bajo la direc-ción del cirujano, enfermera, terapista o técnico que los atienda. Si lospacientes no se encuentran en peligro inmediato, deben permanecer enlas salas de operación o de tratamiento hasta que se haga sonar la señalde fin de alarma o se les indique proceder de otro modo por elDepartamento de Incendios de la Ciudad de Nueva York, el Jefe deIncendios o el Jefe de Brigada.

Laboratorio, Zonas de Oficinas, Aulas y Zonas Públicas:• Todos los ocupantes del piso en que se manifieste el fuego deben reubi-

carse empleando la salida o escalera de emergencia más próxima hastaun minimo de dos (2) pisos debajo de la localización del fuego o a unlugar seguro fuera del edificio. NO USE LOS ASCENSORES.

• Los ocupantes de todos los demás pisos deben permanecer en sus ofici-nas, aulas o laboratorios con la puerta cerrada hasta que suene la señalde fin de alarma o reciban otras instrucciones del Departamento deIncendios de la Ciudad de Neuva York, el Jefe de Incendios o Jefe deBrigada.

Sala de Residentes:• Todos los ocupantes deben evacuar el edificio empleando la salida o

escalera de emergencia más próxima cuando se localice el fuego dentrodel edificio. Los ocupantes deben retirarse a un lugarseguro fuera deledificio. NO USE LOS ASCENSORES.

• Skirball, Greenberg Hall y 660 Primera Avenida todos los occupantesdeben observar las instrucciones de los capitanes de los pisos (vea losFire Safety Handbook para estos edificios).

FIN DE ALARMA• Se hacen sonar dos (2) toques de timbre o la operadora anuncia

"ATTENTION, ATTENTION, ATTENTION, CODE RED, ALLCLEAR."

• Hasta que se anuncie o haga sonar el fin de alarma, deben mantenerseen aplicación todas las normas de incendio en todos los edificios delCientro Médico.

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SPECIFIC ASSIGNMENTSCOMMUNICATIONSUpon notification of a fire within the Medical Center or other propertylocated within New York City, the following actions should be taken:

• If notification is by phone, the operator must obtain the fire’s location,including building (and address if located off-campus), floor, room num-ber and if possible, the name of the caller.

• Instruct the caller to pull the nearest alarm if this has not been done.• If the fire is off-campus, the operator should report the fire to the NYC

Fire Department by dialing 628-2900. The operator should then notifythe Fire Marshal (35159). Employees should follow the instructionsand protocols established at these off-campus facilities.

• If the fire is on-campus, the operator is to activate the City Fire AlarmBox and report fire location to the NYC Fire Department and instructthem to come to one of the following:

Tisch Hospital, 540 First AvenueAncillary Services Pavilion, 540 First AvenueMillhauser Labs, 540 First AvenueMedical Science Building, 540 First AvenueBerg Institute, 540 First AvenueAlumniHall, 540 First AvenueSchwartz Health Care Center, 540 First AvenueSkirball Institute, 540 First AvenueResidential Tower, 564 First AvenueGreenberg Hall, 545 First AvenueRIRM, 400 East 34th StreetRubin Hall of Residence, 30-10 FDR DriveSchwartz Lecture Hall, 401 East 30th StreetSmilow Research Center, 30-10 FRD DriveParasitology, 341 East 25th Street

Announce fire by paging three (3) times, ATTENTION, ATTENTION,ATTENTION, CODE RED (give location of fire).

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The following departments should be notified by phone immediately:

Security (33911), Engineer (35275), *Fire Marshall (35159)

* If the fire occurs outside of normal working hours (9:00 a.m. - 5:00 p.m.,Monday-Friday) contact the Environmental Services on-call staff mem-ber via long-range beeper.

In the event that the Environmental Services member on call cannot bereached, the operator should use the Environmental Services call list inorder to notify another Environmental Services Department member.

• Call the personnel listed on pages 9 and 10 and give the exact locationof the fire. Call first the numbers in the building where the fire condi-tion is located.

At the end of the fire condition and upon notification by the Fire Marshalor designee, Brigade Chief, Administrator, or NYC Fire Department, theoperator will sound two bells and announce the "All Clear" by pagingthree (3) times at ten (10) second intervals: ATTENTION, ATTENTION,ATTENTION, CODE RED, "ALL CLEAR."

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SPECIFIC ASSIGNMENTSFIRE MARSHAL• The Fire Marshal is the Department Head or designee from the

Environmental Services Department. The Fire Marshal is responsiblefor implementing institutional fire safety as specified in the NYC FireDepartment Directive 8-67 and by other regulatory agencies.

FIRE BRIGADE CHIEF• The Fire Brigade Chief is responsible for directing the brigade during

an emergency on the evening and night shifts and on week-ends, inthe absence of the Fire Marshal or designee. The Brigade leadershipat these times will consist of the Plant, Maintenance andConstruction Supervisor or foreman, Building Service Supervisor andSecurity Supervisor or Sergeant at the scene. In addition the BrigadeChief responsible for directing evacuation procedures and assistingthe NYC Fire Department upon request. The Fire Brigade Chiefreports to the Fire Marshal.

FIRE BRIGADE• When the alarm sounds, the brigade members will respond to the fire

location with fire emergency equipment• Under the direction of the Fire Marshal and/or Brigade Chief, the

brigade will take action to contain and confine the fire.• The brigade will help evacuate patients under the direction of med-

ical personnel.• Upon arrival of the NYC Fire Department, the brigade will provide

assistance as required.

ENGINEER• When the fire alarm sounds, the Engineer is to report to the scene of

the fire and provide assistance in the operation of the standpipc sprin-kler system and ventilating equipment. In addition, the Engineer is toprovide direction regarding operation of other mechanical systems.Upon arrival of the NYC Fire Department, the Engineer will providethe firemen with information regarding the building mechanical sys-tems and assist as instructed by the NYC Fire Department in ventilat-ing the fire area. The Engineer will be responsible for resetting the firealarm systems.

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SECURITY OFFICERS• When the alarm is sounded, Security Officers assigned to entrance and

exit doors are to report to their posts immediately and direct the NYCFiremen to the fire location.

• Security Officers are to proceed as directed to the main elevator lobbiesin each building to assist in crowd control. The Security Officers are toclear the elevators with the exception of the NYC Fire Department,Fire Brigade and other authorized Medical Center personnel respond-ing to the fire.

• Security Officers are to report, as directed, to the fire location andassist with patient evacuation when necessary and only under thedirection of medical personnel.

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SPECIFIC FIRE EMERGENCY INSTRUCTIONSPATIENT FLOORIf you suspect or discover a fire—• Remove persons who are in immediate danger.• Pull the fire alarm.• Call communications operator (Dial 33911), give the exact location of

the fire, inlude building, floor, room number, and your name.• Shout out the code phrase “Code Red.” Never call out the word "Fire."• Close patient room doors to prevent the spread of fire and smoke.• Instruct visitors and patients to remain in patient rooms.• Move patients and visitors in sitting areas to a safe room on opposite

side of the doors, away from the fire.• Use appropriate type fire extinguishers to put out the fire.

NOTE: Extinguishers are only effective on small fires that can be extin-guished quickly. DO NOT FIGHT A FIRE ALONE.

• Designate staff member(s) to tour rooms to confirm patient location andreassure patients.

• If the fire occurs in a room where in-house oxygen is in use, shut thefloor supply with the permission of the Head Nurse, Fire Marshal orNYC Fire Department using the wall-mounted shut valve and obtainemergency oxygen.

• When deemed necessary by the Fire Marshal, Nurse in charge, BrigadeChief or NYC Fire Department, relocate patients according to thepatient evacuation procedure. (See page 28 of this Handbook.)

If a fire is in another area and the fire alarm sounds—• Count the bells and decipher the code. Determine the approximate fire

location from station number cards posted in the corridors on the firealarm boxes.

• Close patient room doors to prevent the spread of smoke.• Clear the corridors and sitting areas. Instruct patients and visitors to

return and remain in patient or treatment rooms with the doors closed.• Designate staff member(s) to tour rooms to confirm patient location and

reassure patients.• All fire protocols must remain in effect until the "All Clear" is sounded

or until you are instructed to do otherwise by the NYC FireDepartment, Fire Marshal or Brigade Chief.

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SPECIFIC FIRE EMERGENCY INSTRUCTIONSCLINICAL AREASAll Operating, Diagnostic and Therapeutic Areas

If you suspect or discover a fire—• Patients in immediate danger should be moved to a safe location.• Pull the fire alarm.• Call communications operator (Dial 33911), give the exact location the

fire, include building, floor, room number and your name.• Shout out the code phrase “Code Red.” Never call out the word "Fire."• Patients undergoing an operation or treatment are to be move under

the direction of the operating physician, nurse, therapist or technicianin attendance. If possible, each patient should be accompanied by anurse, therapist or other qualified personnel.

• Close all doors and windows to prevent the spread of fire and smoke.• Use appropriate type fire extinguishers to put out the fire.

NOTE: Extinguishers are only effective on small fires that can be extin-guished quickly. DO NOT FIGHT A FIRE ALONE.

• Portable oxygen tanks, suction machines and other needed equipmentare to be moved with the patients.

• Shut off all gases and suction in rooms affected with permission of theHead Nurse, Fire Marshal, or NYC Fire Department.

• Remove all gas cylinders under pressure, anesthesia machines, alcoholand other flammable material from the danger zone.

If a fire is in another area and the fire alarm sounds–• Count the bells to decipher the code. Designate an individual to deter-

mine the fire location from station number cards posed in the corridors.Each clinical area should be informed of the fire location.

• Close all doors and windows to prevent the spread of smoke.• If possible delay all procedures.• Do not send for patients or return patients to their rooms until the fire

emergency is over.• All fire protocols must remain in effect until the "All Clear" is sounded

or until you are instructed to do otherwise by the NYC FireDepartment, Fire Marshal or Brigade Chief.

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SPECIFIC FIRE EMERGENCY INSTRUCTIONSLABORATORIESIf you discover a fire—• Pull the fire alarm.• Call communications operator (Dial 33911), give the exact location of

the fire, include building, floor, room number and your name.• Close all doors and windows in the area to prevent the spread of fire

and smoke.• Use appropriate type fire extinguishers to put out the fire.

NOTE: Extinguishers are only effective on small fires that can be extin-guished quickly. DO NOT FIGHT A FIRE ALONE.

• Shut off all gas burning equipment, and disconnect or switch off allelectrical instruments and appliances, with the exception of refrigera-tors and incubators. LEAVE LIGHTS ON.

• Move gas cylinders under pressure to a safe area.• Shut down all air conditioning units and fans.• Inform the fire brigade and NYC Firemen of the location of hazardous

chemicals and gases under pressure.• Evacuate all occupants from the floor using the nearest exit or exit

stairway. Evacuate to a minimum of two (2) floors below the fire loca-tion or out of the building. Close all doors behind you. DO NOT USEELEVATORS.

If a fire is in another area and the fire alarm sounds—• Count the bells and decipher the code. Determine the approximate fire

location from station number cards posted in the corridors near the firealarm boxes.

• If the code indicates your floor, evacuate all occupants immediatelyusing the nearest exit or exit stairway. Evacuate to a minimum of two(2) floors below the fire location or out of the building. Close all doorsbehind you. DO NOT USE ELEVATORS.

• If the code indicates any area other than your own floor implement fireprotocol immediately by closing all doors and windows to prevent thespread of smoke, instruct students, visitors, and staff to remain insidethe rooms with the doors closed.

• All fire protocols must remain in effect until the "All Clear" is soundedor until you are instructed to do otherwise by the NYC FireDepartment, Fire Marshal or Brigade Chief.

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SPECIFIC FIRE EMERGENCY INSTRUCTIONSANIMAL AREASIf you suspect or discover a fire—

Follow the instructions for Laboratories and complete these steps in addi-tion:• Be sure all animals in your area are securely caged or disposed of prop-

erly.• Remove all animals in transit or in the hallways to the nearest animal

room. Be sure their cages are securely fastened.

OFFICES/CLASSROOMS/PUBLIC AREASIf you suspect or discover a fire—• Pull the fire alarm.• Call communications operator (Dial 33911) and give the exact location

of the fire, including building, floor, room number, and your name.• Close all doors and windows in the area to prevent the spread of fire

and smoke.• Turn off all electrical equipment, typewriters, duplicating machinery,

projection equipment and clinical apparatus. LEAVE LIGHTS ON.• Remove any gas cylinders and/or flammable liquids from the immedi-

ate vicinity of the fire.• Use an appropriate type portable fire extinguisher to put out the fire.

NOTE: Extinguishers are only effective on small fires that can be extin-guished quickly. DO NOT FIGHT A FIRE ALONE.

• Evacuate all occupants from the floor using the nearest exit or exitstairway. Evacuate to a minimum of two (2) floors below the fire loca-tion or out of the building. Close all doors behind you. DO NOT USEELEVATORS.

If the fire is in another area and the fire alarm sounds—• Count the bells and decipher the code. Determine the approximate fire

location from station number cards posted in the corridors near the firealarm boxes.

• If the code indicates your floor, evacuate all occupants immediatelyusing the nearest exit or exit stairway. Evacuate to minimum of two (2)floors below the fire location or out the building. Close all doors behindyou. DO NOT USE ELEVATORS.

• If the code indicates any other area other than your own floor implementfire protocol immediately by closing all doors and windows to preventthe spread of smoke. Instruct students, visitors and staff to remaininside the rooms with the doors closed.

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SPECIFIC FIRE EMERGENCY INSTRUCTIONS• All fire protocols must remain in effect until the "All Clear" is sounded

or until you are instructed to do otherwise by the NYC FireDepartment, Fire Marshal or Brigade Chief.

HALL OF RESIDENCERead and MEMORIZE the detailed instructions for fire posted on the doorof your room.

If you suspect or discover a fire—• Pull the fire alarm.• Call communications operator (Dial 33911) from the hall phone and

give the exact location of the fire, include building, floor, room number,and your name.

• Use an appropriate type fire extinguisher to put out the fire, or smoth-er the fire with a pillow or wet blanket if possible.

NOTE: Extinguishers are only effective on small fires that can be extin-guished quickly. DO NOT FIGHT A FIRE ALONE.

• Close room doors and windows to prevent the spread of fire and smoke.• Evacuate by the nearest stairway to a safe place out of the building. DO

NOT USE ELEVATORS.

Desk Clerk—• Security Officer or desk clerk upon notification of fire is to bring both

elevators to the ground floor and hold one for the NYC FireDepartment. The Security Officer is to clear the elevators and PRO-HIBIT persons from using them with the exception of the NYC FireDepartment, Fire Brigade, and other authorized Medical Center per-sonnel responding to the fire.

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Evacuation—

When the alarm sounds• Place hand as high as possible on door.• If not hot to touch—open.• Leave room and shut door.• Evacuate by the nearest exit. DO NOT USE ELEVATOR.• Proceed out of building.• All Hall of Residence occupants must evacuate when a fire

emergency exists in the building with the following exceptions:• If door is HOT to touch: Do not open door into corridor.• Open window slightly• Sit by window under tent of blankets.• Hang a sheet or towel out of window to show NYC Fire Department

where you are.• Remain by window until the NYC Fire Department comes to you

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ADDITIONAL FIRE SAFETY INFORMATIONFIRE EXTINGUISHERSPortable fire extinguishers are provided throughout the Medical Center.They can be found suspended from hooks in the corridors near the firealarm boxes or enclosed in special wall cabinets. In some areas, extin-guishers are located in the stairwells adjacent to the fire hoses.

Each extinguisher is labeled with the letter ssA nnB or llC or a combi-nation of these letters. They indicate the type of fire for which the extin-guisher can be used.

ssA Indicates extinguisher can be used to put out OrdinaryCombustibles, e.g., paper, wood, cloth.

nnB Indicates extinguisher can be used to put outFlammable Liquids, e.g., grease, paints, oils.

llC Indicates extinguisher can be used on ElectricalEquipment, e.g., switches, motors.

nnB llC Indicates the extinguisher can be used to put outFlammable Liquids and on Electrical Equipment.

ssA nnB llC Indicates the extinguisher has multi-purpose use andis suitable for extinguishing Ordinary Combustibles aswell as Flammable Liquids and Electrical Equipment.

Located throughout the Medical Center are three (3) types of extinguish-ers:

Type ssA Type nnB llC and Type ssA nnB llC• Type ssA extinguisher contains approximately 21/2 gallons of water

under pressure, and the discharge time is one (1) minute. This type ofextinguisher can be effectively used from a maximum distance of 30-40feet from the fire.

• Type nnB llC extinguisher contains carbon dioxide gas. The extin-guisher varies in size from 21/2 to 10 1bs., with discharge time rangingfrom 8 seconds to 30 seconds. This type of extinguisher can be effec-tively used from a distance of 3-8 feet from the fire.

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CAUTION: AVOID INHALATION OF CARBON DIOXIDE GAS. DONOT HOLD NOZZLE TO AVOID FREEZING HAND.

• TypessA nnB llC extinguisher contains a dry chemical powderunder pressure. The extinguisher varies in size from 2 to 10 lbs., withdischarge time ranging from 8 seconds to 25 seconds. This type of extin-guisher can be effectively used from a maximum distance of 5-12 feetfrom the fire, depending upon extinguisher size.

How to use a portable fire extinguisher—• Familiarize yourself with the locations and types of fire extinguisher in

your work area.• To use an extinguisher, lift it from the wall hook or cabinet and carry or

drag it to the location of the fire.• Pull ring to release lock pin from handle.• Aim nozzle at base of fire.• Squeeze handles together and spray in a side sweeping motion.

NOTE: All fire extinguishers in the Medical Center have instructionswritten on the extinguisher.

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INFORMACION COMPLEMENTARIA SOBRELA SEGURIDAD CONTRA INCENDIOS

EXTINTORESExisten extintores portátiles por todo el Cientro Médico. Puede encontselos suspendidos de ganchos en los corredores, junto a las cajas de alar-ma, de incendio or dentro de cajas especiales en las paredes. En algunaszonas, los extintores están situados en los pozos de escaleras, junto a lasmangas de incendios.

Cada extintor está señalado con la letra ssA nnB o llC o una combi-nación es esas letras. Cada letra indica un tipo de fuego contra el puedeutilizarse el extintor.

ssA Indica que el extintor puede emplearse para apagarcombustibles; por ejemplo, papeles, madera o tejidos.

nnB Indica que el extintor puede emplearse para apagarliquidos inflamables; por ejemplo, grasas, pinturas oaceites.

llC Indica que el extintor puede emplearse en equiposeléctricos; por ejemplo, interruptores o motores eléc-tricos.

nnB llC Indica que el extintor puede emplearse para apagarlíquidos inflamables y también en equipos eléctricos

ssA nnB llC Indica que el extintor es de uso múltiple y se prestapara apagar, combustibles comunes, así como líquidosinflamables y equipos eléctricos.

Por todo el Centro Médico estan situados tres (3) tipos de extintores:

tipo ssA , tipo nnB y tipo llC :

• Los extintores Tipo ssA contienen aproximadamente 21/2 galones deagua a presión y el tiempo de descarga es de un (1) minuto. Los extin-tores de esta clase pueden utilizarse con eficacia desde distancia máxi-ma de 30 a 40 pies del fuego.

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• Los extintores Tipo nnB llC contienen gas de dioxido de ( bon. Losextintor varián de tamaño entre las 21/2 y las 10 1ibras, con tiempo dedescarga de entre 8 segundos a 30 segundos. Este tipo extintor puedeutilizarse con eficacia desde una distancia de 3 pies del fuego.

ADVERTENCIA: Evítese la inhalación de gas dióxido de carbón. NOTOME EN SUS MANOS LA BOQUILLA, PARA EVITAR CONGELA-CION.

• Los extintores Tipo ssA nnB llC contienen una substancia químicaen polvo, bajo presión. El tamano de los extintores varia entre 2 a 10Libras, con un tiempo de descarga de entre 8 a segundos. Esta clase deextintor puede utilizarse con eficacia de una distancia máxima de entre5 a 12 pies del fuego, según volumen del extintor.

Como emplear un extintor portátil• Familiarícese con los locales y las clases de extintores que encuentran

en su zona de trabajo.• Para utilizar un extintor, retirelo del gancho de pared o de la caja

llévelo o arrástrelo hasta el lugar del fuego.• Tire del aro para soltar la traba del asa.• Dirija la boquilla hacia la base del fuego.• Sostenga las dos asas apretándo las juntas y lance el chorro con un

movimiento lateral de barrido.

NOTA: Todos los extintores en el Cientro Médico llevan instruccionesescritas.

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ELEVATOR USE DURING A FIRE EMERGENCY• Elevator use during a fire emergency is PROHIBITED with the excep-

tion of the NYC Fire Department, Fire Brigade, Fire Marshal andauthorized Medical Center personnel responding to the fire.

• When possible use the stairs to reach the fire location.• If elevator use is necessary for responding to a fire emergency, DO

NOT ride the elevator to the fire location. Stop at least two (2) floorsbelow, and walk up the stairs to gain access to the fire floor. DO NOTuse the elevator unless it is being operated manually with a key.

USO DE ASCENSORES EN EMERGENCIAS DE INCENDIO• El uso de ascensores durante las emergencias de incendio está PRO-

HIBIDO, con la excepción del Departamento de Incendios de la Ciudadde Nueva York, la Brigada de Incendios, el Jefe de Incendios y el per-sonal autorizado del Cientro Médico que acuda para combatir el fuego.

• Si el uso de los ascensores es necesario para responder a una emergen-cia de incendio, NO VA YA en ascensor hasta el lugar del fuego.Deténgalo por lo menos dos (2) pisos debajo del lugar del fuego y caminepor las escaleras para llegar al piso del incendio. NO USE ascensores amenos que estén accionados manualmente con llave.

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FIRE SAFETY AWARENESSFollow and enforce these rules: • Smoking is not permitted in any Medical Center building.• Do not store oxygen with any flammable gas.• Never lock or obstruct an exit or fire door.• Do not keep doors open with makeshift wedges.• Do not block corridors with equipment.• Check fire doors frequently to make sure they open easily.• Store all chemicals in air-tight containers.• Flammable or explosive material requiring refrigeration must be

stored in an approved explosion-proof type refrigerator.• Do not discard pressurized containers, empty containers used to store

flammable substances or like material with burnable rubbish.• Do not use multiple plugs in electrical outlets.• Do not overload electrical circuits with portable appliances, such as

radios, heaters, fans, laboratory equipment and air conditioners.• Disconnect and report at once all faulty electrical appliances, frayed

electrical cords, defective switches, plugs and electrical outlets.• Have all new electrical appliances checked by the Facilities

Maintenance Department or Clinical Engineering Department beforeusing.

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NORMAS DE SEGURIDAD CONTRA INCENDIOSSiga la siguientes reglas y hágalas aplicar:• Fume únicamente en los lugares oficialmente indicados para ello.• No guarde oxígeno junto con ningún gas inflammable.• Nunca cierre bajo llave ni obstruya puertas de salida o de incendio.• No utilice cuñas para mantener abiertas las puertas.• No bloquee los corredores con equipos.• Verifique con frecuencia que las puertas de incendio se abran fácil-

mente.• Guarde todos los productos químicos en recipientes herméticos.• Los materiales inflamables o explosivos que requieran refrigeración

deben guardarse en refrigeradores a prueba de explosiones.• No tire envases bajo presión, latas de aceite vacias ni materiales simi-

lares, con desechos combustibles.• No utilice enchufes múltiples en los tomaccorientes.• No sobrecargue los circuitos eléctricos con aparatos portátiles como

radios, calentadores, ventiladores, equipos de laboratorio y acondi-cionadores de aire.

• Desconecte y denuncie de inmediato cualquier aparato eléctrico quetenga desperfectos, cables eléctricos mal aislados, e interruptores,enchufes o tomacorrientes defectuosos.

• Haga comprobar todos los apartos eléctricos por el Departamento dePlanta y Mantenimiento o por el Departamento de Ingeniería Clinicaantes de utilizarlos.

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SMOKINGThe Medical Center Administration expects compliance from all staff,patients and visitors regarding its rules and regulations governing smok-ing. Persons violating this policy are subject to a fine by New York Cityand disciplinary action by NYU Medical Center.

Smoking is prohibited in all indoor and outdoor areas of the MedicalCenter. Any exceptions to the prohibition are to be authorized for apatient by a physician's written order based on medical criteria.

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CONDICIONES PARA FUMARLAS NORMASLa Administración de Cientro Médico espera que todo el personal, todoslos pacientes y visitantes acaten sus normas y reglamentaciones sobrecondiciones para fumar. Las personas que violen estas normas seran pasi-bles de multa por la Ciudad de Nueva York y medidas disciplinarias delCientro Médico de la NYU.

Esta prohibido fumar adentro de todas las zonas del Cientro Médico, yalguna excepción a esta prohibición necesita estar autorizadas en escritopor el doctor dando ordena sobre criteria médico para el pasiente.

Las siguientes zonas estan designadas como LIBRES DE FUMAR. No sepermitira fumar en esos lugares en ninguna circumstancia.

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PATIENT EVACUATION PROCEDUREPatient evacuation in a hospital is determined by the proximity andseverity of the fire or smoke condition. The following steps provide basicguidelines for relocating patients. However, the fire condition will ulti-mately determine the extent of the patient relocation.• Step 1

Patients in immediate danger should be moved first.• Step 2

Horizontal movement—move patients laterally on the floor to the otherside of the fire doors.

• Step 3Vertical movement—ambulatory patients should be led down the stairsand relocated to a safe area at least two (2) floors below the fire loca-tion when possible. Non-ambulatory patients should be transported byelevator only on the orders of the NYC Fire Department. Patientsshould be relocated to two (2) floors below the fire location when possi-ble. Elevators being used for relocation purposes should not travel pastthe fire location if at all possible.

• Step 4If necessary Tisch Hospital cafeteria or Alumni Hall can be utilized aspatient holding areas. Evacuation out of the building should be a lastresort. Follow the instruction in the NYUMC Emergency EvacuationPlan.

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PROCEDIMIENTO PARA LA EVACUACION DE PACIENTESLa evacuación de los pacientes de un hospital se determina según la prox-imidad y gravedad del fuego o del humo. Las etapas siguientes ofrecendirectivas para la reubicación de pacientes. Sin embargo, el alcance de lareubicación de los pacientes se determinará en última instancia por lascaracterísticas del fuego.• Etapa 1

Los pacientes en peligro inminente deben ser reubicados primero.• Etapa 2

Movimiento horizontal; desplácese a los pacientes lateralmente en pisoal otro lado de las puertas de incendio.

• Etapa 3Movimiento vertical: Los pacientes en condiciones de caminar debenser conducidos hacia abajo por las escaleras y reubicados a una zonasegura que esté por lo menos dos (2) pisos por debajo del lugar del fuego,siempre que sea posible. Los pacientes que no estén en condiciones decaminar deben ser transportados en ascensor únicamente si ascensorno se encuentra en peligro inmediato de fuego y está accionado conllave. Los pacientes deben ser reubicados a por lo menos dos (2) pisospor debajo del lugar del fuego siempre que sea posible. Los ascensoresque se utilicen para fines de reubicación no deben pasar por el nivel enque se produce el fuego siempre que sea posible evitarlo.

• Etapa 4En caso de necesidad, pueden utilizarse como zonas de concentración depacientes la cafetería del Hospital Universitario y la Sala de Graduados(Alumni Hall). Debe efectuarse la evacuación fuera del edificio comoúltimo recurso.

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EMERGENCY PATIENT REMOVAL CARRIESPatients in immediate danger of fire or smoke must be moved to a safearea as quickly as possible. Removal of patients by bed or mattress is atime consuming and cumbersome process and often impossible.Therefore, it is recommended that patient removal carries be implement-ed as a time-saving and thus life-saving technique to evacuate patients.The following carries have been selected on the basis of their lifting andcarrying advantages.

When utilizing the carries remember patients should be hugged firmly tothe carrier’s body. The carrier should use his or her own body and thepatient’s body to support the latter’s weight. These emergency patientremoval carries, if executed properly, distribute a patient’s weight over allthe carrier’s body, rather than concentrating it on his or her hands andarms alone.

SIDE-BY-SIDE ASSISTGood for patients needing limited assistance.

Assist the patient to a standing position.Grasp the patient’s wrist closest to youwith your hand.

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Bring the patient’s hand aroundyour neck, and pull it downfirmly over your shoulder. Withyour other arm go around theback and slide your hand downthe inner side of the patient’sarm until you reach the wrist.Grasp the arm or wrist and bringit in firmly to the waist area.

Now by pulling down the arm, pulling inon the waist, and putting your hip towardthe patient, you could if necessary liftthe patient off the floor. Do not givethe patient any more help than is needed.

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SWING CARRYThe swing carry is good for evacuating any weight patient, and moving apatient down a stairway. The swing carry utilizes a cradle of interlockedarms and wrists and is useful for moving heavy patients long distances.

If you are the first rescuer, stand with thefeet together, and slip your arm closest to the

head of the bed under the patient's neck,grasping the far shoulder. Then place your

other hand on the patient's closest upperarm, and grip it. Turn your feet parallel tothe bed, facing the foot of the bed. As you

raise the patient to an upright position, takeone step forward with the foot farthest from

the bed. This move utilizes the full body, andyou gain additional leverage if

you push your shoulder against the patient's shoulder once the patient is in motion. If you are the second

rescuer, approach from the same side of the bed, and wait until thepatient is in a sitting position. Then grasp both ankles and swing the

patient's feet off the bed.

Both rescuers then stand on each side of thepatient. If you are the rescuer on thepatient's right, grasp the patient's right wristwith your right hand, and put the armaround your neck and down across yourchest. The rescuer on the patient's left doesthe same with the left hand and the patient'sleft arm. At the same time, each rescuerreaches across the patient's back with thefree hand and places it on the other rescuer'sshoulder. With the arm used to pull thepatient's arm around their

necks, both rescuers then reach under the patient's knees. The rescueron the patient's right reaches palm down, the other palm up. As handsmeet, they grasp wrists and lock hands together.

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Push toward the patient and up with yourshoulder to remove the patient from the bed.

Weight makes little difference becausethe patient hangs like a pendulum

between the rescuers' shoulders,squeezed tightly between them.

Their feet should be parallelas they walk.

To unload the patient in a safe area, drop downon the knee closest to the patient, keeping yourback straight to prevent straining the back.While leaning against the patient, the rescuersshould place the patient's buttocks on the floor.

The second rescuer releases the patientand returns to the danger area, while the

first eases the patient to the floor.Remember to protect the head.

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PACKSTRAP CARRYGood for broken legs, cerebrovascular injuries, narrow or burning door-ways and obstructed areas.

Face the patient with your back toward the footof the bed, and grasp the patient's closest wrist

in your closest hand, palm down. Raising thiswrist slightly, grasp the other wrist with yourother hand. Cross the patient's arms, holding

onto both wrists. Take one step backwards withyour foot closest to the bed, and pull the patient

to a sitting position.

Raising the patient's top wrist, slip yourselfbeneath his arms. Place your back squarelyagainst the patient's chest with your shoulderslower than his armpits, pull his arms over yourshoulders, and cross them on your chest.Pulling on his arms, lean slightly forward,bending only your shoulders.

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Turn both your body and feet sharply towardthe head of the bed, lean against the bed for

support, and take one or two steps. It is not nec-essary to lift the patient. Your forward momen-

tum will roll the patient onto your back withoutshock.

To unload in a safe area, place the patient'sshoulder against the wall. Lean against thewall, and drop on your knee closest to the wall.

With your knee four inches from the wall, youcan ease the patient to the floor by releasing his

arm farthest from the wall and letting him rolloff your shoulder and hip. The patient will be

held securely between your body and the wall.Always be sure to protect the head.

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FOUR-RESCUER OR BLANKET CARRY Good for patients with spinal problems, traction patients, recent surgeryand special medical problems. If four rescuers are available for carrying,the tallest should be Number One, the next tallest Number Two, and soon. Number Four spreads a blanket perpendicular to the foot of the bed,steps on the blanket's center, and guides and assists in the placement ofthe patient in the middle of the blanket.

Number One: Face the patient perpendicularlyat the head of the bed. Put one arm, with handpalm up, beneath the patient's neck and theother, palm up, beneath the upper back.Number Two: Put both arms, with hands palmup, under the patient just above and below thebuttocks.

Number Three: Put both arms, with hands palm up, under the patientjust above the knees and between the knees and ankles. After all threeare positioned, make a three-step, non-stop movement to raise thepatient. Once the motion is started, it is easier to complete it withoutstopping than to pause between steps.

Step One: Pull the patient to the bedside.Step Two: Without hesitating, lift the patient.Step Three: Roll the patient onto your chests,with your arms up and backs arched slightly.Number Two and Three rescuers rotate(Number One turning only slightly), lining upparallel with Number Two and Number Fouropposite each other.

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Number One, Two and Three roll the patientout toward Number Four's arms, and all drop

down on one knee and place the patient length-wise along the blanket's center. Number Four

makes sure the patient is centered.

After putting the patient on the blanket, the rescuers should stationthemselves kneeling two to a side. Numbers One and Four place one handnext to the patient's neck (to prevent the head from flopping

over the blanket when lifted) and the otherhand at the patient's elbow. Numbers Twoand Three divide up the rest of the bodyweight by placing their hands to makelifting easy. With thumbs under theblanket's edges and knuckles on top,the rescuers push in, gathering the blanketin their hands until their knuckles touchthe patient. Number One says, "Rise," andall stand up, keeping backs and armsstraight.

Remove the patient from the danger area, car-rying at arm's length. When a safe area is

reached, drop to one knee, and lower thepatient gently feet first to the floor.

This carry takes considerable coordination,teamwork, and practice. It also can be usedwith six rescuers or with three to place the

patient on a surgical cart. Never use a sheet inplace of a blanket for the blanket carry.

A sheet normally will not support a patient'sweight, but will rip and drop the patient

onto the floor.

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FIRE ALARM CODESThe fire alarm bells ring in a sequence of three (3) or four (4) sets of bellswith the sequence sounding three (3) times. To decipher the signal, countthe number of bells in each set. Next, check a station number card postedin the corridor to determine the location of the alarm.

The bells are only an indicator of the approximate fire location and notnecessarily the exact location of the fire. The location announced by theoperator is the location of the fire alarm sounded and not necessarily theexact location of the fire.

CODIGO DE ALARMA DE INCENDIOEl timbre de alarma de incendio suena en una secuencia de tres (3) seriesde toques, efectuándose la secuencia tres (3) veces. Para descifrar la señal,cuente el número de toques en cada serie. Luego, consulte inmediata-mente a una tarjeta de número de estación colocada en el corredor paradeterminar el local de la alarma.

Los toques de timbre son sólo un indicador del lugar cerca del fuego, y nodan necesariamente su lugar preciso. El lugar anunciado por la operado-ra corresponde a la alarma que se ha accionado, y no necesariamente allugar exacto del fuego.

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EVACUATION MAPRusk Institute of RehabilitationMedicineFloor 1

In case of fire, use stairs to evacuate. Do not use elevators.

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EVACUATION MAPRusk Institute of RehabilitationMedicineFloors 4 and 5

In case of fire, use stairs to evacuate. Do not use elevators.

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EVACUATION MAPMedical Science BuildingFloors: Cellar - 1

In case of fire, use stairs to evacuate. Do not use elevators.

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EVACUATION MAPMedical Science BuildingFloors: 2 - 3

In case of fire, use stairs to evacuate. Do not use elevators.

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EVACUATION MAPMedical Science BuildingFloors: 4 - 7

In case of fire, use stairs to evacuate. Do not use elevators.

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EVACUATION MAPSchwartz Health Care CenterFloors: 9 - 15

In case of fire, use stairs to evacuate. Do not use elevators.

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EVACUATION MAPTisch HospitalFloors: 8 - 17

In case of fire, use stairs to evacuate. Do not use elevators.

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Medical Center Map