EMERGENCY RESPONSE TEAM [ERT ] and FIRE SAFETY TRAINING

by: Mr. Antonio Zacarias jr.

Objectives

After this presentation you will know:

• What is ERT?• ERT Members• Roles & Responsibilities of ERT members.• Fire Introduction.• Fire Triangle• What are the Types / classes of Fire

• What to do in case of a fire?• Evacuation guideline.• Emergency Exit.• Fire fighting & detecting Equipment's in Prime Hospitals• Types of Extinguishers in Prime hospital & their usage.• Safe rooms• Location of the Assembly Point• Mock drill

INTRODUCTION

WHAT IS ERT (EMERGENCY RESPONSE TEAM) ?

It is a nominated team identified from the staff who have been specially trained to provide immediate response during any (code Red or Code Orange) emergency situation as per the defined protocol.

The team comprises of ;

1. Floor in charges / Area in charges2. Nursing Supervisor3. Fire marshal 4. Call Center Officer5. Security Officer6. Mechanical, Electrical and Plumbing Team (MEP)7. Clinical Engineering Team8. QHSE officer9. FMS Manager

ERT MEMBERS

Floor In –charge/Area in chargeKnow your area, the people in it, and at least two safe exits.Guide / direct the patient, relatives, visitors and the staff to evacuate their respective floor smoothly when code Orange is announced.Nursing SupervisorAssess and liaise with the involved department floor in charge/Area In charge. Communicate with the head of the Hospital, Health and safety Coordinator, FMS manager and floor in charge/Area Incharge in other floor update them about the situation.Fire Marshal Is a trained fire fighter. Last person to leave the floor. Lead occupants to the corridor and wait for the announcement/instruction.

MEP TeamResponsible to isolate the medical gas service / provide gas cylinders when contacted by Safe Room In charge or any Floor In charge.

Clinical Engineering TeamProvide Medical equipment if contacted by ERT members.

Call Center officer Can announce code Red if they receive instruction from any ERT member, They also contact Fire Marshal / Bio Medical Engineer / QHSE Officer /Risk Manager / Civil Defense as and when required.

QHSE Officer Provide fire training to staff, conduct periodic evacuation drill, supports ERT members when there is any an Emergency (Internal disaster). Initiate oversee the investigation and for the reasonalso coordinate with Civil defense / Police

Security OfficerSecurity staff on duty (within the building) to coordinate with other ERT members and provide necessary support as well as isolate/evacuate / restrict entry to the building. Security staff on duty (Out side the building) to coordinate with other ERT members and stop the entry of vehicle / patient / visitor to the hospital premises and also coordinate with the Police / Civil Defense.

FMS Manager FMS Manager will investigate the reason & severity of the incident in coordination with the QHSE Officer / Engineering Department .HSE Officer and Risk Manager shall share their responsibilities when either of the one is on leave.

FIRE INTRODUCTION ABOUT FIRE

• What is Fire?

–Fire is basically a chemical reaction combining three elements: Fuel, Heat and Oxygen.

The Fire TriangleProportional Ratio

The Fire on the candle goes off when it is covered by something……..

Why ?Because the Oxygen is not there. it means if one of the element from the fire triangle is removed, the fire goes off.

E.g. 1

TYPES OF FIRE • Class A – Normal Combustibles• Class B – Flammable Liquids• Class C – Electrical Circuits, switchboards,

office equipment• Class D – Combustible Metals such as sodium,

potassium and magnesium• Class E –Class F / k – Cooking fats and oils

Classification / Types of Fire

• wood• cloth • paper• rubber• many plastics

• gasoline• oil• grease• tar• oil-based paint• Lacquer ( varnish )

Extinguished using Water, DCP

Extinguished using DCP & CO2

DRY POWDER

CLASS K FIRES

• Recently recognized by NFPA 10.

• Fires involving combustible vegetable or animal non-saturated cooking fats in commercial cooking equipment.

Extinguished using Fire Blanket & CO2

COMMON REASONS FOR ELECTRICAL FIRE

Overloaded Plug point

Overloaded Adaptors Short circuit Pest Intervention

Unorganized cabling Extension Board abuseExposed live wire

EARLY DETECTION & FIRE CONTROL

Fire Detection & Alarm System which includes

- Detectors smoke, heat & Gas- Manual Call Point (Break Glass / Press

Here)- Fire alarm Bell - Fire Alarm Zone/Master Panels

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Fire Suppression system which includes

- Fire Extinguishers- Fire Blanket- Fire Hose reel- Sprinkler System- Fire Hydrant (Dry Riser)

Fire Extinguisher Anatomy

DISCHARGE HOSE

DISCHARGE NOZZLE

DISCHARGE ORIFICE

BODY

DATA PLATE

CARRYINGHANDLE

PRESSURE GAUGE(for the permanent pressure

fire extinguishers)DISCHARGE LEVER

DISCHARGE LOCKING PINAND SEAL

TYPES OF EXTINGUISHERS

Foam Extinguisher• suitable for class B Fires & Kitchen fires

Dry Powder Extinguisher (Universal extinguisher)

Carbon Dioxide Extinguisher (Electrical Fire)

Duration of extinguisher: 20 -30 sec

28“FIRE PREVENTION” IS BETTER THAN “FIRE -FIGHTING”

Fighting the Fire

Sweep side to side

Aim low at the base of flames

Squeeze thehandle

Pull the pinP

A

S

S

WHAT TO DO IN CASE OF A FIRE

•RACE:

R – Rescue A – Alarm C – Confine the fire

E – Extinguish (if trained) and evacuate

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WHAT TO DO IN CASE OF A FIREOn discovering or suspecting a fire

Rescue -yourself & the nearby patient

Alarm- locate the break glass to initiate fire alarm;or shout “FIRE, FIRE, FIRE “loudly at the top of your voiceLarge Fire -Get to the nearest telephone line, announce CODERED and specify the location of the fire

Confine the fire- shut doors, remove flammable material away on exiting –if possible –ie waster paper bins

Extinguish/Evacuate-Use the right extinguisher to put out the fire –only use if trained. Find nearer safe exit from the building & leave if advised.

WHAT TO DO IN CASE OF A FIRE

•Break the Glass Raise the Alarm.

Emergency Telephone Numbers

Code Red : 7666OrEmergency Services namelyPolice – 999Ambulance – 998Civil defense – 997

Dubai Electricity and Water Authority (DEWA) – 991

Provide Information

Your nameLocation Type of FireSize of FireWho else is there with you?

ERT team on hearing announcement Code red/Code orange will take charge of the situation to evacuate the area / floor .

The people evacuated from each floor should assemble at the nearest Fire Assembly point to follow the instructions.

Once evacuated the building , the reentering will be subject to the clearance by ERT- QHSE officer / FMS Manager / Govt authority .

Before evacuating a room or block, close the

windows and door behind you

What should we do before evacuation

Emergency Exits:

• There are 26 emergency exits doors Here in PH from rooftop to Basement 2 and 8 exit doors identified to exit from the building in case of emergency.

• There are floor plan & exit directional signage's provided in all floors to reach the final exit in the ground floor leading to the Assembly points

EMERGENCY EVACUATION GUIDELINES

• Code ORANGE is the Emergency Evacuation Code • ERT Team take charge of the situation upon Code ORANGE• Follow the RACE procedure.• Evacuate the premises through the nearest emergency exit to the assigned assembly points.• Never use Elevator to escape.• Do not panic, Stay calm, Give clear & exact direction.• Don’t run during evacuation time.• Assemble at the assembly points till head count is completed

and final clearance is given to re-enter in to the building.

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ASSEMBLY POINT s

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- Infront of the hospital, near to valet parking area

• The ERT conducts Evacuation Drill regularly. Please attend these Fire Drills.

• The use of Fire Extinguisher is demonstrated to all staff at the assembly point as part of the Fire safety training /Drill.

MOCK EVACUATION DRILL

Central Medical Gas Supply – Area Alarm Panel

Area Alarm Panel monitors various gas pressures (O2, N2O, Air 4 Bar,Air 7 Bar, Vacuum) of the area and gives an alarm if detected below or above set pressures

AVSU – Area Valve Service Units

Area Valve Service Units – These need to be closed in case of a major leakage or fire (after ensuring the availability of portable oxygen cylinders for patients)

Now that you know

about Fire, preventing

fire and fire fighting,

STAY FIRE ALERT!

Feel free to ask any

further queries.