Inside Facility
Training module for Home Care staff working inside Fort Hudson - main building and Day Programs (Education Credit: 30 min.)

READING MATERIAL

Fire and Safety

Remember R A C E Each employee is required to know our policyKnowing the policy- could save a life, if you respond appropriately.
The "R" stands for:
#1 Remove / Rescue:While yelling Dr. Red and the location you are attempting to remove residents/visitors from that areaWhat ???

The "A" Stands for:
#2 Alarm- get the nearest pull station activated!

Once the alarm is pulled this alerts the entire building and the fire department, you need to announce over the paging system ( Dr. Red followed by the location of the FIRE and must be repeated 3 times).
Now that the alarm is sounding, where do I report too!
This question can only be answered once the alarm sounds and you listen to the series of horns that tells you the location of our problem.
Listen to the series of the first horns- is it upstairs or downstairs. All staff must respond once the alarm sounds, even if you are on break or lunch.
The fire alarm triggers all perimeter doors to unlock and remain unlocked until the "all clear" is sounded. During this time these doors must be monitored.
The homefree system still functions.
Refer to Fire Safety addendum for homecare.
All desk phones have an (Emergency-Page) button that will allow you to page overhead throughout the building.

Question Title

I have removed and sounded the alarm. #3 "C" Confine/close door/windows at the fire site.Place the orange reflective marker on that door knob. Once in place; NEVER reopen that door. #4 "E" Evacuate Evacuate everyone from the fire area at the direction of the charge person..... Remove Oxygen tanks from the fire area:

Question Title

Remain Calm and Alert....

Sprinkler System
We are 100% sprinkled!!
This system is triggered by 130 degree of heat.
Fire alarm system will be activated.
The sprinkler system will only go off in the problem or trigger area
only set off by the heat.

SMOKE DETECTORS
Smoke detectors- do just that-detect smoke
They are located in all the residents rooms, hallways, dining rooms and offices.

If a fire occurs, an alarm will indicate the wing and floor where the fire is located( 2 horn blasts followed by 2 horn blasts is indicative of B-wing basement). The location of the fire will be announced over the public address system by the receptionist. All B-wing basement office staff and assigned day program staff should immediately report to the Home Care Receptionist's desk if alarm indicates B-wing or B-wing basement. If alarm indicates any other areas all assigned staff should report to primary assembly area. If the fire prevents access to the primary assembly area (main lobby) then report to the secondary assembly area (shipping & receiving).
DO NOT WALK THROUGH/BY/PAST THE FIRE AREA.

If fire is on B-wing or B-wing basement Homecare receptionist will delegate a (Charge Person) and hand that person the (Charge Person Checklist). The charge person will then perform or delegate all the tasks on the list.



                                                                      Charge Person Checklist:
Direct available staff to:
    * Locate the fire
    *Remove participants/registrants, visitors and staff from the fire area into another area beyond the fire doors.
    *Remove oxygen tanks from fire area beyond fire doors.
    *Close doors to fire area and hang orange marker with reflector on the area door handle where the fire is located
     DO NOT REOPEN THIS DOOR. All other orange markers without reflector are utilized to indicate evacuated
     area
    *Begin evacuation if necessary.
    *Take a count of all participants/registrants, visitors and staff on wing and relay to front desk.
    *Close doors once area is searched and evacuated.
    *If evacuation is determined necessary, assign staff to receive participants/registrants in safe area.
    *Assign staff in evacuation area to place identifying wrist bands on participants/ registrant wrists. The wrist bands
     will be located at the receptionist's desk near the Dr. Red Box.

Charge Person Will:
    *Provide nursing supervisor with an assessment of situation.
    *Request additional staff if required
    *Alert front desk to number of participants/registrants and any nursing home residents in program areas.

Determining the Level of Evacuation:

Is heavy smoke evident in the hallway?
YES: Keep participants/registrants in the program area. Block bottom of doors with towel/blanket to minimize smoke seepage.
NO: Can you locate the fire or the source of the alarm activation?
        Yes: Announce the exact location of the fire and instruct staff to begin evacuation starting at the fire location. Move the     participants/registrants using the chain method to a point beyond the first set of fire doors. If it is reasonable, staff may utilize nearest fire extinguisher and /or fire blanket to extinguish fire.
         NOTE: DO NOT TAKE CHANCES.. begin evacuation even if you believe the fire can be easily extinguished.

          No: If you can not locate a fire or smoke condition evacuation is not necessary. Wait for assistance from the Fire Department.

If an Evacuation is Required:

Evacuate using the chain method to move participants/registrants until all participants/registrants are beyond the fire doors. Upon arrival into area beyond fire doors utilize wrists bands to identify as participants/registrants of the day program.

Question Title

                                                                        EVACUATION PLANS

                                                In an emergency situation requiring a total evacuation:
                                                     Refer to the Comprehensive Emergency Plan

                                                                      Horizontal Evacuation

A horizontal evacuation requires movement of those in a hazardous area of the facility to safety within the facility.
In an emergency situation requiring evacuation of a localized area of the facility, the Person in Charge of that area will make the decision to evacuate. The Charge Person should announce the emergency call for additional help if necessary.
The evacuation will proceed with the Chain Method as described here:
      * Safe area includes C-wing basement beyond lobby doors or the corridor leading to the exterior exit door #15.
      * The charge nurse may use their discretion in defining the evacuation route based on situational criteria.
      * Search all program areas thoroughly (check bathrooms, offices and other congregate areas).
      * Remove participants/registrants to a safe area, specified by the Charge Person.
      * Utilize the Chain Method using all available staff.
      * Form a line with available staff leading to the safe area.
      * Remove those closest to the fire area first.
      * Pass them along the line to safety.
      * Move in the direction that does not require passing the source of the emergency.
      * Assign staff to receiving area and place identifying wrist bands on participants/registrants upon arrival
         to safe area.
      * As areas are evacuated, close doors and identify that area has been evacuated with orange markers.

Utilize Emergency Call List to contact family members/responsible party to alert to current situation.