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.
ERT MEMBERS
The team comprises of ;
1. Floor in charges / Area in charges
2. Nursing Supervisor
3. Fire marshal
4. Call Center Officer
5. Security Officer
6. Mechanical, Electrical and Plumbing Team (MEP)
7. Clinical Engineering Team
8. QHSE officer
9. FMS Manager
Floor In –charge/Area in charge
Know 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 Supervisor
Assess 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.
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.
Clinical Engineering Team
Provide Medical equipment if contacted by ERT members.
MEP Team
Responsible to isolate the medical gas service / provide gas
cylinders when contacted by Safe Room In charge or any Floor In
charge.
Security Officer
Security 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.
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 reason
also coordinate with Civil defense / Police
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 Triangle
Proportional Ratio
E.g. 1
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.
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
Extinguished using Water, DCP
•
•
•
•
•
Extinguished using
•
•
•
•
•
•
wood
cloth
paper
rubber
many plastics
DCP & CO2
gasoline
oil
grease
tar
oil-based paint
Lacquer ( varnish )
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
OverloadedPlugpoint
OverloadedAdaptors
Unorganizedcabling
Short circuit
Exposedlive wire
Pest Intervention
ExtensionBoardabuse
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
20
Fire Suppression system which
includes
- Fire Extinguishers
- Fire Blanket
- Fire Hose reel
- Sprinkler System
- Fire Hydrant (Dry Riser)
Fire Extinguisher Anatomy
DISCHARGE LEVER
DISCHARGE LOCKING PIN
AND SEAL
PRESSURE GAUGE
(for the permanent pressure
fire extinguishers)
CARRYING
HANDLE
DISCHARGE HOSE
DATA PLATE
DISCHARGE NOZZLE
DISCHARGE ORIFICE
BODY
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
“FIRE PREVENTION” IS BETTER THAN “F2I8 RE -FIGHTING”
Fighting the Fire
P
Pull the pin
A
Aim low at the
base of flames
S
Squeeze the
handle
S
Sweep side to side
WHAT TO DO IN CASE OF A FIRE
• RACE:
R – Rescue
A – Alarm
C – Confine the fire
E – Extinguish (if trained) and evacuate
30
WHAT TO DO IN CASE OF A FIRE
On 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 voice
Large Fire -Get to the nearest telephone line, announce CODE
RED 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 : 7666
Or
Emergency Services namely
Police – 999
Ambulance – 998
Civil defense – 997
Dubai Electricity and Water Authority (DEWA) – 991
Provide Information
Your name
Location
Type of Fire
Size of Fire
Who 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
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.
38
ASSEMBLY POINT s
- Infront of the hospital, near to valet
parking area
39
MOCK EVACUATION DRILL
• 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.
Central Medical G a s 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)