STIRLING ROYAL
INFIRMARY
Fire Instructions
and
Evacuation Procedures
Date Issued: August 2007
Review Date: August 2008
Responsible Officer: Fire Safety Officer
Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
5
FIRE INSTRUCTIONS – QUEEN ELIZABETH WING
5.1
Introduction
The ability to deal effectively with a fire situation is essential to ensure the safety of
patients and staff. All staff must therefore have read this policy and be familiar with
its contents. Staff must also ensure that they are aware of the location of Fire Exits,
Extinguishers and Alarm points within their own areas.
Points to Note
Staff should be alert to potential hazards which may result in fire and should take due
care to ensure that their actions do nothing to jeopardise the safety of the area. In
particular staff are asked to note the following:
• The agreed smoking policy must be complied with.
• Fire doors must be kept closed at all times and should not be wedged, jammed
open or obstructed.
• All fire exits/escape routes must be kept free of obstruction at all times. Any
staff member who recognises an obstruction should take steps to ensure its
removal.
• A list of fire zones operating in the Queen Elizabeth Wing is attached as
Appendix SI.
5.2
Procedure - What to do if you discover a fire
• Sound the alarm by breaking the glass at a fire point.
• Dial 4444 to confirm location, extent of fire, or hazard.
• Ensure the safety of yourself, any patient, staff or visitor in the immediate
vicinity.
• Close all doors and windows to isolate the fire and prevent the spread of smoke.
Date Issued: August 2007
Review Date: August 2008
1
Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
5.3
The Alarms
There are two types of fire alarm installed in the Queen Elizabeth Wing. All staff
should be aware of the type of alarm operating in their area as follows:
(a)Bedded areas Queen Elizabeth Wing
Wards 20 - 26
ICU
Theatres
Day Surgery Ward
CCU
Common Assessment Unit
Medical High Dependency (MHDU)/Surgical High Dependency (SHDU)
Continuous alarm sounder with panels of lights to indicate ALERT or
EVACUATION. It is essential that staff are aware of the location of the light
panels and pay particular attention to them throughout the ALARM situation.
(b)
Wards 27 – 29, A & E, X-Ray, Laboratories, Retail Foyer, Service
Corridor, Mortuary, Pharmacy, Endoscopy Suite
Two Sound Alarm system - operating with 2 distinct signals Slow Sound - this means that the suspected fire hazard is not in your zone,
but staff should remain alert for potential danger.
Rapid Sound - this indicates that the danger is now in your zone and staff
must implement the instructions given for an evacuation
All staff must be aware of what each sound means and be prepared to act
accordingly.
A text display unit is located outside the lift landing on level three, QEW.
(1)
Bedded Areas - Continuous Alarm with Light Panels
Areas involved:
Wards 20 - 26, Day Surgery, Common Assessment Unit, Intensive Therapy,
MHDU, SHDU, Coronary Care Unit and Theatre Suite
As soon as the alarm sound is heard staff should consult the light panels to
establish if the fire is in their zone - EVACUATION or in another zone
ALERT.
If the light is indicating EVACUATE - then staff should commence
preparations for evacuation but await final instruction. The most senior nurse
Date Issued: August 2007
Review Date: August 2008
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Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
in the zone acting on information available will issue the instruction to
commence evacuation.
Evacuation Points
Evacuation to the nearest point of safety is essential. The Nurse in Charge of
the Ward will assume responsibility for co-ordination of the evacuation
process. (Wards with children as inpatients – see Appendix S5)
A sheet detailing the correct evacuation points is displayed in each
ward/department.
The normal sequence of evacuation would be as follows, subject to
information available at the time:
1.
Horizontal - To an adjacent zone on the same level.
2.
Vertical - To a zone on the level below (never to a level above)
3.
The Foyer, main entrance area
4.
Full Scale Evacuation - Conference Centre
If the light is indicating ALERT - this means that the suspected fire hazard
is not in your zone, but staff should remain alert for potential danger.
Alert light becoming EVACUATE light - this indicates that the danger is
now in your zone and staff must implement the instructions given above for a
light indicating Evacuate.
For ICU: Once the decision has been made to evacuate
• Liase with the nurse in charge in ICU of all patients medical status and
condition and mobility
• Ensure a receiving area has been secured for transfer, (this should be done
by the hospital page holder or the manager in charge of the evacuation)
• Resus in A&E can accommodate 2 patients
• The plaster room in A&E can accommodate 1 patient
• Theatre 6 (eye theatre) can accommodate 2 patients (1 in the theatre
and 1 in the anaesthetic room)
• Ensure a size E or F cylinder of oxygen is available for each patient
• Ensure a supply of size G oxygen cylinders are available at the receiving
area
• Phone the porter who will organise a supply of size G cylinders to the
receiving area (specify the amount)
• Ask the porter to collect the Schrieder and Air valves from the Medical
Physics office in the Laboratory block (Red Box) and apply them to the
cylinders
(2)
Other Areas - 2 Sound Alarm
Date Issued: August 2007
Review Date: August 2008
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Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
a) Rapid Sound
Wards 27-29, X-Ray, A & E, Endoscopy Suite
If the rapid alarm sounds in these areas the areas should be immediately
evacuated of all patients clinically fit to leave. The Nurse in Charge/Head
of Department will then be responsible for issuing the instruction to
evacuate remaining patients and staff according to the situation and
information available. The evacuation points for these areas will be:Surgical Block car park
Laboratory Block, Linen Room, Stores, & Pharmacy
Rapid Alarm - evacuate the area immediately and make way to the
evacuation points, as follows:Loading Bay Car Park
Main Foyer
Rapid Alarm - evacuate the area immediately and make way to the
evacuation points, as follows:Surgical Block car Park
Loading Bay Car Park
b) Slow Sound
A slow sound means that the suspected fire hazard is not in your zone but
that you should be alert to potential danger.
On hearing the slow sound staff should ready themselves for further
action, either to assist in the evacuation of another zone or to prepare for
evacuation of their zone.
Instructions will be issued by senior
Nurse/Officer in charge.
Any staff member discovering a fire in their zone should act immediately
to raise the alarm by breaking the glass at a fire point.
c) Slow Sound Becoming Rapid Sound
This indicates that the danger is now in your zone and staff must
implement the instructions previously given above.
Date Issued: August 2007
Review Date: August 2008
4
Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
Important
In an emergency situation clear channels of communication are crucial. Staff should
respond to the alarm sounds and instructions given to them by the Senior
Nurse/Officer in the area and should not contact the Telephone Switchboard for
information.
Cessation of the Alarm/All Clear
The alarm sound may cease. Staff should not assume that this means the danger is
over. Stand down will only take place once the all clear has been given. The all-clear
signal will be confirmed to each zone by the Senior Nurse/Officer acting on the
instructions of the Fire Brigade.
5.4
Roles and Responsibilities
In any fire situation certain staff have key roles to play. The staff concerned must
ensure that they are fully aware of the actions required by them.
Switchboard
Will on receipt of a fire call/alarm immediately operate the fire call out procedure and
notify the following:The Fire Brigade
8.30 am - 5.00 pm
5.00 pm - 8.30 am & at Weekends
Duty Porter
Bed Manager (page holder 700)
Duty Estates Officer
Duty Estates Technician/Craftsman
Duty Porter
Bed Manager (page holder 700)
On-call Estates Officer informed
On-call Estates Technician/Craftsman
called
Nurse In Charge of Ward/Head of Department;
The role of these individuals is crucial. He/she will assume responsibility for the
immediate response to the alarm.
• On hearing the Alarm the Nurse in Charge/Head of Department should
immediately institute a search of the area to establish if there is any immediate
hazard. If they are unable to undertake this task themselves they should delegate
another member of staff to do so.
• If no danger is apparent the Nurse in Charge/Head of Department should ensure all
staff remain alert to potential hazard and await further instructions.
• In Patient areas the Nurse in Charge/Head of the Department must at once follow
the evacuation instructions laid down for their area (wards with children as
inpatients – see Appendix F4)
• In the non-patient areas, the Head of Department should immediately proceed to
evacuate the area.
Date Issued: August 2007
Review Date: August 2008
5
Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
• In patient areas the Nurse in Charge/Head of Department must assess the danger
and decide when evacuation is necessary. The actions required are detailed in
Appendices F3 & Section 5.3.4.
• In the event of evacuation being necessary a roll call will be taken at the earliest
opportunity by the Nurse in Charge/Head of Department and the result conveyed to
the Nurse Manager or Site Manager.
• On receipt of an “All Clear” the Nurse in Charge/Head of Department will ensure
that staff/patients either return to their area or are appropriately relocated.
• Ensure an IR1 Form will be completed and sent to Risk Management Department
Duty Porter
• On receipt of the signal he/she will proceed quickly to the switchboard to establish
the zone affected and will then immediately proceed to the fire brigade reporting
point.
• Other porters on duty will go to the area of the fire and stop patients, visitors and
staff from entering until the fire service pronounce the area safe.
Bed Manager
• You will be notified of all fire calls by the telephonist, via a speech message on
pager 137. Respond to all fire calls
• Attend identified area and assist the Nurse in Charge/Head of Department, in
assessing the situation, ensuring proper procedure is adhered to. Liaise with Estates
Department/Central region Fire Officer in attendance.
• If evacuation is required, assist the Nurse in Charge/Head of Department to obtain
all necessary support to deliver a safe evacuation.
• If no Nurse in Charge/Head of Department available, take charge, until the Fire
Brigade arrives.
Duty Estates Officer and/ or Duty Technician/Craftsmen (normal hours)
On receipt of a fire call, they should proceed immediately to the Switchboard. On
arrival, he should:
• Confirm location of fire
• Proceed to this area
• Assist in tracing source of alarm
• Liaise with and provide technical assistance to the Fire Brigade
• Re-instate alarm system on instructions of the Fire Brigade
Date Issued: August 2007
Review Date: August 2008
6
Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
On Call Technician/Craftsmen (Out of Hours)
On receipt of a fire call, they should proceed immediately to the Switchboard. On
arrival, he should:
• Confirm location of fire
• Proceed to this area
• Assist in tracing source of alarm
• Liaise with and provide technical assistance to the Fire Brigade
• Re-instate alarm system on instructions of the Fire Brigade
6.
FIRE INSTRUCTIONS - ALL WARDS AND DEPARTMENTS
(EXCEPT QUEEN ELIZABETH WING, LABORATORY, THEATRE BLOCK,
ICU, CCU AND MAIN ENTRANCE FOYER)
6.1
Introduction
The ability to deal effectively with a fire situation is essential to ensure the safety of
patients and staff. All staff must therefore have read this policy and be familiar with
its contents. Staff must also ensure that they are aware of the location of Fire Exits,
Extinguishers and Alarm points within their own areas.
Points to Note
Staff should be alert to potential hazards which may result in fire and should take due
care to ensure that their actions do nothing to jeopardise the safety of the area. In
particular staff are asked to note the following:
• The agreed smoking policy must be complied with.
• Fire doors must be kept closed at all times and should not be wedged, jammed
open or obstructed.
• All fire exits/escape routes must be kept free of obstruction at all times. Any
staff member who recognises an obstruction should take steps to ensure its
removal.
• A list of fire zones operating is attached as Appendix S3.
6.2
Procedure - What to do if you discover a fire
• Sound the alarm by breaking the glass at a fire point.
• Dial 4444 to confirm location, extent of fire, or hazard.
• Ensure the safety of yourself, any patient, staff or visitor in the immediate
vicinity.
• Close all doors and windows to isolate the fire and prevent the spread of smoke.
Date Issued: August 2007
Review Date: August 2008
7
Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
6.3
Alarm Sounds
There are two types of fire alarm operating within this part of the hospital:All staff must be aware of the type of alarm operating within their area, be aware of
what each sound means and be able to act accordingly as follows. A summary of
areas, indicating the type of alarm in operation is given in Appendix S3.
All wards areas, Ward 11 Corridor, Neonatal Intensive Care Unit, Occupational
Therapy, Anaesthetic Simulation Centre, Patient Therapy, Dieticians, Maternity
Administration Offices, Child Health, Nurses residences, Physiotherapy,
Cardiology, Main Corridor, Medical Offices, Main Administration Building,
Home 1 Residences, Clinical Training Centre, Diabetic Department and Labour
Suite, have a two-stage alarm.
The Alarm Sounds - Two-Stage Alarm - Slow Sound/ Rapid Sound
1
Slow Sound
A slow sound means that the suspected fire hazard is not in your zone but that
you should be alert to potential danger.
On hearing the slow sound staff should ready themselves for further action,
either to assist in the evacuation of another zone or to prepare for evacuation of
their zone. Instructions will be issued by the Senior Nurse/Officer in charge.
(Wards with children as inpatients – see Appendix S5)
2
Slow Sound Becoming Rapid Sound
This indicates that the danger is now in your zone and staff must implement the
instructions previously given in Section 2.2.
Date Issued: August 2007
Review Date: August 2008
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Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
3
Rapid Sound
This means that the suspected fire hazard is in your zone. Staff should prepare
to evacuate the area as follows:
Patient Areas
Wards, patient therapy, theatre and labour suites, out-patient areas.
As soon as the rapid alarm is heard staff should commence preparations for
evacuation but await final instruction. (Wards with children as inpatients – see
Appendix S5)
The most Senior Nurse/Officer in the zone, acting on information available will
issue the instruction to commence evacuation.
Single stage alarms are situated in Main Kitchen and Dining Room, Ward 30,
Recreation Hall, Speech Therapy, Boiler house, Works Compound, Mortuary,
Education and Conference Centre and Outpatients Department.
The Alarm Sound - Single Stage Alarm - One Continuous Signal
1.
Patient Areas
As soon as the continuous alarm is heard staff should commence preparations for
evacuation but await the final instruction.
The most senior Nurse/Officer in the zone, acting on the information available
will issue the instruction to commence evacuation - See Appendix S2 for
Procedure.
2.
Non-Patient Areas
On hearing the continuous sound the most senior Nurse/Officer in the zone
should immediately commence evacuation of the area directing staff to the
appropriate Evacuation/Assembly Points.
Date Issued: August 2007
Review Date: August 2008
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Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
6.4
Evacuation Points
Evacuation to the nearest point of safety is essential. The Senior Nurse/Officer will
assume responsibility for the co-ordination of the evacuation process. The appropriate
Evacuation/Assembly points for each area are listed in Appendix S3.
A sheet detailing the correct evacuation points is displayed in each ward/department.
Neonatal Intensive Care Unit (NICU)
Special arrangements are necessary in the event of evacuation of NICU, in relation to
babies on ventilators, Infant Flow Drivers or requiring oxygen.
The following equipment is available for use if staff able to take it with them as part of
the evacuation:1 portable incubator (integrated O2 and air supply)
5 SLE ventilators (requires electrical outlet)
2 CPAC drivers (requires electrical outlet)
1 air compressor
5 portable size DO2 cylinders
If necessary evacuate to Ward 17, the above equipment will allow 1 baby to be
evacuated on full ventilation using transport incubator.
Locations of the air points in ward 17 are:
• Room 1 – 1 point
• Room 2 – 1 point
• Room 3 –4 points
• Room 6 – 1 point
Provided it is possible to remove the necessary equipment then once in ward 17 it
would be possible to use the Air points there to resume Artificial Ventilation/CPAP.
With the air compressor providing a further 2 points.
If unable to evacuate to ward 17, transfer patients to A & E. With all of the above
options, except in the use of the portable incubator, babies will require to be
transported using hand resuscitators with small oxygen cylinders attached to the
holding area. Staff should endeavour to take infusion devices if sufficient people to
help and they are not putting their lives at risk as NICU would only be evacuated if
fire encroaching on this area.
Date Issued: August 2007
Review Date: August 2008
10
Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
Important
In an emergency situation clear channels of communication are crucial. Staff should
respond to the alarm sounds and instructions given to them by the Senior
Nurse/Officer in the area and should not contact the Telephone Switchboard for
information.
Cessation of the Alarm/All Clear
The alarm sound may cease. Staff should not assume that this means the danger is
over. Stand down will only take place once the all clear has been given. The all-clear
signal will be confirmed to each zone by the Senior Nurse/Officer acting on the
instructions of the Fire Brigade.
6.5
Roles and Responsibilities
In any fire situation certain staff have key roles to play. The staff concerned must
ensure that they are fully aware of the actions required by them.
Switchboard
Will on receipt of a fire call/alarm immediately operate the fire call out procedure and
notify the following:The Fire Brigade
8.30 am - 5.00 pm
5.00 pm - 8.30 am & at Weekends
Duty Porter
Bed Manager (page holder 700)
Duty Estates Officer
Duty Estates Technician/Craftsman
called
Duty Porter
Bed Manager (page holder 700)
On-call Estates Officer informed
On-call Estates Technician/Craftsman
Nurse In Charge of Ward/Head of Department;
The role of these individuals is crucial. He/she will assume responsibility for the
immediate response to the alarm.
• On hearing the Alarm the Nurse in Charge/Head of Department should
immediately institute a search of the area to establish if there is any immediate
hazard. If they are unable to undertake this task themselves they should delegate
another member of staff to do so.
• If no danger is apparent the Nurse in Charge/Head of Department should ensure all
staff remain alert to potential hazard and await further instructions.
• In patient areas the Nurse in Charge/Head of the Department must at once follow
the evacuation instructions laid down for their area (wards with children as
inpatients – see Appendix F4)
• In the non-patient areas, the Head of Department should immediately proceed to
evacuate the area.
Date Issued: August 2007
Review Date: August 2008
11
Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
• In patient areas the Nurse in Charge/Head of Department must assess the danger
and decide when evacuation is necessary. The actions required are detailed in
Appendices F3 & Section 5.3.4.
• In the event of evacuation being necessary a roll call will be taken at the earliest
opportunity by the Nurse in Charge/Head of Department and the result conveyed to
the Nurse Manager or Site Manager.
• On receipt of an “All Clear” the Nurse in Charge/Head of Department will ensure
that staff/patients either return to their area or are appropriately relocated.
• Ensure an IR1 Form will be completed and sent to Risk Management Department
Duty Porter
• On receipt of the signal he/she will proceed quickly to the switchboard to establish
the zone affected and will then immediately proceed to the fire brigade reporting
point.
• Other porters on duty will go to the area of the fire and stop patients, visitors and
staff from entering until the fire service pronounce the area safe.
Bed Manager
• You will be notified of all fire calls by the telephonist via a speech message on
pager 137. Respond to all fire calls
• Attend identified area and assist the Nurse in Charge/Head of Department, in
assessing the situation, ensuring proper procedure is adhered to. Liaise with
Estates Department/Central region Fire Officer in attendance.
• If evacuation is required, assist the Nurse in Charge/Head of Department to obtain
all necessary support to deliver a safe evacuation.
• If no Nurse in Charge/Head of Department available, take charge, until the Fire
Brigade arrives.
Duty Estates Officer and/ or Duty Technician/Craftsmen (normal hours)
On receipt of a fire call, they should proceed immediately to the Switchboard. On
arrival, he should:
• Confirm location of fire
• Proceed to this area
• Assist in tracing source of alarm
• Liaise with and provide technical assistance to the Fire Brigade
• Re-instate alarm system on instructions of the Fire Brigade
Date Issued: August 2007
Review Date: August 2008
12
Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
On Call Technician/Craftsmen (Out of Hours)
On receipt of a fire call, they should proceed immediately to the Switchboard. On
arrival, he should:
• Confirm location of fire
• Proceed to this area
• Assist in tracing source of alarm
• Liaise with and provide technical assistance to the Fire Brigade
• Re-instate alarm system on instructions of the Fire Brigade
7.
FIRE INSTRUCTIONS - 1 RANDOLPH ROAD
(CHILD PSYCHIATRY/PSYCHOLOGY)
7.1
Introduction
The ability to deal effectively with a fire situation is essential to ensure the safety of
patients and staff. All staff must therefore have read this policy and be familiar with
its contents. Staff must also ensure that they are aware of the location of Fire Exits,
Extinguishers and Alarm points within their own areas.
Points to Note
This building is not linked to the main hospital fire alarm system and staff working in
this area should be aware of the procedures for raising the alarm and evacuation.
Staff should be alert to potential hazards which may result in fire and should take due
care to ensure that their actions do nothing to jeopardise the safety of the area. In
particular staff are asked to note the following:
• The agreed smoking policy must be complied with.
• Fire doors must be kept closed at all times and should not be wedged, jammed open
or obstructed.
• All fire exits/escape routes must be kept free of obstruction at all times. Any staff
member who recognises an obstruction should take steps to ensure its removal.
Date Issued: August 2007
Review Date: August 2008
13
Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
7.2
Procedure - What to do if you discover a fire
• Sound the alarm by breaking the glass at a fire point.
• Dial 999 and alert fire brigade giving details of address, location and extent of fire,
or hazard
• Time permitting, dial 724444 to confirm location, extent of fire, or hazard, with
switchboard
• Ensure the safety of yourself, any patient, staff or visitor in the immediate vicinity.
• Close all doors and windows to isolate the fire and prevent the spread of smoke.
7.3
Alarm Sounds
All staff must be aware of the type of alarm operating within their area, be aware of
what each sound means and be able to act accordingly.
The Alarm Sound - Single Stage Alarm - One Continuous Signal
1.
Patient Areas
As soon as the continuous alarm is heard staff should commence preparations
for evacuation. See Appendix S2 for Procedure.
2.
Non-Patient Areas
On hearing the continuous sound the most senior Officer in the area should
immediately commence evacuation of the area directing staff/patients to the
appropriate Evacuation/Assembly Points.
7.4
Evacuation Points
Evacuation to the nearest point of safety is essential. The Senior Officer will assume
responsibility for the co-ordination of the evacuation process. The appropriate
Evacuation/Assembly point for this area is listed in Appendix S4.
A sheet detailing the correct evacuation points is displayed in each department.
Date Issued: August 2007
Review Date: August 2008
14
Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
7.5
Roles and Responsibilities
In any fire situation certain staff have key roles to play. The staff concerned must
ensure that they are fully aware of the actions required by them.
Switchboard
Will on receipt of a fire call/alarm immediately operate the fire call out procedure and
notify the following:The Fire Brigade
8.30 am - 5.00 pm
5.00 pm - 8.30 am & at Weekends
Duty Porter
Bed Manager (page holder 700)
Duty Estates Officer
Duty Estates Technician/Craftsman
called
Duty Porter
Bed Manager (page holder 700)
On-call Estates Officer informed
On-call Estates Technician/Craftsman
Nurse In Charge of Ward/Head of Department;
The role of these individuals is crucial. He/she will assume responsibility for the
immediate response to the alarm.
• On hearing the Alarm the Nurse in Charge/Head of Department should
immediately institute a search of the area to establish if there is any immediate
hazard. If they are unable to undertake this task themselves they should delegate
another member of staff to do so.
• If no danger is apparent the Nurse in Charge/Head of Department should ensure all
staff remain alert to potential hazard and await further instructions.
• In Patient areas the Nurse in Charge/Head of the Department must at once follow
the evacuation instructions laid down for their area (wards with children as
inpatients – see Appendix F4)
• In the non-patient areas, the Head of Department should immediately proceed to
evacuate the area.
• In patient areas the Nurse in Charge/Head of Department must assess the danger
and decide when evacuation is necessary. The actions required are detailed in
Appendices F3 & Section 5.3.4.
• In the event of evacuation being necessary a roll call will be taken at the earliest
opportunity by the Nurse in Charge/Head of Department and the result conveyed to
the Nurse Manager or Site Manager.
• On receipt of an “All Clear” the Nurse in Charge/Head of Department will ensure
that staff/patients either return to their area or are appropriately relocated.
• Ensure an IR1 Form will be completed and sent to Risk Management Department
Duty Porter
Date Issued: August 2007
Review Date: August 2008
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Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
• On receipt of the signal he/she will proceed quickly to the switchboard to establish
the zone affected and will then immediately proceed to the fire brigade reporting
point.
• Other porters on duty will go to the area of the fire and stop patients, visitors and
staff from entering until the fire service pronounce the area safe.
Bed Manager
• You will be notified of all fire calls by the telephonist, via a speech message on
pager 137. Respond to all fire calls
• Attend identified area and assist the Nurse in Charge/Head of Department, in
assessing the situation, ensuring proper procedure is adhered to. Liaise with Estates
Department/Central region Fire Officer in attendance.
• if evacuation is required, assist the Nurse in Charge/Head of Department to obtain
all necessary support to deliver a safe evacuation.
• If no Nurse in Charge/Head of Department available, take charge, until the Fire
Brigade arrives.
Duty Estates Officer and/ or Duty Technician/Craftsmen (normal hours)
On receipt of a fire call, they should proceed immediately to the Switchboard. On
arrival, he should:
• Confirm location of fire
• Proceed to this area
• Assist in tracing source of alarm
• Liaise with and provide technical assistance to the Fire Brigade
• Re-instate alarm system on instructions of the Fire Brigade
On Call Technician/Craftsmen (Out of Hours)
On receipt of a fire call, they should proceed immediately to the Switchboard. On
arrival, he should:
• Confirm location of fire
• Proceed to this area
• Assist in tracing source of alarm
• Liaise with and provide technical assistance to the Fire Brigade
• Re-instate alarm system on instructions of the Fire Brigade
Date Issued: August 2007
Review Date: August 2008
16
Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
APPENDIX S1
QUEEN ELIZABETH WING FIRE ZONES & EVACUATION POINTS
ZONE
1
2
LOCATION
ENTRANCE HALL
MAIN BUILDING BASEMENT
ALARM TYPE
2 STAGE SOUNDER
2 STAGE SOUNDER
ASSEMBLY POINT
MAIN VISITOR CAR PARK
MAIN VISITOR CAR PARK
3
X-RAY DEPARTMENT
2 STAGE SOUNDER
i) WARD 20 ii) MAIN VISITOR CAR PARK
4
ACCIDENT & EMERGENCY
2 STAGE SOUNDER
MAIN VISITOR CAR PARK
5
WARD 20/COMMON ASSESSMENT UNIT
SINGLE SOUND WITH LIGHT PANEL
MAIN VISITOR CAR PARK
6
EYE THEATRE/ENDOSCOPY
2 STAGE SOUNDER WITH LIGHT PANEL
i) WARD 20/CAU ii)MAIN VISITOR CAR PARK
7
WARD 21 - MHDU/SHDU
2 STAGE SOUNDER
i)WARD 23
8
WARD 22 -CCU
2 STAGE SOUNDER
i) WARD 21/23
ii) CONFERENCE CENTRE
ii) CONFERENCE CENTRE
9
WARD 23
2 STAGE SOUNDER
I) WARD 21 ii) CONFERENCE CENTRE
10
WARD 24
2 STAGE SOUNDER
i) WARD 26 ii) CONFERENCE CENTRE
11
WARD 25
2 STAGE SOUNDER
i) WARD 24/26 ii) CONFERENCE CENTRE
12
WARD 26
2 STAGE SOUNDER
i) WARD 24 ii) CONFERENCE CENTRE
13
WARD 27
2 STAGE SOUNDER
i) WARD 29 ii) CONFERENCE CENTRE
14
WARD 28
2 STAGE SOUNDER
i) WARD 27/29 ii) CONFERENCE CENTRE
15
WARD 29
2 STAGE SOUNDER
i) WARD 27 ii) CONFERENCE CENTRE
16
MAIN PLANT ROOM - NORTH ROOF
2 STAGE SOUNDER
MAIN VISITOR CAR PARK
17
MAIN PLANT ROOM - CENTRE ROOF
2 STAGE SOUNDER
MAIN VISITOR CAR PARK
18
MAIN PLANT ROOM - SOUTH ROOF
2 STAGE SOUNDER
MAIN VISITOR CAR PARK
19
THEATRE PLANT ROOM - BASEMENT
2 STAGE SOUNDER
LOADING BAY CAR PARK
20
STORES AREA - THEATRE BLOCK
2 STAGE SOUNDER
LOADING BAY CAR PARK
21
GENERATOR PLANT ROOM/CLINICAL WASTE STORE
2 STAGE SOUNDER
LOADING BAY CAR PARK
22
PHARMACY
2 STAGE SOUNDER
LOADING BAY CAR PARK
23
MAIN THEATRE/ICU
SINGLE SOUND WITH LIGHT PANEL
i) WARD 21/23
24
THEATRE PLANT ROOM - NORTH ROOF
2 STAGE SOUNDER
LOADING BAY CAR PARK
25
THEATRE PLANT ROOM - SOUTH ROOF
2 STAGE SOUNDER
LOADING BAY CAR PARK
26
LABORATORIES PLANT ROOM - BASEMENT
2 STAGE SOUNDER
LOADING BAY CAR PARK
27
LABORATORY BLOCK - GROUND FLOOR
2 STAGE SOUNDER
LOADING BAY CAR PARK
28
LABORATORY BLOCK - FIRST FLOOR
2 STAGE SOUNDER
LOADING BAY CAR PARK
29
LABORATORY BLOCK - PLANT ROOM ROOF
2 STAGE SOUNDER
LOADING BAY CAR PARK
30
MAIN DUCT
2 STAGE SOUNDER
LOADING BAY CAR PARK
31
MAIN HOSPITAL STREET/PORTACABIN
2 STAGE SOUNDER
LOADING BAY CAR PARK
32
STAIRWAY SURGICAL BLOCK - NORTH
2 STAGE SOUNDER
MAIN VISITOR CAR PARK
17
Date Issued: August 2007
Review Date: August 2008
Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
33
STAIRWAY SURGICAL BLOCK- CENTRE
2 STAGE SOUNDER
34
STAIRWAY SURGICAL BLOCK - SOUTH
2 STAGE SOUNDER
MAIN VISITOR CAR PARK
MAIN VISITOR CAR PARK
35
STAIRWAY LABORATORY BLOCK - NORTH
2 STAGE SOUNDER
LOADING BAY CAR PARK
36
STAIRWAY LABORATORY BLOCK - WEST
2 STAGE SOUNDER
LOADING BAY CAR PARK
37
STAIRWAY THEATRE - NORTH
2 STAGE SOUNDER
LOADING BAY CAR PARK
38
STAIRWAY THEATRE - WEST
2 STAGE SOUNDER
LOADING BAY CAR PARK
39
STAIRWAY THEATRE - SOUTH
2 STAGE SOUNDER
LOADING BAY CAR PARK
18
Date Issued: August 2007
Review Date: August 2008
Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
APPENDIX S2
PREPARATION FOR EVACUATION
The following actions should be taken in preparing for a possible evacuation:
• Account for all patients (check for those out of Ward/Dept e.g. at Theatre, X-Ray, or in
showers/toilets.)
• Ensure that all visitors leave the area immediately.
• Initiate search for source of fire (if this is not known).
• Check that evacuation routes are safe to use.
• Check that adjacent zones (horizontal and vertical) are alerted and are safe to evacuate
into, if applicable
Date Issued: August 2007
Review Date: August 2008
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Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
APPENDIX S3
ALL AREAS FIRE ZONES & EVACUATION POINTS (Except Queen Elizabeth Wing)
ZONE
LOCATION
41 MAIN KITCHEN AND DINING ROOM
42 MATERNITY/GYNAE
ALARM TYPE
SINGLE STAGE SOUNDER
2 STAGE SOUNDER
NURSERY
SINGLE STAGE SOUNDER
42
NICU
2 STAGE SOUNDER
43
WARDS 5, 6, 7, 8,11/WARD 11 CORRIDOR/OLD SEMINAR
ROOM/OCCUPATIONAL THERAPY/PATIENT
THERAPY/ANAESTHETIC SIMULATION CENTRE
DIETICIANS/MATERNITY ADMINISTRATION
NURSES RESIDECES/CHILD HEALTH
2 STAGE SOUNDER
WARD 16
WARD 30
REC HALL/SPEECH THERAPY/STORE
BOILERHOUSE/ WORKS COMPOUND/MORTUARY
WARD 1/2/4/9/PHYSIO/CARDIOLOGY/MAIN CORRIDOR
WEST/ MEDICAL OFFICES
ADMIN BUILDING - GROUND FLOOR/FIRST FLOOR/2ND
FLOOR/ATTIC/PHYSIO GYM/PERSONNEL DEPT/COMPUTER
ROOM/ CLINICAL TRAINING CENTRE
OUTPATIENTS DEPT
EDUCATION & CONFERENCE CENTRE
2 STAGE SOUNDER
SINGLE STAGE SOUNDER
SINGLE STAGE SOUNDER
SINGLE STAGE SOUNDER
2 STAGE SOUNDER
44
45
46
47
48
49
50
51
52
Date Issued: August 2007
Review Date: August 2008
2 STAGE SOUNDER
ASSEMBLY POINT
LOADING BAY CAR PARK
i) DINING ROOM
ii)WARD 16
i) LABOUR WARD ENTRANCE
i) ward 17
ii) A&E
i) DINING ROOM
(Where necessary patients requiring continuous oxygen therapy
will be re-located to the Geriatric patient Therapy Area)
2 STAGE SOUNDER
i) GRASS AREA IN FRONT OF INDIVIDUAL
BLOCK
ii) RECREATION HALL
i) RECREATION HALL
RECREATION HALL
i) SPEECH THERAPY CAR PARK ii) RECREATION HALL
LOADING BAY CAR PARK
i) OUTPATIENTS DEPARTMENT ii) DINING ROOM
i) WARD 9 - CAR PARK
ADMINISTRATION BLOCK CAR PARK
SINGLE STAGE SOUNDER
SINGLE STAGE SOUNDER
SURGICAL BLOCK CAR PARK
LOADING BAY CAR PARK
20
Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
APPENDIX S4
EVACUATION POINTS (1 Randolph Road)
LOCATION
1 RANDOLPH ROAD
Date Issued: August 2007
Review Date: August 2008
ALARM TYPE
SINGLE STAGE
SOUNDER
ASSEMBLY POINT
RANDOLPH ROAD CAR PARK
21
Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
APPENDIX S5
Fire Evacuation Plan - Children’s Ward/NICU/Maternity Ward
Introduction
It is recognised that parents and carers of children who are hospitalised are reluctant to leave
them in times of perceived danger. When the fire alarm sounds, and as is the present policy,
they are asked to leave, staff are faced with considerable problems which consumes valuable
time in explaining to the concerned parent that their child will be safe, and to leave the
evacuation to staff. It is this, therefore, which prompts the need for change. The ward
sister, paediatric consultant and the hospital fire safety adviser have considered the situation
and now recommend that where in the past those parents and carers have been asked to
leave, we now involve them under supervision and guidance in the evacuation process.
Evacuation Awareness
As with any fire alarm activation at present the nurse in charge of the ward shall assume the
overall responsibility for effective evacuation.
The procedures to be followed shall be those that are currently in place for full evacuations
and any preparations for evacuation resulting from a full alarm situation in an adjoining fire
zone.
The changes are that where two parents/carers with siblings visiting, one shall be asked to
leave the area in the normal manner, with the other asked to follow strictly the instructions
of staff in how to and where to move their child to.
If the alarm is sounded during the night then carers should be awakened and informed of the
need to prepare for evacuation, and again to follow the instructions of the staff.
Date Issued: August 2007
Review Date: August 2008
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Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
Intermittent Alarm
This will occur when an adjoining fire zone has had a full alarm condition. Staff should
report to the nursing station for instructions from the nurse in charge. In the situation where
there is more than one parent present with siblings then one will be asked to evacuate
through the nearest fire exit, as will all other persons who are not hospital staff. The nurse
in charge shall issue instructions to all staff that in the need to fully evacuate:
1.
the route to take to:- the nearest refuge area
- the assembly point
2.
areas of delegation such as:- co-ordinating parents and children during evacuation
- roll call
- a member of staff to be allocated to the refuge area
3.
ward/medical staff will always evacuate critically ill children to the accident and
emergency
area. Therefore staff shall be specifically assigned to that task should the need arise
to fully
evacuate.
Continuous Alarm
A continuous alarm condition shall occur when the fire alarm system has automatically
detected a fire condition or someone has activated a manual call point within the ward or
department area.
In a full alarm condition the nurse in charge shall assess the immediate need to evacuate
patients, but shall implement the procedure for all other non essential persons to evacuate
via the nearest appropriate fire exit.
The areas indicated in the procedure for an intermittent alarm shall be implemented to
ensure a full and successful evacuation.
Date Issued: August 2007
Review Date: August 2008
23
Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
APPENDIX S6
NHS FORTH VALLEY
FIRE ALARM TEST REPORT
HOSPITAL - ……………………………………………….. DATE…………………
TESTED BY…………………….………………………………………………..
AREA OF TEST
OUTPATIENTS
ASDU
BOILER HOUSE
HUTTED AREA
NURSES HOME
JUNIOR DOCTORS
Acute Services HQ
WARD 17
WARD 18/19
MAT/ELDERLY
SURGICAL UNIT
WARD 1
DAY SURGERY
ICU/SHDU/MHDU
OLD WARD 2
ENTRANCE
ORAL ENDOSCOPY
WARD 2
WARD 3
WARD 5
ONCOLOGY
PGME
FINANCE/ESTATES
DIABETIC DAY
CARE
CLINICAL
CHEMISTRY
BACTERIOLOGY
HALL AT LIFT
COMMUNITY
CORRIDOR
GUM CLINIC
B/CORR/KITCHEN
LIFT
CLEAN LINEN
RESULT SECTION
REMARKS
KITCHEN ALARM
BOARD
Date Issued: August 2007
Review Date: August 2008
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Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
PHARMACY
CORRIDOR
OPD EAST
CORRIDOR
MAINT.
WORKSHOPS
RENAL UNIT
MAIN CORRIDOR
GARTCOWS FLATS
Date Issued: August 2007
Review Date: August 2008
25
Stirling Royal Infirmary
Fire Instructions and Evacuation Procedures
Appendix S7
Nominated Officers (Fire) appointed for each Unit are:Acute Services
Unit Management Accountant
Clinical Coordinator
Clinical Coordinator Neonates
Head of Occupational Therapy
Unit
Senior Chief MLSO (Clinical Chemistry)
Unit Administrator
An Estates Officer
for
for
for
for
Medical Unit
Surgical Unit
Women & Children Unit
Intermediate Care & Rehabilitation
for
for
for
Clinical Services
Clinical Facilities
Workshops, Estates, Ducts and
Boiler house
Hotel Services/Support Services
Linen/Laundry, Catering,
G66 corridor area (SRI), Switchboard,
Portering, Domestic, Residences
All SRI non-directorate areas
Home 1, IT, Main Foyer, Retail Units,
Main Corridors, Patio Café Conference
Centre, Chaplains
Support Services Manager
for
Risk Management Coordinator
for
Date Issued: August 2007
Review Date: August 2008
26