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                   Resident Orientation Manual  (Feb. 2000)

Produced by Galveston Shriners Burns Hospital and The University of Texas Medical Branch Blocker Burn Unit.
Contributors:  Sally Abston  MD,   Patricia Blakeney  PhD,   Manubhai Desai  MD,
Patricia Edgar  RN, CIC,   John P Heggers  PhD,   David N Herndon, MD,
Marsha Hildreth  RD,   Janet A Marvin  RN, MSN,
Ray J Nichols Jr. MD



The R.A.C.E. method for responding to a fire emergency:

R - Rescue
      Move patients and assist visitors or impaired employees away from immediate danger of fire or smoke IF YOU CAN DO THIS WITHOUT PUTTING YOURSELF IN IMMEDIATE DANGER and IF THERE ARE OTHER STAFF AVAILABLE TO COMMUNICATE THE EMERGENCY AND TURN IN THE ALARM.

A - Alert others
      Activate manual pull station alarm as soon as possible.  Call #6688 and state the location, type of fire and size.  Notify co-workers - and make sure everybody in the area, and in other departments in your area, know as well.

C - Confine
      Close all doors and windows.  Pack sheets and towels under doors to contain smoke.
     If there is oxygen in the area:
  Oxygen to a patient can be shut off by a nurse at the bedside after other staff have the patient and are ventilating them.
  Oxygen to a zone (a whole unit) can ONLY be shut off by Maintenance and Engineering after nursing staff authorize it (patients on oxygen are cared for).
  Oxygen to the building is only shut off after the Fire Marshal orders it and after nursing staff authorize it (patients on oxygen are cared for).

E - Extinguish
      Select the appropriate fire extinguisher.  Use the P-A-S-S technique to extinguisher the fire. (see below for P-A-S-S technique)

E - Evacuate
      Move people (patients, parents, visitors, staff) to next lateral fire compartment on the 1st, and 4th through 8th floors.  On 2E and 3E and 2W and 3W, move 2 compartments laterally.
      Stay in the evacuation area until ordered to move by the Fire Marshal.
      Staff on floors above the fire use fire stairwells to evacuate.
      Staff on the 3rd floor use stairwells to evacuate patients to the 2nd floor if ordered to do so.
      Patients are evacuated from the building by the 2nd floor crosswalk.
      Close doors behind you.
      If you are not at the scene of the fire, make sure you can hear overhead instructions and the 'all clear'.  Have someone posted in the hallway to relay this information.
      LISTEN for the "Dr. Red, All Clear" announcement or further instructions.

√  Memorize the telephone number to call to report a fire in the building - #6688.
√  Learn how many fire compartments there are, and their locations, in your work area.
√  Know the R.A.C.E. response to fires.
√  Learn the differences between response to fire at the scene of the fire, and response to a fire on a different floor or in a different compartment.

The P-A-S-S technique for fire extinguisher use:

P - Pull the pin.  It is there to prevent accidental discharge.

A - Aim low at the base of the fire.  This is the where the fuel source is.

S - Squeeze the lever above the handle.  Release to stop the flow.
      (Some extinguishers have a button instead of a lever)

S - Sweep from side to side.  Move toward the fire, aiming low at its base.  Sweep until all flames are extinguished.  Watch for re-igniting.  Repeat as necessary.  Have site inspected by fire department.

     Place any fire extinguisher that has been used on its side on the floor.  It will be collected and recharged after the fire scene is secure.

√  Learn Pull-Aim-Squeeze-Sweep (PASS) to help you remember how to use fire extinguishers and what to do with them after use.
√  Fire extinguishers are located in fire cabinets next to fire stairwell doors.  They are multi-purpose (ABC) extinguishers.


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