What do people need to do? o Call for Help

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1.    Training Curriculum

Since this is a mandatory yearly course, we could have two versions: 1-yearly mandatory and 2-for new hires to cover detail specifics.

In our Subject Matter Expert interviews, some of the concerns raised were:

  Data isn’t sticking, “…when I go to the hospitals, people can’t tell me what RACE is.”

  Need more demonstration content, “…want video of someone putting out a fire.”

  People have taken this content over and over, “…they are not reading it anymore, and most are skipping and skimming.”

  “People need to understand how the building functions without making them feel nervous”. Debbie Mays, July 24, 2014. Jennifer added, “They get RACE, PASS and evacuation but they don’t get what to do when a fire happens in their building.”

1.1.   Measureable Goals/High Level Objectives:

Learners that complete the learning will have practiced how to:

1.       Call for help

2.       Get patients to safety

3.       Put out the fire

1.2.   Delivery Method – Online through the BJC Online Learning Center using an Interactive Infographic.

1.3.   Duration - No more than 30 minutes long if users get each answer wrong and are redirected.

1.4.   Module Description

Use branching scenarios, allowing learners who answer questions correctly to advance. If a learner doesn’t get it correct, there are different types of explanations and a new question before going forward. Scenarios will be delivered through our Interactive Infographic to allow for less text on the screen and more interactivity. This level of engagement will allow our learners to incorporate a building systems approach to staying safe in a fire.

We want learners to practice what needs to be done in the real world. To do this, we will focus on:

  What do people need to do?

o    Call for Help

  Respond to smell of smoke by Activate alarm (RACE)

         Know how to activate alarms

o    Know where alarms are in your work area/building

  Closest one to where you enter/leave your work area (i.e. clock-in area)

  Closest alarm to break area

  Closet alarm to your work station

  Communicate and alert Security (Reference: Floor Fire Plan - Emergency Preparedness Plan)

o    Get Patients to Safety

  Understand your position in the building, how this changes your response

         Where you enter/leave your work area (i.e. clock-in area)

         Break area

         Your work station

         If you do not deliver direct patient care and you work on a nursing floor, where can you go to assist with patients?

  Follow smart fire safety standards on every shift you work

         Always keep exit pathways clear

         Never block access ways

         Maintain clear corridors and hallways

  What do you do when the fire alarm goes off?

         Remove/Rescue those in immediate danger.

o    Communicate with patients to reassure them

         Try to remove combustible materials (gas or flammable materials)

         Shut off or unplug all unnecessary electrical equipment

         Turn over firefighting to the fire department once they arrive

o    Provide the fire department with a list of the content in the room on fire

         Do not expect sprinklers to activate

         Be prepared to deliver emergency medical treatment

o    Jennifer – what should be included here?

o    _________________________

  When are you supposed to evacuate (RACE)?

         Wait for Signal

o    for lateral move (same floor)

  move patients beyond fire/smoke barrier doors

o    for vertical move (safe floor)

  Use elevator on the smoke free side of the fire/smoke barrier doors

  Use elevator if instructed to do so by a fire fighter

         Before moving patients, check exits in advance to be sure they are safe and useable.

         Make sure someone has secured proper documentation/charting needed for patients.

  What is the order for evacuation?

         Move patients in danger first

         Order for remaining patients

o    Ambulatory

o    In wheelchairs

o    Bedfast – equipment needs to be detached

  Use Portable assist devices

         Med sled steps

  If directed to do so it is okay

         To use elevators

         To use closed fire/smoke barrier doors

  Make sure you close all doors you pass through as you evacuate

  After evacuation is complete

         Make sure all patients are accounted for after evacuation.

         Do not let anyone return to the danger area until you are told to do so.

         Stay with the evacuated patients

o    Put out the fire

  Understand your position in the building – what fire systems are in your facility?

         are you near a

o    Smoke/fire barrier door?

o    Exit? If so, check exit to see if it usable.

         Confine the fire (RACE) by closing doors, put blanket/towel (wet if possible)under the door to prevent smoke from entering/escaping

         Doors may lock, gates on steps may close, sprinklers will not go off

  How do you put out a fire?

         How can you get rid of at least one the three things a fire needs?

o    Triangle – Oxygen, Fuel and Heat.

         Understand your position in the building – where is the closest fire extinguisher to you? They are 75’ apart

         How do you use a fire extinguisher (use existing interactivity from current module here) Extinguish the fire (RACE) or Evacuate (RACE)

o    Pull the pin

o    Aim at the base of the fire

o    Squeeze the handle

o    Sweep from side to side

  Stand 6-8 feet away if possible

  What if someone or you are on fire?

         Cover patient with blanket (not over face) and treat with cool water

         Stop, drop and roll

  What do they need to know to do it?

o    Understand their position in the building, changes to their responses.

  What are common mistakes?

o    Trying to put out overhead fires

  How could this happen to me?

o    Why are we talking about this?

  How many fires have we had?

  How did they happen?

  How many fires a year?

  Wrap up comments

o    Know your meeting area

o    Know your Fire Plan (or where to find it if you don’t)

o    Keep flammable liquids in a secure place

o    Make sure doors/exits/fire extinguishers are cleared and accessible

o    Participate in Fire Drills

2.    Other Considerations:

Since this is a mandatory yearly course, we could have two versions: 1-yearly mandatory and 2-for new hires to cover detail specifics.

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