Emergency plan for fire in the operating room (Selected 6)
In our study, work or life, it is inevitable that we will be faced with unforeseen emergencies, in order to be able to make the first time to respond to emergencies, it is possible that you need to formulate an emergency plan in advance. How do we go about writing an emergency plan? The following is my carefully organized operating room fire emergency plan, only for reference, welcome to read.
Emergency plan for a fire in the operating room Part 1
In order to effectively do a good job in the event of a fire when the safe evacuation of patients and medical personnel, defense and mitigation of disasters, the protection of the lives of patients and medical personnel, combined with the Department of Anesthesiology, the operating room of the actual situation, the development of this program.
(a) Organization and commanders
Daytime: head of the department, head nurse. Night: anesthesiologist on duty. Main responsibilities: responsible for anesthesiology, operating room fire fire rescue command work.
(B) fire emergency procedures
The staff of the Department should establish the concept of "disaster is an order, time is life", no matter when, once the fire is found, depending on the severity of the fire, the following operations:
1, localized minor fires, do not jeopardize the safety of the personnel, and can be immediately put out. To immediately cut off the power supply and take appropriate measures to extinguish. Notify the Security Section and the general duty, if necessary, immediately call the fire alarm 119.
2, localized fire, can be extinguished but may spread and expand, immediately crack the fire alarm broken glass alarm, without endangering the safety of the surrounding personnel, on the one hand, immediately cut off the power supply and take appropriate measures to extinguish, prevent the fire from spreading, on the one hand, to the Security Section and the general duty to report. If necessary, immediately call the fire alarm 119.
3, the fire began to spread and expand, it is not possible to extinguish immediately, in accordance with the following conditions:
(1) Immediately crack the fire alarm broken glass alarm.
(2) notify the defense section and the general duty.
(3) The commanding officer immediately organizes the emergency evacuation of surgical patients and their families, surgeons, anesthesiologists, and operating room nurses.
(4) If there are people injured, the injured transferred to a safe place for immediate rescue.
(C) personnel evacuation procedures
1, the principle of approach: when a fire in the operating room, all staff should follow the principle of "patients first evacuation, the first evacuation of heavy patients, the last evacuation of the medical staff," "avoiding fire, evacuation of the nearest, unified organization, and methodology. "Emergency evacuation of patients.
2, operating room nurses, surgeons, anesthesiologists should follow the instructions of the commanding officer, immediately organize the surgical patients and their families, not to be crowded in the building, onlookers, and immediately notify the security section or the general duty, emergency alarm.
3. All personnel immediately cover their mouths and noses with wet towels, wet masks or wet gauze to prevent asphyxiation.
4, in order to ensure the safe evacuation of personnel under the conditions, should be withdrawn as soon as possible flammable and explosive substances, and actively rescue valuables, equipment and information.
5, found that the fire can not be put out, we must immediately dial "119" alarm, and tell the exact location.
6, the medical staff did not get the command of the evacuation order shall not be evacuated from the workplace, to be loyal, fulfill their duties and protect the safety of patients and national property.
(D) emergency evacuation
1, emergency evacuation routes:
① operating room patients and medical staff evacuation routes: operating room - the inner corridor - the patient out of the entrance staircase. ② ③ operating room patients and medical staff evacuation routes: operating room - dirt corridor - the staff entrance stairs.
2, emergency evacuation assembly location: hospitalization building 1 floor in front of the open space.
3, remember not to take the elevator!
(E) emergency evacuation measures
1, the commanding officer counted the number of evacuees, found that there is a lack of personnel, immediately notify the leadership or firefighters.
2, the medical staff quickly to fall, smashed, burned, stepped on the patient to implement treatment.
3, the medical staff of the patients in this ward one by one examination, treatment, and the situation of patients in the fire in this ward to the department director and the hospital report.
4, the section chief will be the section after the fire situation reported to the dean in charge in a timely manner.
Emergency plan for operating room fire Part 2
First, the organization and responsibilities
The hospital set up a fire safety emergency command, responsible for the hospital fire scene command, the hospital in charge of the president is responsible for the hospital office, the General Affairs Department, the Ministry of Security and members of the relevant departments.
Commander-in-Chief:
Deputy Commander-in-Chief:
Members:
Six specialized working groups: fire-fighting action group (volunteer fire department), evacuation guidance group,
safety protection and rescue group, fire scene vigilance group, logistical support group, and maneuvering group.
Fire Safety Emergency Command Responsibilities: Command and coordinate the work of the working groups and volunteer fire department to work, quickly guide the evacuation of people, timely control and fight the incipient fire, coordination and cooperation with the public security fire department firefighting and rescue operations.
1, firefighting action group (volunteer fire department)
Captain:
First group leader:
Members:
Second group leader:
Members:
The main task is: in the event of a fire, the rapid organization of the personnel rushed to the scene as soon as possible to direct the medical staff to fight the fire, rescue trapped people.
Requirements: Be sure to come when called, come to be able to fight, rushed on, saved. Strive to eliminate the fire at the primary stage, minimize or avoid casualties, property damage.
2, the evacuation guide group
Leader:
Deputy Leader:
Members:
The main task is: in the cooperation of the medical staff, the rapid organization of the building from the safe channel orderly evacuation, evacuation of the fire scene. At the same time for the upcoming reinforcement of the fire department personnel, vehicles to remove obstacles, open up the channel, guide it into favorable terrain, and actively cooperate with the fire department to fight.
3, safety protection rescue group
Group Leader:
Deputy Group Leader:
Members:
The main task is: as soon as possible to organize manpower, material rushed to the scene of the injured implementation of the rescue, according to the need to quickly send emergency vehicles, will be critically injured sent to nearby hospitals for treatment.
4, the fire scene vigilance group
Group Leader:
Deputy Group Leader:
Members:
The main task is: control of the various exits, unrelated people are allowed to go out and not allowed to come in, after the fire is extinguished, to protect the scene.
5, logistics support group
Leader:
Deputy leader:
Members:
The main task is: responsible for communication, vehicle deployment, road access, power supply control, water security.
6, maneuvering group
Group Leader:
Deputy Group Leader:
Members:
The main task is: under the command of the command, responsible for the reinforcement operation.
Second, the general procedures for fire disposal
1, the alarm: hospital staff, on-duty personnel found fire should be immediately to the hospital security department alarm, according to the fire can be reported directly to the "119" fire alarm.
2, receiving the police: security department, fire control center after receiving the police, should immediately report to the hospital leadership and fire safety emergency command, notify the working group and the volunteer fire department to start the emergency plan.
3, disposal: command the working group, volunteer fire department quickly assembled, in accordance with the division of responsibilities, into the corresponding position to carry out fire fighting and rescue operations.
4, inventory: after the end of the disposal or after the arrival of the public security fire department, a timely inventory of personnel and important materials have been evacuated, to find out whether there is a person trapped in the fire and what important materials need to be evacuated, and inform the fire commanders of the situation.
Three, emergency rescue measures procedures
1, found that the fire should immediately call for help and dial "119" telephone alarm, the fire part of the site staff should be formed within l minutes of the first fire-fighting forces, to take the following measures:
(1) Fire alarm button or phone near the staff, should immediately press the alarm button and telephone notification of the fire control room or duty officer;
(2) fire facilities, equipment near the staff near the use of on-site hydrant, fire extinguishers and other facilities and equipment to extinguish the fire;
(3) evacuation channel or near the exit of the staff should be guided to the scene of the evacuation of people immediately.
2, fire confirmed, fire safety emergency command, immediately arrived at the scene of the fire, issued instructions, mobilized fire-fighting action group, evacuation and guidance group, safety protection and rescue group, logistical support group, fire scene guard group, directing the fire-fighting and rescue work.
3, logistics support group cut off the power supply, control circuits and power distribution equipment.
4, the fire area duty personnel quickly open all evacuation channels.
5, fire-fighting action group immediately mobilize the surrounding fire extinguishers, connected to the hydrant organization to extinguish the fire, control the source of fire, waiting for rescue.
6, safety protection and rescue group according to the number of medical personnel, the right number, targeted, organized evacuation and transfer of patients and important items.
7, on-site vigilance group to prevent unrelated people from entering the fire, to maintain the order of the fire.
8, no fire floor, the person in charge of the organization to do a good job of supporting the fire area, such as the spread of fire, the organization of the district firefighters to do a good job of controlling the fire, and at the same time do a good job of evacuating patients to transfer the work.
9, notes, pay attention to the fire in the fire area, on the flammable, explosive, toxic, chemical isolation and transfer.
10, such as fire at night, by the general duty, the security department for information reporting, organization of emergency rescue work, fire evacuation and rescue the whole process as above.
Fourth, education, training
1, each section should insist on carrying out regular fire safety publicity, education, use of various forms (such as blackboards, pictures, videos, etc.) to publicize and popularize the fire knowledge, improve the awareness of fire safety of all personnel, and enhance the conscientiousness of fire prevention work.
2, strengthen the fire safety personnel and volunteer fire department management and education and training, and strive to make it "four understand" that is, understand the post fire danger, understand the fire fighting methods, understand the prevention of fire measures, understand the fire escape methods, "four will" that will alarm, will use the fire fighting equipment. That will alarm, will use fire equipment, will fight the initial fire, will organize the evacuation, and constantly improve the firefighters firefighting ability.
3. Regular inspection, maintenance and updating of fire fighting facilities to keep them in good condition for a long time.
Fire safety is a very important work, all personnel must fully understand its importance, consciously enhance the awareness of fire safety, fire safety work to improve self-awareness and a high degree of vigilance, perennial state of alert, set up a constant state of mind, to ensure that the fire safety work is foolproof.
Emergency plan for fire emergencies in the operating room Part 3
First, fire commanders, communicators
Fire evacuators, emergency ambulance
Key parts of the area (m2)
Building fire-resistance class I production, operation or storage nature of Category B
Fire hazardous materials medical and Electrical equipment
Quantity, value (yuan)
Second, the fire water source
1, municipal pipe network (water meter pipe through mm)
2, the volume of natural pools T and the focus of the distance (m)
Third, on-site fire protection facilities
Equipment type and quantity 8Kg dry powder fire extinguishers 4, 1211 fire extinguishers 4.
Fourth, the characteristics of the fire hazard
Fire development and change characteristics: along the horizontal combustion, accompanied by an explosion
The direction of the possible spread of: the horizontal combustion
Possible consequences: the gas storage tanks explode, which may result in casualties
Fifth, the tactical measures
Tactical measures
The fire is a very important part of the fire, but it is not the only one. strong>
1, to take the upper blocking the lower defense, internal attack is the main, inside and outside the combination of principles;
2, the fire around the flammable material withdrawal, the formation of isolation zones;
3, the use of all means and can be utilized for fire fighting equipment
six, fire-fighting force deployment:
p> 1, sent a special alarm at the same time, the internal immediately set up a fire-fighting headquarters;
2, by some of the volunteer firefighters using on-site fire extinguishers to extinguish the fire;
3, by some of the volunteer firefighters to extinguish the fire with indoor fire hydrants, water hoses, water cannons;
4, other volunteer firefighters to assist in the extinction of fire, to prevent the fire from spreading and expanding;
5, Immediately disconnect the power.
VII, personnel, material evacuation program
Evacuation group personnel will be indoor personnel evacuation, while other personnel will be indoor material evacuation to the door of the square of the safety zone.
VIII, fire fighting precautions:
1, saving lives is more important than fighting fires;
2, fire-fighting team members should be equipped with an air respirator;
3, it is strictly prohibited to go deep into the fire inside the fire alone, to avoid injury and death;
4, the implementation of the process of extinguishing the fire, to prevent excessive injection of water, to reduce the loss of water damage;
5, after the fire is extinguished, send someone to monitor the scene to prevent re-ignition.
Operating room fire. Emergency plan Part 4
A key part of the fire emergency measures
1, the ward fire accident, first of all, should stabilize the mood of the staff, so as to avoid confusion and cause greater losses. Do "first save people, save things", "first patients, after the staff" principle. The evacuation of the scene and the evacuation of materials in order, do not scramble to be the first, crowded each other, not to block the channel in the middle of the self-inflicted injuries, resulting in undue tragedy. When a fire occurs the person in charge of the ward and the volunteer firefighters should quickly arrive at the scene, organize the personnel to fight the fire and arrange for the alarm. When the fire people trapped, do not jump to escape, you can be set, sheets, curtains or other available ropes fastened, grab the rope and slide down to a safe place.
Once the fire accident occurred in the ward, the following plan should be implemented:
① First understand the fire direction, location, cause, burning material and so on.
② Department of staff quickly divide the work, a person notify the hospitalized patients ready to evacuate, a fire alarm 119, a person notify the hospital, the urgent call to the hospital staff emergency assistance.
③ The fastest speed to cut off the floor power (floor power switch in the middle of the stairway)
④ Stabilize the mood of the patients and employees, orderly, organized patients, especially maternal, infant rapid evacuation to a safe place.
⑤ In the effective time, grab out the flammable and explosive items, such as oxygen cylinders, alcohol and so on.
⑥ Before the arrival of 119 fire department, volunteer firefighters and employees, under the command of the managing director or department head, make full use of the existing fire fighting equipment in the hospital.
⑦ In the shortest possible time by the dean in charge of the fire reported to the competent departments and the relevant departments, and organize the investigation of the cause of the fire and the aftermath of the work of the relevant personnel.
2. For fire accidents in the distribution room, the electrician should immediately cut off the power supply and put out the fire with 1211 fire extinguishers or dry powder fire extinguishers.
3, the warehouse fire accidents, warehousemen and volunteer firefighters should quickly cut off the power supply. When the fire spreads to the upper level, control the upper level, the lower level of defense; fire spreads to the horizontal, the first control around, after the upper and lower defense. Up and down control, the upper level is the main. Pay attention to the evacuation of materials, and is responsible for the fire department to introduce the number of materials stored, the presence of dangerous, flammable items and trapped people and so on.
Second, on the general fire department fire emergency measures
On the general fire department in the event of a fire, the closest department to the fire accident, the personnel should be quickly extinguished, the head of the department and the volunteer firefighters rushed to the scene, organizing the personnel to extinguish the fire and quickly call the police. At the same time, the organization of personnel to organize important, valuable and dangerous goods, and make preparations for evacuation.
Third, the hospital leadership of the fire fighting emergency measures
The hospital in charge of fire safety vice president should quickly rushed to the scene of the fire accident, called the relevant leaders to set up a fire-fighting leadership group, to understand the situation and carry out the appropriate division of labor. The fire accident to take while rescuing trapped personnel while organizing personnel to control the fire, transfer and evacuation of materials. To the fire department to introduce the fire occurred in the department or ward of the house structure, distribution, water sources, the danger of materials and trapped personnel.
Fourth, how to dial "119" fire alarm phone
Once the fire, immediately dial "119" fire alarm phone. Alarm do not panic, to report the fire occurred in the street (Youth Road, No. 288), the name of the unit, the name of the alarm and contact number and whether there are people trapped and the number of trapped people, to say clear section of the room with or without flammable and explosive substances (such as oxygen cylinders, alcohol, etc.). After the report, please do not rush to hang up the phone, wait for the police officer to say good and then hang up, such as he had any questions or did not hear clearly, please inform in detail.
Fifth, do a good job of preventing the prevention of disease in the future
Each section to do a good job of preventing the use of electricity safety, each section (post) to designate personnel usually do a good job of electricity and medical instrument performance safety checks and records (once a week), found that the problem promptly to the section chief or the supervisory dean to report, no problem promptly recorded. The hospital monthly record of a check, the results of the inspection and personal system assessment and departmental year-end assessment linked.
In short, the whole hospital staff should be familiar with and master the above content and measures to actively rescue and relief after the accident, in order to reduce losses and win time, and pay attention to protect their own safety.
Emergency plan for fire in the operating room Part 5
Prevention is the mainstay, the combination of prevention and elimination "is the implementation of the basic policy of the fire, do a good job of the fire emergency plan is to protect the stability of the community and to ensure that the fire work is normal and efficient operation of the important links, but also to improve the unit's ability to defend and resist the fire, to protect the patients and employees and the safety of public and private property is an important measure.
I. Organization:
1, fire fighting action group: the hospital general duty room, the ward on duty doctors, nurses
2, communication and liaison group: the monitoring room (intercom)
3, evacuation and guidance group: on-duty nurses, workers
4, safety protection and rescue groups: emergency, outpatient Doctors, nurses
Second, the alarm and police disposal procedures
1, in the event of a fire, the ward on duty doctors or nurses should promptly dial 119 alarm, alarm, should be to the fire department to tell the location of the fire, the unit and the burning material, and their own unit phone number to tell each other, in order to contact, and immediately sent to the intersection of the people waiting.
2, the fire department arrived, immediately after the fire time, casualties and burning materials to the fire department commanders to report, so that the firefighters grasp the situation of the fire.
Third, the emergency evacuation of the organizational procedures and measures
In the event of a fire, the doctors and nurses on duty should immediately fight the fire, and at the same time to organize the evacuation of people and materials, the use of elevators is prohibited, and the main evacuation through the evacuation staircase for evacuation.
1. Open the door of the walkway into the front room of the stairwell in both directions.
2, immediately organize the evacuation of people and materials through the safety exit to evacuate from the scene.
3, personnel and materials evacuation is completed in a timely manner after the closure of the door of the stairwell to prevent the upward spread of smoke through the stairs.
Fourth, the procedures and measures to fight the incipient fire
1, cut off the power supply of non-fire-fighting electricity, turn off the air-conditioning system, close the oxygen pipeline valve.
2, the use of manual alarm button alarm.
3, the fire control room to start the sprinkler system, using the sprinkler system to extinguish the fire.
4. Use the fire extinguisher to extinguish the fire.
5, the use of indoor fire hydrant, fire reel fire, open the fire hydrant box door, smash the start pump button, pull open the fire hose, connect the hose connector, the use of fire hose to extinguish the fire, or directly pull out the fire hose, the use of fire hose to extinguish the fire.
Fifth, communication and liaison, safety protection, rescue procedures and measures
1, the use of internal telephone and fire control room to maintain contact.
2, the use of cell phones, landline phones alarm.
3, the use of wireless handheld to send an alarm.
Emergency plan for fire emergencies in the operating room Part 6
First, the emergency procedures for patients with hemorrhagic shock from massive trauma
1. Receive the notification on the occasion of all the preparations to meet the patient.
2. The patient into the operating room quickly open the intravenous channel rapid rehydration, oxygen, blood preparation, while monitoring vital signs and oxygen saturation.
3. Notify the medical specialist and the surgeon of the relevant department to arrive immediately.
4. Make all the rescue preparations, prepare rescue medicines and medical specialized machine, and actively cooperate with the rescue.
5. Prepare all kinds of instruments needed for surgery.
6. For patients who are conscious, do a good job of psychological care, care and comfort patients.
Second, the patient's blood transfusion reaction emergency procedures
1. The patient's blood transfusion reaction, should immediately stop blood transfusion, change the infusion of saline, follow the doctor's instructions to give anti-allergic drugs.
2. Serious cases should be notified to immediately stop the operation, to retain the unfinished blood bag, has been prepared for the test.
3. Patients with urgent conditions should be prepared with rescue medicines and items, and cooperate with doctors specialized in medicine for emergency treatment, and be given oxygen inhalation.
4. If it is a general allergic reaction, the patient's condition should be closely observed and recorded, to comfort the patient and reduce the patient's anxiety.
5. Fill in the report card of blood transfusion reaction according to the requirement and report to the Blood Transfusion Department
6. When serious reaction such as hemolysis is suspected, send the reserved blood bag and the blood sample of the patient to the Blood Transfusion Department together.
7. Strengthen the observation of the condition and make a good record of resuscitation.
Third, the patient occurred infusion reaction emergency measures
1. The patient occurred infusion reaction, should be immediately removed from the infusion of liquid, re-replacement of fluids and infusion apparatus.
3. Serious cases should immediately notify the doctor to stop the procedure, resuscitate on the spot, and perform cardiopulmonary resuscitation if necessary.
4. Establish a nursing record to record the patient's vital signs, general condition and the resuscitation process.
5. The occurrence of infusion reactions, should be promptly reported to the Hospital Infection Management Department, disinfectant supply center, Nursing Department and Pharmacy Department.
6. Retain the infusion set and the medicine to be sent to the sterilized supply center and the Pharmacy Department respectively, and at the same time go to the same batch number of fluids, infusion sets and syringes to be sent for inspection respectively.
Fourth, the emergency procedures for power outages and sudden power outages
1. Receive a notice of power outage, immediately prepare for power outages. Prepare emergency lights, flashlights, etc., such as the use of electric-powered machines to rescue patients, you need to find a substitute method.
2. Suddenly after the blackout, immediately look for ways to rescue the patient's machine running power, to maintain the rescue work, and open the emergency lights and lighting.
3. The use of ventilator patients, usually should have a simple respirator next to the machine, in case of a sudden blackout, immediately disengage the ventilator, the use of simple respirator to maintain breathing.
4. Contact the electrician's team by phone to inquire about the cause of the power outage.
5. Enhance ward rounds to reassure patients, while paying attention to fire and theft prevention.
V. Fire emergency procedures
1. Found the fire immediately call the surrounding personnel were organized to extinguish the fire, and at the same time reported to the Security Office and the higher leadership, the night phone notify the hospital general duty.
2. According to the fire, the use of existing fire-fighting equipment and organize personnel to actively fight.
3. Found that the fire can not be extinguished, immediately dial "119" alarm, and tell the exact location.
4. Close the doors and windows of neighboring rooms to slow down the spread of fire.
5. Evacuate the patients to a safe place, stabilize the patient's mood, and ensure the patient's life safety.
6. Cut off the power supply as far as possible, remove flammable and explosive substances and rescue valuable instruments and important scientific and technological information.
When organizing the evacuation of patients, do not take the elevator, can take the safe channel. Advise patients to cover their mouths and noses with wet towels, and move forward as quickly as possible in the lowest position or creeping.
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