Ch 16. Fighting Fires in Nursing Homes Flashcards

1
Q

Year after year, some of the highest-cost fires in terms of loss-of-life occur in _____. (239)

A

nursing homes

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2
Q

Up until a few years ago, _____ and _____ were key problems in nursing homes. (239)

A

construction and maintenance

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3
Q

All nursing homes must now be equipped with properly functioning _____, and the must also be _____ on a regular basis. (239)

A

automatic sprinklers; inspected by fire prevention professionals

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4
Q

Far and away, the biggest problem associated with [nursing homes] is _____. (239)

A

life safety

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5
Q

The skeleton crews that run [nursing homes] nowadays will probably best be able to serve you by providing _____. (239)

A

an accurate accounting of who’s still inside

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6
Q

What are the 4 construction styles prevalent throughout [the nursing home] industry? (239)

A

1) the one- and two- story wing-style
2) the converted structures
3) the low-rise nursing homes
4) high rise nursing homes

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7
Q

Low-rise nursing homes are similar to _____ in structure but not layout. (242)

A

garden apartments

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8
Q

High-rise nursing homes tend to be very _____ and can produce hot fires. (243)

A

compartmentalized

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9
Q

Regardless of the type of construction, the key concern [at any nursing home] is any given buildings ability to _____. (243)

A

spread or contain fire by any means

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10
Q

In any building with a wing design, fire may travel along a given wing and should be stopped before _____. (243)

A

it reaches the hub of the building

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11
Q

With a fire in a wing of a nursing home, initial lines should be taken in to get a nozzle _____. (243)

A

between the most savable victims

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12
Q

New low- and high-rise nursing homes are very effective in retarding the passage of fire. __3__ can help hold flames to their area of origin. (244)

A

1) Built-in fire doors
2) Fire resistive members
3) Compartmentalization

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13
Q

[At new low- and high-rise nursing homes], __2___ present the main avenues for extension. (244)

A

1) Interior vents

2) Duct systems

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14
Q

[A converted nursing home] houses far fewer residents than other styles of nursing homes. There will likely be fewer than _____ residents. (244)

A

30

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15
Q

Assessing __4__ will reveal the true potential of an incident. (245)

A

1) the structure
2) the size of the fire
3) the number of residents
4) the capability of your own department

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16
Q

_____ can be an effective tool to quickly vent a nursing home after the fire has been knocked down and an exit area provided. (245)

A

PPV

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17
Q

[nursing home fires] Although feared by many firefighters, _____ provide a good, safe platform from which to wage the battle. (245)

A

High-rises

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18
Q

Given the life hazard [a a nursing home fire], the IC’s primary concern is _____. (246)

A

manpower

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19
Q

What are the four principal tasks at a nursing home fire? (246)

A

1) put out the fire
2) ventilate
3) search
4) remove the residents

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20
Q

To be effective, search operations will require a minimum of _____ members in a small environment. A large-scale nursing home will require far too many firefighters to count. (246)

A

a dozen

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21
Q

What is the 15 minute rule at nursing home fires? (246)

A

If you cant bring a victim out of an IDLH environment in 15 minutes, you may as well start body recovery shortly after.
Stated another way, There’s no need to have rescue crews if they won’t be able to bring anyone out within 15 minutes. And the coroner will want to take pictures later.

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22
Q

If you intend to perform rescue [at a nursing home fire], you’ll need a minimum of _____ per crew. (246)

A

2 members

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23
Q

A rough rule of thumb [for rescues at a nursing home fire] is _____ per _____ per _____. (246)

A

one rescue group per victim per every 2-5 minutes

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24
Q

Ventilation [at a nursing home fire] will take anywhere from _____ for PPV, up to _____ for roof cutting. (246)

A

2 members; 12

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25
Q

Fire attack [at a nursing home fire] will require a minimum of _____ crews, each consisting of _____ firefighters at a minimum. (246)

A

2; 3

26
Q

If you can’t bring enough members (26) to the “dance” [nursing home fire], then plan B may be in order. ______. Take everything you have, put the fire out, then vent. (247)

A

Defend in place

27
Q

If searches are to be conducted [at a nursing home fire], the _____ method will work well. (247)

A

oriented man

28
Q

A single oriented man can manage _______ [at a nursing home fire].

A

3-4 searchers

29
Q

Most [nursing home] buildings are relatively easy to search because _____. (247)

A

the living quarters are usually right off the hallway

30
Q

[at a nursing home fire] the attack should commence from a point where you can get a line between _____ as quickly as possible. (247)

A

the majority of the residents and the fire

31
Q

In a converted [nursing home] structure, _____ normally provide the best route upward. (247)

A

the central stairs

32
Q

Fires is low- and high-rise [nursing home] buildings are generally fought using _____ and ____; otherwise ____. (247)

A

stairways and standpipes; fire towers

33
Q

When it come to ventilation, remember that we open up buildings for 3 reasons: (247)

A

1) to reduce the effects of contaminants on civilians
2) to reduce smoke damage
3) to make our jobs easier

34
Q

The most effective way to get rid of smoke is to _____. (247)

A

open up the roof

35
Q

The best place for a vent hole is _____ (247)

A

in the fire room itself

36
Q

3 Ventilation options best to worst at nursing home fire (247)

A

1) open roof
2) open window in fire room
3) open door at the end of the hall way

37
Q

Traditional ventilation using ____ or ____ works well at high- and low-rise nursing homes. (247)

A

fire towers or stairways

38
Q

As the air and smoke rises in the tower and pst the fire floor, it will draw smoke from down the hall by means of _____. (247)

A

the venturi effect

39
Q

converted [nursing home] structures should be vented according to _____. (249)

A

according to the type of structure on which it is based

40
Q

The stumbling block with respect to backup [at a nursing home fire] is the _____ issue balanced against the _____. (249)

A

life safety; available manpower

41
Q

If staffing is low [at a nursing home fire], all forces on the first alarm must be committed to _____. (249)

A

locating and extinguishing all visible fire

42
Q

after the fire [at a nursing home] has been extinguished, what must be done next? (249)

A

the products of combustion must be eliminated from the interior

43
Q

Managing minimal resources to the best effect requires tough decision at times, but it is the ability to do so that defines _____. (249)

A

a true leader

44
Q

Since risks of our industry are so high, it is vital that you _____ during the pre-incident phases. (249)

A

honestly account for your capabilities, as well as your departments

45
Q

Fight your fires under _____ so that, when the worst happens, you’ll already have half the battle won. (249)

A

the expected conditions

46
Q

The fundamental reason for using a defend in place strategy in a nursing home is _____. (249)

A

a lack of manpower

47
Q

Normally when staffing is at a shortfall, we tend to _____. (249)

A

put others above ourselves.

48
Q

This may be the one time that the author would advocate using a smaller 1 3/4 line for backup rather than the 2 1/2 line that I ordinarily recommend for commercial occupancies. (249)

A

Nursing home fires

49
Q

Nursing homes have an abundance of _____, meaning more avenues of egress for firefighters. (249)

A

windows

50
Q

If you need to take out windows, _____. Leave no wood, glass, or metal standing. (249-250)

A

take them in full

51
Q

During the walkaround [at nursing homes], look for ____ and study _____. (250)

A

the easiest ways in and out; the configuration of the windows

52
Q

Try to get _____ stationed near the command post to monitor the accountability board. (250)

A

a RIT member

53
Q

Who is an appropriate “competent party” to account for evacuees? (250)

A

A firefighter, since he will signify authority at a fire scene.

54
Q

Far and away the biggest problem associated with nursing home fires is _____. (257 & 311)

A

Life safety

55
Q

It would be expected that old, converted. nursing homes are fully sprinkled. True of false? (257 & 311)

A

False

56
Q

Given the potential for a large life hazard at nursing home fires, what is the IC’s primary concern? (257 & 311)

A

Manpower

57
Q

The rule of thumb for the number of rescue groups is _____. (257 & 311)

A

1 rescue group per victim per every 2-5 minutes

58
Q

Backup might be ruled out due to staffing concerns in a nursing home fire. True or false? (257 & 311)

A

True

59
Q

RIT may not initially be possible due to staffing concerns in a nursing home fire. True or false? (257 & 311)

A

True

60
Q

The fundamental reason for a defend-in-place strategy at a nursing home fire is _____. (257 & 311)

A

Lack of manpower

61
Q

RIT will generally enter a building _____. (257 & 311)

A

Following the attack line in

62
Q

Why does the RIT generally follow the attack line into a nursing home fire? (257 & 311)

A

Get a line between RIT and the fire