Red Book - Fire Flashcards
Components for a fire
An oxidiser
An ignition source
Fuel
How to minimuse risk with the set up of a medical gas cylinder
Set cylinder up BEFORE to placing it close to pt.
Valve opened and flow selected away from patient
These are the times ignition is common
Place it in a specific holder
Bottom of bed, back of wheelchairs
Avoid placing it on the bed.
How to prevent fire in ICU
Ensure safe use of electronic kit and regular maintenance
Training in safe use of oxygen cylinders
Orderly stacking of waste/cardboard/flammables
Adequate fire doors, ventilation and escapre routes
SALG recommendations
1) at high concentration and pressure O2 is dangerous - treat with respect
2) handle cyclinder with care in designatefd holders
3) regular training in fire safety and prevention in the areas that they work
4) Every hospital should have an ICU/theatres evacuation policy
5) . Any problesm with cylinders and kit must be reported imediately to the gas supplier and MHRA
Managing a fire in ICU
Goals:
Keep pts and staff safe
Manage the fire
Identify the cause and adress prevention
RACER
Rescue - get patients and staff from danger
Safe disconnection of lines and tubing
Hand ventilate
Alert - Raise alarm, 5555, co-workers etc
Contain - close doors and windows, turn off gases
Extinguish - DoH say leave the fire, close doors, await fire service
Only attempt to fight if small
Use the appropriate extinguisher
Relocate: via fire exits —> visitors, stable, unstable, staff
horizontal evacuation +/- vertical evad
Stay in evacuation points
Colour and use of a water cylinder
RED
Organic - wood paper
Water mist
White with red print
Organic solids
Fats
Foam
Red with cream panel above instructions
Organic solkids
Flammable liquids
Powder
Red with French Blue
Solids
Flammable liquids
Gasses
Electircal
CO2
Red with black
Electrical
