2. EMERGENCY PREPAREDNESS:EMERGENCY PREPAREDNESS:
LIFE SAFETYLIFE SAFETY
IF YOU SEE FIRE OR SMOKE IN THE
FACILITY
TELL STAFF MEMBER TO CALL CODE RED
Remember “RACE”
R=Rescue
A=Alarm
C=Contain
E=Extinguish or E=Evacuate
3. FIRE EXTINGUISHERS
PASS
• It's easy to remember how to use
a fire extinguisher if you can
remember the acronym PASS,
which stands for
• Pull, Aim, Squeeze, and Sweep.
• Pull the lock pin
• Aim the nozzle at the base of the
flames
• Squeeze the handles together
• Sweep from side to side at the
base of the flames
LOCATION
• Next to Supply Closet
• Next to the Patient
• Changing Room
• ESWL Suites
• Equipment/Utility Room
4. IF A FIRE/FIRE DRILLIF A FIRE/FIRE DRILL
During a Fire/Fire Drill :
• You will hear “Code Red please report to the Front Office”
• Close all doors /Clear the corridors
• Await further instruction
• Evacuate only if told to do so
The Fire/Fire Drill is over:
• The alarm stops sounding and the strobe lights stop flashing
• You will hear “Code Red all clear. All staff, patients and
visitors may move freely throughout the facility.”
5. COMMAND POSTCOMMAND POST
• The Command Post is
located in the Front Office
• The alternate Command Post
is the Lounge
• The Director of Clinical
Operations or designee will
report to the Command Post
6. EVACUATIONEVACUATION
If evacuation of patients is
necessary:
• Discharged to home if possible
• Transferred to University
Hospital
• All staff, physicians, patients,
visitors, etc. will exit through:
– Front door
– Double doors
– Rear door of the facility
7. DISASTER /DISASTER /
DISASTER DRILLDISASTER DRILL
• You will hear “Code Triage please report
to the Front Office.”
• Await further instructions
• Disaster is over when you hear
“Code Triage all clear. All staff,
patients and visitors may move freely
throughout the Facility.”
8. Panic ButtonsPanic Buttons
• External and Internal Panic buttons
– The External Button notifies Rutgers
Police of an emergency at the Center.
These are located:
• Under counter in Front Office
• Recovery Room next to Soiled Utility
entrance
• ESWL Suites
– The Internal Panic Button notifies the
Staff of an emergency within the Center.
It is located:
• Under the Front Office counter
9. SECURITY SYSTEMSECURITY SYSTEM
• External and internal panic buttons are available to notify
Rutgers Police and staff of an emergency.
• Security cameras are located at the entrance doors, in all of the
corridors and the outside of the Center facing external doors
monitoring who comes in to The Center.
• All visitors are “buzzed” into The Stone Center after visual and
verbal identification.
• There is also a security monitor in the Recovery Room which
allows entrance into the facility with visual and verbal
identification.
• The Stone Center has its own Security System.
• There are fire alarm pull boxes by the front door, double doors
and rear door in The Stone Center.
10. SURGICAL FIRES
• Fires that occur on or in a surgical patient
rarely happen, but their consequences can
be grave.
• The risk of surgical fires is present
whenever and wherever surgery is
performed, whether in an operating room
(OR), a physician's office, or an outpatient
clinic
11. THE ELEMENTS OF
SURGICAL FIRES
The three basic elements of surgical fires
constitute the traditional fire triangle. These
include:
• Ignition sources
• Oxidizers
• Fuels
12. SURGICAL FIRES PRECAUTIONS
During Electrosurgery
• Place the electrosurgical pencil in a holster when
it is not in active use--that is, when it won't be
needed within the next few moments.
• Activate the active electrode only when the tip is
under the Urologist's direct vision.
• Grounding pad must be applied to patient.
• All jewelry must be removed from patient.
• Allow the pencil to be activated only by the
person wielding it.
• Deactivate the pencil before removing it from the
surgical site.
13. Preventing Surgical Fires
During Laser Surgery
• Before inserting the scope in the patient, verify
the fiber's functionality.
• Place the laser in standby mode whenever it is not
in active use.
• Activate the laser only when the tip is under the
surgeon's direct vision.
• Allow only the person using the laser to activate
it.
• Deactivate the laser and place it in standby mode
before removing it from the surgical site.
14. TIPS IN PREVENTING
SURGICAL FIRES
Success in preventing surgical fires requires understanding the fire risks
and good perioperative communication between urologist,
anesthesiologist, nurses and staff.
The most common precursor to surgical fires is the use of supplemental
oxygen delivered in an open fashion to the face during monitored
anesthesia care.
The need for 100% oxygen for open delivery during head/neck surgery
should be questioned.
Guidelines should be developed for minimizing oxygen concentrations
under surgical drapes.
Surgical fires continue to occur with regrettable frequency — education
and awareness help to prevent fires
