#### FIRE SAFETY

**FY 2009 -- Denver Medical Center & DCLC**

The VA Eastern Colorado Health Care System (ECHCS) has adopted the
acronym **R.A.C.E.** in response to fire emergency**. If you see smoke,
smell something burning, or [suspect]{.underline} there is a FIRE,
follow the R.A.C.E. plan.**

**R.A.C.E.**

**R = Rescue** patients/persons from immediate danger (room involved in
fire)

**A = Alarm -** activate the fire alarm pull box and notify the
switchboard at ext. 3911 (fire emergency number), and alert other staff
by loudly calling out **[CODE FIVE]{.underline}.**

**C = Contain -** close the door to the room involved in fire.

**E = Extinguish -** retrieve a fire extinguisher and extinguish, if
possible.

##### Response in a PATIENT CARE AREA

A patient care area is an area where patients spend the night or they
are under some type of anesthesia. All other areas are considered
administrative areas. In patient care areas we defend within, (that
means in a fire emergency, the patients are left in their rooms with the
doors closed). An evacuation of the wing or area is considered as a last
resort.

**If you discover a fire in a patient care area, you follow the R.A.C.E.
plan:**

**R- Rescue:**

Remove patients/persons from immediate danger (the room of the fire).
Get them to a safe area down the hall and into a room or beyond the
smoke barrier doors at the end of the wing.

A.  **Alarm:**

Activate the fire alarm pull box. This will put the hospital into a
state of alarm and a series of bells or horns will sound a code to the
general location of the fire. Also, a signal is sent directly to the
fire department that begins their response to the hospital. Call the
hospital operator on ext**. 3911 (fire emergency number)** to report the
fire. Tell the operator the location of the fire and the type of fire
(bed, trash can etc.).

Notify other staff of the fire by calling out loudly **CODE 5, CODE 5,
CODE 5.** Staff should then begin to close doors and clear the hallways
of patients and equipment. Patients and equipment should be moved into
rooms, and all doors on the wing should be closed. **[Do
not]{.underline}** evacuate patients. In a patient care area we "defend
within" means we leave the patients in their rooms and close the doors.
An evacuation is considered as a last resort.

**C- Contain:**

> Close the door to the room involved with fire. This will contain the
> smoke and fire to that room until Emergency personnel arrive.

**E- Extinguish:**

Retrieve a fire extinguisher and return to the room involved. Do not
just open the door. Depending on what is in the room and if the
situation is just right, the fire could accelerate to a point where
everything in the room is super heated. The upper part of the room could
be as much as 1500 to 2000 degrees Fahrenheit. If you just open the door
allowing fresh air into the room, you could cause Flash Over. Flash over
occurs when heated gases in the upper part of the room cause everything
combustible in the room to burst into flames.

> **Before opening the door, follow this procedure:**
>
> *Feel the center part of the door, then the doorknob, and the door jam
> and hinges. If they are warm, [**DO NOT OPEN THE DOOR!**]{.underline}
> If they are cool, kneel down on one knee and crack the door open very
> slightly, about ^1^/~8~ of an inch. If air rushes in, close it
> immediately. If air does not rush in, open the door just enough to
> look into the room. If it is hazy with smoke, close the door. **Smoke
> is the number one killer in a fire.** If none of these conditions
> exist, you may open the door and attempt to extinguish the fire. As
> always, keep your back to the door for retreat.*

###### [Response in an ADMINISTRATIVE AREA]{.underline}

**R- Rescue:**

Remove persons from immediate danger (the room of the fire).

A.  **Alarm:**

Activate the fire alarm pull box. Call the hospital operator on ext.
3911 (fire emergency number). To report the fire, tell the operator the
location and the type of the fire (bed, trash can, etc.) Notify other
staff of the fire by calling out loudly CODE 5, CODE 5, CODE 5. All
other staff should begin to evacuate the area.

To evacuate the area, the staff needs to DIRECT ALL PERSONNEL through
two sets of corridor smoke barrier doors and proceed to the end of the
adjoining wings hallway. Another alternative is go up or down one flight
of stairs, and wait for an all-clear signal.

**C- Contain:**

Close the door to the room involved with the fire. This will contain the
smoke and fire to that room until emergency personnel arrive.

**E- Extinguish:**

> Retrieve a fire extinguisher and return to the room involved. Do not
> just open the door. (Refer to E- Extinguish listed under ["If you
> discover a fire in a patient care area you follow the R.A.C.E.
> plan."]{.underline})
>
> The person discovering the fire is the person who retrieves the fire
> extinguisher and returns to the fire area. All other employees are to
> evacuate.

### Portable Fire Extinguishers

## 

**There are** **ABC class dry chemical fire extinguishers located
throughout the hospital complex. They are located in hallway fire
equipment closets next to exit stairwells and in flush-mounted fire
cabinets. They are also located in Engineering shops, equipment rooms,
and many other departments and out buildings.**

**An ABC class dry chemical fire extinguisher will extinguish any class
of fire you may encounter at this facility. Fire extinguishers will be
color-coded with the following labels:**

> **There are 3 classes of fires:**
>
> ![](media/image1.png){width="0.7604166666666666in"
> height="0.78125in"}![](media/image2.png){width="0.625in"
> height="0.78125in"}**Class A** fire (**Ordinary combustibles**):
> paper, wood, cloth, rubber, and many plastics
>
> ![](media/image3.png){width="0.78125in"
> height="0.78125in"}![](media/image4.png){width="0.625in"
> height="0.78125in"}**Class B** fire (**Flammable liquids**): gasoline,
> oil, oil-base paints, tars, lacquers, and greases
>
> ![](media/image5.png){width="0.78125in"
> height="0.78125in"}![](media/image6.png){width="0.6354166666666666in"
> height="0.78125in"}**Class C** fire (**Live electrical**): wiring, TV
> sets, electric motors, etc. The dry chemical in the extinguisher is
> nonconductive.
>
> ![](media/image7.png){width="2.3229166666666665in" height="0.78125in"}
> The newer style fire extinguisher will only have the blue picture
> coding. If a red line is drawn through the picture, this indicates
> what type of fire the extinguisher **IS NOT** used for. In this
> example, the fire extinguisher could be used on "ordinary
> combustibles" and "flammable liquids" but NOT for "electrical
> equipment fires".

**To operate a portable fire extinguisher remember the acronym P.A.S.S.
\-\-\-\--**

> ![](media/image8.png){width="0.7173611111111111in"
> height="1.257638888888889in"} **P - Pull** out the pin between the two
> handles.
>
> ![](media/image9.png){width="0.8604166666666667in"
> height="1.1090277777777777in"} **A - Aim** at the **base** of the
> fire. Move within **10 to 15 feet** of the fire. If you spray the
> agent directly into the fire, the pressure may spread the burning
> materials.
>
> ![](media/image10.png){width="1.3958333333333333in"
> height="0.78125in"} **S - Squeeze** the handles together.
>
> ![](media/image11.png){width="1.3958333333333333in"
> height="0.78125in"} **S - Sweep** from side to side. Evenly coat
> entire area of the fire, from front to back.

**Tips:**

-   **Apply extinguishing agent even after the flames appear to be
    extinguished.**

-   **Never leave an extinguished fire unattended. Stay until the fire
    department arrives while maintaining a fire watch.**

-   **Know the closest location of an extinguisher in your area.**

-   **Think of an extinguisher as a means for escape. If you are trapped
    in an area and have access to an extinguisher, you may be able to
    suppress the fire enough to get past it. If someone is trapped in an
    area and you have an extinguisher, you may be able to suppress the
    fire enough to save them.**

**For additional tips / training / questions, contact the Safety Office
at extension 2650.**