EVACUATION POLICY IN CASE OF EMERGENCY

 

Permanent Evacuation Committee in the Hospital:

 

1.            Hospital Director                                   -           Chairman

2.            Head of Causality Dept                        -           Member

3.            Nursing Director                                   -           Member

4.            Head of Engineering Dept.                  -           Member

5.            Head of Public Relation                       -           Member

 

Immediate Evacuation Committee:

 

1.            Administrative Officer on duty.

2.            Head of departments (surgical – Medical – Pediatrics – Anesthesia – Gynecology and Casualty).

3.            Nursing Supervisor on duty

4.            Safety and Security officer on duty.

5.            Ambulance Office on duty.

 

Causes of Evacuation:

 

1.            Firebreak out any area of hospital.

2.            Anticipation of fire spread out from neighbouring area.

3.            Stashing explosives in any area of the hospital.

4.            Spreading out of epidemic disease in one of the hospital sections.

 

Types of Evacuation:

 

Partial:

Evacuation of any ward or floor of the hospital to avoid spreading out of fire or avoiding an anticipated explosion.

Complete:

Evacuation of the whole building.

 

Evacuation Decision:

 

Evacuation decision is issued by the hospital director or his representative.  In general the evacuation decision based on the reasons indicant evacuation as mentioned above under causes of evacuation.

 

 

Responsibilities of the Evacuation Committee Members:

 

1.          The Administrative Officer On Duty.

 

1.1       Inform Hospital Director or his deputy.

 

1.2       Inform Head of Casualty Departments.

 

1.3       Inform nearest Police Office Area.

 

1.4       Inform Area Ambulance Officer.

 

 

2.          Safety and Security Officer On Duty.

 

2.1       Call Staff to help evacuation.

 

2.2       Regulate work and refer patients to the nearest health center.

 

3.          Head of Departments */Their Deputies Responsibility

(Surgical, Medicine, Paediatric, Neonates, Anesthesia & ICU, Obst. & Gynecology, Casualty)

 

3.1       Every head of departments is responsible on his department.

 

3.2       Deputies and a head must inform their seniors about the current situation of emergency.

 

3.3       Inform Dr to accompany patients on ventilators.

 

3.4       Call on all Dr. on call to meeting point outside the hospital, priority list will be decided on the spot by the Dr on call.

 

 

 

4.                      Nursing Officer On Duty:

 

4.1                   Inform Nursing Director or her deputy.

 

4.2                   Inform ambulance officer on duty of the number and type of cases to be shifted from the evaenhion area.

 

4.3                   Assign nurses on duty in the wards to bring patients trolleys (stretchers) from their wards to the location of evacuation to help in the process of evacuation.

 

4.4                   Call the nurse’s form the hostels to come and assist in evacuation process.

 

4.5                   The Head Nurse or Group Leader on Duty at the Location of Evacuation.

 

4.5.1             Make sure that suitable cards have been placed for each case according to their condition – and to report to the Nsg. Supervisor about the number and condition of her patients.

4.5.2             Make sure that all electrical appliances are off except the refrigerator of medicine and to take the cardex and patient’s files and narcotic drugs with her to the evacuation area if possible

4.5.3             To open the exit door, for the patients, and guide them to walk on the right side of the road.

4.5.4             Shift the bed ridden patients on stretchers with the help of the assistants.

 

 

 

 

 

 

 

 

 

 

 

 

 

The Priority of Evacuation:

 

 

1.          Patients who are able to walk:

 

1.1      Not applicable to Neonatal patients.

 

1.2      Medical staff must call/telephone parents of patients capable of surviving at home.

 

1.3      These classes of patients are marked by green card.

 

2             Patients Who Are Unable To Walk:

 

2.1      They are transferred outside the ward in incubators even if by the nurses and assistants through the road of the stairs of emergency exists (unless fire is spread) to the gathering place.

 

2.2      If the fire existed through the road of the emergency exits stairs, the nurse should lead the assistants to shift the patients to the best safe and secured road.

 

2.3      The nurse should instruct the assistants who are carrying the patients to walk on the right side of the roads till they arrive to the gathering locating and to request them to remain with the patients of the stretchers waiting for instruction to transport them to the receiving hospital.

 

2.4      This class of patients is marked by yellow cards.

 

3             Patients Under Intensive Treatment (Ventilator, Resuscitators, Cardio-Respiratory, Monitors)

 

3.1      They are transferred from the evacuation place through untraditional methods under the knowledge of firemen or ambulance and evil defense members emergency left may be used for them they will be attended by doctors and nurses who will shift them to the receiving hospital and they are the last group to be evacuated, they are marked by red cards.

 

3.2      This group of patients should be transferred from the evacuation place to the requiring hospital directly.

 

 

 

3.3      They are followed by yellow card patients (patients who can’t walk) where they are transported from the gathering area to the receiving hospital.

 

3.4      Finally the green card patients (Who are able t walk) who still need treatment and follow-up, to be transported to the receiving hospital, while those who don’t require any treatment may be sent home.

 

 

 

Emergency Exits:

 

1-                 The maps of the emergency exists are mounted on the wall of all hospital departments.  All employees should carefully study these maps to be aware of the emergency exits in their places or wards.

 

2-                 Each fire alarm box contains a key of the emergency exit door that is located near the door (the reserve key is kept with nurse in charge).

 

3-                 The cover of this box could be broken to take the key form the box to open the emergency exit door to allow patients to use the emergency stairs t reach gathering place.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The Methods of Evacuation at the Hospital

 

1.               First Floor:

 

1.1           Surgical Wards (Ward 9, 10, 11 and 12)

 

1.1.1       Emergency exit, which is located at the end of the passageway of the surgery wards, is closed at present time due to the maintenance works.

1.1.2       Ward No. 12 is closed now due to maintenance works.

1.1.3       Ward No 9, 10 and 11 in the back of each wards there is an emergency exit door leading to the back stairs, which can be used to go down to the outside of the hospital then to the gathering place.

1.1.4       An alternative ways can be used if the first ways one not safe and secure and vise versa.

 

 

1.2           Medical Wards (14, 15, 16 and 17).

 

1.2.1       Emergency exit, which located at the end of medical wards corridor is closed at present time due to the main tenancy works.

1.2.2       At the back of each ward, there is an emergency exit door leading to back stairs to be used to go out of the hospital and then to the gathering place.

1.2.3       An alternative ways can be used if the first ways one not safe and secure and vise versa.

 

1.3    Evacuation of Operation Theatre – Intensive care Unit and C.S.S.D.

 

1.3.1    There is an emergency exit leading to the roof of the kitchen, through this exit door using the stairs you may go out side the hospital and then to the gathering place.

 

1.3.2    An alternative ways can be used if the first ways are not safe or secure and vise versa.

 

 

2                 Ground Floor

 

2.1    Gynecology and Maternity Wards (1, 2, 3 & 4)

 

1.1.5       Emergency exit, which is located at he end of main corridor of the maternity wards, is closed at present time due to he maintenance works.

 

1.1.6       Ward No. 4 is closed at present time due to the maintenance works.

 

1.1.7       Ward No 1, 2, 4 at the back of each ward there is an emergency exit door leading to the outside of the hospital then to the gathering place.

 

1.1.8       An alternative road can be used if the first ways are not safe or secure and vise versa.

 

2.2    Pediatrics Wards (5, 6, 7& 8):

 

2.2.1       Emergency exit, which is located at the end of the passageway of the pediatric wards, is closed now due to the construction works.

 

2.2.2       At the back of each pediatric ward there is an emergency exit door leading to the out side of hospital there to the gathering place.

 

2.2.3       Alternative roads may be used in case the first ways are not secure.

 

2.2.4       Ward 8 follows, priority evacuation as mentioned above.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* Evacuation Plan in case of Emergency:

 

 

1                   General Directions and guidelines for employees:

 

1.1.           Act and behave calmly and do not panic.

 

1.2.           Be an example for he others by following the instructions of emergency plan.

 

1.3.           The success of emergency plan depends on the good management of each employee.

 

2       Please follow the following instructions in case of emergency:

 

2.1             In case of emergency do not use elevators.

 

2.2             Use the stairs way of emergency exit if you are in the first floor.  Walk on the right way indicated by lighted arrows.

 

2.3             If the back stairs of the emergency exit are not safe, use the immediate stairs to go down to ground floor and vise versa.

 

2.4             If you are in the ground floor or in the basement do not go up to the first floor unless you are requested to do that.

 

2.5             When you are requested for assistance, please go directly to your job location or your ward and help in evacuating process, don’t forget to use the stairs, walking on the right side.

 

2.6             In case the emergency exit door is locked, you have to break the glass of the fire warning alarm box (red box) and take the key out and open the door to get out of the hospital.

 

2.7             When you are off duty and heard the siren or you have seen the lighted arrows, please call your department or your ward to be aware of your role.

 

2.8             Do not hesitate to g to your job location of you are needed because this is human and national duty.

 

2.9             The in charge on duty person is the last one to leave the evacuation place.

 

3                         Route of Evacuation

 

3.1                 Ground Floor:

 

3.1.1         Causality Department:

 

There are two emergency exit doors at the both ends of the corridor between the causality and out patient’s clinics, which can be reached through the door near to female observation room, and then to go out side the hospital to reach the gathering place.

 

 

3.1.2         Out Patient Clinic:

 

1.3.3          There are two emergency exit doors at both ends of the corridor between the casualty and out patient’s clinics, which can be used to go out side the hospital.

 

1.3.4          There is one emergency exit door at the end of the old maternity corridor leading to outside of the hospital to reach the gathering place.

 

 

3.2       Gathering Place:

Cars parking in front of the out patients clinics (Which was shaded before)

 

3.2.3   The Alternative ways in the First Floor:

 

1.4.1       The internal main stairs to go down to the main entry of the hospital.

 

1.4.2       The internal intermediate stairs behind the lifts in front of operation room to go down to the main corridor between the main casually and out patient’s clinics.

 

1.4.3       The internal middle stairs in the corridor leading to the medical wards to go down to the main corridor, which is leading to Pediatric wards.

 

These alternative roads can be used of the first ways one not safe vise versa.

 

4.1       The Basement:

 

1.3.5          There are two emergency exits leading to outside directly, one of them is near to the main entrance of casualty and the other one leads to the back of the electrical generators.

 

1.3.6          There are also other two emergency exits one under pediatric wards and the other is under maternity wards.

 

1
Hosted by www.Geocities.ws

1