Report For NHS Shetland FIRE EMERGENCY …€¦ · FIRE EMERGENCY MANAGEMENT PLAN GILBERT BAIN HOSPITAL ... ACTION IN THE EVENT OF A FIRE ALARM ACTIVATION – OVERVIEW 6 ... on the

DRAFT

C.S. TODD & ASSOCIATES LTD August 2014

Report For

NHS Shetland

FIRE EMERGENCY MANAGEMENT PLAN

GILBERT BAIN HOSPITAL

FIRE EMERGENCY MANAGEMENT PLAN

GILBERT BAIN HOSPITAL Report by: K. LOGIE GIFireE C.S. Todd & Associates Ltd Hutton Roof Eglinton Road Rushmoor Farnham Surrey GU10 2DH Tel: 01252 792088 Fax: 01252 794165 E-mail: [email protected] Website: www.cstodd.co.uk January 2015

mailto:[email protected]

http://www.cstodd.co.uk/

CONTENTS Page

1. INTRODUCTION 1

2. DEFINITIONS 3

3. EVACUATION STRATEGY AND FIRE ALARM OPERATIONAL SEQUENCE

4

4. ACTION IN THE EVENT OF A FIRE ALARM ACTIVATION – OVERVIEW

6

5. EVACUATION AREAS 8

6. SPECIFIC ROLES AND RESPONSIBILITIES 9

7. ASSEMBLY POINTS

12

8. FIGURES 13

APPENDIX A - Alarm Zones. APPENDIX B - Ward/Department Evacuation Strategies. APPENDIX C - Fire Response Team. APPENDIX D - Assembly Points. APPENDIX E - Escape Route Plans.

FIGURES

Figure 1 Overview of a Fire Emergency in a Patient Area

Figure 2 Overview of a Fire Emergency in a Non-Patient Area

Figure 3 Duties of Receptionist

Figure 4 Duties of Emergency Controller

Figure 5 Duties of Staff in Ward/Department in Alarm Zone of Fire Origin

Figure 6 Duties of Staff From Other Wards/Departments

Figure 7 Duties of Fire Response Team

Figure 7A Duties of Member(s) of Fire Response Team investigating the alarm

Figure 7B Duties of Member(s) of Fire Response Team meeting the Fire and

Rescue Service

Figure 7C Duties of Member(s) of Fire Response Team acting as Assembly Point Co-ordinators

Figure 7D Duties of Member(s) of Fire Response Team tasked with extending the evacuation to other areas

Figure 8 Duties of Fire Warden

Fire Emergency Management Plan – Gilbert Bain Hospital Page 1

1. INTRODUCTION

1.1 This document outlines how NHS Shetland will manage an evacuation due to a fire emergency at the Gilbert Bain Hospital.

1.2 Specifically, it describes the roles and responsibilities of the key staff, in

particular the hospital management, the main receptionist, the Fire Response Team, nursing staff and Estates engineers.

1.3 The person in overall charge of an evacuation is the Emergency Controller.

This role will be undertaken by a senior manager or senior nurse during the day, but at night will be delegated to the senior nurse on duty.

1.4 The receptionist is the person who will ensure that the fire and rescue service

has been summoned. The Fire alarm system at the Gilbert Bain Hospital is linked to an automatic fire response system which informs the local fire brigade that an alarm has been raised. The receptionist also plays a vital role in summoning key staff in the event of an escalating incident.

1.5 The Fire Response Team will be assigned various duties in response to a fire

emergency. These include:

Investigating fire alarm conditions.

Meeting the fire and rescue service on their arrival.

Assisting nursing staff in evacuating those at immediate risk.

Acting as Assembly Point Co-ordinators to ensure relevant areas are evacuated.

Extending the evacuation to other areas in the event of an escalating incident.

1.6 These, and the duties of others with specific roles and responsibilities, are

described in detail later in this document. 1.7 The management of fire emergencies requires that there be an effective

means of communication between the receptionist, Emergency Controller, Fire Response Team and the fire and rescue service. A combination of pagers and two-way radios will be used for this purpose.

1.8 The overall strategy for evacuation of the hospital in a fire is one of

progressive horizontal evacuation (PHE). For PHE to work efficiently and safely there need to be specific evacuation strategies in place for each patient area within the hospital. These strategies, and their implications for the operation of the fire alarm system, are described later in this document.

1.9 The next section of this document contains definitions of the terms used later.

Section 3 is a summary of the evacuation strategy for the hospital and the operational sequence of the fire alarm system. In Section 4, an overview is given of the sequence of actions that would be followed in the event of a fire


alarm activation in the hospital. Details of the evacuation areas into which the hospital is divided are given in Section 5. The specific roles and responsibilities of the principals involved are outlined in Section 6. Finally, in Section 7, the location of each of the assembly points is given.

1.10 The submission of this report constitutes neither a warranty of future results

by C.S. Todd & Associates Ltd nor an assurance against risk. The report represents only the best judgement of the consultant involved in its preparation, and is based, in part, on information provided by others. No liability whatsoever is accepted for the accuracy of such information.


2. DEFINITIONS

1.1 The following are definitions for specific terms used in this document:

Alarm Zone An area of the hospital, such as a ward or department, in which the alarm (whether the ‘Alert’ or ‘Evacuate’ signal) is sounded.

‘Alert’ Fire alarm signal (intermittent tone) to indicate that there is a fire alarm elsewhere in the building.

Assembly Points Designated areas for those such as independent patients, non-clinical staff, non-essential staff and visitors to gather following evacuation of the building.

Emergency Controller Person responsible for implementing the hospital’s fire emergency plan (normally the most senior member or of the hospital’s management team or senior nurse. e.g. Hospital Manager or the Nominated Officer (Fire), or Deputy or senior nurse in their absence). At night, this role is delegated to the Senior Nurse on duty and the on call Estates person.

‘Evacuate’ Fire alarm signal to indicate a need to evacuate the area in which the signal is sounded (a continuous tone).

Fire Response Team Designated team of staff from Estates, management, fire wardens and porters assigned to manage evacuations of the hospital.

Fire Warden Person working in a non-patient area responsible for ensuring that a specific part of their workplace is clear and accounting for staff following an evacuation.

Outbuilding The boiler house, laundry, stores, Estates workshop and other buildings on the site separate from the main hospital building.


3. EVACUATION STRATEGY AND FIRE ALARM OPERATIONAL SEQUENCE

3.1 The evacuation strategy for the Gilbert Bain Hospital is based on progressive horizontal evacuation of the building, i.e. the building is evacuated in phases over a period of time, with those at immediate risk moved first and the need for subsequent movement determined as the incident develops.

3.2 To facilitate this, there is a two stage fire alarm system. There are two fire

warning signals: 'Alert' and 'Evacuate'. These are as follows:

'Alert' Intermittent (pulsing) tone.

'Evacuate' Continuous tone.

3.3 The strategy is intended to ensure safe and efficient evacuation of patients

and others in the event of fire, while also minimizing disruption from false alarms. Accordingly, the evacuation will be restricted to a single ward/department initially. The ‘Evacuate’ signal will be sounded in that area (alarm zone). At the same time, the 'Alert' signal will be generated in other areas (alarm zones), where necessary, to alert key staff to the need to provide assistance and to standby ready to receive evacuees or to evacuate, if subsequently necessary.

3.4 Where the origin of the alarm is remote from patient areas, the extent to which

the ‘Alert’ is sounded will be limited so as not to cause unnecessary disturbance.

3.5 Where the origin of the alarm is an outbuilding, the ‘Evacuate’ is sounded in

that outbuilding only, and no ‘Alert’ is sounded in the main hospital building. 3.6 Evacuation of non-patient access areas and areas where patients are classed

as ‘independent’, i.e. able to evacuate without assistance (e.g. Outpatients), will involve occupants leaving by the nearest exit and congregating at designated assembly points (see Section 7).

3.7 Evacuation of patient access areas where patients are classed as ‘high risk

(dependent)’ or ‘very high risk (high dependency)’, in accordance with SHTM 86 definitions of ‘Persons at Risk’, will involve movement of patients internally to an adjacent area. This will usually be an adjoining ward/department, provided there is sufficient fire separation between the two.

3.8 A list of the alarm zones for the hospital building is given in Appendix A. 3.9 Individual ward/department evacuation strategies are given in Appendix B.


3.10 The primary and secondary evacuation routes from each area of the hospital are given in Appendix E.


4. ACTION IN THE EVENT OF A FIRE ALARM ACTIVATION – OVERVIEW

4.1 The following paragraphs describe, in brief, the sequence of events and the actions to be taken in response to a fire alarm activation. The action taken will depend upon the location of the source of the alarm. This is illustrated in Figures 1 and 2.

4.2 On receipt of the alarm at the hospital’s fire panel in the main reception, the

receptionist will confirm the activation to the fire and rescue service by telephone, and notify key personnel, in particular the Emergency Controller and Fire Response Team, by pager, telephone or radio, as appropriate.

4.3 The Emergency Controller and Fire Response Team will proceed to the fire

panel located at the main reception. The Emergency Controller will then deploy members of the Fire Response Team to carry out specific tasks.

4.4 In the event that the main reception is affected by fire, the Emergency

Controller and Fire Response Team will rendezvous at Patient Travel, located on the lower ground floor of the Administration Building, adjacent to the repeater panel.

4.5 The fire and rescue service will be met at the main reception. 4.6 A member of the Fire Response Team will be sent to the area of alarm origin

to investigate and report to the Emergency Controller. Others will be deployed by the Emergency Controller as necessary.

4.7 Designated nursing staff (when available) from unaffected wards/departments

would be expected to attend the rendezvous point in the main reception, and would be deployed to assist evacuation of patients as directed by the Fire Response Team. The entrance at Patient Travel would be the alternative rendezvous point, should access to the main reception not be possible.

4.8 The Emergency Controller will take instruction from the fire and rescue

service as to what further action is required of the Fire Response Team. 4.9 The Emergency Controller will instruct the receptionist to contact all the

Lerwick based emergency staffing team should additional staff be required to assist within the Gilbert Bain Hospital.

4.10 The decision to evacuate other areas of the hospital in the event of an

escalating incident would be taken by the Emergency Controller in conjunction with the officer in charge of the fire and rescue service. Should it be necessary, the evacuation of other areas will be undertaken by members of the Fire Response Team going to the evacuation areas in question and manually activating the fire alarm system by operating a fire alarm call point.


4.11 If evacuation were prolonged, hospital management would be expected to disperse people from assembly points and implement contingency plans in the event that areas of the hospital cannot be re-entered.

4.12 In the unlikely event of a major incident involving the need to evacuate the

entire main hospital building, the master evacuate control on the fire panel would be operated by the Emergency Controller and members of the Fire Response Team would be deployed to all wards/departments to inform them of the need to exit the building and move patients to either any or all of the following; Lerwick Health Centre on South Road, Montfield Board Headquarters, Burgh Road, Lerwick Hotel, South Road, Shetland Hotel, North Road and Clickimin Centre, Lochside.


5. EVACUATION AREAS

5.1 The evacuation areas (alarm zones) into which the hospital is divided are listed in Appendix A.

5.2 The specific evacuation strategy and associated fire alarm cause and effect

logic for each ward/department is outlined in Appendix B. This also includes non-patient areas and outbuildings.


6. SPECIFIC ROLES AND RESPONSIBILITIES

6.1 The following describes the duties of those with specific roles and responsibilities in a fire emergency. These are illustrated in Figures 3–8.

Receptionist

6.2 On receipt of an initial fire alarm, the receptionist shall:

Acknowledge the alarm.

Make a 999 call to confirm the activation with the fire and rescue service.

Summon the Emergency Controller to the fire panel in the main reception.

Inform the Hospital Manager, Nominated Officer (Fire) and Duty Engineer.

Notify the Fire Response Team.

Act on instructions from the Emergency Controller. (See Figure 3 for a summary of the above.)

Emergency Controller

6.3 In the event of a fire alarm condition, the Emergency Controller shall:

Proceed to the fire panel in the main reception.

Collect radio from fire box at the main reception and liaise with porters and (radios and ward staff; Ronas, Ward 1 and Ward 3 radios).

Receive information from the receptionist.

Ensure the fire and rescue service has been called.

Direct the Fire Response Team and other available resources to ensure effective control of the incident and safe evacuation of those at risk.

Pass information and plans to the fire and rescue service on their arrival.

Liaise and take instructions from the fire and rescue service.

On instructions from the fire and rescue service, either escalate the incident and evacuate other areas, or initiate stand-down and reoccupation.

(See Figure 4 for a summary of the above.) Staff in the ward/department where the ‘Evacuate’ is sounded

6.4 On hearing the ‘Evacuate’ signal, staff shall:

Search the area to identify if there is a fire and where it is located.

If there is no fire, the senior member of staff on duty in the ward/department should inform the Emergency Controller (via the receptionist or radio) or the member of the Fire Response Team attending the area.


If there is a fire, commence the movement of patients away from the fire and into the adjacent sub-compartment/compartment within the ward/department.

If safe to do so, tackle the fire with appropriate fire extinguishing appliances.

Continue moving patients horizontally into adjoining sub-compartments/compartments while it is safe to do so.

Take instructions from the senior member of staff on duty in the ward/department.

(See Figure 5 for a summary of the above.) Staff in wards/departments where the ‘Alert’ is sounded

6.5 On hearing the ‘Alert’ signal, staff designated to assist in an emergency shall:

Proceed to the rendezvous point in the main reception.

In the event that the main corridor is affected by fire, rendezvous at Patient Travel.

Take instruction from the Fire Response Team as to where assistance is required.

Assist staff in moving patients while it is safe to do so.

Take instructions from the senior member of staff on duty in the ward/department.

It is not necessary for staff to report back to their wards on the status of the alarm and they should not return to their wards/departments until advised by the Fire Response Team that the incident is over. (See Figure 6 for a summary of the above.)

Fire Response Team

6.6 The Fire Response Team, on hearing the alarm or being informed of an

incident by pager, radio or telephone, shall proceed to the fire panel in the main reception. In the event that the main reception is affected by fire, the fire repeater panel will be used to monitor the incident, and the Fire Response Team should proceed to Patient Travel. (See Figure 7 for a summary of the above.)

6.7 On instruction from the Emergency Controller, members of the Fire Response

Team shall proceed to the area in which the fire alarm condition has originated and establish the nature, location and extent of the incident. They shall inform the Emergency Controller as soon as possible if there is a fire.

6.8 If there is a fire, they shall assist nursing staff in moving patients and, if safe to

do so, tackle the fire with the nearest suitable fire extinguishing appliances.

(See Figure 7A for a summary of the above.)


6.9 On instruction from the Emergency Controller, a member of the Fire

Response Team shall proceed to meet the fire and rescue service on their arrival at the main reception.

(See Figure 7B for a summary of the above.)


Team shall proceed to the designated fire assembly points to act as Assembly Point Co-ordinators. They shall take reports from the fire wardens and shall relay information on the status of the evacuation to the Emergency Controller. (See Figure 7C for a summary of the above.)


Team shall proceed to areas of the hospital identified as next to be evacuated. Once there, they shall inform the senior staff member on duty and then activate a fire alarm call point. They shall then assist staff in moving patients.

(See Figure 7D for a summary of the above.)

Fire Wardens (designated within Local Fire Plan)

6.12 Fire wardens in non-patient access areas, shall, on hearing the ‘Evacuate’

signal:

Sweep their area to establish it is clear.

Identify if anyone requires assistance to escape.

Where appropriate, ensure someone remains with the person (the fire warden should not remain, as this will delay the process of notifying the fire and rescue service that the area is clear).

Proceed to the assembly point and liaise with the Assembly Point Co-ordinator.

(See Figure 8 for a summary of the above.)

6.13 No specific action is necessary from fire wardens in response to an ‘Alert’

signal, other than to prepare for a possible evacuation, and if any disabled staff or visitors are present, to instigate procedures for their evacuation.


7. ASSEMBLY POINTS

7.1 Assembly points have been identified for the various parts of the hospital. The location of each assembly point is as follows: Assembly Point A – Main Hospital Entrance. Assembly Point B – Laundry. Assembly Point C – Staff Residents Car Park. Assembly Point D – Administration Building Car Park.


FIGURES

14

FIGURE 1

15

Continued

Indicated on fire panel

in Main Reception

Alert signal given in other Alarm Zones as

appropriate

Evacuate signal given in Alarm Zone of fire origin

Designated staff from

other wards/departments assemble at Main

Reception

Staff investigate and

move patients as

necessary

Fire response team

attend fire panel in Main

Reception

Fire and rescue service

summoned by

receptionist

Response team

investigate and co-ordinate evacuation as

necessary

FIGURE 1 - OVERVIEW OF A FIRE EMERGENCY IN A PATIENT AREA

FIRE ALARM

ACTIVATION

16

FIGURE 1 - OVERVIEW OF A FIRE EMERGENCY IN A PATIENT AREA

(CONTINUED)


arrive on site

Officer in charge (OIC)

assumes control of

incident

Incident under control

and stand down/ re-occupation once

directed by OIC

Incident escalates and evacuation extended

to other areas as

directed by OIC

17

FIGURE 2

18

Continued

Evacuation signal given

in Alarm Zone of fire

origin

Occupants of Alarm Zone of fire origin

evacuate to assembly

point

Fire response team attend fire panel in

Main Reception


summoned by receptionist

Response team investigate and co-ordinate evacuation

as necessary

Alert signal given in

other Alarm Zones as appropriate

Indicated on fire panel

in Main Reception

FIGURE 2 - OVERVIEW OF A FIRE EMERGENCY IN A NON-PATIENT AREA

FIRE ALARM

ACTIVATION

19

FIGURE 2 - OVERVIEW OF A FIRE EMERGENCY IN A NON-PATIENT AREA

(CONTINUED)


arrive on site

Officer in charge (OIC)

assumes control of

incident

Incident under control

and stand down/ re-occupation once

directed by OIC

Incident escalates and evacuation extended

to other areas as

directed by OIC

20

FIGURE 3

21

FIGURE 3 – DUTIES OF RECEPTIONIST

ALARM INDICATED ON FIRE PANEL IN

MAIN RECEPTION

Acknowledge alarm

Contact

off-duty staff

as necessary

Telephone fire and rescue

service using 999

Inform:


Hospital Manager

Nominated Officer (Fire)

Duty Engineer

Await further instructions

from


22

FIGURE 4

23

FIGURE 4 – DUTIES OF EMERGENCY CONTROLLER

ONCE INFORMED

OF A FIRE

Proceed to fire panel in

Main Reception and await arrival of Fire Response

Team

Comply with instructions

from OIC

Confirm with receptionist that the fire and rescue

service has been notified

Take charge and give instructions to Fire

Response Team

Liaise with fire and rescue

service on attendance

24

FIGURE 5

25

FIGURE 5 – DUTIES OF STAFF IN WARD/DEPARTMENT IN ALARM ZONE OF FIRE ORIGIN

ON HEARING THE

EVACUATE SIGNAL

Investigate alarm and

establish location

of the fire

Move patients most at risk

to next sub-compartment/

compartment

Continue moving patients horizontally to adjoining

sub-compartment/ compartment if necessary

Take instructions from senior nurse on duty in

ward/department

26

FIGURE 6

27

FIGURE 6 – DUTIES OF DESIGNATED STAFF FROM OTHER

WARDS/DEPARTMENTS

ON HEARING THE

ALERT SIGNAL

Proceed to rendezvous

point at

Main Reception

Take instructions from

Fire Response Team

Assist Fire Response Team in evacuating patients from

affected area

If rendezvous point is

affected by fire, proceed to

alternative location at

Patient Travel

28

FIGURE 7

29

FIGURE 7 - DUTIES OF FIRE RESPONSE TEAM

ON BEING INFORMED OF A

FIRE ALARM ACTIVATION

Proceed to fire alarm panel,

Main Reception

Take instruction from the


Extend evacuation to

other areas

Meet fire and rescue

service

Act as Assembly Point

Co-ordinator

Investigate alarm

See Fig. A See Fig. D See Fig. C See Fig. B

30

FIGURE 7A

31

FIGURE 7A – DUTIES OF MEMBER(S) OF FIRE RESPONSE TEAM INVESTIGATING THE ALARM

TO INVESTIGATE ALARM

Proceed to location as

detailed by


Search and investigate and

report back

If a fire, assist with

evacuation of people from

the area

Only if safe to do so, tackle

fire

Move to safe place, report back and await further

instructions

32

FIGURE 7B

33

FIGURE 7B – DUTIES OF MEMBER(S) OF FIRE RESPONSE TEAM MEETING THE FIRE AND RESCUE SERVICE

TO MEET THE

FIRE AND RESCUE

SERVICE

Identify yourself to the fire

and rescue service on

arrival at Main Reception

Escort fire and rescue

service to fire panel in Main

Reception

Await further instructions

from Emergency Controller

34

FIGURE 7C

35

FIGURE 7C – DUTIES OF MEMBER(S) OF FIRE RESPONSE TEAM ACTING AS

ASSEMBLY POINT CO-ORDINATORS

TO ACT AS ASSEMBLY POINT

CO-ORDINATOR

Proceed to designated assembly point (outside Main Reception,

Laundry, Staff Residency or

Administration Building)

Inform Emergency Controller of all

persons requiring assistance to

escape

Take reports from Fire Wardens

Upon request, update Emergency

Controller of status of the

evacuation

Only on receipt of instructions

from Emergency Controller, inform staff it is safe to re-enter the

building

36

FIGURE 7D

37

FIGURE 7D – DUTIES OF MEMBER(S) OF FIRE RESPONSE TEAM TASKED WITH EXTENDING THE EVACUATION TO OTHER AREAS

TO EXTEND THE

EVACUATION TO OTHER

AREAS

Proceed to area identified

by Emergency Controller as

requiring evacuation

Operate a fire alarm MCP

within that area

Assist with the evacuation

of people from the area

Report back to Emergency Controller and await further

instructions

Where possible, identify person in charge of area, e.g. matron, and inform

them of the need to

evacuate

38

FIGURE 8

39

FIGURE 8 – DUTIES OF FIRE WARDEN

ON HEARING THE

EVACUATE SIGNAL

Follow procedures and

carry out sweep and search

of designated area

Leave the building and

proceed to the assembly

point

Inform Assembly Point

Co-ordinator that the area is clear or that there are

persons still present and whether they need

assistance to escape

40

APPENDIX A

ALARM ZONES

41

The table below sets out the designated Fire alarm zones for the Gilbert Bain Hospital.

A diagrammatical plan of the zones is located within the fire box at the main reception.

Copies can be obtained from NHS Estates.

Pharmacy and Porters

Mortuary and Stores

Orthotics and Kitchen

Medical Physics

Outpatients, Dental and Reception

A&E

X-Ray

Theatre

CDU

Audiology/Labs

Medical Records and Cafeteria

CT/ECG

Ward 1

Maternity and Renal

Plant Room and Link Corridor

Ronas Ward

Ward 3

Offices and Link Corridor

Administration Building

42

APPENDIX B

WARD/DEPARTMENT EVACUATION STRATEGIES

WARD/DEPARTMENT PAGE Outpatients and Dental 43 A & E or X-Ray 44 Theatres 45 Audiology & Laboratories 46 CT & ECG 47 Maternity &Renal 48 Ward 1 49 Ronas Ward 50 Ward 3 51 Administration Building 52 Outbuildings 53 Main Hospital building (total evacuation) 54

43

OUTPATIENTS AND DENTAL

Fire Alarm Cause & Effect

Evacuation Strategy Patients evacuate to Assembly Point A Alternatively, patients moved internally to refuge in A&E


IN OUTPATIENTS, DENTAL &

RECEPTION

Evacuate signal given in

Outpatients, Dental & Reception


all other areas of the main hospital building

44

A&E or X-RAY


Evacuation Strategy Preferably, patients moved internally to refuge in A&E or X-RAY

Alternatively, patients moved internally to refuge in Outpatients


IN A&E or X-RAY


A&E or X-RAY



45

THEATRE


Evacuation Strategy Preferably, patients moved internally to refuge in CDU Alternatively, patients moved internally to refuge in A&E


IN THEATRE

Evacuate signal given in Theatre


CDU



46

AUDIOLOGY & LABS


Evacuation Strategy Patients evacuate to Assembly Point B Alternatively, patients moved internally to refuge in A&E


IN AUDIOLOGY & LABS

Evacuate Signal Given In

Audiology & Labs



47

CT & ECG


Evacuation Strategy Patients evacuate to Assembly Point A Alternatively, patients moved internally to refuge in Outpatients


IN CT/ECG

Evacuate signal given in CT/ECG



48

MATERNITY & RENAL


Evacuation Strategy

Preferably, patients moved progressively within Maternity Alternatively, patients moved internally (via the link corridor) to refuge in Ward 1


IN MATERNITY & RENAL

Evacuate signal

given in Maternity & Renal

Alert signal

given in Wards 1, 2 & 3

Silent in all other areas

49

WARD1


Evacuation Strategy

Preferably, patients moved progressively within Ward 1 Alternatively, patients moved internally (via the link corridor) to refuge in Maternity


IN WARD 1

Evacuate signal

given in Ward 1


Ronas Ward


50

RONAS WARD


Evacuation Strategy

Preferably, patients moved progressively within Ronas Ward Alternatively, patients moved internally to refuge in Ward 3


IN RONAS WARD

Evacuate signal

given in

Ronas Ward

Alert signal

given in

Ward 3 & Offices


51

WARD 3


Evacuation Strategy

Preferably, patients moved progressively within Ward 3 Alternatively, patients moved internally to refuge in Ward 2


IN WARD 3

Evacuate signal

given in Ward 3

Alert signal

given in Ward 2 & Offices


52

ADMINISTRATION BUILDING


Evacuation Strategy Occupants leave by the nearest exit and go to Assembly Point D


IN ADMINISTRATION BUILDING


Administration Building


53

OUTBUILDINGS


Evacuation Strategy Occupants leave by the nearest exit and go to the nearest assembly point


IN OTHER OUTBUILDINGS


other Outbuildings only

Silent in

main hospital building

54

MAIN HOSPITAL BUILDING (TOTAL EVACUATION)


Evacuation Strategy Preferably, patients moved externally to refuge to either any or all of the following; Lerwick Health Centre on South Road, Montfield Board Headquarters, Burgh Road, Lerwick Hotel, South Road, Shetland Hotel, North Road and Clickimin Centre, Lochside.

MASTER EVACUATION MANUAL ACTIVATION OF CONTROL ON FIRE PANEL

Evacuate signal given in all alarm zones in the main hospital building

55

APPENDIX C

FIRE RESPONSE TEAM

56

The table below are the designated Fire Response Team

Nominated Officer (Fire)

Deputy Nominated Officer (Fire)

Hospital Manager

Duty Engineer (at night)

Estates Staff

Porters

Senior Nurse

57

APPENDIX D

ASSEMBLY POINTS

58

Assembly Point A

Assembly Point B

Assembly Point D

Assembly Point C

59

APPENDIX E

ESCAPE ROUTE PLANS

WARD/DEPARTMENT PAGE Outpatients, Dental & Reception 60 A & E and X-Ray 61 Theatres 62 Audiology & Laboratories 63 CT & ECG 64 Ward 1 65 Ronas Ward 66 Ward 3 67 Administration Building (ground floor, lower floor) 68 Administration Building (first floor, second floor) 69

60

OUTPATIENTS, DENTAL &RECEPTION

Primary Exit Alternative Exit

61

A&E AND X-RAY


62

THEATRES


63

AUDIOLOGY & LABS


64

CT & ECG


65

WARD 1 Primary Exit Alternative Exit

66

RONAS WARD


67

WARD 3


68



GROUND FLOOR

LOWER GROUND

69

SECOND FLOOR


FIRST FLOOR


SECOND FLOOR SECOND FLOOR

70

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Report For NHS Shetland FIRE EMERGENCY …€¦ · FIRE EMERGENCY MANAGEMENT PLAN GILBERT BAIN HOSPITAL ... ACTION IN THE EVENT OF A FIRE ALARM ACTIVATION – OVERVIEW 6 ... on the