3. Always present at 21% in air Almost always present Electrical arcs, sparks, appliances, open flames When all three come together we have a fire.

4. Types Fire Extinguishers Water 2 1/2 gallon pressurized: Class A fires Dry chemical:Class A, B, C fires Carbon Dioxide: Class B and C fires NOTE: Care must be used in operating this extinguisher because the horn becomes extremely cold and can freeze flesh upon contact with the skin. Fire extinguishers are marked as to what type of fires they can be used to extinguish. On the labels they will have the letters A, B, or C or a combination of letters (i.e., BC).

5. Type ABC which can be used to fight most fires. These should not be used to fight fires in deep fat fryers. Type ABC Fire Extinguisher Most fire extinguishers that are placed throughout the medical center and CBOCs are

6. PASSPASS Sweep Pull out locking key Pull out the locking key Squeeze Handle Squeeze handle Aim at base of fire

7. Fire Extinguisher Demonstration

8. A simple way of thinking how extinguishers work is that they remove the heat and oxygen from the fire. Fire Extinguisher Demonstration

9. Always present at 21% in air Almost always present Electrical arcs, sparks, appliances, open flames One way to extinguish a fire is by removing the heat.

10. Always present at 21% in air Almost always present Electrical arcs, sparks, appliances, open flames One way to extinguish a fire is by removing the heat.

11. Always present at 21% in air Almost always present Electrical arcs, sparks, appliances, open flames One way to extinguish a fire is by removing the oxygen.

12. Always present at 21% in air Almost always present Electrical arcs, sparks, appliances, open flames One way to extinguish a fire is by removing the oxygen.

13. If you remove the fuel, such as by shutting off the flow of a flammable liquid or gas, the fire will also go out. One way to extinguish a fire is by removing the fuel.

14. If you remove the fuel, such as by shutting off the flow of a flammable liquid or gas, the fire will also go out. One way to extinguish a fire is by removing the fuel.

15. Always present at 21% in air Almost always present Electrical arcs, sparks, appliances, open flames One way to extinguish a fire is by removing the fuel.

16. Always present at 21% in air Almost always present Electrical arcs, sparks, appliances, open flames One way to extinguish a fire is by removing the fuel.

17. Classification of Fires Class A or Ordinary Combustibles This includes fuels such as wood,paper, plastic, rubber, and cloth.

18. Classification of Fires Class B or Flammable and Combustible Liquids and Gases This includes all hydrocarbon and alcohol based liquids and gases that will support combustion.

19. Classification of Fires Class C or Electrical This includes all fires involving energized electrical equipment.

20. Classification of Fires Class K for fires in unsaturated cooking oils in well insulated cooking appliances in commercial kitchens.

21. If you work around extremely high field magnets such as magnetic resonance imaging (MRI) machines or nuclear magnetic resonance spectrometers (NMR's), you should only have non-magnetic fire extinguishers on hand. The magnetic field of an MRI or NMR machine is strong enough to make a steel cylinder fly across the room with lethal force. STRONG MAGNETIC FIELD MAGNETIC FIELD WARNING

22. The magnetic field of an MRI or NMR machine is strong enough to make a steel cylinder fly across the room with lethal force.

23.  You are trained in the use of extinguishers.  Fire is small (wastebasket size).  You know what is burning.  Fire is not spreading rapidly.  Smoke and heat has not filled the area.  You have a clear path of escape.  Follow your instincts. Should I Use a Fire Extinguisher? Only if -

24. Extinguish only very small fires. When a fire is larger than a wastebasket, you should isolate it by closing the door to the room. Let the firefighters extinguish the fire. Do not attempt to enter a room when a fire is this large. Close the door to prevent smoke and fire from coming into the corridor. Stop the fire from spreading.

25.  Compliance with Life Safety Code  Inspecting, testing, and maintaining elements of the fire protection system  Emergency Procedures  Evacuation  Use of Fire Extinguishers  Interim Life Safety Measures  Training  Fire Drills “RACE” Fire Prevention Elements

26. FIRE SAFETY R Remove, all people in immediate danger! A Activate, the alarm (Pull Station), Call 2222 to verify! C Confine, the fire by closing doors and windows. E Evacuate, the area, move through the zone of refuge.

27. Remove anyone in immediate danger. The “R” in RACE is for rescue.

28. The “A” in RACE stands for alarm. Sound the alarm to summon help. Early notification of police and fire forces will minimize injuries and damage.

29. Don’t tape latches Don’t use tie-backs Be prepared to confine a fire. Doors should always be ready to be quickly closed and latched. Don’t use chocks The “C” in RACE is for confine.

30. Smoke Barrier The “E” in RACE stands for Evacuate When conditions threaten, evacuate through the smoke barrier to a safe zone.

31. Stair doors, room doors, and smoke doors are designed to stop or slow smoke and fire. Please report all broken doors to Engineering Service. Doors stop fire and smoke.

32. Exit Stair

35. Smoke Barrier Door

36. If a patient’s, visitor’s or staff member’s clothes catch on fire, use the stop, drop & roll procedure. Clothing Fires

37. ALARM SYSTEM Brecksville Uses fire bell annunciator system. BUILDING FLOOR using Bells.Will identify BUILDING and FLOOR using Bells. Wade Park Uses voice annunciation system. ZONEWill identify ZONE using a descriptive phrase.

38. FIRE DRILLS FIRE DRILLS - ONE / SHIFT / QUARTER DRILLS TEST STAFF KNOWLEDGE OF: u USE OF ALARM SYSTEMS u TRANSMISSION OF ALARMS u CONTAINMENT OF SMOKE AND FIRE u CLEARING THE CORRIDOR u TRANSFER TO AREAS OF REFUGE u FIRE EXTINGUISHMENT u SPECIFIC FIRE RESPONSE DUTIES u PREP FOR BUILDING EVACUATION

39. SPRINKLERS Patient buildings are fully sprinkled Quick Response Technology Never block sprinkler heads

40. For example, construction and renovation activities may disrupt the normal level of life (fire) safety. These measures include alternate exit routes, additional training, fire drills, and daily surveillance of these areas. stairs Elevators stairs OR SICU Construction Area stairs What are Interim Life Safety Measures? These are special precautions taken when there is a life safety (fire) deficiency.

41. Exit closed New ICU ATM Stair Temporary Exiting During New ICU Construction - First Floor Director’s Suite QIRMS Quality Mgt Research Bus Stop Interim Life Safety Measures

42. Congratulations, you have just completed the EOC Fire Prevention Training Course.