2. Cancer Center Training 2012

3. Cancer Center Training 2012 “Defend in Place” Strategy for Fire Alarm Activations Cancer Center Building #7559

4. Presented By: Fire & Life Safety Division Occupational & Environmental Safety Office Duke University Health System

5. “Defend In Place” Strategy What is Defend in Place? Defend in Place is an alternative strategy used to protect patients, staff, and visitors in the event of a fire or fire alarm in a health care facility.

6. “Defend In Place” Strategy An alternative to evacuating the building considers the following: o Patients undergoing treatments o Procedures that should not be stopped o Equipment that is difficult to move

7. “Defend In Place” Strategy It requires a detailed response to a fire alarm with specific duties outlined for all staff members.

8. “Defend In Place” Strategy Due to more stringent construction requirements, fire compartments are used to “defend” patients in place while a fire may be occurring in an adjacent compartment.

9. “Defend In Place” Strategy SPECIFIC PROCEDURES ARE MANDATORY All Code Red voice announcements are treated as actual fire events Standby fire drill reports are mandatory

11. Fire Zone Separation – Single Door

12. Fire Zone Separation – Double Door

13. “Defend in Place” – Activated Zone(s) Fire condition notification will be received via voice message Two alarm voice messages will sound: – 1 st message will annunciate throughout the entire building – 2 nd message will annunciate just in the activated zone(s) Strobe devices will flash and accompany voice message in the activated zone(s) only

14. Audio for EVAC message

15. Response in Activated Zone(s) Clear the corridors of all equipment Prepare to evacuate patients to adjoining zone(s) If visible smoke or fire, begin evacuation procedures

16. “Defend In Place” – Adjoining Zone(s) Clear the corridors of all equipment Prepare to receive patients from adjoining zone(s)

17. “Defend In Place” – Standby Zone(s) Remain on standby until all clear is given Evaluate impact on your zone Submit a standby fire drill report

18. Exit Corridor – Good Practice

19. Identify Your Zone Placards will be posted depicting your level and zone Levels are 00, 0, 1, 2, 3, 4, and 5 Zones are 1, 2, and 3

20. Know Your Area! Exits..................... Know at least 2 Pull Stations............. By the Exits Fire Extinguishers....... Locate closest one Site Specific Fire Plan.... Read it

21. Manual Pull Station

22. Fire Alarm Speaker

23. Concealed Sprinkler Head

24. Pendent Sprinkler Head

25. Delayed Egress Exit Door is locked under normal conditions. Press panic bar until alarm sounds. Door will unlock within 15 seconds Upon fire alarm activation, door will unlock.

26. EnGauge Electronic Fire Extinguisher Monitoring System Pressure – sensor will report if the unit is below the acceptable pressure range. Presence – this indicates that either the unit is removed for response to a fire or tampering. Obstruction – sensor will take samples at various times and report if the cabinet is obstructed.

27. EnGauge Electronic Fire Extinguisher Monitoring System

28. Smoke Curtain in Open Position

29. Smoke Curtain Midway Closing

30. Smoke Curtain Closed Position

32. Emergency Assembly Points - EAP Internal:Take appropriate action according to Site Specific Fire Plan (SSFP) External: In the event that evacuation from the building becomes necessary, occupants will be directed by emergency personnel upon exit discharge of the facility

33. Emergency Assembly Point - EAP

34. Questions

35. Contacting the OESO Fire & Life Safety Division The presentation is available on: – Facebook – OESO website – Education repository link at construction.dukemedicine.org Additional information is contained in the OESO Online Training: “Fire Safety For Hospital Workers”