EMERGENCY SERVICES AND DISASTER PLANS Policies Procedures and

EMERGENCY SERVICES AND DISASTER PLANS Policies, Procedures and Education for: FIRE

GUIDELINES A fire is the greatest disaster that can occur in a healthcare facility. A major fire can injure both patients and employees. To insure proper fire safety guidelines, the facility conducts one fire drill per year. A review of the fire alarm system, fire extinguisher locations, pull station locations if applicable and evacuation procedures are performed for the staff. The evaluation of the drill includes information that provides opportunities for improvement in performance of personnel during the fire drill. Manual alarm pull station drills are conducted twice a year, fire extinguishers are checked twice a year and emergency lighting drills are performed once a month.

GUIDELINES � MANUAL PULL STATION: This facility is equipped with manual fire alarm pull stations that will automatically sound the fire alarm system when activated. Red pull stations are strategically located throughout the facility and all personnel should be trained in their use at regularly scheduled training classes and drills. The fire alarm system is connected to a central monitor, the central monitor will then notify the Fire Department.

GUIDELINES � HEAT/SMOKE DETECTORS Heat/smoke detectors are located throughout the building and will sound an alarm when activated. The heat/smoke detectors activate the fire alarm system when they detect smoke or intense heat.

GUIDELINES � There � � are three basic causes of a fire: Smoking – smoking is prohibited in the facility and this rule is strictly enforced. Careless smoking materials cause most fires by staff and patients. Electrical Equipment – Electrical equipment can be a fire hazard if in bad condition or used improperly. To reduce danger: � Ground Equipment Properly � Check for broken, crushed, cracked or frayed insulation or other defects. � Do not overload outlets and do not run cords under rugs. � Arson

GUIDELINES Guidelines – what you should do if you find a fire: � Here at HRA/HIPA we implement the R. A. C. E. Policy: �R-Rescue people in immediate danger �A-Alarm and dial 911 �C-Confine the fire if possible �E-Extinguish

GUIDELINES It is very important that each staff member remembers the following hints in fire safety: 1. 2. 3. 4. 5. Listen for announcement of location. Shut doors and windows but do not lock. Leave lights on. Know the relocation or evacuation plan. Do not become alarmed.

GUIDELINES If a condition exists that may warrant an evacuation of the building in the case of a fire, immediately pull the manual fire alarm closest to him/her. The person should call 911 and explain the situation and ask for the fire department. And notify the supervisor in charge. He/She will announce over the intercom paging system to all stations to “CODE RED” 3 THREE TIMES, “PLEASE EVACUATE THE BUILDING IMMEDIATELY. THERE IS A THREAT OF FIRE” indicating the location of the threat.

GUIDELINES After the announcement has been relayed, it is the Supervisor, Chief Technologist or Administrator’s responsibility to check all areas – dressing booths, exam rooms, bathrooms looking for any patients or outside vendors, personnel and lead them to the closest exit. Signs indicating the nearest exit are prominently located throughout the facility.

GUIDELINES � Fire extinguishers are located throughout the facility, if it is possible to contain the fire, please remember the following operational hints: �P �A �S �S Pull the safety pin, allowing handles to be depressed. Aim at base and front edge of fire. Squeeze handles to discharge agent. NOTE: hold extinguisher upright. Sweep horizontally across the base of the fire and side to side. Please note fire extinguishers are only used for small fires or to get away from a fire.

GUIDELINES � EVACUATION BY LOCATION: � All employees are directed to exit the office at the nearest possible exit. � Employees located within the BREMS office are directed to gather to the front of the building, the side facing Route 31 far enough from the building to prevent accidents from debris, etc.

GUIDELINES � EVACUATION BY LOCATION: � All employees are directed to exit the office at the nearest possible exit. � Employees located within the Hunterdon Imaging – Flemington Office are directed to gather in the doctors parking lot far enough from the building to prevent accidents from debris, etc.

GUIDELINES � EVACUATION BY LOCATION: � All employees are directed to exit the office at the nearest possible exit. � Employees located within the Business Office, Scheduling Office and Billing Office are directed to gather in the FRONT parking lot far enough from the building to prevent accidents from debris, etc.

GUIDELINES � Should the situation lead to an extended closure of the facility, all Hunterdon Radiological Associates patients will be referred to Hunterdon Medical Center, 2100 Wescott Drive, Flemington, NJ 08822 (908) 788 -6100. All patient’s scheduled at the Hunterdon Imaging office located at Brems will be rescheduled in our Flemington office and all Flemington Office MRI patients will be rescheduled at our Annandale office.

GUIDELINES If upon evacuation, emergency personnel deem it necessary to remove records, medications, supplies and equipment, the Managing Partner and or Practice Administrator will coordinate the efforts of employees to arrange for the orderly removal of medication and supplies. Outside sources such as equipment manufactures shall be contacted for the safe removal of medical equipment. The use of outside sources will be obtained for the removal of medical records if the Managing Partner and or Practice Administrator feel this is necessary.

GUIDELINES � Upon evaluation and approval of emergency personnel at the site to re-enter the building, Practice Administrator or his/her designee will take charge of the re-entry. Personnel will move back into the facility in a calm and orderly manner. April 2016