Welcome to Jefferson Regional Medical Center

FIRE PREVENTION PLAN

SECTION 1:  POLICY
To provide fire safety procedures to protect our staff, visitors, employees, patients and facilities. For the protection of our patients, visitors, staff and facilities you must know exactly what to and how to help prevent fires.

The facility's fire plan applies to any person employed, visiting, or on the facility premise for any reason.

SECTION 2:  PROCEDURE
It is imperative that we all take the responsibility on how to minimize the danger of a fire.

A. Fire Prevention

The following rules are to be followed:

1. Each patient care area of the facilities will be safety inspected by representatives of the Safety & Environment of Care Committee at least two times per year. All other locations will be inspected one time per year.  Inspections will be documented.

2. No storage will be allowed in or under stairwells, in hallways or other paths of egress.

3.   No storage will be allowed within three feet in front of electrical panels or controls.  Locations of electrical panels or controls will not be concealed by furniture or other items.  Accessibility should not be compromised.

4.   No storage will be allowed within 18 inches of the ceiling in any area protected by sprinklers.  No storage will be allowed on the floor.

5.      Testing and inspection of fire equipment including fire alarms, sprinkler systems, smoke and fire dampers, alarm pull stations and fire pumps, in accordance with appropriate codes, will be the responsibility of the maintenance department.

6.      Clothing, signs, decoration or other material shall not be hung on sprinkler pipes or heads, extinguisher or hose racks.

7.       Storerooms must be kept clean.  All unusable equipment should be removed and no accumulation of cardboard, wood or trash is to be allowed.  No flammable liquids will be placed in unauthorized storerooms or areas.

8.         All trash is to be placed in approved containers and will not be allowed to overflow.

9.         All draperies and wall coverings in the hospital area, hallways and places of public assembly will be flame resistive and with approved smoke ratings.

10.       All festive decorations will be flame resistive. No combustible items will be placed over lights. No lighted candles will be allowed. No real Christmas trees will be allowed.

11.       Hoods and cooking equipment will be cleaned as scheduled by dietary.  No accumulations of grease on equipment will be allowed.

12.       Flammable liquids will be kept in approved containers and storage units and will be marked in accordance with appropriate codes.  Flammable liquids in a work area should not exceed the quantity necessary to meet daily requirements.  Bulk storage areas must be provided.

13. The use of gasoline, naptha, alcohol, benzene and other highly flammable volatile liquids for cleaning purposes in the work area is prohibited.

14. Household type refrigerators shall not be used for storage of flammable liquids.

15. Storage of chemicals used in the labs will be controlled by a designated lab employee and storage areas must be marked in accordance with appropriate codes.

16. Disposal of chemicals will be in accordance with individual lab safety policies and the facility hazardous waste management program.

17. Enforce the smoking policies of the facility.

18.       Any suspected defective wiring, appliances or fixtures will be reported to the maintenance department immediately.  This includes switches, lights, and outlets.

19. All electrical appliances, radios, etc., must bear the UL label and be approved by the maintenance department.  Use of personal electric equipment is to be avoided.

20. Electrical equipment used for holiday decoration must have the UL label and be inspected by the maintenance department prior to use.  This equipment will be disconnected before leaving for the day.

21. Patients using oxygen will not be permitted to use any electrical equipment such as razors or other open type electrical equipment.

22. No personal electric heaters will be allowed.

23.       Untrained personnel are not allowed to handle, transport, connect or disconnect any medical gas cylinder.

24.       Never attempt to use gas regulators that are in need of repair or have valves which do not operate properly.

25.       All gas cylinders will be secured at all times, whether full, empty, stored or being transported.

26. All lab personnel operating gas equipment must have the proper training.  The lab safety officer will document this training.  No gas equipment is to be used for purposes other than that designed for.  Gas should be turned off when not in use.  Do not depend on hooked-up equipment to accomplish this.  Equipment not being used should be disconnected.

27.       Fire extinguisher or other fire equipment will not be moved from established locations except by the manager of  maintenance.

28. Exit doors will not be locked or otherwise fastened so that the door cannot be opened from the inside.

29. Fire lanes must be kept open at all times.  Parking must be in designated parking spaces.

30.       Immediately report any defective equipment, careless use of chemicals or other unsafe work practices.  Please report these to your supervisor or the manager of safety.

31. Do not use any equipment you have not been trained to operate.

32.       Know where the nearest alarm pull stations, fire extinguishers and fire exits are for your work area or for areas you go to during your shift.

33. Know building evacuation routes, especially from your immediate work area and other areas you frequent during the day.

34.      Know your responsibilities in the event of a fire drill or an actual fire.

B. Reporting

1. Any situation that you think is a fire safety hazard you should immediately report it to your supervisor who shall contact the maintenance department  for analysis and improvements if necessary.

US Patent Numbers 7,720,998 B2, 7,836,207