Assessment: After opening our new Operating Room (OR) platform, updated education related to fire safety and evacuation was identified as a top learning opportunity by OR Leadership. Current education was stagnant, consisting of the annual on-line Fire Prevention module and the Life Safety Scavenger Hunt. We needed a process that included an evacuation component that was repeatable, efficient and could be done on a large scale, in multiple OR’s, training 80-100 multidisciplinary staff at one time. Information obtained during a Fire SIM experience at AORN was the catalyst for creating something different. Our team was comprised of the OR Education Coordinator, Staff OR Educators, Emergency Preparedness Coordinator, City of Wauwatosa Assistant Fire Chief, Anesthesia Manager and an OR Manager. Preparation, Planning, Implementation: We had recently completed construction on a new OR platform. The OR education team was tasked with running a full scale OR Fire/Evacuation drill. We also implemented a formal Fire Risk Assessment during the Time Out. We met with the local fire department and our hospital’s Emergency Preparedness Coordinator. Walk-throughs were conducted with the Assistant Fire Chief, identifying fire department entry points, horizontal evacuation routes and key safety components. Our construction partner created SIM Gas Shut off valves and fire pull stations. After our meetings, we developed a series of 3 fire scenarios that had specific interdisciplinary roles for staff. A separate scenario was written for the front desk staff that complimented what was occurring in the rooms. Fire/Evacuation drills were then held during scheduled All Staff meetings, on all shifts.Outcomes: Multidisciplinary role play and hands on SIM proved to be a successful learning method for the OR environment. Many staff were surprised at how long it took to retrieve emergency equipment. Staff realized they did not know where some items were and had to ask. Many found practicing the process of manually unlocking the beds in a non-emergent situation to be very beneficial. Implications for perioperative nursing: Our perioperative nurses observed improvements in both nursing, provider and ancillary staff emergency knowledge and preparedness related to fire prevention.
Co-Authors: Mary Haines, Kristine Kohnert, Elizabeth Paepke, Sara Francois, Jacqueline Holmbeck, Lisa Spencer