314 - Envisioning a Bold Approach to OR Fire Safety Team Training
Description: Nursing OR teams across Michigan Medicine participate in fire drills and fire education on a quarterly basis. Anesthesia teams (Faculty, residents, CRNAs) are involved in at least one of these drills annually. Historically at Michigan Medicine, surgery has not been involved in these annual fire drills due to their own educational meetings and grand rounds. In order to involve all disciplines, Michigan Medicine’s OR and Procedural Area Fire Safety Committee, comprised of surgeons, nurses, anesthesia providers, Safety Management Services representatives, executed an institution wide, multidisciplinary OR Fire Safety Event. The OR and Procedural Area Fire Safety Committee reviews fire events in all OR and procedural areas across Michigan Medicine. This multidisciplinary team is also responsible for the Fire Risk Assessment (FRA) that is a part of our Pre-Procedure Time Out. In-room observations revealed that staff continued to struggle with implementing a meaningful FRA and engaging all perioperative team members. It was determined that creating a team training activity would be the perfect opportunity to reinforce the expected behaviors. Educational Nurse Coordinators (ENCs) from inpatient and outpatient surgery worked together to develop simulation activities based on fire events that had occurred at Michigan Medicine. Staff from all disciplines volunteered to participate as facilitators for this event. This group underwent facilitator training by the ENCs in order to ensure their ability to carry out the education and debriefs appropriately. Michigan Medicine has eight surgical sites, including adult and pediatric inpatient operating rooms, obstetrics, cardiovascular center, and four ambulatory surgery centers. The surgery schedule was paused for this two hour event. This team training occurred simultaneously across the health system spanning eight locations in 67 Operating Rooms. The same scenarios were enacted in all sites, as the risk of fire is consistent regardless of the setting or procedure being performed.Extensive reinforcement of safety protocols and policies occurred and intense debrief discussions were led by trained facilitators. Topics reviewed included a detailed review of the FRA, fire triangle, R.A.C.E, P.A.S.S., fire extinguishers, evacuation and completing the Patient Safety Report.Over 1060 staff members comprised of all perioperative care providers enthusiastically participated in this event. This team training exercise was deemed so successful that similar multidisciplinary team training events are being considered annually. Procedural areas such as Medical Procedures Unit (MPU) and Interventional Radiology (IR) have expressed interest in conducting similar training in the near future.