Resus

There a few points to note about the area. There are no fire extinguishers or break glass alarms in resus.

The duress alarm is located under the locked medication cupboard near CC12, closer to the cc 12 computer, can you find it?

The store area where the Xray gowns are located is a problem area. There is only one way in and out of this area, please dont go this way when exiting resus. We dont want you trapped in resus.

When an evacuation is decided, we need to ring 55 again and state CODE ORANGE. This will notify the rest of the hospital that the Emergency Department is evacuating, they will provide hospital orderlies to assist in the evacuation, it will also escalate  assistance from the Emergency Response  Team.

On code orange, ICU will take 1 intubated patient. 1 resus nursing staff and 1 medical doctor will stay with the patient in ICU. Other intubated patients, patients on Non Invasive Ventilation or on inotropic medications will be evacuated to Theatre recovery. Once again the emergency staff will have to stay in theatre recovery and look after these patients.

Fire information.

R.A.C.E. stands for Remove, Alarm, Contain, Extinguish and or Evacuate. With multiple staff, these steps can be conducted simultaneousley.

Remove all patients nearest the danger first then adjacent area.

Alarm - Call 55 or break glass alarm (if available) and inform adjacent areas, like CT, Xray, Acute Care Unit above us.

Contain  - Turn off O2 and close doors where applicable. Use correct extinguisher.

If a complete evacuation is ordered ambulatory patients go first, semi ambulant patients that need assistance go second and non - ambulant, full assistance go last.

Resus is not the place to be working in a code red, orange stituation; no fire extinguisher, dead end and evacuate last.

Now off to Critical care bays 7 to 10.