A fire broke out in a hospital patient room. Various staff members reacted differently - some evacuated patients, others tried to put out the fire or turn off oxygen, while one person fled. To improve safety, the document recommends establishing standards, training, and a unified emergency response plan. It also outlines policies and procedures for facility management, engineering standards, safety committees, hazardous materials handling, and security roles and training.

1. CBAHI FMS ANAS A ALZAID Consultant Engineer BSEE,MBA

2. How Safe are Hospitals?

3. (Chang, JCI) Dangerous (>1/1000) Risky Safe (<1/100K) Healthcare Mountain climbing Bungee jumping Driving Chemical industry Charter flights Regular air transport European railways Nuclear power Contacts / 1 death Deaths / year 1 100,000 1000 100 10 10,000

4. A fire started in a patient room, so what everybody did? Ali ran away! Saad called the switchboard! Sami is trying to put the fire off with his Ghuttra! Alex called 997 ! Huda is trying to evacuate patients ! Hassan turned the ward O2 off, patient in room 212 died ! Everybody Acted differently!!!

5. So, what we can do? Standards Training Unified Coherent Teamwork Develop Plans, Program, P&P

6. FMS Facility Management & Safety Building Safety Security Hazardous Materials & Waste Disposal Emergencies Fire Safety Medical Equipment Utility Systems

8. PPPP POLICIES & PROCEDURES, PLANS, PROGRAMS Policies & Procedures Lost & Found, Patient belonging, Child Abduction Calling Police and reportable cases, Bombs, No Smoking Medical Equipment, Contractors, Cellphone, Extension Cables,.. Plans Major Disasters, Internal & External, Evacuation Equipment Replacement, Waste Management Programs Safety Program, Hazmat Program, Training Program, PPM Program

10. Engineering ENGINEERING STANDARDS PPM VS CM REDUNDANCY QUALIFICATIONS CONTRACTORS COMMON SENSE

11. Engineering Standards Europe & US A/C (ASHRAE) Electrical (NEC) Fire (NFPA) Elevators (EN81) Structure (NBC) Residence, Commercial, Healthcare, and Factories.

13. Engineering Standards Europe & US A/C (ASHRAE) Electrical (NEC) Fire (NFPA) Elevators (EN81) Structure (NBC) Residence, Commercial, Healthcare, and Factories.

14. Engineering Standards Saudi No Engineering Standards!!!

15. Engineering Standards Saudi CBAHI Engineering technical committee Good News

16. PPM VS CM PPM: Planned Preventive Maintenance CM : Corrective Maintenance

17. PPM Vs CM

18. Redundancy Power (Generators, Ring) Medical Gases (Manifold) Water (Storage) Fire System All Life Critical Engineering Systems should have backup

20. QUALIFICATION Saudi Engineering Council Consultant/Professional/Associate/Engineer Mechanical/Electrical/Civil O&M

21. Contractors Contractors  Profitability YOU  Patient wellbeing Objectives Diverges Supervision, Supervision, Supervision

22. Common Sense

24. Safety Safety Committee Fire Prevention Medical Equipment Hazmat

25. SAFETY COMMITTEE Set the Hospital Strategy on how to make it safe Monitors and Analyze OVRs Environmental Rounds Minimum: 10 meetings per year Members: heads of: safety, security, housekeeping, ER, Biomedical, maintenance. Representative from: lab, infection control, Nursing, TQM and Radiation Safety Officer

26. Safety Safety Committee Fire Prevention Medical Equipment Hazmat

27. FIRE PREVENTION Fire Zonings Fire Systems (Alarm, Sprinkler, FMS) Drills and Training Fire Rated Doors, Staircases & Egress routes Storage

29. FIRE PREVENTION Fire Zonings Fire Systems (Alarm, Sprinkler, FMS) Drills and Training (RACE/PASS) Fire Rated Doors, Staircases & Egress routes Storage

30. Drills and Training Evacuation Drills RACE: Rescue, Alarm, Contain Fire, Extinguish/Evacuate PASS: Pull the pin, Aim, Squeeze, Sweep

31. FIRE PREVENTION Fire Zonings Fire Systems (Alarm, Sprinkler, FMS) Drills and Training Fire Rated Doors, Staircases & Egress routes Storage

32. Exit Doors, Egress routes, Storage

33. Safety Safety Committee Fire Prevention Medical Equipment Hazmat

34. MEDICAL EQUPMENT Policy Pre Issue check Tagging and Labeling Repairs Rejection

36. Safety Safety Committee Fire Prevention Medical Equipment Hazmat

37. Hazardous Materials (HAZMAT) Any substances or agents , if released or misused, can pose a threat to the environment, life or health.

38. Hazardous Materials (HAZMAT) MSDS Tags, Signs, and Labels HAZMAT Cycle HAZMAT Classification

39. Physical Properties: Body surface normally covered with film of powder and paint Boils at absolutely nothing – freezes for no apparent reason Found in various grades ranging from virgin material to common ore Chemical Properties: Reacts well to gold, platinum and all precious stones Explodes spontaneously without reason or warning The most powerful money reducing agent known to man Common Use: Highly ornamental, especially in sports cars Can greatly aid relaxation Can be very effective cleaning agent Hazards: Turns green when placed alongside a superior specimen Possession of more than one is possible but specimens must never make eye contact Accepted as 55kg, but known to vary from 45kg to 225kg Atomic Mass: Adam Discoverer: Symbol: Woman Element:

41. Hazardous Materials (HAZMAT) MSDS Tags, Signs, and Labels HAZMAT Cycle HAZMAT Classification

43. Hazardous Materials (HAZMAT) MSDS Tags, Signs, and Labels HAZMAT Cycle HAZMAT Classification

44. HAZARDOUS MATERIALS CLASSES Explosives Gases Flammable and combustible liquids Flammable solids Oxidizers and organic peroxides Poisons and biohazards Radioactive Materials Corrosive Materials Miscellaneous

45. EXPLOSIVES (class 1) Dynamite Ammunition Fireworks Ammonium nitrate & fuel oil

46. GASES (class 2) Flammable gases - propane, methane and hydrogen Nonflammable gases - neon, helium and carbon dioxide Poison gases - cyanide, chlorine, phosgene, Sarin

47. FLAMMABLE & COMBUSTIBLE LIQUIDS (class 3) Flammable liquids - gasoline and alcohol Combustible Liquids - pine oil, fuel oil and plastic solvents.

48. FLAMMABLE SOLIDS (class 4) Matches or Sulfur Potassium Sodium Aluminum Magnesium Barium

49. OXIDIZERS & ORGANIC PEROXIDES (class 5) Oxidizers Gases; oxygen or chlorine Liquids; bromide, hydrogen peroxide and nitric acid Solids; iodine, nitrates and peroxides. Organic Peroxides Acetyl peroxide Benzoyl peroxide

50. POISONS & BIOHAZARDS (class 6) Poisons - Arsenic Solvents Mercury Biohazards Bacteria Viruses Toxins

51. RADIOACTIVE MATERIALS (class 7) Nuclear Medicine Nuclear Reactor Commercial/Research Facilities Industrial X-Ray Materials

52. CORROSIVE MATERIALS (class 8) Sulfuric Acid Hydrochloric Acid Nitric Acid Sodium Hydroxide Chlorine, Fluorine Boiler treatment caustics

53. MISCELLANEOUS (class 9) Anesthetics Asbestos Scavenging Gases Batteries

55. Security Roles: PPPP Duties: Rounds, PR, Mr Strong Reporting: OVR, Police, Violations Control: MD, Fire Training: Codes, Roles, Fire, HAZMAT

56. Thank You