Where can I find the regulations to having Fire drills in our OR Department and how often?
I am responding to this on the basis this is an existing health care occupancy complies with the national recognized 2012 NFPA 101 and 2012 NFPA 99.
2012 NFPA 101 Section 19.7.1 Evacuation and Relocation Plan and Fire Drills has the provisions for the minimum requirements the administration of every health care occupancy with a written to be available to all supervisory personnel for the protections of all persons including the OR in the event of a fire, for their evacuation to areas of refuge, and for their evacuation from the building when necessary.
According with Section 126.96.36.199 at minimum the drills are to be conducted quarterly on each shift to familiarize the facility personnel which includes the nurses, interns, maintenance engineers, and administration staff . They must be conduct with the signals and emergency action under varied conditions.
In addition, there are requirements in Section 4.7 of NFPA 101 concerning the drill operations and frequencies.
This is addition to NFPA 101 drills 188.8.131.52:
2012 NFPA 99 Section 184.108.40.206 Orientation and Training has provisions for new operating room/ surgical suite personnel that include the physicians and surgeons to teach general safety practices and procedures. At minimum, continuing safety education and supervision must be provided monthly and the procedures reviewed annually.
NFPA 99, Health Care Facilities Code, 2012 Edition
220.127.116.11 Orientation and Training
18.104.22.168.1 New operating room/surgical suite personnel, including physicians and surgeons, shall be
taught general safety practices for the area and specific safety practices for the equipment and procedures they will use.
22.214.171.124.2 Continuing safety education and supervision shall be provided, incidents shall be reviewed monthly, and procedures shall be reviewed annually.
126.96.36.199.3 Fire exit drills shall be conducted annually or more frequently as determined by the applicable building code, NFPA 101, Life Safety Code, or fire code.
This is what DNV sited as the requirement when I asked. It is import to note that they did check the OR Drs training records when they visited my hospital.
Hope this helps,
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