Human factors
us with the recording of the call to use in further training, which identified that a call taker standing in the vicinity of the alarms is not only hard on the ears of the call taker, it also caused difficulty in getting a clear message across. Issues with self-evacuation and communication have been addressed, including reiteration to all staff about the need to stay put and wait for further information, before evacuation, and the need to communicate changes to both staff and patients, to the ICC, to allow for real-time understanding of an ever- changing situation. We have identified simple signage to be placed at the appropriate high level below the smoke to identify which theatre is which and have developed consistent department maps to support communication and location awareness. Both the Trust and CFRS have highlighted a need for systems to boost radio signals throughout the hospital that can be moved to the required areas quickly, to support communication needs. The estates’ management company have instigated in their fire protocols manual override of fire zone doors that would typically be locked along the planned routes taken by the fire rescue service.
Conclusion The exercise was successful in not only testing the Trust’s ability to manage a large-scale fire and evacuation, alongside partner agencies, but also in getting staff to work together in a way that they don’t normally work. Staff are very good at working within their
own skill set and for finding solutions to problems locally, but this exercise stretched them to deal with something they had no control over, where they had to rely on others to manage to ensure their safety. The staff that initiated evacuation for what
they thought were all the right reasons were able to see the impact through debriefing. All of those that took part reported that they found it a positive learning experience which has allowed them to understand, not only their roles and responsibilities in activating the Trust plan, but also the roles of others that they have not come into contact with, in their day-to-day activities. Our registered health professionals have all used it as a continuous professional development (CPD) learning and put together reflective pieces for their respected registration requirements for revalidation. It is hoped that other healthcare providers can identify the advantages of undertaking scenarios such as the exercise described, and this paper provides direction on how to approach and develop their own exercises in the future.
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About the author
Kris Birney is a registered ODP with 15 years of experience within the NHS as lead practice educator and senior practitioner for trauma before taking a Lecture position at Canterbury Christ Church University in Health Science and Surgical Care. Kris has completed his Masters of Science in Health and Wellbeing with a focus on perioperative research, patient safety and workforce development. Kris is also company director at Maxgate
Medical, providing consultancy for a range of healthcare providers, focusing on patient safety, governance and policy.
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