Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Staff member can explain the elements of the fire triangle,
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Documents the fire risk assessment in the perioperative record.
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Prevents the pooling of prep solutions<br>
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Provides adequate time to allow flammable skin antiseptic agent to dry completely and allowing any fumes to dissipate before using a potential ignition source.
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If Head/Neck case drapes are placed over the patient's head in a manner that allows the oxygen to flow freely and prevent accumulation under the drapes.<br>
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Scrub personnel has Normal Saline or Sterile water on back table to help extinguish fire if needed.
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Staff member knows the number to call the main switchboard to report a fire.
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Can identify locations of pull station alarms<br>
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Explains correct extinguisher selection.
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Identifies the location of fire extinguishers in perioperative areas.
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Demonstrates PASS technique for using a fire extinguisher<br>
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Describes RACE evacuation technique
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Explains vertical and horizontal evacuation plans
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Does not store equipment (eg, case carts, stretchers, supply carts, patient beds ) in locations that block access to pull alarms, medical gas control valves, or electrical panels.
