Staff member can explain the elements of the fire triangle,

Documents the fire risk assessment in the perioperative record.

Prevents the pooling of prep solutions

Provides adequate time to allow flammable skin antiseptic agent to dry completely and allowing any fumes to dissipate before using a potential ignition source.

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.

Scrub personnel has Normal Saline or Sterile water on back table to help extinguish fire if needed.

Staff member knows the number to call the main switchboard to report a fire.

Can identify locations of pull station alarms

Explains correct extinguisher selection.

Identifies the location of fire extinguishers in perioperative areas.

Demonstrates PASS technique for using a fire extinguisher

Describes RACE evacuation technique

Explains vertical and horizontal evacuation plans

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.

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.