FIRE
UNIVERSAL PROTOCOL
Covid 19
MALIGNANT HYPERTHERMIA
WHO KNOWS
100

Rescue, Alert, Contain, Extinguish

What is RACE

100

 For all surgical and non-surgical invasive procedures to prevent wrong person/wrong site/wrong procedure events"

What is definition of Universal Precautions

100

Fever, cough, headache, fatigue

What are some symptoms of covid-19

100

Typically, first indication of MH

What is increased ETCO2 (end tidal carbon dioxide)

100

Before and after eating, before and after direct patient care, after using restroom, after glove removal

What is perform hand hygiene

200

Call PAS (#8900) to tell them location of fire

What is "what to do after pulling the fire alarm"

200

Must be done before procedure is performed with patient involvement and by licensed practitioner with hospital credentials and be visible after prepping and draping

What is "marking the site"

200

2-14 days after exposure

What is possible onset of symptoms

200

Triggers

What is succinylcholines and volatile anesthetic gases

200

68-75 degrees F

30-60 %

What are parameters for temp and humidity in the OR

300

acronym PASS

What is: Pull pin

              Aim (at base of fire)

              Squeeze

              Sweep side to side

300

Includes all  team members and done immediately prior to procedure start

What is "Time Out"

300

endotracheal intubation/extubation, suctioning, bronchoscopy

What are aerosol-generating procedures

300

Immediate actions

What are:

Call for help

MH cart

Call MHAUS hotline

Administer Ryanodex (Dantrolene)

300

whenever not immediately administered, as soon as it is prepared, and whenever transferring from packaging to another container

What is "when to label medication"

400

Code Red

What is hospital- wide overhead paging alarm

400

Name two components related to preverification

What are:

ensuring relevant documents are available ( H&P, consents)

any diagnostic images/labs are available

any other items (blood products, implants, special equipment) is available

400

Required of all surgical patients prior to procedure

What is Covid test

400

In hallway outside OR rooms

What is: location of MH cart

400

Pharmacologically induced unconsciousness and insensibility to pain

What is general anesthesia

500

Outside Rm #1 and #2 OR rooms and at SDS nurse station

What is where fire extinguishers are located

500

Not to be used as sole means of marking operative site

What is " adhesive markers or tape"

500

Gloves, long sleeve gown, fit tested N95, eye protection

What is appropriate PPE for Covid protection

500

muscle rigidity, tachycardia, tachypnea, and hyperthermia

What are other possible signs/symptoms of MH

500

Low body temperature

What is hypothermia

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