• hospital emergency
    October 1, 2024

    Fire safety is a crucial aspect of building design and operational planning across all sectors, but in healthcare facilities, the stakes are higher. In healthcare environments, the challenges in ensuring fire safety are often unique and multifaceted. In this blog, we dive into the special considerations we must account for healthcare facilities when it comes to fire safety.

    • Fire Safety in Healthcare Facilities
    • Special Considerations Needed for Fire Safety 
    • Expert Fire Safety in Healthcare with BusinessWatch 

     

    Fire Safety in Healthcare Facilities

    Fire safety in healthcare facilities like hospitals and care homes is on the tip of everyone’s tongue. This comes from figures released by NHS Digital revealing an 18% increase in reported fires, which translates to almost four per day across the NHS. An alarming statistic that needs to be addressed. 

     

    hospital patient

    Special Considerations Needed for Fire Safety

    Healthcare facilities are complex places with complex needs. Vulnerable patients, complex layouts, and a range of specialised equipment mean special considerations are needed when planning and implementing effective fire safety measures. Here are five key special considerations that need to be taken on board. 

    1. Vulnerable Occupants 

    The most significant challenge healthcare facilities face is the presence and protection of vulnerable occupants. In hospitals, care homes, and hospices, many patients may be unable to move independently due to age, illness, injury, or disability and therefore depend on staff for assistance during evacuation, which complicates emergency and evacuation procedures.

    Key Considerations

    Firstly, the mobility issues of some patients need to be considered when thinking about fire safety plans. Some patients may be bedridden or need to use wheelchairs. Additionally, some patients may have cognitive impairments that may mean they may not understand certain instructions or the danger of fire. Therefore they may need additional support. Latestly, some vulnerable patients may be in critical care such as in intensive care units, in surgery or supported by life-support machines. A fire safety plan needs to be made to accommodate everyone and every situation. 

    Recommendations 

    • Compartmentation: Healthcare facilities should be divided into fire-safe compartments, allowing staff to move patients horizontally into a safe area, rather than between floors to evacuate. 
    • Personal Emergency Evacuation Plans: Patients should have individual evacuation plans that are tailored to their needs. 
    • Regular Staff Training: Staff must be well trained in moving patients quickly and understand the needs of their individual patients. Training on the use of evacuation aids like slide sheets and evacuation chairs is key. 

    hospital bed and wheelchair

    2. Complex Layouts & Building Design

    Healthcare facilities often have intricate and sprawling layouts, with different wards, operating theatres, laboratories, and patient rooms spread across multiple floors and wings. This complexity can hinder swift evacuation and complicate fire suppression efforts in the event of an emergency. 

    Key Considerations

    Many modern healthcare facilities, especially hospitals, are large with multiple floors, which could increase evacuation times. Access routes must therefore be clearly signposted and accessible for the emergency services as well as for occupants to escape. It’s also worth noting that many healthcare facilities in the UK are housed in older buildings, some which may not have been designed with modern fire safety standards in mind.

    Recommendations 

    • Fire Risk Assessments: Regular and thorough fire risk assessments should be conducted to ensure that all areas of the facility, including older buildings, are compliant with current fire safety regulations.
    • Fire-resistant Materials: The use of non-combustible materials in the construction and furnishing of healthcare facilities, as well as fire stopping and sealing solutions, can help contain a fire and prevent its spread. 
    • Clear Signage & Lighting: Clear signage and emergency lighting must guide occupants, especially in complex or older buildings. Evacuation routes should be regularly reviewed to ensure they remain unobstructed.

     

    Fire Safety Training

    3. Specialised Equipment & Hazardous Materials 

    Healthcare facilities often house equipment and materials that present additional fire risks, such as oxygen tanks, flammable chemicals or electrical devices used in patient care. The combination of these items could exacerbate a fire or create unique challenges in fire suppression.

    Key Considerations

    Areas like operating theatres or certain wards may be oxygen-rich environments, which can cause an accelerated spread of fire. This needs to be considered when designing fire safety for hospitals and other healthcare facilities. Electrical equipment is also widely used in the industry and powers critical machinery like ventilators and monitors, all of which need to be protected from causing a fire or being impacted by one. Lastly, many healthcare facilities have onsite laboratories that house various flammable chemicals that pose a fire risk. 

    Recommendations 

    • Regular Equipment Maintenance: Ensure that all electrical equipment is regularly inspected and maintained to reduce the risk of electrical fires. Faulty wiring and overloaded circuits are common causes of fires in healthcare settings.
    • Storage Protocols: Flammable materials, including oxygen cylinders, should be stored in well-ventilated areas away from ignition sources. Proper labelling and adherence to storage guidelines for hazardous materials are critical.
    • Fire Suppression Systems: Installing specialised fire suppression systems, such as those designed to deal with electrical fires or fires in oxygen-enriched environments, can prevent a small incident from escalating into a disaster.

    fire safety training

    4. Evacuations Strategies 

    Healthcare facilities often need tailored evacuations strategies, as the standard “get everyone out” technique may not be feasible, due to the condition of patients and the complexity of the environment. In some cases, evacuation might even pose a greater risk to patients than the fire itself.

    Key Considerations

    Most often, the best course of action in healthcare facilities is to not evacuate patients immediately but to safely move them to a nearby fire-safe compartment within the building, commonly called a ‘defend-in-place’ strategy. Certain evacuation aids are also needed, like evacuation sheets, stair chairs and fire safe lifts to help aid those unable to walk or move quickly. In addition, staff should conduct regular fire drills to practise using necessary equipment. 

    Recommendations 

    • Fire-Safe Compartments: Healthcare facilities should be designed with fire-safe compartments that are capable of containing a fire for a set period, allowing for time to evacuate patients safely.
    • Evacuation Routes: It is critical to have designated evacuation routes that are unobstructed, well-lit and wide enough to accommodate patients being moved on beds or wheelchairs.
    • Coordination with Emergency Services: Close coordination with local fire services ensures that evacuation plans are practical and that emergency responders are familiar with the layout and special needs of the facility.

     

    fire safety kit

    Expert Fire Safety in Healthcare with BusinessWatch

    Fire safety in healthcare facilities involves a unique set of challenges due to the presence of vulnerable occupants, complex layouts, specialised equipment, and regulatory pressures. 

    BusinessWatch are experienced in expert fire safety in the healthcare industry and are well-trusted by leading organisations in the creation of bespoke fire safety solutions for numerous facilities. From fire risk assessments and fire prevention measures, to staff training and compartmentalisation, we can significantly reduce the risks posed by fire, safeguarding both patients and staff. 

    For more information or for a bespoke quote, get in touch by clicking here