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AORN Fire Position Statement ::

Risk Reduction Strategies

Annual activities

  • Fire drills
  • Fire-fighting equipment use
  • Rescuer methods
  • Gas shut off operations
  • Ventilation / electrical system locations
  • “Code Red” policies
  • Fire Department procedures
  • How to promote a culture of fire safety

2006 AORN Recommended Practices

Following JCAHO's sentinel event alert in June 2003, AORN began working on a position statement on fire prevention in the operating room. A task force was assembled in early 2004 to develop both a position statement and a guidance statement on fire prevention. The AORN Position Statement of Fire Prevention was published in the February 2005 AORN Journal. The statement was formally approved by the 2005 House of Delegates in New Orleans in April 2005, and has been incorporated into the 2006 Standards and Recommended Practices.

Position Statement

AORN believes that fires can be prevented in the perioperative area. The perioperative registered nurse is responsible for learning about fire prevention and taking steps to minimize the risk of surgical fires. AORN believes the perioperative registered nurse should actively participate in a health-care facility's fire emergency planning and preparation activities, including fire drills and evacuation planning, policy development and education in risk-reduction strategies for preventing fires.

AORN believes the following risk-reduction strategies should be considered when developing a fire safety plan.

  • Promote and maintain a fire-safe perioperative environment by educating and training perioperative team members in fire-risk reduction strategies upon orientation and at least annually. Activities and knowledge should include
    • participation in a fire drill;
    • use of fire-fighting equipment;
    • knowledge of rescuer methods;
    • knowledge of medical gas panel and location and operation;
    • knowledge of ventilation and electrical system locations and operation, including personnel authorized to shut them off and when;
    • initiation of a fire alarm or “code red”; and
    • specific procedures for contacting the local fire department
  • Each perioperative team member is responsible for promoting a culture of fire safety. Preparation is the key to ensuring readiness in preventing fires in the O.R.

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