提升內科加護病房人員消防應變能力

Promoting Response to Fire for Staff in Medical Intensive Care Unit

2018年某醫院大火造成多人傷亡，突顯醫療院所消防應變能力之重要性，特別是加護病房，病人常需使用多項維生儀器設備，當火災時因行動不便且逃生能力有限，造成嚴重傷亡。統計2018年10月15日至2018年10月20日發現團隊人員對於消防應變認知正確率71.1%、消防應變技能正確率64.3%。經現況分析發現缺失有：一、設備面：氣體開關、排煙閘門及防煙垂壁標示不清；二、政策面：單位的消防防護計畫內容不完善、單位的教育訓練不完善、無實際消防設備操作演練；三、人員面：不熟悉各消防編組任務及消防設備位置、不瞭解防火區域之劃分。
為提升內科加護病房人員消防應變能力，藉由修訂單位消防防護計劃、增設消防應變演練計畫書、製作防火區域平面圖、錄製消防設備操作影片、並舉辦消防暨實務演練教育訓練，結果團隊人員對消防應變認知正確率由71.1%提升至93.5%、消防緊急應變技能正確率由64.3%提升至達99.3%，有效提升人員消防應變能力。

In 2018, a fire in a hospital caused many casualties, highlighting the importance of firefighting response in medical facilities. Patients often require multiple life-sustaining equipment in intensive care units, which reduces their ability to escape when fire occurs Data collected between October 15- 20, 2018 showed that medical team members scored 71.1% on fire emergency response and 64.3% on fire response skills. Further analysis showed two major flaws: equipment: gas switches, smoke exhaust gates, and smoke prevention walls were not clearly marked; policy: incomplete fire protection plan in the unit, insufficient educational and training programs, and lack of physical training on firefighting drill; personnel: staff unfamiliar with tasks assigned to individual groups, lack of awareness on firefighting equipment location, and lack of understanding on assigned areas. In order to improve personnel’s emergency responses, actions were implemented, including revising fire protection plans, drafting fire response drill plan, producing fire prevention area plan, recording fire equipment instruction video, and conducting fire protection drill/education training.
As a result, fire emergency response rate has increased from 71.1% to 93.5%, and fire emergency response skills has increased from 64.3% to 99.3%. Personnel’s ability to react to fire emergency has improved effectively.