Question

Difficulty: HardAccident, Error, and Injury Prevention

A practical nurse (PN) enters a client's room and discovers an electrical outlet sparking, which has ignited a nearby privacy curtain. The client is bedbound and receiving continuous oxygen therapy. Arrange the following actions in the priority order the PN should perform them.

  1. 1Transfer the client to a wheelchair and move them out of the room to a safe area.
  2. 2Activate the facility's manual fire alarm pull station.
  3. 3Close the door to the client's room and shut off the zone oxygen valve.
  4. 4Retrieve a Class C fire extinguisher and pull the safety pin.
  5. 5Aim the extinguisher nozzle at the base of the flames and squeeze the handle.

Answer

The correct priority sequence is: 1) Transfer the client out of the room, 2) Activate the fire alarm, 3) Close the door and shut off oxygen, 4) Retrieve the extinguisher and pull the pin, 5) Aim at the base of the fire and squeeze the handle.
Emergency fire response in a healthcare setting is governed by the RACE acronym: Rescue, Alarm, Contain, Extinguish. The PN must first Rescue the bedbound client by moving them to a safe area. Second, the PN must activate the Alarm to summon help. Third, the PN must Contain the fire by closing the door and shutting off the oxygen valve. Finally, the PN can attempt to Extinguish the fire using the PASS technique: Pull the pin, Aim at the base, Squeeze the handle, and Sweep from side to side.

Step-by-Step Solution

1
Rescue the client from immediate danger.
The client is moved to a safe area away from the fire.
Life safety is always the primary focus; a bedbound client cannot evacuate themselves.
2
Activate the fire alarm.
Facility emergency response protocols are initiated.
Alerting other staff and the fire department ensures appropriate resources arrive to assist.
3
Contain the fire.
The room door is closed and the oxygen supply is disabled.
Closing the door limits oxygen feeding the fire and blocks smoke spread; turning off oxygen removes a highly combustible gas.
4
Prepare the fire extinguisher.
The safety pin is pulled on a Class C extinguisher.
Class C is appropriate for electrical fires. Pulling the pin unlocks the operating lever.
5
Extinguish the fire.
The extinguishing agent is discharged at the base of the flames.
Aiming at the base attacks the fuel source directly, and squeezing the handle releases the agent to smother the fire.

Key Concept

Emergency Fire Response (RACE and PASS protocols)
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