Thick, black smoke begins pouring from a linen storage room on a medical-surgical floor. The fire alarm is activated, and the charge nurse initiates a horizontal evacuation to the adjacent fire compartment. In what order should the nurse direct the evacuation of the following clients? Arrange the clients from first to be evacuated to last.
- 1A client in the room sharing a wall with the linen storage room who is confined to bed with pelvic fractures.
- 2A client located three doors down who is independently pacing the corridor with a rolling intravenous (IV) pole.
- 3A client in a room near the nurses' station who requires moderate assistance to transfer into a wheelchair.
- 4A client at the far end of the hallway who is unarousable and requires a stretcher and multiple staff members for transport.
Cevap
The correct sequence is to first evacuate the client in immediate danger (adjacent to the fire), followed by the ambulatory client, then the semi-ambulatory client (wheelchair), and finally the non-ambulatory client (stretcher).
Facility fire evacuation protocols require staff to first rescue anyone in immediate danger (the client next to the fire). Once the immediate danger area is cleared, the strategy shifts to moving the greatest number of people in the shortest amount of time. This means directing ambulatory clients out first, as they require little to no assistance. Next, semi-ambulatory clients (wheelchair-bound) are moved. Finally, non-ambulatory or bedbound clients (requiring stretchers and multiple staff) are evacuated, as they are the most labor-intensive and time-consuming to transport.
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Anahtar Kavram
During a facility fire, evacuation prioritization follows the RACE protocol (Rescue clients in immediate danger first) and then prioritizes based on mobility: ambulatory clients first, semi-ambulatory second, and non-ambulatory last.