Swedish Edmonds Incident WE RE IN THE DARK HERE!
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IN THE DARK!
Incident Demographics November 21, 20 13 21601 76 th Ave. W. Thursday Evening 1909 Hours Weather 37 Degrees Clear Minimal Wind
Swedish Edmonds
Swedish Edmonds Overview Structure Year Built: 1964/1974 Number of Floors Above Grade: 9 Number of Floors Below Grade: 4 Square Footage Per Floor: 13k sq. ft. avg. Total Square Footage: 220k sq. ft. Construction Type: concrete/reinforced masonry
Swedish Edmonds Overview Number of Patients during incident:120 Number of Staff during incident:75 Total Number of people in the hospital during the incident: 200+
Investigation ORIGIN AND CAUSE
Domestic hot water tank pump failure
Origin and Cause
Origin and Cause
Incident Communications 1 st 911 Call from Hospital Operator 19:08:57 2 nd 911 Call from Simplex Grinnell 19:09:37 3 rd 911 Call from Simplex Grinnell 19:20:04 4 th 911 Call from Swedish Off-site Employee 19:26:08 5 th 911 Call from Swedish Emergency 19:29:48
Incident Communications Received: 19:08:58 Entered: 19:09:30 Dispatched: 19:09:31 En-route: 19:11:22 On-Scene: 19:11:29
Command and Control B A T T A L I O N C H I E F D O N W H I T E A S S I S T A N T C H I E F M A R K C O R R E I R A M A R K N U N E S - S W E D I S H E D M O N D S
Incident Priorities Life Safety Civilian-patients/staff/visitors Evacuation Shelter in Place Transport Support Relocation Emergency Responders Property Conservation Rapid and Aggressive Fire Control Smoke Management and Removal
Incident Priorities Business Operations: Restore Power to Facility Assess electronics/monitoring equipment capabilities Assess IT Capabilities Plan for Immediate Operational Stability Plan for Future Operational Needs: Current Patients Next Day Surgeries and Appointments
Total Fire Unit Response Engine Companies: 9 Truck Companies: 3 Medic Units-ALS: 3 Aid Units-BLS: 2 Command Units: 6 Specialty Units: 5 Total of 28
Resource Response: Agencies Represented Fire Agencies: Fire District #1 Lynnwood Fire Shoreline Fire Other Agencies: Swedish Edmonds Edmonds PD SnoCom PUD Support 7 Falck Ambulance AMR Ambulance
Incident Challenges Below Grade Fire Access Issues Visibility Issues Rapid Smoke Extension to Multiple Floors Evacuation/Shelter in Place Dynamics Ventilation considerations Evacuated Patient Assembly and Control Loss of power to entire facility Inability to isolate power grid due to lines affected. Re-generation dynamics
Incident Challenges Significant Interruption to Hospital Operations Patients in Surgery Patients in Emergency Room Patient in Surgery Patients in Post-Recovery Status Pre-evacuation of patients On-Going Hospital Operations
Command Structure HOSPITAL HICS Liaison (DC-21) FIRE/HOSPITAL Base Area Manager (M-15) Unified Command (Fire Law, Hospital) Operations (B-16) PIO (PIO-11) Safety (B-11) Medical Group (MSO21) Ventilation Group Division 03 (A-16) Evacuation Group Transportation (Private AMB)
Incident Outcomes Rapid Fire Extinguishment and Containment to Room of Origin. Transfer of 9-12 Patients to Alternative Hospital Care Facilities. Shelter-In Place of Multiple Floors of patients. Ventilation of Smoke Product from Multiple Floors. Operational Stability for Hospital During the Event.
Emergency Department 12 Patients Tx 10 BLS 2 ALS 8 PGMC 3 Northwest 1 Swedish Ballard
Emergency Department
Private Ambulances Private Ambulances- Supervisor coordinated patient movement to other hospitals, and kept additional resource onsite in case they were needed.
Remaining Hospital Sheltering in Place: ICU/PCU/PCU2- Moved to the ED after it was cleared. One ventilated patient 9 th Floor Patients- Normally locked unit-patients self evacuated. Patents were moved to the cafeteria after smoke cleared. Surgery- Sheltered patients in surgery and in recovery suites. Coordinated movement as needed.
Origin and Cause
Origin and Cause
Origin and Cause
Origin and Cause
Origin and Cause
Origin and Cause
Origin and Cause
Origin and Cause
Origin and Cause
Six Days Later
Incident Summary Electrical fire in main switch room with difficulty isolating circuits. High volume of smoke due to storage of synthetic combustible materials. Difficulty removing smoke because of fire operations and staff opening hall doors.
Lessons Learned Do not store any combustibles in electrical/mechanical rooms. Hospital Staff need to review emergency plans by floor, to include magnetic/self adhesive signs indicating hazardous areas Departments need to understand essential functions and how they would operate independently. Hospital should designate a single person to be part of Unified Command immediately. This needs to be someone that is on site Distributed Antenna Systems (DAS) requests may become issue for older facilities.
Lessons Learned Have redundancies for the redundancies in communications! Overhead/Two way/800 MHz, cell Communication efficiency increased dramatically with the SNOCOM Communications Van on scene. Site security is critical. Additional master keys available to fire personnel would provide faster access and more efficient operations. Some method of providing (secured) natural ventilation on Floor 9 would have aided in smoke removal.
Upgrades Mechanical room above switch room floor epoxy sealed
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Hospital did not receive one patient complaint for the incident and disruption. Gratifying Achievements-Most Proud of Fire was extinguished quickly. No patients, staff, or responders injured. Surgery resumed on Tuesday the 26 th of November after 24 hour safety pause. Teamwork of staff and partners from other Swedish /Providence campuses. Hospital returned to utility service sooner than projected (12 days).
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Thank You Mark Nunes Director of Facilities/Safety Officer Swedish Edmonds 425-640-4993 mark.nunes@swedish.org