437 - Fire Evacuation Plan for Outpatient Dental Sedation Clinic, Keturah L. Lowe DDS, Christopher M. Heard, MD, MBChB, FRCA (University at Buffalo School of Dental Medicine, Buffalo NY)

Purpose: This research developed a Fire Evacuation Plan (FEP) for University Pediatric Dental’s sedation clinic, considering pertinent aspects of care gleaned from a literature review. A specialized FEP is necessary to address patients who are sedated, requiring monitoring and airway support during evacuation.

Methods: After performing a literature review of five articles outlining guidelines for emergency evacuation of outpatient sedation and surgical clinics, we identified pertinent guidelines necessary for safe discharge of patients and formulated an initial FEP.

Results: The FEP is specific to our local climate, as well as our staff and clinic layout. Evacuation timing is based upon three group assignments and patients’ level of sedation at time of evacuation. Group 1, front office staff and patients/family in the pre-procedure evaluation process, will be fully evacuated when the fire alarm sounds. Group 2, staff and patients who have an intravenous line placed or are recovering from sedation, will be moved closer to an exit for evacuation during a prolonged fire alarm. For Group 3, patients who are undergoing procedures, in recovery, or require oxygen, procedures will be stabilized. Arrangements for airway and monitoring equipment during evacuation were also formulated.

Conclusion:  

1. To improve the implementation and understanding of this Fire Evacuation Plan, we will run an annual simulation. 


2. All regular staff will be trained and tested to ensure comprehension and compliance. 


3. The FEP will be reviewed annually, and updates will be integrated as needed to meet safety standards.